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: 1080378
Sex: F
Age: 61
State: VA

Vax Date: 03/07/2021
Onset Date: 03/08/2021
Rec V Date: 03/08/2021
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:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Work up at 12:30 a.m. very hot and nauseous. When I tried to stand up I fainted. When I came to I crawled to the bathroom and vomited several times. Continued to run fever for about an hour or so. Then headache began. As of 7:00 I still feel nauseous and have a slight headache.

Other Meds:

Current Illness:

ID: 1080379
Sex: F
Age: 81
State: VA

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/08/2021
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:

Symptom List: Anxiety, Dyspnoea

Symptoms: Error: Incorrect Reconstitution

Other Meds:

Current Illness:

ID: 1080380
Sex: F
Age: 62
State: OH

Vax Date: 02/24/2021
Onset Date: 03/05/2021
Rec V Date: 03/08/2021
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: Demerol, red food dye

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

Symptoms: Large reddened area at injection site, occurring about 10 days after the injection. Slightly tender and somewhat itchy

Other Meds: atorvastatin, Vit D, Fiber

Current Illness: none

ID: 1080381
Sex: F
Age: 49
State: PA

Vax Date: 02/24/2021
Onset Date: 03/05/2021
Rec V Date: 03/08/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillian Doxycyclin

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: My shot was Feb. 24th and I had the initial soreness that I typically get with any shot. That soreness only lasted a few days. On March 5th, my injection site started to hurt. It was swollen and hot to the touch. It was itchy and felt somewhat hard. The first day of this it was really itchy, hot and painful. I took 2 benadryl. The next day it was not as itchy or hot. Today is March 8th and the injection site is still sore but not as bad as it was. No more itching or hotness. I did not get a rash.

Other Meds: Trulicity Jardiance Metformin Lisinopril Sertraline Simvastatin Vitamin D3 Calcium Baby aspirin

Current Illness: None

ID: 1080382
Sex: F
Age: 19
State: MA

Vax Date: 03/07/2021
Onset Date: 03/07/2021
Rec V Date: 03/08/2021
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: Systemic: Fainting / Unresponsive-Mild, Systemic: Visual Changes/Disturbances-Mild, Additional Details: Patient fainted from seated position. Hit left side of head from this distance. Patient regained consciousness within a few moments and legs were elevated while laying on back. Reported vision tunneling occured before fainting (once she came to). Patient was pale but regained color 15+ minutes later. Patient answered all questions 2 paramedic crews had/checked her BP/O2 sats etc. Declined hospital and signed off with father present who was called in. Father drove her home.

Other Meds:

Current Illness:

ID: 1080383
Sex: F
Age: 23
State: CA

Vax Date: 03/07/2021
Onset Date: 03/07/2021
Rec V Date: 03/08/2021
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:

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

Symptoms: Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Headache-Mild, Systemic: Nausea-Mild

Other Meds:

Current Illness:

ID: 1080384
Sex: M
Age: 69
State: IN

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 03/08/2021
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: SLEEP = the BEST few night's sleep that I have experienced this YEAR

Other Meds: DIABETES CHOLESTEROL

Current Illness: NONE

ID: 1080385
Sex: F
Age: 23
State: CA

Vax Date: 03/07/2021
Onset Date: 03/07/2021
Rec V Date: 03/08/2021
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: Site: Pain at Injection Site-Mild, Systemic: Fainting / Unresponsive-Medium, Additional Details: PARAMEDIC TOOK THE PATIENT

Other Meds:

Current Illness:

ID: 1080386
Sex: F
Age: 93
State: MA

Vax Date: 02/06/2021
Onset Date: 02/12/2021
Rec V Date: 03/08/2021
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 REPORTED

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: pt repoted redness on left arm 7 days after dose

Other Meds: NONE REPORTED

Current Illness: NONE REPORTED

ID: 1080387
Sex: F
Age: 84
State: CO

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 03/08/2021
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: Error: Wrong Dose of Vaccine - Too High

Other Meds:

Current Illness:

ID: 1080388
Sex: M
Age: 59
State: CO

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 03/08/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Error: Wrong Dose of Vaccine - Too High

Other Meds:

Current Illness:

ID: 1080389
Sex: F
Age: 36
State: NY

Vax Date: 03/07/2021
Onset Date: 03/07/2021
Rec V Date: 03/08/2021
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: Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild

Other Meds:

Current Illness:

ID: 1080390
Sex: F
Age: 41
State: CO

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 03/08/2021
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: Extreme Migraine, nausea, puking,

Other Meds:

Current Illness:

ID: 1080391
Sex: M
Age: 56
State: IN

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/08/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: No

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

Symptoms: Fever, chills, headache, body aches came on on suddenly at 11pm. Took ibuprofen at 5 a.m. Fever and chills gone by 7a.m. Then felt low energy, tired on 3/6 fine by 6 p.m.

Other Meds: Lipitor generic, Claratin generic

Current Illness: None

ID: 1080392
Sex: F
Age: 49
State: FL

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 03/08/2021
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: Tetanus

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

Symptoms: Thursday...3:05pm...metallic taste, sore/hot arm/beginning to swell... Tylenol taken Friday...5pm...severe chills, severe body aches, high fever, exhaustion, thirst until 2:30 am...Motrin taken at around 7pm...Dayquil taken around 1am Saturday 2:30 am chills subside, body aches continue, fever continues, exhaustion continues, thirst continues until 10am Saturday 10am fever subsides and sweating/clamminess begins, body aches subside. Tired Arm is still swollen at this time, burning and itching. Rash appears. Saturday 4pm no longer sweating, slight head ache Monday I still have a rash on the injection point and soreness and slight swelling. Still tired.

Other Meds: Red Vine Leaf, Women's Multi Vitamin, Glucosamine, Phytoestrogen

Current Illness: none

ID: 1080393
Sex: M
Age: 32
State: CA

Vax Date: 03/07/2021
Onset Date: 03/07/2021
Rec V Date: 03/08/2021
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Systemic: Dizziness / Lightheadness-Medium, Systemic: Hypotension-Medium, Systemic: Nausea-Medium, Additional Details: patient bp was recorded as 85/75mmhg at the time patient felt light headednes. rechecked again after 15 minutes and pt felt better and bp recorded-120/79mmhg

Other Meds:

Current Illness:

ID: 1080394
Sex: M
Age: 58
State: IN

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/08/2021
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: Started with a fever - that began about 6 hrs after the injection. That lasted a little more than 24 hours, then went away. Last night - about 55 hrs after that vaccine, I have developed an itching rash over most of my body - I still have it as of this morning. Also, slight swelling of my lips

Other Meds: Flomax & daily Mutli vitamin

Current Illness: None

ID: 1080395
Sex: F
Age: 28
State: KY

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/08/2021
Hospital:

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

Lab Data:

Allergies: Rabbits, cats

Symptom List: Ear pain, Hypoaesthesia

Symptoms: I noticed some hives on my arms, face, and chest area at around 3 or 4pm, and next day it was still present but a little red. It?s better but still here.

Other Meds: Birth control pills

Current Illness: None

ID: 1080396
Sex: F
Age: 30
State: MA

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/08/2021
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: Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe

Other Meds:

Current Illness:

ID: 1080397
Sex: F
Age: 43
State: OH

Vax Date: 02/01/2021
Onset Date: 03/07/2021
Rec V Date: 03/08/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, novacaine

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

Symptoms: I developed red,warm, hard spot about 2? long and 1? wide at the injection site that appeared over a week later. It was sore and tender after the shot but seemed to go away and now it is back. I haven?t gone to the doctor about it, I just thought maybe it should be reported. I will continue to watch it.

Other Meds: Zoloft, folic acid, regular aspirin, multi vitamin, enderol, allegra

Current Illness:

ID: 1080398
Sex: M
Age: 40
State: TX

Vax Date: 03/07/2021
Onset Date: 03/07/2021
Rec V Date: 03/08/2021
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: Site: Swelling at Injection Site-Mild, Additional Details: After giving the vaccination, patient developed immediate reaction at injection site: warmth, swelling at the site. He did bleed a little and after putting on the bandaid, I went to grab an ice pack and I started applying the icepack to the site. Checked on patient every 5 minutes. Even did a follow up call to him an hour later and he told me he was doing okay. No more warmth in the area, some pain but the swelling had gone down substantially. I suggested to continue to monitor, apply icepack

Other Meds:

Current Illness:

ID: 1080399
Sex: F
Age: 67
State:

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/08/2021
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: Overnight on the 6th - muscle aches, chills, fever, headache, weakness. Starting on Sunday morning the 7th - bad nausea all day with vomiting for 12 hours. Barely able to have an ice chip.

Other Meds:

Current Illness: none

ID: 1080400
Sex: F
Age: 62
State: TN

Vax Date: 02/26/2021
Onset Date: 03/06/2021
Rec V Date: 03/08/2021
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: No

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

Symptoms: Covid arm rash. Large area of red and itchy skin on arm of vaccine site. Also itchy red area on chin and around mouth. Started one week after receiving the vaccine. Also had swollen lymph glands in several places. Some joint pain for a few days

Other Meds: Losartan

Current Illness: None

ID: 1080401
Sex: M
Age: 22
State: VA

Vax Date: 03/07/2021
Onset Date: 03/07/2021
Rec V Date: 03/08/2021
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: intolerance to augmentin

Symptom List: Injection site pain, Pain

Symptoms: Janssen COVID-19 Vaccine EUA Headache and body aches 10pm. High fever to 102 by 1pm with severe head and body aches, shivering, dizziness, unsteadiness. Tried drinking water, resting. Rapid heart beat at 120bpm. Couldn't sleep, so woke parent at 5:45a. Tylenol acquired from pharmacy and given at 6:30am. By 7:30a, fever under 101, HR 107 bpm. Severe headache and body aches persist. Injection site soreness and generally feeling awful. Continuing to hydrate with electrolyte water and plain water.

Other Meds: aspirin prn

Current Illness: none

ID: 1080402
Sex: F
Age: 71
State: MA

Vax Date: 02/26/2021
Onset Date: 03/06/2021
Rec V Date: 03/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Covid Arm ? itchy red rash in arm, swelling, appeared 8 days after first shot. Two days later it is still itchy and has spread further down and inside the arm.

Other Meds: Cerezyme, atorvastatin 10 mg

Current Illness:

ID: 1080403
Sex: F
Age: 65
State: GA

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 03/08/2021
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: Patient had back pain and lower abdominal pain about 24 hours after receiving vaccine.

Other Meds:

Current Illness:

Date Died: 02/14/2021

ID: 1080404
Sex: M
Age: 88
State: NY

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 03/08/2021
Hospital: Y

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: Unknown

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Severe fatigue, lethargy observed by family members on date of discharge from sub-acute nursing care to home 02/03/2021 and subsequently on 02/04/21 with complaint of shortness of breath. Continued lethargy and shortness of breath on 02/05/21, 02/06/21. Lethargy, shortness of breath and loss of appetite, chills, on 02/07/21. Less lethargic on 02/08/2021 but worsened shortness of breath and loss of appetite. Patient requested 911 call on afternoon of 02/09/2021 for shortness of breath. Rapid Covid screen at ER was positive and staff reported beginning treatment with dexamethasone and remdesivir. Hospital staff reported to family that patient had pneumonia, congestive heart failure, confusion on 02/10/2021. Nursing staff reported patient was getting antivirals and antibiotics. Patient was transported for care by pulmonary specialist at Hospital on 02/13/2021.

Other Meds: Unknown

Current Illness: Pneumonia, Jan. 2, 2021

ID: 1080405
Sex: F
Age: 26
State: MO

Vax Date: 03/07/2021
Onset Date: 03/08/2021
Rec V Date: 03/08/2021
Hospital:

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

Lab Data:

Allergies: Vicodin

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: 100 degree fever, headaches and intermittent nausea

Other Meds: None

Current Illness: None

ID: 1080406
Sex: F
Age: 65
State: NJ

Vax Date: 02/27/2021
Onset Date: 03/07/2021
Rec V Date: 03/08/2021
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: 8 days after injection, itching and red lump at site of inject ion- right arm

Other Meds: Synthroid, Zoloft, diltaziem, vitamin D, Prilosec, low dose aspirin, colace, hydroxyurea, simvastatin, hydrochlorathiazide,amolodopine, Losartan

Current Illness: Enlarged spleen

ID: 1080407
Sex: F
Age: 60
State: IN

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 03/08/2021
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, Niacin

Symptom List: Nausea

Symptoms: Beginning 20 hours after vaccine, became extremely chilled and fatigued followed quickly by pain in all bones of body - face bones, leg and arm bones, ribs, etc. Thinking became foggy - everything became difficult to do. I went to bed at 7:30 pm on 2/25/2021 - slept fitfully until 6:30 am on 2/26/2021. All symptoms had lessened by 30%-50% during the day on 2/26/2021. By 2/27/2021, I felt pretty much like me again.

Other Meds: Atenolol - 25 mg, Loratadine 10 mg, Pantoprazole SOD DR 40 mg, Vitamin D3 25 mcg 1000 IU, baby aspirin, Sudefed PE 20 mg

Current Illness: None

ID: 1080408
Sex: F
Age: 38
State: TX

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/08/2021
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: Slight nausea about 4 hours after dose Fever with chills about 8 hours after dose. Very thirsty. Lasted 12 hours General unwell feeling from about 12 to 36 hours after dose

Other Meds: None

Current Illness: None

ID: 1080409
Sex: F
Age: 50
State: TX

Vax Date: 02/28/2021
Onset Date: 03/07/2021
Rec V Date: 03/08/2021
Hospital:

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

Lab Data:

Allergies: Codeine, medrol

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

Symptoms: 03/07/21 - after 4 days with no irritation at injection site, arm became red, swollen, hot, amd itchy. Also experienced high heart rate, amd heartburn. No fever. 03/02/21 - initial side effects severe fatigue, severe joint pain throughout entire body, minor nausea,

Other Meds: Tums, CBD oil

Current Illness: None

ID: 1080410
Sex: F
Age: 29
State: MD

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/08/2021
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: N/A

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

Symptoms: I received my shot at 3:30 pm on Friday 3/5/21. Around 9 pm I started experiencing extreme body aches all over that felt like my body was "fighting" against itself. I also experienced chills. I had a hard time sleeping from the pain. The next morning a headache started and progressed into a migraine. I could not get up or open my eyes from how bad the migraine was. I took extra strength Tylenol for the pain with little relief. On Saturday evening the symptoms started to get better and turned more into a headache. I still had the headache on Sunday but it was better after taking the Tylenol. On Monday my arm is now sore (it wasn't sore prior).

Other Meds: Gianvi oral birth control

Current Illness: N/A

ID: 1080411
Sex: F
Age: 65
State: IN

Vax Date: 03/06/2021
Onset Date: 03/07/2021
Rec V Date: 03/08/2021
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: Approximately 18 hours after the vaccination (the next day when I awoke) I experienced a very sore arm with tenderness at the injection site, plus headache, body aches and chills. This subsided later that day, after approximately 10 hours. The arm at the injection site is slightly tender after 42 hours.

Other Meds: none

Current Illness: none

ID: 1080412
Sex: F
Age: 25
State: NY

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 03/08/2021
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: Erythema, Pruritus

Symptoms: -pounding headache lasting 8 days -swelling of the face, eyes, neck, and lymph-nodes in neck for 9+ days (ongoing) -Swelling of the armpit and pain in the lymph-node under the armpit for 5 days

Other Meds: None

Current Illness: None

ID: 1080413
Sex: F
Age: 44
State: NY

Vax Date: 02/28/2021
Onset Date: 03/07/2021
Rec V Date: 03/08/2021
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: N/A

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

Symptoms: Delayed reaction to Moderna Covid-19 vaccine. Rash itching, hot sensation on left arm where the 1st dose was administered. This started happening 1 week after the injection.

Other Meds: Probiotics/ vitamin B

Current Illness: N/A

ID: 1080414
Sex: M
Age: 64
State: OH

Vax Date: 03/07/2021
Onset Date: 03/07/2021
Rec V Date: 03/08/2021
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: Difficulty breathing High level anxiety Chills then sweats

Other Meds: Isosorbide mononitrate Synthroid Centrum Silver

Current Illness: None

ID: 1080415
Sex: M
Age: 39
State: KY

Vax Date: 01/12/2021
Onset Date: 03/08/2021
Rec V Date: 03/08/2021
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: NKDA

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: patient tested positive after 14 days from receiving second covid vaccine

Other Meds: albuterol HFA (PROVENTIL HFA) 108 (90 Base) MCG/ACT inhaler Inhale 2 puffs into the lungs every 4 (four) hours as needed for Shortness of Air. 1 Inhaler 0 ? cetirizine (ZYRTEC ALLERGY) 10 MG tablet Take 1 tablet by mouth daily for 30 days.

Current Illness:

ID: 1080416
Sex: F
Age: 56
State: TX

Vax Date: 03/06/2021
Onset Date: 03/07/2021
Rec V Date: 03/08/2021
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: High fever, chills, sweating , thirst. Lasted 3 hours and subsided after taking tylenol

Other Meds: Linisinopril

Current Illness: None

ID: 1080417
Sex: M
Age: 69
State: FL

Vax Date: 02/22/2021
Onset Date: 02/24/2021
Rec V Date: 03/08/2021
Hospital:

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

Lab Data:

Allergies: n/a

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

Symptoms: I don't get headaches -- day after mild headache -- 2 days after 8-10 ocular migraines and a good headache. 3 days after things started to clear. Chronic ache in injection right arm for over a day .. Started several hours after injection.

Other Meds: astorvastatin and flomax

Current Illness: n/a

ID: 1080418
Sex: F
Age: 60
State: IN

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 03/08/2021
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 medications vancomycin assorted food allergies, not life threatening

Symptom List: Pain in extremity

Symptoms: On the day of the shot, by Noon I could feel the vaccine moving into my throat and my face. My throat and left cheek started to swell and turn slightly red. I took more Benadryl and called my allergist in the afternoon. They told me I needed to get to the hospital for treatment. At the hospital, they gave me steriods, benadryl and Pepcid in an IV. After allowing this to work, they sent me home with a steriod prescription for 60Mg for the next 5 days. They asked me to follow up with my allergist if I had other issues , they also told me that I would not be able to get the 2nd dose of the vaccine. Over the next several days, I continued to have issues with this redness that had grown over my entire face. I looked like I was totally sunburned. I did not feel well, the redness was very hot, and I struggled with some breathing. I made an appointment on Monday morning with my allergist, and they adjusted my allergy medicine and gave me more asteroids for 5 more days. They advised me to use my nebulizer treatments as needed to remove the heaviness in my chest. This redness and swelling has moved around my body, almost as if I can see where the vaccine is at in my body. It went from my head to my chest/back and right arm. Down to my abdomen, and then down below my knees. In the morning, it is usually in my face and then it moves around during the day. I can feel this fluid moving around in my body because the redness brings swelling/fluid. This last saturday 3/6/2021 was horrible, it was in my right ear and right foot. It was very painful and made me very dizzy. I struggled to walk. Then on Sunday morning, I felt fine all day. Today Monday, it feels like it is in my right foot again, but I feel like It is getting better.

Other Meds: Allegra D Fluticasone Propionate Omperazole Thyroid Compounded medicine for Low thyroid Progesterone

Current Illness: nothing

ID: 1080419
Sex: M
Age: 63
State: CT

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/08/2021
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: 101fever Chills Severe headache Vomiting

Other Meds: Atorvastatin Losartan

Current Illness: None

ID: 1080420
Sex: F
Age: 40
State: SC

Vax Date: 03/07/2021
Onset Date: 03/07/2021
Rec V Date: 03/08/2021
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: NA

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

Symptoms: Chills, Cold Sweat, Nausea, Headache, Body Aches, Body/Skin burning, Thirst

Other Meds: NA

Current Illness: NA

ID: 1080421
Sex: F
Age: 48
State: NJ

Vax Date: 01/23/2021
Onset Date: 01/27/2021
Rec V Date: 03/08/2021
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: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: Severe rash started on the back of my knees. Stomach, underarm, legs lower back and top of feet. Unbearable itch. Caused me to lose time off work and visits to 5 different dr?s with no solution.

Other Meds:

Current Illness:

ID: 1080422
Sex: F
Age: 52
State: KY

Vax Date: 02/03/2021
Onset Date: 02/06/2021
Rec V Date: 03/08/2021
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: Biaxin, Levaquin, Ibuprofen, contrast dye

Symptom List: Vomiting

Symptoms: A few days after vaccine I started having pain, burning in my right wrist, shoulder, and elbow. Now having severe burning and pain in both wrists, elbows, and shoulders. Difficulty picking up items, grasping, pushing up. Have never had these symptoms. Now about 5 weeks since vaccine and still remains. Have not seeked medical attention. Wanted information in data base in case it is common.

Other Meds: Requip Proair Symbicort

Current Illness: None

ID: 1080423
Sex: F
Age: 24
State: PA

Vax Date: 02/27/2021
Onset Date: 03/07/2021
Rec V Date: 03/08/2021
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: Prednisone

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Injection site raised after 8 days, itchy, red. Redness and itching spread to larger area of arm 9 days after injection.

Other Meds: Lexapro Vitamin D

Current Illness: N/A

ID: 1080442
Sex: M
Age:
State: SC

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 03/08/2021
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: Nose is stuffy; Trembling; Metallic taste in mouth; Hands and fingers turned a rust orange color; severe body ache; Headache; body chills; fever of 102F; Fatigue; Received first shot of Pfizer vaccine and scond shot of Moderna's; A regulatory authority report was received from a healthcare provider concerning a 19-year-old, male patient who received first shot of Pfizer vaccine and second shot of Moderna's/wrong product administered, headache, nose is stuffy/nasal congestion, chills, trembling/tremor, fever of 102F/pyrexia, hands and fingers turned a rust orange color/skin discoloration, metallic taste in mouth/dysgeusia, fatigue and severe body ache/myalgia. The patient's medical history included allergies to codeine and anxiety. Products known to have been used by the patient, within two weeks prior to the event, included Fluoxetine 40mg, Lamotrigine 100mg, Amlodipine 10mg and Lunesta 3mg. On 01 Feb 2021, approximately one day prior to the onset of the symptoms, the patient received a dose of the mRNA-1273 (Batch number: not provided) intramuscularly in the right arm for prophylaxis of COVID-19 infection. On 01 Feb 2021, the patient went to pharmacy and was offered his second dose of the vaccine, at the time of administration, the patient stated he was unaware that the vaccine given to him was from Moderna. His first vaccine was from Pfizer. On 02 Feb 2021, the patient stated he felt very sick, he had a headache, nose was stuffy, body chills, severe body aches, a fever of 102 degree Fahrenheit, and noted rust colored spots on his hands. The patient stated these symptoms lasted two days after the vaccine was administered. The patient also stated he had a metallic taste in his mouth that worsened when he drank water or other beverages. At the time of this report, the metallic taste in mouth had not resolved. The patient visited Urgent Care and was instructed to take a baby acetylsalicylic acid once a day. Action taken with mRNA-1273 in response to the events was not applicable. The outcome of the event, metallic taste in mouth/dysgeusia, was considered not resolved. The outcome of event, received first shot of Pfizer vaccine and second shot of Moderna's/wrong product administered, were considered resolved on 01 Feb 2021. The outcome of events, headache, nose is stuffy/nasal congestion, chills, trembling/tremor, fever of 102F/pyrexia, hands and fingers turned a rust orange color/skin discoloration, fatigue and severe body ache/myalgia, were considered recovered on 04 Feb 2021.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.

Other Meds: FLUOXETINE; LAMOTRIGINE; AMLODIPINE; LUNESTA

Current Illness:

ID: 1080445
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 03/08/2021
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: fainted; became sweaty; This case was reported by a consumer via media and described the occurrence of fainting in a adult patient who received Herpes zoster (Shingrix) for prophylaxis. On an unknown date, the patient received the 1st dose of Shingrix. On an unknown date, several hours after receiving Shingrix, the patient experienced fainting (serious criteria GSK medically significant) and sweating. On an unknown date, the outcome of the fainting and sweating were unknown. It was unknown if the reporter considered the fainting and sweating to be related to Shingrix. Additional details were provided as follows: This case was reported by patient himself/herself. The age at vaccination was not reported. The age group was not reported but was selected as an adult as per vaccine indication. The patient received 1st dose of Shingrix and few hours later became sweaty and fainted. The patient wanted to know that would the 2nd dose produce the same reaction, as he/she had been scheduled to get 2nd dose 19th March 2021 and also how long could he/she wait before getting the 2nd vaccine as COVID vaccines were here now.

Other Meds:

Current Illness:

ID: 1080448
Sex: F
Age: 41
State: CT

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 03/08/2021
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: Missed dose; All over body rash; A spontaneous report was received from a physician concerning a 41-year old, female patient who received Moderna ' s COVID-19 vaccine (mRNA-1273) and experienced an all over body rash and missed second dose. The patient's medical history was not provided. Concomitant medications were not provided/unknown. On 04-JAN-2021, approximately 24 hours before the onset of the event, the patient received their first of two planned doses of mRNA-1273 (batch number 026220A) intramuscularly for prophylaxis of COVID-19 infection , On 05 Jan 2021, the patient experienced an ?all over- body rash. The patient reported being out of the country and missing her second dose. Treatment for the event included cetirizine hydrochloride. Action taken with mRNA-1273 in response to the events was not unknown. The outcome of the event, all over body rash, was considered recovering and resolving. The outcome of the event, missed dose, was considered recovered/resolved on an unknown date.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the event of rash, a causal relationship cannot be excluded. The causality for the event of missed dose is assessed as not applicable.

Other Meds:

Current Illness:

ID: 1080449
Sex: F
Age:
State: MN

Vax Date:
Onset Date:
Rec V Date: 03/08/2021
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: The patient received more than 0.5 ml dose; Needle issue; A spontaneous report was received from pharmacist concerning a 35-year-old female patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and the patient received more than 0.5 ml dose. The patient's medical history was not provided. No relevant concomitant medications were reported. On an unspecified date, the patient received their second of two planned doses of mRNA-1273 (Lot/batch number: unknown) intramuscularly for prophylaxis of COVID-19 infection. On an unspecified date, the patient received dose spilled out of the needle and down the patient's arm. The immunizer then drew up another dose and gave that to the patient and the patient received more than 0.5 ml dose. Treatment information was not provided. The patient received both scheduled doses of mRNA-1273 prior to the events, therefore action taken with the drug in response to the events was not applicable. The outcome of the event the patient received more than 0.5 ml dose was considered recovered.; Reporter's Comments: This report refers to a case of accidental overdose and syringe issue for mRNA-1273, lot # unknown, with no associated AEs.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm