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: 0940391
Sex: M
Age: 36
State: VA

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: IM
Vax Site: LA

Lab Data:

Allergies: Shellfish

Symptom List: Dysphagia, Epiglottitis

Symptoms: Fever that lasted 60 hours and fluctuated between 99.3-101.5 while taking Tylenol. Body aches, headache, pain at injection site

Other Meds: N/a

Current Illness: N/a

ID: 0940392
Sex: F
Age: 43
State: ME

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: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: none

Symptom List: Anxiety, Dyspnoea

Symptoms: Became dizzy, headache, felt like she was going to faint, rigors and a temperature of 101.5. Next morning she had upset stomach, feeling dizzy, thought she was going to faint and a headache.

Other Meds: Metoprolol 12.5 mg daily Baby Aspirin one daily

Current Illness: none

ID: 0940393
Sex: F
Age: 41
State: MT

Vax Date: 12/29/2020
Onset Date: 12/29/2020
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: Sertraline

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

Symptoms: The vaccination was given at 1802. At approximately 1804 the patient stated she did not feel quite right and something may be wrong. She stated she was feeling all warm. She was complaining of mild heat or burning traveling from the vaccination arm, across her chest to the other arm and down her torso. Did not complain of any breathing difficulties or other symptoms. Her heart rate and respirations were normal. Upper extremities were examined for redness or hives - none found. The heat flash lasted about 2 minutes then she stated she felt normal. She was observed for another 20 minutes. She was examined again before leaving and no signs or symptoms were noted at that time. She felt normal before leaving the clinic.

Other Meds: Citalopram Vitamin B Complex

Current Illness: None

ID: 0940394
Sex: F
Age: 47
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: unknown
Dose Series: UNK
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Upon vaccination client's arm instantly went tingly and cold. Radiating quickly to her finger tips.

Other Meds: None

Current Illness: None

ID: 0940395
Sex: F
Age: 30
State: NJ

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: No

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

Symptoms: I exp pain immediately following on injection site, fingers tingling on left side and couldn't lift laterally. The pain felt on scale of 1-10 a 10 also exp dizziness. 114/68 around 4:30pm I couldn't utilize left arm at all. When I got home around 8pm spouse had to assist in showering still felt dizzy. I tried to go to sleep was awoken by the pain couldn't sleep on left side. The next day felt exhausted and still in pain took Tylenol every 6 hrs. On day 3 the pain start to improve had movement left arm. My(estimated date of delivery 6/1/2021).

Other Meds: Prenatal Vit, Vit D

Current Illness: No

ID: 0940396
Sex: M
Age: 86
State: CO

Vax Date: 01/11/2021
Onset Date: 01/12/2021
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: Penicillins

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

Symptoms: Patient woke on 1/12 with violent shaking, nausea, fatigue and decreased appetite. Throughout the day on 1/12 pt became delirious, no longer recognizing people, not able to understand speech, incontinence of bladder and is unable to walk without falling.

Other Meds: Tylenol

Current Illness: Hemispheric branch retinal vein occlusion of R eye with Macular edema on 12/31/20

ID: 0940397
Sex: M
Age: 4
State: NY

Vax Date: 12/22/2020
Onset Date: 12/24/2020
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: LA

Lab Data:

Allergies: No Known Allergies @ Time of Vaccination

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Mother of patient wrote to our office 2 days after administration (12/24/2020) stating patient's Right Arm was red, swollen, and itchy, and broken out in a rash / hives. Mother of patient stated the redness on patient's right arm started on 12/23/2020. Mom treated with OTC Tylenol, Cortisone Cream, and antihistamine (per triage note). Mom also reported that patient had decreased voiding and increased malaise. Mom reported to office on 12/26/2020 that patient's behavior is back to normal and he is urinating normally. Mom said arm looked much better, redness gone, soft to touch now instead of hard as it was, still just a little bit of swelling there. On 1/7/2021, received online PORTAL message from patient's mother stating that the swelling had gone down completely, where it was not hard or bright red anymore but it appeared slightly purple and blotchy. Dr. wrote back asking mom to test circulation on arm via testing capillary refill, mom reported back that circulation was good (cap refill < 2 seconds); in addition, mother reports patient is still complaining of itchiness with Right Arm.

Other Meds: Nystatin-Triamcinolone 100000-0.1 Unit/GM-%

Current Illness: Rash and other non specific skin eruption on patient's Left Posterior Thigh (11/25/2020)

ID: 0940398
Sex: F
Age: 63
State: MA

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:
Dose Series: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Systemic: funny taste in mouth

Other Meds:

Current Illness:

ID: 0940399
Sex: F
Age: 29
State: WY

Vax Date: 12/29/2020
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: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: NA

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: itchiness at site of injection, redness, hot to touch and welt at injection site all 1 week post injection

Other Meds: Gianvi

Current Illness: NA

ID: 0940400
Sex: M
Age: 35
State: CA

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: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Fever, chills, body aches, headache. Improving

Other Meds:

Current Illness:

ID: 0940401
Sex: F
Age: 50
State: MI

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:
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Sulfa products

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

Symptoms: topical reaction at injection site (red, swollen, minor pain, warm to the touch). Ice pack & warm compress alternating

Other Meds: Zyrtec 10 mg one tab daily Celexa 40 mg one tab daily Fosamax 70 mg one tab weekly Topamax 25 mg two tabs daily Amitrityline 10 mg one tab daily Atorvastatin 40 mg one tab daily Trazodone 50 mg one tab daily Omeprazole 40 mg 1 cap daily Fio

Current Illness: None

ID: 0940402
Sex: F
Age:
State: NJ

Vax Date: 12/29/2020
Onset Date: 01/08/2021
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: Got vaccine on 12/29/20. On 1/8/21 - developed raised, red 2inch x 2inch rash with smaller rash below it.

Other Meds: Birth control, Nexium, Celexa, lisopril

Current Illness: none

ID: 0940403
Sex: F
Age: 45
State: OH

Vax Date: 12/30/2020
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:

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

Symptoms: Day of shot: Arm was sore and started itching in the evening. Day 2-5: Arm was sore. (Mostly on day two.) Arm had around 2-inch local reaction at injection site. Red, hot to touch, itchy, hard. Day 6-7: Arm was lightly itchy. Redness went away. Day 8: Arm began to itch fairly consistently late in evening. Day 9: Arm was increasingly itchy through out the day. In the morning had around a 2-inch red spot. Size of the redness increased througout the day, became redder, hot to touch, hard, itchy. Day 10: Approximately 1/2 of upper arm (between shoulder and elbow area around 6 or 7 inches by 4 or 5 inches) red, swollen, hard to touch, hot, itchy. Day 11: Reaction began to fade. Day 12-13: Arm is still read at injection site. Bottom area of the large reaction area is also still red and itchy. Day 14- 15 (today): Arm is still read at injection site. Bottom area of the large reaction area is also still itchy and appears to be redder than it was. Redness at the bottom of the reaction area seems to be slowly spreading back up towards initial injection site.

Other Meds:

Current Illness:

ID: 0940404
Sex: F
Age: 60
State:

Vax Date: 01/04/2021
Onset Date: 01/07/2021
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: Codeine

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

Symptoms: Around day 2-3, started having left eye spasm and has now been about 1 week and still having left eye spasm

Other Meds: Lialda, Vitamin B12, Vitamin D

Current Illness: none

ID: 0940405
Sex: F
Age: 55
State: NJ

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: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Sulfa, Bee Stings

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

Symptoms: Mouth sores, diarrhea, joint pain

Other Meds: Lamictal, Clarinex ,pantoprozole,Aleve,biotin, vitamin D, MVI,

Current Illness:

ID: 0940406
Sex: M
Age: 27
State: IN

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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Keflex

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

Symptoms: Vomiting, fever persistent with medicine. Chills, joint pain. X 2 days at this point.

Other Meds:

Current Illness:

ID: 0940407
Sex: M
Age: 28
State: WY

Vax Date: 12/29/2020
Onset Date: 01/05/2021
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: n/a

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

Symptoms: Raised, red circle around injections site. about 3 inches in diameter. itchiness

Other Meds: n/a

Current Illness: n/a

ID: 0940408
Sex: F
Age: 70
State: MI

Vax Date: 01/12/2021
Onset Date: 01/13/2021
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: PCN, Bee Venom

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Diarrhea, Vomiting, Fever 100.2 started on 1/13/2021 at 7:00 AM

Other Meds:

Current Illness:

ID: 0940409
Sex: F
Age: 78
State: NC

Vax Date: 01/07/2021
Onset Date: 01/07/2021
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: epinephrine, iodine

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Bleariness, slight brain fog, not steady, legs feel like that they're not attached to body.

Other Meds: n/a

Current Illness: n/a

ID: 0940411
Sex: F
Age: 34
State: UT

Vax Date: 01/04/2021
Onset Date: 01/11/2021
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: Sensitivity to fentanyl

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

Symptoms: At time of injection I had swelling and redness along with muscle soreness. After about 4 days the redness and swelling went away. However on day 7 the redness returned with intense itching and hives. Today is day 9 and it is red, swollen, and very itchy, with hive like bumps.

Other Meds: None

Current Illness: None

ID: 0940412
Sex: F
Age: 42
State: KY

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: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: Fatigue and body ache Fever Stomach cramping Headache Excessive Sweating

Other Meds: None

Current Illness: None

ID: 0940413
Sex: F
Age: 38
State: MD

Vax Date: 12/30/2020
Onset Date: 01/09/2021
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: penicillin, egg whites

Symptom List: Unevaluable event

Symptoms: Arm became inflamed, red, hot to touch near the vaccine at day 10, arm soreness from day 1 until day 12.

Other Meds: N/A

Current Illness: N/A

ID: 0940414
Sex: F
Age: 55
State: VA

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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Cipro flu shot reaction

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

Symptoms: pt reports about 1.5 hours after injection she developed hives on her face. No SOB or other symptoms. she took 25mg oral Benadryl. Hives have not progressed as of today---slightly better. she is taking OTC Benadryl as needed for itching

Other Meds: Lisinopril Spironaldactone metoprolol Vit D3 Plavix

Current Illness: no

ID: 0940415
Sex: F
Age: 34
State: NC

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: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: -Chocolate Flavor: Anaphylaxis -Poppy: Anaphylaxis -Tree Nut: Anaphylaxis -Nut.soy,lacfree-fos-dha-epa-in : other side effect

Symptom List: Injection site pain, Pain

Symptoms: Patient reported tongue swelling approximately 2 hours following vaccination with the COVID immunization. Patient is a health care provider/ surgeon and managed her symptoms at home. Reported reaction to her assigned PCP.

Other Meds: epinephrine (auto-injector) epinephrine 0.3 mg/0.3 mL Inject 0.3 mg into the thigh as needed. levonorgestrel (IUD) levonorgestreL 20 mcg/24 hours (6 yrs) 52 mg 1 Intra Uterine Device by Intrauterine route once. spironolactone (tablet) spi

Current Illness: None reported

ID: 0940416
Sex: F
Age: 29
State: AR

Vax Date: 12/19/2020
Onset Date: 12/21/2020
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:

Symptom List: Injection site pain, Menorrhagia

Symptoms: I got a rash, I felt like it started on my legs and spread everywhere. It spared my face, neck and back. I went to the Doctor . The Dr gave me a steroid shot and some cream to help with the itch. The rash went away about two days later.

Other Meds: Zyrtec (daily) Birth control (daily)

Current Illness:

ID: 0940417
Sex: M
Age:
State: AZ

Vax Date:
Onset Date:
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: Neosporin

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

Symptoms: None stated.

Other Meds: Tichovy, Descovy

Current Illness:

ID: 0940418
Sex: F
Age: 70
State: MI

Vax Date: 01/12/2021
Onset Date: 01/13/2021
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: PCN, bee venom

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Diarrhea, Vomiting, Fever 100.2 started 1/13 at 7:30 AM

Other Meds:

Current Illness:

ID: 0940419
Sex: F
Age: 59
State: MT

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:
Dose Series: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: No Known Allergies

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Patient called at 12pm to inform us that about 3 hours after her 1st Covid vaccine she was moving her arms around to prevent soreness and then both arms began to feel itchy, tingling, & burning & this moved up into her neck. She was encouraged to come in and be seen, but she does not feel that is necessary at this time. She reported her symptoms have since improved and that she had a similar reaction when she received the shingles vaccine. I encouraged patient to monitor her symptoms and to come be seem if she gets worse. She reported that she is feeling much better at the end of our phone call.

Other Meds: Multivitamin Vitamin D

Current Illness: None

ID: 0940421
Sex: F
Age: 27
State: MI

Vax Date: 01/09/2021
Onset Date: 01/09/2021
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: NO

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

Symptoms: IMMEDIATE PALPITATIONS RATE 140 TO 160, CHEST PAIN. TREATED WITH BENADRLY, GLUCOCROTICOIDS AND PEPCI

Other Meds: VIT D, ADDERALL, ZOLOFT

Current Illness: NO

ID: 0940422
Sex: F
Age: 39
State: FL

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:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

Symptom List: Nausea

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA - Lips tingled 2 minutes after injection, then moved to tongue. Lips started to go numb along with tongue, face started to itch right after. Within 30 minutes of injection, eyelids were swelling, face and chest redness, whole body itching. Benadryl and Tylenol taken, symptoms were lessening within 1 hour of taking Benadryl.

Other Meds: Atorvastatin, Escitalopram, Vitamin D, Pantoprazole

Current Illness: None

ID: 0940423
Sex: F
Age: 29
State: IL

Vax Date: 01/07/2021
Onset Date: 01/07/2021
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: sensitivity to doxycycline, seasonal allergies, mango

Symptom List: Injection site pain

Symptoms: Estimated due date: 03/17/2021 On the day of the vaccine during observation I had tingling in my mouth, numbness in tongue and I just used my Benadryl and it eased the symptoms. But at night I started wheezing, had sweats and chills, did not check my temperature but I had pretty severe chills that night. In the morning I checked no fever, but still chills, severe cough and sore throat.. Headache and fatigue. All got worse more severe on Saturday and then I decided to go get tested for Covid on the Care Clinic. I had a known exposure to COVID before I got the vaccine around 01/04/21 - my husband who tested positive on the 6th) I tested positive. All symptoms continued (except the tingling on the mouth it stopped on the 8th) and I saw my OB-GYN on the 11th due to a low amniotic fluid - I had an ultrasound at the facility and was referred to MD and saw him on the 11th as well. Now I lost my sense of taste and smell. The chills have subsided a little bit and so the headache, but fatigue, congestion and cough are still there. I had increased intermittent shortness of breathe but could be the baby's position.

Other Meds: Prenatal vitamins. Allegra, singular, 25mcg centroid

Current Illness: Just my normal allergies symptoms, nasal drainage and cough

ID: 0940424
Sex: F
Age: 48
State: NJ

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: 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: developed redness and pain at the site of injection 24 hours after vaccination. Symptoms seemed to subside however around Friday the site was painful, red, raised, and warm. According to individual reactions seems to be cellulitis. Symptoms continued to worsen over the weekend with redness and swelling traveling from just below the site of injection to just above the elbow. Feels mobility is slightly diminished compared to left arm. will seek medical care from a local urgent care today.

Other Meds: Low estrogen

Current Illness: None

ID: 0940425
Sex: F
Age: 54
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: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: none

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

Symptoms: Large area of redness, extremely itchy one week later after injection

Other Meds: multi vitamin, vit D, zinc

Current Illness: none

ID: 0940426
Sex: F
Age: 50
State: CT

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: Tremor

Symptoms: pain at the injection site

Other Meds: exemestane, gabapentin, vitamin D, calcium

Current Illness: none

ID: 0940427
Sex: F
Age: 37
State:

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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: red swelling at injection site red circle on injection site very itchy

Other Meds:

Current Illness:

ID: 0940428
Sex: F
Age: 46
State: IA

Vax Date: 12/24/2020
Onset Date: 12/24/2020
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: none

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

Symptoms: By the evening of the date I received the vaccine my arm was swollen and red, warm to the touch. Day 2 the symptoms appeared to be worse. I took my temperature and had a fever if 99.8. By the evening of Day 2 the swelling had lessoned not gone and the rest of the symptoms were still present. Each day got a little better and was slightly itchy. On Day 7, it started to swell slightly and became redder again and was warm to the touch again. By Day 7 in the evening it was back to getting better. Today is 1/13/20 almost 3 weeks later I still have some noticeable discoloration. Note - When the shot was given I did feel a fairly strong burning sensation during and right after the injection.

Other Meds: Propranolo1, Bupropion, otc antacids

Current Illness: none

ID: 0940429
Sex: M
Age: 27
State: CA

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: 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: Severe Myalgia, Joint tenderness, Nausea, Fever, Lumbar tenderness All resolved after 36hrs

Other Meds:

Current Illness:

ID: 0940430
Sex: F
Age: 52
State: LA

Vax Date: 01/06/2021
Onset Date: 01/07/2021
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: Asthenia, Chills, Headache, Myalgia

Symptoms: left side of face got swollen, 5 lb weight gain on 1/8/21, resolved on 1/12/21

Other Meds: multivitamin, biotin, advocate spark

Current Illness: none

ID: 0940431
Sex: F
Age: 67
State: FL

Vax Date: 01/06/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs

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

Symptoms: My arm is red and hot at the injection site. The injection was given one week ago.

Other Meds: Montelukast 10 mg, Losatan 75 mg., Ralixifene HCL 60 mg, Hydrochlorothiazide 25 mg, Crestor 10 mg, Ambien 5 mg, Mucinex 1200 mg, Azelastine hcl nasal spray, Fluticasone propionate nasal spray, Iprotropium bromide nasal spray

Current Illness:

ID: 0940432
Sex: F
Age: 38
State: IN

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: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Sulfa drugs

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

Symptoms: Fever headache body aches nausea chest pain Tylenol

Other Meds: Synthroid vitamin d multi vitamin

Current Illness:

ID: 0940433
Sex: F
Age: 27
State: UT

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: No

Symptom List: Pain in extremity

Symptoms: Beginning 1/12/21, site of injection was itching. Upon touch, there is a lump that is raised and bigger than a quarter. Additionally, there is redness on the site of the lump. A sore arm began to return again and the site is warm to the touch.

Other Meds: No

Current Illness: No

ID: 0940434
Sex: F
Age: 45
State: CA

Vax Date: 12/26/2020
Onset Date: 12/27/2020
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: erythromycin

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

Symptoms: 23 hrs post injection I woke up with angioedema in my lip. Approx. 1.5 weeks later a second occurrence of angioedema in lips. A 3rd occurrence took place 1/12/2021 and this occurrence was most severe of the 3 occurrences so far.

Other Meds: none

Current Illness: none

ID: 0940435
Sex: F
Age: 57
State: NH

Vax Date: 01/13/2021
Onset Date: 01/13/2021
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: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Timeline of Events 1017 Vaccine Administered, Left Deltoid (30 observation period) 1042 Symptoms Onset 1042 HR taken - 92bpm 1043 BP taken - 130/90 1045 Received 20mL of Benadryl 1046 Pt reports continued strange taste, scratchy throat, tingling in upper lip; Temp taken - 98.1 *F 1057 Ambulance was called; BP retaken - 128/84; HR retaken - 112bpm 1100 HR retaken - 92bpm 1102 Ambulance arrived 1115 Pt assessed by EMT and was cleared/released to return home with improvement of symptoms

Other Meds: Metoprolol (25mg/day), Omeprazelle (40mg/day)

Current Illness:

ID: 0940436
Sex: F
Age: 53
State: MA

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: 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: AM next day very fatigued arm very sore painful, cold chills and body aches in pains later in the day. Ibuprofen dose, provided relief, resolved. 1/13/2021 Headache nausea dry hives in AM, vomited once at 11AM.

Other Meds: Lisinopril 10 mg

Current Illness: N/A

ID: 0940437
Sex: F
Age: 39
State: KY

Vax Date: 01/05/2021
Onset Date: 01/11/2021
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: Azithromycin Omnicef

Symptom List: Vomiting

Symptoms: Approximately one week post injection developed injection site redness and warmth as well as axillary, posterior cervical, and supraclavicular lymphadenopathy on the side of injection.

Other Meds: Celexa 40 mg daily diphenhydramine 25 mg nightly

Current Illness: None

ID: 0940438
Sex: F
Age: 88
State: NE

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

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

Lab Data:

Allergies: Naproxen

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Had Covid Vaccine AM of 1.8.2021. Woke up with Nausea, Vomiting X 4, Chills the following AM. Presented to ED. Found to be hypotensive during ER. Nausea Vomiting resolved. Tx with fluid replacement and dismissed home instructed to monitor BP. B/P dropped again at home returned and admitted to hospital.

Other Meds: Oxybutynin Levothyroxine Meloxicam Metoprolol Pantoprazole ASA Tylenol PM Potassium Acetate Calcium Carbonate Glucosamine

Current Illness: Urinary Incontinence (UA negative 12/29/2020)

ID: 0940439
Sex: F
Age: 38
State: CA

Vax Date: 12/31/2020
Onset Date: 12/31/2020
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: Soreness (Left Arm) x 2 days Fatigue (Intermittently) / 7 days Fever (Intermittently) / 7 days Body Ache/ 3days Chills /24 hrs.

Other Meds:

Current Illness: Covid-19 - positive test date:12/17/2020

ID: 0940440
Sex: F
Age: 25
State:

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: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: erythema and induration at injection site about 4cm*5cm in size. Regional lymphadenopathy

Other Meds:

Current Illness:

ID: 0940441
Sex: F
Age: 43
State: MD

Vax Date: 01/13/2021
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: IM
Vax Site: RA

Lab Data:

Allergies: Sulfa- Rash

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

Symptoms: Patient stated she felt tingling in left hand followed by tingling in right hand. This resolved quickly per patient. Patient then reported a sensation in the top/back of throat. Vital signs checked. Blood pressure 110/78, HR 68, RR 20. Patient denies chest pain, shortness of breath, headache or feeling dizzy. No rash or swelling observed. Patient's color is pink, warm and dry throughout. All symptoms resolved at 11:20. Patient encouraged to call brother-in-law for a ride home. Patient given water to drink and observed until 11:35.

Other Meds: None

Current Illness: None

ID: 0940443
Sex: F
Age: 40
State: TX

Vax Date: 12/24/2020
Onset Date: 12/26/2020
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: none

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

Symptoms: Hives noted on arms, legs, torso, feet and hands on 12/26/20 (vaccine received 12/24/20)- went to an Urgent Care clinic on 12/28 and received Steroid 7-day pack. After 5 days the hives resolved.

Other Meds: None

Current Illness: seasonal allergies to cedar

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm