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: 1089256
Sex: F
Age: 59
State: NH

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 03/10/2021
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: Within 24 hours patient developed generalized urticaria and a sensation of a racing heart. She took Benadryl and it took 2 and 1/2 days for the hives to resolve.

Other Meds:

Current Illness:

ID: 1089257
Sex: F
Age: 67
State: IN

Vax Date: 03/08/2021
Onset Date: 03/09/2021
Rec V Date: 03/10/2021
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:

Symptom List: Anxiety, Dyspnoea

Symptoms: chills, headache, aches, fatigue ... soreness @ injection site. These symptoms began at 3 AM so Went back to bed and tried to sleep through the night. On Tuesday Mar 9. I continued to have mild headaches and achiness/fatigue during the day., however, began to feel better during the day. Back to normal on Wednesday, March 10. Feeling fine now.

Other Meds: Lipitor, lisinipril, metformin, vitamin D, iron, hydrocodon, baby aspirin

Current Illness:

ID: 1089258
Sex: F
Age: 69
State: CT

Vax Date: 03/02/2021
Onset Date: 03/03/2021
Rec V Date: 03/10/2021
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: Have large rash on arm and pain is still continuing at injection site (large red dot on arm) 8 days later. Difficulty sleeping on my left side due to pain. Will seek medical attention if it does not resolve in the next few days.

Other Meds: None

Current Illness: None

ID: 1089259
Sex: F
Age:
State: IN

Vax Date: 03/06/2021
Onset Date: 03/07/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: Penicillin (since was an infant, had reaction)

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: After my Johnson & Johnson vaccine, the following day I developed a red, diffuse in radius size (like a spider bite) rash that is warm to touch and very painful. I am still in pain, the site has some color to it and will be having an appointment with my PCP on 03-11-2021.

Other Meds:

Current Illness:

ID: 1089260
Sex: M
Age: 71
State: VA

Vax Date: 03/08/2021
Onset Date: 03/09/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: erythromycin

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

Symptoms: extreme fatigue

Other Meds: multivitamin, d3, fish oil, eye drops

Current Illness: none

ID: 1089261
Sex: F
Age: 38
State: LA

Vax Date: 02/26/2021
Onset Date: 03/03/2021
Rec V Date: 03/10/2021
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: N/A

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

Symptoms: HIVES OVER ENTIRE BODY, SWELLING OF NECK, FAST HEART RATE, SWELLING OF TONGUE, SWEATING. I RECIEVED THE INJECTION ON 2/26/21 AND THE SYMPTOMS STARTED 3/3/21 AND THIS LASTED FOR 3 DAYS. THE FIRST DAY I TOOK 2 BENADRYLS AND THAT DIDN'T WORK THEN I GOT A DECADRON SHOT IT GOT SOME RELIEF THE NEXT MORNING I BROKE OUT IN HIVES AGAIN AND TOOK 3 BENADRYLS AND WAS ABLE TO GET SOME RELIEF. THE NEXT DAY MY TONGUE SWELLED AND THEN I WAS FINE THEREAFTER.

Other Meds: N/A

Current Illness: N/A

ID: 1089262
Sex: F
Age: 26
State: OK

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/10/2021
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: Latex, Strawberries, Avocado.

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Tightness in throat after 30 minutes, rash across chest. No previous adverse events to vaccinations previously.

Other Meds: Contrave

Current Illness: None

ID: 1089263
Sex: F
Age: 72
State: IL

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

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

Lab Data:

Allergies: none

Symptom List: Pharyngeal swelling

Symptoms: Patient received the Moderna vaccine on February 14, 2021 via Pharmacy; Pharmacy scheduled patient to receive her 2nd dose at the Covid Pod. Patient then received the Pfizer vaccination at the COVID Pod on March 10, 2021. No adverse reactions were witnessed after 30 minutes of observation.

Other Meds: none

Current Illness: none

ID: 1089264
Sex: M
Age: 55
State: IL

Vax Date: 03/05/2021
Onset Date: 03/07/2021
Rec V Date: 03/10/2021
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 known

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: about 36 hours after injection, after waking up, I had vertigo/dizzy spells when changing positions. These lasted over 24 hours depending on activity (which was not much as the early bouts were nauseating). In subsequent days, the dizziness has subsided to much more tolerable levels but still present after waking up or changing from laying down to standing up.

Other Meds: Daily vitamins - multivitamin, glucosamine supplement, fish oil supplement, ginko supplement, daily low-dose aspirin

Current Illness: no known

ID: 1089265
Sex: F
Age: 39
State: CA

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/10/2021
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:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Janssen COVID-19 Vaccine EUA. After the shot, at 11:55am, I felt a bit lightheaded but was fine overall. At about 7pm I stated feeling weak and developed a headache, body aches. Had dinner, took Tylenol (2 pills, about 325mg each) and went to bed. Woke up at 1:40am with a terrible body ache, headache, my feet and hands were warm but my torso felt as if I had an ice pack wrapped around it, and a fever was 99.5. I took Tylenol 3 pills (975mg), started sweating and felt better in about 20 min but couldn't sleep for about an hour. Woke up at 7am felt tired, went back to sleep bc of the body achs and headache, woke up at 2pm with fever 98.96F. Took 2 pills of Tylenol 500mg. Its 3:07 and I just feel weak and sore.

Other Meds: saysara for acne

Current Illness: had period

ID: 1089266
Sex: F
Age: 39
State: TN

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, sulfa drugs, erythromycin

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

Symptoms: I had an increasingly worse migraine that spread across my head and face. It lasted for over 12 hours. I was unable to open my eyes, talk, or withstand and noise or light. Ibuprofen nor Tylenol gave any relief. When the headache began to subside around 7 PM I developed a mild fever of 100 degrees and experienced chills. This lasted until I awoke the following morning. The next day I was very fatigued. Soreness at the injection site lasted 4 days.

Other Meds: Levothyroxine

Current Illness: None

ID: 1089267
Sex: M
Age: 65
State: AK

Vax Date: 02/12/2021
Onset Date: 02/19/2021
Rec V Date: 03/10/2021
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: Grass pollen

Symptom List: Rash, Urticaria

Symptoms: One week after getting the first Pfizer vaccine, my superficial vein thrombosis returned with a vengeance. I had gotten the vein ablation treatment several years ago for varicose veins, and the problems I had went away, but one week after the first shot, my calf muscle was swollen and felt sore and aching, and the rest of the leg was in pain, just like it was before getting the vein operation. The varicose veins returned and my leg now has prominent black and blue areas on it, like it had before my surgery. I'm returning to the vein clinic in two weeks for them to look at it. My leg still hurts. I should also add that my arm is still sore where they gave me the shot. My strength has not yet fully returned, even though I work out in the gym regularly.

Other Meds: Allopurinol, vitamin D, NAC, Quercetin, vitamin D, ginseng, ashwaghanda

Current Illness: None

ID: 1089268
Sex: F
Age: 76
State: TN

Vax Date: 02/13/2021
Onset Date: 02/25/2021
Rec V Date: 03/10/2021
Hospital: Y

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

Symptoms: Developed N/V ~2 weeks after 2nd covid vaccine. Presented to PCP, labwork revealed AKI and hyperkalemia. Sent to ED. Admission lab included SCr 8.55 mg/dL and K+ 5.7 mmol/L. Repeat K+ level 7.0 mmol/L (6 hours later). Pt admitted, vascath placed, emergently dialyzed. Further work up revealed positive anti-nuclear antibody, positive anti-nuclear antibody titer, and elevated glomerular basement membrane antibody. High dose steroids (methylprednisone 1g iv qday x 3 days) started for presumed vasculitis. Renal biopsy performed, results c/w severe crescentic acute glomerulonephritis. Treated with rituximab 375mg/m2, subsequently transferred to another facility for plamapheresis.

Other Meds: simvastatin, losartan, metformin, aspirin, hydrochlorothiazide, cholecalciferol, multivitamin c Fe

Current Illness: none

ID: 1089269
Sex: F
Age: 32
State: LA

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 03/10/2021
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: N/A

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

Symptoms: Felt chills, started shivering/shaking, temperature rose to 100 in 30 minutes. Went to 102 through the night even with aspirin at appropriate intervals. Next morning light headedness and low grade fever and nausea and a partial loss of taste and appetite. Continued into 48 hours. Third day nausea, loss of taste, appetite. Fourth day loss of appetite, nausea. Normal again day five.

Other Meds: SPRINTEC, LEVOCETIRIZINE, LIT PREWORKOUT.

Current Illness: N/A

ID: 1089270
Sex: F
Age: 63
State:

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/10/2021
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: alpha-gal red meat allergy CT scan contrast

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

Symptoms: Day 1 - received injectionwithin a fe minutes of administration I noticed a slight lightheadness and feeling "off" within half hour slight nausea began and headache began within hour muscles aches began with joint pain. Above symptoms progressively worsened by midnight was in pain and could not sleep. no fever. took tylenol and only had moderate relief. Day 2 -entire day severe muscle and joint pain - worst headache of my life, severe nausea and chills - no fever. double vision and dizzy Day 3 - same as day 2 - in evening - around 7 pm headache lessened so that it was tolerable with tylenol - muscle aches jopint pain the same Day 4 - headache tolerable, was able to eat. muscle pain better but joint pain still sharp Day 5 - headache sporadic and better - fatigue and muscle pain would come and go, joint pain not as sharp, extreme fatigue Day 6 - extreme fatigue - other symptoms much better

Other Meds: none

Current Illness: none

ID: 1089271
Sex: F
Age: 22
State: WA

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/10/2021
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: dairy, chicken, NSAIDS, latex, wheat, acetaminophen (listed on consent form) Also, she verbally reported had reaction to Humira (swelling on legs, rash)

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

Symptoms: Patient reported developing spotty rash on body and some itchiness on her nipples, no other symptoms reported. Advise her to get doctor recommendations on whether second dose is beneficial to the patient

Other Meds:

Current Illness:

ID: 1089272
Sex: F
Age: 69
State: CA

Vax Date: 02/18/2021
Onset Date: 02/25/2021
Rec V Date: 03/10/2021
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: Egg plant, carraway

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

Symptoms: Shingles

Other Meds: losartin/hctz, potassium, simvastin, montelukast, multiple vitamin, calcium, vitamin D, chondroitin

Current Illness: N/A

ID: 1089273
Sex: F
Age: 66
State: CA

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

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

Lab Data:

Allergies: penicillin, keflex, avelox

Symptom List: Ear pain, Hypoaesthesia

Symptoms: On 03/02 I experienced these mild symptoms: tenderness and soreness at the injection site, and fatigue. On 03/03 I started to experience these symptoms starting at 9:00 AM, body aches, headache, chills, dizziness, awful taste in my mouth, runny nose, nausea, which worsened to vomiting starting at 11:30AM and continued every 15 - 20 minutes until I was taken to Hospital at 3:37PM and was treated in ER with an IV of 1000cc's saline, IV Zofran, IV of Reglan, and 650mg oral Tylenol just prior to discharge.

Other Meds: none

Current Illness: none

ID: 1089274
Sex: F
Age: 49
State: TX

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: Penicillin , Erythromycin, Contrast Dye

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Only continued reactions have been from 1st dose my left arm is sore and hard to raise my arm. It pops when I move it around it is painful and just sore. After a few days became weeks I was concerned, but not knowing how long it should last I didn't ask my physician till today 3/10/2021 I just wanted to know if there are any solutions or if someone knows the duration it should last my 2nd dose was on the 3rd and that arm the right arm only hurt for a few days.

Other Meds: Acyclovir 400 mg 1 take 2 x a day so I took some in the a.m. and I take Vitamins B, C, D ,Zinc

Current Illness: I had Covid week of January 15th and quarantined, and took a retest with negative results

ID: 1089275
Sex: F
Age: 47
State: WA

Vax Date: 03/07/2021
Onset Date: 03/07/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: ibuprofen, penicillin

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

Symptoms: Severe Rash, Itchy Red Swollen Eyes

Other Meds: n/a

Current Illness:

ID: 1089276
Sex: F
Age: 59
State: NJ

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/10/2021
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: nka

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

Symptoms: Patient fainted in and out three times due to anxiety of needles

Other Meds: n/a

Current Illness:

ID: 1089277
Sex: F
Age: 67
State: AR

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

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

Lab Data:

Allergies: Compazine

Symptom List: Unevaluable event

Symptoms: 3 days later chills, achy, pain, hot, fever chrinic sinus drainage, nausea, ear ache

Other Meds: Generic synthroid, pantaprazole, lorazapam, generic ziac

Current Illness: Highh blood pressure, ibs, low thyroid

ID: 1089278
Sex: F
Age: 68
State: TX

Vax Date: 03/04/2021
Onset Date: 03/06/2021
Rec V Date: 03/10/2021
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: lisinopril

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

Symptoms: Mild headache, tired

Other Meds: Tylenol

Current Illness:

ID: 1089279
Sex: F
Age: 71
State: SC

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

Symptom List: Injection site pain, Pain

Symptoms: Patient said she was a little itchy 15 minutes after the injection- patient said she felt ok to leave, she was itching a little on both forearms. I advised patient to pick up some Benadryl and call me back if symptoms did not go away. Called patient to follow up.. phone went straight to voicemail will continue to call and check up on patient

Other Meds:

Current Illness:

ID: 1089280
Sex: F
Age: 49
State: FL

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: Sulf-based medication

Symptom List: Injection site pain, Menorrhagia

Symptoms: On day of injection experienced fever, chills, joint paint 12 hours after injection and for 24 hours. Joint pain continued into Monday and then redness began in arm 2" below the injection site. By Tuesday the arm was swollen and angry with the redness area increasing.. By Wednesday it was significantly hot and the area had continued to increase. I sought medical attention. Measurements were taken and I returned for follow up on Friday. On Friday my blood pressure was high (I do not have a history of high blood pressure) and I was running a low fever. My arm was still angry, sore and swollen. I was placed on antibiotics in case it was cellulitis given blood pressure medication and requested to monitor blood pressure.. By Friday evening, my right side of face was tingling my redness in arm was less and blood pressure was coming down. Over weekend, arm continued to lessen in area and redness. However, started waking with left sided headache and increased blood pressure (158/110) which decreased over course of day back to normal by early evening. Returned Monday for follow up. My arm was pink but significantly less angry, blood pressure still up in a.m. Next morning awoke with left headache, raised blood pressure and red rash up shoulder and neck area. Returned for medical visit Wednesday. Arm marbeled like and still sore to apply deep pressure, left side of face deep tingling and blood pressure 164/114 at Dr visit at 6:40 a.m. Continue with follow up visit tomorrow to run labs.

Other Meds: T3/T4 compound, Progesterone, Estrodiol, Vitamin D,

Current Illness: None

ID: 1089281
Sex: F
Age: 66
State: OH

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 03/10/2021
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: none

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

Symptoms: not able to control bladder fever body ache diarrhea light headed

Other Meds: lisinopril/HCTZ omeprazole potassium lovastatin loratadine

Current Illness: none

ID: 1089282
Sex: M
Age: 20
State: AR

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 03/10/2021
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: Nausea, Pain in extremity, Pyrexia

Symptoms: High fever, extreme shaking and chills, nausea. I was pretty much immobile from 11pm-3am (until I was able to fall asleep) on the day of vaccination (3/8/21). This happened immediately after I showered with hot water. The next day (3/9/21) until around 8pm I had a high fever, chills (not as bad but still pretty bad), headache, nausea, fatigue, and extreme muscle/joint pain particularly in my back and arms. I was unable to work, go to school, or do homework the entire day. After 8pm, I was down to a 100.4 fever and slight chills with mild nausea and fatigue. Today (3/10/21), I have mild muscle pain in my back and near the injection site. I took 400mg of ibuprofen every 6-8 hours from 3:00pm 3/8/21 (day of injection) to present with mild effects on pain and fever levels. I?m an infrequent user of ibuprofen. If I didn?t have someone with me the first night after the vaccination (3/8/21) I would have gone to the hospital.

Other Meds: Claritin Allergy Medicine (OTC)

Current Illness: None

ID: 1089283
Sex: F
Age: 56
State: DE

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: Sulfur

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Pharmacsit was training the helper how to do paperwork and aksed if I mind waiting, and I said no problem. After about 5 minutes she starts and wipes the arm with alcohol. She quickly inserts, injects and pulls needle out. There is then a puddle of watery blood tinged vaccine, a little bigger than a dime, on the top of my skin. I immediatly say to her that I didnt get my full vaccine in my arm. She says what. I again said, the medicine came out with the needle and i didnt get it all in my arm. She still had the needle in her hand at this point and then pushes to retract the needle. When she did this a little water/blood solution flicked from it then she inserts it in the sharps container. After she saw I was upset, she asked if I wanted he to take the needle back out so I could see it was empty. I said no I can see the vaccine sitting on my arm. I was in a mild shock, as I have been waiting for this. I have lost 4 family members to Covid and have had my hours reduced to work at home becasue it was advised by my Doctor to be careful and not wise to work around students at this time, so my job agreed to let me work from home. I have never bleed from a needle or vaccination. I am a nurse and know how to administer a needle. My opion is that she inserted and removed to quickly, as the line was forming with people waiting and she lost some time training. I also know she nicked a blood vessel, and the quick insertion and removal caused the medicine to travel out with the needle and wick up through the track created and out of the body. I feel cheated and vulnerable. I do not feel protected from this virus as I want my full vaccination to be covered. I thought I would finally be able to get my life back on track. As soon as it has been researched I want to beable to get vacicinated for what I didnt get in my body that day.

Other Meds: Mesalamine DR 1.2 GM for Ulcerative Colits

Current Illness: Ulcerative Colitis (Autoimmune Disease)

ID: 1089284
Sex: F
Age: 29
State: CA

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/10/2021
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:

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

Symptoms: Chest pain - non-radiating. BPs 131/81 (pulse 74), 119/69 (pulse 67), O2 sat 100%.

Other Meds:

Current Illness:

ID: 1089285
Sex: M
Age: 77
State: CA

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 03/10/2021
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, iodine

Symptom List: Nausea

Symptoms: Sore arm remainder of day of injection, discomfort (soreness) at night

Other Meds: Tamsulosin, Eliquis, Atorvastatin, Metropolol, Clopidogrel, Pantoprazole, Kevita Kombucha Ginger, Vit D3, Vit C

Current Illness:

ID: 1089286
Sex: F
Age: 51
State: MI

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: sulfa contraindicated (SLE) shellfish & avocado allergy

Symptom List: Injection site pain

Symptoms: sore arm, started too get dizzy and unsteady about 5:00 pm on vaccination day. Thinking became off- brain fog. Tried to open house front door by clicking my car key unlock button a few times. Later when unloading the dishes that same night I couldn't remember where we store our pots. This is not typical at all. I woke up in the middle of the night with full body sweats but no fever or chills and a sore arm. My arm swelled up (not red at all) quite a bit that next day. Around 4 inches around the area of injection. I iced it a lot. About a week later, my arm started itching and got a small blotchy area or two. Nothing too bad. My lymph node under my armpit on same side as vax started to swell a lot. Around that same time I also got diarrhea for 2 days then it stopped abruptly. My arm still itches of and on and is sore.

Other Meds: dulera 200 inhaler, 81 ms aspirin, pantoprazole, hydrochlorothiazide, Cymbalta 30, plaquenil 200, Singulair, calcium with D, D3 2000

Current Illness: just long standing chronic health issues (SLE- systemic lupus, fibromyalgia, asthma)

ID: 1089287
Sex: F
Age: 62
State: TX

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/10/2021
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: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Chills, severe headache, fever (101-103) , fatigue, throwing up, nausea, heart palpitations and COVID Arm Rash. (still have rash)

Other Meds: Metoprolol 25mg Triamterene 25 mg Simvastatin 20mg

Current Illness: none

ID: 1089288
Sex: F
Age: 24
State: VA

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 03/10/2021
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: Headache and overwhelming exhaustion of 1.5 days duration starting approximately 1 hour after vaccination. Lethargy and mental fog of >2 days post vaccination starting 1 hour after vaccination

Other Meds: June?s FE, multivitamin

Current Illness:

ID: 1089289
Sex: M
Age: 50
State: CA

Vax Date: 03/01/2021
Onset Date: 03/02/2021
Rec V Date: 03/10/2021
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: Ampecillan and trovofloxacin

Symptom List: Tremor

Symptoms: Puffyness on upper right chest one day after. Subsided in a day and then a slight painful (like a sunburn feeing) point which seemed to be on a lymph node site near collar bone for a couple days. Then on the seventh day, redness and swelling on upper chest in same area. Got worse for two days then began to get better. Spot grew initially but then stopped growing. Slightly itchy, slightly painful, and very warm on second day.

Other Meds:

Current Illness: Pinched nerve in shoulder near area of reaction

ID: 1089290
Sex: F
Age: 37
State: CA

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/10/2021
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: NONE

Symptom List: Erythema, Pruritus

Symptoms: Pt reported itching 26 mins after vaccine. Evaluated by EMT and itching resolved.

Other Meds: NONE

Current Illness: NONE

ID: 1089291
Sex: M
Age: 31
State: TX

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 03/10/2021
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:

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

Symptoms: Pretty bad headache, chills, fever, and body aches. Pretty badly fatigued and sore arm.

Other Meds:

Current Illness:

ID: 1089292
Sex: M
Age: 29
State:

Vax Date: 03/10/2021
Onset Date: 03/11/2021
Rec V Date: 03/10/2021
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

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

Symptoms: Fever and restlessness for about two hours, followed by low-grade headache, and body ache, generally feeling tired.

Other Meds: None

Current Illness: None

ID: 1089293
Sex: M
Age: 74
State: AZ

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 03/10/2021
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: iodine

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: pt had headache, body aches and tiredness pt was advised to take tylenol and adequate hydration.

Other Meds: Aspirin 81 mg clonazepam .5 mg Lisinopril 2.5 mg Atorvastatin 40 mg Metformin hci 500mg Gabapentin 100 mg Alprazolam 0.25mg Acetaminophen 500mg

Current Illness: none

ID: 1089294
Sex: F
Age: 32
State:

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

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

Symptoms: Patient noted erythema and urticaria within 5 minutes after vaccine. Given Zyrtec 10mg and water. Currently feeling better at this time.

Other Meds:

Current Illness:

ID: 1089295
Sex: F
Age: 75
State: DE

Vax Date: 03/07/2021
Onset Date: 03/08/2021
Rec V Date: 03/10/2021
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: NKA

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

Symptoms: head ache, nausea, vomiting, extreme fatigue

Other Meds: crestor, diltiazem,lisinopril

Current Illness: none

ID: 1089297
Sex: M
Age: 79
State: IL

Vax Date: 03/07/2021
Onset Date: 03/08/2021
Rec V Date: 03/10/2021
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: Pain in extremity

Symptoms: Fever ( temp 100.5 ), chills and body shaking Legs very week, barely walk and legs collapsed twice so went to bed for most on day. Slight metal taste in mouth. Didn't want to eat. Shot on Sun., down for count on Mon.,felt better on Tues and Ok by Wed.

Other Meds: Metoprolol 25mg Triamterene 25mg ( half tablet each day )

Current Illness: None

ID: 1089298
Sex: M
Age: 65
State: AZ

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: NKA

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

Symptoms: Approx 6-7 hrs post injection, chills, body aches, stuffy nose, sneezing began, subsided in 30 hrs. S/Sx identical to sinus infection sec to pt's seasonal allergies.

Other Meds: none

Current Illness: none

ID: 1089299
Sex: F
Age: 94
State: VA

Vax Date: 03/06/2021
Onset Date: 03/08/2021
Rec V Date: 03/10/2021
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: Allergies to blood pressure medicine

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

Symptoms: Face swelling and neck pain, went away after a few days with no treatment

Other Meds: Baby aspirin, Clopidogrel 75 mg, Atorvastatin 20 mg, vitamin D, vitamin B12

Current Illness:

ID: 1089300
Sex: F
Age: 69
State: PA

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/10/2021
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: None

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

Symptoms: High fever (101.4 - 102), from evening of injection and continuing through Monday, March 8. Currently continuing fever of 99+ unless ibuprofen is taken (March 10, 6:15 p.m.) - fever returns after several hours. Exhaustion, foggy thinking, nervousness.

Other Meds: Multi vitamin, Vitamin D, Vitamin B complex, calcium, biotin

Current Illness: None

ID: 1089301
Sex: F
Age: 54
State: MO

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 03/10/2021
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: Moderna COVID-19 Vaccine EUA Rapid heart rate up to 124- visited primary care provider around 3 PM she checked heart rate, blood pressure, told me it was a side effect of vaccine. Told me to monitor symptoms and report if things get worse. No other treatment given. Heart rate is going down now it is 106. But now running low fever time now is 5:18 PM

Other Meds: Baby aspirin, Amlodipine 5 mg, Bupropion 150 mg, Glimepiride 2 mg, Hydrochlorothiazide 25 mg, Losartan 100 mg, Vitamin D3 2000 intl, multivitamin, cranberry oral capsule, omega-3 1000 mg x2, Beet tablets 2 capsules 500 mg each and Magnes

Current Illness:

ID: 1089302
Sex: M
Age: 79
State: IN

Vax Date: 03/03/2021
Onset Date: 03/09/2021
Rec V Date: 03/10/2021
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: none known

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Within 4 hours of vaccination my arm swelled up noticeable, became very stiff and sore and made it painful to move my left arm. By 8:00pm I began to feel weak, tired and poorly. By 11:pm I had developed a fever and aches and pains in most joints and muscles which mimicked flu symptons. During the night I became chilled and found it hard to sleep from all of the discomfort. Most of these symptons were almost gone by the next night except for the swelling, which took another 2 days to go down. I have had no other symptons since then.

Other Meds:

Current Illness: none

ID: 1089303
Sex: F
Age: 57
State: FL

Vax Date: 03/01/2021
Onset Date: 03/06/2021
Rec V Date: 03/10/2021
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: No known drug or food allergies

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

Symptoms: Patient developed a swollen area, red in color and warm to touch, 3-5 inched below the injection site. The event occured approximately 5 days after vaccination. The patient did seek medical attention at an urgent care facility. The medical staff informed her to take benadryl and report adverse event to the pharmacy she received the vaccine at.

Other Meds: N/A

Current Illness: None documented / discovered

ID: 1089304
Sex: F
Age: 71
State: KY

Vax Date: 03/07/2021
Onset Date: 03/08/2021
Rec V Date: 03/10/2021
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: PATIENT CALLED THE PHARMACY TODAY TO STATE THAT APPROXIMATELY 18 HOURS POST INJECTION THE PATIENT STATED EXPERIENCING EXTREMELY SORE ARM. THIS RADIATED UP TO PATIENTS NECK AND CONTINUED TO CAUSE JOINT PAIN ALL OVER ENTIRE BODY. PATIENT HAS ALSO EXPERIENCED CONSTANT RINGING OR BUZZING IN THE EARS.

Other Meds:

Current Illness:

ID: 1089305
Sex: F
Age: 51
State: FL

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/10/2021
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: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: Leg/foot cramp, vision blurry, headache, body heat, no fever

Other Meds: Cyanocobalamin, Montelukast, Sertraline, D-Amphetamine Salt Combo, OTC Allergy, OTC Caffeine, Vitamins for Rouen-Y without binders/fillers

Current Illness: No

ID: 1089306
Sex: F
Age: 32
State: PA

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

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

Symptoms: Pt was given shot at 404 PM. At 415pm pt felt dizzy and warm. Pt was given benadryl liquid at 424pm by mouth. Epi-pen was on hand but never used. Pt went home with mother at 435pm and said she was feeling better. Pt stated that they have benadryl at home and pt would be monitored through the night.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm