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: 1049529
Sex: F
Age: 45
State: WA

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/23/2021
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: egg sensitivity milk allergy an antibiotic - unknown at this time - hives

Symptom List: Dysphagia, Epiglottitis

Symptoms: About 11 hours after vaccine, my temperature went up to 101.5 - pounding headaches and dizzy. No digestive issues this time. My arm was very sore again - not quite as bad as first time. Body aches - general. I woke up drenched in sweat about 4 am in the morning - I went and took a shower and went back to bed. Tuesday, temperature was doing up and down - 100.5 or .6 down to 96.7. Normally I'm 97.2 or 97.4. My arm was sore. By Wednesday, I was feeling much better - 99.3 - 99.8 (may have not hit 100 degrees). My arm was sore but not as achy so it was better on Wednesday. By Thursday, I was feeling a lot better. It didn't last as long as first dose.. I was able to work after that.

Other Meds: daily zyrtec - 10 mg; allergy shots - maybe the week before the vaccine

Current Illness: adverse health event after dose 1 of the Moderna vaccine

ID: 1049530
Sex: F
Age: 82
State: NJ

Vax Date: 01/23/2021
Onset Date: 01/30/2021
Rec V Date: 02/23/2021
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: Sulphate Penicillin Mono sodium glutamate

Symptom List: Anxiety, Dyspnoea

Symptoms: For both the 1st and 2nd vaccination of moderna, an itchy red patch appeared on my right arm measuring approximately 2? x 3.5?. The red patch after the 1st shot appeared 5 days after the shot and lasted 5 days. For the 2nd shot on 2/20/21, the red patch appeared the next day.

Other Meds: Diltiazem hcl er (tz)-180mg Digoxin 125 mg Centrum silver multi vitamin Vitamin D3-2000units Xaralto-15mg

Current Illness: None

ID: 1049531
Sex: M
Age: 39
State: IN

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/23/2021
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: Penicillin

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

Symptoms: 19 Feb: Received vaccinate roughly 1330hrs. [1400hrs through 2100hrs] lightheaded, slight headache. [1500hrs onward] tightness in throat. 20 Feb: [All day] tightness in throat; fatigue; glands swollen in jaw/neck; joint pain in shoulders and ankles. 21 Feb: [All day] tightness in throat; fatigue; glands swollen in jaw/neck; joint pain in shoulders, lower spine, and ankles. 22 Feb: [as of 1100hrs] tightness in throat; fatigue; glandes swollen in jaw/neck; joint pain in shoulders and ankles. Takes benadryl to alleviate sysmptoms, declines advise for further care.

Other Meds: Dietary Supplment: One a day mens

Current Illness: None

ID: 1049532
Sex: F
Age: 62
State: CO

Vax Date: 01/19/2021
Onset Date: 01/29/2021
Rec V Date: 02/23/2021
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: Patient reported Red raised itchy area around the site of injection 10 days post vaccination. Consulted with PCP was given go ahead for second dose. Irritated area resolved in 5 days with no treatment.

Other Meds: Unknown

Current Illness: None

ID: 1049533
Sex: M
Age: 75
State: NH

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: IV contrast dye

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

Symptoms: Diarrhea, Gastric pain, nauesa

Other Meds: Lisinopril, Atorvastatin, Omeprazole

Current Illness: none

ID: 1049534
Sex: F
Age: 79
State: GA

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/23/2021
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: Codeine

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

Symptoms: Grandson reported that she passed out while getting dressed for the day and that her arm was extremely sore and painfully. At the time of event it was reported that her BP was WML and she had not eaten since the night before. She is not a diabetic.

Other Meds: Patient grandson reported thyroid medication and a daily vitamin

Current Illness: unknown

ID: 1049535
Sex: F
Age: 34
State: PA

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/23/2021
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: denies

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: 2/16/21 1500 PM received covid vaccine, 2/17/21 at 2200 pm started itching persistently around areas where clothing fit tightly along with a rash. Rash started to spread to bilateral shins appearing as welts. Pt. states that she took claritin and called a nurse. Pt. then took benadryl 25 mg po. Pt. then started taking 50 mg of benadryl for worsening rash and itching. Pt. states that itching and rash are still present as of 2/23/2021.

Other Meds: synthroid, multivitamin

Current Illness: denies

ID: 1049536
Sex: F
Age: 50
State: GA

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: ERYTHROMYCIN CAUSES N/V, TRAMADOL CAUSES N/V POLLEN ALLERGY

Symptom List: Pharyngeal swelling

Symptoms: Developed symptoms of COVID-19 and tested positive with PCR test for COVID-19 on 1-29-2021. Symptoms included cough, rhinorrhea, sore throat, sinus congestion, severe headache, weakness, body aches, N/V/D, fever, chills, night sweats, abdominal pain. Was quarantined for 10 days post symptom onset.

Other Meds: FLEXERIL AS NEEDED, HYDROCODONE 7.5 MG PRN, MOTRIN 800 MG PRN, EMERGEN-CEE PRN, ONE-A-DAY MULTIVITAMIN DAILY

Current Illness: NONE

ID: 1049537
Sex: F
Age: 69
State: MD

Vax Date: 02/08/2021
Onset Date: 02/15/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: doxycyclin, vancomycyn

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Severe lump on arm and rash.

Other Meds: metformin, simvistatin, lisiniprol, fiber, zinc, viatimin C, fish oil, zinc, calcium

Current Illness: no

ID: 1049538
Sex: F
Age: 68
State: MA

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/23/2021
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: unknown

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Reported that she experienced slight blurry vision. Moved to observation chair- BP 124/76 pulse 72. Had 5 oz bottle of water. Reports that she has had high blood pressure. After 5 minutes- vision no longer blurry. Reported that she believe she was anxious.

Other Meds: unknown

Current Illness: unknown

ID: 1049539
Sex: F
Age: 71
State: TN

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

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

Symptoms: Per patient: " I received my 2nd vaccine on Friday, February 12, 2021 and started breaking out on Saturday, February 13, 2021 around my forehead and into my eyebrow. I developed body aches as well as a headache and arm soreness. I went to the dermatologist on Wednesday, February 17, 2021 and they cultured the lesions and results came back positive for shingles on February 22, 2021. I called the health department to let you know. "

Other Meds: Prefer not to answer

Current Illness: None

ID: 1049540
Sex: F
Age: 70
State: OK

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/23/2021
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: approx. 5 minutes after receiving the vaccine client started c/o nausea. She was given an antacid and it helped. She says by the time she got home she had a Headache that lasted off and on for 3 days. She took Excedrin and it helped.

Other Meds: Lisinopril, HCTZ, Prilosec, baby ASA

Current Illness: none

ID: 1049541
Sex: M
Age: 52
State: CA

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/23/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: should have received 2nd dose of moderna but was mistakenly given pfizer

Other Meds:

Current Illness:

ID: 1049542
Sex: M
Age: 26
State: CA

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/23/2021
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: NKA

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

Symptoms: Patient's Psoriasis flared up, he had itching , redness of the healing , very extensive

Other Meds: Apremilast 30 mg twice a day , calcipotriene0.005%cream twice a day, Triamcinolone 0.1% cream twice a day

Current Illness: Chronic Hep C , Guttate psoriasis. sialoadenitis of the submandibular gland

ID: 1049543
Sex: M
Age: 43
State: GA

Vax Date: 02/04/2021
Onset Date: 02/13/2021
Rec V Date: 02/23/2021
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: Mild environmental allergies to dog and cat dander

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

Symptoms: Woke up on 2/13/2020 and upon standing had severe vertigo that lasted 10-15 seconds accompanied by nausea and vomiting. He then would then have on and off again vertigo for 6 days through 2/19/2020 accompanied by nausea (no vomiting). Vertigo was mostly positional, worse when going from recumbent position to sitting or standing. Would occur throughout the day. Experienced extreme fatigue from 2/13/2021 through the 2/19, that was progressively better as time went on. , Experienced general weakness, mental fogginess, and "heaviness" behind eyes and in the occipital muscles. Muscle aches in legs and torso were worse in the AM and present from 2/13/21 to 2/19/21 that got progressively better further out from vaccination.

Other Meds: None

Current Illness: None

ID: 1049544
Sex: F
Age: 58
State: GA

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Toung swollen

Other Meds: Unknown

Current Illness:

ID: 1049545
Sex: F
Age: 46
State: IN

Vax Date: 02/05/2021
Onset Date: 02/09/2021
Rec V Date: 02/23/2021
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: MRI contrast Die

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

Symptoms: Excessive tremors, inability to walk due to shaking uncontrollably. Delayed speech. Severe headaches, body aches, and muscle pain.

Other Meds: Desvenlafaxine sucer 100 mg daily Trokendi XR CAP 100 mg daily Simvastatin Tab 20 mg

Current Illness: None

ID: 1049546
Sex: F
Age: 68
State:

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: "Cotton mouth" within minutes, left arm swelling, weak swallow

Other Meds:

Current Illness:

ID: 1049547
Sex: F
Age: 79
State: NE

Vax Date: 12/01/2020
Onset Date: 01/02/2021
Rec V Date: 02/23/2021
Hospital: Y

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: Woke up with severe dizziness, nausea/vomiting and increased while at work(denies palpitations). In ER 1/2/2021-CT of head(WNL), MRI (saw lesion and physician thought she had a stroke). Neurologist consult on 1/3 and felt it was not a stroke and unsure the reason of dizziness.. 1/3 no arm or leg weakness. Order to see a cardiologist d/t residual dizziness and advised against 2nd moderna covid 19 vaccine.

Other Meds: losartan, amlopidine, Lipitor, levothyroxine

Current Illness: none

ID: 1049548
Sex: F
Age: 37
State: MO

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: About 10 min after patient received 2nd dose, swelling on face and eyes. patient described difficulty breathing/something in throat. administered 1 dose of epipen. within 1 minute reaction was getting better, patient was back to normal in 5-10 min. facility called ambulance, patient was taken to hospital for futher evaluation.

Other Meds: n/a

Current Illness: none

ID: 1049549
Sex: F
Age: 67
State: NY

Vax Date: 09/08/2020
Onset Date: 09/10/2020
Rec V Date: 02/23/2021
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: none

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

Symptoms: Pain from shoulder to elbow, impaired range of motion. This has gradually gotten worse. I did not have a doctor look at this yet. Pain is worse at night.

Other Meds: Levothyroxine 125 mcg, fish oil, calcium, magnesium, multivit

Current Illness: none

ID: 1049550
Sex: F
Age: 65
State: GA

Vax Date: 01/28/2021
Onset Date: 02/05/2021
Rec V Date: 02/23/2021
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, Tetracycline, Eggplant, Latex, Diflucan

Symptom List: Unevaluable event

Symptoms: Raised red rash & itching around injection site. About 6-inches in diameter. Purplish bruising at injection site, about 2-inches in diameter.

Other Meds: Acyclovir, Aspirin, Atorvastatin, Baclofen, Bisoprolol Fumarate, Brilinta, Cetrizine, Citalopram, Clonazepam, Gabapentin, Lisinopril HCTZ, Metformin, Montelukast, Pantoprazole. Avonex, interferon Beta 1-a Trulicity

Current Illness: Sinus infection

ID: 1049551
Sex: F
Age: 28
State: NC

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/23/2021
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: Codeine, caffeine

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

Symptoms: fever of 102 for 2 days unrelieved by Tylenol, nausea, malaise

Other Meds: Singulair, Zyrtec, Cryselle (birth control)

Current Illness: none

ID: 1049552
Sex: F
Age: 43
State: IL

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/23/2021
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: It is itchy and firm. She has been using a hydrocortisone cream and tylenol so far. It is warm to the touch. it is increasing in size.

Other Meds:

Current Illness:

ID: 1049553
Sex: F
Age: 44
State: CO

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain, Menorrhagia

Symptoms: Patient had normal period January 20 for 5 days. Not due for next period until February 17. Started light spotting after the vaccine shot on the evening of 2/5 through 2/14. Menses stopped for 2 days and then started normal period.

Other Meds: None

Current Illness: None

ID: 1049554
Sex: F
Age: 30
State: PA

Vax Date: 02/04/2021
Onset Date: 02/11/2021
Rec V Date: 02/23/2021
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: Breakout of rash on hands lasting about 2 weeks

Other Meds:

Current Illness:

ID: 1049555
Sex: F
Age: 71
State:

Vax Date: 02/14/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
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:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Itchy, red rash about 2-3 inches in diameter near vaccination area.

Other Meds:

Current Illness:

ID: 1049556
Sex: F
Age: 34
State: PA

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: I started having fatigue around 7 hours after the shot was administered. My temperature went up 1.5 degree. Then 14 hours later I had chills and aches. Then I woke up with night sweats that drenched my sheets and clothes. Then I had a stabbing pain in my chest on the left side.

Other Meds: Plaquenil Concerta Viibryd B12 Benlysta

Current Illness: None

ID: 1049557
Sex: F
Age: 48
State: TX

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/23/2021
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:

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

Symptoms: Head ached started about 2 hours after dose, later in the day slight nausea, and joint pain that lasted for 3 days.

Other Meds:

Current Illness:

ID: 1049558
Sex: F
Age: 77
State: MI

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: cipro, cephalosporins, sulf abx

Symptom List: Nausea

Symptoms: fever

Other Meds: Atorvastatin Calcium Tablet 20 MG Give 1 tablet by mouth at bedtime related to HYPERLIPIDEMIA, UNSPECIFIED (E78.5) Pharmacy Active 6/9/2017 21:00 6/9/2017

Current Illness: no

ID: 1049559
Sex: F
Age: 50
State: MI

Vax Date: 01/06/2021
Onset Date: 01/10/2021
Rec V Date: 02/23/2021
Hospital: Y

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

Lab Data:

Allergies: Sulfa

Symptom List: Injection site pain

Symptoms: Acute Respiratory Failure with Hypoxia, Phrenic Nerve Dysfunction Right side

Other Meds: Loratadine 10mg QD Omeprazole 20mg QD Triampterine/ HCTZ 37.5/25mg QD

Current Illness: None

ID: 1049560
Sex: M
Age: 86
State: CT

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/23/2021
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 induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Pt reported feeling light headed shortly after his injection. Pt evaluated by EMS, BP 160/80. Pt reported he was feeling very hungry and can often get light headed when hungry. Pt signed refusal for EMS transport. Pt was given ED precautions. Pt reported feeling better when he left after eating a snack and drinking water.

Other Meds: Information unavailable

Current Illness: None

ID: 1049561
Sex: F
Age: 34
State: CA

Vax Date: 02/13/2021
Onset Date: 02/21/2021
Rec V Date: 02/23/2021
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: N/A

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

Symptoms: 9 days later red itchy patch at injection site as well as itchy bumps on back of hands, elbow, knees and feet.

Other Meds: Floradix iron + herbs

Current Illness: N/A

ID: 1049562
Sex: F
Age: 66
State: RI

Vax Date: 01/28/2021
Onset Date: 02/02/2021
Rec V Date: 02/23/2021
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: Aspirin, Benedryl, Cerumenex

Symptom List: Tremor

Symptoms: Two days after vaccine: extreme fatigue and chills. Symptoms lasted just that one day. Four-five days after vaccine, full-body itching. Just thought it was my eczema flaring up (it's worse in the winter). After about 2 weeks, developed red areas on my body (torso, arms, legs and feet) - self-monitored - but got progressively worse. Dermatologist believes it is eczema aggravated by the vaccine. Provided a cortisone injection (right arm). Will monitor for two weeks to determine improvement or lack of improvement.

Other Meds: Famotidine, Fenofibrate, Rosuvastatin, Losartan, Fish Oil Gummies, Ibratropium Bromide, Fluticasone Propionate, Montelukast

Current Illness:

ID: 1049563
Sex: F
Age: 36
State: VA

Vax Date: 02/12/2021
Onset Date: 02/21/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: Headache, Tired, Fatigue, Leg and arm shooting pain

Other Meds:

Current Illness:

ID: 1049564
Sex: F
Age: 0
State:

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/23/2021
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: none

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

Symptoms: mild headache 10 hrs after 2nd dose; malaise in the morning, the day after 2nd vaccine administration; took tylenol and felt normal within an hour

Other Meds: none

Current Illness: none

ID: 1049565
Sex: F
Age: 38
State: PR

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 02/23/2021
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: Cipro, Pennicilina.

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

Symptoms: On the next day the patient started to have fevers, headaches, couldn't stand up. In the second and third day after the vaccination the patient started to feel joint pain, tingling sensation.

Other Meds: None.

Current Illness: None.

ID: 1049566
Sex: F
Age: 35
State: AL

Vax Date: 02/21/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
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: Asthenia, Chills, Headache, Myalgia

Symptoms: large red tender spot on left arm from 12 hours after vaccine (still continuing), fatigue, chills, weakness, body aches, severe headache from 20 hours until 38 hours after vaccine

Other Meds: aspirin, vitamins, immune supplement, tylenol

Current Illness: shingles

ID: 1049567
Sex: M
Age: 51
State: MN

Vax Date: 02/18/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
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: seasonal

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

Symptoms: Itchy and tingly hands/arms in morning of 2/22/21. Rash broke out on body in the evening (face, legs, shoulders, waist, thighs/groin). Took a Benadryl and ibuprofen. Symptoms improved by morning, but still evidence of the rash. Took normal allegry meds in AM. Will monitor symptoms moving forward.

Other Meds: cetrizine hydrochloride 10 mg 1x day fluticazone propionate 50 mcg each nostril 1x day

Current Illness:

ID: 1049568
Sex: F
Age: 33
State: CA

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/23/2021
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: Allergy to Tramadol-causes numbness in legs

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

Symptoms: Left hand and middle finger hurt to the touch, tingly down arm, numbness in arm/hand. Hand and arm symptoms lasted approximately 48 hours from on-set. Also experienced fatigue, headache and arm soreness

Other Meds: Nora-B birth control

Current Illness: None

ID: 1049569
Sex: F
Age: 66
State: MO

Vax Date: 02/09/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
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: For several days after receiving vaccine, my arm was tender and hot. Then I think everything was OK. On February 22, I noticed a red circular spot that was maybe 5 or 6 inches across and was hot. I assumed it was "covid arm" and did nothing.

Other Meds:

Current Illness:

ID: 1049570
Sex: F
Age: 53
State: CO

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: NO

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

Symptoms: Chills, vomiting, diarrhea, fever to 101, severe headache and muscle pain: Day 2: fever to 102, muscle aches, fatigue

Other Meds: Fish oil, biotin, collagen

Current Illness: None

ID: 1049571
Sex: F
Age: 37
State: CO

Vax Date: 12/18/2020
Onset Date: 01/08/2021
Rec V Date: 02/23/2021
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: no

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

Symptoms: 1/7 I started having breast pain. 1/8 I had a fever and chills, breast redness and diagnosed with Mastitis in my right breast. I had severe fatigue and was prescribed a 7 day antibiotics and within 3-4 days I begin to feel back to normal. On 1/8 I had a COVID test which was negative. My breast milk supply went down on the right breast until the mastitis was resolved.

Other Meds: flovent inhaler 110 mcg, doxclilimine, Singular, Nexplanon BC Implant

Current Illness: no

ID: 1049572
Sex: F
Age: 75
State: FL

Vax Date: 02/01/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
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: sulphur & IVP dye

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

Symptoms: Bell's Palsy

Other Meds: none

Current Illness: none

ID: 1049573
Sex: M
Age: 37
State: IL

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/23/2021
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: Error: Wrong Patient (documentation in EMR)

Other Meds:

Current Illness:

ID: 1049574
Sex: F
Age: 68
State: OK

Vax Date: 02/21/2021
Onset Date: 02/21/2021
Rec V Date: 02/23/2021
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

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Starting about 8 hours after the shot I began having chills; within 3 hours after the chills started, I felt feverish and fatigued; the chills and fever continued through the night and into the next morning (about 15 hours after chills began); for the next 3 hours, I was fatigued and slept. After then taking a generic acetaminophen, the symptoms lessened. Occasional chills continued through the next night. Once symptoms started, it was about 34 hours before they were gone. I did not seek medical attention.

Other Meds: Levothyroxine; OTC: One A Day multi-vitamin; calcium supplement; cranberry supplement

Current Illness: none

ID: 1049575
Sex: F
Age: 53
State: TX

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/23/2021
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:

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

Symptoms: headache, chills dizziness, lightheadedness began about 24 hrs after the vaccine.

Other Meds:

Current Illness:

ID: 1049576
Sex: F
Age: 35
State:

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/23/2021
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: Vaccine was received on 02/19/21 on her left arm at 11:55am. She said her arm soreness began at 5:00pm that day. The next day 2/22/21 she began to feel fatigue, chills, body aches, headache, and had a fever of 101. On 2/23/21 she is still experiencing a headache and body aches. She treats her headaches and body aches with Tylenol and she said it makes her feel better for about 4 hours.

Other Meds:

Current Illness:

ID: 1049577
Sex: M
Age: 48
State: TX

Vax Date: 02/21/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: only insects

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

Symptoms: at 11:30 am the day after vaccine i began to feel chills, shaking, and they after eating something i started feeling nausea, headache and fever. Drove home at 2:30 to 3:30 and checked my fever, it was 104. Injection site is swollen, tender, red, and was not like that the day of injection.

Other Meds: Tylenol

Current Illness:

ID: 1049578
Sex: F
Age: 69
State: LA

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/23/2021
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: sulfa

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

Symptoms: pt stated when she bled when she was given the covid vax and was told that it may have gotten in her veins. She woke up the next day with a rush of light headiness and dizziness that she still has to this day. She said her blood pressure is normal so she has contacted her PCP yet but will call them to let them know.

Other Meds: lallopurinol 100mg, loratadine 10 mg, potassium cler 10mg, donepezil 10mg, omeprazole dr 20mg, amlodipine 10mg, amitiza 8mcg cap, simvastatin 40mg, gabapentin 600mg, clonidine 0.2 mg, meloxicam 7.5 mg, bumetanide 2mg, olopatadine 0.25 ml,

Current Illness: no

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm