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: 0932144
Sex: F
Age: 29
State: IL

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
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: Bactrum, Ceclor

Symptom List: Dysphagia, Epiglottitis

Symptoms: Around 4 am. Fever of 100.2 and chills that lasted about 12 hours. Headache that was unrelieved by medication that lasted 24 hours. Fatigue that lasted 24 hours. Severe injection site pain that lasted 12 hours. Nausea that lasted about 12 hours.

Other Meds: Singular, sprintec, atorvistatin, xyzal

Current Illness: None

ID: 0932145
Sex: F
Age: 96
State: NC

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/10/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

Symptom List: Anxiety, Dyspnoea

Symptoms: Patient came into the emergency department on 1/8/21 with an acute ischemic stroke with complete occlusion of her left MCA. She had acute and complete flaccid paresis of her right face, arm, and leg, complete aphasia, and neglect of the right side of her body. NIHSS of 27. Onset of deficit was between 6:30pm-7:10pm. She recieved her 1st COVID-19 vaccine dose that morning at 10:31am.

Other Meds:

Current Illness: Hypertension, hypothyroidism

ID: 0932146
Sex: F
Age: 62
State: NJ

Vax Date: 01/01/2021
Onset Date: 01/10/2021
Rec V Date: 01/10/2021
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: Fever 100.4 at 0100 am Chills, Body aches Took Motrin two hours later still chills and body aches Took Tylenol. Two hours later , fever gone and chills stopped, body aches a little. Not much!!

Other Meds: Tylenol Motrin Lisinopril Levothyroxine

Current Illness: High BP Hypothyroidism

ID: 0932161
Sex: F
Age: 34
State: IL

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies: Keflex, walnuts

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: 20 hours after injection: Injection site soreness Fever Night sweats Back pain Fatigue Migraine

Other Meds:

Current Illness:

ID: 0932162
Sex: F
Age: 26
State: IN

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
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: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Sore arm: 12 hours post-vaccine and continues through 48 hours

Other Meds:

Current Illness:

ID: 0932163
Sex: F
Age: 25
State: IN

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/10/2021
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: Duricef

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

Symptoms: By 8pm on the night of my vaccine, I experienced chills & body aches. Similar to symptoms before experiencing the flu. Was tired. The next morning those symptoms went away and I had a headache for the remainder of the day on 1/9/21.

Other Meds: Birth Control Pills

Current Illness: None

ID: 0932164
Sex: M
Age: 82
State: FL

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Muscle pain in all limbs, Nausea, Extremely tired. In bed for 36 hours

Other Meds: Lisinaprol 25MG, *1 MG Aspirin

Current Illness: None

ID: 0932165
Sex: F
Age: 38
State: IN

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Pharyngeal swelling

Symptoms: Headache, body aches, arm soreness, nausea, chills

Other Meds: None

Current Illness: None

ID: 0932166
Sex: F
Age: 48
State: CA

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/10/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: Felt flush, lips tingling, ink taste in mouth, rapid heartbeat, high blood pressure.

Other Meds: Metformin, januvia, trulicity and womens one a day multi vitamin.

Current Illness: Corona virus in December.

ID: 0932167
Sex: F
Age: 51
State: FL

Vax Date: 01/05/2021
Onset Date: 01/08/2021
Rec V Date: 01/10/2021
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: Penicillin lisinopril and prednisone

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Vomiting for 12 hrs with horrible stomach pains and body aches started at 2 pm on Friday until 1 am Saturday. Stomach pains still Sunday and nausea

Other Meds: Omeprazole, hctz, lopressor,

Current Illness: None

ID: 0932168
Sex: F
Age: 76
State: TN

Vax Date: 01/02/2021
Onset Date: 01/04/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies: Reaction to pneumonia vaccine many years ago, arm swelling

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

Symptoms: Rash

Other Meds: Atenolol, Omeprazole

Current Illness: none

ID: 0932169
Sex: M
Age: 38
State: IN

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/10/2021
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: None

Symptom List: Rash, Urticaria

Symptoms: Around 8pm, legs achy, back sore, chills and low grade fever around 100.5 around 1130pm, severe body aches, malaise. Chills dissipated around 7am but body aches lingered along with fatigue for the rest of the day. Slight chills the night of 1/9. Feels better on 1/10. No body aches and no chills.

Other Meds: Daily MV, airborne, fish oil, vit E, probiotics, alpha gpc, biotin.

Current Illness: None

ID: 0932171
Sex: F
Age: 25
State: NY

Vax Date: 12/24/2020
Onset Date: 01/01/2021
Rec V Date: 01/10/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Developed swelling, redness, pain, and itching at the injection site. Symptoms started 8 days after vaccine was administered. Area of redness and swelling increased over the period of 1-2 days and was fully resolved by day 5.

Other Meds: Ethinyl estradiol/norgestimate Loratadine Ibuprofen

Current Illness: None

ID: 0932172
Sex: F
Age: 26
State: WI

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 01/10/2021
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: No known drug allergies and/or medication and/or foods

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

Symptoms: Patient received vaccine at 7:31 am. At 7:37 am patient reported burning at injection site/right arm. Minutes later started complaining of burning in her throat. Bloor pressure 138/80 Pulse 142 Oxygen 100 Temperature 98.2. Lungs sounded clear. No wheezes. At 7:47, patient reports tightness in throat has subsided but feels swollen, tightness in chest. Is still able to drink water. Blood pressure 140/90 HR 120 Oxygen 100. Called 911. Patient had many questions about receiving Epi Pen. Denies heart conditions, reports has a history increased heart rate. At 7:49 am Epi pen given left lateral thigh. BP 142/78.100% Oxygen, Pulse 129. EMS arrived few minutes after. Blood noted on left lateral thigh at Epi injection site. 2x2 applied with pressure. Report off to EMS.

Other Meds: Not assessed

Current Illness: not assessed

ID: 0932173
Sex: M
Age: 30
State: IN

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/10/2021
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: Fever, chills, headache, body aches. All improved with OTC Tylenol and Ibuprofen

Other Meds: None

Current Illness: None

ID: 0932174
Sex: F
Age: 33
State: IN

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
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: Minocycline

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

Symptoms: My armpit started becoming sore the following day and now my lymph nodes are swollen and it hurts to have my arm down as it is hitting the swollen lymph nodes. I had zero issues with the first shot in the series.

Other Meds: Only ibuprofen and excedrin as needed for normal body aches and migraines

Current Illness: None

ID: 0932175
Sex: F
Age: 41
State: IN

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/10/2021
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: N/a

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

Symptoms: Chills, headache, body aches, fatigue

Other Meds: Birth control, daily vitamin, fish oil, apple cider vinegar gummies, Calcium, zyrtec

Current Illness: N/A

ID: 0932176
Sex: F
Age: 43
State: MD

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Ear pain, Hypoaesthesia

Symptoms: About a day after the shot, I got a red circle a little bigger than a quarter around the injection site and the area was very itchy. This lasted several days. I have to assume it was an allergic reaction. Since then it has gone away however I am not sure if I should get the 2nd shot. The vaccine was Pfizer.

Other Meds: Zoloft, multivitamin, Vit C, Vit D, Fish Oil, and zyrtec

Current Illness: N/A

ID: 0932178
Sex: F
Age: 38
State: CT

Vax Date: 01/04/2021
Onset Date: 01/06/2021
Rec V Date: 01/10/2021
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: commonplace erythema around the injection site BUT THIS HAS PROGRESSED TO A FIGURATE ERYTHEMA OF THE ERYTHEMA ANNULARE CENTRIFUGUM TYPE Can I upoload a photo to you??

Other Meds: none

Current Illness: none

ID: 0932179
Sex: F
Age: 32
State: IN

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies: Prednisone, lyrica, dilaudid

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

Symptoms: chills, entire right arm sore, swollen/painful lymph nodes in right axillary, fatigue, stuffy nose

Other Meds: Zyrtec, Benadryl, multivitamin, ibuprofen

Current Illness: Uti

ID: 0932180
Sex: F
Age: 37
State: ME

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 01/10/2021
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: sudden onset of full body burning and flushing sensation, no redness or rash objectively. This resolved over a few minutes but recurred once. She was anxious and was given a benedryl, no further symptoms. Observed for extra time then released

Other Meds: insulin

Current Illness: None

ID: 0932181
Sex: F
Age: 36
State: IN

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/10/2021
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: Unevaluable event

Symptoms: Pain at site of injection, extreme headache, extreme body pain

Other Meds: Nuvaring, multivitamin, vitamin B12, vitamin d Tylenol, Aleve

Current Illness:

ID: 0932182
Sex: F
Age: 56
State: IL

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/10/2021
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: None

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

Symptoms: Very fatigues, headache, nausea, intermittent chills, vomited once.

Other Meds: None

Current Illness: None

ID: 0932184
Sex: F
Age: 57
State: VA

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/10/2021
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: Demerol, scopolamine

Symptom List: Injection site pain, Pain

Symptoms: Fever, chills, severe body joint aches, headache started 10am day of injection lasting until 1/10/21. Improvements started 01/09/21 late afternoon. Some aches remain on 1/10/21 but minimal in comparison

Other Meds: Synthroid 200mcg po as, Wellbutrin 150 mg po bid, vit C 3000 mg po as, zinc 109 mg po Qd. Vit D3 3000 mg po qd. Biotin 5000 mcg po qd , glucosamine hack and chondroitin sulfate with NSM and hyaluronic acid. 2 po qd

Current Illness: None

ID: 0932185
Sex: F
Age: 37
State: GA

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies: Toradol and betadine

Symptom List: Injection site pain, Menorrhagia

Symptoms: The injection site alone with the upper arm is red, hot, and warm to touch. I marked the original spot on Friday and it has since went pass that point. It does hurt pretty bad but I have not been babying it but using it as normal. More achy than pain I would say.

Other Meds: HCTZ 12.5capsule PO daily Vitamin C 500mg Mirena 20mcg Cardizem CD 180mg PO daily Echinecae 400mg Zinc

Current Illness:

ID: 0932186
Sex: F
Age: 47
State: MD

Vax Date: 12/30/2020
Onset Date: 01/08/2021
Rec V Date: 01/10/2021
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: Shellfish Eggplant Calamine lotion

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

Symptoms: Itchy rash at site of injection. The rash is red and about an inch in diameter. Swollen.

Other Meds: Levetiracetam 500 mg tablets Hydrochlorothiazide 25 mg tablets Advair 250/50 Albuterol Sulfate inhalation Aerosol

Current Illness:

ID: 0932187
Sex: F
Age: 46
State: NJ

Vax Date: 12/21/2020
Onset Date: 01/05/2021
Rec V Date: 01/10/2021
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: None

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Shingles

Other Meds: Nexium Claritin Vitamin C Multivitamin Probiotic

Current Illness: None

ID: 0932189
Sex: F
Age: 37
State: TX

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: I was injected high on my shoulder, significantly higher than I?ve ever been injected in my life. I believe I have SIRVA. The pain has become so severe that I cannot use my left arm. The pain is intolerable. I take four Advil every six hours, ice my arm regularly, and keep my arm in a sling. The pain has gotten significantly worse with time (not better). I?ve never experienced pain like this from a vaccine in my life. No history of bursitis or shoulder injury. Again, the pain gets worse with time. I?m almost 48 hours post injection

Other Meds: None

Current Illness: None

ID: 0932194
Sex: F
Age: 46
State: IN

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
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: Arm soreness, myalgia, fever, fatigue

Other Meds:

Current Illness:

ID: 0932195
Sex: F
Age: 48
State: IN

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
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: Low grade fever and body aches for 24 hours, then headache and swollen lymph node under armpit on side of injection. Swollen and sore injection site.

Other Meds: Prozac, seasonique, vitamins

Current Illness:

ID: 0932197
Sex: F
Age: 66
State: IL

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies: Nonenone

Symptom List: Injection site pain

Symptoms: Headache and flu like symptoms lasting 20 hours

Other Meds: Crestor, vitamin d

Current Illness: None

ID: 0932198
Sex: F
Age: 39
State: NJ

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies: NKA

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

Symptoms: Rash from neck to hip bones, fever, flu like symptoms, severe pain to injection site

Other Meds: Centrum, Vitamin D3, Vitamin B12

Current Illness: None

ID: 0932199
Sex: F
Age: 53
State: MI

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/10/2021
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: Penicillin, sulfa, iphrofin

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

Symptoms: I had the first shot on Thursday evening, I felt fine throughout the evening. Friday woke up with a headache and sore arm. Friday afternoon my headache worsened, I had a tempature between 101 and 103 and severe chills. I was nauseous and fatigue. This continued through Saturday. Tempature and chills went way by Saturday evening. Sunday most all symptoms are gone.

Other Meds: Ambien, Xanax, tamoxifen, omeprazole, vitamin D, multi vitamin, fiber pill. Calcium pill.

Current Illness: None

ID: 0932200
Sex: M
Age: 51
State: IN

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/10/2021
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: Tremor

Symptoms: 3 hours after 2nd dose almost fainted when exercising. 4 hours after injection started to feel achey, headache, and stiff neck. 12 hours after injection started shivering and increased heart rate. Took advil which helped, but shivering resumed 18 hours later. Took more advil. Body aches, sore arm, and headache continued for 48 hours. I still don't feel great 48 hours later but much better

Other Meds: Losartan, amlodapine, niacin, Armour thyroid, Claritin, vit d, vit b12,

Current Illness: No

ID: 0932201
Sex: F
Age: 21
State: TX

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/10/2021
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: Mold, pet dander

Symptom List: Erythema, Pruritus

Symptoms: Fever (lowest: 99.7, highest: 101.7), fatigue and headache for about 30 hours

Other Meds: Junel Fe

Current Illness: NA

ID: 0932202
Sex: F
Age: 43
State: IN

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
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: Swollen lymph gland under left arm on day 2. Began sometime in the night.

Other Meds: Lexapro. Crestor, losartan potassium,oxybitynin cl er, amlodine besylate

Current Illness: Food poisoning

ID: 0932203
Sex: F
Age: 58
State: MD

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/10/2021
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: seasonal allergies, food sensitivities

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

Symptoms: I am now 6 days out from the vaccine and I am still having intense headaches, like my temples and forehead are pushing outward. I have intense muscle/nerve? pain at the base of my neck to the right and left along my trapezius muscle, along my shoulders. My trigeminal neuralgia, which when it flares I tend to feel to the left of my nose (as if I had a sinus infection), is in high gear. (I can ususally keep it under control.) I think the vaccine is wreaking havoc on my pre-existing neuralgic/trigeminal condition. Also, about 12 hours after receiving the shot I had shakes, high fever (99.9 compared to my usual 97.7) . But that went away.

Other Meds: armour thyroid, gabapentin, Premarin cream multi-vitamin, B12, magnesium, D3, culturelle, digest gold, rhodiola, Lachesis tutus, GABA

Current Illness: digestive issues

ID: 0932204
Sex: M
Age: 69
State: FL

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 01/10/2021
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: Diarrhea

Other Meds: Metoprolol, Lisinipril, Plavix, glimepiride, morphine sulfate, atorvastatin, nitroglycerin

Current Illness: None

ID: 0932205
Sex: F
Age: 64
State: KY

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/10/2021
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: Heart palpitations around 9:30 pm and again around 11:30 pm, fatigue lasting 2days, slight upset stomach, and dull headache for 2days

Other Meds: Benazepril, hydrochlorothiazide, atorvastatin, vitamin D, Omeprazole, allergy medicine generic to zyrtec

Current Illness: None

ID: 0932206
Sex: F
Age: 25
State: IN

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/10/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Chills Night sweats

Other Meds: Fluoxetine Trazadone

Current Illness:

ID: 0932207
Sex: F
Age: 26
State: IN

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/10/2021
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: Myalgias, joint aches, nausea, severe rigors and chills starting about 12 hours after administration of vaccine

Other Meds: Aleve

Current Illness: None

ID: 0932208
Sex: F
Age: 66
State: IN

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
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: Sore Arm Headache all day the day after shot

Other Meds: Estradiol Vitamin D Multi Vitamin

Current Illness: None

ID: 0932209
Sex: M
Age: 26
State:

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
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: Lime, oranges, basil

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

Symptoms: The morning after vaccination patient developed full body muscle aches, a migraine, and fatigue. Ibuprofen was taken and symptoms lessened over 6 hours, they resolved by 01/10/2021. Patient developed severe nausea the morning after vaccination (this also occurred after the first dose), and patient vomited several times with severe retching for 30 minutes. No medication was taken and symptoms subsided after 6 hours.

Other Meds: none

Current Illness: none

ID: 0932210
Sex: M
Age: 56
State: PR

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
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: Aspirin (Salicylic Acid - Salicylates)

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

Symptoms: Next morning after vaccination (01/09/2021), I woke up to a slight "buzz" in both ears. They sound can be described as similar to the background noise produced by insects at night. Buzz intensity is low but persistent.

Other Meds: Atorvastatin 10mg (Oral), Latanoprost 0.005% (Ocular)

Current Illness: None

ID: 0932211
Sex: F
Age: 62
State:

Vax Date: 12/27/2020
Onset Date: 12/27/2020
Rec V Date: 01/10/2021
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: Patient is describing a muscle spasm like sensation in the arm that she was given dose 2 of the shingles shot in. It is not swollen or inflamed, but she describers intermittent spams or skin crawling sensations at the injection site. Her second shingles shot was given 2 weeks ago, as of the day of this report.

Other Meds:

Current Illness:

ID: 0932212
Sex: F
Age: 32
State: KY

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
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: Cechlor, Zoloft, and strawberries

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Chills, fever of 102, body aches, and fatigue.

Other Meds: None

Current Illness: None

ID: 0932214
Sex: F
Age: 58
State: IN

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Fever of 102.6,chills, achiness, headache

Other Meds: Amlodopine Levothyroxin Diclofenic Venlafaxine Gabapentin

Current Illness: Had covid 12/10 was my positive test

ID: 0932215
Sex: F
Age: 39
State:

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 01/10/2021
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: Nausea, dry heaves, hot, dizziness after 12 minutes . Observed for 40 minutes. Gave water and snacks. BP 121/83, HR 98. Resolved after observation. Husband picked up her.

Other Meds:

Current Illness:

ID: 0932217
Sex: F
Age: 43
State: NC

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
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: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: Patient experienced headache, muscle aches in the neck and back, and a sore throat. Symptoms were moderate in severity. Patient self-treated with ibuprofen. Symptoms resolved approximately 24 hours after onset.

Other Meds: Oral contraceptive

Current Illness: None

ID: 0932218
Sex: F
Age: 30
State: SD

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/10/2021
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: NKA

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

Symptoms: The day after I received the second dose, I experienced arthralgia, chills, fever, and muscle aches. The second day after the vaccine, those symptoms were much relieved.

Other Meds: Spironolactone Metformin Multivitamin

Current Illness: N/A

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm