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: 1077736
Sex: F
Age: 75
State: PA

Vax Date: 02/25/2021
Onset Date: 03/05/2021
Rec V Date: 03/06/2021
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: none

Symptom List: Dysphagia, Epiglottitis

Symptoms: Arm continued to be sore. Itchy rash developed day 8 after vaccine at injection site

Other Meds: multivitamin; calcium +D; vitamin D3

Current Illness: none

ID: 1077737
Sex: F
Age:
State: DC

Vax Date: 02/26/2021
Onset Date: 03/04/2021
Rec V Date: 03/06/2021
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: Mites

Symptom List: Anxiety, Dyspnoea

Symptoms: On day 3/4 I felt minimal pain in my left armpit at a specific point. On 3/5 I felt itchy at the site of the vaccine and had a rash, the area quite red. The pain in the armpit had almost disappeared but a small ball (size of a pea) was felt swollen (swollen lymph node). Nothing serious.

Other Meds: None. The 3/4 I put panoxyl (soap with benzoyl peroxide) all over the left arm (the one with the vaccine) because I had some pimples (which I have had all my life) and I decided to try that soap (which I have used on my face many times with

Current Illness: None

ID: 1077738
Sex: M
Age: 72
State: FL

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 03/06/2021
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: Joint pain, tiredness, incontinence, sleepless and hallucinations

Other Meds: Insulin, crestor, lisinipril, omeprazole, antenol, metforman, vitamin D, fish oil, tart cherry extract, lecithin, cod liver oil, baby aspirin, multi-vitamin, glucosamine condrotin, saw palmetto, cialis

Current Illness: None

ID: 1077739
Sex: F
Age: 72
State: IN

Vax Date: 02/17/2021
Onset Date: 02/23/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Raging outbreak of shingles

Other Meds: Lisinopril/ hctz Fish oil Vitamin e Calcium w D

Current Illness: Had COVID Nov 2020 First vaccine on Jan 27, 2021

ID: 1077740
Sex: F
Age: 59
State: PA

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Tinnitus constant ringing in both ears

Other Meds: Levothydroxine Gabapentin

Current Illness: Hypothyroidism Graves disease

ID: 1077741
Sex: F
Age: 42
State: IL

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 03/06/2021
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: High fever consistently around 102 to 103 for 2 days. Lethargic tiredness fatigue body aches

Other Meds: Synthroid Lexapro

Current Illness: None

ID: 1077743
Sex: M
Age: 64
State: AZ

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/06/2021
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: Tetracycaline

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Within two hours of vaccination, a taste/sense of chemicals appeared in mouth/nasal. Still ongoing as of the date and time of this report.

Other Meds: Amlodipine Besylate; Enalapril Mal: Pravastatin: Venlafaxine; Lansoprazole; Loratadine. Vitamins E, C, B12, D3; Calcium Carbonate; Fish Oil,

Current Illness: None

ID: 1077744
Sex: F
Age: 66
State: IN

Vax Date: 03/01/2021
Onset Date: 03/02/2021
Rec V Date: 03/06/2021
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: Pharyngeal swelling

Symptoms: Swollen sore glades in right side of neck for 48 hours

Other Meds: Vitamin D3 CO Q10. Cranberry tab. Fish oil. Resveratrol. Probiotics. Elderberry

Current Illness: None

ID: 1077745
Sex: F
Age: 75
State: PA

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 03/06/2021
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

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Rapid heartbeat accompanied by Bp of 195/90, bleeding under skin in huge area at vaccine site arm pain. Bp was treated by increased dosage of Vasotec over a period of 2 weeks where it returned to normal. Bruise diminished slowly over 3 week period. Also after 8 day a skin rash appeared on the left arm, first as splotches that increased to a large area about 2 inches below vaccine site in a rectangular are for most of upper arm. It was red, itchy and burning. Only thing that released it was cortisone cream. It lasted several weeks. And only occurred for this first vaccine dose.

Other Meds: Amoxicillin 500mg, Vasotec 5mg Aspirin 81mg

Current Illness: Anticardiolipid antibody syndrome, hypertension

ID: 1077746
Sex: F
Age: 76
State: IN

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 03/06/2021
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: Latex, wheat, dust mites, Gum tragacanth, Cat epithelia, ragweed, mold

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Large tender bruise at site of injection, raised and pink, then very dark coloring. Tender to the touch, soreness when using the arm.

Other Meds: Levothyroxine, Montelukast, Metoprolol, Celecoxib, Losartin, Glucosamine, Aspirin, Calcium, Melatonin, Cetirizine

Current Illness: Osteo Arthritis, High blood pressure, asthma

ID: 1077747
Sex: F
Age: 81
State: MT

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: shellfish

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

Symptoms: difficulty in breathing-taken to ER-7 hours after vaccine given

Other Meds: multi vitamin ,fish oil,COQ10,garlic,niacin,tumeric

Current Illness: none

ID: 1077748
Sex: M
Age: 65
State: FL

Vax Date: 03/02/2021
Onset Date: 03/03/2021
Rec V Date: 03/06/2021
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:

Symptom List: Rash, Urticaria

Symptoms: Doubled over in pain in my stomach. Lasted for 5 hours add an excruciating level. Continued on for 24 to 48 hours at some degree. Still having some weird effects after reading at this point.

Other Meds: Atorvastatin; labatalol; cialis; fish oil; baby aspirin; multivitamins; d3; zinc; allertec; Dyazide caps

Current Illness: Hernia,one kidney,pro thrombin gene.

ID: 1077749
Sex: F
Age: 65
State:

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/06/2021
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: Pt has hx of anaphylaxis, her daughter has the same allergies as pt. Daughter had vaccine first and was taken to ER due to adverse reaction. This pt spoke with her primary who consulted an allergist and recommended pt pre- medicate with Benadryl. Pt did take Benadryl prior to vaccination

Other Meds:

Current Illness:

ID: 1077750
Sex: F
Age: 65
State: TN

Vax Date: 02/16/2021
Onset Date: 03/06/2021
Rec V Date: 03/06/2021
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: Latex, asa, non steroidal other milder allergies. Latex 4+ diagnosed

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

Symptoms: Cold symptoms, ear infection. My arm turned red and swollen shoulder to elbow. It started 10 days later. I have a history of extensive immune work ups. I have know delayed reactions. I have had 2 bee stings on opposite hands and they did not react until 10 days later. . That is normal for me to have delayed reactions. I also Mannose deficiency . I have had extensive immune work up and then repeated at clinic.

Other Meds: to many to list

Current Illness: I have a known immune disorder and confirmed by clinic. Mannose deficiency. took HAA shots x2 and did not get antibodies . I had a huge reaction to tetanus years ago

ID: 1077751
Sex: F
Age: 71
State: OH

Vax Date: 03/03/2021
Onset Date: 03/04/2021
Rec V Date: 03/06/2021
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: Sulfa Tetracycline

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

Symptoms: Chills, Temp of 101?, sleeping for 20 our of 24 hours. Lasted 1 1/2 days Three days after shot, developing Covid Arm. Also had Covid Arm in my left arm for 0 days after the first shot.

Other Meds: Lisinopril Hct

Current Illness: None

ID: 1077752
Sex: F
Age: 49
State: AZ

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/06/2021
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: n/a

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

Symptoms: Shot at 11AM, arm soreness within two hours. Went to bed with fever, back pain, chills and chattering teeth. At 2 AM, awoke to drink water and urinate. Feinted while sitting, was passed out for about a minute, and appeared to stop breathing for about 10 seconds (per husband). Vomited. Returned to bed, still with fever, stomach aches. Awoke tired, lethargic, with fever. Acquired thermometer, fever peaked at 103 late afternoon. Took tylenol with little effect then with advil the fever started dropping. Went to bed day 2 with 102 fever and more spirit. Woke up day 3 with fever of 100, but much more energy. Submitted form at this point.

Other Meds: Anastrozole, Venlafexine, OTC vitamins

Current Illness: none

ID: 1077753
Sex: F
Age: 69
State: NY

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 03/06/2021
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: Approximately an hour after I received the shot, I felt pins and needles on my lips and a metallic type taste in my mouth. My arm was sore , as expected, and I felt some body aches, and tiredness. It wasn't until Tuesday that my mouth was feeling numb and the bad taste in my mouth returned. I did not have an appetite to eat. It didn't seem to bother me as much during the day as nighttime. I would wake up in the middle of the night with a terrible taste in my mouth and nausea. It seemed to be most uncomfortable by Thursday evening and I drank a lot of water all day Friday. I did not eat much on Friday because of the nausea and taste in my mouth. After I did eat something early Friday evening, I became very tired. Today I am better. I do not feel like my mouth is numb, and the bad taste is not completely gone, but I feel better. I will drink a lot of water today.

Other Meds: Metoprolol Tartrate - 50 mg. - half in am, half in on Crestor - 20 mg. - 1 tablet daily Low dose aspirin

Current Illness: None

ID: 1077754
Sex: F
Age: 31
State: WA

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 03/06/2021
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: 12 hours after immunization, redness was noted. 24 hours after immunization, redness was raised, hot to touch, tender to touch. Body aches, headache, nausea, chills occurred from 16 hours post vaccination until 30 hours post vaccination. Tylenol and ibuprofen were helpful.

Other Meds: Levothyroxine and Cytomel

Current Illness: None

ID: 1077755
Sex: M
Age: 70
State: CA

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Chills, muscle fatigue

Other Meds: Omeprezole

Current Illness:

ID: 1077756
Sex: F
Age: 31
State: CT

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: Penecillin

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

Symptoms: Headache, body ache, fever, tiredness

Other Meds: Lamotragine (200mg per day) Abilify (2mg per day)

Current Illness:

ID: 1077757
Sex: F
Age: 68
State: VA

Vax Date: 03/01/2021
Onset Date: 03/02/2021
Rec V Date: 03/06/2021
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: Fever, chills, lethargy, body aches, headache, loss of taste

Other Meds: Alendronate, Vitamin D3, Rosuvastatin

Current Illness:

ID: 1077758
Sex: M
Age: 81
State: WI

Vax Date: 03/01/2021
Onset Date: 03/02/2021
Rec V Date: 03/06/2021
Hospital: Y

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: Per neurology consult: "Patient was at his baseline until when he received his 2nd dose of SARS-CoV-2 vaccination. He complained of dyspnea and fear of impending doom after waking up the following morning with some disorientation. He was found to be in AFib with RVR after it was brought to ER the following morning and the rhythm was converted to normal sinus rhythm. Patient continues to have confusion after admission yesterday that seem to get worse today to the point where he did not know his own name or birthdate, and seemed to have global amnesia. Patient has been more drowsy this afternoon after receiving lorazepam 1 mg IV for potential seizure activity so no reliable neurologic exam was obtained. Patient remains afebrile with pulse ox in the low 90s on 4 L of supplemental nasal oxygen in the hospital. He had moderate decrease in kidney function upon admission that has improved. He has baseline anemia with hemoglobin at around 10. Incidentally patient had shingles in the right thoracic dermatome week ago for which he received valacyclovir.

Other Meds:

Current Illness:

ID: 1077759
Sex: F
Age: 54
State: CA

Vax Date: 02/28/2021
Onset Date: 02/28/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

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

Symptoms: I had a very unusual nose bleed one hour after taken the shot. I don?t think it was a serious event but bc I don?t remember last time I had a bloody nose thought it was worth reporting

Other Meds: None

Current Illness: None

ID: 1077760
Sex: M
Age: 52
State: IN

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 03/06/2021
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: Sulfa drugs.

Symptom List: Injection site pain, Pain

Symptoms: The following evening after receiving second dose, I had swelling under left arm and fever.

Other Meds: None.

Current Illness: None.

ID: 1077761
Sex: F
Age: 53
State: VA

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List: Injection site pain, Menorrhagia

Symptoms: Vomiting, chills, body aches, fatigue, headache

Other Meds: Unithroid, Omeprazole

Current Illness:

ID: 1077762
Sex: F
Age: 48
State: AR

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 03/06/2021
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: Sulfa drugs Sudafed Mucinex Breathine

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

Symptoms: Approximately 16 hours after the shot I experienced the inability to stand and walk without assistance. Was unable to vocalize words. It was like my brain was unwilling to cooperate. I would try to respond but couldn?t .

Other Meds: Ketotifen 1 mg Temazapam 30 mg Cymbalta 90 mg Oscal with D 500 mg Hydroxizine 25 mg Multivitamin

Current Illness: None

ID: 1077763
Sex: F
Age: 51
State: SC

Vax Date: 02/12/2021
Onset Date: 02/20/2021
Rec V Date: 03/06/2021
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: Strawberries, Penicillin, Latex, Protonix, Morphine

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: 2-12-21 Sharp chest pain; rested 2-20-21 Skin reaction red raised areas x 6; Took Benadryl and the spreading stopped; Used Benadryl cream and the itching stopped 2-22-21 Saw cardiologist for an already scheduled check-up and from 2-12-21 to 2-22-21 had similar sharp chest pain 2 times; to f/u on 3/15/21 as of 3/06/21 The first red raised areas just below where I received the vaccination are still red and occasionally itch

Other Meds: Cymbalta, Vitamin D, Flonase, Claritin, Tylenol

Current Illness: none

ID: 1077764
Sex: F
Age: 74
State: NC

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: Codeine

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: After Injection performed errands, shopped. 5:00 returned home tired, weak slight headache. Ate cereal, in bed by 7:00 pm Wed. night. Unable to sleep, extreme sweating (skin wet), chills joint pain (hips, lower back, wrists), rapid heart beat,headache, head swimming. nausea. Got up and had a piece of toast. and 1 xtra strength tylenol. Got up at 2:11 pm Thurs.called Iredell health services. Said ok to take Tylenol and Benedryl to sleep. Woke up at 5pm most smptoms gone.

Other Meds: generic Zertec 1/2 tab, Tumeric, Magnesium, Calcium, Garlic, Apple Cider Vinegar, Black Cohosh, Estroven (OTC), Centrum, Osteo-Bi-Flex, Zinc, Biotin (Hair, skin & nails), Centrum over 50 ,Prolia injection 6 mos.

Current Illness: None

ID: 1077765
Sex: F
Age: 84
State: FL

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/06/2021
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: PCN, sulfa

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

Symptoms: itching and hives to arms, legs and abdomen. gave Benadryl 25mg initially, then 1 hr later another 25mg . next morning gave an additional 25mg. No swelling, no SOB. improved by afternoon 2nd day

Other Meds: levothyroxine

Current Illness: none

ID: 1077766
Sex: M
Age: 65
State: MA

Vax Date: 02/27/2021
Onset Date: 03/05/2021
Rec V Date: 03/06/2021
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: Itchiness, swelling and redness at injection site, 2" in diameter.

Other Meds: multivitamin

Current Illness: none

ID: 1077767
Sex: F
Age: 22
State: CA

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/06/2021
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: Chest tightness, anxiety. BP 119/66 (pulse 81), 100% O2 sat. Given water and graham crackers.

Other Meds:

Current Illness:

ID: 1077768
Sex: M
Age:
State: CO

Vax Date:
Onset Date: 02/11/2021
Rec V Date: 03/06/2021
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: None for either

Other Meds: I take a number of supplements - Email if you want the list.

Current Illness:

ID: 1077769
Sex: F
Age: 59
State: NC

Vax Date: 02/25/2021
Onset Date: 03/04/2021
Rec V Date: 03/06/2021
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: cipro, sulfa drugs

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

Symptoms: One week later injection site became more red, swollen, itchy and very lumpy. Almost like cottage cheese under the skin. Now less swollen but still itchy and red.

Other Meds: omeprazole, trazadone, estradial patch, progesterone, finasteride, d3, biotin, B12

Current Illness:

ID: 1077770
Sex: F
Age: 55
State: NC

Vax Date: 02/24/2021
Onset Date: 03/05/2021
Rec V Date: 03/06/2021
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: Amoxicillin

Symptom List: Tremor

Symptoms: 8 days after injection area became itchy and tender to touch 9 days after injection development of slightly raised, red area of approx. 2-2 1/2 inches. Area is hot and tender and appears to be enlarging. No other symptoms.

Other Meds: Metformin, Levothyroxine, Montelukast, Melatonin

Current Illness: None

ID: 1077771
Sex: F
Age: 21
State: NY

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: pt felt lightheaded and vomited and anxious bp 100/69 p 72 SA02 99 r-18 lungs clear pt laid down 30 minutes, felt better, and released to mother to go home

Other Meds:

Current Illness:

ID: 1077772
Sex: F
Age: 66
State: IL

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/06/2021
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:

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

Symptoms: fatigue, headache, muscle pain, chills, fever, nausea

Other Meds: Vitamin D 1000/DAY

Current Illness:

ID: 1077773
Sex: F
Age: 76
State: TN

Vax Date: 02/02/2021
Onset Date: 03/04/2021
Rec V Date: 03/06/2021
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: Aleve, naproxen, nsaids

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

Symptoms: Swelling inside gums, throat area discomfort, blood pressure on entry 212/92

Other Meds: Omeprazole DR 40mg cap daily Simvastatin 20 MG tab at bedtime Lisinpril 20 mg tab every 12 hours Levothyroxine 50 MCG tab Triamterene /Hctz 37.5-25 MG cap every other day Vitamin D3 supplement 25 mcg(1000 IU) one daily

Current Illness: None

ID: 1077774
Sex: F
Age: 57
State: FL

Vax Date: 02/26/2021
Onset Date: 03/05/2021
Rec V Date: 03/06/2021
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: Penicillin

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: The injection site was sore for about 2 days right after injection. Then several red bumps appeared 7 days after the injection on the arm at the injection site. The area is swollen and hard to the touch and warm. The size is about 5 x 7 cm, a little itchy but not sore.

Other Meds: Atovastatin, Losartan, multivitamin, Ca, Zn, Co Q10

Current Illness: No

ID: 1077775
Sex: F
Age: 24
State: KY

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 03/06/2021
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: Vomiting, fever of 100.3 ( at time of reporting ), body aches. Starting at 6:00 AM.

Other Meds: Lexapro

Current Illness: None

ID: 1077776
Sex: F
Age: 69
State: AL

Vax Date: 02/25/2021
Onset Date: 03/03/2021
Rec V Date: 03/06/2021
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: Tetanus vaccine

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

Symptoms: Covid arm, 8 inch red, swollen, itchy welt beginning 03/03/21, worse on 03/05/21. Fatigue and headache on 03/05. Slightly improved 03/06/21.

Other Meds: Calcitonin Salmon Nasal Solution, zinc, vitamin D3, triple action joint health, B-complex, B 12, L-Arginine, Biotin, Loratadine, Calcium, Preservision Areds 2, Vitamin C, Milk Thistle, Multivitamin, Magnesium, Cinnamon

Current Illness: None

ID: 1077777
Sex: M
Age: 86
State: FL

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 03/06/2021
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: Swollen left shoulder near point of injection. A rash and constant itching.

Other Meds: famotidine tab 20mg losartan tab 100mg omeprazole cap 20mg eliquis tab 2.5mg fluticasone propionate nasal spray usp

Current Illness: None

ID: 1077778
Sex: M
Age: 36
State: LA

Vax Date: 02/25/2021
Onset Date: 03/05/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: Penicillin Azithryomicin Codeine

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

Symptoms: Feb 26: 4 hours after injection severe left arm pain beginning at injection site then spreading down arm. Fatigue. General sense of feeling out of it. Painful cramp, fever feeling throughout body. Right ankle became painful. Resolved w/in 15 hours of injection. Mar. 5: Woke up with moderate left arm pain, muscle soreness. Pain increased throughout day, but less severe than pain experienced after injection. Progressed to shoulder and left back pain. Spread to hands. Left leg had slight cramping. Resolved w/in 24 hours.

Other Meds: Adderall IR 5 mg 2x daily

Current Illness: None

ID: 1077779
Sex: F
Age: 71
State: FL

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 03/06/2021
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: Onions

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

Symptoms: Chills, fever, aches lasting 24 hours

Other Meds: Metoprolol, crestor, omeperazol, asa, magnesium, b12, multivitamin

Current Illness:

ID: 1077780
Sex: F
Age: 64
State: TX

Vax Date: 02/23/2021
Onset Date: 03/03/2021
Rec V Date: 03/06/2021
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: Redness, hardness, itchiness, and "heat" at injection site for 24-48 hours "COVID arm"

Other Meds: Claritin, Centrum Silver

Current Illness: None

ID: 1077781
Sex: F
Age: 70
State: MI

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/06/2021
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: Penicillin (rash), singular (hives) Mold

Symptom List: Vomiting

Symptoms: Low grade fever, muscle and joint pain, headache, overall feeling of illness lasting about 40 hours. Large area of rash below injection site that is hot to touch lasting more than 48 hours

Other Meds: Simvastation 40 mg X 1 daily Lisinopril 40 mg X 1 daily Metformin 500 mg X 1 daily Levocetirizi 5 mg X 1 daily

Current Illness: None

ID: 1077782
Sex: F
Age: 34
State: OR

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 03/06/2021
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: no

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Intense body aches, pain and chills

Other Meds: no

Current Illness: no

ID: 1077783
Sex: F
Age: 75
State: PA

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 03/06/2021
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: Sulfa

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

Symptoms: Evening of shot severe pain in rotator cuff area that lasted at least 36 hrs, It is still a bit sore there but, liveable..Rapid heartbeat along with blood pressure of 200/100, Fever reaching 102 degrees, chills, nausea. The nausea, chills lasted about 36 hrs. The fever which was eventually brought down by extra strength Tylenol around the clock after 12 hours. The increased hypertension which lasted for about three weeks was controlled by increased dosages of Vasotec at times to 20 mg. This required constant contact with Dr by text and phone.. Forgot to mention no black and blue or bruising at injection site but also pain at injection site for about one week.

Other Meds: Vasotec 5mg Amocillin 500 mg

Current Illness: Hypertension Anticardiolipid antibody syndrome

ID: 1077784
Sex: F
Age: 70
State:

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 03/06/2021
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: n/a

Symptom List: Injection site swelling, Limb discomfort

Symptoms: chills, low-grade temperature, muscle and joint pain. Lasted about 6-8 hours.

Other Meds: lisinopril letrozole calcium vitamin E Biotin Lutein Baby aspirin

Current Illness: n/a

ID: 1077785
Sex: F
Age: 48
State: MA

Vax Date: 02/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/06/2021
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: Caller states that she received her 1st vaccine on 02/26/2021. Awoke at 7:30 am today and now with redness, hardness and tender to touch at injection site. Instructed to apply warm compresses to the injection site and notify PCP if sx worsens.

Other Meds:

Current Illness:

ID: 1077786
Sex: F
Age: 49
State: NJ

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 03/06/2021
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: Within in an hour of my vaccination I experienced neck and shoulder pain on my left side. During the the next several days I took Tylenol and Motrin to help ease the pain however by the 8th day the pain became unbearable I reached out to my PCP.

Other Meds: Estradiol Multivitamin Magnesium Calcium Vitamin D Potassium

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm