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: 0931686
Sex: F
Age: 62
State: TX

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

Lab Data:

Allergies: morphine

Symptom List: Dysphagia, Epiglottitis

Symptoms: lightheadedness

Other Meds: norvase, lipitor, gabapentin, baby aspirin

Current Illness: none

ID: 0931687
Sex: F
Age: 24
State: IL

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: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Tree nut, mango, pineapple, seasonal allergies

Symptom List: Anxiety, Dyspnoea

Symptoms: 12 hours later 10:00pm experienced chills, body aches, fever headache. 1/8 at 7:00am woke up itchy covered in hives head to toe. Hives resolved after topical and oral antihistamine taken.

Other Meds: Birth control, cephlaxin

Current Illness: UTI

ID: 0931688
Sex: F
Age: 70
State: GA

Vax Date: 12/31/2020
Onset Date: 01/09/2021
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: Intolerance to codeine

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

Symptoms: On 9th day following vaccination, I developed swelling, redness, itching and induration at the injection site. Also experiencing headache and spike in blood pressure, not sure whether related or not.

Other Meds: Vyvanse, Hydrochlorothiazide, levothyroxine, metoprolol, atorvastatin, montelukast, omeprazole and baby aspirin.

Current Illness:

ID: 0931689
Sex: F
Age: 39
State: CO

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

Lab Data:

Allergies: Allergic to codeine

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: On 1/8/2021 I woke up with severe chest pain under my breast bone, radiating to my upper back. It came in waves a severe sharp pain and then was dull. I?ve never had heartburn or indigestion so I went to Urgent care around 10am on 1/8/2021.

Other Meds: Tylenol for pain

Current Illness: I was sick the week before but was fully recovered on 1/7. I had a negative COVID test before and had a negative COVID test yesterday on 1/8

ID: 0931690
Sex: F
Age: 23
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: Food: canola oil, cherries, red 40

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

Symptoms: Headache, fatigue, muscle aches, site of injection soreness, nausea, swollen lymph node on neck

Other Meds: N/a

Current Illness: N/a

ID: 0931691
Sex: F
Age: 21
State: AK

Vax Date: 01/08/2021
Onset Date: 01/09/2021
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: Cat dog clindamycin arrythromycin sulfa cephalosporins blue dye 106

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

Symptoms: Severe body aches and fatigue, chills, tachycardia, chest pain and tightness, headache, stomachache, gastrointestinal issues, nausea, inability to focus, fever

Other Meds: Zoloft, prazosin, buspar, bupropion, gamunex IV, pantoprazole

Current Illness: Broken toe

ID: 0931692
Sex: F
Age: 34
State: TX

Vax Date: 12/30/2020
Onset Date: 01/04/2021
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: NKDA

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: After receiving the vaccine on 12/30 the only side effect at that time was arm soreness at the injection site. A day later some chills and fatigue but no other side effects after. I noticed starting on 1/4 pain started on injection arm from shoulder down lower to extremities on left arm. Pain very excruciating but comes and goes. Joint pain and muscular pain throughout entire arm and even in right arm. After couple days of this, contacted family physician regarding this. Was seen by physician on 1/6. Discuss concerned and he ordered X-rays on both arms and ultrasound droplet on entire left arm (injection site- from shoulder in down). MD also I formed me to take Advil/Aleve twice a day as needed for pain/soreness along with heat/cool compressions as needed as well as shoulder exercises. Today is 1/9 and pain isn?t as bad. Can still feel discomfort here and there but not as excruciating. Numbness from time to time also. Is this normal after receiving the Moderna vaccine? Is it normal to experience this a week after receiving the vaccine?

Other Meds: Omprazole 40mg, OTC- Vitamin D 6,000, multi-vitamin, stool softener

Current Illness: None

ID: 0931693
Sex: F
Age: 67
State: TX

Vax Date: 12/30/2020
Onset Date: 12/31/2020
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: penicillin

Symptom List: Pharyngeal swelling

Symptoms: Severe rash, swelling and pain at injection site for over 10 days.

Other Meds: alprazolam, valsartan, carvedilol, omeprazole, welbutrin, synthroid, seraquil,

Current Illness:

ID: 0931694
Sex: F
Age: 58
State: RI

Vax Date: 12/30/2020
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: Monistat vaginal cream

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: One week later (on a Wednesday morning after receiving the vaccine the previous Wednesday afternoon) I had the onset of a headache, body aches, chills and extreme fatigue making it impossible to work. Slept most of the day. Next couple days with less severe symptoms and mostly resolved this morning (Saturday) aside from some fatigue. ALSO the site of the injection became red, tender, warm, swollen and slightly itchy with the onset of these symptoms after a milder injection reaction had resolved for several days. This makes me question if this is a late reaction to the vaccine and hence reportable as I have not read about this possibility

Other Meds: Rx: estradiol, lisinopril, Cymbalta, Concerta OTC: biotin, fish oil capsules (650 EPA/450DHA)

Current Illness: None

ID: 0931695
Sex: M
Age: 55
State: KS

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: Morphine

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Headache, Nausea, Night sweats, Body aches, Tinnitus

Other Meds: Multiple vitamin 1 po QD, Docusate 100 mg QD, Magnesium 400 mg po QD, Potassium 20 meq po QD, Vitamin D 1,000 ut daily, Diavan/HTCZ 80/12.5 daily, effexor 37.5mg BID, Zocor20mg daily, Plavix 75mg daily, Tadalafil 5mg daily, Metformin 500 mg

Current Illness: none

ID: 0931696
Sex: F
Age: 34
State: GA

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: SYR
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: Moderna COVID-19 Vaccine After receiving Moderna Vaccine Tuesday afternoon (01/05/2021), Patient began to have psychiatric symptoms (delusions/hallucinations) Wednesday morning (01/06/2021) and was taken to Hospital ED later Wednesday for treatment and stayed overnight for observation. Patient recovered and went home Thursday (01/07/2021).

Other Meds: None

Current Illness: None

ID: 0931697
Sex: F
Age: 44
State: NJ

Vax Date: 01/05/2021
Onset Date: 01/05/2021
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: Shellfish

Symptom List: Rash, Urticaria

Symptoms: 1st Dose Vaccine - I had localized itchy rash in my chest area 2nd Dose Vaccine - Right Cheek swelling, chills and dry mouth

Other Meds: NONE

Current Illness: none

ID: 0931698
Sex: F
Age: 44
State: TX

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: sulfa drugs

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

Symptoms: tingling in throat

Other Meds: xigduo, basaglar, HCTZ

Current Illness: none

ID: 0931699
Sex: F
Age: 42
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: 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: Bruise at injection site and bilateral facial swelling, noticed morning after the shot, swelling still persisting. I am taking benedryl every 4 hours to have swelling subside.

Other Meds: Multivitamin, vitamin d3, elderberry chewable

Current Illness: None

ID: 0931700
Sex: M
Age: 29
State: AZ

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: None

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

Symptoms: At 12:05am ( about 12 hours after vaccination) I developed severe (worst ever) chills and rigors. Temp was 101.7. I also had moderate nausea for which I took ondansetron. After taking 1000mg Tylenol my temp dropped to 98.4 but then peaked to 100.8 after 6 hours and taking 1000mg Tylenol followed by another fever 6 hours later and a fever of 100.9. I continue to be febrile after 3g Tylenol. I also continue to have dizziness, joint pain, myalgias, and headache.

Other Meds: Flonase

Current Illness: None

ID: 0931701
Sex: F
Age: 79
State: CO

Vax Date: 12/29/2020
Onset Date: 12/29/2020
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: Codeine

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

Symptoms: Swollen red and sore, itchy right arm, five inches spread, Cold symptoms .

Other Meds: Thyroid meds. Vitamin D

Current Illness: None

ID: 0931702
Sex: M
Age: 56
State: VA

Vax Date: 01/08/2021
Onset Date: 01/08/2021
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: Chills, body aches, soreness

Other Meds: None

Current Illness: None

ID: 0931703
Sex: M
Age: 41
State: CA

Vax Date: 12/15/2020
Onset Date: 01/03/2021
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: None reported

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Nurse working in Emergency Dept, developed first COVID sxm (mild cough) on 03 Jan 2021. On 05 Jan 2021, he received dose #2 of COVID vaccine (Pfizer lot EL1284). On 06 Jan 2021, sxms progressed to include fever, congestion, impaired taste and smell. On 06 Jan 2021, NP swab for PCR was performed and confirmed positive... patient being managed as outpatient.

Other Meds: None reported

Current Illness: None reported

ID: 0931704
Sex: F
Age: 29
State: MN

Vax Date: 01/06/2021
Onset Date: 01/06/2021
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: allergy to peacans

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: patient developed large rash on chest. Nausea and vomiting. Also had tightness and scratchiness in throat but did not progress

Other Meds: currently on Humira took injection about 2 days agao

Current Illness: none

ID: 0931705
Sex: M
Age: 59
State: TN

Vax Date: 01/08/2021
Onset Date: 01/08/2021
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: Nono

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

Symptoms: Nausea and vomitting

Other Meds: Ultram,hctz

Current Illness: None

ID: 0931706
Sex: M
Age: 25
State: VA

Vax Date: 01/08/2021
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: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Injection site pain starting evening of 1/8/20. Mild swelling and severe pain at injection site morning of 1/9/20. Moderate progressing to severe headache, and intermittent chills all day; no fever. Reduced appetite. Mild muscle pain/stiffness.

Other Meds: Omeprazol magnesium

Current Illness:

ID: 0931707
Sex: M
Age: 55
State: TX

Vax Date: 12/28/2020
Onset Date: 12/28/2020
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: Unevaluable event

Symptoms: Patient stated he got severe diarhea 2 hrs after getting the vaccine. No immediate medical treatment was provided after observation of 15 minutes. Fact sheet and V-/Safe information was given to him prior to getting the vaccine. Doing well after couple days.

Other Meds:

Current Illness:

ID: 0931708
Sex: F
Age: 46
State: TX

Vax Date: 01/08/2021
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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: codeine, penicillin, azithromycin, budesonide

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

Symptoms: rash to face around cheeks and neck. Person has had similar reaction before

Other Meds: protonix (did not take that day)

Current Illness: none

ID: 0931709
Sex: M
Age: 57
State: FL

Vax Date: 01/05/2021
Onset Date: 01/07/2021
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: None

Symptom List: Injection site pain, Pain

Symptoms: Started running a fever 99.3-100.3 two days after vaccination.

Other Meds: None

Current Illness: None

ID: 0931710
Sex: F
Age: 46
State: TX

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

Lab Data:

Allergies: None

Symptom List: Injection site pain, Menorrhagia

Symptoms: Headache, left arm numbness, mild left arm pain Injection site, moderate Myalgia, severe migrating joint pain, chills leading to rigors. No fever. Incapacitating.

Other Meds: Vitamin D, Allegra, biotin, Aswaganda

Current Illness: None

ID: 0931711
Sex: F
Age: 42
State: CO

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

Lab Data:

Allergies: Bee stings, gluten, most pain killers

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

Symptoms: 2nd dose reaction included extreme joint pain to where standing is painful in my feet, 103.4F temp with while alternating Tylenol/Advil q4h, large swollen lump in armpit and below clavicle which are extremely painful (on side of body where vaccine was administered). Stiff neck and jaw, severe headache, mild dizziness (was much worse after the 1st dose), nausea, fatigue.

Other Meds: Lamotrigine 100mg, Ambien as needed, Doxycycline 50mg, daily women?s vitamin.

Current Illness: None

ID: 0931712
Sex: F
Age: 70
State: CT

Vax Date: 12/31/2020
Onset Date: 01/02/2021
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: penicillin

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: after 1 day and lasting over 1 week, itching and oval shaped rash at injection site

Other Meds: Mercaptopurine, mesalamine, red yeast rice, vitamin, levothroxine

Current Illness: none

ID: 0931713
Sex: M
Age: 45
State: MA

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: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Amoxicillin

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: COVID-19 Vaccine Approx 4 hrs after vaccine felt a period of brief lightheadedness. Approx 7 hrs after vaccine had severe diarrhea that lasted 48 hrs in addition to flu type symptoms (fever 100.5, headache, chills) Left Arm pain radiating to elbow, unable to raise arm.

Other Meds: Advair Flonase

Current Illness: none

ID: 0931714
Sex: F
Age: 34
State: NH

Vax Date: 01/06/2021
Onset Date: 01/06/2021
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: Chlorhexidine Augmentin Macrobid Pineapple

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

Symptoms: Headache severe x2 days Brain fog x 2 days Night sweats night 1 Weak/tired x2 days

Other Meds: Zyrtec, fish oil, prenatal vitamins, probiotics, magnesium

Current Illness: Chronic headaches

ID: 0931715
Sex: F
Age: 46
State: NV

Vax Date: 01/06/2021
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: RA

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: Tickle throat, minimal cough

Other Meds:

Current Illness:

ID: 0931716
Sex: F
Age: 59
State: NC

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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Celebrex, Norvasc

Symptom List: Injection site pain

Symptoms: About 6 hours after my second injection I started with a headache,bodyaches,low grade fever,chills. They lasted about 48 hours. Still have pain in my armpit on left side.

Other Meds: None

Current Illness: None

ID: 0931717
Sex: F
Age: 45
State: FL

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:
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: Left arm severe pain(could not lift left arm), left shoulder joint pain, Severe chills, body aches, severe headache, fever, sweats and fatigue.

Other Meds: Prednisone 4mg Multi vitamin Vitamin C Vitamin D Magnesium L - Glutamine

Current Illness: None

ID: 0931718
Sex: F
Age: 27
State: GA

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

Lab Data:

Allergies: No known allergies

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

Symptoms: I received my vaccine in my right arm around 3:20 pm on 1/5/21. My right arm started getting sore later that evening. The following day, 1/6/21, my arm was very sore and the injection site was tender to touch. I felt feverish and had chills. I also had a headache and felt very fatigued. I took some Advil that morning. I evaluated my arm in the evening and noticed a large red rash streaking down my right arm from the injection site. It measured approximately 3.5 in X 1.5 in. The rash was red, raised, painful, and firmer than my surrounding skin. I took 500 mg of Tylenol before bed. The next morning, 1/7/21, the rash had grown larger. The border of the rash was marked and I took an antihistamine around 7:00 am. At 1:00 pm the rash had grown larger, now measuring approximately 4.25 in X 2.25 in. My lymph nodes in my right armpit were also beginning to get sore. I visited the nurse practitioner at my hospital?s employee health clinic around 1:40 pm and we agreed to monitor my signs and symptoms at that time. The following morning, 1/8/21, the rash was bigger, but my skin was softer and more of a pink color than red. My arm did not hurt as much, though my right armpit was slightly more sore. Today, 1/9/21, my symptoms are much better. I have only slight soreness in my right arm and armpit. My rash has nearly resolved, though it is slightly itchy where the rash was.

Other Meds: Birth control

Current Illness: No illnesses

ID: 0931719
Sex: F
Age: 72
State: GA

Vax Date: 01/04/2021
Onset Date: 01/05/2021
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: Swelling of face & face red, chills, headache : all started when I awoke. Lasted until the next morning. (I took benadryl and tylenol on that Tuesday 1/5/2021 to relieve the swelling & help with the discomfort.) My left arm was red & hot for the whole week-It area was the size of my whole hand. Today, 1/09/2021, things have cleared up.

Other Meds: lisinopril azopt presavision vitamins parastatin

Current Illness: none

ID: 0931720
Sex: F
Age: 72
State: NY

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

Lab Data:

Allergies: Lithium, Doxycycline

Symptom List: Erythema, Pruritus

Symptoms: Vomiting, Chills

Other Meds: Omeprazole, Misoprozole, Sertraline, Divalproex, Naproxen, Vitamin B-12, Vitamin D-3, Sulfasalizine, Irbesartan, Myrbetriq, Methotrexate, Leucovorin

Current Illness: None

ID: 0931721
Sex: F
Age: 44
State: CA

Vax Date: 12/15/2020
Onset Date: 01/02/2021
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: None reported

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

Symptoms: Nurse Practitioner in Emergency Dept. Exposed to household member with possible sxms, but no confirmed dx. Developed personal sxms of ST and congestion on 02 Jan 2021. NP swab PCR performed 02 Jan 2021 was positive for COVID-19. Being followed as outpatient.

Other Meds: None reported

Current Illness: None reported

ID: 0931722
Sex: F
Age: 25
State: CA

Vax Date: 12/28/2020
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: IM
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: Dark bruise looking, hyperpigmentation around injection site that was 4 inches wide and 2 inches long that appeared 11 days after first dose

Other Meds: Spironolactone, multivitamins, fish oil, B complex, probiotics, vitamin D3

Current Illness: None

ID: 0931723
Sex: F
Age: 55
State: MO

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

Lab Data:

Allergies: None

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Severe muscle aches, headache, 100.3 temp, chills, tirid

Other Meds: Bariatric Vitamin, Biotin 5000mcg, Citracal Calcium +D3 Cetirizine 10 mg Amlodipine 5mg, Losartan Potassim 100mg, Omeprazole DR 20 mg, Tylenol 650 mg

Current Illness: None

ID: 0931724
Sex: F
Age: 65
State: VA

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: SYR
Vax Site: LA

Lab Data:

Allergies: Bactrim- generalized hives

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

Symptoms: Approximately 55 mins after vaccine was given, my lips and the end of my nose started to tingle. The feeling intensified over 15 mins until it felt like a Novocain shot from the dentist when it starts to wear off. I took a Cetirizine 10 mg tab and the tingling completely resolved within an hour. No swelling of my mouth/ tongue or difficulty swallowing .

Other Meds: Ibuprofen-400 mg, Lisinopril-20 mg, Tricor-145 mg, ASA- 81 mg, Nexium-20 mg, Ca- 1000 mg, Vit D2- 50 mcg, Zinc- 23mg, magnesium-440 mg, Vit D3- 600 IU, Vit C- 1000 mg, Vit A- 600 mcg, Vit E- 13.5 mg, Selenium- 15 mcg, manganese-3mg, Sodium-

Current Illness: none

ID: 0931725
Sex: F
Age: 20
State: MA

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: n/a

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

Symptoms: Pt is a female on birth control (Nexplanon, left arm) and has not had her menstrual cycle since 9/2019. After receiving the COVID vaccine, pt experienced severe cramps and began her menstrual cycle with heavy flow. This is a manageable adverse reaction, but important to consider when administering COVID vaccines to female pts and how they might interfere with fertility, menstruation, and hormones.

Other Meds: Escitalopram 10 mg, Methylphenidate XR 10mg

Current Illness: n/a

ID: 0931726
Sex: F
Age: 26
State: CA

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

Lab Data:

Allergies: No

Symptom List: Pain in extremity

Symptoms: Abdominal pain. Can barely stand up.

Other Meds: Nortriptyline

Current Illness: No

ID: 0931727
Sex: F
Age: 44
State: NM

Vax Date: 01/06/2021
Onset Date: 01/06/2021
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: Latex

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

Symptoms: Headache, lump in right armpit, pain in right armpit unable to extend without sensation of pulling in armpit. Rash on upper chest itchiness of upper coast and left lower leg

Other Meds:

Current Illness:

ID: 0931728
Sex: F
Age: 32
State:

Vax Date: 01/02/2021
Onset Date: 01/09/2021
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: NKA

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

Symptoms: Large, hardened nodule at injection site approximately 2 inches in diameter, swelling, redness, itching

Other Meds: spironolactone mirena iud

Current Illness: N/A

ID: 0931729
Sex: M
Age: 66
State: OH

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

Lab Data:

Allergies: PCN

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

Symptoms: PATIENT RECEIVED PNEUMOVAX AND 45 MINUTES LATER STARTED GETTING SYMPTOMS OF AN ALLERGIC REACTION INCLUDING SWELLING, REDNESS, AND PAIN IN THE ARM OF INJECTION. HE CALLED LATER THAT EVENING TO INQUIRE ABOUT IT BECAUSE IT WAS NOT GETTING BETTER. HE WAS INSTRUCTED TO TAKE BENADRYL AND TO SEEK MEDICATION ATTENTION IF IT CONTINUED TO WORSEN OR HE HAD SIGNS OF ANAPHYLAXIS. I FOLLOWED UP WITH HIM THE FOLLOWING DAY AND HE SAID HE HAD TO SEEK MEDICAL ATTENTION AT THE ED WHERE HE WAS GIVEN BENADRYL, FAMOTIDINE, AND METHYLPREDNISOLONE DURING HIS VISIT. HE CAME IN THE FOLLOWING DAY TO PICK UP HIS ORAL PREDNISONE AND SAID HIS SWELLING, REDNESS, AND PAIN IS GETTING BETTER NOW.

Other Meds:

Current Illness:

ID: 0931730
Sex: F
Age: 64
State: NH

Vax Date: 01/07/2021
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: triameterine-hctz, estradiol, progesterone, amitriptyline, calcium, probiotics

Symptom List: Vomiting

Symptoms: Patient noticed a rash on the upper abdomen, both arm pits, and down the spine. A little itchy. (morning of 01/09/2021) Rash is red and not raised.

Other Meds:

Current Illness: N/A

ID: 0931731
Sex: F
Age: 33
State: WA

Vax Date: 12/19/2020
Onset Date: 12/20/2020
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: Dairy, gluten, latex, bee stings,

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Extreme arm fatigue and limited range of motion, hives and flushing of face and ears

Other Meds: B12, vegan multivitamin, vitamin D with calcium and magnesium

Current Illness: None

ID: 0931732
Sex: F
Age: 67
State: UT

Vax Date: 01/05/2021
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:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: none known

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

Symptoms: welty rash appeared Friday night. very uncomfortable and itchy, clothing swapped, was gone by morning. Later in the morning, reappeared, mainly on back of thighs and rear end. took 2 tablets of 25mg Benadryl. took a n ap, and rash is gone again.

Other Meds: levothyroxine

Current Illness: none

ID: 0931733
Sex: F
Age: 66
State: NJ

Vax Date: 12/04/2020
Onset Date: 12/04/2020
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: No Known Allergies

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Pt has a hx right arm pain and limitation of mobility after pneumovax vaccination on 12/4/20. She was seen by NP and Dr on 12/18/20 - at that time she was slowly improving. She was taking high dose ibuprofen and prescribed Pepcid to reduce rhe risk of GI side effects from the ibuprofen She reports that her arm pain has not improved much and she still has pain and limitation with moving her arm forward. Her physical therapist, who she sees her for a separate problem, advised her to use an arm rest and heat, which has not given significant relief. She needs to sleep in a recliner to relieve the pain. She is interested in a prescription for PT specifically for her right arm.

Other Meds: Azelaic acid 15 % ex gel, Levothyroxine (synthroid) 112 mcg tablet

Current Illness: Thyroid disease ? Rosacea ? Hip pain, left ? Cyst of left ovary

ID: 0931734
Sex: F
Age: 42
State: AL

Vax Date: 12/30/2020
Onset Date: 01/05/2021
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: Rash and swelling around mouth, eyes, and behind ears

Other Meds:

Current Illness:

ID: 0931735
Sex: F
Age: 59
State: AZ

Vax Date: 01/04/2021
Onset Date: 01/04/2021
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: None

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

Symptoms: Moderate to severe headache, "foggy" thinking - felt as though it was difficult to think or process what others were saying. I could not think clearly and made simple but yet important mistakes. I also felt moderately dizzy, especially standing up. No appetite. These symptoms lasted until Wednesday, Jan 6th, at 1730. At 1730 I suddenly felt clear headed and coherent. Duration of symptoms was 49 hrs. The sudden clarity and no longer dizzy was interesting and unexpected and noticeable. The symptoms were fast onset and sudden termination. Only a mild headache for an additional 24hrs.

Other Meds: Levothyroxine in AM Bupropion (150mg) in AM Methylphenidate ER (20mg) in AM

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm