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: 1050489
Sex: M
Age: 75
State: AZ

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

Lab Data:

Allergies: Milk intolerance

Symptom List: Dysphagia, Epiglottitis

Symptoms: My entire left side of my body, went numb and non usable for @ 10 minutes. (Arm, Leg, Foot, Back etc.) I crawled back to bed and Layed down @ 10 minutes later I seemed normal.

Other Meds: Meloxicam, Pantoprazole Sodium, ProBiotic, Potassium Gluconate, Ginkgo Biloba, Multi Vitamin, Cinnamon +Chromium, Fish Oil, Folic Acid, Prostate Health Complex, Beta Carotene, Calcium Citrate, Glucosamine & MSM, Vitamin E (400 Mg) Vitamin C

Current Illness:

ID: 1050491
Sex: F
Age: 67
State: CA

Vax Date: 02/20/2021
Onset Date: 02/22/2021
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: Penicillin, mold, Erythromycin

Symptom List: Anxiety, Dyspnoea

Symptoms: Started having chills and aches. Woke up during the night with a temp of 101.5 and very cold chills. I was in bed all the next day with aches, pains in my leg , chills and fever . I did keep taking Tylenol to keep the fever down to 99 but my temp did not return to normal until Tuesday morning.

Other Meds: Carveditol (Coreg) 25mg, Diovan 320mg

Current Illness: Asthma, allergies seasonal, Hypertension, arthritis

ID: 1050492
Sex: F
Age: 49
State: NJ

Vax Date: 02/16/2021
Onset Date: 02/23/2021
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: None

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

Symptoms: Injection site is itchy, swollen and red

Other Meds: Levothyroxine Prevacid Wellbutrin Multivitamin Vitamin C Selenium

Current Illness: None

ID: 1050493
Sex: F
Age: 60
State:

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: unknown
Dose Series: UNK
Vax Route:
Vax Site:

Lab Data:

Allergies: MRI contrast dye

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Within a few seconds of receiving vaccine I experienced rapid heart beat/palpitations. This lasted for about 15 minutes then subsided.

Other Meds: vitamin D, Zinc, calcium supplement Estradiol, progesterone for menopausal symptoms

Current Illness:

ID: 1050494
Sex: F
Age: 51
State: LA

Vax Date: 02/10/2021
Onset Date: 02/16/2021
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: Latex Prednisone

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

Symptoms: Appears to be covid arm reaction. Appeared 7 days after vaccine. First got a headache and fatigue. Woke up with red raised bump at injection site which grew over next few days. Went to doctor on 2/19/2021 and was told to put topical Benadryl on it. It slowly began to improve.

Other Meds: Estradiol patch Trazadone Zyrtec Citolopram

Current Illness: None

ID: 1050495
Sex: F
Age: 52
State: NJ

Vax Date: 02/04/2021
Onset Date: 02/21/2021
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: none

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

Symptoms: I developed Shingles two weeks after getting the first dose of the vaccine.

Other Meds: none

Current Illness: none

ID: 1050496
Sex: F
Age: 49
State: UT

Vax Date: 02/19/2021
Onset Date: 02/20/2021
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: Aspirins

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: I had fever from 10am to 10pm between 99.3 to 104.5. Also I felt really tire, my arm hurt and I couldn?t lifted above my shoulder and a head pressure. The 3 symptoms last around 12 to 14 hours. The next day I was perfectly fine. but the pain in the arm still there.

Other Meds: Alluporinol 100mg, L-Thyroxine 50mcg, Omeprazole 20mg, and Metformin 500mg

Current Illness: None

ID: 1050497
Sex: F
Age: 75
State: MA

Vax Date: 02/06/2021
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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Bactrim Possibly sulfa drugs Lactose intolerant Gluten intolerant

Symptom List: Pharyngeal swelling

Symptoms: Severe shakiness - muscle weakness in legs Symptoms still persist today

Other Meds: Toprol xl 50 mg Spironolactone 25 mg

Current Illness: None

ID: 1050498
Sex: F
Age: 49
State: CA

Vax Date: 02/21/2021
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: Penicillin

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Red raised skin at injection site area , painful to touch and move arm. About 2 inches in diameter

Other Meds: Advil, Tylenol, vitamin d, vitamin c, multivitamin, biotin , vitamin b

Current Illness: None

ID: 1050499
Sex: F
Age: 66
State: CA

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: azithromycin, clindamycin, penicillin, erythromycin, tetracycline, proparacaine

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Hives, urticaria within 5 minutes of administration. Treated with antihistamines. Good results.

Other Meds: acetaminophen prn and albuterol prn

Current Illness: non

ID: 1050500
Sex: F
Age: 18
State: WV

Vax Date: 02/20/2021
Onset Date: 02/20/2021
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:

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

Symptoms: Around 7 o?clock I woke up shaking and sweating, I felt like I was having a seizure. My arm also felt like it had been stabbed over and over again. This lasted for three hours

Other Meds: Yaz Metoprolol Zoloft

Current Illness: N/a

ID: 1050501
Sex: F
Age: 48
State: CT

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

Lab Data:

Allergies: Chlorahexadine

Symptom List: Rash, Urticaria

Symptoms: Low Grade Fever Fatigue Sweats Chills Muscle Aches

Other Meds: Cymbalta Simvastatin Iron Dexilant MVT Vit C Bit B Complex Vit D Calcium Fish Oil Avapro Singulair Linzess Claritin ASA

Current Illness: Iron Deficiency Chronic Headache

ID: 1050502
Sex: F
Age: 70
State: NC

Vax Date: 02/19/2021
Onset Date: 02/20/2021
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: 24 hours of myalgias, flushing, fatigue. Some nausea.

Other Meds: Valsarten/HCTZ; Amlodipine 5 mg qd; Occuvite daily

Current Illness:

ID: 1050503
Sex: M
Age: 80
State: MN

Vax Date: 02/09/2021
Onset Date: 02/16/2021
Rec V Date: 02/23/2021
Hospital: Y

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: Codeine, lisinopril

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

Symptoms: Severe thrombocytopenia. Administration of dexamethasone and IVIG immune globulin. Petechiae over bilateral lower extremities and feet. Ecchymosis.

Other Meds: APAP 650mg PO Q4H PRN Allopurinol 300mg PO daily Amlodipine 5mg PO daily Amoxicillin 2000mg prior to dental appointment Dulcolax 5mg PO PRN daily MVI PO daily Prilosec 20mg PO daily

Current Illness: None

ID: 1050504
Sex: F
Age: 41
State: TX

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

Lab Data:

Allergies: Morphine, latex

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

Symptoms: Fatigue, cold sore, unexplainable small bruise on opposite arm with no injury, pain at site of metal plate in leg (which is really odd and does not happen normally)

Other Meds: None

Current Illness: None

ID: 1050505
Sex: F
Age: 48
State: CO

Vax Date: 02/15/2021
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: Patient reported lifting heavy furniture on Sunday. The following morning a headache and in by evening the injection site had a red rash, felt warm to the touch and slightly swollen

Other Meds:

Current Illness:

ID: 1050506
Sex: F
Age: 72
State: DC

Vax Date: 02/23/2021
Onset Date: 02/23/2021
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: Lisinopril

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

Symptoms: Swelling in axilla. Seen by video visit. Advised tylenol/benadryl. No further testing ordered.

Other Meds: Latanoprost Cosopt Brimonidine Spiriva Ventolin

Current Illness:

ID: 1050507
Sex: F
Age: 39
State: CA

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: NONE

Symptom List: Ear pain, Hypoaesthesia

Symptoms: NUMBNESS ON THE INJECTION SITE (RIGHT ARM) AND WENT ON THE BACK OF MY SHOULDER, THEN TINGLING FEELING FROM HIP TO FOOT AROUND 6PM ON THE DAY OF VACCINATION. THE NEXT DAY, NUMBNESS ON THE SHOULDER WENT AWAY BUT THE TINGLING FEELING FROM HIP TO FOOT IS PERSISTENT UP TO TODAY ESPECIALLY WHEN STANDING.

Other Meds: NONE

Current Illness: NONE

ID: 1051479
Sex: F
Age: 101
State: OH

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/23/2021
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: Redness and warmth at injection site, spreading approximately 3 inches below injection site. Area soft to touch with with slight itching. No open areas. No pain or loss of function of arm. Temperature 98.6

Other Meds: Synthroid Valsartan Isosorbide

Current Illness: None

ID: 1051480
Sex: F
Age: 52
State: MD

Vax Date: 02/14/2021
Onset Date: 02/14/2021
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: hives w/ carboplatin & taxotere

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

Symptoms: nausea, fatigue, headache used otc acetaminophen 500mg 2tabs q 12hours & headache gone morning 2 ... night 3 of nausea, took ondansetron 4mg i had from old RX once and otherwise, tolerated the little nausea left until gone night 4..brain fog for 4 days- remained without remaining headache

Other Meds:

Current Illness:

ID: 1051481
Sex: M
Age: 70
State: AZ

Vax Date: 02/05/2021
Onset Date: 02/12/2021
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 known

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

Symptoms: 7 days after injection developed a irritating, burning, red rash 3" in diameter at injection site.

Other Meds: Lisinipril, Amlodopine, Atorvastatin, Fenofibrate, Omeprazole

Current Illness: None

ID: 1051482
Sex: M
Age: 54
State: VA

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

Symptom List: Unevaluable event

Symptoms: pain at injection site (5 on 0-10 scale) for first 48 hours. no swelling. Headache at hour 6 (5 on 0-10 scale). ibuprofen 400 mg P.O. overall tiredness for first 48 hours

Other Meds: cialis, 5 mg daily

Current Illness: N/A

ID: 1051484
Sex: F
Age: 24
State: CA

Vax Date: 02/20/2021
Onset Date: 02/21/2021
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: Latex, triple antibiotics

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

Symptoms: Right after injection pain at the injection site, and inability to move right arm higher than patients waist. Starting at 1:20pm on the 20th a headache, nausea, and chills began. On Sunday morning at 8:00 patient woke with chest pain, coughing fits, and felt like an elephant was sitting on her chest. On Monday a rash and heat started around injection site at 11:00am. Patient is still experiencing shortness of breath, fatigue, and nausea. Prescribed inhaler and space chamber to help with shortness of breath.

Other Meds: Topiramate, escitalopram, viorele

Current Illness: None

ID: 1051485
Sex: F
Age: 65
State: IA

Vax Date: 02/16/2021
Onset Date: 02/19/2021
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: Penicillin, sulfur

Symptom List: Injection site pain, Pain

Symptoms: 78 hours after injection I got dizzy and had fairly severe vertigo , nausea and threw up 4 times. I felt hot and chilled... I am not sure it was related to the injection. It resolved on sat Feb 20th 2021. I still have mild nausea but am on Ozempic which gives me nausea some of the time. I did not feel well but finally fell asleep and slept until AM.

Other Meds: Ozempic, Metformin, hydrochlorothiazide, ,Simvastatin, metoprolol ER, basaglar, novolog, Vitamin D3, baby aspirin, Loratadine,Claritin, fluoxetine, losartan

Current Illness: None

ID: 1051486
Sex: F
Age: 72
State: SD

Vax Date: 02/04/2021
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: Penicillin

Symptom List: Injection site pain, Menorrhagia

Symptoms: Vomiting, severe muscle pain, swollen lymph node under right arm, severe headache. On Feb 21st started having severe pain in both legs from the knees down to the ankles. No swelling, but ice and ibuprofen lessened the pain some. Still also have tenderness in right arm from when shot was administered. Wondering if the pain my legs is related to the shot. Have also had small headache since having shot everyday.

Other Meds: Montelukast, Amlodipine, Generic Celebrex, Gabapentin, Calcium 600mg, Vit D, Vit B, Famotidine, Cranberry

Current Illness: None

ID: 1051487
Sex: F
Age: 65
State: VA

Vax Date: 02/12/2021
Onset Date: 02/19/2021
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: NONE

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

Symptoms: Firm lump in arm about 1" in diameter at injection site. Lump/upper arm was tender to touch. Slight throbbing pain in arm at lump/injection site. Itching and broken skin on upper arm about 4 inches in diameter. "Covid Arm"

Other Meds:

Current Illness: NONE

ID: 1051488
Sex: F
Age: 71
State: IN

Vax Date: 01/25/2021
Onset Date: 01/25/2021
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: grass/mold and pet dander

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: 4"band around both arms with strong pain & pressure, finger joints "lit up " pain, chills, fever, headache, cold feet/hands & back, light headness -feeling might pass out, sneezing, coughing, extreme fatigue,nasal discharge, loss of taste, nausea, stomach ache, knots in throat (very painful) & swelling.

Other Meds: Neurontin, advil, magnesium

Current Illness:

ID: 1051489
Sex: F
Age: 23
State: NM

Vax Date: 02/14/2021
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: No.

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: 8 days after I received the shot, my arm starting itching, have a little bit of tenderness, red, & swelling at the injection site.

Other Meds: Tylenol 325MG Tablets.

Current Illness: No.

ID: 1051490
Sex: F
Age: 59
State: TX

Vax Date: 02/13/2021
Onset Date: 02/16/2021
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: Garlic powder, not fresh

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

Symptoms: Local fever and mild swelling at injection site with mild throbbing and redness around site diameter growing from 1 inch to 3 inches. General tiredness, body aches, on and off for 5 days.

Other Meds: Cotalopram HBR 20 mg tab daily

Current Illness: None

ID: 1051492
Sex: F
Age: 76
State: NJ

Vax Date: 02/08/2021
Onset Date: 02/12/2021
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: none

Symptom List: Nausea

Symptoms: red rash on the chest area (under breast)

Other Meds: none

Current Illness: none

ID: 1051493
Sex: U
Age:
State: NJ

Vax Date:
Onset Date:
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:

Symptom List: Injection site pain

Symptoms: Difficulty swallowing 2:00 AM - 6:00 PM. Attempts to swallow induced choking and belching. Total fluid intake during that period: 3 oz. water at room temperature (68 F). Headache 2:00 AM - 7:00 PM. Strong pressure on entire skull. Unable to swallow medication until 6:00 PM (325 mg acetaminophen). Dizziness, difficulty walking, nausea. Headache returned on 1/30, 1/31, 2/2, 2/4, 2/7, 2/11.

Other Meds:

Current Illness:

ID: 1051495
Sex: F
Age: 36
State: IL

Vax Date: 02/19/2021
Onset Date: 02/21/2021
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: Dizziness and nausea. It started 48 hours after my first dose of the vaccine and still is a problem more than 72 hours later.

Other Meds: None

Current Illness: None

ID: 1051496
Sex: M
Age: 76
State: VA

Vax Date: 02/19/2021
Onset Date: 02/20/2021
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: Avelox

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

Symptoms: Weak, pain, diahrea, headache

Other Meds: Arava, Prednisone, Bystolic, Flomax, Lyrica, Januvia, Hydroxycloroquine, Losartan, Hydrochlorothiazide, Omeprazole, Synthroid, Lovastatin, Tylenol

Current Illness: None

ID: 1051497
Sex: F
Age: 59
State: NE

Vax Date: 02/05/2021
Onset Date: 02/07/2021
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:

Symptom List: Tremor

Symptoms: Tingling of right calf, outer surface.on day 3 to 6.

Other Meds: Metformin, candesartan , atorvastatin, doxazosin, amlodipine, bisoporal, levothyroxine.

Current Illness:

ID: 1051498
Sex: F
Age: 28
State: CA

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

Lab Data:

Allergies: Singular

Symptom List: Erythema, Pruritus

Symptoms: Cold sore/fever blister outbreak. I haven?t had a cold sore in 3 years and can recognize when one is forming. The following evening after receiving the shot I felt a cold sore begin, now have multiple blisters around my mouth. Has never this severe.

Other Meds: Albuterol Junel-fe

Current Illness:

ID: 1051499
Sex: F
Age: 36
State: CA

Vax Date: 02/17/2021
Onset Date: 02/23/2021
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: N/A

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

Symptoms: Cervical lymphadenopathy; painful swollen lymph node on lower right neck.

Other Meds: Levothyroxine, Fluoxetine

Current Illness: N/A

ID: 1051500
Sex: F
Age: 71
State: CO

Vax Date: 02/10/2021
Onset Date: 02/12/2021
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: None known

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

Symptoms: Fluttering sensation in right ear. There were many episodes of this multiple times a day for about a week.

Other Meds: Raloxiphene, One-A-Day vitamin

Current Illness: None

ID: 1051501
Sex: M
Age: 63
State: TX

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

Lab Data:

Allergies: None

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Feel cold, shaky. I got warm clothes and not cold anymore but very fatigue.

Other Meds: Atarvostatin 10 mg a day Omeperazole 40mg a day

Current Illness: Enlarged prostate Gerd

ID: 1051502
Sex: F
Age: 33
State: PA

Vax Date: 02/12/2021
Onset Date: 02/15/2021
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: None

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

Symptoms: Approx 6 weeks at time of second administration with a due date of sept 28th. Would have been 3 weeks pregnant at time of 1st injection. 3 days after second injection, I began to miscarry. This was confirmed by declining HCG levels. Ultrasound to follow in one week.

Other Meds: Prenatal vitamins

Current Illness: None

ID: 1051503
Sex: F
Age: 39
State:

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

Lab Data:

Allergies: Sensitive to alcoholic drinks.

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

Symptoms: Developed headache, chills within 10 hours after receiving second shot. Developed high grade fever within 24 hours, peak 102.5 F. Temperature started dropping a little bit within 48 hours, but still feeling very ill. Could not fall asleep for two consecutive nights. Had to take Tylenol twice to reduce the pain and fever on the third day. Temperature was brought back to normal on the fourth day. Had to take a sick leave.

Other Meds: No.

Current Illness: none

ID: 1051504
Sex: F
Age: 70
State: MS

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: LA

Lab Data:

Allergies: None

Symptom List: Pain in extremity

Symptoms: A small reddish bump on my arm at the injection site, my arm is sore any tender to the touch. The bump is getting larger in size.

Other Meds: Proactazyme, Fenugreek & Thyme, Flax Seed oil, Provasil PreserVision, Vitamin D 3, Complete Multivitamin Supplement

Current Illness: None

ID: 1051505
Sex: F
Age: 80
State: CA

Vax Date: 02/02/2021
Onset Date: 02/02/2021
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: sulfa

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

Symptoms: about 40 minutes after shot: taste in mouth then swollen tingly warm lips, sinuses swollen, tingly and warm in nose and forehead, "shadowy" vision I took 2 zyrtec a few minutes after symptoms started, lasted for 8 - 10 hours Then I was fine

Other Meds: eliquis metoprolol fosamax Vitamin D3 Vitamin B12

Current Illness: none

ID: 1051506
Sex: F
Age: 54
State: NY

Vax Date: 02/13/2021
Onset Date: 02/20/2021
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

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

Symptoms: The adverse event occurred out of nowhere. On the night of 2/20/21, my mom noticed something at the injection site. It wasn't until the morning of 2/21/21 that her arm started to bother her. The injection area was swollen, and warm to the touch. There was a red, itchy rash present at the injection site - which grew bigger as the days went on. The rash was about maximum 4 inches wide. My mom used hydrocortisone cream, an ice pack, and Benadryl tablets to treat the rash. The rash went away after about 4 days. She thinks this was the "COVID arm" that can happen with the Moderna vaccine.

Other Meds: Vitamin D for Women multivitamins Biotin

Current Illness: None

ID: 1051507
Sex: M
Age: 36
State: NY

Vax Date: 02/18/2021
Onset Date: 02/19/2021
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: None

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

Symptoms: Fever of 101 degrees for 2.5 days, extreme muscle and body aches for 2.5 days, Moderate to severe swelling of the lymphnodes and armpit on right side for 5 days. 400mg of Ibuprofen taken ~ every 6-8 hours then tapered off to once a day.

Other Meds: None

Current Illness: None

ID: 1051508
Sex: F
Age: 38
State: CA

Vax Date: 01/15/2021
Onset Date: 01/23/2021
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: None

Symptom List: Vomiting

Symptoms: After the first dose I had a menstrual cycle that last 17 days and now after the 2nd shot I am starting another long period. I am very regular and this does not happen to me. I have a decade of charting and this is not normal.

Other Meds: Wellbutrin, Vyvanse, W omens multi vitamin, biotin/collagen supplement.

Current Illness: None

ID: 1051509
Sex: F
Age: 65
State: TX

Vax Date: 02/19/2021
Onset Date: 02/22/2021
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: Septra, Penicillin, Levaquin, wheat (gluten)

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: On day 3 after receiving the second dose of the Moderna vaccine I experienced soreness, redness, and swelling 3" below the injection site. I sought medical treatment. I was diagnosed with cellulitis which the PA attributed to the injection. I was prescribed 5 days of Bactrim (800mg/160 mg) and Benadryl. If after 5 days the symptoms are not resolved or if the cellulitis site dramatically increases in size, I am to seek additional medical attention.

Other Meds: Aldactone Singulair Claritin Turmeric Vitamins and calcium

Current Illness: None

ID: 1262001
Sex: M
Age: 70
State:

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 02/23/2021
Hospital: Y

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: Pt reported injection site swelling on day 1 and day 2, loss of taste on day 3, chills on day 4, nausea on day 6 resulting in ED visit and subsequent hospitalization for DKA and NSTEMI Narrative: Pt received first dose of Moderna COVID vaccine on 1/22/2021. Reported injection site swelling on 1/22 and 1/23. Loss of taste on 1/24. Chills on 1/25. Nausea on 1/25 and 1/26 with decreased oral intake, inability to take diabetes medications. Went to ED on1/27 and was subsequently hospitalized for DKA and NSTEMI for approx 4 days at community hospital (treatment course and medications not available at time of event reporting). Pt was discharged home after about 4 day hospital stay.

Other Meds:

Current Illness:

ID: 1279584
Sex: M
Age: 92
State:

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

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: Narrative: Patient admitted for tachycardia, reports of throat swelling following COVID-19 vaccine.

Other Meds:

Current Illness:

ID: 1279604
Sex: M
Age: 75
State: KY

Vax Date: 02/14/2021
Onset Date: 02/15/2021
Rec V Date: 02/23/2021
Hospital: Y

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

Lab Data:

Allergies:

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

Symptoms: Patient developped occasional pain in chest, under left arm pit moving toward nipple, 1-1.5 min. Although none since hospitalization 2/15-17/2021 dx atypical angina, hypertensive urgency- started on chlorithalidone

Other Meds:

Current Illness:

ID: 1399273
Sex: F
Age: 79
State: FL

Vax Date: 02/10/2021
Onset Date: 02/19/2021
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: pen , sulfa

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

Symptoms: 9 days after, Reaction occurred. Went to Urgent care; with rash & redness, & itchiness below the injection. Next day, Inflammation spread almost to elbow. Given prednisone 10mg oral tablet.

Other Meds: pravastin=40mg ; Vitamin D, Ilovo, CoQMAX 100-ME

Current Illness: N/A

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm