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: 0939806
Sex: F
Age: 64
State: IN

Vax Date: 12/31/2020
Onset Date: 01/02/2021
Rec V Date: 01/13/2021
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: Sulfa penicillin

Symptom List: Dysphagia, Epiglottitis

Symptoms: I had a Covid test on the 1/4/21 thinking I might have covid. I am negative. So concerned had a 1/12/21 EKG all was fine. I have had shortness of breath and very rapid heart beat. I had a bruise on my right arm the size of a desert plate. It is finally gone after 12 days. I never bruise from any kind of an injection, My blood pressure was up. 135/80 . I am usually 106/68.. 1/12/21 Had temp 99. On the 9th day.. Very tired slept the day away. I am a person that requires about 6 hrs a night I am fine. My pulse had been around 88 it is usually 68-70. Oxygen is 98.

Other Meds: estradiol fluoxetine Fish oil Vit D Zinc Magnesium multi Vit Vit C

Current Illness: none

ID: 0939807
Sex: F
Age: 38
State: IL

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
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: Sulfa allergy

Symptom List: Anxiety, Dyspnoea

Symptoms: Low-grade fever, chills, fatigue, body-aches, specifically aching neck,

Other Meds: Omega 3 EPH/DHA Magnesium Vitamin D3 Valcyclovir, 500mg Daily

Current Illness: None

ID: 0939808
Sex: F
Age: 56
State: MA

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
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: Levaquin

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

Symptoms: Everything went fine but my face got numb 5 minutes after injection and continues today more than 24 hours later.

Other Meds: gabapentin, Vit D, Zinc

Current Illness: none

ID: 0939809
Sex: F
Age: 35
State: NJ

Vax Date: 01/09/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Around 12pm on 1/12/21, patient began to experience severe dizziness, nausea, and multiple episodes of emesis.

Other Meds:

Current Illness:

ID: 0939810
Sex: F
Age: 40
State: VA

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
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: about 12 hours out had severe body aches, shaking chills, headache and temp of 100. those symptoms resolved 48 hours post injection but had upset stomach and loose stool which persisted. 1st injection just had soreness at site and a mild headache

Other Meds: occasional MVI

Current Illness: none

ID: 0939811
Sex: F
Age: 44
State: GA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/13/2021
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: Sulfa drugs Monica

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

Symptoms: Rash itching sore swollen Warm to touch

Other Meds: None

Current Illness: None

ID: 0939812
Sex: F
Age: 33
State: NY

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/13/2021
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: Pyrexia, White blood cell count decreased

Symptoms: Patient was deemed appropriate to be monitored for 15minutes. During observation time at roughly 1145 she noted burning of her lips which transitioned to numbness. At this time vitals were taken: HR 96, RR 18, 99% RA, BP 192/88 Burning of the lips resolved. Face became flushed and described as very warm and burning and that her voice was becoming hoarse. 50mg PO Benadryl was given at 1159. Throughout she denied any CP, SOB, cough, oral ulceration, tongue swelling, throat swelling Brief exam: Lungs clear bilaterally without any wheezing, no wheezing heard in the upper airway. RRR. Skin of the face flush and warm no diaphoresis. Lips had no circumoral palor or cyanosis. Did note some redness and chapped areas at the vermilion boarder. No swelling of the tongue or below the tongue. No oral ulcerations, erythema or pharyngeal swelling. No other rash of the skin. Individual was taken to the ER for observation at 1205.

Other Meds:

Current Illness:

ID: 0939813
Sex: F
Age: 57
State:

Vax Date: 12/22/2020
Onset Date: 12/26/2020
Rec V Date: 01/13/2021
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: covid positive

Other Meds:

Current Illness:

ID: 0939814
Sex: F
Age: 63
State: TX

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: Pain and ache in area of injection. In evening also felt ache around my neck and shoulders. Slightly swollen and red dot around injection area.

Other Meds: None

Current Illness: Allergies previous week.

ID: 0939815
Sex: F
Age: 42
State: CA

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
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: kiwi, latex

Symptom List: Diarrhoea, Nasal congestion

Symptoms: sudden onset nausea, mild fever (100.5), exhaustion. required 15 hours sleep, chills began 1 hour later. all considered mild but wanted to report for tracking.

Other Meds: levothyroxine 75 mcg, daily womens vitamin, vitamin D, magnesium

Current Illness:

ID: 0939817
Sex: M
Age: 69
State: MI

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: Codeine

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

Symptoms: Fever, headache, shivers

Other Meds: Symvastatin Pregablin

Current Illness: None

ID: 0939818
Sex: F
Age: 26
State: AL

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
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: Rash, body aches, migraine

Other Meds: Fluoxetine, Wellbutrin, vistaril, abilify, prazosin

Current Illness: Bipolar II

ID: 0939819
Sex: F
Age: 38
State: NE

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/13/2021
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/Fentanyl/Demerol

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

Symptoms: Systemic: Nerve pain along left arm up along shoulders into neck, numbness, tingling, seems to subside after 30 minutes, but still lingering; symptoms lasted 1 day.

Other Meds:

Current Illness:

ID: 0939820
Sex: M
Age: 66
State: FL

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/13/2021
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

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

Symptoms: Blood in urine at 11 pm on Sat 1/9/2021. Blood in Stool at 10 am on 1/11/2021.

Other Meds: polyethylene glycol

Current Illness: None

ID: 0939821
Sex: F
Age: 31
State: RI

Vax Date: 01/05/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
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: Red, warm, swollen, painful circular area that has grown in size in the past 12 hours

Other Meds:

Current Illness:

ID: 0939822
Sex: F
Age: 60
State: NY

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
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: Patient complained of dizziness at conclusion of 15 min observation, she rested for an additional 15 min and claimed her dizziness resolved

Other Meds:

Current Illness:

ID: 0939823
Sex: F
Age: 32
State: TX

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/13/2021
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: No

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

Symptoms: I waited 15 mins after shot, nothing. At 6 that same evening, a red spot was around injection site. I felt fatigue the next day, and that was it. The spot faded away. Then on Jan 12, I noticed the spot around the injection site came back, with being really itchy. Now it's spread to a little down my arm, and my hand. Doctor advised me to report it. I did take some Benadryl due to the itching and it went away a little bit- the itching, but the redness is still there and it feels warm at the site. ***PLEASE ONLY CONTACT ME VIA EMAIL***

Other Meds: Drink Green Tea

Current Illness: No

ID: 0939824
Sex: F
Age: 33
State: AR

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Fever, chills, nausea, headache, fatigue, and body cramps.

Other Meds: Birth control

Current Illness: No

ID: 0939825
Sex: F
Age: 63
State: FL

Vax Date: 12/21/2020
Onset Date: 12/21/2020
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Error: Incorrect Reconstitution

Other Meds:

Current Illness:

ID: 0939826
Sex: F
Age: 50
State: NY

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/13/2021
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: 9:30 AM that a patient who was in the post vaccination observation area was developing a reaction. This was her first dose of vaccine (Moderna). She developed a rash over her trunk and extremities that was warm and pruritic. She was given 50mg po benadryl before I evaluated her. When I saw her she was not in extremis, respiratory distress or with audible stridor, but did appear uncomfortable. She denied any lip swelling, tongue swelling or throat closure, however did note that her heart was racing and she was having chest heaviness. The patient's lungs were clear and there was no audible wheezing or signs of cyanosis. Pulse ox was 100-110 HR, with O2 sat 97-100%. Did not appear to be an anaphylactic reaction at this time. She was brought to the ER for further observation

Other Meds:

Current Illness:

ID: 0939827
Sex: F
Age: 45
State: NY

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/13/2021
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: Sulfur

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

Symptoms: Fever 100.9 for 5 days. Muscle aches, chills, headache. Arm pain entire left arm.

Other Meds: Celexa Cymbalta Buspar Neurontin Propanalol

Current Illness:

ID: 0939828
Sex: F
Age: 40
State: MA

Vax Date: 12/16/2020
Onset Date: 12/17/2020
Rec V Date: 01/13/2021
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: Employee had first Pfizer COVID-19 vaccine on 12/16/20 at hospital. She developed an erythematous indurated firm wheal at injection site post-vaccination that lasted for 2 weeks. Evaluated in EH clinic on 12/28/20 and referred to PCP for treatment. Prescribed antibiotics and resolved without complications.

Other Meds: Employee developed a erythematous indurated firm wheal at injection site that lasted two weeks post-vaccination and required antibiotic treatment.

Current Illness: None

ID: 0939829
Sex: F
Age: 32
State: CO

Vax Date: 01/09/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
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, erythromycin

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

Symptoms: 1/11- noticed itching on hips, 1/12: went swimming at 09:30 and noticed hives along hips and outer thighs, took 50 mg of Benadryl PO, checked O2- 95% on room air, no signs of shortness of breath; applied cortizone 10 to sites, 1/12 afternoon: hives lessening on hips and thighs but spread to armpits and elbows. Benadryl 50 mg PO taken at bedtime. 1/13: hives still present on hips, gone on armpits, spread to belly button and inner thighs. Will take another 50 mg of Benadryl PO and continue to monitor. New to area, no PCP at this time. However husband is ER nurse and I am also a nurse.

Other Meds: Zinc, vit b, vit c, NAC, turmeric, vit d, cetirizine

Current Illness: None

ID: 0939830
Sex: F
Age: 34
State: ND

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
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: Sulfa, Nsaids-intolerance related to Gastric Bypass

Symptom List: Injection site pain, Pain

Symptoms: The patient became nauseated within 1 hour of the vaccination, then had an emesis and was nauseated for the remainder of the day. Also reported chills, and severe headache.

Other Meds: Venlafaxine, lorazepam, cyanocobalamin, Omeprazole, Vitamin D2, Cyclobenzaprine, Calcium Citrate-Vitamin D, Intrauterine Copper Contraceptive Device, Bariatric advantage ultra Vitamin with Iron.

Current Illness: None

ID: 0939831
Sex: M
Age: 92
State: FL

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain, Menorrhagia

Symptoms: After the vaccine my father had a short memory loss at 2:00 am. He didn?t remember anything for about 3 hours.

Other Meds: Zinc, Aspirine, Lipitor 10, atovarstatina, clica soda and lizinopril

Current Illness: None

ID: 0939832
Sex: M
Age: 22
State: TX

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
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:

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

Symptoms: Headache. Pain at the injection site. Ache's all over and slight nausea. I also have a low fever of 100.9.

Other Meds:

Current Illness:

ID: 0939833
Sex: F
Age: 36
State: WV

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
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: Hydrocodone

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Received the 2nd Covid-19 vaccine approx 10am, approx 7 hours later she became red, lethargic, felt like she had resistance against her movements, and was "going through jello". She went home, took Benadryl 25 mg, now with rash/hives along various areas, behind her ears. Has an epipen at home but has never had to use. Denies any throat swelling or scratching, no shortness of breath.

Other Meds: Lisinopril, Singulair, Flonase, Prozac

Current Illness:

ID: 0939834
Sex: F
Age: 35
State: MD

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Immediately after vaccination pain in arm and some redness at vaccination site and swelling; welt began to appear after 1 hour after vaccination, pain in arm and some redness at vaccination site and swelling increased with welt. Welt has progressed in size 2 in x 4in. Pt is now experiencing tingling in fingers.

Other Meds: N/A

Current Illness: N/A

ID: 0939835
Sex: F
Age: 42
State: TX

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
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: The dat after the second dose just before noon I suddenly had eye floaties in my right eye. Unlike a usual floatie that might come and go these have a shape that changes as I move my eye. There is no pain, they are a sudden annoyance that i hope will go away but I wanted to make sure I reported it.

Other Meds: Depo shot

Current Illness: none

ID: 0939836
Sex: M
Age: 40
State: MD

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: N/a

Symptom List: Nausea

Symptoms: Significant chills for 5 hours, fever, body aches, headache significant enough to impair my ability to work the following day. No reaction occurred after first dose. Reaction began with several hours of chills.

Other Meds: N/a

Current Illness: N/a

ID: 0939837
Sex: M
Age: 42
State: MI

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: Codeine

Symptom List: Injection site pain

Symptoms: sore shoulder, headache, exhausted, tired, back and neck pain, sore muscles

Other Meds: Flonase, Xyzal, Singulair

Current Illness: None

ID: 0939838
Sex: F
Age: 39
State: VA

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: sulfa

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

Symptoms: Fever as high as 101.6, headache, chills, muscle pain, vomiting

Other Meds: none

Current Illness: none

ID: 0939840
Sex: M
Age: 61
State: KY

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/13/2021
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: NKA

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

Symptoms: Upset stomach and injection site soreness. 2 days.

Other Meds: None

Current Illness: None

ID: 0939841
Sex: M
Age: 31
State: PA

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: FLUSHED, RED FACE. RED WARM RASH ON NECK, TORSO, BACK. BENADRYL 50MG IM ADMINISTERED

Other Meds: COZAAR

Current Illness:

ID: 0939842
Sex: F
Age: 28
State: OH

Vax Date: 12/31/2020
Onset Date: 01/07/2021
Rec V Date: 01/13/2021
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: NKDA

Symptom List: Erythema, Pruritus

Symptoms: Local rash at injection site,

Other Meds: None

Current Illness: None

ID: 0939843
Sex: F
Age: 27
State: TX

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
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: NA

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

Symptoms: HEADACHE, FEVER, BODY ACHES, CHILLS.

Other Meds: TYLENOL, IBUPROFEN

Current Illness: NA

ID: 0939844
Sex: M
Age: 52
State: NY

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
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: lobster (shell-fish)

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

Symptoms: Patient complained of dizziness at conclusion of 15 min observation. Patient rested for an additional 15 minutes and verbalized dizziness resolved.

Other Meds:

Current Illness:

Date Died: 01/11/2021

ID: 0939845
Sex: M
Age: 88
State: IL

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Three hours after receiving COVID 19 vaccination, Patient oxygen level decreased to a critical level and went into cardiac arrest. Staff performed full code but was unable to bring back patient from cardiac arrest.

Other Meds:

Current Illness:

ID: 0939846
Sex: F
Age: 64
State: NY

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/13/2021
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: Allergic to Salmon

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

Symptoms: Systemic: Chills-Severe, Systemic: Exhaustion-Severe, Systemic: Fever-Severe, Systemic: Headache-Severe, Systemic: Joint Pain-Severe, Systemic: Unable to Sleep-Severe, Systemic: Abdominal Pain-Severe, Systemic: Diarrhea-Severe, Systemic: Nausea-Severe, Systemic: Swollen Hands. Couldn't make fist-Severe; symptoms lasted 4 days.

Other Meds:

Current Illness:

ID: 0939847
Sex: F
Age: 46
State: CO

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
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: Around 11:30pm, I woke up with incredible chills and had them for about 1.5 hours. Around 1:45am/2:00am on 1/13/2021, aches began, so I went downstairs to take acetaminophen. Increased heart rate and sweating while in the kitchen (had to sit down on the floor), eventually took Tylenol, and as I was heading back upstairs with cup of water, I passed out (less than 30 seconds) dropping the cup of water. Heaved/vomited small amount of liquid two or three times. Made it back to bed and began to feel better around 4:00am 1/13/2021.

Other Meds: Fish oil w/vitamin D, B-complex, probiotics

Current Illness: None

ID: 0939848
Sex: F
Age: 40
State: GA

Vax Date: 01/05/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: Anaphylaxis to PCN at age 1 hives to red dye #40 age 7-14

Symptom List: Pain in extremity

Symptoms: One week post vaccine arm redness came back with swelling, itching and erythema

Other Meds: Aleve prn

Current Illness: none

ID: 0939849
Sex: F
Age: 37
State: MA

Vax Date: 12/21/2020
Onset Date: 12/22/2020
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: penicillin

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

Symptoms: lymphadenopathy on right supraclavicular lymph node. Discovered morning after vaccination. Initially tender and sore. Still present 22 days later, but smaller and no longer tender.

Other Meds: multi-vitamin vitamin D zyrtec

Current Illness: n/a

ID: 0939850
Sex: M
Age: 40
State: AL

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
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: Approximately 15- 16 hrs after injection, I suffered from extreme body chills, headache, and very mild fever. All symptoms lasted about an hour (no fever reducing meds were taken - symptoms resided on their own).

Other Meds: Ezetimibe 10 mg, Olmesartan Medoxomil 20 mg, Escitalopram 10 mg, Rosuvastatin Calcium 20 mg, Pantoprazole Sod Dr 40 mg, Vitamin C, Multivitamin, and Elderberry.

Current Illness: None

ID: 0939851
Sex: F
Age: 59
State: OK

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
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: NKDA

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

Symptoms: Patient received her first dose of Pfizer vaccine on 1.12.2021. Patient reports that she woke up at 0230 on 1.13.21 with extreme dizziness. Patient says at 0530 she woke up again, still dizzy, but improved. Once she came to work at 0800, she felt normal again. Patient will call back again with any changes.

Other Meds:

Current Illness:

ID: 0939852
Sex: F
Age: 48
State: NJ

Vax Date: 01/04/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
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: None

Symptom List: Vomiting

Symptoms: Received first injection on 1/4/21 with only side effect of arm soreness. Then, on 1/12/21, L arm became itchy and I noted a 3cm x 3cm red, warm, raised, and firm circle at the injection site. On 1/13, reaction grew to 6cm x 4.5cm, with slightly less firmness. Still warm and tender. No other symptoms (fever, SOB, etc) noted.

Other Meds: Vitamin D

Current Illness: None

ID: 0939853
Sex: F
Age: 26
State: PA

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/13/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Post nasal drip, headaches, chills, hot flashes, and red raised bumps that are raised

Other Meds: Allegra, Singulair, Fish Oil, Women's one a day multi-vitamin, florasal (for warts), lo loestrin fe

Current Illness: None

ID: 0939855
Sex: F
Age: 28
State:

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/13/2021
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: headache, fever of 102F, body ache, chills, loss of appetite, redness and swelling at injection site, weak, dizzy, restlessness

Other Meds:

Current Illness:

ID: 0939856
Sex: M
Age: 65
State: PA

Vax Date: 01/04/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
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 Antibiotics Acetaminophen Phenacetin

Symptom List: Injection site swelling, Limb discomfort

Symptoms: 9 DAYS POST INJECTION, RASH AT THE INJECTION SITE. NOTICED 1/13/21 AM WHEN i WENT TO SHOWER. AREA IS WARM TO TOUCH.

Other Meds: Simvastatin 40mg Hyroxyurea 500mg Low dose aspirin

Current Illness: No

ID: 0939857
Sex: M
Age: 18
State: IN

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
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: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: Whole body muscle pain, fever, diarrhea.

Other Meds: Zoloft.

Current Illness: None.

ID: 0939858
Sex: F
Age: 59
State: OK

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
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: NKDA

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

Symptoms: Patient received her first dose of Pfizer vaccine on 1.12.2021. Patient reports that she woke up at 0230 on 1.13.21 with extreme dizziness. Patient says at 0530 she woke up again, still dizzy, but improved. Once she came to work at 0800, she felt normal again. Patient will call back again with any changes.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm