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: 1139334
Sex: F
Age: 44
State: NJ

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/27/2021
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: Shellfish

Symptom List: Dysphagia, Epiglottitis

Symptoms: As soon as I received the injection in my left arm, I felt a tingling/numbness sensation that started to go down to my fingers. I waited the 15 mins, then started to drive home. Then my heart started to race uncontrollably. The numbness then continued to my neck and travel up to the left side of my face- lips, cheek, eye. Felt like I had dental work done. Called the Dr. the next day. She gave me anti-viral medications and a steroid (but I didn?t take the steroid.) Luckily, the symptoms started to subside by Friday, 3/19.

Other Meds: Multi-vitamins, Vitamin C

Current Illness: Herpes Simplex

ID: 1139335
Sex: M
Age: 42
State: NY

Vax Date: 03/19/2021
Onset Date: 03/24/2021
Rec V Date: 03/27/2021
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: ABOUT 1 WEEK LATER, THE INJECTION SITE IS ITCHY, IS RED, TENDER TO TOUCH AND A LITTLE SWOLLEN.

Other Meds: Vitamin D; Biotin; L-theanine

Current Illness:

ID: 1139336
Sex: F
Age: 40
State: NH

Vax Date: 03/12/2021
Onset Date: 03/18/2021
Rec V Date: 03/27/2021
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: Sulfa

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

Symptoms: On 3/13/21 I had a few dizzy spells that lasted only a few seconds. On 3/18/21 I had intense vertigo that impaired my ability to work. It has lessened at times, but is still present today 3/27/21. Iwent to the ER on 3/18/21 and received and EKG and CT Scan with no findings.

Other Meds: Levothyroxin, Xiidra, and Wellbutrin

Current Illness: None

ID: 1139337
Sex: F
Age: 42
State: OH

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

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

Lab Data:

Allergies: Known allergies to some trees and grasses native to Ohio.

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Nausea, sweaty chills, headache, site swelling and tenderness, achy arm and neck muscles, sleeplessness. Sporadic involuntary muscle contraction overnight in neck and core muscle groups.

Other Meds: Sertraline, buspirone, Zyrtec, Flonase

Current Illness: Double ear infection two weeks prior to second injection. Fluid on both eardrums related to environmental allergies.

ID: 1139338
Sex: F
Age: 59
State: IN

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: Sulfur, Phenergan

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

Symptoms: Fever, body aches, nausea, injection site soreness for ~36 hours after injection.

Other Meds: Nexium 40 mg, multivitamin

Current Illness: n/a

ID: 1139339
Sex: F
Age: 71
State: VT

Vax Date: 03/23/2021
Onset Date: 03/24/2021
Rec V Date: 03/27/2021
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: Lactose intolerant, tetanus, many more.

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

Symptoms: Uncontrollable shaking, high fever with sweats, nausea for three days after the shot. Extreme fatigue.

Other Meds: SYNTHROID, glipizide, cranberry pills and vitamin C, meclazine, antibiotic

Current Illness: UTI

ID: 1139340
Sex: F
Age: 32
State: NY

Vax Date: 03/18/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
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: Ceclor, septra, biaxin, Sulfa drugs, Seasonal allergies

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Swollen, red, itchy area of shot about a week after received.

Other Meds: Vitamin D, Biotin, Prenatal

Current Illness: N/A

ID: 1139341
Sex: M
Age: 49
State: IN

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
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: Sever body aches (flu like symptoms), chills, fever and nausea

Other Meds: None

Current Illness: None

ID: 1139342
Sex: F
Age: 36
State: GA

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

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

Lab Data:

Allergies: Pineapple and walnut

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Fever 102, sever body aches, nausea and fatigue.

Other Meds: Triamterene|HCTZ and multi vitamins

Current Illness: None

ID: 1139343
Sex: F
Age: 59
State: IN

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/27/2021
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: Bactrim , Motrin, Amoxicillin, kiwi

Symptom List: Diarrhoea, Nasal congestion

Symptoms: 3/25/21 6:00 pm chills, shivering, muscle aches, numbness in left arm hand and left leg. 8:00 pm migraine headache, nausea & vertigo.

Other Meds: Airborne gummies.l, juice plus fruits & vegetable capsules.

Current Illness: None

ID: 1139344
Sex: M
Age: 43
State: OH

Vax Date: 03/16/2021
Onset Date: 03/24/2021
Rec V Date: 03/27/2021
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: On March 25, 2021 at 6:35pm I went into the urgent care center with the signs and symptoms of a sinus infection. The center issued me a rapid COVID test and I came back with a positive test result. By 9:00pm on March 25th, I lost my ability to taste and smell. I have a very bad chest cough and am having a stuffed up nose.

Other Meds: Lisinopril 20 mg Metformin ER 500mg Cetirizine 10mg Atorvastatin 20mg

Current Illness: None

ID: 1139345
Sex: F
Age: 63
State: IN

Vax Date: 03/01/2021
Onset Date: 03/27/2021
Rec V Date: 03/27/2021
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: No

Symptom List: Rash, Urticaria

Symptoms: Redness, pain , swelling at inject site & surrounding area 4 days after the shot.

Other Meds: Losartan, Chlorthalidone

Current Illness: No

ID: 1139346
Sex: F
Age: 40
State: IN

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: Tylenol

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

Symptoms: Extreme tiredness, fatigue, headache, chills

Other Meds: Trelegy 100mcg/62.5mcg/25mcg, Azelastine Nasal spray, Fluticasone Nasl spray, Famotidine 20MG, Zyzal 5mg, Levothyroxin 25mcg, Montelukast 10mg, Duloxetine 20mg, Probiotic,

Current Illness: None

ID: 1139347
Sex: M
Age: 71
State:

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 03/27/2021
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: still itch and pain at wrist and forearm. itch and pain inside elbow and upper arm. thumb pain. all these are on right arm and hand but shot was given on left arm.

Other Meds: none

Current Illness: none

ID: 1139348
Sex: F
Age: 19
State:

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

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

Lab Data:

Allergies: N/A

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

Symptoms: Sore arm, rash that?s made up of a bunch of purple dots all over my left arm around my injection shot.

Other Meds: Adderall, birth control, multi vitamins

Current Illness: None

ID: 1139349
Sex: M
Age: 64
State: MD

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
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: Benedryl

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

Symptoms: Rash and tiredness

Other Meds: Sivastatin

Current Illness:

ID: 1139350
Sex: F
Age: 48
State: IN

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/27/2021
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: Im allergic to haladol and rispidal and im also allergic to seafood.

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

Symptoms: Throwing up, chills going from warm to cold and so forth, terrible headache, body aches

Other Meds: Antibiotic for an ear infection

Current Illness:

ID: 1139351
Sex: M
Age: 57
State: IN

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: none known

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Nausea with slight chills and sweating the next morning. Fatigue and low energy with body aches for 12-16 hours after.

Other Meds: regular multi vitamin regiment, Aleve, Aspirin

Current Illness: none

ID: 1139352
Sex: F
Age: 65
State: MI

Vax Date: 03/23/2021
Onset Date: 03/24/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Wednesday, March 24th approximately 5:00 I became very fatigue and slept for a couple hours. When I woke up I was very nausea and had a dull headache. I ended up with dry heaves during the night. Thursday, March 25th I was still fatigue and try to some broth and kept it down. I took some 2 advil - 250 mg. in the afternoon for the headache and slept most of the day. During the night I had the dry heaves again and the headache persisted and still very tired. Friday, March 26th I called my doctor to see if I could get an appointment to see him and he did a telephone conference with me. He said I was having a reaction from the Moderna vaccine and he prescribed Ondansetron 4 mg - 1 tablet every 4 hours as needed for nausea.

Other Meds: Vitamin C - 500 Mg - 2 tablets daily Calcium with Vitamin D - 600 Mg - 2 tablets daily Folic Acid - 800 mg - 1 tablet daily Stool Softener (Docusate Sodium) - 100 Mg - 2 tablets daily Aspirin - 81 Mg - 1 tablet every other day

Current Illness: None

ID: 1139353
Sex: F
Age: 48
State: NC

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/27/2021
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

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

Symptoms: Large, round, hard, red, itchy, welt at injection site. Apparently 4 inches in diameter

Other Meds: Zyrtec Multi vitamin

Current Illness: None

ID: 1139354
Sex: F
Age: 62
State: NM

Vax Date: 03/04/2021
Onset Date: 03/10/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: None known

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

Symptoms: Tinnitus, ringing in ears, specifically left ear, loud, constant, never had before

Other Meds: Methotrexate, hydroxychloroquine, leucovorin, folic acid, LDN, tumeric, ubiquinol, D3, biotin, glucosamine, chondroitin, hyaluronic acid, collagen complex

Current Illness: None

ID: 1139355
Sex: F
Age: 31
State: NY

Vax Date: 03/23/2021
Onset Date: 03/25/2021
Rec V Date: 03/27/2021
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: Unevaluable event

Symptoms: High fever about 36 hours after second dose of Pfizer COVID19 vaccine. 102.6 degrees. Lasted about 24 hours. Nausea and diarrhea, lasted about 24 hours. Extreme fatigue, lasted about 24 hours.

Other Meds: Lamotrigine 300mg 2x per day

Current Illness:

ID: 1139356
Sex: F
Age: 42
State: SD

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: 10:00 am next day - light headed, 1:00 pm Fever 100.5, Body aches, Fatigue. 7:00pm Fever 100.8, Body Aches. 11:00pm feeling better 8:00 am on the 27th normal temperature of 98.3. Entire upper arm sore

Other Meds: Clyndamiacin 1% gel, Mirena, womens multi vitamin, biotin supplement

Current Illness: none

ID: 1139357
Sex: F
Age: 51
State: ME

Vax Date: 03/01/2021
Onset Date: 03/19/2021
Rec V Date: 03/27/2021
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: pain in shoulder. Especially at night. Hurts to move. Shooting pain off and on

Other Meds: None

Current Illness: None

ID: 1139358
Sex: F
Age: 65
State: NY

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: Levaquin, Floxin, Minocin, Morpheine, Bactrim, CT dye, some chemicals and fragrances, Fish

Symptom List: Injection site pain, Menorrhagia

Symptoms: Metallic taste in mouth after 15 minutes. About a half hour later, tingling began around my mouth then my entire face and labored breathing ( used Ventolin inhaler)and a cough and very sore arm. The next day, Saturday, I had tingling in my fingers in the morning that spread up my arms and my toes up through my thighs along with my face . I took a Benadryl Sat. PM. By Sunday the tingling intensity decreased. Monday-dizzy when I woke , then okay. Wednesday I saw my doctor. Today , a week later, and I still have tingling. Doctor recommended I take Claritin for 2 days and get the second shot due April 16th. I am afraid to get it!!!!

Other Meds: Losartan, Restasis, Vit D, Asmanex

Current Illness: none aware of

ID: 1139359
Sex: F
Age: 49
State: FL

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 03/27/2021
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: Roach, dogs,

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

Symptoms: Numbness in the face. It moves around the entire face

Other Meds: Losartan 50mg, amlodipine 10, Kirkland brand allergy medicine Diphenhydramine HCI 25mg, iron 65mg, vitamin D with K2

Current Illness:

ID: 1139360
Sex: M
Age: 55
State: IN

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 03/27/2021
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: Fish

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Elevated heart rate, difficulty swallowing

Other Meds: Juice Plus, multivitamin, calcium

Current Illness: None

ID: 1139361
Sex: F
Age: 59
State: FL

Vax Date: 03/22/2021
Onset Date: 03/24/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: Honey, penicillin

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Swelling at the neck, over left clavicle . Painful to touch. Lymphoid seem to be enlarged

Other Meds: Burpopron SR 150 MG; Atorvastatin 10 mg

Current Illness: none

ID: 1139362
Sex: F
Age: 34
State: SC

Vax Date: 03/18/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
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: COVID arm. Itching, redness, swelling

Other Meds: Daily prenatal multivitamin and D3

Current Illness:

ID: 1139363
Sex: F
Age: 60
State: IN

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Nausea

Symptoms: Red circle around injection site, knot at injection site

Other Meds: None

Current Illness: None

ID: 1139364
Sex: M
Age: 50
State: VA

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 03/27/2021
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: Low grade fever, extreme chills, joint pain, body aches, headache, onset within 14 hours after administration of vaccine lasting 24 hours

Other Meds:

Current Illness:

ID: 1139365
Sex: F
Age: 52
State: MA

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

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

Lab Data:

Allergies: Not known

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

Symptoms: Deltoid, coracobrachialis and biceps pain, constant, throbbing or shooting when moving the arm. Motion range reduced. Difficulty raising, using the arm without pain. Pain killers are ineffective.

Other Meds: No.

Current Illness: No

ID: 1139366
Sex: F
Age: 67
State: MD

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
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: My first vaccine was administered on 2/26/2021. It was Moderna, 025A21A. It was given by injection in the left arm. My second vaccine was given on 3/26/2021. It was Pfizer, er8730. It was given by injection in the right arm. I have called the pharm and the CDC and no one really knows how this is a problem. The CDC website says that the vaccines should not be mixed. So far, I have not had any adverse reactions but I do not know what the future holds.

Other Meds: Zyrtec, Multi vitamin, Caltrate, and magnesium.

Current Illness: None

ID: 1139367
Sex: F
Age: 52
State: ME

Vax Date: 03/18/2021
Onset Date: 03/27/2021
Rec V Date: 03/27/2021
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: redness and swelling one week post injection. Two inches in diameter. Itchy and hot to the touch

Other Meds:

Current Illness: none

ID: 1139368
Sex: F
Age: 48
State: NY

Vax Date: 03/24/2021
Onset Date: 03/25/2021
Rec V Date: 03/27/2021
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: Loss of smell and taste for 2 days Fever up to 101 for 24 hours Severe back pain continues Site of injection very swollen and bright red the size of a grapefruit, area very hot to touch. Less red and less hot and less swollen today

Other Meds: Amlodiphine 2.5 Mg Methimazole 5mg Tamoxifen 20 mg

Current Illness: No

ID: 1139369
Sex: M
Age: 47
State: IN

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/27/2021
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: Body aches, fever, severe chills began about 8-12 hrs after receiving vaccine, and lasted approx 16 hrs. Treated with ibuprofen (Motrin) and hot showers.

Other Meds:

Current Illness:

ID: 1139370
Sex: F
Age: 59
State: IL

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/27/2021
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: Moderate Pain in right armpit radiated to sternum and lower rib cage on right side. Sporadic headache. Sweating but no fever (anxiousness perhaps??). Felt fine next day, some soreness at injection site remained.

Other Meds: Vitamin D-3

Current Illness: None

ID: 1139371
Sex: F
Age: 63
State: IN

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/27/2021
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: Severe stomach cramps

Other Meds: Lumigan

Current Illness: None

ID: 1139372
Sex: F
Age: 33
State: MN

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
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: Latex

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

Symptoms: -Onset of symptoms began at 2:00 am on Friday, March 26 -Sweating, fever, and chills -Muscle and joint aches -Abdominal cramping -Pain at the injection site -Malaise/fatigue -As of 8:00 am on Saturday, March 27, symptoms are still present

Other Meds: Cymbalta 20 mg Yasmine (birth control)

Current Illness: None

ID: 1139373
Sex: F
Age: 66
State: IN

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
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: Vomiting

Other Meds: Lisinopril HCTZ

Current Illness: None

ID: 1139374
Sex: F
Age: 79
State: FL

Vax Date: 01/26/2021
Onset Date: 02/10/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Pain in extremity

Symptoms: Double Vision began 2 weeks after 1st injection. However I had a 2nd Shigrex shot 17 days prior to the first Covid shot. I believe the vaccines so close together has caused 6th nerve palsy and that is the reason for my double vision.

Other Meds: Multi-vitamins, B12, Zinc, Icaps

Current Illness: No

ID: 1139375
Sex: F
Age: 45
State: OK

Vax Date: 03/15/2021
Onset Date: 03/22/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Whole body inflammation, tingling and pain from neck to fingers down right arm. Also, hives from right forearm to elbow.

Other Meds: None

Current Illness: None

ID: 1139376
Sex: F
Age: 43
State: MA

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/27/2021
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 known

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

Symptoms: Exactly 5 minutes post-injection, I had a sudden wave of extreme dizziness and nausea, and began sweating. I felt lightheaded, as if about to pass out. Mild sensations of difficulty breathing occurred.

Other Meds: Lamictal

Current Illness: None

ID: 1139377
Sex: M
Age: 59
State: PA

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: N/A

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

Symptoms: Left arm very sore about 8 hours later and the next day. Discomfort stopped around 12 noon 2nd day. Also, 2nd day, sluggish and exhausted beyond normal after my work day (PT 1:30 to 5:30 pm.)

Other Meds: Met Forman, Glimepiried, Januvia

Current Illness: N/A

ID: 1139378
Sex: F
Age: 38
State: WI

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/27/2021
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: Omnicef, penicillin, walnuts & pine nuts

Symptom List: Vomiting

Symptoms: I got sweaty & nauseous. Then my body started to ache, I had the chills, & was drenched in sweat throughout the night.

Other Meds: Claritin, birth control pill, multi-vitamin, probiotic, & lamotrogine

Current Illness: None

ID: 1139379
Sex: F
Age: 52
State: IN

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
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: Penicillin, sulfa, z-pack, clindomyacin

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Chills, unable to stop shaking, extreme headache, fatigue, mild nausea

Other Meds: Levocetricine, famatodine, oxybutin

Current Illness: None

ID: 1139380
Sex: F
Age: 65
State: FL

Vax Date: 02/01/2021
Onset Date: 03/01/2021
Rec V Date: 03/27/2021
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: Clindamycin

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

Symptoms: Relapsing Polychondritis woke up and I?m deaf now in right ear.

Other Meds: None

Current Illness: MGUS

ID: 1139381
Sex: M
Age: 44
State: IN

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/27/2021
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: Penicillin

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Chills Fever Body aches Headache

Other Meds: Vitamin D Hydroxhlorothiazide Famotidine

Current Illness:

ID: 1139382
Sex: F
Age: 26
State: WI

Vax Date: 02/26/2021
Onset Date: 03/06/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: Lactose

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

Symptoms: Delayed skin sensitivity reaction that appeared on Day 8 after the first dose was given. Large red, swollen spot at injection site that was itchy, warm, and raised (almost hive like). Matches what others were calling Covid arm. Gradually disappeared over the next 7-8 days. Itchiness, swelling, and warmth went away after 24/48 hours. Redness went down a lot in the first 48 hours as well.

Other Meds: Vyvanse (50mg), Allegra (360mg daily), Wellbutrin (300mg daily), Pepcid AC (40mg daily), Multivitamin gummy, vitamin c gummy (500mg)

Current Illness: No

ID: 1139383
Sex: F
Age: 91
State: MA

Vax Date: 03/13/2021
Onset Date: 03/14/2021
Rec V Date: 03/27/2021
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: 24 hours after-headache- sinus type 48-hours -after- headache and body aches particularly left buttock 72- hours after- all of above plus 100.2 fever, extreme body aches, chills and could barely walk 96 hours after- symptoms going away, 120 hours after- only headache remained and red spot on left arm developed One week later all symptoms gone

Other Meds: Coumadin, and other medications for A-Fib Iron pills

Current Illness: Cough

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm