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: 1079236
Sex: F
Age: 59
State: WI

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 03/07/2021
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: Fever, chills , body aches, SEVERE headache!!!! For 14 days!!!!!!

Other Meds: None

Current Illness: None

ID: 1079237
Sex: F
Age: 90
State: NY

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/07/2021
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:

Symptom List: Anxiety, Dyspnoea

Symptoms: Fever, high grade associated with generalized weakness leading to fall and hospital admission

Other Meds:

Current Illness:

ID: 1079238
Sex: F
Age: 69
State: NY

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/07/2021
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: flagell

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

Symptoms: nuseau, dizziness, red blotch on right side of face

Other Meds: atenolol, zanax, oxycodone

Current Illness:

ID: 1079239
Sex: F
Age: 39
State: NJ

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies: shrimps, sulfo

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: pain in the injection site, fever 103 (started at about 3 PM 03/06/2021 from 99F, then increased to 100, 102, 103 by midnight, decreased to 99 at 2 AM on 03/7/2021), chills, headache, weakness

Other Meds: Synthroid, Cymbalta, Cytomel, multivitamins

Current Illness: none

ID: 1079240
Sex: F
Age: 49
State: TX

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 03/07/2021
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: Injection site: itching, swelling, soreness, warmth, 3 x2 inches

Other Meds: Adderall, Cymbalta, Lamictal, Singulair, Vitamin ADK, B-Complex Magnesium, Omega 3, Turmeric, CoQ10

Current Illness:

ID: 1079242
Sex: M
Age: 48
State: MN

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 03/07/2021
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 known

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

Symptoms: 2/05/2021 @ 5pm: Received first dose (no adverse reaction) 2/26 @ 6:20pm: Second dose (no immediate adverse reaction) 2/27 @ 6am: woke up and felt fine 2/27 @ 7am: feeling of being hungover (dizziness, slight nausea, slight headache, mild chills) 2/27 @ 10am: low-grade fever of 99.5F, general ashiness, moderate headache 2/27 @ 1pm: fever of 100.4F, severe headache, general weakness/achiness 2/27 @ 4pm: fever of 101.4F, severe headache, general weakness/achiness 2/27 @ 7pm: fever of 102.0F, extreme headache, general weakness/achiness 2/27 @ 10pm: fever down to 99.0F (without any medications), extreme headache, loud ringing in the ears -- took 1 dose of ibuprofen 2/28 @ 7am: normal body temp, mild headache, slight dizziness 2/28 @ 11am: mild headache, fever returned to 99.6F -- took 1 dose of acetaminophen 3/01 @ 8am: normal body temp, slight headache (especially when standing up or bending over), slight weakness 3/02 @ 8am: slight headache when standing or bending suddenly, mild episodes of dizziness 3/03: No noticed symptoms

Other Meds: None

Current Illness: None

ID: 1079243
Sex: F
Age: 62
State: WA

Vax Date: 03/01/2021
Onset Date: 03/06/2021
Rec V Date: 03/07/2021
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: Pyrexia, White blood cell count decreased

Symptoms: Severe head and body aches from 4 am until 24 hours later, 6 am , took Tylenol at 5 pm that evening which helped a lot for the aches.

Other Meds: None

Current Illness: I had severe head and body aches, the day before I had a colonoscopy at noon. I believe in my mind that between left over medication in my body from the colonoscopy and the 2nd Moderna shot that it was just really working it?s way through my body. It?s the 7th of March and I?m upright and feeling much better. Also my arm is red and swollen where the shot went in. These I?m sure are all common to the reaction, I?m just surprised that it took for out for a full day.

ID: 1079244
Sex: F
Age: 51
State: CA

Vax Date: 02/27/2021
Onset Date: 03/07/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies: Allergies to Sulfa antibiotics, cats and some dogs, minor food sensitivities to bananas, cashews, cauliflower

Symptom List: Pharyngeal swelling

Symptoms: I itched all over for 2 hours after injection, but experienced no redness or rash. Today, the 8th day, my injection site swelled up and itched again. It is still swollen but the itching comes and goes now. Not sure if it is relevant to the site reaction, but I am currently menstruating. My vaccine was Moderna and this was my first injection.

Other Meds: None I itched all over for 2 hours after injection, but experienced no redness or rash. Today, the 8th day, my injection site swelled up and itched again. My vaccine was Moderna and this was after the first injection.

Current Illness: None known

ID: 1079245
Sex: F
Age: 37
State: IN

Vax Date: 02/22/2021
Onset Date: 03/01/2021
Rec V Date: 03/07/2021
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: Swollen lymph nodes under arm and neck on right side

Other Meds: Prazosin, Wellbutrin, bc, MV, melatonin

Current Illness:

ID: 1079246
Sex: M
Age: 3
State: MI

Vax Date: 01/15/2021
Onset Date: 02/05/2021
Rec V Date: 03/07/2021
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: N/A

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Just weeks after the flu vaccine my son started to swell until he had gained several pounds in a matter of days. His face, belly and eyelids swelled and he had 2 ER visits in 2 days. He had developed Sudden Onset Nephrotic Syndrome. I was informed By the Nephrotic Specialist it could have been a reaction to the flu shot but we may never know after I was concerned the timing was conspicuously soon after the shot.

Other Meds: N/A

Current Illness: N/A

ID: 1079247
Sex: F
Age: 56
State: NY

Vax Date: 03/06/2021
Onset Date: 03/07/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: I started to experience symptoms around noon time on the day of vaccination. It started with a low-grade fever. Slowly over the course of the day, I started to experience body aches, chills and headaches. My left arm where I received the vaccine felt strange. My fever got up to 100.4. During the night I had chills. It felt like my fever broke early in the morning. I woke up okay and I feel like I could go about my day with no problem. I no longer have a fever.

Other Meds: None

Current Illness: None

ID: 1079248
Sex: F
Age: 58
State: VA

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 03/07/2021
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: Meds: Sulfa and prednisone Food: sulfites in food Also allergic to cats and dogs

Symptom List: Rash, Urticaria

Symptoms: Extreme dry mouth, sinuses and lips. Very thirsty.

Other Meds: Tylenol

Current Illness: Recovering from foot surgery on 1/29/21

ID: 1079249
Sex: F
Age: 53
State: IN

Vax Date: 02/20/2021
Onset Date: 02/21/2021
Rec V Date: 03/07/2021
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: Woke in middle of night with pain down left arm clear down to my fingers. Could not lay on left side due pain. All day on the day after vaccination had nausea, fatigue, tiredness and aches. No fever. Symptoms went away on the following day-02/22/2021

Other Meds: Numerous dietary supplements

Current Illness: None

ID: 1079250
Sex: F
Age: 66
State: IN

Vax Date: 02/20/2021
Onset Date: 02/21/2021
Rec V Date: 03/07/2021
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: The dye used in a CT scan

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

Symptoms: Achy, redness down my arm, swelling, burning itchy feeling.

Other Meds: Muti vitamin, calcium, vit. d, generic sleep pill,

Current Illness: No

Date Died: 03/06/2021

ID: 1079251
Sex: F
Age: 68
State: WA

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 03/07/2021
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: Not recorded

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

Symptoms: Patient died the day after she received her vaccine

Other Meds: Patient died the day after vaccination on 03/06/2021

Current Illness: Unknown

ID: 1079252
Sex: F
Age: 48
State: NY

Vax Date: 03/06/2021
Onset Date: 03/07/2021
Rec V Date: 03/07/2021
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: Penicillin Erythromycin Sulfur Levaquin

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

Symptoms: Extreme soreness in arm Chills fever of 101

Other Meds: Valsartan Uloric Hydrochlorothiazide Bystolic Vitamin d

Current Illness:

ID: 1079253
Sex: M
Age: 71
State: IA

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/07/2021
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:

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

Symptoms: Chills, nausea, headache, aches within 9-12 hours of vaccination, beginning with headache and proceeding with chills, nausea, etc.

Other Meds: Metoprolol, Prozac, Pepcid, Chlorthalidon

Current Illness:

ID: 1079254
Sex: F
Age: 51
State: IL

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 03/07/2021
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: Once I sat down about 4 minutes after the shot my heart started racing very rapidly. I became very light headed and my face was flushed. It took about 10 minutes of trying to force myself from panicking ( I do not get panic attacks). There were too many other people in the waiting room so I didn't feel like I could discretely tell the nurse about my reaction. I felt light headed the rest of the day. About 5 days later, I was sitting in the chair at my salon and it happened again. Racing heart rate and all the same cardiac symptoms as before. I do not have high blood pressure or any cardiac illness. I also had a heaviness, congested feeling in my chest for about 2 weeks. I had another issue with very rapid heart rate for most of the day over the last two days.

Other Meds: Symbocort, Albuteral, multi vitamin, singulair, ibuprophin, emgality,

Current Illness: Vestibular Migraine, Asthma

ID: 1079255
Sex: F
Age: 51
State: VA

Vax Date: 03/02/2021
Onset Date: 03/02/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies: Seasonal Allergies that cause severe reactions and asthma

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Sore arm at injection site for 48 hours. Severe headache, mostly in the evenings, for 72 hours. Soreness throughout left side of body accompanied headaches.

Other Meds: Citalopram Xyzal Vitamin B12 Collagen Powder Ibuprofen

Current Illness: None

ID: 1079257
Sex: F
Age: 55
State: CA

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies: NA

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

Symptoms: Bump under left arm pit,- very sore, body aches

Other Meds: Levothyroxine Livalo Prilosec- anti acid over the counter

Current Illness: NA

ID: 1079258
Sex: F
Age: 34
State: LA

Vax Date: 02/22/2021
Onset Date: 03/02/2021
Rec V Date: 03/07/2021
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: NKA

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

Symptoms: About 8 days after the injection I developed a small red splotch around injection site. I continued to monitor and document it and the spot expanded. It is warm to the touch and mildly itchy. At this point there is a darker red border on the bottom.

Other Meds: Lexapro 20 mg, 1000 iu vitamin d3 supplement, Claritin, multivitamin, skyla iud, topical ivermectin for rosacea

Current Illness:

ID: 1079259
Sex: F
Age: 50
State: OK

Vax Date: 03/01/2021
Onset Date: 03/02/2021
Rec V Date: 03/07/2021
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: Unevaluable event

Symptoms: I felt sick for the whole week straight. Fatigue, ache, nausea. Now, the site of injection is swollen and itchy.

Other Meds: Lucinipril Metformin

Current Illness:

ID: 1079260
Sex: M
Age: 66
State: CA

Vax Date: 02/17/2021
Onset Date: 02/24/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Sulpha, Codiene

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

Symptoms: Patient became very weak and sleepy about a week after the vaccine. By the following saturday, he couldn't even stay awake enough to eat. His blood pessure was very low and he had a fever , so I called paremedics, and they took him to the hosp. After many tests, they found blood in the urine, and his blood platelets had dropped to 121.( Now he had blood work done in June of 2020 and his platelets were 225.) After a few days, his platelets began to creep back up, and are now around 165, back to normal range. He is currently at a rehad facility for physical therapy to regain strength.

Other Meds: Warfarin, Carbidopa/Levidopa, Atorvastatin, Donepizil

Current Illness: Parkinson's

ID: 1079261
Sex: F
Age: 59
State:

Vax Date: 03/07/2021
Onset Date: 03/07/2021
Rec V Date: 03/07/2021
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:

Symptom List: Injection site pain, Pain

Symptoms: Tingling in upper lip, nose, hairline and right arm. Evaluated by medics-cleared

Other Meds:

Current Illness:

ID: 1079262
Sex: F
Age: 35
State: VA

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies: entex pse

Symptom List: Injection site pain, Menorrhagia

Symptoms: hives, significant itching, body aches, pain in arm

Other Meds: allegra, flonase, COC

Current Illness: seasonal allergies

ID: 1079263
Sex: M
Age: 50
State:

Vax Date: 03/03/2021
Onset Date: 03/05/2021
Rec V Date: 03/07/2021
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:

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

Symptoms: Dizziness and Nausea.

Other Meds:

Current Illness:

ID: 1079264
Sex: F
Age: 73
State: WI

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 03/07/2021
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:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Patient Was given 3rd dose of COVID vaccine at a healthcare facility. Patient was bring down by staff to get COVID vaccine. Patient already received 2 doses of COVID vaccine but due to improper organization at facility and record keeping; pharmacist didn't realize that patient was receiving third dose. Upon further evaluation, we figured out that patient got third dose. We immediately called and informed facility staff. Patient was monitored for vitals every 2 hours. No adverse event reported until now.

Other Meds:

Current Illness:

ID: 1079265
Sex: F
Age: 65
State: IN

Vax Date: 02/19/2021
Onset Date: 02/28/2021
Rec V Date: 03/07/2021
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, Ibuprofen

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: The 9th day after my 1st vaccine I had woke up in the morning and saw that my left arm had developed a red spot 1 inch long and 1/2 inch wide, it was at the injection site and below it to the right. It didn't swell, itch or hurt and no numbness in my arm. No signs of any other side effects. I went back to the Health Dept. where I received the injection and had one of the nurses on site to check it on the 4th day after it appeared. She told me if it started hurting or swelling to use a cold compress & if it itched to use an anti-itch creme, and if my arm went numb to go to the doctor. Today is March 7, 2021 and it is still a light pink. It is day7. I am scheduled to get my second injection on March 19, 2021.

Other Meds: Centrum multi vitamin, Extra strength Tylenol 500 mg, Vitamin C 1000 mg

Current Illness: None

ID: 1079266
Sex: F
Age: 57
State:

Vax Date: 03/07/2021
Onset Date: 03/07/2021
Rec V Date: 03/07/2021
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: Lightheaded, nausea, dizziness. Cleared by medics

Other Meds:

Current Illness:

ID: 1079267
Sex: M
Age: 48
State: AZ

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Nausea

Symptoms: muscle ache in upper arm, fatigue, and low fever for about two days

Other Meds: No

Current Illness: No

ID: 1079268
Sex: M
Age: 84
State: CA

Vax Date: 01/14/2021
Onset Date: 02/04/2021
Rec V Date: 03/07/2021
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: Injection site pain

Symptoms: After the second vaccination in the right arm on 2/4/2021, the site of the first vaccination in the left arm on 1/14/2021, bagan to hurt, and has continued to hurt.

Other Meds: Multivitamin, B12, Kepra, atenolol, gabapentin, xarelto, low dose aspirin, sertraline, atorvastatin,

Current Illness: None

ID: 1079269
Sex: F
Age: 39
State: IN

Vax Date: 02/01/2021
Onset Date: 02/19/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

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

Symptoms: Sore arm 8pm Woke with 101.8 fever 12 hours after vaccine (4:30am) Splitting headache and loss of appetite ran concurrent with fever (24 hours) Maintained fever for 24+ hours Fatigue until 48 hours post vaccine

Other Meds: Women?s multi vitamin

Current Illness: None

ID: 1079270
Sex: F
Age: 54
State: LA

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 03/07/2021
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: NONE

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

Symptoms: At 5:30 pm on 2-24-2021 after receiving my second dose I started having fever,chills,body aches,headaches and bilateral eye pain. I didn't take any Tylenol . My symptoms lasted from Wednesday to Sat. Sunday I felt better.

Other Meds: NONE

Current Illness: NONE

ID: 1079271
Sex: F
Age: 28
State: FL

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/07/2021
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: penecillin, cipro, peanuts, walnuts, cod fish

Symptom List: Tremor

Symptoms: 5 hours post vaccine- sore arm, low grade fever, 12 hours post vaccine cold symptoms (stuffy nose, sneezing, coughing), 24 hours post (severe cold symptoms listed above, fever, body aches). Also- I'm pregnant (5 weeks).

Other Meds: xyzal, vitamin d (2000 mg/day), vitapearl prenatal

Current Illness: I'm pregnant

ID: 1079272
Sex: F
Age: 44
State: AZ

Vax Date: 02/22/2021
Onset Date: 03/06/2021
Rec V Date: 03/07/2021
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: almonds, hazel nuts, oysters, buckwheat, dust, pollen, erythromycin

Symptom List: Erythema, Pruritus

Symptoms: First dose, no reaction except arm pain for about 2 days. Second dose (which I am reporting here because I think it is unusual) was followed one day afterwards resulted in fever and joint pain; 2 weeks later (Mar 6) I had sudden knee pain and then the palms of my hands broke into a red, lacy rash. I became nauseous. One day after that (Mar 7), the palms of my hands are bumpy, but the red, lacy rash is gone. My right knee has a red, prickly rash on it that resembles Fifth disease. I have not had any contact with people without an N95 mask following my second shot, except my husband, who is also isolated.

Other Meds: Escitalopram 10 mg/day

Current Illness: anxiety (being treated with antidepressants)

ID: 1079273
Sex: F
Age: 72
State: CA

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/07/2021
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: Slight headache right after shot on Thursday at 2pm that continued and got worse about 7pm. Very tired and went to bed at 9pm. Fever began shortly afterwards, going up to 101 degrees. Throughout the night I had to stretch every 4 - 5 minutes, achey everywhere and intense head pain. Slept very little if any. Stomach queasiness and no appetite. Tried to drink sips of water often. This continued throughout the following day, Friday. I woke Saturday morning, after sleeping for brief periods, 30 - 45 minutes. When I woke I was in a complete sweat and my fever had broken leaving me bake at a normal temperature for me of 97.6. I have mostly recovered, although today, Sunday, I am experiencing stomach cramping after eating breakfast.

Other Meds: none

Current Illness: none

ID: 1079274
Sex: M
Age: 82
State: IN

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/07/2021
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: NA

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

Symptoms: Chills, extreme aches, generally not well. Lasted 25 hours

Other Meds: Ibuprofen

Current Illness: NA

ID: 1079275
Sex: U
Age: 84
State:

Vax Date: 02/24/2021
Onset Date: 03/05/2021
Rec V Date: 03/07/2021
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: Neomycin eye drops

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Soreness at injection site and chills started 6 hrs after received dose followed by fatigue and muscle aches from back down to legs the neck day. Symptoms faded by day 2. However, 9 days after dose, she experienced soreness at site of injection and same side armpit at 3am on 3/5/21. Soreness felt in legs that morning. Soreness mostly gone on 3/6 and 3/7 but arm feels sore when pressed.

Other Meds:

Current Illness: IBS, osteoarthritis, HBP

ID: 1079276
Sex: M
Age: 66
State: AL

Vax Date: 02/27/2021
Onset Date: 03/04/2021
Rec V Date: 03/07/2021
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 known

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

Symptoms: Facial Palsey right side

Other Meds: Quinaphril 20mg - 1 daily Fenofibrate 160mg - 1daily Metformin500zz - 4 daily Atorvastatin 80mg - 1 daily Metoprolol 25mg - 1 daily Gabapentin 300mg - 2 daily Pioglitazone 15mg - 1 daily

Current Illness: none

ID: 1079277
Sex: F
Age: 27
State:

Vax Date: 03/07/2021
Onset Date: 03/07/2021
Rec V Date: 03/07/2021
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: Shaky, numbness in tongue, tightness in throat, tingling on tongue, evaluated by EMS-transported to nearest ER.

Other Meds:

Current Illness:

ID: 1079278
Sex: M
Age: 40
State: OH

Vax Date: 01/01/2021
Onset Date: 03/07/2021
Rec V Date: 03/07/2021
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: Severe back pain

Other Meds: Methadone Finesteride

Current Illness: Ehlers Danlos Syndrome Postural Orthostatic Tachycardia Syndrome

ID: 1079279
Sex: M
Age: 72
State: NJ

Vax Date: 03/06/2021
Onset Date: 03/07/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies: no

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

Symptoms: Diarrhea started 10:30am 3/7/21 Chills began 12 noon 3/7/21 Took Extra-Strength Tylenol 2 x 500mg at 12:30pm 3/7/21

Other Meds: Edari 80mg Atorvastatin 20mg Omega-1 Chlorthalidone 25mg Clonidine 0.1mg Centrum Silver 500 mg Vitamin C 500 mg D3 5000 IU Glucosamine 1500 mg Turmeric 500mg Tart Cherry 1000mg

Current Illness: gout

ID: 1079280
Sex: F
Age: 54
State: TX

Vax Date: 02/25/2021
Onset Date: 03/06/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: I got 1st dose of vaccine on 02/25/21 and I had so much pain in my arm so I took two Tyenol. After two days no pain or patch at all . Again stared lots of bruise pain red patch at vaccine spot from Saturday 03/06/21.

Other Meds: tylenol

Current Illness:

ID: 1079281
Sex: F
Age: 52
State: CA

Vax Date: 03/04/2021
Onset Date: 03/07/2021
Rec V Date: 03/07/2021
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: aka

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

Symptoms: Day1 - of vaccine- tired (thurs). Day 2- diarrhea and fatigue, minor chills, low appetite, able to work (fri). Day 3- Sat early day- fatigue, no appetite. Sat evening 6pm- felt good, had energy to go for walk. (day 3) Day 4- early Sunday 3:am severe chills. Body shaking, couldn't get warm. Laid on heating pad for hours, Moderate body pain, moderate aches. Overall, lasted from 3am- 9am. Severe chills- 3 hrs 3am-6am. Took Tylenol at 4:30 (when I could finally get up) this helped a little. Drank electrolyte drink. Cancelled work. Took temperature at 7- no fever. Current status: fatigue, muscle aches, mild chills, mild dizziness, spacey thoughts. No severe chills at this time.

Other Meds: Vitamin c

Current Illness: none

ID: 1079282
Sex: F
Age: 42
State: AL

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/07/2021
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: Cefuroxime, Ceftin, Talc

Symptom List: Vomiting

Symptoms: Twelve minutes after second vaccination patient C/O Headache, Dizziness, slow to respond and "Felling disoriented" per patients husband. Pt encouraged to lie down on stretcher to see if conditions would improve. Concerns for anxiety versus reaction. Patient was oriented to name, day of week, year, and current President. Per patient's Husband, patient has a history of POTS, and under the care of a cardiologist, and is on a beta-blocker. Per physician on duty it was recommendation to call EMS and pt transport to ER for further evaluation. Pt treated and released from ER at 1505

Other Meds: Toprol,Oxcabazepine,Gabapentin, Xyzal, Trazodone Duloxetime

Current Illness: POTS Disease

ID: 1079283
Sex: F
Age: 73
State: TX

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 03/07/2021
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: Amoxicillin

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: ADVERSE EVENTS: Spouse was unable to get out of bed Legs were very weak (had to be helped up and even then very unsteady) Level of mental fog (limited recollection of events leading to her physical state at the time) TREATMENT: Visited primary physician the day after vaccine Spouse had a low grade fever and a blood panel was taken (results were inconclusive as to cause

Other Meds: Aripiprazoles, Donepezil, Atorvastatin

Current Illness:

ID: 1079284
Sex: F
Age: 31
State: OH

Vax Date: 02/13/2021
Onset Date: 02/21/2021
Rec V Date: 03/07/2021
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 drugs- Ceclor, Bactrim

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

Symptoms: 1st vaccine- sore arm with some swelling. Mild fatigue and nausea that day. Felt ok after that. 2nd vaccine- extremely sick 5 hours after vaccine. For 2 days had migraine, low grade fever, severe body aches, extreme fatigue. Couldn't stand longer than 3-5 mins. Right arm was red, swollen and very sore for 3 days. The following week I had fatigue and flu like symptoms. 8 days after vaccine (Feb 21) the following Sunday i was feeling worse like I had the flu and broke out with a localized rash on the right side of my neck. The rash worsened and got more painful as the week went on and became pustules filled with clear fluid. Sunday (Feb 28) I broke out with a rash all over my body. They were clear fluid filled pustules. Monday ( March 1) I went to my primary care physician who stated i for sure had shingles but did not know what the secondary rash was from since it was all over my body and not just 1 side as with shingles. The next day (Tues March 2) I went ad saw a dermatologist who confirmed shingles and a secondary rare virus called disseminated zoster. He was shocked saying he had only seen ever 2 other patients with this and they were immuno-compromised and were on immunosupressants. It was been nearly a week since this diagnosis and I am still having nerve pain all over my body and extreme fatigue. The pustules are drying up.

Other Meds: Mirtazapine

Current Illness: N/A

ID: 1079285
Sex: M
Age: 50
State: TX

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/07/2021
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: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Around 6 pm I began feeling washed out and later I determined it most felt like jet lag. Never felt feverish or ill, just super tired and finally could not fight it around 7:30 and just fell asleep for an hour and then got up and went to bed. The next morning, felt tired still but awake/alert and felt back to normal late morning.

Other Meds: Ibuprofen Zyrtec

Current Illness: None

ID: 1079286
Sex: F
Age: 55
State: UT

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, sulfa, opiates, spinach, alcohol, latex, watermelon, honey, iodine, betadine, erythromycin, doxycycline

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

Symptoms: Moderna Covid-19 vaccine EUA Racing heart Dizzy Jittery Upset stomach Trouble breathing / chest pain - second day

Other Meds:

Current Illness:

ID: 1079287
Sex: M
Age: 30
State:

Vax Date: 03/07/2021
Onset Date: 03/07/2021
Rec V Date: 03/07/2021
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: Tongue numbness, throat tightness, difficulty swallowing. Evaluated by EMS, refused to be transport to nearest ER for further evaluation.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm