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**
PLEASE CHECK BACK SOON
Download the files above while you wait.






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: 1102223
Sex: F
Age: 85
State: OH

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/15/2021
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: Benadryl

Symptom List: Dysphagia, Epiglottitis

Symptoms: Several minutes after vaccine patient complained of dizziness and "feel funny". Also complained of "legs feel weak". Stated she usually does not have issues after vaccines/shots. States left arm "hurts" but had vaccine in right arm. She has history of cardiac stents.

Other Meds: Not available

Current Illness: Not available

ID: 1102224
Sex: F
Age: 54
State: OH

Vax Date: 03/13/2021
Onset Date: 03/14/2021
Rec V Date: 03/15/2021
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: cipro

Symptom List: Anxiety, Dyspnoea

Symptoms: low grade fever, chills, body aches, headache so bad that meds would not help, dizziness, frequent urination the day after, blurred vision and fatigue.

Other Meds: omeprazole 20mgt-1/d, Bayer baby aspirin 80mg-1/d, meloxicam, gabapentin 100mg-1/d, multi vitamin, probiotic, magnesium 500mg-1/d, Tylenol 500mg-1/d, Standard Process-cardio-Plus GF, Standard Process-Sesame Seed Oil, Standard Process-Cyrut

Current Illness:

ID: 1102225
Sex: F
Age: 48
State: PA

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/15/2021
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: Body aches, fatigue, sleeplessness, restless, uncontrollable shaking, feeling cold,, sore and tender at injection site, headache (full band front and back), fever, sweating, heavy feeling in chest, occasional cough.

Other Meds: Aimovig

Current Illness: None

ID: 1102226
Sex: M
Age: 51
State: MN

Vax Date: 03/13/2021
Onset Date: 03/14/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: None that I am aware of.

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: From what I am being told and Google, my lymph nodes in the armpit are swollen. Quite scary to not know and not be able to reach anyone about it. Aches and pains are a discomfort to say the least, but add a tennis ball size swollen mass under your arm pit and you get concerned. You should have a 24/7 hotline or something or add this to your possible side effects at least.

Other Meds: Ibuprofen.

Current Illness:

ID: 1102227
Sex: M
Age: 29
State: IN

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 03/15/2021
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: Pt started to have a reaction approx 10 minutes after administration. Pt was diaphoretic, short of breath, feeling very faint and nausea. Healthcare provider was notified and pharmacy immediately provided epi pen. 911 was called and epi injection was applied to L upper thigh. Pt never lost conciousness and no vomiting noted. EMS arrived and assessed patient. EMS discussed transport to ED, pt declined. Pt was alert and oriented and walked to car on own. Pt was advised by EMS to seek additional care at ED or pcp of thier choice and to call 911 for any additional complications, pt verbalized understanding.

Other Meds: unknown

Current Illness: none

ID: 1102228
Sex: M
Age: 71
State: MA

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 03/15/2021
Hospital: Y

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: Yes history of multiple episodes of anaphylaxis in life time.

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

Symptoms: Nearly immediate onset of throat tightness, facial swelling, difficulty breathing. Became unable to talk. Epinephrine, benedryl and zofran were immediately administered by on-site paramedics. Was able to talk after administration of Epi. Was transported to hospital via ambulance. We later heard that he had another episode within the hour and was admitted for observation.

Other Meds: Unknown.

Current Illness: None known.

ID: 1102229
Sex: F
Age: 78
State: WI

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/15/2021
Hospital: Y

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 (cough), Pioglitazone (ankle swelling), Sulfa (rash

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Admitted to hospital 3/13 with encephalopathy for monitoring. Discharged 3/14. At the beginning of ED visit, Patient did not know her daughter's name. She was unable to lift her legs at home when daughter tried to help patient to dress. At ED patient was given Tylenol and fluid. Patient now recognizes her daughter and was able to get up to the bathroom with only minor assistance. During encounter, patient is awake and able to follow directions. Patient is not oriented to time, though she know she is in the hospital. Patient states that she had COVID this morning and that is the reason why she was in the hospital. Daughter at bedside helped history. Patient received 2nd Moderna COVID 19 vaccination yesterday. Daughter called but patient did not respond at noon. daughter went over to see the patient. Patient could not finish the sentence to questions. Patient could not get her dressed up by herself. Patient went to bathroom for urination but she wiped the toilet, and folded the towel. But she did not do what she was there for. Also she could not life her legs to get helped to get dressed to come to the hospital. Now patient is able to shuffle to the toilet. Now she is able to answer her name and birthday. But still patient looks confused and not her baseline. Patient has difficulty remembering her medications. Patient does remember her children's name and home address. Patient lives alone at home and daughter wishes patient to be monitored as she has not recovered completely. Hospital Course/Treatment Rendered 78/F, CC : altered mental status PMHx Endometrioid adenocarcinoma stage IA, grade 2, status post hysterectomy and BSO on 04/06/2015. Diabetes type 2. HTN. HLD. Altered mental status, Encephalopathy, metabolic, likely related to COVID 19 vaccination. Neuro status as well as hemodynamics been monitored. Fall precaution. PT/OT was consulted for home safety evaluation as patient lives alone. Neurology, Dr. was consulted. Patient refused lumber puncture in ED. CT chest - no pneumonia or Pulmonary embolism. UA - ketone positive and dehydrated but no UTI. In the morning of 3/14/2021, patient has improved and mental status back to baseline. PT deemed patient able to go home safe. Uncontrolled hypertension at ED. Gentle hydration as patient has dehydration(urine specific gravity 1.026) and continue antihypertensives such as losartan. SBP 145-165mmHg, Asymptomatic. Will continue home medication. High D-dimer. CTA chest - excluded DVT. Venous duplex US of Both Lower extremity in AM done and no evidence of DVT. Type 2 Diabetes Mellitus. continue to monitor blood glucose and continue glipizide. controlled with blood glucose 188-135.

Other Meds:

Current Illness:

ID: 1102230
Sex: F
Age: 49
State: NY

Vax Date: 02/20/2021
Onset Date: 02/26/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: About three days after the injection, my right arm itched regularly with increasing intensity. I noticed a ring of redness that also intensified over the next days. By the following Saturday, it was swollen and by Sunday it hurt and itched enough to disrupt sleep. It has since faded but there is still a pale patch where the reaction occurred.

Other Meds:

Current Illness:

ID: 1102231
Sex: F
Age: 88
State: WI

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 03/15/2021
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: penicillin, metformin,

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: pt got to feeling really sick w/ headache, nausea, light headed and fever of 100.9. Pts son called ambulance. Pt passed out when EMTs were treating her. Pt was taken to hospital ER on 3/12/2021. They did blood work, covid test (negative) and CT. She was given fentanyl then admitted to the 2nd floor room for observation and given an IV. DX was reaction for Covid Vax. She was discharged on 3/14/2021 to FU w/ PCP within 1 week.

Other Meds: advair diskus250-50mg 1 puff x 2 daily, Flonase 50 mg, atenolol 20mg x 2 daily, Lantus 100ml (12 units at bedtime) Zetia 10mg, Combivent in haler 100mcg 1 dose every 6 hrs, paroxetine hci 10mg 1/2 tab once daily, bumetanide 0.5mg, levothroi

Current Illness: no

ID: 1102232
Sex: F
Age: 67
State: IN

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/15/2021
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: Fever, chills, nausea, body aches.

Other Meds: Omeprazole 40 mg once daily. Psyllium

Current Illness: None

ID: 1102233
Sex: F
Age: 35
State: MD

Vax Date: 02/15/2021
Onset Date: 02/22/2021
Rec V Date: 03/15/2021
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: Experienced moderate headaches everyday for 7 days following first series of vaccine. (NDC el9263) On day 7, woke up in the middle of the night with intense nausea and headache. First thought to have food poisoning because husband who received the same vaccine also had similar symptoms. Both vomited multiple times and experienced severe headaches. After second series of vaccine (NDC en 6201), experienced headaches everyday again which required in taking multiple doses of ibuprofen. On day 7, woke up in the middle of the night with intense headache. Developed intense nausea, headache, neck pain, stiffness, light sensitivity, watery eyes, congestion and could not continue to work. Took multiple doses of advil and had to take off work. No vomiting occurred. Did not see a physician but consulted a coworker/neurologist friend who thought I fit the description of aseptic meningitis. No lumbar puncture or laboratory evaluation was done. Rechallenge was positive.

Other Meds: None

Current Illness: None

ID: 1102235
Sex: F
Age: 76
State: LA

Vax Date: 02/06/2021
Onset Date: 02/25/2021
Rec V Date: 03/15/2021
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: chlorpromazine, norvasc, aspirin, benicar, fosamax, HCTZ, irbesartan, metoprolol, minoxidil, verapimil, doxycycline, hydralazine

Symptom List: Rash, Urticaria

Symptoms: eye lid swelling facial swelling

Other Meds: xanax, vit D3, cyanocobalamin, cardizem CD, ergocalciferol, gabapentin, norco, meclizine, pravastatin, aldactone

Current Illness: tarsal tunnel syndrome, anxiety, hypertension, HLD, vit D deficiency, back pain, osteoarthritis

ID: 1102236
Sex: F
Age: 55
State: SC

Vax Date: 12/26/2020
Onset Date: 12/26/2020
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: Shellfish

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

Symptoms: Immediate tachycardia, tingling in throat and mouth, hypertension. Treatment in ER. Anaphylaxis protocol. Days later nausea w dizziness. By day 6 sudden onset of vertigo, diagnosed as vestibular neuritis. PT, supportive meds, continued dizziness.

Other Meds: 125 mcg Synthroid

Current Illness: Na

ID: 1102237
Sex: M
Age: 65
State: FL

Vax Date: 03/04/2021
Onset Date: 03/12/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Patient had chills that would come and go

Other Meds: none

Current Illness: none

ID: 1102238
Sex: F
Age: 75
State: PA

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 03/15/2021
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:

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

Symptoms: Severe pain and loss of mobility to injection arm

Other Meds:

Current Illness:

ID: 1102239
Sex: F
Age: 61
State: IN

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: 9:00 p.m extremely tired, no energy, head ache body aches. Cold chills then hot. Weak thru Monday 3/15/2021 feeling better , just still feeling tired.

Other Meds:

Current Illness:

ID: 1102240
Sex: M
Age: 80
State: FL

Vax Date: 02/19/2021
Onset Date: 02/21/2021
Rec V Date: 03/15/2021
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: one episode of heavy sweating...followed by 5 days of not being able to walk in my home more than 10 feet without having to sit due to severe pain and cramping in upper part of both les. Also unable to lift either or both arms above my waist without sever pain or cramping. this lasted for 5 days before subsiding. three days later both ankles and my lower left leg became swollen. this has presisted for 10 days.

Other Meds: pravasatin. timolol, .81 asprin

Current Illness: none

ID: 1102241
Sex: F
Age: 78
State: FL

Vax Date: 01/12/2021
Onset Date: 02/07/2021
Rec V Date: 03/15/2021
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

Symptom List: Ear pain, Hypoaesthesia

Symptoms: First dose was on 01/12/2021 at 9:30 am. No reaction until Feb.7. 2021, when left leg began to swell, but not seriously. Feb.8, 2021 leg was continuing to swell. went to doctor's office where he prescribed an ultrasound. Was told there was a clot behind my left knee and in some of the smaller veins. I had the chills, joint pains all over, which lasted about the three weeks, but was slightly different every day. When I began the 20 mg dose of Xarelto, every symptom cleared up and I felt great. I am continuing on the 20 mg Xarelto.

Other Meds: Citracal 600 + D3 Vitamin D3 5000 iu

Current Illness: none

ID: 1102242
Sex: F
Age: 44
State: TX

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: Not known but stated for the past 3 years she has had some swelling to lips

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Lip swelling with patchy redness but progressed after taking tylenol. Resolved next day at around 5pm.

Other Meds: Takes benadryl as needed and multivitamin

Current Illness: No

ID: 1102243
Sex: F
Age: 77
State: WI

Vax Date: 03/06/2021
Onset Date: 03/12/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: Sulfa Acyclover

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

Symptoms: The upper arm of my injection site started to itch, and develop a pink rash. The first two days it enlarged to about 4"x4" and was very itchy. It is now more like 8"x8", splotchy with the outer pink splotches itchy, but less itchiness in the more clear central area which had been itchy earlier. I'm currently in day 4. Effects are a minor annoyance, but I thought you would want to have info to help gauge the frequency of this particular side effect. I was personally relieved to learn that others had encountered this side effect about a week after the injection, with previously no reaction to the vaccine. I surprised me when it happened almost a week after my shot.

Other Meds: Daily nasal spray

Current Illness: None

Date Died: 02/26/2021

ID: 1102244
Sex: F
Age: 72
State: LA

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Patient expired on 02/26/2021 from a Myocardial Infarction

Other Meds:

Current Illness:

ID: 1102245
Sex: F
Age: 80
State: WA

Vax Date: 02/28/2021
Onset Date: 02/28/2021
Rec V Date: 03/15/2021
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: Unevaluable event

Symptoms: The administration of the vaccine was extremely painful. Began to feel hot flashes about a half hour after the vaccine was administered, nausea and feverish symptoms. The site of injection began to swell to the size of a half dollar; the next day she could not move her arm. Describes pain from the site of injection all the way down to her wrist. The symptoms have persisted for two weeks, headache, exhaustion, and aching at the site of injection.

Other Meds: Daily Vitamin, Insulin, Cholesterol, Blood Thinner, Diuretics

Current Illness: None

ID: 1102246
Sex: F
Age: 32
State: NH

Vax Date: 03/08/2021
Onset Date: 03/15/2021
Rec V Date: 03/15/2021
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: Seasonal allergies to most common dusts, molds, grasses, and trees. Animal allergies (mammals - all that are commonly tested for including cats, dogs, & horses).

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

Symptoms: Itchy rash at injection site appeared 7 days after injection

Other Meds: Xyzal (Levocetirizine)

Current Illness:

ID: 1102247
Sex: F
Age: 50
State: NC

Vax Date: 03/05/2021
Onset Date: 03/13/2021
Rec V Date: 03/15/2021
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: Penicillin

Symptom List: Injection site pain, Pain

Symptoms: a week after the vaccination, my left arm (where i rec'd the shot) became swollen and hot to touch. It is red, pink colored as well in large round spot around the injection site. It has been 3 days now that i have had this symptom so I thought i should report it. The total diameter of swollen area is 4 inches. It appears to be like an allergic reaction to a bee sting. There is no other rash on my skin nor serious internal symptom such as fever.

Other Meds: Wellbutrin, Afexor, Atorvastatin, Lisoprinol, Levoxitrin

Current Illness: No

ID: 1102248
Sex: F
Age: 73
State: OK

Vax Date: 02/19/2021
Onset Date: 03/05/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: tetracycline and codeine

Symptom List: Injection site pain, Menorrhagia

Symptoms: After two weeks from getting the vaccine I developed 3 inch by 2 inch rash ring around shot area. It lasted two weeks. It was raised and was itching and raised. My right lymph gland under my right ear ached about the same time. I took a antihistamine and motrin daily. I messaged my doctor, I didn't run a fever or feel bad other then mentioned above.

Other Meds: synthroid, multi vitamin, biotin, st. johns wort, folic acid, vitamin c, D3,calcium-mag, cal-potassium-mag, cal-zinc

Current Illness:

ID: 1102249
Sex: F
Age: 51
State: WV

Vax Date: 02/03/2021
Onset Date: 02/06/2021
Rec V Date: 03/15/2021
Hospital: Y

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

Lab Data:

Allergies: Zithromax

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

Symptoms: Herpes outbreak that turned into viral meningitis and severe UTI. 9 days in the hospital on IV medications. Transported by ambulance to hospital in, 3 hours away and out of state. Initial symptoms were vaginal burning/itching followed by rash. Low grade fever, inability to urinate. Finally, severe, debilitating headache, stiff neck, severe pain between my shoulder blades.

Other Meds: Crestor, Vitamin D, Multivitamin

Current Illness:

ID: 1102250
Sex: F
Age: 63
State: OH

Vax Date: 03/12/2021
Onset Date: 03/15/2021
Rec V Date: 03/15/2021
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: Environmental - dust, dust mites, mold Medication -some antibiotics (minocin, penacyllin, eurothymicin)

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Histamine rash on trunk - front and back

Other Meds: DULOXETINE HCL DR 30 MG CAP CAPSULE,DELAYED METFORMIN HCL ER 500 MG TABLET TABLET EXTENDED LEVOTHYROXINE 25 MCG TABLET TABLET FLUTICASONE PROP 50 MCG SPRAY spray,suspension HYDROCHLOROTHIAZIDE 25 MG TAB TABLET OMEPRAZOLE DR 20 MG CAPSULE ca

Current Illness: nine

ID: 1102251
Sex: F
Age: 42
State: NY

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: Demerol lupron Codeine, cats, trees, grasses, food, chicken, yeast, moldy cheese

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: 10 minutes after receiving second Covid vaccine, tongue and mouth felt tingly and scratchy. denies difficulty breathing or throat closing. Had similar symptoms with the first vaccine., Discussed with her PCP who gave her a note to have her second Covid vaccine but to take Benadryl 50 mg po one hour prior to shot which she did. Denies any drowsiness, stating she takes benadryl on a regular basis frequently. Ambulated with staff to med: Appears somewhat anxious, oropharynx patent, pink, moist mucus membranes, BP 128/62, T 98.6, Chest: CTA. RRR, HR 64. AAOx3, clear in conversation, ambulatory without difficulty. Declined transport to the ED or urgent care for continued care/follow up, although symptoms are not worsening but stable, and her anxiety decreased, during her 40 minute stay after the vaccine. Again, denied drowsiness and symptoms abating. She then left the unit for home at 2:40pm

Other Meds: Singular, Losartin/HCTZ, ambien, clonapin, Effexor, Hydrocodone, BCP. Took benadryl one hour prior to vaccine.

Current Illness: none

ID: 1102252
Sex: M
Age: 57
State: OH

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/15/2021
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: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: I have red blotches under my neck in chest area

Other Meds: Atripla, Valtrex

Current Illness: HiV

ID: 1102253
Sex: F
Age: 78
State: ID

Vax Date: 03/10/2021
Onset Date: 03/12/2021
Rec V Date: 03/15/2021
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, Aleve, tetanus shot,

Symptom List: Nausea

Symptoms: Arm became red and swollen day after shot. Arm is still red and swollen day 5. Have taken ibuprofen each day after shot. Not sure if I should wait longer to see dr.

Other Meds: Losartan, folic acid,acyclovir, levothyroxin

Current Illness: Rheumatoid arthritis

ID: 1102254
Sex: F
Age: 85
State: CA

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Injection site pain

Symptoms: chills and fever 6:00AM next day, mild sore arm, 8:00PM same day, fever gone 3:AM 2nd day, red rash 2nd day, no itching

Other Meds: levoxyl, atorvastatin, estradiol, citracal, centrum silver, prolia,

Current Illness: none

ID: 1102255
Sex: F
Age: 59
State: TX

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 03/15/2021
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: PATIENT FAINTED DURING IMMUNIZATION, NO TREATMENT, PATIENT WOKE UP IN 2 MINUTES AND REFUSED EPI-PEN AND AMBULANCE SERVICE

Other Meds: NONE

Current Illness: NONE

ID: 1102256
Sex: M
Age: 49
State: NJ

Vax Date: 01/07/2021
Onset Date: 01/15/2021
Rec V Date: 03/15/2021
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: I had an intermittent fever for a day and a half and some chills. I went to see my doctor and was told it was a common side effect of the vaccine.

Other Meds: Multivitamins

Current Illness:

ID: 1102257
Sex: F
Age: 64
State: OH

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/15/2021
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: PCN, SULFA, SHELLFISH

Symptom List: Tremor

Symptoms: 3-10-21 2:55PPINK, W/D, RESM PT STATES SHE BECAME 'LIGHTHEADED UPON STANDING UP'. NO N/V, NO SOB/DYSPNEA, NO PAIN. A/O X3, RESP WITH EASE. SIPPING WATER, COMFORT GIVEN. 3:10PM 'FEELS BETTER NOW' AMBULATORY TO EXIT, GAIT BRISK AND STEADY. 3-15-21 10AM 'FEELS BETTER NOW, NO LIGHTHEADEDNESS'.

Other Meds:

Current Illness:

ID: 1102258
Sex: F
Age: 31
State: MA

Vax Date: 03/10/2021
Onset Date: 03/14/2021
Rec V Date: 03/15/2021
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: Erythema, Pruritus

Symptoms: 4 full days after receiving vaccine, red rash started on arm of injection, slightly below injection sight. Red area continued to grow for 24+ hours. Red area hot to touch. Left arm very sore.

Other Meds: Bisoprolol/HCTZ 10mg/6.25mg Tabs Sertraline 50mg Tablets Glycopyrrolate, Oral Tablet, 1 MG Junel Fe 24 28-day, Pack, 1 MG - 0.02 MG - 75 MG

Current Illness: N/A

ID: 1102259
Sex: M
Age: 42
State: IL

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 03/15/2021
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: Patient experienced "Covid arm" the morning after the vaccine was administered. Condition is still persisting in the form of a red rash that is warm to the touch and tender on the right arm directly below where the shot was administered.

Other Meds: Duloxitine, 30 mg daily Atorvastatin, 10 mg daily Losartin, 50 md daily Patient is Type 1 diabetic and uses Humalog insulin with a Minimed 770G insulin pump

Current Illness: None

ID: 1102260
Sex: F
Age: 76
State: OH

Vax Date: 02/22/2021
Onset Date: 03/13/2021
Rec V Date: 03/15/2021
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:

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

Symptoms: Patient presented to the emergency room with chief complaint of right side abdominal pain and and nausea. Primary problems were found to be right ureteral stone and urinary tract infection. Patient was admitted on 3/13/21 and while doing rapid COVID-19 testing on 3/13/21, was found to be positive. Patient denies any contact with COVID-19 and presented with no symptoms to suggest COVID-19 illness. Patient denied any fever, headache, loss of senses of taste or smell, muscle aches, fatigue, vomiting, constipation, or diarrhea.

Other Meds:

Current Illness:

ID: 1102261
Sex: F
Age: 42
State: MI

Vax Date: 03/12/2021
Onset Date: 03/14/2021
Rec V Date: 03/15/2021
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: Asthenia, Chills, Headache, Myalgia

Symptoms: Body aches, weakness, nausea, diarrhea 40 hours after 2nd dose of Moderna vaccine.

Other Meds: Diflucan Inflected Wellbutrin

Current Illness: Thrush infection

ID: 1102262
Sex: F
Age: 63
State: MI

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/15/2021
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: Vicodin, Advair, Synthroid

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

Symptoms: stiffness in neck and head, headache,

Other Meds: enapril, zyrtec

Current Illness:

ID: 1102263
Sex: M
Age: 58
State: WI

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 03/15/2021
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: Next day: Headache, eye pain, cough, fatigue, tinnitus, some congestion. Current, as of 3/15/2021: Headache still persists almost daily, but seems to be lessening in severity. Eye pain, tinnitus occasionally, but improving. I did not receive the second injection on 2/26 because of these lingering side effects.

Other Meds: Multivitamin ginger tumeric

Current Illness: N/A

ID: 1102264
Sex: F
Age: 20
State: MN

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 03/15/2021
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 STATED BY PATIENT

Symptom List: Pain in extremity

Symptoms: PATIENT STATED FELT DIZZY AND FAINTED AT TIME OF ADMINISTRATION. THE PATIENT WAS RESPONSIVE WITHIN 1 MINUTE AFTER FALLING TO FLOOR AND WALKED OVER TO POST-IMMUNIZATION AREA FOR OBSERVATION. SHE STATED THAT SHE FELT FINE AND DID HAVE A BIT OF A SORE ARM AROUND THE ADMINISTRATION SITE. SHE STATED THAT IT FELT LIKE HALF OF THE PAIN OF A TETANUS SHOT. SHE DID TAKE A GLASS OF WATER AND STATED THAT SHE HAD RECENTLY EATEN. 911 WAS CALLED AND THE PATIENT EVALUATED AND WALKED OUT OF STORE. NO MEDICATIONS ADMINISTERED A TIME OF EVENT.

Other Meds: NONE DISCLOSED BY PT

Current Illness: NONE STATED BY PATIENT

ID: 1102265
Sex: F
Age: 61
State: AZ

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: n/a

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

Symptoms: Ran low fever for about 15 hours, and on 03/14 noticed a series of raised rash/bumps around injection site. Rash still present, and site still tender on 03/15/21.

Other Meds: n/a

Current Illness: n/a

ID: 1102266
Sex: F
Age: 46
State: AZ

Vax Date: 02/16/2021
Onset Date: 02/18/2021
Rec V Date: 03/15/2021
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: Vicodin tramadol

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

Symptoms: Patient received the second dose at wrong interval ( 12 days ) from when the first vaccine was administered instead of 28 days interval.

Other Meds: 1.Ventolin HFA 90 mcg/actuation aerosol inhaler: Inhale 2 puff(s) every 4-6 hours by inhalation route as needed 2. prazosin 1 mg capsule 3. escitalopram 10 mg

Current Illness:

ID: 1102267
Sex: F
Age: 65
State: CA

Vax Date: 03/04/2021
Onset Date: 03/13/2021
Rec V Date: 03/15/2021
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: bacitracin, bee venom (anaphylactic), meloxicam, adhesive tape, neosporin

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

Symptoms: Delayed localized reaction-Patient request for reporting

Other Meds: Effexor, Pepcid, efudex, Lipitor, Epi Pen, cetany, anastrozole, ASA

Current Illness:

ID: 1102268
Sex: M
Age: 57
State: IL

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/15/2021
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: penicillin

Symptom List: Vomiting

Symptoms: foul taste in mouth for about 1/2 hour following injection, extreme fatigue and sleeping approx 4 hours after continuing for 24 hours, sweats, chills, fever, body aches

Other Meds: eliquis 5 mg 2x day; atorvastatin 20 mg 1x day

Current Illness:

ID: 1102269
Sex: F
Age: 39
State: VA

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 03/15/2021
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: EGGS, LATEX, SULFA

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: PATIENT REPORTED FEELING FAINT AND A RAPID HEARTBEAT AFTER THE VACCINE WAS GIVEN. EMS WAS CALLED AND THEY EVALUATED PATIENT AND TOOK HER TO THE ER.

Other Meds: PATIENT REPORTED TAKING SUPPLEMENTS

Current Illness:

ID: 1102270
Sex: F
Age: 65
State:

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: arm is swollen, headache, fever patient has taken Motrin to reduce fever and pain

Other Meds:

Current Illness:

ID: 1102271
Sex: F
Age: 42
State:

Vax Date: 03/14/2021
Onset Date: 03/14/2021
Rec V Date: 03/15/2021
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: Sulfa

Symptom List: Injection site swelling, Limb discomfort

Symptoms: stomach pains, listlessness, chills, fever, aches, headache

Other Meds:

Current Illness: None

ID: 1102272
Sex: F
Age: 74
State: UT

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 03/15/2021
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: Patient developed B PE's within a week of the vaccination. She has had a DVT before, but no other known risk factors

Other Meds:

Current Illness:

ID: 1102273
Sex: F
Age: 30
State: IL

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/15/2021
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: On 3/11 around 1:00 pm Staff experienced Muscle/Body aches, fatigued, feeling "sick". On 3/12 she experienced Shortness of breath, chest and back pain, headache. She consulted with her Primary care physician and was advised to go to the Emergency room. She was given pain medication and antibiotics through IV and was sent home with Steroid, nausea medicine and inhaler. She was not admitted, was sent home the same day.

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm