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: 0933424
Sex: M
Age: 69
State: FL

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 01/11/2021
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: Soreness around injection site. It is more severe on 3rd day (today) than day after injection. Did not notice any soreness day of or next day until the early evening.

Other Meds: MetFORMIN 1,000 mg tablet Commonly known as: GLUCOPHAGE Take 1 tablet by mouth twice daily. TOUJEO SOLOSTAR U-300 INSULIN 300 unit/mL (1.5 mL) Commonly known as: HumaLOG KwikPen Insulin Inject 20-40 units subcutaneously daily at bedtime.

Current Illness: Aproximately December 10 went to emergency room with extreme pain diagnosed as kidney stone. Given pain pills and antibiotics . and Flo-max which I only took for about a week and never again.

ID: 0933426
Sex: F
Age: 57
State: CT

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/11/2021
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: Flagyl

Symptom List: Anxiety, Dyspnoea

Symptoms: Same exact signs and symptoms as Covid disease in April 2020. Fever, extreme headache, muscle pain, chills, joint pain, extreme fatigue, weakness, GI symptoms, muscle cramps,

Other Meds: Olmesartan , Hydrochlorothiazide, Women?s 50+ Multivitamin, Glucosamine + Chondroitin, Tumeric Curcumin C3 , Breo Ellipta

Current Illness: None

ID: 0933427
Sex: F
Age: 60
State: NC

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/11/2021
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: Lisinopril, Bactrim, Levaquin, Penicillin

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

Symptoms: Came to Emergency Department on 1/8/2021 and was assessed at 5:21 pm. Symptoms of hives, and upper lip swelling. Complaint of fever, nausea and headache. No airway issues. No shortness of breath. Mild hives improved with diphenhydramine. Patient self treated with diphenhydramine at 3:00 pm on 1/8/2021. No fever found on assessment. Medications given: diphenhydramine, decadron and pepcid. Discharged from facility at 7:30 pm.

Other Meds:

Current Illness:

ID: 0933430
Sex: F
Age: 35
State: PA

Vax Date: 12/31/2020
Onset Date: 01/10/2021
Rec V Date: 01/11/2021
Hospital:

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

Lab Data:

Allergies: celexa, raw mangos

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: hot, red skin at site of injection, lump beneath skin at injection site, itching at injection site

Other Meds: prozac, prilosec, fish oil, glucosomine & condroitin, b 12, b complex, flinstones chewables, biotin, vit d plus calcium, (all once daily) vistiril (as needed for anxiety)

Current Illness: n/a

ID: 0933432
Sex: F
Age: 40
State: FL

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/11/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: The person administering the vaccine did not go deep enough into the muscle and the vaccine accumulated in the subcutaneous fat layer. I had a hard, red, hot spot under the skin that night and continued to spread out very slowly over the next day being hot to touch and very red. I massaged the area with my hand for the next two days and the hard spot where the vaccine was got a little softer but is still there. I haven't had any other reactions except the redness and hot to touch. I'm concerned that since the vaccine was not administered correctly that I will not get the full immunity expected by the second dose. I do have pictures I took of my arm if needed.

Other Meds: Lexapro, Wellbutrin, Mirena IUD

Current Illness: None

ID: 0933433
Sex: M
Age: 16
State: OH

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/11/2021
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: No known allergies

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

Symptoms: Vaccine was given to a 16 year old. Patient was monitored for 15 mins post vaccination. Patient showed no signs/symptoms of a reaction.

Other Meds: unknown

Current Illness:

ID: 0933434
Sex: F
Age: 50
State: WI

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
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: SHELL FISH

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: RECEIVED VACCINE IN LEFT ARM, IM, AT 0520, FRIDAY, 1/8/2021. LEFT SHOULDER JOINT PAIN BEGAN SAME DAY AT 12:00 PM (NOON.) SATURDAY, 1/9/2021, CONTINUED L SHOULDER JOINT PAIN AND AT 12:00 NOON, ONSET OF CHILLS AND FATIGUE BEGAN. SUNDAY, 1/10/2021 ONLY LEFT SHOULDER PAIN CONTINUED. MONDAY, 1/11/2021 LEFT SHOULDER PAIN CONTINUES.

Other Meds: NONE

Current Illness: NONE

ID: 0933435
Sex: F
Age: 64
State: NJ

Vax Date: 12/29/2020
Onset Date: 01/01/2021
Rec V Date: 01/11/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Pharyngeal swelling

Symptoms: Lump at injection site, pain with touch and redness; 1 week later - Lump at injection site with 2in x 2in round with warmness and redness. Has begun to fade since yesterday 01/10/21; lump is not there anymore

Other Meds: N/A

Current Illness: N/A

ID: 0933436
Sex: M
Age: 60
State: OH

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
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: 01/9/2021 sweats/fever like I had Covid 19 again. on01/10/2021 sore and swollen under right armpit and swollen neck.

Other Meds:

Current Illness: Had Covid-19 12/08/2020

ID: 0933438
Sex: M
Age: 23
State: FL

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/11/2021
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: NKDA

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Near-fainting, Lightheaded, chest tightness cold sweat

Other Meds: NONE

Current Illness: NONE

ID: 0933439
Sex: F
Age: 54
State: TX

Vax Date: 12/21/2020
Onset Date: 12/21/2020
Rec V Date: 01/11/2021
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: Within minutes I became flush and very hot. My heart starting racing. I had blood pressure check and heart rate.

Other Meds: I take sentoids ,fenofibrate, and amoxicillin

Current Illness: None

ID: 0933441
Sex: F
Age: 40
State: CT

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
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: Penicillin: breathing and throat closes up Nuts: rashes/hives

Symptom List: Rash, Urticaria

Symptoms: Skin rashes (itchy) and breathing shallow and arm sore. I got prednisone, benadryl, tylenol, clotimazole/hydrocortisone cream, albuterol breathing treatments. Getting better after day 3.

Other Meds: Tylenol, prednisone, benadryl, hydrocortisone cream, medroxyprogesterone injection, escitalopram, clotrimazole betamethasone cream, lidocaine, montelukast, albuterol for nebulizer treatments, olmesartan amlopine, epinastine eye drops, alpra

Current Illness: Asthma, depression, high blood pressure, obesity

ID: 0933443
Sex: F
Age: 36
State: MD

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/11/2021
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: Vaccine administered out of recommended time frame. Administration occurred 14 days after 1st dose

Other Meds: N/A

Current Illness: N/A

ID: 0933444
Sex: F
Age: 86
State: AZ

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/11/2021
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:

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

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 0933445
Sex: F
Age: 32
State: GA

Vax Date: 12/28/2020
Onset Date: 01/06/2021
Rec V Date: 01/11/2021
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: n/a

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

Symptoms: Swelling with localized fever, itching and quarter-silver dollar sized lump under skin after initial swelling and lump at injection site had subsided

Other Meds: Lexapro 10mg

Current Illness: n/a

ID: 0933447
Sex: F
Age: 21
State: AR

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/11/2021
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Pfizer BioNTech COVID 19 Vaccine EUA Afternoon 1/6/21 temp was 101.6 mild HA feeling flushed and hot, 1/7/21 temp 99.4 moderate HA, chills and muscle aches

Other Meds: none

Current Illness: none

ID: 0933448
Sex: M
Age: 87
State: AZ

Vax Date: 01/01/2021
Onset Date: 01/01/2021
Rec V Date: 01/11/2021
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: None stated.

Other Meds: eliquis, olmesartan/a Lodi pine/hctz Andover 50+ vitamin

Current Illness: None

ID: 0933449
Sex: F
Age: 31
State: PA

Vax Date: 12/29/2020
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Redness at the injection site

Other Meds:

Current Illness:

ID: 0933450
Sex: F
Age: 56
State:

Vax Date: 01/07/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: fever, body aches, chills, and red halo around injection site. Had vaccine on 01/07 and adverse symptoms began on 01/09 have continued through 01/11 but have gotten better.

Other Meds: N/A

Current Illness:

ID: 0933451
Sex: F
Age: 46
State: IN

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital:

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

Lab Data:

Allergies: Sulfur, PCN, Levaquin, Dilaudid.

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

Symptoms: Rash and headache

Other Meds: Lisinopril, vitamin D, Wellbutrin, synthroid, aspirin, multi-vitamin

Current Illness: None

ID: 0933452
Sex: F
Age: 60
State: AZ

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/11/2021
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: Sulfa

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

Symptoms: Slight headache, light headed and then slight dizziness

Other Meds: vitamin D 500 mg and multi vitamin (hair, nails and skin)

Current Illness: none

ID: 0933453
Sex: F
Age: 59
State: KY

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/11/2021
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 drugs, cefdinir,hydrocodone,quad flu vaccine,peppermintStrep

Symptom List: Unevaluable event

Symptoms: Received vaccine at 08:15 and by 08:25 I had a red rash on bilateral arms. My throat and tongue felt as if it was starting to swell. I was given Benadryl 25mg by mouth and escorted to the ER by administration. While in the ER I was given anther Benadryl 25mg, Prednisone 40mg by mouth and epinephrine 0.3 mg injection. After about an hour I was discharged home with a prescription of prednisone 20mg to take for 10 days. I have been taking the prednisone and Benadryl 25-50 mg every 8 hours since the reaction occurred. I still have a rash on my body today and some red dots on body today also.

Other Meds: Lisinopril 10mg once a day

Current Illness: I was treated for Strep throat on December 14,2020

ID: 0933455
Sex: F
Age: 56
State: NJ

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
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: Latex, Shellfish, Sulfa

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

Symptoms: The day after the employee received her 2nd COVID vaccine, she woke up with swollen, itchy eyelids. She had a telehealth visit with doctor on 1/10/21 - she reported that the itchiness and swelling were along her upper eyelid near the brow line. Denied ocular pain, EOMI, conjunctive is not infected. Noted slight particles in the corners of her eye but it was not crusting. Had used hydrocortisone cream on the area but was advised by doctor to stop. Dr encouraged cold compresses, increased fluid intake and avoid salt/caffeine.

Other Meds:

Current Illness:

ID: 0933456
Sex: M
Age: 48
State: NC

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/11/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain, Pain

Symptoms: Within 10 minutes felt a rush of heat down right arm and tingling in fingers. Then I felt it in the left arm, however the left arm stopped tingling within 24 hours, but my right arm still has the tingling , feels bloated in my hand and my arm feels restless.

Other Meds: None

Current Illness: None

ID: 0933457
Sex: F
Age: 26
State: FL

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
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: Injection site pain, Menorrhagia

Symptoms: 4 hours after administration (1/8/21) I had nausea. The following day (1/9/21) I had a mild fever, body aches, headache, and was fatigued. These symptoms lasted until about 7pm until I took Tylenol. Once I took Tylenol I felt almost immediately better.

Other Meds: Multi Collagen Pills and Friska women's daily

Current Illness: None

ID: 0933458
Sex: F
Age: 59
State: FL

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Fever, Chills, extreme head ache and severe body aches, weakness, all lasting 24 hours

Other Meds: Levothyroxine, multi vitamin, iron, red yeast rice, fish oilbiotin

Current Illness: COIVD-19 positive test on12/29/2020, very mild case, slight fever one day with mild head ache and body aches 24 hours.

ID: 0933460
Sex: F
Age: 26
State: KY

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
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: Nausea, Pain in extremity, Pyrexia

Symptoms: Fatigue for greater than 2 days

Other Meds: Seasonique, escitalopram, cetirizine

Current Illness: None

ID: 0933461
Sex: F
Age: 45
State: FL

Vax Date: 01/06/2021
Onset Date: 01/11/2021
Rec V Date: 01/11/2021
Hospital:

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

Lab Data:

Allergies: Theraflu

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: chill, Dizzied, headache , vertigo, Fatigue

Other Meds:

Current Illness:

ID: 0933463
Sex: F
Age: 40
State: OH

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/11/2021
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: Lyrica, Gabapentin, Rosemary, Bay Leaf, Vicodin, Sage, Amoxicillin, Oregano

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

Symptoms: Immediately started feeling hot, sweating, abnormal metal taste in mouth, increased heart rate to 100, skin turned red all over. Subsided after 15 minutes. After 15 minutes had rash all over body, throat tightening, hot feeling. Subsided after 60-90 minutes

Other Meds: none

Current Illness: none

ID: 0933464
Sex: F
Age: 43
State: PA

Vax Date: 01/05/2021
Onset Date: 01/07/2021
Rec V Date: 01/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: Low grade fever (99.4); nausea, body aches, chills

Other Meds:

Current Illness:

ID: 0933465
Sex: F
Age: 43
State: PA

Vax Date: 12/22/2020
Onset Date: 01/04/2021
Rec V Date: 01/11/2021
Hospital:

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

Lab Data:

Allergies: nkda

Symptom List: Injection site pain

Symptoms: Severe pain in shoulder/arm, motor deficit. Treated with Tylenol and Advil and ice, pain persisted approx. 48 hours. Motor deficit improved, but still present

Other Meds: fish oil CLA Loratidine Flonase

Current Illness: none

ID: 0933466
Sex: F
Age: 48
State: PA

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
Hospital:

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

Lab Data:

Allergies: PCN, erythromycin

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

Symptoms: Moderna COVID-19 Vaccine EUA (directed to type this on this line) Severe dizziness started at 11:00-45 minutes after time of injection. Continued until 5:00pm same day; however mild dizziness continues still ( 1/11 @ 9:00am). Starting 1/9 @ 5:00 flu -like symptoms started (nausea and vomiting, shakes, weakness) continued until 1/10 am, then lingering light dizziness and weakeness. As of 1/11 only lingering light dizziness remains.

Other Meds:

Current Illness: none

ID: 0933467
Sex: F
Age: 61
State: VA

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/11/2021
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: Cardizem

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

Symptoms: Headache , Fever 102, Nausea, Faint, Body/Muscle aches (lasted for 2 days)

Other Meds: Atorvastatin 10mg Co-Q 10 Famotidine Calcium Aspirin 81mg

Current Illness: None

ID: 0933469
Sex: M
Age: 34
State: AR

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/11/2021
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: Wasp/Bee sting

Symptom List: Tremor

Symptoms: Pfizer BioNTech COVID 19 Vaccine EUA- All at once became flush, hot , dizzy & nausea, abdominal pain & extreme dizziness. Went directly to MD who said it was a fairly normal side effects post COVID vaccine. Instructed to take Zofran APAP and if symptoms became worse to take Benadryl and my epi pen and seek emergency Tx. AT home N&V and abd. pain continued with extreme fatigue and chills. Continued the following day but mild. 1/7/21 symptoms relieved. Body & head feels fuzzy but no illness.

Other Meds: Iron, Vit C , Multi Vitamin

Current Illness: none

ID: 0933471
Sex: F
Age: 53
State: NY

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 01/11/2021
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: pcn

Symptom List: Erythema, Pruritus

Symptoms: Woke at 3 am with severe myalgias, tachycardia, nausea and shortness of breath. Went to get tylenol/ zofran but felt like I was going to vomit. Went into the bathroom and sat down. Woke up on the floor shaking. Not sure how long I was down. According to my watch my HR was around 110+ for a hour and a half (3-4:30 am)

Other Meds: synthroid

Current Illness: hashimoto thyroiditis bechets disease gilberts

ID: 0933472
Sex: F
Age: 22
State:

Vax Date: 12/28/2020
Onset Date: 01/04/2021
Rec V Date: 01/11/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Redness at injection site - warm, itchy, swollen Red patch got bigger over 24 hours Took Benadryl prior to doc appt Doctor prescribed benadryl around the clock and keflex

Other Meds:

Current Illness:

ID: 0933473
Sex: F
Age: 45
State: NY

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/11/2021
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: No known allergies

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

Symptoms: Fever, Nausea, Muscle and Joint pain, Fatigue.

Other Meds: Lisinopril; Fiber; B12

Current Illness: No illness

ID: 0933474
Sex: M
Age: 80
State: WY

Vax Date: 01/07/2021
Onset Date: 01/10/2021
Rec V Date: 01/11/2021
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: Pistachio nuts

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Feeling unwell, chills, achy legs, nausea

Other Meds: Tamsulosin hydrochloride, clonidine, lisinopril, Preser vision

Current Illness: None

ID: 0933476
Sex: F
Age: 42
State: IL

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
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: A little over 24 hours post vaccination (09JAN2021), I started to experience some tongue numbness/tingling along the lateral edges and the tip of my tongue. This is ongoing as of time of this report. This is not interfering with function, but it is a new symptom that I did not have prior to receiving my vaccination. As additional medical history in the last 30 days, I had dental work done for a broken filling on 21DEC2020 (multiple numbing injections during this visit - two molars grounded down to prepare for placement of two crowns of left lower molars). 2 crowns placed on 06JAN2021 (1 numbing injection at this visit). Additionally, I also started with symptoms of inner ear infection on 03JAN2021, was evaluated by medical provider on 05JAN2021 and diagnosed with suspected inner ear infection, for which I am currently taking doxycycline and sudafed for.

Other Meds: Doxycycline Monohydrate 100 mg BID (started taking on 06JAN2021) Sudafed (Pseudoephedrine HCl) 60 mg Q6H (started taking on 04JAN2021)

Current Illness: Major dental work completed in month prior to vaccination. 21DEC2020 - started process of 2 crowns on left lower molars (ground teeth down, placed temporary crowns), and placed permanent crowns on 06JAN2021. Also, started having symptoms of inner ear infection (right ear) on 03JAN2021, started sudafed on 04JAN2021, then prescribed and started taking Doxycycline on 06JAN2021.

ID: 0933477
Sex: F
Age: 40
State: FL

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
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: wheat, eggs, milk, tomatoes, corn, peanuts,. almonds all grass, except Bahimian Hickory and Pecan Trees

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

Symptoms: very sore for 3 days, itchy for like 3 days, hives surounded it like 8 hours after the vacccine and I still have some of them around the site. I took my medications that I have to help with this on a normal basis. It took 3 plous days to get it to stop.

Other Meds: Abilify amitriptyline clonazepam Depakote doxepin gabapentin hydrocodone-acetaminophen hydroxyzine HCl ibuprofen lidocaine Linzess omeprazole oxybutynin chloride sumatriptan succinate valsartan-hydrochlorothiazide Xolair, one a day women's

Current Illness: none

ID: 0933478
Sex: M
Age: 32
State: FL

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
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: Pain in extremity

Symptoms: The morning after receiving the vaccine, I began to develop a fever, chills and fatigue, along with soreness at the injection site. I had taken my temperature throughout the day with a Tmax of 101 F, which broke ~36 hours after receiving the vaccine. No additional symptoms were experienced (diarrhea, nausea, vomiting, etc.)

Other Meds: N/A

Current Illness: N/A

ID: 0933479
Sex: M
Age: 47
State: MT

Vax Date: 01/07/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: 99.9 temp, chills, achy, dizziness

Other Meds:

Current Illness:

ID: 0933480
Sex: F
Age: 39
State:

Vax Date: 12/29/2020
Onset Date: 01/06/2021
Rec V Date: 01/11/2021
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: Redness around injection site - warm, raised, dark red, not painful but tender

Other Meds:

Current Illness:

ID: 0933481
Sex: F
Age: 55
State: IN

Vax Date: 01/02/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital:

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

Lab Data:

Allergies: N/A

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

Symptoms: I had no issues until a week after my injection and now I have redness, swelling, and itching. The area is hot to touch.

Other Meds: levothyroxine 100 MG, Lisinopril 5 mg

Current Illness: N/A

ID: 0933482
Sex: F
Age: 28
State: PA

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
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: Fever, chills, headache, myalgias started around 10 pm worsened through the night. Fatigue the next day and nausea. Headache has persisted still have it currently. Have been hydrating and taking ibuprofen which helps

Other Meds: Zoloft, buspar, vitamin d

Current Illness:

ID: 0933483
Sex: F
Age: 46
State: MS

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/11/2021
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: PCN, Sulfa, Ceftin, Celexa: Rash Monurol/Zyrtec: paradoxical-hypotension/vascular collapse, petecchiae, presyncope Erythromycin: vomiting

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Diarrhea beginning within 12 hours of receiving vaccine, treated w/hydration, no food, pepto bismol, rest, no medical needed. Still ongoing >10 days out from vaccine, not as severe as initial onset, but returns as soon as pepto bismol has worn off.

Other Meds: Zoloft, Wellbutrin, Buspar, Lisinopril, Allegra, Singulair, B complex with Vit C, iron, citrucel, magnesium

Current Illness: None

ID: 0933484
Sex: F
Age: 40
State: FL

Vax Date: 12/30/2020
Onset Date: 01/02/2021
Rec V Date: 01/11/2021
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: NKA

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

Symptoms: Arm was typically sore after a vaccine, but I am still sore and have now developed a redness area that is moving down my arm and up to my shoulder. Erythema is approximately 5.5 inches in length from top of my shoulder extending towards the medial side of my right arm. Width is approximately 6 inches extending across my arm. The tenderness has also moved with the redness and is now the most tender on the medial side in the middle of my arm.

Other Meds: Unithroid, Cytomel, Zyzal

Current Illness: None

ID: 0933485
Sex: M
Age: 52
State: LA

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 01/11/2021
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: Cephalosporins

Symptom List: Injection site swelling, Limb discomfort

Symptoms: The day following my second vaccination I had body aches, headache and chills that lasted for approximately 3 hours. In addition, on this same day I experienced mild tiredness for most of the day.

Other Meds: Losartan

Current Illness:

ID: 0933486
Sex: F
Age: 62
State: NJ

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
Hospital:

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

Lab Data:

Allergies: n/a

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

Symptoms: swelling in left axilla pain in L axilla

Other Meds: hctz METOPROLOL ATORVASTATIN ZETIA

Current Illness: NO

ID: 0933487
Sex: F
Age: 40
State: WV

Vax Date: 12/29/2020
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
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: PERTUSSIS VACCINE

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

Symptoms: REPORTS HAVING BURNING AND TINGLING PAIN IN LEFT UPPER LEG FOR ABOUT FIVE DAYS, AFTER THIS A ZOSTER RASH ERUPTED ON MID THIGH AND MEDIAL THIGH. VALTREX 1 GRAM TABLET THREE TIMES A DAY FOR 7 DAYS WRITTEN.

Other Meds: VITAMIN D 10,000 IU PROBIOTIC ON RITUXAN MAITENANCE LAST INFUSION 12/08/2020

Current Illness: NON HODGKINS LYMPHOMA PRIMARY CUTANEOUS MARGINAL ZONE AND NODAL ON RITUXAN MAITENANCE, LAST INFUSION 12/08/2020

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm