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: 0941247
Sex: F
Age: 65
State: IL

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

Lab Data:

Allergies: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: Large red bullseye circle at injection site that is warm to the touch and itches

Other Meds: Metoprolol Er succinate 25mg. 1/2 daily Paxil. 20mg. 1 daily Losartan/hctz. 12.5mg. 1/2 daily Coq10.

Current Illness: None

ID: 0941248
Sex: F
Age: 46
State: ND

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

Lab Data:

Allergies: Penicillin

Symptom List: Anxiety, Dyspnoea

Symptoms: Nausea, vomiting, headache, fatigue. Started 1/7/21- ended 1/9/21. Took zofran, compazine, and ibuprofen for symptoms, fluids and rest. Still with fatigue and noticed swelling in lymph nodes in left underarm area.

Other Meds: armour thyroid HCTZ Fluoxetine

Current Illness:

ID: 0941249
Sex: F
Age: 31
State: NY

Vax Date: 01/05/2021
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: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Sulfa and Prednisone

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

Symptoms: I developed a raised red rash that started under my chin and has spread up my face, all down my neck, around my ears, down my chest, and in my groin. The rash burns and itches.

Other Meds: Inflectra

Current Illness:

ID: 0941250
Sex: F
Age: 36
State: ID

Vax Date: 12/30/2020
Onset Date: 12/30/2020
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: Numbness in neck and face on left side lasting for 3-4 days; now intermittent tingling in face and neck on left side; no facial droop

Other Meds: vitamin D3, zince, multivitamin, probiotic, spironolactone, lexapro

Current Illness: none

ID: 0941251
Sex: F
Age: 53
State: SC

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: Aspirin, Lortab Tree nuts, eggs, cacao bean mold, mildew, seasonal allergies, mites, animal dander, tree pollens

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

Symptoms: Experienced intense nausea and dizziness within 25 minutes of injection; tachycardia, increased blood pressure; skin redness with blotches on face and neck; uncontrollable shaking; chills. These diminished to tolerable level within 30 minutes after onset. Evening of injection: nausea, vomiting, fatigue, muscle cramping. Next day: nausea, light headedness

Other Meds:

Current Illness: none

ID: 0941252
Sex: F
Age: 40
State: CA

Vax Date: 01/10/2021
Onset Date: 01/10/2021
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:

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

Symptoms: Left arm pain, headache, chills. Resolved.

Other Meds:

Current Illness:

ID: 0941253
Sex: F
Age: 67
State: MT

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

Lab Data:

Allergies: Nitrofurantion/Mono/mcr

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Injection site soreness for couple of days after the shot. This returned about 10 days later and much less painful. Redness, warm and a bit swollen. A few days later, now, a bit itchy.

Other Meds: Pilocarpine, Xeralto

Current Illness: none

ID: 0941254
Sex: F
Age: 31
State: OH

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

Lab Data:

Allergies: None.

Symptom List: Pharyngeal swelling

Symptoms: Soreness of point of entry of shot that lasted 30hrs.

Other Meds: None

Current Illness: None

ID: 0941255
Sex: F
Age: 26
State: WI

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: LA

Lab Data:

Allergies: Cefzil (anaphylaxis)

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: -0 to 1 day after vaccine: moderate left deltoid soreness, resolved completely -3 days after vaccine: new left axillary soreness and mild axillary lymphadenopathy -7 days after vaccine: worsening left axillary pain and lymphadenopathy with several axillary lymph nodes 1 cm in diameter. Lymphadenopathy now extending to left supraclavicular nodes and left anterior cervical chains. No other lymphadenopathy noted (I.e not bilateral). Erythema and new soreness appears over left deltoid in a 4cm patch. Seen by urgent care. Advised to report symptoms to CDC via V-safe app

Other Meds: Excedrin

Current Illness: None

ID: 0941256
Sex: F
Age: 22
State:

Vax Date: 12/19/2020
Onset Date: 12/19/2020
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: Pineapple, Bees

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Within one hour of getting first dose of vaccine PT sts she experienced a headache and sore throat, a few hours later, vomiting and diarrhea began. On 20DEC20 PT sts headache and vomiting continued iwht diarrhea persisting intermittently over next 48 hrs. Pt went home from work 20DEC20 and was able to resume regular duties the next day with intermittent diarrhea.

Other Meds: Lithium, Prozac

Current Illness: N/A

ID: 0941257
Sex: F
Age: 44
State: AZ

Vax Date: 01/07/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: The day after my vaccine(1/8/21), I noticed pins and needles/tingling sensations in my left foot and left hand. I have never had this happen before. IT lasted for about 15 minutes that night. The day after that(1/9/21), it happened again in the evening and lasted about 10-15 minutes. The morning after that(1/10/21), I had the pins and needles/tingling and a bit of numbness in my left hand that lasted for a few hours. That evening(1/10/21), I had the sensations again in my left hand, as well as noticing a prickling/itching sensation on both of my shoulders. That lasted for about 30 minutes. That was the last time I experienced it and have not experienced it again in the last 2 days.

Other Meds: Luvox, Trazadone, Culturelle Probiotic

Current Illness: None

ID: 0941258
Sex: F
Age: 36
State: TX

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/13/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies: seafood/shellfish

Symptom List: Rash, Urticaria

Symptoms: Site: Pain at Injection Site-Mild, Systemic: Chills-Medium, Systemic: Headache-Mild, Systemic: Elevated blood pressure. Rose to 140/110. No history of HTN. Returned to patient's normal blood pressure measure of 130/90 30-45 minutes after receiving the vaccine.

Other Meds:

Current Illness:

ID: 0941259
Sex: F
Age: 46
State: NY

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:
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: Fever 102.9F

Other Meds:

Current Illness:

ID: 0941260
Sex: F
Age: 50
State: WI

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: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Penicillins-hives Sulfas-hives Compazine-EPS symptoms

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

Symptoms: Vaccine received at 10:10. Mild pruritus occurred at vaccination site at 10:25. Quickly progressed to upper body widespread hives and itching/ Received 0.3mg epi in Right thigh at 10:35 and 25 mg Benadryl. All hives resolved by 10:40 and itching resolved by 11:00

Other Meds: Zyrtec 10mg Q AM Sertraline 100mg Q AM Levothyroxine 150mcg Q AM

Current Illness: none

ID: 0941261
Sex: F
Age: 31
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: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: Fatigue, body ache, chills, nausea, headache. Resolved.

Other Meds:

Current Illness:

ID: 0941262
Sex: F
Age: 61
State: VA

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: penicillin

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

Symptoms: same night after vaccination around 8pm after dinner. I started feeling sick. I headed to the bathroom and I started having diarrhea and vomiting at the same time. After I started having chills. I started drinking some ginger ale. Throughout the night I had diarrhea 2 additional times throughout the night. Around 1130pm I started eating crackers and I felt better. The next morning I'm feeling a little fatigued and my stomach is still feeling a bit off

Other Meds: hydrochlorozine, allopurinol, metformin etc. diclofenac sodium

Current Illness: no

ID: 0941263
Sex: M
Age: 51
State:

Vax Date: 12/28/2020
Onset Date: 01/13/2021
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:

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

Symptoms: A large red area surrounding the injection site measuring approximately 3x5 inches with bruising inside. This was not visible until this morning, more than 2 weeks after the first dose of the vaccine.

Other Meds:

Current Illness:

ID: 0941264
Sex: M
Age: 21
State: CA

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: EMPLOYEE STATED THAT HE WAS NOT ALLERGIC TO ANY MEDICATIONS, HE ANSWERED YES, HOWEVER HE STATED THAT HIS ALLERGY WAS TO A SPIDER BITE WHEN HE WAS A KID

Symptom List: Ear pain, Hypoaesthesia

Symptoms: EMPLOYEE STATED HE HAD CHILLS AND SOME MUSCLE ACHES DURING THE NIGHT BUT WOKE UP FEELING VERY WELL

Other Meds: NONE

Current Illness: EMPLOYEE STATED HE HAD TETANUS VACCINATION WITHIN 14 DAYS BUT HIS DOCTOR STATED IT WAS OK TO GET COVID-19 VACCINE.

ID: 0941265
Sex: F
Age: 78
State: TX

Vax Date: 01/06/2021
Onset Date: 01/12/2021
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: Sulfa-drugs, codeine, and scallops

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Seven days post vaccination an itchy rash developed in the injection area.

Other Meds: Diltiazem, Simvastin, Mometasone, Famotadine, Montelukast, Low dose asprin, Fexofenadine, Fish oil, Glucosamine, foic acid, calcium, vitamine D3, Probiotic,

Current Illness: None

ID: 0941266
Sex: F
Age: 45
State: CA

Vax Date: 12/30/2020
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: Itchy Welt New welt showed up under the original welt starting to spread

Other Meds:

Current Illness:

ID: 0941267
Sex: M
Age: 28
State:

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: No Known Allergies

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

Symptoms: Chest pain, mouth tingling

Other Meds:

Current Illness: None

ID: 0941268
Sex: F
Age: 64
State: MD

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: LA

Lab Data:

Allergies: sulfa

Symptom List: Unevaluable event

Symptoms: awakened at 3am with fever 101 and shaking chills the night after my second SARS Pfizer vaccine. flu-like sx lasted for one day; fever resolved by this am 1/13

Other Meds: none

Current Illness: none

ID: 0941269
Sex: F
Age: 51
State: FL

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: LA

Lab Data:

Allergies: Erythromycin Iodine

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

Symptoms: The day after receiving the vaccine I woke up with slight soreness of the arm. At work at 10:00am I began to get fatigued chills overall body aches but was afebrile. I also had nasal congestion and sneezing for 4 hrs. that resolved. At 12 noon I felt progressively worse and had to leave work. I got home and my temp was 100.2 and took more Ibuprofen at 1 PM. At 2PM the body aches and chills were pretty severe- my temp rose to 103.2. I took more Ibuprofen and alternated with TYLENOL and it returned to normal at 10 PM. I notified my Drs office and had a telemedicine visit with Dr at 4PM who thought it was a normal immune response but suggested getting a COVID Test in the meantime before returning to work. I woke up this morning afebrile with no issues notified employee health got a referral and had my COVID test completed at 09:30am. The urgent care MD strongly urged me to report to VAERS, not just CDC as I had yesterday. My COVID tests are still pending.

Other Meds: Lexapro 10mg Vitamin D Multivitamin B Complex Ibuprofen

Current Illness: None

ID: 0941270
Sex: M
Age: 69
State: GA

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

Lab Data:

Allergies: sodium glutamate, sodium nitrate, certain dyes

Symptom List: Injection site pain, Pain

Symptoms: Patient said he felt like someone was holding his throat and he mentioned he has a history of throat tightening. He was given two Benadryl and was checked on about 8 times (every 10 minutes or so). He said he felt like normal and was checked on 2 more times

Other Meds: none listed

Current Illness:

ID: 0941271
Sex: M
Age: 49
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:
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: none

Symptom List: Injection site pain, Menorrhagia

Symptoms: Muscle soreness, joint soreness, Fever, Vertigo

Other Meds: Lisinopril, Synthroid, Vitamin D

Current Illness: none

ID: 0941272
Sex: F
Age: 79
State: AZ

Vax Date: 01/21/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: none

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

Symptoms: none

Other Meds: Losartan, Levothyroxine losartan, levothyroxine

Current Illness: arthritis,hi bp, lo thyroid

ID: 0941273
Sex: F
Age: 43
State: NY

Vax Date: 01/06/2021
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: LA

Lab Data:

Allergies: Penicillin, codeine, Clindamycin, Gabapentin, nitrofurantoin

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Red raised circle with severe swelling in the upper arm, chills in the morning, whole body muscle pain, and nausea starting Thursday afternoon. Started a fever of 100 f and a headache Thursday night. The headache, nausea, and swelling in the arm lasted until Sunday night.

Other Meds: Metoprolol, baclofen, Vitamin d3, B12 injection, Trelegy inhaler

Current Illness: none

ID: 0941274
Sex: F
Age: 63
State: FL

Vax Date: 01/07/2021
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: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Tranquil, carbamazepine, lidocaine,

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Swelling, redness, itching, hardness 4 inches in diameter from injection site. Rash in both armpits covering entire out areas lasting six days!

Other Meds: Wellbutrin, levothyroxine, vimpat, gabapentin

Current Illness: None

ID: 0941275
Sex: F
Age: 88
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: RA

Lab Data:

Allergies: xxx

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

Symptoms: Vaccination, affected area very sensetiv to touch, tiny bit swollen, nothing else.

Other Meds: ascorbic acid 1000mg aspirin 81mg centrum Silver Vitamin D3 Pepcid

Current Illness: xxx

ID: 0941276
Sex: F
Age: 60
State: TN

Vax Date: 12/23/2020
Onset Date: 12/25/2020
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: Augmentin

Symptom List: Nausea

Symptoms: The day after my arm was very soar for at least 48 hours, no fever just laying around. I had low energy for about three weeks and I'm just now feeling better. Around the 26th my lymph nodes swelled up (three of them) . I called my PCP, he told me to take Tylenol is painful and to put warm compress if they were uncomfortable. They are still there, they don't hurt or painful.

Other Meds: Pepcid -2x day 20mg Omega 3 D3 Biotin Multi Vitamin

Current Illness:

ID: 0941277
Sex: F
Age: 36
State: TX

Vax Date: 12/30/2020
Onset Date: 12/30/2020
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: seafood/shellfish

Symptom List: Injection site pain

Symptoms: Site: Pain at Injection Site-Mild, Systemic: Chills-Medium, Systemic: Headache-Mild, Systemic: Elevated blood pressure. Rose to 140/110. No history of HTN. Returned to patient's normal blood pressure measure of 130/90 30-45 minutes after receiving the vaccine.

Other Meds:

Current Illness:

ID: 0941278
Sex: M
Age: 52
State: KY

Vax Date: 12/30/2020
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: NKA

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

Symptoms: Symptomatic 1/8/2021 and tested positive for COVID 1/9/2021. Symptoms include sore throat. No know exposures

Other Meds: Prilosec 10 mg orally daily

Current Illness: None listed

ID: 0941279
Sex: M
Age: 33
State: UT

Vax Date: 01/07/2021
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:

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

Symptoms: Pt received vaccine on 1/7. Started having symptoms of fever, body aches, fatigue, headache, sore/dry throat, diarrhea, and vomiting.

Other Meds:

Current Illness:

ID: 0941280
Sex: M
Age: 49
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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: Increasing shortness of breath starting several hours after the vaccination

Other Meds:

Current Illness:

ID: 0941281
Sex: F
Age: 58
State: IL

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: penicillin (rash), clindamycin (rash), Bactrim OR Flagyl (rash) (received both simultaneously for a dog bite)

Symptom List: Erythema, Pruritus

Symptoms: was told by occupational health that rash reporting was mandatory. Rash noted over entire trunk and all extremities, sparing head, hands, and feet

Other Meds: montelukast sodium 10mg daily, vitamin d 1,000 IU daily, centrum silver 1 daily, omeprazole 20 mg daily, pulmicort flexihaler once daily; prn meds: albuterol, alprazolam, flonase

Current Illness:

ID: 0941282
Sex: F
Age: 41
State: NY

Vax Date: 01/10/2021
Onset Date: 01/10/2021
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: no

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

Symptoms: Running nose, cough, Stuffy nose. Took Tylenol.

Other Meds: no

Current Illness: no

ID: 0941283
Sex: F
Age: 37
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: LA

Lab Data:

Allergies:

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

Symptoms: Headache, muscle ache, low grade fever, chills, loss of appetite

Other Meds:

Current Illness:

ID: 0941284
Sex: F
Age: 54
State: TX

Vax Date: 01/03/2021
Onset Date: 01/04/2021
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: Ace Inhibitors, Medrol pack

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: 1/4 started with a headache dull, 1/5 evening body aches started, headache continued, 1/6 all SX worsened and low grade fever started, 1/7 continued, arm was hurting, all other sx resolved, 1/8 are started itching red/hot/swollen, this is still the case today 1/13

Other Meds: Vitamin B12,C,D3,Biotin, Edarbi, chlorthiladone, Metroprolol, Tylenol, Ibuprofen

Current Illness: n/a

ID: 0941285
Sex: M
Age: 61
State: CA

Vax Date: 12/22/2020
Onset Date: 01/01/2021
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: NKA

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

Symptoms: 10 days after receiving vaccine I experience spread hives and throat itchiness. Went to ED. Took Prednisone for the next 7 days with hydroxixyne which totally alleviated all symptoms. Also I went to my Primary Care MD for f/u. After treatment hives started again, then I started to take benadryl orally which kept my symptoms in check but today it came back worse again despite medication.

Other Meds: pravastatin

Current Illness: none

ID: 0941286
Sex: F
Age: 32
State: IL

Vax Date: 01/07/2021
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: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

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

Symptoms: Headache began the next morning and had been returning daily with pain and pressure behind the eyes. Some sinus inflammation but clear discharge. Swollen lymph node on left side of neck started 1/10 with minor pain.

Other Meds: Mirena IUD

Current Illness: none

ID: 0941287
Sex: F
Age: 56
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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: unknown

Symptom List: Pain in extremity

Symptoms: Felt lightheaded at work. Sent to ER had BP 183/101 hr 127, given IV fluids and discharged . Later that evening had fever and chills.

Other Meds: unknown

Current Illness: unknown

ID: 0941288
Sex: F
Age: 60
State: KS

Vax Date: 01/04/2021
Onset Date: 01/05/2021
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: No know allergies

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

Symptoms: Reported a fever of 101. Chilling and neck and arm pit swelling to right side on 1/5/2021 at 8pm. No symptoms on 1/7/2021.

Other Meds:

Current Illness: no. Had Covid positive test with symptoms on 10/3/2020.

ID: 0941289
Sex: F
Age: 21
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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: N/A

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

Symptoms: Vaccine EUZ. Nausea, Headache, Aches and Pains, Chills, Felt Faint

Other Meds: Sprintec, prilosec

Current Illness: N/A

ID: 0941290
Sex: F
Age: 48
State: ID

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: Flexaril (interacts with Depakote)

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

Symptoms: Increased pain, URE/axilla swelling, intermittent shooting pain in URE starting on 1/12/2021 approx. 1430, progressively worsened.

Other Meds: Depakote 500mg PO BID, Prozac 20mg PO QD, Prilosec 20mg PO QD, Mirapex PRN

Current Illness: NA

ID: 0941291
Sex: F
Age: 29
State: IL

Vax Date: 12/25/2020
Onset Date: 12/26/2020
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: No

Symptom List: Vomiting

Symptoms: Chills, 01:00 am 102 temperate and head ache and chills. Next day had head ache and fatigue diarrhea for 36 hours and got tested for 12/28/2020 Tested for COVID -19 was negative.

Other Meds: Muti- Vitamin , Vitamin D and Birth Control Yaz, 1 Tablet

Current Illness: No

ID: 0941292
Sex: F
Age: 48
State: OH

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

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Systemic: Headache-Severe, Systemic: Nausea-Mild, Systemic: increasing blood pressure upwards of 170/101 while lying down, heart rate 119, 100% o2 sat, difficult breathing. Patient was visibly nervous and apprehensive prior to receiving vaccine. ER via EMS.-Severe

Other Meds:

Current Illness:

ID: 0941293
Sex: F
Age: 38
State: CA

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: RA

Lab Data:

Allergies:

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

Symptoms: Body ache, chills, headache. Improving.

Other Meds:

Current Illness:

ID: 0941294
Sex: F
Age: 57
State: TX

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

Lab Data:

Allergies: none

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Itchiness, warmth, tenderness, and notable knot on date of vaccination 1/4/21. She took Advil & applied warm compress with no relief. Warm, red, inflamed and tender area still present and increased in size on 1/13/21. Evaluated by physician for ongoing symptoms. received prescription Bactrim.

Other Meds: none

Current Illness: none

ID: 0941295
Sex: M
Age: 38
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:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Iodine

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

Symptoms: Moderna COVID-19 Vaccine EUA Nausea, lightheadedness, numbness to right side of face, slight droop of right side of bottom lip/mouth. The right side of my bottom lip started tingling about 15-20 minutes after receiving the vaccine. I had no swelling or other impairment at the time and was released after 40 minutes of observation. A little later the entire right side of my face felt as if it had fallen asleep, approximately 1 hour later and it worsened until about 4 hours later. By the next day the nausea and lightheadedness was gone, and the tingling/numbness to the right side of my face was gone within 48 hours, improving after 24 hours.

Other Meds: None

Current Illness: None

ID: 0941296
Sex: F
Age: 40
State: CA

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:

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

Symptoms: Fever Body aches Headache Chills Shaking Nausea

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm