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: 0933093
Sex: F
Age: 39
State:

Vax Date: 12/23/2020
Onset Date: 12/28/2020
Rec V Date: 01/10/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Symptoms of diarrhea, loss appetite started 36 hours after vaccine lasted for 3 days. Reports stomach ache and loss pf appetite today

Other Meds:

Current Illness:

ID: 0933094
Sex: F
Age: 33
State: TX

Vax Date: 12/29/2020
Onset Date: 01/07/2021
Rec V Date: 01/10/2021
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: Red dye 40

Symptom List: Anxiety, Dyspnoea

Symptoms: Large red circle appeared on week after vaccine at injection site on right arm. Lasted about 4 days.

Other Meds: Melatonin 3mg at night

Current Illness: None

ID: 0933095
Sex: F
Age: 48
State: MD

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

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: Patient 5 minutes after receiving her vaccine, started to complain of dizziness and feeling warm, having shudders, and also chest pressure on the left side. Heart rate 74. Rested, but symptoms, especially chest pressure, did not improve. Alert and oriented and able to answer questions. EMS called but patient refused transportation to hospital. Once she felt better was able to walk to her brother's car, she stated that her brother ( who picked up patient) would take her to closest hospital, to get checked out.

Other Meds: Medformin, Levothyroxine.

Current Illness:

ID: 0933096
Sex: F
Age: 30
State: CA

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

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

Lab Data:

Allergies: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: About 12 hours of receiving my second dose I started to get really bad chills. Nothing could keep me warm and I had a fever of 102. I had muscle aches as if I just went through a rigorous workout. I had zero appetite but I?m not sure if that was due to side effects or the fact that I wasn?t feeling well. When I did finally eat something that evening I could barely taste it, I ate it but my taste buds were faintly picking up the flavors. Again I don?t know if it was because of the side effects or the fact that I wasn?t feeling well. The following day, Saturday 01/09/21 I only had chills which would come and go. I did not have fever and my appetite was back. Now today, 01/10/21 I feel my usual self.

Other Meds: Iron

Current Illness: None

ID: 0933097
Sex: F
Age: 37
State: VA

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

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

Lab Data:

Allergies: No

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

Symptoms: Sore arm, upset stomach and fatigue.

Other Meds: Levothyroxine 75mcg

Current Illness: No

ID: 0933098
Sex: F
Age: 35
State: GA

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

Vax Type: FLUC4
Manufacturer: SEQIRUS, INC.
Vax Name: INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)
Lot: 276563
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: Injection site swelling, redness and pain, started immediately post injection, fatigued that evening. Day following vaccine under arm(lymph node area) of injection arm swelling and pain.

Other Meds: Saxenda, LifePack multivitamins

Current Illness: None

ID: 0933099
Sex: F
Age: 57
State: MI

Vax Date: 12/27/2020
Onset Date: 12/28/2020
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies: Cipro, compazine, adverse reactions to narcotics and sedation

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Fever,chills. Body aches, fatigue

Other Meds: Norvasc, Tenormin, Celexa, Lipitor, prebiotic

Current Illness: None

ID: 0933100
Sex: F
Age: 36
State: MD

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

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

Lab Data:

Allergies: unknown

Symptom List: Pharyngeal swelling

Symptoms: Tingling in left thumb immediately after vaccination

Other Meds: unknown

Current Illness: none

ID: 0933101
Sex: M
Age: 29
State: OH

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Moderna vaccine dose #1 received in right shoulder on 12/31/20 at 2:15PM. Injection was uneventful other than sensation of pressure. I did notice at the time, but could not fully see, that the injection appeared to be much higher on the shoulder than normal. I immediately came home afterwards and relaxed. Approximately 2hrs later, I began experiencing extreme pain in my right shoulder. As the night progressed, the pain worsened to 10/10 with inability to move my arm. Later that night after requiring assistance to take off my shirt, I noticed that the bandaid overlying the injection site was very high, immediately below and bordering the acromion process. This was concerning but I was hopeful the pain would go away over the next few days. I took tylenol that night. I woke up multiple times during the night because the pain was so severe. When I woke up, the pain and inability to move my arm were still present. I began taking 800mg ibuprofen and 1000mg tylenol alternating Q4 throughout the next few days. The pain and disability remained so severe that I required assistance performing ADLs for the next 4 days. On day four, with the pain not resolved and still severe despite consistent advil and tylenol use, I began having concern for shoulder injury related to vaccine administration. The next day I decided to seek an evaluation by an orthopedist. I am a physician and was unable to perform basic tasks and ADLs. I happened to have a few days off after the injection but would not have been able to work had I not. After an evaluation by the an orthopedic PA, I obtained an MRI of my right shoulder with results shown below - as I expected evidence of rotator cuff tendinopathy and subdeltoid bursitis consistent with SIRVA. As of now, I still have limited range of motion and shoulder pain on the right which has improved slightly but is far from resolved. I still have difficulty with certain ADLs including putting clothes on and off, lifting items, and tasks that require raising my right arm above my head. I am concerned with the possibility of long term and/or permanent damage after reviewing the literature. I am also concerned about how many other healthcare workers the person who gave me my vaccine may be injuring and/or causing permanent harm to.

Other Meds: Wellbutrin

Current Illness: None

ID: 0933102
Sex: F
Age: 50
State: IN

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Low grade fever, large hard painful lump in right arm, achy joints

Other Meds: Lisinopril, xyzal, hydroxychloroquine, hydrochlorthorizide

Current Illness:

ID: 0933103
Sex: F
Age: 29
State: IN

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

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

Lab Data:

Allergies: None

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

Symptoms: After the second dose: arm pain at the site, chills, fatigue, body aches and headache for about 20 hours starting 4 hours after shot. After first dose: injection site pain the next day

Other Meds: Apri birth control, Zyertec

Current Illness: None

ID: 0933104
Sex: F
Age: 76
State: CA

Vax Date: 12/22/2020
Onset Date: 01/03/2021
Rec V Date: 01/10/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies: NKA

Symptom List: Rash, Urticaria

Symptoms: Extreme tiredness, headache, weakness in legs making walking uncoordinated, to the point of losing my balance on Sunday, January 3rd, could not do my regular jog my legs were so uncoordinated on Monday, January 4th, and I fell over on my side when I squatted to pick up my cat at the end of the jog, Difficult to climb my front steps. Tuesday , January 5th, similar leg weakness and lack of coordination, but milder. Less weakness on Wednesday, Jan 6th, when just walking. Thursday, January 7th, did a jog, almost normal, but my left ankle not as responsive as usual. Headache the whole time, and feeling like too much caffeine. I only have one black tea in am. Symptoms seemed most severe in AM. Headache eased up in evening of 1/7.

Other Meds: Estring ring, 200mg Co enzymeQ10 qd, multivitamin, 2000 IU Vit D3 qd.NKA

Current Illness: none

ID: 0933105
Sex: F
Age: 27
State: ME

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Chills, headache, night sweats 2 days post shot and enlarged lymph node 4 days post vaccine.

Other Meds: Vitamin c

Current Illness: N/A

ID: 0933106
Sex: F
Age: 21
State: MD

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

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

Lab Data:

Allergies: None

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

Symptoms: A few minutes after receiving the vaccine, patient complained of feeling dizzy, nauseated, having chills, and of her heart beating too fast. Patient alert and oriented. She called her mother to tell her how she was feeling. Heart rate increased from 100 to 150 five minutes later. EMS services called. Patient left via ambulance to hospital accompanied by a friend.

Other Meds: None

Current Illness: Denies any illnesses

ID: 0933107
Sex: F
Age: 35
State: OR

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

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

Lab Data:

Allergies: None known

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

Symptoms: Fever up to 100.7, chills, myalgias, headache, and fatigue for about 36 hours total after 2nd dose of vaccine

Other Meds: None

Current Illness: None

ID: 0933108
Sex: M
Age: 51
State: IN

Vax Date: 01/05/2021
Onset Date: 01/07/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies: NA

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

Symptoms: fever, muscles ache, extremely tired. Started on 1/7/2021

Other Meds: Ibuprofen

Current Illness: diagnosed with pharyngitis on 12/27/2020

ID: 0933109
Sex: F
Age: 32
State: MA

Vax Date: 12/23/2020
Onset Date: 12/31/2020
Rec V Date: 01/10/2021
Hospital:

Vax Type: DTAPHEPBIP
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: DTAP + HEPB + IPV (PEDIARIX)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies: None

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

Symptoms: Tested for covid dec 22- negative, no symptoms Vaccine taken on dec 23 Extremely sick dec 31, tested positive for covid. Sore throat, muscle aches, cough, fatigue

Other Meds: None

Current Illness: None

ID: 0933110
Sex: F
Age: 35
State: TX

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

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

Lab Data:

Allergies: Flu vaccines. Onions.

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Nauseous, dizzy, sore arm, runny nose for an hour.

Other Meds: None.

Current Illness: None

ID: 0933111
Sex: F
Age: 41
State: CA

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

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

Lab Data:

Allergies: No known allergy

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Cold sores broke out on lower lip 1 day after given injection. Abreva cream applied twice per day. The lesion was not changed.

Other Meds: Vitamin D, Zyrtec, Gabapentin

Current Illness: N/A

ID: 0933112
Sex: F
Age: 42
State: NJ

Vax Date: 01/06/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies: Unknown

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

Symptoms: Chills, Fever Fatigue

Other Meds: Unknown

Current Illness:

ID: 0933113
Sex: M
Age: 43
State: WA

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

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None known.

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

Symptoms: Hives

Other Meds: Omeprozole, Metoprolol Succinate ER, Lisinopril.

Current Illness: None known.

ID: 0933114
Sex: F
Age: 42
State: OR

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

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

Lab Data:

Allergies: Nkda

Symptom List: Unevaluable event

Symptoms: Pain and tingling in entire left arm, severe chills, bluish lips, weakness, fatigue, headache, muscle and joint pain.

Other Meds: Levothyroxine, phentermine, bupropion, losartan, topamax, vitamin d, multivitamin.

Current Illness: None

ID: 0933115
Sex: M
Age: 36
State: IL

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

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

Lab Data:

Allergies: none

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

Symptoms: body aches, headache, malaise, nausea and diarrhea

Other Meds: Lexapro and Adderall.

Current Illness: none

ID: 0933116
Sex: F
Age: 67
State: NY

Vax Date: 12/31/2020
Onset Date: 01/08/2021
Rec V Date: 01/10/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: no known allergies

Symptom List: Injection site pain, Pain

Symptoms: Delayed hypersensitivity reaction 9 days later - swollen , red, itchy shoulder and down arm at the sight of the injection with ipsilateral lymphadenopathy.

Other Meds: Vit D3, Biotin, Pine Bark, Green Tea, Tumeric, Maca

Current Illness: none

ID: 0933117
Sex: F
Age: 49
State: IL

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

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

Lab Data:

Allergies: Sulpha, amoxicillin (anyphylactic), dust, mold

Symptom List: Injection site pain, Menorrhagia

Symptoms: Temp of 101.4 highest, 100.8 later in the day, 100.0 the next day, body, muscle and joint aches

Other Meds: Vit d cap, hrt estrogen/norestrogen, zyrtec

Current Illness: None

ID: 0933118
Sex: F
Age: 53
State: CA

Vax Date: 12/27/2020
Onset Date: 01/04/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies: Allergic to medications that are in the caine family of drugs, Norco

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

Symptoms: Ten days after the vaccine injection my arm started hurting and swelled to the size of a baseball at the injection site. The lump was hot to the touch and had a large red circle about 3" in diameter. I had tightness in my chest and a headache. I had took two Benadryls every eight hours for three days, since it seemed to be an allergic reaction to the vaccine. At this date/time I don't have any further signs of an allergic reaction.

Other Meds: None

Current Illness: None

ID: 0933119
Sex: F
Age: 51
State: TX

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 0933120
Sex: F
Age: 70
State:

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Missed X1 day of work due to fatigue, felt better next day

Other Meds:

Current Illness:

ID: 0933121
Sex: F
Age: 56
State: IL

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

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

Lab Data:

Allergies: NKDA

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

Symptoms: Presented with headache, upset stomach, fatigue and discomfort.

Other Meds: Calcium / Vit D3 600-400, Lactulose Sol 6.5%, Magnesium tab 250mg, therems tab.

Current Illness: none

ID: 0933122
Sex: F
Age: 67
State: OK

Vax Date: 01/05/2021
Onset Date: 01/08/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies: penicillin

Symptom List: Nausea

Symptoms: 3 days after vaccination, I had chills, fever above 102, and headache which lasted about 5 hours and subsided after taking Advil. I took Advil and the fever broken and the headache lessened. This repeated again the next day and again was better after taking Advil.

Other Meds: I had chills then fever of 102 and headache for 5 hours. I took Advil and the fever broken and the headache lessened. This repeated again the next day and again was better after taking Advil.

Current Illness: upset stomach on January 1st.

ID: 0933123
Sex: F
Age: 60
State: NC

Vax Date: 12/28/2020
Onset Date: 12/30/2020
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: Side effects: Elevated blood pressure 208/96 & 204/94. Dizziness. Headache/heaviness in the head. Treatment: Went to emergency room on 1/3/2021. Increased blood pressure medication (DILTIAZEM) to 300mg and added another one (HYDRALAZINE) 25mg 3 times a day. Which my primary physician increased to 4 times a day,. Outcome: Lower blood pressure with occasional spikes to the borderline.

Other Meds: Calcium Fish oil Multi vitamin

Current Illness:

ID: 0933124
Sex: M
Age: 34
State: CA

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

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

Lab Data:

Allergies: UNKNOWN

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

Symptoms: THROAT EDEMA AND URTICARIA TO BUE 1-2 MINUTES AFTER VACCINATION

Other Meds: NONE

Current Illness: NONE

ID: 0933125
Sex: F
Age: 40
State:

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: Fatigue

Other Meds:

Current Illness:

ID: 0933126
Sex: M
Age: 22
State:

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

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

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: 01/4: Moderna Vax?developed headache shortly after injection 01/5: congestion, chills, weakness, body aches He?s taking over the counter meds for now.

Other Meds:

Current Illness:

ID: 0933127
Sex: F
Age: 68
State: IL

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

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

Lab Data:

Allergies: NSAIDs; avoid nephrotoxic agents except for aspirin 81mg.

Symptom List: Erythema, Pruritus

Symptoms: Presented with upset stomach/ loss of appetite.

Other Meds: Bethanecol tan 10mg, calcium/ Vit D3 tab 600-400, gemfibrozil tab 600mg, lactulose sol 10mg/ 15mL, levothyroxin tab 125mcg, nutrifur mac cap 50 mg, prednisolone sus 1% op, sertraline tab 100mg, symbicort aer 80-4.5, ventolin HFA AER,

Current Illness: none

ID: 0933128
Sex: F
Age: 42
State: TX

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

Vax Type: UNK
Manufacturer: UNKNOWN MANUFACTURER
Vax Name: VACCINE NOT SPECIFIED (NO BRAND NAME)
Lot:
Dose Series: UNK
Vax Route: SYR
Vax Site: UN

Lab Data:

Allergies: Shellfish Latex Ethylenediamine dihydrochloride Cobalt II chloride hexahydrate Iodopropynl butylcarbamate Fragrance mix Cocamindopropyl betaine Cinnamic aldehyde Glutaral Gold sodium thiosulfate Wool alcohols 2 broom 2 nitro propane-1,3-diol Bronopol Silver

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

Symptoms: Once injected felt dizzy then sat down, it was hard to breathe I can fell rapid heart palpatiions and my my body get hot from the inside out. I started sweating and my skin was turning red. I notified staff and they kept me an additional 30 minutes. I started getting hives and my body felt hot. The fire fighters asked the nursing staff for Benadryl they advised they did not carry it and could not give it to me. I carry Benadryl in my work bag due to my list of allergies. Fire assisting at location advised me to take Benadryl. I notified my employer because Benadryl makes me sleepy. They sent me home and I continued Benadryl and missed work for three days. At this time I went to prestige emergency about 1200 pm because the hives, heat in my body did not go away. I was treated and placed on an iv cocktail and sent home with several medications. Diagnosed with urticaria allergic by DR. symptoms did not improve my skin was still red I felt hot, confused, dizzy and returned back to the same ER 01/09/2021 I was also involved in an unrelated motor vehicle accident earlier in the morning so got treated for that and continued my explanation and treatment of how my body is not doing well with the Covid 19 shot. I presented with tachycardia and was instructed to continue my medications prescribed from 1st visit on 1/7/2021. Today is 1/10/2021. My body still feels hot, fatigue, confusion and light headed. Remained out from work and continued bed rest.

Other Meds: Vyvanse 50mg x1 Zolpidem 10mg (night)

Current Illness: None

ID: 0933129
Sex: F
Age: 32
State: TX

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

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

Lab Data:

Allergies: Penicillin, Vantin

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

Symptoms: Vaccine on 1/5- within the hour, developed severe headache and altered cognition/"brain fog." Within a few hours, developed chills, body aches, nausea 1/6- 102 fever, severe headache, brain fog, chills, body aches, nausea, pain at injection site 1/7- 102 fever, severe headache, brain fog, chills, body aches, nausea, pain at injection site 1/8- 99 fever, severe headache, brain fog, body aches, nausea, pain at injection site and now very red/itchy/swollen 1/9- severe headache, body aches, nausea, injection site painful/red/itchy/swollen 1/10- severe headache, body aches, nausea, injection site painful/red/itchy/swollen and now bruised

Other Meds: Wellbutrin XR

Current Illness: n/a

ID: 0933130
Sex: M
Age: 34
State: FL

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

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

Lab Data:

Allergies: No

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Experiencing moderate to severe ulnar nerve neuropathy or cubical tunnel syndrome (aka funny bone) since receiving first shot, worse after 2nd

Other Meds: Pepcid 20 mg bid, omeprazole 20 mg daily

Current Illness: Nome

ID: 0933131
Sex: F
Age: 49
State: FL

Vax Date: 12/23/2020
Onset Date: 12/27/2020
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies: Tequin; Doxycycline; Pseudephedrine

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

Symptoms: I received COVID 19 Pfizer vaccine on 12/23/20 and on 12/27/20 my blood pressure started to spike with readings 150's/100's while well controlled on medication- Metoprolol 25 mg tab daily. My BP remained elevated on 12/28 and i subsequently went to the ER and had chest XRay; EKG and cardiac workup done with all tests negative. I was instructed by ER Doctor to follow up with my cardiologist- Dr. and he subsequently changed my medication regimen to Metoprolol 25 mg tab twice daily. Since that episode my BP has been well controlled. I am not sure if there is a correlation with the vaccine. However i am bringing to your attention as i have never had a spike in BP while on BP meds.

Other Meds: Metoprolol 25 MG tablet once daily Vitamin D 2000 mcg daily Vitamin C 500 MG daily Progesterone 100 MG tab daily Estradiol 0.1 mg/day

Current Illness: none.

ID: 0933132
Sex: F
Age: 41
State: TX

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

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

Lab Data:

Allergies:

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

Symptoms: 1/9 0230 bodyaches, chills, fatigue, fever, tightness in chest 1/10 2139-feels clammy and bodyaches

Other Meds:

Current Illness:

ID: 0933133
Sex: F
Age: 36
State:

Vax Date: 01/05/2021
Onset Date: 01/07/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: Sore throat

Other Meds:

Current Illness:

ID: 0933134
Sex: F
Age: 57
State: NJ

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

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

Lab Data:

Allergies: none

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

Symptoms: Rigors, fever nausea, vomiting. diarrhea Severe muscle spasming/contraction, headache

Other Meds: motrin

Current Illness: none

ID: 0933135
Sex: F
Age: 56
State: IL

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

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

Lab Data:

Allergies: NKDA

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

Symptoms: Presented with fatigue, upset stomach, loss of appetite, crying out in discomfort, PRN tylenol admin.

Other Meds: Divalproex 250mg and 500mg ER, Lactulose sol 10mg/15mL, Levothyroxine 50mcg, Vit D 1000 units- 2 caps.

Current Illness: none

ID: 0933136
Sex: F
Age: 24
State: AZ

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies: Grapefruit and Lobster

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

Symptoms: Delayed reaction on injection site? one week after I got the first vaccine my arm at the injection sight swelled and had a red ring around it. A small rash formed underneath. Currently, it is still red, but much less swollen and not longer itchy

Other Meds: Generic birth control (lessina), xyzal (allergy pills), melatonin (10mg), hair skin and nails supplements (biotin)

Current Illness: None

ID: 0933137
Sex: F
Age: 25
State: CA

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: Had the chills and felt a little bit fatigue.

Other Meds:

Current Illness:

ID: 0933138
Sex: F
Age: 26
State: CT

Vax Date: 01/03/2021
Onset Date: 01/10/2021
Rec V Date: 01/10/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Wheat

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: 1 week following administration developed swelling to size of grapefruit, induration, redness with blanching, and itchiness

Other Meds: Levothyroxine, skyla IUD

Current Illness: None

ID: 0933139
Sex: F
Age: 63
State: WA

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

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

Lab Data:

Allergies: Polymyxin, gluten, some dairy

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

Symptoms: Hard, pounding tachycardia, with dizziness, nausea, headache, occurred about 5 minutes after vaccine was administered. The tachycardia resolved without medical intervention within 2 minutes. The remainder of the symptoms remained the rest of the day, along with profound fatigue and intermittent self limited tachycardia. The headache was managed with Tylenol. I slept most of the day and through the night. The following day, I had a headache, which was mild. Fatigue remained. I also noted intermittent tachycardia with mild exertion, self limited, less than 1 minute. Mild soreness at injection site.

Other Meds: Levothyroxine, omega 3, vitamin D3, glucosamine/chondroitin, magnesium oxide, multivitamin, loratadine

Current Illness: None

ID: 0933140
Sex: F
Age: 54
State: VA

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Urticaria, treated with diphenhydramine, pepcid, prednisone. Improved.

Other Meds:

Current Illness:

ID: 0933141
Sex: F
Age: 26
State:

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Muscle aches and chills X1 day

Other Meds:

Current Illness:

ID: 0933142
Sex: F
Age: 48
State: AZ

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/10/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: PCN,Morphine, nuts, pumpkin, sour cream.

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

Symptoms: Pain at site of injection, eyes, throat, face swelling. Unclear thinking, hoarse speech, headache, hives, swelling. Intervention taken immediately. Ongoing 11 days: SOB, headaches, nose bleeds, coughing, blood sugars triple, hair falling out, major swelling, dizziness.

Other Meds:

Current Illness: Sinus infection

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm