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: 1098356
Sex: M
Age: 49
State: NJ

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/14/2021
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: NKA reported

Symptom List: Dysphagia, Epiglottitis

Symptoms: 12:45 Post vaccination reports episode of nausea; medical monitoring x 30 min w/no additional symptoms noted or complaints; vitals assessed, BP 116/81 P79 ; released from facility home

Other Meds: None reported

Current Illness:

ID: 1098357
Sex: U
Age:
State: MA

Vax Date:
Onset Date:
Rec V Date: 03/14/2021
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: No

Symptom List: Anxiety, Dyspnoea

Symptoms: Aching all joints heavily. Persisted until today

Other Meds: Amiodarone Elliqous Torsemide Lanotragine Donepizil Atorvastin Amzulosin

Current Illness: 0

ID: 1098358
Sex: F
Age: 29
State: PA

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/14/2021
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: Cefuroxime

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

Symptoms: Patients father stated the patient had a severe rash on her stomach the evening she received the vaccine.

Other Meds: Duloxetine, Pantoprazole, Spironolactone,

Current Illness: None listed on immunization consent form.

ID: 1098359
Sex: F
Age: 72
State: VT

Vax Date: 03/04/2021
Onset Date: 03/12/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: Penicillin Sulfur

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Day 1: Symptoms began with dizziness when getting up from a reclined position. Day 2: Mild vertigo symptoms began to appear throughout the day. Location of shot on upper arm began to itch; rash appeared. Itching worsened. Day 3: (Today) Feeling vertigo with head movements. Rash area is larger and red -- about the 3" diameter.

Other Meds: Synthroid 75mg Cytomel 5mg Vitamin D, C, B12 Lysine

Current Illness: None

ID: 1098360
Sex: M
Age: 68
State: UT

Vax Date: 03/04/2021
Onset Date: 03/11/2021
Rec V Date: 03/14/2021
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: Mild itching red rash about 3 inches in diameter. No treatment.

Other Meds: Benazepril 20mg Hydrochlorothiazide 12.5 mg Atorvastatin 20mg Finasteride 5mg CoQ10 100 mg B6, B12, Folic Acid Garlic 1800 mg

Current Illness: None

ID: 1098361
Sex: F
Age: 40
State: PA

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/14/2021
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: Chills, fever, body aches, headaches, fatigue

Other Meds: Sertraline Bupropion

Current Illness: None

ID: 1098362
Sex: F
Age: 58
State: OH

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/14/2021
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: amoxicillin dairy FloNase (not day-of vaccine)

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Injection about 1:20 pm. By 7 pm, developed body aches, then chills, headache, upper jaw ache. Fever 100.2F overnight. Minor stomach queasiness. Treated with acetominophen which gave some but not total relief. 11 am day after injection still experiencing backache and headache, mild queasiness. Injection site mildly sore.

Other Meds: Calcium/Vitamin D supplement

Current Illness: None

ID: 1098363
Sex: M
Age: 42
State: GA

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: Any of the ?quin? ending drugs

Symptom List: Pharyngeal swelling

Symptoms: I had the vaccine at 4:00 PM. I woke up at 12:05 AM with severe chills that turned into uncontrollable shaking for the next hour and twenty minutes. The shaking stopped at that time and my temperature went from 101.1 to 102.5. My skin was warm and I began to be very clammy. Around 3:45 AM, the fever broke and I was down to 99.5. I?ve subsequently had muscle aches and the feeling of being fatigued.

Other Meds: None

Current Illness: None

ID: 1098365
Sex: F
Age: 69
State: VT

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/14/2021
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: Very sharp pain about one inch below left collarbone, halfway between neck and shoulder. Remained noticeable, and very sensitive to touch, for 8 hours. Gone the next morning. About 6 hours after injection had frequent need to clear my throat that occurred for about 3 hours.

Other Meds: loratadine, levothyroxin, fluoxetine, latanoprost, brimonidine, calcium + Vitamin D

Current Illness: none

ID: 1098366
Sex: F
Age: 69
State: OR

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 03/14/2021
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: excruciating radiating pain in left arm/ great difficulty moving arm/ swelling on top of shoulder two weeks later I still have a lot of pain in my shoulder joint two tele -health consultations with physician/ 3/01/21 and 3/12/21

Other Meds: moexpril/felodepine/hrdroclorithiazide

Current Illness:

ID: 1098367
Sex: M
Age: 74
State: NJ

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 03/14/2021
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: Redness patch in groin area. Left wrist, feels like a sprain.

Other Meds: lisinopril atorvastatin calcium

Current Illness: none

ID: 1098368
Sex: M
Age: 38
State: ME

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 03/14/2021
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: None

Symptom List: Rash, Urticaria

Symptoms: Experience sudden sensorineural hearing loss and tinnitus in left ear that caused complete deafness approximately 17 hours after second dose. Treated with oral prednisone and intratympanic injection of dexamethasone. Have since recovered hearing approximately one month post-vaccine.

Other Meds: None

Current Illness: None

ID: 1098369
Sex: F
Age: 77
State: IN

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: sensitivity to statins and pneumonia vaccine

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

Symptoms: 6 hours after injection total body muscle aches , tired, followed over next 24 hours by chilling, temp 100.6, nausea (vomited once), headache. Next 12 hours less ache, no fever, headache persists.

Other Meds: Amlodipine 10mg, Benazipril 20mg, Synthroid 50mcg, zetia 10mg, Vit C 500mg, multivitamin, prilosec, fish oil, aspirin 81mg, calcium

Current Illness: none

ID: 1098370
Sex: M
Age: 69
State: AL

Vax Date: 03/11/2021
Onset Date: 03/13/2021
Rec V Date: 03/14/2021
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: Penicillin Vancomycin

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

Symptoms: Site pain for 24 hours. Tylenol 3 and Gabepentin Severe nerve pain in the tongue for 15 hours. Tylenol 3 and Gabepentin.

Other Meds: Micardis Tizac Hydralazine Metformin Glipizide Crestor Gabapentin Valtrex Cialis (PRN) Naproxin (PRN) Tylenol-3 (PRN) Adult Multi-Vitamin Tylenol Arthritus

Current Illness: None

ID: 1098371
Sex: F
Age: 26
State: OH

Vax Date: 03/13/2021
Onset Date: 03/14/2021
Rec V Date: 03/14/2021
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: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: Woke up with a sore arm, muscle aches, a fever, and a headache

Other Meds: Lisinopril, Carvedilol, Vitamin D, VirtCaps, Doxazosin, NiFedipine,

Current Illness: None.

ID: 1098373
Sex: F
Age: 67
State: DE

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/14/2021
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: seasonal allergies,

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

Symptoms: Tolerated vaccine fine. Opened system to discover a dose of pfizer vaccine given 1 week earlier. Contacted patient who says this is incorrect. Department of Health encouraged filling out VAERS

Other Meds: singulair 10 daily, ambien 10 nightly, ventolin 2 pufs q6hr prn ,

Current Illness:

ID: 1098374
Sex: F
Age: 75
State: VA

Vax Date: 02/24/2021
Onset Date: 03/02/2021
Rec V Date: 03/14/2021
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: Celebrex IVP dye

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

Symptoms: Severe shortness of breath . Tachycardia with pulse of 167. Hospitalization & cardio version Itchy rash of left upper arm

Other Meds: Flecanide, Eliquis, Losartan, Chlorathalidone Xyzal Nexium Singulair Atorvastatin Stiolito respiromat Dymista

Current Illness: Hx HTN Hx atrial fib Hyperlipidemia Gerd/ hiatal hernia Repair of abdominal aortic aneurysm Ablation of leg veins for PVD

ID: 1098375
Sex: M
Age: 34
State: NY

Vax Date: 02/27/2021
Onset Date: 03/05/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List: Ear pain, Hypoaesthesia

Symptoms: On Day 6 post vaccination, noticed slight tenderness near injection site. On Day 7 a rash developed and it was warm to the touch. On Day 8, some pain developed in addition. On Day 9, the rash grew in size and was itchy. On Day 10, it was almost cleared up. On Day 11, it appeared gone, On Day 12, the rash *re-appeared* but had grown in size. On Day 13, the rash was even bigger - had spread further down my arm. By Day 14, it had almost disppeared. On Day 5, I noticed a swollen lymph node near my left clavicle. On Day 6, this lymph node had swelled and now there was pain. I also experienced slight discomfort under my left armpit. The pain associated with the clavicle lymph node lasted until Day 8. As of Day 14, the lymph node is still swollen.

Other Meds: Zoloft

Current Illness: None

ID: 1098376
Sex: F
Age: 67
State: NY

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/14/2021
Hospital: Y

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

Lab Data:

Allergies: IV dye

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: 3/9/21 PM headache, 3/10/21 AM fever, generalized achiness, 3/11/21 bilateral hand swelling and rash on hands, diffuse itching. 3/14/21AM swelling around eyes. continues itching. continued fever. swelling in hands improved.

Other Meds: amlodipine, aspirin, atorvastatin, Plavix, vitamin B12, Nexium

Current Illness: TIA 2/19/21

ID: 1098377
Sex: M
Age: 23
State: CA

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: 12:00 AM: Sore Muscles, Nausea 04:30 AM: Vomiting, Fever (107.4 ?F). No treatment provided. Symptoms resolved naturally by 13:00 (1PM) 03/12/21.

Other Meds:

Current Illness:

ID: 1098378
Sex: F
Age: 19
State: KY

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 03/14/2021
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: n/a

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

Symptoms: hives, rash, swelling of hands, feet, and lips, flu like symptoms

Other Meds: n/a

Current Illness: n/a

ID: 1098379
Sex: F
Age: 74
State: AZ

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: Morphine

Symptom List: Unevaluable event

Symptoms: Moderna COVID?19 Vaccine EUA Nausea, Headache, Fever (102.3 @ 5:00am 3/14) Extreme tiredness

Other Meds: Alendronate- 70mg- 1x/day

Current Illness: None

ID: 1098380
Sex: F
Age: 57
State: IA

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/14/2021
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: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: Patient presents today from the vaccine clinic with concerns for tongue swelling. She states she got her first dose of the Pfizer COVID vaccine today and shortly after developed some swelling in her tongue. She was given a dose of 25 mg of benadryl. She feels much better now that she is at the clinic and wonders if her tongue was just dry.

Other Meds:

Current Illness:

ID: 1098381
Sex: F
Age: 52
State: FL

Vax Date: 03/06/2021
Onset Date: 03/13/2021
Rec V Date: 03/14/2021
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: Started with itching sensation, site started to feel numb and heavy, warm, swollen, red. The eyes also started to itch. I feel tired and chills.

Other Meds: None

Current Illness: None

ID: 1098382
Sex: F
Age: 35
State: VA

Vax Date: 03/13/2021
Onset Date: 03/14/2021
Rec V Date: 03/14/2021
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/Amoxicillin

Symptom List: Injection site pain, Menorrhagia

Symptoms: (Moderna COVID-19 Vaccine) I received my Inoculation in my upper left arm & by approximately 10 hours later, I have what looks like a knot the size of a golf ball (or maybe a tad bit larger) at the injection site. My arm is warm & sore to the touch at injection site. My entire left arm hurts, but much more pain from my elbow to my shoulder.

Other Meds: Vitamin E Women?s Daily Multi Vitamin Gabapentin Xanax Tegretol Wellbutrin Melatonin

Current Illness:

ID: 1098383
Sex: F
Age: 65
State:

Vax Date: 03/14/2021
Onset Date: 03/14/2021
Rec V Date: 03/14/2021
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: Bee sting, PCN, sulfa ---all anaphylactic. Other allergies as well-CapsaicinHIVES Ceftriaxone SodiumRASH Compazine [Prochlorperazine Maleate]Muscle Spasm Hylan G-f 20SWELLING LansoprazoleHEADACHES, DIARRHEA Reclast [Zoledronic Acid]Other (See Comments)

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

Symptoms: Headache after vaccine; denied vision changes, trouble breathing, no lightheadedness. Reports headache 3 hours after first vaccine; reported to MD "if severe, seek medical care". Will be following up with MD tomorrow (as is Sunday); Neurologist (seizures, hx stroke) on Wednesday. HA same as when started 8/10; VSS; BP 132/80. Last time, took tylenol for headache; rested in "dark room" (gets migraines). Has BP cuff at home, pulse ox. Will f/u if symptoms worsen.

Other Meds:

Current Illness:

ID: 1098385
Sex: F
Age: 25
State:

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/14/2021
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: Sulfa drugs

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Fever of 101, intense body aches, chills, headache, and vomiting that lasted for 6 hours. Triggered dehydration and fatigued... fever and headache lasted 36 hours

Other Meds:

Current Illness:

ID: 1098386
Sex: F
Age: 50
State: IN

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, erythromycin, cephalosporins,

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Violent shaking, chills, mild fever, about an hour

Other Meds: Olly Women?s vitamins, immunity supplement, estroven

Current Illness: No

ID: 1098387
Sex: F
Age: 66
State: IN

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/14/2021
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: Penicillin

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

Symptoms: Chills, body aches 6 hours after vaccine. Treated with ibuprofen regularly that day/night. The following day, continued with ibuprofen all day. No chills or body aches, just tiredness and foggy head. Second day post vaccine, I felt fine.

Other Meds: Celexa Synthroid

Current Illness: None

ID: 1098388
Sex: F
Age: 62
State: AZ

Vax Date: 03/04/2021
Onset Date: 03/13/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: sulfa, shrimp

Symptom List: Nausea

Symptoms: day 9 post injection redness and mild itching at injection site

Other Meds: losartan, metoprolol, low dose aspirin, vitamin D, Multi vitiman, fish oil, probiotics echinacea, zinc, elderberry

Current Illness: no

ID: 1098389
Sex: F
Age: 52
State: IN

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 03/14/2021
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: Major chills, body aches, headache and fatigue. Slept 17 hours within a 24 hour period starting at 26 hours after injection. Symptoms improved about the 48 hours mark following injection

Other Meds:

Current Illness:

ID: 1098390
Sex: F
Age: 58
State: FL

Vax Date: 02/26/2021
Onset Date: 03/03/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: Cherries, Bee Sting

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

Symptoms: Arm was extremely sore for 24-48 hours. Aching from shoulder to below elbow is still present now over two weeks later - worse if I sleep on it. On Mar 3 both arms went completely limp and then discomfort/pain in upper back/neck area. Also became slightly nauseous and light headed. On Mar7 the exact symptoms happened again. I went to emergency room. Was also sent to a Cardiologist. So far nothing extreme has shown up. Mar 14 I had similar pain/discomfort in upper back/neck, but no limp arms. I'm advised to see a Neurologist, but am worried I won't get there before my next shot on Mar 18.

Other Meds: Baby Aspirin (day before), Multi Vitamin, Vit D3 5,000, Vit C 1 gram, Zinc 25, Tumeric 500mg.

Current Illness: Poly Vera (Blood Cancer) Blood count was good at time of vaccine. AVN in right foot. Possible CRPS in right foot, from initial fracture. Inflammation Circulation, High Cholesterol

ID: 1098391
Sex: F
Age: 35
State: CO

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: I woke up with a low grade fever (100), chills, body aches, hot and cold sweats, nausea and extreme headache. These symptoms lasted around 12 hours. The headache lasted for 2 additional days. My injection site was red, had a welt and warm to the touch. It hurt for 3 days.

Other Meds: None

Current Illness: None

ID: 1098392
Sex: F
Age: 24
State: PA

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Tremor

Symptoms: Fever of 102 degrees, Vomiting, Diarrhea, Cold sweats, Headache, Body Aches, Sore Arm, Inability to sleep

Other Meds: Apri (Birth Control), Zoloft, and Zyrtec

Current Illness: None

ID: 1098393
Sex: F
Age: 65
State: IN

Vax Date: 03/10/2021
Onset Date: 03/11/2021
Rec V Date: 03/14/2021
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: Very tender and swollen lymph nodes on left side -- continued low energy - sore throat and cough when lying down. (I know the lymph nodes are from the injection -- not sure about the rest of it.) Not overly concerned -- just reporting so you have accurate data.

Other Meds: Levothyroxine .088mg-- Magnesium 400mg -- Vitamin D3 - 50mcg (2000IU) -- Vitamin C 1000mg

Current Illness: none

ID: 1098394
Sex: M
Age: 78
State: NY

Vax Date: 02/28/2021
Onset Date: 03/09/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: NONE

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

Symptoms: Moderna COVID-19 Vaccine Vaccine injected in left arm. BURNING SENSATION IN LEFT UPPER ARM WHEN THE ARM IS STRETCHED..

Other Meds: NONE

Current Illness: NONE

ID: 1098395
Sex: F
Age: 74
State: FL

Vax Date: 03/02/2021
Onset Date: 03/02/2021
Rec V Date: 03/14/2021
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: Lisinopril, Vibramycin, Amoxicillin

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

Symptoms: Bruising and hematoma at injection site, approximately 4.5" in diameter. Not resolved after 12 days. Rectal bleeding on 3/12, 2021, Gum bleeding twice in 12 days. Bruise on left forearm.

Other Meds: Metoprolol, Simvastatin, Amlodipine, Sertraline, Clonazepam, Ocuvite, Vitamin C, Vitamin D3, IBgard, Probiotics

Current Illness:

ID: 1098396
Sex: F
Age: 50
State: TX

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 03/14/2021
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: Sulfa based medication

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Within 20 minutes of leaving the facility both arms broke out in hives. My feet, legs, hands, arms and head have all swelled and the "COVID-19 Arm" rash has covered the majority of my body. It moved proportionally up from the tips of my toes and fingers up my legs and arms, up my neck and head (face), and this past Friday I saw the first redness on my torso. The rash burns and is tight. Last Thursday I had a lump come up in my ankle which seems to be growing, my doctor sent me for an x-ray which I went on Friday as I was so wiped out emotionally Thursday that I needed to go home and sleep. I have what appears to be bruises or spots starting to appear on my body. I'm maxed out.

Other Meds: LEVOTHYROXINE 75MCG Theroid Solifenacin 10mg - Bladder Escitalioram - 20mg - stress Phentermine 37.5mg - diet Pramipexole 0.5mg - restless leg syndrome Levocetirizine 5mg x 2 or 3 for hives

Current Illness: no, I felt great. I did have spine surgery on the 22nd of January. Surgery went off without a problem as was the healing process.

ID: 1098397
Sex: F
Age: 54
State: IL

Vax Date: 03/12/2021
Onset Date: 03/14/2021
Rec V Date: 03/14/2021
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: Injection site pain, tenderness, pain under right armpit, fatigue, headache, muscle pain, joint pain and chills.

Other Meds: Tylenol

Current Illness: NONE

ID: 1098398
Sex: F
Age: 53
State: GA

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/14/2021
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: None

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

Symptoms: Sore arm, chills and fever, severe headache

Other Meds: Daily vitamin, B-12, Calcium chew, stool softener

Current Illness: None

ID: 1098399
Sex: F
Age: 25
State: CA

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: Latex

Symptom List: Pain in extremity

Symptoms: Hemifacial Spasms on left side, lip eye, forehead, nose area. Began 40 minutes after receiving vaccine. Has been almost 24 hours and no relief.

Other Meds:

Current Illness:

ID: 1098400
Sex: F
Age: 60
State: IN

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: Tape-topical;

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

Symptoms: Nausea and vomiting, dizziness, stomach upset, no appetite, headache

Other Meds: Gabapentin; SSRIs; Tizanidine; Tylenol Arthritis

Current Illness: Tooth abscess w/ removal

ID: 1098401
Sex: F
Age: 26
State: PA

Vax Date: 02/13/2021
Onset Date: 03/08/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: I started having tingling of my left lower lip 3/7 that continued to increase to 3/10 and has remained the same since. The numbness/tingling feel is isolated to left lip and chin and slightly feeling occasionally of the left gums. Touching region makes the region feel icy cold. It feels as thought the lip and chin is enlarged and hypo-tone and cold. When a nurse examined lower lip and chin noticed no change in tone or temperature. Symmetrical facial expression.

Other Meds: none

Current Illness: none

ID: 1098402
Sex: F
Age: 54
State: OH

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/14/2021
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: Bee stings, Sulfa Antibiotics, Bactrim, Avelox, erythromycin

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

Symptoms: Lupus flare and hives

Other Meds: Hydroxychloriquine, Atenol, Protonix, Flexirol - daily: Sprix, Predinisone, Deuxis - as needed

Current Illness: None

ID: 1098403
Sex: F
Age: 65
State: CO

Vax Date: 03/08/2021
Onset Date: 03/11/2021
Rec V Date: 03/14/2021
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: Sulfa, adhesive tape

Symptom List: Vomiting

Symptoms: Developed macular papular rash on upper left trapezius about 1 in in diameter with small clear fluid papules and another spot over the left scapula with clear fluid papules over left scapula about 1 in in diameter including area of erythema around lesions at 72 hours post second shot. At 96 hours 4 spots of rash on upper middle chest and left lateral upper chest. Clear fluid oozes from papules and lesions scab over. Severe itching. Also tenderness and tightness over left trapezius.

Other Meds: Montelukast, albuterol, soma, allegra

Current Illness: None

ID: 1098404
Sex: M
Age: 54
State: CT

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/14/2021
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: N/A

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: For about 14+ hours after, my urine was thicker and a dark yellow in color, most of the time, a lot liker "the first one of the day." Even with good hydration, there was still a light yellow color, not clear, as it should have been. No pain, it smelled a little and I mention this as I've not seen it as a side-effect listed anywhere else.

Other Meds: Testostrone, Lisinopril, Busperone, Iron, Calcium, Simvastatin

Current Illness: N/A

ID: 1098405
Sex: M
Age: 41
State: TX

Vax Date: 03/03/2021
Onset Date: 03/11/2021
Rec V Date: 03/14/2021
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: None

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

Symptoms: About 6 cm area of redness, swelling, warmth, itching, and soreness on the left arm at injection site most noticeable around a week after shot

Other Meds: Zyrtec 10 mg, probiotic, Men?s one a day multivitamin

Current Illness: None

ID: 1098406
Sex: F
Age: 35
State: CO

Vax Date: 02/21/2021
Onset Date: 02/21/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: I had a fever (101.5) off and on for 18 hours. Muscle aches, hot and cold sweats, extreme headache, nausea and vomiting. Those symptoms lasted until 9pm on 2/22/21. My injection site was sore and warm to the touch. That lasted 2 days total.

Other Meds: None

Current Illness: None

ID: 1098407
Sex: M
Age: 67
State:

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 03/14/2021
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: put in a drop-down menu

Other Meds:

Current Illness:

ID: 1098408
Sex: F
Age: 62
State: IN

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/14/2021
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: None

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

Symptoms: High fever; chills; body / joints ache; lethargic

Other Meds: Lisinopryl Sudafed Sertraline Synthroid

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm