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: 1077993
Sex: F
Age: 64
State: PA

Vax Date: 12/29/2019
Onset Date: 01/09/2020
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: NKA

Symptom List: Dysphagia, Epiglottitis

Symptoms: Joint muscle pain, all over body aches , swollen joints , have trouble climbing stair & going down stairs & getting up from the floor , I feel like all my bones will break , having headaches , gait is unsteady, depressed, fatiguedswollen glands

Other Meds: Synthroid 88 mcq daily?, Lipitor 40 mg daily, Metropol 12,5 mg daily

Current Illness: Hurt my knee , believed to be a torn meniscus,left leg prior to vaccine, After getting the vaccine I exhibited fatigue ,depression ,body aches ,pain from my head to my feet,My joints were swollen & my glands, I can not lie on the floor from fear of getting up & breaking every bone in my body, I also use handrails to go up & down steps, which I never used before , My gait is abnormal & any small task is an effort,

ID: 1077994
Sex: F
Age: 31
State: MA

Vax Date: 02/27/2021
Onset Date: 03/06/2021
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: none known

Symptom List: Anxiety, Dyspnoea

Symptoms: Injection site became itchy 7 days after first dose of the COVID 19 Moderna vaccine. Looking at the site, it's slightly pink. Unsure if it's because of initial scratching or a separate color change in the area.

Other Meds: Metformin, Glipizide, Lantus solostar (insulin), multivitamin for women under 50 (up&up brand)

Current Illness: none

ID: 1077995
Sex: F
Age: 71
State: NY

Vax Date: 01/29/2021
Onset Date: 02/05/2021
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: No.

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

Symptoms: A week after the shot, my arm in a broad area around the injection site became red and warm to the touch, and arm hurt when I raised or lowered it. I iced it on and off for about 3-4 days. Redness faded, but skin looked a bit discolored til it returned to normal. Upper arm was a bit swollen until it resolved.

Other Meds: Amlodipine Besylate 5 mg Atorvastatin Calcium 20 mg Synthroid 88 mcg D3 3000 IU

Current Illness:

ID: 1077996
Sex: M
Age: 69
State: MA

Vax Date: 02/18/2021
Onset Date: 02/28/2021
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:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Hives

Other Meds:

Current Illness:

ID: 1077998
Sex: F
Age: 66
State: CO

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: penicillin, shell fish, scallops, adhesive, latex , kale, beets

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

Symptoms: Hives all day & night controlled by using benedryl

Other Meds: Vitamin D3-4000IU, 1- Zinc-50mg, C- 1500mg, Womens Energy metabolism & bone support , gummy vitamins 2. B-12 injections of 2cc - cyanocobalamin per week, levothyroxine 175MCG- 2 tablet AM, Estradiol 0.5MG cream 2 pumps (1ML) .

Current Illness: none

ID: 1077999
Sex: F
Age: 54
State: WI

Vax Date: 03/03/2021
Onset Date: 03/05/2021
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: Celebrex, amlodipine, aleve, levaquin, macrobid, sulfa drugs, topiramate, potassium citrate, aspirin, amitriptyline nitrofurantoin, clindamycin, ibuprofen

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

Symptoms: I received the shot Wed. afternoon. I had a sore arm right away, but that was all. Then Thur. I ate food that I normally eat (the doctor asked what foods I had) and went to bed. Fri 3am I work up and couldn't breath. I already have sinus issues, and it felt as if I was choking. I gargled, then looked at my throat in the mirror. My Uvula was swollen 3 times it's nomal size. I calle a family member to take me to the ER. I was diagnosed ith Uvulitis. givendiphenhydramine, dexamethasone, famotidine, and neck xray, and strep tests (which were negative) The doctor said it definitely was an allergic reaction. He asked me about foods (I hadn't eaten anything unusual) but couldn't conclusively say it was because of the vaccine.. None of the treatments worked, but they still released me, saying that it would eventually stop being swollen, and if it was still an issue in a week that I should contact my primary . Although my swelling came down after a day, my throat is still red and irritated as of Saturday.

Other Meds: Aciphex, Zyrtec, Propralonal, B12, Lisinopril, Omega 3, Imipramine, Vit C, Synthroid, Milk Thistle, Allopurinol, Sudafed, Tizanidine, Hydrocodone,

Current Illness: possible sinus infection

ID: 1078000
Sex: F
Age: 84
State: TN

Vax Date: 01/20/2021
Onset Date: 01/21/2021
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: NKA

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Patient came to get second dose of Moderna vaccine and reported with the first one she had lots of itching and redness from the top of her arm down to her elbow. She reported that the itching and redness took about a month to go away. Per Health Department MD patient advised to see PCP to be referred to allergist before receiving 2nd dose.

Other Meds: unknown

Current Illness: unknown

ID: 1078001
Sex: F
Age: 23
State: MD

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

Lab Data:

Allergies: Sulfa antibiotics

Symptom List: Pharyngeal swelling

Symptoms: Janssen COVID-19 Vaccine EAU Headache, dizziness, and nausea starting around 2 and a half hours after vaccination. Left work early due to not feeling well enough to continue.

Other Meds: Oxybutynin cl er 5 mg Levono-e estrad 0.15-0.03-0.01

Current Illness: N/A

Date Died: 03/05/2021

ID: 1078002
Sex: M
Age: 69
State: NY

Vax Date: 02/22/2021
Onset Date: 02/22/2021
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:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Fever, tiredness, headache, body ache and chills and cough. Patient passed away at homeThursday, March 5 around 5:00 a.m.

Other Meds:

Current Illness:

ID: 1078003
Sex: M
Age: 42
State: OK

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: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Feels like my asthma got worse. My chest feels much tighter and I'm short of breath. When I woke up today, it felt worse.

Other Meds: Amlodipine, olmesartan/HCTZ, cetirizine tabs, Albuterol.

Current Illness: Respiratory Allergies and mild asthma.

ID: 1078004
Sex: F
Age: 68
State: CT

Vax Date: 02/27/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: PCN; IVP dye; green beans; curry

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

Symptoms: Rash near injection site occurring exactly 1 week post injection.

Other Meds: Colchicine, Minipress; Lexapro; Fosamax; B1; Omega-3; Multivitamin; Calcium; D3

Current Illness: None

ID: 1078005
Sex: F
Age: 82
State: CO

Vax Date: 02/22/2021
Onset Date: 02/23/2021
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: none

Symptom List: Rash, Urticaria

Symptoms: At about 20 hours. I seemed to loose the connection to my body. Within about a minute I couldn't even stand; managed to lower myself to the floor. Slowly was able to slide across the floor to where phone was charging. Called my daughter (15 minutes away). She helped lift me into a chair. My mind was clear the whole time. She finished making my coffee, I moved to sit on the couch. Began to feel normal, maybe weak, not like dancing but normal. She left. Rested, drank water, felt fine but kept my phone with me.

Other Meds: multi-vitamin, Prevastin 20 mg

Current Illness: COVID 01/21/2021. tested positive 01/26/2021. 01/27/2021 -02/09/2021 periods of "existential fatigue" daily . No there symptoms.

ID: 1078006
Sex: F
Age: 85
State: PA

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:
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: sore arm, nausea, chills, general not feeling well

Other Meds: xarelto, amiodarone,elanapril, baby aspirin, turmeric, calcium with Vitamin D3, Metamucil

Current Illness: None

ID: 1078007
Sex: F
Age: 51
State: CA

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: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Sulfa allergy

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

Symptoms: Significant moderate joint pain in left knee, minor pain in left arm at injection site.

Other Meds: None

Current Illness: None

ID: 1078008
Sex: F
Age: 35
State: WI

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: unknown

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

Symptoms: Pt initially notified staff that tightness and palpitations were felt. This occurred about 20 minutes following vaccine. Pt was planning on waiting 30 minutes d/t prior reactions to medications. Writer assessed pt and pt was talking to writer without any struggling or difficulty. Writer asked pt if this feeling was r/t anxiety or if this feeling was r/t the vaccine administration. Pt stated that for sure anxiety. Pt also mentioned then that tongue felt scratchy and throat felt scratchy. Pt has benadryl and epi-pen in purse at all times d/t history of anaphylaxis. Pt did not appear to be concerned at all about scratchiness and asked if a bendadryl could be administered. Writer administered 25 mg diphenhydramine with positive effect beginning. Pt felt as if she were able to leave without issue. Pt denied the need for ambulance transfer or visit to the ER by another form of transportation (friend, family). Pt has a Dr. appt next week and will discuss the second dose at that time. Pt ended up leaving following 50 minutes after vaccine was administered.

Other Meds: MS Medications, OTC benadryl and epi-pen for reactions.

Current Illness: none

ID: 1078009
Sex: F
Age: 71
State: NY

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

Lab Data:

Allergies: No.

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

Symptoms: Started having fever in the night of the day of vaccination. Fever lasted 3 days. Took tylenol and rested. At same time, upper arm in broad area around injection site turned red, was warm to the touch and arm was sore around site. Iced arm. It took an entire week for the arm to return to normal. Arm was also itchy.

Other Meds: Synthroid 88 mcg Amlodipine Besylate 5 mg Atorvastatin Calcium 20 mg D3 3000 IU

Current Illness: None.

ID: 1078010
Sex: F
Age: 64
State: AR

Vax Date: 02/26/2021
Onset Date: 02/26/2021
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 known

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

Symptoms: About 4 hours after shot I became short of breath just like when I had Covid-19 this summer. It has gotten better but I am 9 days out and still have to stop occasionally to get my breath. Tiredness.

Other Meds: Venlafaxine HCL ER 150mg + 75mg Bupropion HCL 75mg x 2 D3 1000iu Biotin 1000 mcg

Current Illness: None

ID: 1078011
Sex: M
Age: 19
State: CA

Vax Date: 03/05/2021
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: NKA

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Patient fell out of chair in post vac after vaccination. Patient hit head on floor, loss of consciousness noted. No visible injury noted. Patient regained consciousness. Neuro functions intact. Pupils equal and reactive to light eyes open spontaneously. Motor response intact. BP 110/55, P 76, R 16, O2 99%. 911 and mother called. EMS assessed patient. BP 75/48, P 61, R 18, O2 99%. Alert and oriented x 3. EMS recommended transport to hospital. Patient refused to be transported to hospital, patient educated. Patient left AMA and released to his mother's care. Patient assisted to car in wheelchair. Stable condition, no visible injury, refused further care.

Other Meds: NA

Current Illness: None

ID: 1078012
Sex: F
Age: 72
State: OH

Vax Date: 03/02/2021
Onset Date: 03/02/2021
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: penicillin

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Fever 100 degrees, chills, extreme sleepiness, nausea, vomiting 36 hours in duration

Other Meds: metoprolol

Current Illness:

ID: 1078013
Sex: F
Age: 56
State: IN

Vax Date: 02/17/2021
Onset Date: 02/18/2021
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: Aleve and metal

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

Symptoms: On 2/18/21 arm became swollen, red hot and itchy (about 2 -3 inches round). I iced area several times because of itching & took benadryl. On 2/21/21 arm started feeling better and appeared to be going away. Inflammation & itching subside greatly. On 2/24/21 inflammation swelling and itching returned and grew in size. I used iced several times on 24th thru 28th until itching stopped. The itching was unbearable and affected my work and activities. The area on my arm grew to 4 1/2" to 5 " round. Inflammation seemed to be letting up. I had an appointment with my DR on March 4, 2021. While I was in her office my arm became red, inflamed and itching again. She measured the area which was the 4 1/2" to 5" round & took photos. Today March 6th it seems to be subsiding. Hoping it doesnt return Thank you

Other Meds: Confidential

Current Illness: None

ID: 1078014
Sex: F
Age: 30
State:

Vax Date: 03/06/2021
Onset Date: 03/06/2021
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: peach, peanuts

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

Symptoms: Patient with history of food allergy with throat tightness/sore throat symptoms at baseline (only required epi pen once due to exercising after food). Developed similar symptoms 5 minutes after Pfizer dose 1 lot# EN6205. Initially became more tachypnea with "ball stuck in throat" but improved after observation for 45 min. Exam with no wheeze/stridor. VS with BP 131/60-- >129/84 O2 sat 100% throughout.

Other Meds:

Current Illness:

ID: 1078015
Sex: F
Age: 40
State: IL

Vax Date: 03/02/2021
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: Unevaluable event

Symptoms: Immediately after, I felt tired and had some night sweats. But after 4 days I got really lightheaded. Sweaty and cold. I'm about 5 weeks pregnant.

Other Meds: Pre-natal vitamina Desvenlavaxine

Current Illness:

ID: 1078016
Sex: F
Age: 57
State: TX

Vax Date: 03/05/2021
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: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: NA

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

Symptoms: The shot was given very low on my arm. I checked with a local pharmacist the next day. She said the vaccine was, indeed, administered too low. How does that affect the efficacy?

Other Meds: Estrace Vaginal cream

Current Illness: NA

ID: 1078017
Sex: F
Age: 39
State: NM

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: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Injection site pain, Pain

Symptoms: The morning after I broke out in hives on my legs after taking a run. I?ve never had hives before in my life. I took Benadryl and they went away. On Tuesday the 2nd after a run again, I had a smaller outbreak of hives again. They went away on their own.

Other Meds: None

Current Illness: None

ID: 1078018
Sex: F
Age: 59
State: TN

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: NKA

Symptom List: Injection site pain, Menorrhagia

Symptoms: Patient called 3/3 stating she received her second dose of the pfizer covid vaccine about 1 week ago and had a reaction. She states that her arm is better, but thought she should call and report. She states that the day after receiving her vaccine her arm developed a hard lump about the size of a quarter that felt like a hive. She reports that it was itchy and hot to the touch. It then increased to 50 cent size and got as large as a golf ball.

Other Meds: unknown

Current Illness: unknown

ID: 1078019
Sex: F
Age: 50
State: MN

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

Lab Data:

Allergies: None

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

Symptoms: About 6 days after receiving the Moderna vaccination my arm is itching, is sore to the touch and sore when I move it, it feels warm to the touch, is slightly red, and is swollen in that area. The area is about 2" away from the injection site and is about 2" wide and 1" high. It is now 3 days of having this.

Other Meds: Advil

Current Illness: None

ID: 1078020
Sex: M
Age: 74
State: NY

Vax Date: 02/11/2021
Onset Date: 02/18/2021
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: none known

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: The day following the first dose of the vaccine I felt a slight itch at site of injection. Then on 2/22 at 3:00am I was woken up with swelling on both upper and lower lips. In the morning I observed a large red rash below the injection site, approximately 2 inches round. Later that day I observed welts or hives on both arms, my back, both upper and lower. They were very itchy. I took 2 capsules (25mg each) of Allergy Relief (diphenhydramine HCL) twice a day for 4 days and applied Pain Relief Cream (4% lidocaine) to all itchy areas after showering and before retiring at night to relieve the itching. The swelling in my lips receded and the rash on my right arm faded. I stopped taking the pills for the next 2 days, but the itch remained so I took the pills at the same dosage and applied the cream as described above for 3 more days and now all symptoms have resolved except for some mild periodic itching on my upper back.

Other Meds: finasteride tab 5mg/day; tamsulosin cap .4mg; amlodipine tab 10mg; pentoprazole sod ec tab 40mg; losartan tab 50mg; atorvastatin tab 10mg; 1 Centrum Silver for Men

Current Illness: none

ID: 1078021
Sex: M
Age: 44
State:

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:
Dose Series: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Dry mouth, tachycardia, weakness, lightheaded. Cleared by medics.

Other Meds:

Current Illness:

ID: 1078022
Sex: F
Age: 39
State:

Vax Date: 03/06/2021
Onset Date: 03/06/2021
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: POLLEN- HEADACHE, CONGESTION, AND SOB OCCURS

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

Symptoms: 39 YO FEMALE WHO PRESENTED WITH A C/O OF UNILATERAL PARESTHESIAS . THE TINGLING STARTED IN THE LEFTSIDE OF HER TONGUE AND PROGRESSED TO HER TOP ORAL PALATE, LEFT LIP, CHEEK, AND UP TOWARDS HER LEFT TEMPORAL LOBE. PT HAS A Hx OF HYPERTRIGLYCERIDEMIA AND ELEVATED BP. BP 184/104 HR 78 SpO2 100% PT APPEARS A/O X 3. PT IS NOT IN PHYSICAL DISTRESS. HER FACE IS SYMMETRICAL AND NONERYTHEMATOUS. PT ALLERGIC REACTION RESOLVED. PT STABLE ON DISCHARGE. INSTRUCTED TO TAKE HER OTC BENADRYL IF HER SYMPTOMS REOCCUR AND TO F/U WITH HER PCP. PCP WILL CONTINUE TO FOLLOW HER BP.

Other Meds: ZYRTEC BENADRYL FLONASE AZELASTIN ALBUTEROL

Current Illness: NONE

ID: 1078023
Sex: F
Age: 42
State:

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: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: I got the first dose of the Pfizer vaccine on Weds (3/3) at 9am. As I was driving home I noticed the left side of my face was numb which stopped after a period of time but ever since I have been having similar numbness on my cheeks and cheekbone. I am also having pretty bad stomach pain. It started Thursday night at 1am and has continued. It started as cramping through my entire tummy and now its burning in my stomach area. I also woke up with a migraine today. Also having chills sweating and fatigue

Other Meds:

Current Illness:

ID: 1078024
Sex: M
Age: 67
State: UT

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

Lab Data:

Allergies: No

Symptom List: Injection site pain

Symptoms: He had blurred vision for a period of time. Extremely high aggression, a little delusional and confused.

Other Meds: Synthroid; Atorvastatin

Current Illness: No

ID: 1078025
Sex: F
Age: 41
State: VA

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

Lab Data:

Allergies: NSAIDs, dramamine, estrogen, spironolactone, liquor

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

Symptoms: Large swelling of injection site Fever, sore throat, runny nose - treated with tylenol but no resolution as of today.

Other Meds: Zonisimide, Lexapro, Wellbutrin, Calcium, Multivitamin, Trazodone, Prazosin.

Current Illness: Earache one month prior

ID: 1078026
Sex: F
Age: 70
State:

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

Lab Data:

Allergies:

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

Symptoms: Tachycardia, anxiety, difficulty breathing. Cleared by medics.

Other Meds:

Current Illness:

ID: 1078027
Sex: M
Age: 64
State: OH

Vax Date: 03/01/2021
Onset Date: 03/06/2021
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: None

Symptom List: Tremor

Symptoms: Face numb

Other Meds: None

Current Illness: None

ID: 1078028
Sex: F
Age: 31
State: MO

Vax Date: 01/15/2021
Onset Date: 01/01/2021
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: Horse Serum, Cats

Symptom List: Erythema, Pruritus

Symptoms: About 10 days after receiving the 1st injection of the COVID-19 Pfizer-Biontech injection, I noticed a significant lump on my left collarbone that was palpable - had not been there in the weeks prior. It was somewhat tender to the touch and would move. My PCP examined the lump and ordered a neck ultrasound for the supraclavicular mass which found "mildly prominent lymph nodes in the supraclavicular region without frank lymphadenopathy and one small lymph node that measures approximately 4mm in short axis diameter that is not clearly demonstrating a fatty hilum but is smoothly marginated with a hypoechoic cortex." PCP then ordered Lactate Dehydrogenase test on 02/12/2021 which was slightly elevated at 629 IU/L (WNL considered as 313- 618 IU/L). Additional labs ordered and collected on 02/13/2021 for LD Isoenzymes, Ferritin and Iron/Transferrin - all within normal limits. I received my 2nd injection on 02/05/2021. Then the following week the lump was even larger and more prominent and somewhat painful. Reported to my PCP who referred me to a ENT Head/Neck specialist and examined it without concern. Had follow-up appointment 2 weeks later and specialist still not concerned due to the lymphnode becoming smaller in size. I can still palpate the lymphnode (as of 03/06/2021) but it is much smaller. Plan to wait until 6 weeks after 2nd vaccine injection and then will pursue further follow-up if still palpable.

Other Meds: Metoprolol, Zyrtec, Vitamin B Complex, Vitamin D, N-Acetyl-L-Cysteine, Progestomend, Black Cohosh, Saw Palmetto/Pygeum/Nettle Root, Vitex

Current Illness: None

ID: 1078029
Sex: F
Age: 37
State: AS

Vax Date: 03/05/2021
Onset Date: 03/05/2021
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: Female caller stating she had her second COVID Moderna Vaccine Lot # 036A21A administered to her left arm, yesterday on 3/5/2021 at 0854. She stated she began having chills and a headache yesterday evening accompanied by a headache. Her temperature ranged form 100.2-100.6 with some relief from Tylenol (one doe) last night. She did experience a low grade temperature with her first dose that subsided within that day. Today 3/6/2021 she states her symptoms are persistent and she wanted to know if she took more Tylenol now would it affect the efficacy of the vaccine. This RN informed her "No" . This RN to make 24hr CB on 3/7/2021 to f/u on AE's. RN 3/6/2021 @1421

Other Meds:

Current Illness:

ID: 1078030
Sex: F
Age: 30
State: VA

Vax Date: 02/24/2021
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: None

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

Symptoms: Delayed cutaneous hypersensitivity - some swelling, redness in a circle around the injection site, and itchiness. The spot is also tender in a similar way to tenderness present directly after getting the first dose. It is ongoing at this time, but only started two days ago.

Other Meds: Metformin Glipizide Losartan Sertraline Birth Control

Current Illness: None

ID: 1078031
Sex: F
Age: 54
State: DC

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Petechiae covering arms after each injection

Other Meds: Topomax Atenolol

Current Illness: None

ID: 1078032
Sex: M
Age: 70
State: CA

Vax Date: 02/06/2021
Onset Date: 02/14/2021
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: penicillin, neosporin topical, latex; bananas

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

Symptoms: Delayed allergic reaction on day 8, following vaccine #1. Sudden onset of HUGE induration (thick, hard, hive-like plaque) measuring 5cm x 10cm with additional fingerlike projections, hot, red, swelling with itching. Treated at home with diphenhydramine.

Other Meds: atorvastatin, omeprazole, escitalopram; One-A-Day men's vitamin, D3 1000IU, magnesium citrate 250mg, max Q-10.

Current Illness: none

ID: 1078033
Sex: M
Age: 23
State: CO

Vax Date: 03/05/2021
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: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None.

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

Symptoms: Janssen COVID-19 Vaccine EUA. Chills, headache, body aches, mentally fogginess, slight nausea.

Other Meds: 25 mg, Losartan. One-A-Day multivitamin. Claritin.

Current Illness: None.

ID: 1078034
Sex: F
Age: 36
State: PA

Vax Date: 03/03/2021
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: KNA

Symptom List: Pain in extremity

Symptoms: Large red rash appearance around injection site. Began to get bigger. Then part of it disappeared and reappeared further down my arm with pain upon touch or movement. Woke in the morning with a bad nose bleed (took about 20 minutes to control it) On birth control, yet I have been having ?spotting? for the past few days and period is not due for another 2 weeks.

Other Meds: Synthroid Effexor Birth control

Current Illness: None

ID: 1078035
Sex: M
Age: 51
State: NV

Vax Date: 03/05/2021
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: None

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

Symptoms: 5-6 hours after the shot I got chills and could not get warm. I went to bed and had mild aches and had to wear a jacket to keep warm. Woke up 4am because could not sleep and was ok with only mild aches

Other Meds: None

Current Illness: No

ID: 1078036
Sex: F
Age: 68
State: OR

Vax Date: 02/26/2021
Onset Date: 03/06/2021
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: Shellfish

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

Symptoms: Moderna Vaccine 1st dose: I have an itchy rash on my upper right arm, just below the Moderna vaccine injection site. Rash is recent and just noticed it this morning. Received the shot 8 days ago, on Friday Feb 26, ~5pm. Other than a sore arm for the first 3 days, I've had no other reaction. This is NOT an emergency and we just applied topical Benadryl to help quell the itching. But thought I should report it. I do not recall having a reaction like this to other vaccines. We took photos - can submit if you want.

Other Meds: Prescriptions: Atorvastatin, Amlodipine Besylate, Metroprolol ER Succinate, Metformin, Losartan, Latanoprost, Cyclobenzaprine OTC: Aspirin, Women's vitamin, Vitamin D and Colase

Current Illness: None

ID: 1078037
Sex: M
Age: 71
State: IL

Vax Date: 03/02/2021
Onset Date: 03/02/2021
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: severe pain/weakness in lateral neck muscles and headache

Other Meds: rosuvastatin carvedilol amlodipine hydrochlorothiazide metamucil

Current Illness: none

ID: 1078038
Sex: F
Age: 64
State: WA

Vax Date: 02/26/2021
Onset Date: 02/26/2021
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: bellpepper, latex

Symptom List: Vomiting

Symptoms: day 1 sore arm started a couple of hours after shot, got so painful could not touch arm or lift above head, lasted 2.5 days. low grade headache, started Saturday. Fever started on Sunday. Right now have left side tingling legs and arm.

Other Meds: none

Current Illness: none

ID: 1078039
Sex: F
Age: 59
State: MN

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

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Shaking chills for 2 hours, nausea and vomiting x1, body aches for 36 hours, temp as high as 103.2, and lightheadedness after aforementioned symptoms subsided. Did not seek medical treatment, they would not have done anything for me I wasn't doing at home.

Other Meds:

Current Illness:

ID: 1078040
Sex: F
Age: 53
State: CA

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

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

Symptoms: Got the shot too high almost into shoulder Swelled up extreme pain couldn't lift left arm for 2 days had chills and fever all day Saturday got shot on Friday Monday mostly ok but arm still sore

Other Meds:

Current Illness:

ID: 1078041
Sex: F
Age: 73
State:

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: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Rash on lower arms 10 minutes post vaccination. Patient had taken diphenhydramine prior to arrival, declined cetirizine or additional diphenhydramine. Rash slowly resolved, patient discharged.

Other Meds:

Current Illness:

ID: 1078042
Sex: M
Age: 88
State: PA

Vax Date: 02/14/2021
Onset Date: 02/14/2021
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: Patient stated he felt uncomfortable the day he got his vaccine. In the next few days, he had facial drooping, slurred speech and muscle sensitivities in legs. His face is still slightly drooped as of today 3/6/21. Per the patient, his doctor advised not to get the second dose of the vaccine.

Other Meds:

Current Illness:

ID: 1078043
Sex: M
Age: 45
State: CA

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: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: Sore left arm - 15 hours after dose administration Body Aches and Chills - 24 hours after administration

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm