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: 0940444
Sex: F
Age: 36
State: TX

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: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: No

Symptom List: Dysphagia, Epiglottitis

Symptoms: Redness itchyness at injection site some days its a bruise other days its red and itchy its been 9 days since injection..tye redness is a circle about 2x2.

Other Meds: Zinc and magnesium vitamins

Current Illness: No

ID: 0940445
Sex: F
Age: 42
State: TX

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

Lab Data:

Allergies: NKDA

Symptom List: Anxiety, Dyspnoea

Symptoms: 12-23-20: Began feeling tired in the evening, felt drained. 12-24-20: Could not raise my right arm, was very painful, felt very tired, did not get out of bed, appetite was slightly diminished. 12-25-20: Pain in right arm was extending to the right side of my neck, could not raise my arm, very painful. Did not get out of bed, felt very tired. 12-26-20: Symptoms had subsided, right arm was still sore but I could move it. I was able to go outside and walk the dog. I did not feel as tired as the previous days. 12-27-20: Back to normal, symptoms were gone.

Other Meds: Ibuprofen, daily mulivitamin, Benefiber, Beano

Current Illness: No other illnesses

ID: 0940446
Sex: F
Age: 72
State: MD

Vax Date: 01/02/2021
Onset Date: 01/03/2021
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:

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

Symptoms: tongue started to swell from front to back - very tender with some red marks on top of tongue - mouth felt like I had burnt it on something hot and sore throat mostly at base of tongue - tenderness started at front of tongue and moved to back of tongue over 2 days then disappeared

Other Meds:

Current Illness:

ID: 0940447
Sex: F
Age: 61
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: unknown
Dose Series: UNK
Vax Route:
Vax Site:

Lab Data:

Allergies: Biaxin

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Extreme fatigue, hard chills, fever of 100 for several hours, nausea, generalized weakness. Chills and extreme fatigue lasted 4 hours. Low grade fever lasted 12 hours.

Other Meds: Prilosec, Tricor, Metformin 500mg, Calcium with vitamin D, Glucosamine sulfate, iron, melatonin, atorovastin.

Current Illness: simple upper respiratory infection in December

ID: 0940448
Sex: F
Age: 88
State: OK

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: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Systemic: Seizure-Severe

Other Meds:

Current Illness:

ID: 0940449
Sex: M
Age: 61
State: WI

Vax Date: 12/28/2020
Onset Date: 12/28/2020
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: none

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

Symptoms: Developed salty taste in mouth 4 hours after getting vaccine. Persisted for a week.

Other Meds: none

Current Illness: none

ID: 0940450
Sex: F
Age: 45
State: CA

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: on 1/11/21, developed swollen lymph node on right clavicle area- pea sized tender to touch, sore with head movement to the left.

Other Meds:

Current Illness:

ID: 0940451
Sex: F
Age: 51
State: AL

Vax Date: 12/21/2020
Onset Date: 12/27/2020
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: I am allergic to glutten

Symptom List: Pharyngeal swelling

Symptoms: I had what felt like a sinus infection, sore throat, stuffy nose, body aches and fatigue.

Other Meds: I take orthotricycline

Current Illness:

ID: 0940452
Sex: F
Age: 32
State: ME

Vax Date: 12/24/2020
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: Sulfa

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Shingles

Other Meds: Folate

Current Illness:

ID: 0940453
Sex: F
Age: 34
State: NH

Vax Date: 01/08/2021
Onset Date: 01/13/2021
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: Sulfa drugs-hives

Symptom List: Diarrhoea, Nasal congestion

Symptoms: 5 days after my vaccination I woke up in the middle of the night to pain in my arm pit of the arm the vaccine was administered. My lymph nodes in my groin, neck, clavicle, and arm pit are visibly inflamed. The left side of my face and neck are swollen as well. I am having tingling and numbness down my left arm and in my fingers. I am feeling very light headed and short of breath.

Other Meds: BCP

Current Illness: NA

ID: 0940454
Sex: F
Age: 28
State: MI

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: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: N/A

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

Symptoms: Headache, nausea, body aches, chills, temperature 99F starting around 6pm on the day of vaccination (I received the vaccine at 7:30am). This lasted all night and was resolved by 1pm the following day.

Other Meds: Levonorgestrel-ethinyl estradiol 0.15-0.03 mg per tablet (birth control)

Current Illness: N/A

ID: 0940455
Sex: F
Age: 46
State: CT

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: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies: Ciprofloxacin (CNS effects), aspirin (interaction with escitalopram), skin patch test: formaldehyde, quaternium-15, diazolidinyl urea, gold sodium thiosulfate, imidazolidinyl urea, epoxy resin, mercapto mix

Symptom List: Rash, Urticaria

Symptoms: 1245: Moderna COVID-19 vaccination to left deltoid 1249: episode of coolness sensation/loss of blood flow to bilat forearms and hands, lightheaded and increase in heart rate to 120, then nervous response and and increase in contractility-informed RN, heart rate quickly decreased to 100, then to 80/90s, followed by metal taste and feeling it move through mouth, throat, neck, chest; little twinges of pain various locations (left elbow, left TMJ, quickly dissipating). Mild chest tightness/very mild sob upon exiting 30+min later with increase in mucus? (Clearing my throat, raspy voice for approx 2 hrs after vaccination). Left tongue tingly. Very tired! 14:30: very tired, slight chest tightness 16:30: mild L.arm soreness 19:30: mild arm soreness, L.tongue tingly, increase in tinnitus (slightly more than normal), feel fine otherwise 1/9/2021: moderately sore left deltoid, mild intermittent nausea, otherwise fine

Other Meds: Escitalopram 20 mg QD (morning of); vitamin C 500 mg QD, Vitamin D 1000 IU QD, fish oil 640 mg (night before)

Current Illness: None, no illness time of vaccination; undergoing testing for auto-immune, mildly elevated ANA.

ID: 0940456
Sex: F
Age: 50
State: OK

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: UKN

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

Symptoms: 1705- HANDS TURNED "RED," DENIES ITCHING, T-97.4, 140-87, 95. PATIENT STATES HAS RAYNAUDS. 1720- T-99.4, 153-87, 84 1730- O2SAT 95%, T- 99.5 1735- 132/76, 86.

Other Meds: UKN

Current Illness: UKN

ID: 0940457
Sex: F
Age: 53
State: AZ

Vax Date: 01/01/2021
Onset Date: 01/01/2021
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: no

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

Symptoms: None stated.

Other Meds:

Current Illness: no

ID: 0940458
Sex: F
Age: 39
State: MN

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

Lab Data:

Allergies: None

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

Symptoms: 11 hours after vaccine, chills started. Fever, chills, severe headache and body aches, and fatigue over next 24 hours. Bedridden, would not have been able to work or care for my children. Left eyelid began twitching at that time and has continued to have intermittent periods of twitching over the 5 days since.

Other Meds: None

Current Illness: Strep Throat 2 weeks prior (after receiving first Covid vaccine), then a head cold (tested Covid negative) up until 2 days prior to vaccine.

ID: 0940459
Sex: F
Age: 62
State: AZ

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: Augmentin

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

Symptoms: Fever. Chills. Headache. All my joints hurt.

Other Meds: Over the counter allergy pill

Current Illness: None

ID: 0940460
Sex: F
Age: 32
State:

Vax Date: 12/30/2020
Onset Date: 12/31/2020
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:

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

Symptoms: About 24 hours after the vaccine injection felt like something stuck in throat and chest hurt. Progressed in 30 minutes to pain in chest and head, swallowing painful, whole body and eyes itching and felt irritable. Symptoms continued for 24 hours.

Other Meds:

Current Illness:

ID: 0940461
Sex: F
Age: 47
State: CT

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

Symptom List: Ear pain, Hypoaesthesia

Symptoms: I received the vaccine @ 3:26p on 1/7/21 by 9:30p I was dealing with itchiness. I woke up on 1/8 w/soreness & rash around the injection site & on the left arm. By 6p I had a rash on both arms, back & on my right knee. By midnight I developed a rash on my r foot & belly area. It's 1/13 & I have been taking Benadryl on & off since 1/8 @ 2am. The rash comes and goes on different parts of my body. My physician is now ordering a low dose of prednisone that I will start taking today, 1/13.

Other Meds:

Current Illness:

ID: 0940462
Sex: F
Age: 46
State: OK

Vax Date: 01/05/2021
Onset Date: 01/13/2021
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: Penicillin, Amoxicillin, and Sulfurs

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: hardening of injection site with redness and itchiness. This started 8 days after the vaccine was taken.

Other Meds: Meloxicam 15mg, Atrovastatin 40mg, and Hydrochlorothiazide 25mg

Current Illness: None

ID: 0940463
Sex: M
Age: 42
State: IN

Vax Date: 01/01/2021
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: None

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

Symptoms: Flu like symptoms the night of first dose. Woke up the next morning with migraine type headache, pain in hips and knees. Fatigue.

Other Meds: Metformin, jardiance, trulicity

Current Illness: None

ID: 0940464
Sex: F
Age: 69
State: CT

Vax Date: 01/10/2021
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: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Family history of MH Sensitivity to Epi

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

Symptoms: Initial vertigo type symptoms, followed by nausea and vomiting. (B/P WDL, temp 95.9).1 episode then several hours of sleep. Slight dizziness upon awakening with mild fatigue. Mild lightheadedness today. No fatigue. No aches or pains.

Other Meds: Amlodipine Lisinpril Synthroid Vit D3

Current Illness: None

ID: 0940465
Sex: F
Age: 35
State: MI

Vax Date: 01/05/2021
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: Unevaluable event

Symptoms: The symptoms was chills, body aches, very tired and no fever.(estimated date of delivery 5/17/2021)

Other Meds: Prenatal Vit; Pepcid, Zyrtec.

Current Illness: No

ID: 0940466
Sex: F
Age: 33
State: MI

Vax Date: 01/08/2021
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: LA

Lab Data:

Allergies: n/a

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

Symptoms: Started with pain in arm at injection site, heaviness and pain in chest-hurts to touch, sweating, dryness of mouth, fatigue Taken Ibuprofen and Tylenol

Other Meds: n/a

Current Illness: n/a

ID: 0940467
Sex: F
Age: 43
State: MD

Vax Date: 12/30/2020
Onset Date: 01/04/2021
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: n/a

Symptom List: Injection site pain, Pain

Symptoms: Red rash like area where I received the injection. It's warm to the touch and itches a little. Still sore as well

Other Meds: Phentermine37.5

Current Illness: n/a

ID: 0940468
Sex: M
Age: 42
State: PR

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: SYR
Vax Site: LA

Lab Data:

Allergies: NO

Symptom List: Injection site pain, Menorrhagia

Symptoms: DEVELOPED DIZZINESS, EXTREME FATIGUE, CHILLS, WEAKNESS, NIGHTMARES AND ELEVATED BLOOD PRESSURES SINCE 1/12/2021 AT NIGHT. UNABLE TO GO TO WORK.

Other Meds: COZAAR 50MG, HCTZ12.5MG, KLONOPIN 1MG, ZOLPIDEM 12.5MG, AMLODIPINE 5MG, LEXAPRO 75MG, RISPERDAL 5MG, DOTERRA

Current Illness:

ID: 0940469
Sex: F
Age: 34
State: OH

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

Lab Data:

Allergies: Penicillin

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

Symptoms: Large reddened round area about 3 inches in diameter at injection site appeared 8 days after vaccination

Other Meds: Multivitamin

Current Illness: None

ID: 0940470
Sex: F
Age: 94
State: IA

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

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: Unknown

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Site: Pain at Injection Site-Medium, Systemic: Generalized Body Aches -Severe, Systemic: Headache-Severe, Systemic: Severe drop in blood pressure, pulse, and o-sat-Severe

Other Meds:

Current Illness:

ID: 0940471
Sex: M
Age: 43
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: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Keflex

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Fever/chills, headache, tired, mild pain at injection site

Other Meds: Losartan, vit D, vit C, adderall, CoQ10, Januvia, metformin, HCTZ, clonidine, Glimepiride

Current Illness:

ID: 0940472
Sex: F
Age: 34
State:

Vax Date: 01/13/2021
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: RA

Lab Data:

Allergies:

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

Symptoms: dizziness, tingling in face to neck and nausea; rested and refused emergency department

Other Meds:

Current Illness:

ID: 0940473
Sex: F
Age: 50
State: AR

Vax Date: 01/06/2021
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: RA

Lab Data:

Allergies: penicillin, sulfa

Symptom List: Nausea

Symptoms: 1/9-had body aches and fatigue. ibuprofen helped. 1/10-fatigue 1/11-fatigue stuffy nose. headache. 1/12-fatigue, runny nose, headache, diminished taste and smell 1/13 -fatigue, runny nose, headache, diminished taste and smell -PCR tested today.

Other Meds: Levothyroxine 100mcg daily melatonin 3 mg at night

Current Illness: no

ID: 0940474
Sex: M
Age: 45
State: CA

Vax Date: 01/10/2021
Onset Date: 01/10/2021
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: ibuprofen causes bleeding

Symptom List: Injection site pain

Symptoms: rapid heart rate and headache upon falling asleep, woke 30 minutes later with drenching sweat and feelings of doom. Jumped out of bed due to anxiety and rapid breathing from feelings of doom. paced the halls of house, attempted to go back to bed but feelings of doom would not go away. finally after an hour my breathing settled down, heart rate returned to normal and sweating dissipated. symptoms did not return but did wake with severe headache and nausea.

Other Meds:

Current Illness: none

ID: 0940475
Sex: M
Age: 58
State: TN

Vax Date: 01/06/2021
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: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Penicillin and derivatives, Celebrex, Erythromycin, Keflex.

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

Symptoms: Less than 2 days after having the 1st shot of the COVID-19 vaccine, I woke up at 2am and experienced Bell's palsy on the left side of my face...and had minor heart pain...was dizzy...had loss of balance...slurred speech, I had all of the symptoms of a stroke. Later in that same morning the swelling starting going down, so I waited to go to the emergency room...did not want to spend the money for all of the tests. I woke up the next morning and still had heart pain, so I decided to go to emergency room .

Other Meds: Sulfasalazine, Insulin (Humalog & Toujeo), Vitamin D, Vitamin B12, Iron.

Current Illness:

ID: 0940476
Sex: F
Age: 43
State: CA

Vax Date: 01/10/2021
Onset Date: 01/10/2021
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: No known allergies to food or medications

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

Symptoms: The night after the injection, I was very lethargic, my mind was "cloudy" I couldn't form coherent sentences. Took Tyelenol before bed because my arm was very sore. Next morning, my whole body ached and had a severe tension headache, my jaw was very tense also. I was still very lethargic and my mind still "cloudy". Took Tylenol again after dinner, that night I started to feel relief from aches, headache and my mind can think more clearly.

Other Meds: Took Aleve

Current Illness: no illnesses

ID: 0940478
Sex: M
Age: 40
State: KS

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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Hayfever, and Asthma Hayfever & Asthma

Symptom List: Tremor

Symptoms: Severe joint pain all over for about 1 hour. This occured about 1 hour after 2nd dose vaccine had been given.

Other Meds:

Current Illness: None

ID: 0940479
Sex: F
Age: 33
State: MI

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

Lab Data:

Allergies: n/a

Symptom List: Erythema, Pruritus

Symptoms: arm soreness, shortness of breath, fatigue, sweating, pain in shoulder that moves to the chest

Other Meds: n/a

Current Illness: n/a

ID: 0940480
Sex: M
Age: 46
State: NM

Vax Date: 01/06/2021
Onset Date: 01/06/2021
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: penicillin

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

Symptoms: EH9899 - Lot number wasn't indicated as different on the second dose. Few hives returned - had taken Benadryl 50mg - prophylactically . Subsided. Next evening (7th) - Hives returned and I took Zyrtec - 10 mg and they went away. (24 hours also - on the 7th) Did feel feverish, chills and achy after 24 hours after and I took an ibuprofen for that. Bumpy night; fitful sleeping but when I woke I was symptom free. Feverish went away sometime in the night and hives by the morning.

Other Meds: Benadryl - took some before the vaccine 50mg

Current Illness: none; except adverse reaction after the vaccine dose one

ID: 0940481
Sex: F
Age: 63
State: RI

Vax Date: 12/28/2020
Onset Date: 12/29/2020
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: Shellfish, Watermelon, Avalox antibiotic

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

Symptoms: Dizziness the following four days after the injection. Headache started the following morning after the injection and has been continuous, I still have it.

Other Meds: Levothyroxine, Zoloft, Pantoprazole, Atorvastatin, Calcium, Magnesium, Milk Thistle, Zinc, Vitamin D, Symbicort inhaler, Zyrtec, Linzess

Current Illness: NONE

ID: 0940482
Sex: F
Age: 36
State: TX

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: Asthenia, Chills, Headache, Myalgia

Symptoms: Almost immediately after patient vaccinated, while she was parking she said she felt like she was having difficulty swallowing and her "throat was swollen", also had a weird taste in her mouth. She stated it just feels weird when she swallows. Patient cleared by EMS. Instructed patient to call her family physician, 911, or go to the nearest emergency room for any further issues.

Other Meds:

Current Illness:

ID: 0940483
Sex: M
Age: 56
State: CA

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

Lab Data:

Allergies:

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

Symptoms: Error: Wrong Dose of Vaccine - Too High

Other Meds:

Current Illness:

ID: 0940484
Sex: F
Age: 4
State: OH

Vax Date: 01/05/2021
Onset Date: 01/06/2021
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: Allergic to dairy

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

Symptoms: Left upper arm became red, swollen, hot to the touch with a hard lump. Fever of 101.6F 1/5-1/6/21. Vomiting overnight 1/5-1/6/21. Tylenol used to relieve fever through 1/7/21. As 0f 1/13/21 the fever and vomiting are resolved and arm is no longer warm or red.

Other Meds: singulair

Current Illness: No

ID: 0940485
Sex: F
Age: 29
State: ND

Vax Date: 01/05/2020
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: Pain in extremity

Symptoms: Chills, body aches, fever, fatigue, headache. Treatment: rest, ibuprofen. Outcome- resolved.

Other Meds:

Current Illness:

ID: 0940486
Sex: M
Age: 43
State: IA

Vax Date: 12/23/2020
Onset Date: 12/23/2020
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: None

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

Symptoms: Arm sore at site of injection for around 2 days Low grade temp 1 day some body aches 1 day flushed feeling 1 day

Other Meds: None

Current Illness: No

ID: 0940487
Sex: F
Age: 53
State: IL

Vax Date: 01/11/2021
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: Tequin, Skelaxin, Black Cohosh, TB test No food allergies, no topical skin product allergies

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

Symptoms: 1ST VACCINATION PRODUCED NO SYMPTOMS AND WAS ADMINISTERED ON 12/21/20 2NS VACCINATION WAS APPROX. 6:30 PM ON 1/11/21 AND SYMPTOMS BEGAN WITH BEING AWAKENED BY FEELING ITCHINESS ON STOMACH AT APPROX 01:30 A.M. ON 1/13/21. PATIENT (I) OBSERVED BUMPINESS AND REDNESS COVERING ENTIRE STOMACH, BACK OF NECK AND ITCHINESS DOWN THIGHS AND ALONG UNDER SIDE OF ARM. TOOK BENADRYL OTC AND WENT BACK TO BED. AWOKE FOR WORK AT 04:30 AND SYMPTOMS ARE BETTER. NO SHORTNESS OF BREATH OR OTHER ALLERGY RELATED SYMPTOMS

Other Meds: ibuprofen, acetaminophen, Vyvanse (although not taken since 4 days before this 2nd vaccination- last date taken was 1/7/21),

Current Illness: None. Although I had salpingectomy-oophorectomy surgery for ovarian cyst removal (and family hx of ovarian cancer) on 12/15/21

ID: 0940488
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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: PENICILLIN ? hives

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

Symptoms: Received vaccine on 1/4/21, The evening of injection I had some initial itching at site with no errythema and minor pain, Last night, 1/12/21, I had some minor pain at injection site. Overnight, this pain woke me up. I have about 5-6 in area of errythema, warm to touch, and hard underneath the skin at injection site. No fevers No chills

Other Meds: Lexapro Lisinopril

Current Illness: None

ID: 0940489
Sex: F
Age: 58
State: NY

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: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: Left arm numbness and tingling at infection, pt. wearing restrictive shirts. She thinks that she may have constricted her blood flow during injection. She exhibited no other symptoms. Denies CP, SOB, LOC, stated that she feels fine to go home. Patient has full range of motion. Patient left facility by self.

Other Meds:

Current Illness:

ID: 0940490
Sex: F
Age: 47
State: IA

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Received injection at 0930 on 12/29/2020 and was observed for 15 minutes after injection. Around 1630 I developed a headache so I took a Fioricet as I have a history of migraines. I had a few body aches and only ate toast for supper that night. By 2330 my headache seemed to be worsening and I started experiencing a fever of 102, tremendous body aches, nausea, sore throat. At that time I took 500 mg Tylenol at 2330. By 2 am on 12/30/2020 my fever had reached 103 and I had difficulty walking as my body joints ached so bad. My headache was unbearable and I asked my husband to drive me to the ER as I could no longer take the pain. I also was hyperventilating. In the ER I was given normal saline 500 cc, Tylenol 1000 mg IV, and Zofran 4 mg IV for the nausea. I did fill prominently better thereafter, except I continued to have a headache. I was given Toradol 30 mg IV and advised not to take my Celebrex that day. The ER Doctor did call and speak with ER physician, and discussed the validity of lab testing for Covid after vaccination as well as his recommendations as to whether I should receive the second dose of the vaccine. Since I did not really have anaphylaxis, the doctor recommended that I proceed with the second vaccination with extended observation. I was discharged and instructed to take Tylenol 650 mg orally every 4 hours as needed advised for fever/analgesia.

Other Meds: Celecoxib, Fluoxetine, Hydrochlorithiazide, Metformn, Trazadone, Zomig (PRN), Fioricet (PRN), Vitamin C, Vitamin D3, Magnesium, Multivitamin

Current Illness: 12/10/20 - Seen in ER for fever/cough. Exposure to COVID with negative test for COVID

ID: 0940496
Sex: M
Age: 33
State: VA

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:

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

Symptoms: Headache, Chills, Fever. Headache began in the evening around 6:30 pm (approx. 7 hours after receiving the vaccine). Headache combined with chills and a fever (99-100 degrees) continued into the next day. Treated with alternating acetaminophen (500 mg) and ibuprophen (800 mg).

Other Meds:

Current Illness:

ID: 0940497
Sex: F
Age: 59
State: CO

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

Lab Data:

Allergies: no

Symptom List: Injection site swelling, Limb discomfort

Symptoms: 11pm arm got really sore. In the morning temp was 100.5. H/A, nausea, body ache.

Other Meds: Lisinopril, Zoloft

Current Illness: Yes, + case of covid 12/23/20

ID: 0940498
Sex: F
Age: 59
State: GA

Vax Date: 12/29/2020
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: Penicillin

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

Symptoms: Approximately 2 weeks after getting the vaccine the injection site is again raised, red, warm and now itchy.

Other Meds: Tums ant acids Pepcid

Current Illness: None

ID: 0940499
Sex: M
Age: 61
State: MN

Vax Date: 01/10/2021
Onset Date: 01/11/2021
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: none

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

Symptoms: Axillary swelling and pain on side of injection

Other Meds: Paxil, Metoprolol, flecainide, turmeric ,fish oil, vit D, zinc

Current Illness: none

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm