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: 0941957
Sex: F
Age: 35
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: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Client stated that she started noticing numbness and tingling in her left hand on her thumb that had progressed up her hand, then states that it went up her arm and across her chest, then notified EMS that she was having tingling in her legs by the time of arrival of EMS

Other Meds:

Current Illness:

ID: 0941958
Sex: F
Age: 27
State:

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

Lab Data:

Allergies: NKA

Symptom List: Anxiety, Dyspnoea

Symptoms: Patient reported itching at injection site immediately after vaccine given. States it decreased while she was in the observation period. She states it has not resolved; she did have a bruise. Patient reported itching at injection site immediately after vaccine given. States it decreased while she was in the observation period. She states it has not resolved; she did have a bruise. She was not given any BENADRYL at the clinic and did not take anything for symptoms at home. Resolved by 2 days after injection. She denies: Feeling of impending doom, Skin symptoms present in 90% of people with anaphylaxis, including pruritus, flushing, angioedema, Confusion, disorientation, dizziness, lightheadedness, weakness, loss of consciousness, Shortness of breath, wheezing, bronchospasm, stridor, hypoxia, Hypotension, tachycardia, Nausea, vomiting, abdominal cramps, diarrhea.

Other Meds: Unknown

Current Illness: Unknown

ID: 0941959
Sex: F
Age: 29
State: MT

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: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Arm pain and neck pain, body aches, fever, headache

Other Meds:

Current Illness:

ID: 0941960
Sex: F
Age: 51
State: MT

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: unknown
Dose Series: UNK
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: She told nurse she was feeling like her lymph nodes were swelling and didn't feel quite right. She is down in the ED. she elected to walk there, escorted by the nurses.

Other Meds:

Current Illness:

ID: 0941961
Sex: F
Age: 42
State: OR

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:

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

Symptoms: patient experienced transient tingling of lips shortly after vaccine administration (within 15 minutes but could not specify exact time after). Symptoms resolved on its own within 10 minutes of reporting to us (pharmacists). Declined oral diphenhydramine at time of reporting to us but said she would let us know if she had any changes. No further adverse events or symptoms returning >2 hours after initial report.

Other Meds:

Current Illness:

ID: 0941962
Sex: F
Age: 69
State: NH

Vax Date: 01/12/2021
Onset Date: 01/13/2021
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: Redness and swelling to the arm with extreme pain

Other Meds:

Current Illness:

ID: 0941963
Sex: M
Age: 24
State: UT

Vax Date: 01/05/2021
Onset Date: 01/05/2021
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: Chicken (possible allergy)

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Patient started developing throat swelling, shortness of breath, and paresthesia of the left upper extremity and neck approximately 10-15 minutes after receiving the first dose of the Pfizer Covid Vaccine. Visual examination detected slight facial and periorbital swelling but no posterior oropharyngeal edema. Patient was slightly hypertensive (150/93) and tachycardic (105 bpm) upon arrival in the ED. Patient had no rash or urticaria. Diphenhydramine 50 mg, famotidine 20 mg, and lactated ringers administered IV. Patient was observed for several hours in the ED, and discharged in stable condition.

Other Meds: Duloxetine 20 mg once daily

Current Illness:

ID: 0941964
Sex: U
Age:
State:

Vax Date:
Onset Date:
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: None stated.

Other Meds:

Current Illness:

ID: 0941965
Sex: M
Age: 31
State: IL

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: None

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: High blood pressure, tingley fingers, rapid pulse Given 50mg Benadryl

Other Meds: Adderall 20mg daily

Current Illness: None

ID: 0941966
Sex: M
Age: 50
State: CA

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

Lab Data:

Allergies: SULFA

Symptom List: Diarrhoea, Nasal congestion

Symptoms: INJECTION SITE SORENESS, FATIGUE, JOINT MUSCLE PAIN, CHILLS, TEMPERATURE ELEVATION 99-99.8, HEADACHE, BACK PAIN

Other Meds: YES, PRESCRIPTIONS MEDS

Current Illness: N/A

ID: 0941967
Sex: F
Age: 30
State: ND

Vax Date: 12/16/2020
Onset Date: 12/16/2020
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: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: Patient is afebrile,. Has mild erythema on her upper chest where she was itching in her primary concern is feeling flushed at this time. Symptoms resolved and patient remained stable. Discharged to home. Medications diphenhydramine (Benadryl) injection 50 mg prednisone (Deltasone) tablet 40 mg Prescription at discharge - Prednisone 20mg take two tabs by mouth one time a day for 4 days.

Other Meds:

Current Illness:

ID: 0941968
Sex: F
Age: 22
State: WA

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: SYR
Vax Site: RA

Lab Data:

Allergies: sulfas

Symptom List: Rash, Urticaria

Symptoms: 14:16 COVID vaccine given IM in right deltoid 14:34 Patient states she isn't feeling well, nauseated, pain at injection site 4/10 on pain scale, itching to right arm. VSS 98% on RA, 86 pulse, 131/82 BP, 98.8 temp. BAND AID removed. 14:34 50mg BENADRYL given lot 202906 exp 9/20/23. Sitting in chair with fan. Noted that Pt was drinking a Bang energy drink with 300mg caffeine 1/4 gone. 14:45 c/o pain in right upper abdomen/lower right rib pain with breathing, "trouble breathing- hard to take deep breaths d/t this pain, a little throat pain, 14:49 Dr called/updated orders Tylenol 1000mg PO now. 14:56 Tylenol 1000mg given PO with water, c/o dry mouth, throat "tight", Right arm where injection given- c/o pain 8/10 on pain scale. 98.8temp, 126/83 bp, 100% sa O2 on RA, states not feeling well. 15:02 bilateral lower legs beefy red, capillary refill >8 seconds, pulses present states her feet are tingling. 15:00 Pt states she doesn't feel well and asks to go to the ER to be evaluated. 15:05 Ambulance dispatched. 15:15 Ambulance arrived and assessed Pt and at 15:21 Pt left the facility per ambulance stretcher accompanied by EMT's x2

Other Meds: Fluoxetine 20mg BID depression, Trazadone 50mg PRN for sleep

Current Illness: none reported, stated had covid-19 dx on 10/21/2020

ID: 0941969
Sex: F
Age: 58
State: NY

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: Demerol

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

Symptoms: 1/12/21 1:00 AM violent chills, 5:00 AM temperature 102.6, took Acetaminophen. Exhaustion, throbbing joints. 2:00 PM temperature 101.8, took Acetaminophen, chills, headache, horrible pounding joint pain. 7:00 PM temperature 100.9, chills and exhaustion, took Acetaminophen . 1/13/21 4:00 AM, chills, temperature 100, took Acetaminophen. 9:00 AM exhaustion, massive body aches. 4:00 PM temperature 98.9, chills, exhausted. Have slept about 36-40 hours and lost 2 days of work.

Other Meds: Levothyroxine, MVI, Vit D, Vit C, Ashwaganda, Echinacea, Estroven

Current Illness: None

ID: 0941970
Sex: F
Age: 55
State: IN

Vax Date: 01/02/2021
Onset Date: 01/11/2021
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: Ibuprofen

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

Symptoms: I was fine for the first 10 days just a sore arm the first day and that was it. Then on day 11 my arm felt strange and warm. I took off my shirt and notice that I had a big welt on my arm and it was red and hot to touch. I took some Benardyl and it didnt seem to make any difference. On day 12 it started to itch a bit and was still a welt. On day 13 the welt went down and it is still a bit red.

Other Meds: Zyrtec, ambien,multivitamin, elderberry vitamin

Current Illness: None

ID: 0941971
Sex: F
Age: 48
State: NV

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

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

Lab Data:

Allergies: No

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

Symptoms: Woke up the morning of 1/12/2021 with a headache and soreness on the left side of my neck- when I got out of bed I realized my left arm was also very sore and itchy. I looked in the mirror and realized the injection site was very hot to the touch, swollen, read and inflamed. I called my dr's office and they made me an appointment for the next day which was this morning. The dr said he hasn't heard of any adverse reactions this far after the initial injection. He said it's possibly cellulitis and to monitor it- if it gets worse present to the ER /Urgent Care to be seen. He prescribed an antibiotic and said to take it if the symptoms get worse or linger on.

Other Meds: Estradiol patch

Current Illness: No

ID: 0941972
Sex: F
Age: 73
State:

Vax Date: 12/28/2020
Onset Date: 01/07/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: Ecotrin, hair dye

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

Symptoms: Approximately a week after vaccine was given arm turn red and swollen

Other Meds: Methlmazole, hydrochlorothiazide, propylthioutacil,simvastin,clopidogrel,losarten,pantoprazole,lorazepam,levofloxacin,metoprolol, dicyclomine

Current Illness: no

ID: 0941973
Sex: U
Age:
State:

Vax Date:
Onset Date:
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: INJECTION SITE SORENESS, FATIGUE, JOINT MUSCLE PAIN, CHILLS, TEMPERATURE ELEVATION 99-99.8, HEADACHE, BACK PAIN

Other Meds:

Current Illness:

ID: 0941974
Sex: F
Age: 38
State: AR

Vax Date: 01/08/2021
Onset Date: 01/08/2021
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: N/A

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Fatigue, severe muscle aches, fever of 101.9 and a terrible headache. I only lasted a day and a half .

Other Meds: Orlissa, Benazepril and Cardizem. I later took Tylenol and Ibuprofen.

Current Illness: No known illnesses.

ID: 0941975
Sex: M
Age: 23
State: MT

Vax Date: 01/12/2021
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:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Body aches Headache and fatigue

Other Meds:

Current Illness:

ID: 0941976
Sex: F
Age: 25
State: TN

Vax Date: 01/07/2021
Onset Date: 01/07/2021
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: Intermittent fevers and headaches/head pressure that have continued for 6 days post vaccination. Side effects of muscle aches/chills subsided after 48 hours. Fever was less than 100F after 48 hours, so I returned to work per protocol. Was taking Tylenol and Ibuprofen. 3rd day: afebrile but headache remained. Taking Tylenol and Ibuprofen to help manage. 4th day: intermittent fevers throughout day (no higher than 100.3F). headache continues. 5th day: afebrile in the morning, but as day progressed headache began to get worse and I eventually spiked a low grade fever as high as 101.5F that afternoon. I was excused from work per protocol and receiving care/evaluation from occupational heath and infectious disease for return to work purposes. Still taking Tylenol and Ibuprofen which were helping the fevers stay between 99F but not helping the headaches. 6th day: Taking Tylenol and Ibuprofen around the clock. Fevers have ranged from 98.9-100.8F so far. Headache still remains.

Other Meds: Zrytec Dulera Albuterol/Inhaler Nasacort Multivitamin Adderral XR Spirolactone Trentinoin and Clindamycin ointment Sulfacetamide lotion Vitamin B12 daily supplement

Current Illness: Covid 19 infection, positive test result 12/15.

ID: 0941977
Sex: F
Age: 63
State: CO

Vax Date: 01/07/2021
Onset Date: 01/10/2021
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:

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

Symptoms: Rash with redness and buring around the injection site that is improving on after two days.

Other Meds:

Current Illness:

ID: 0941978
Sex: F
Age: 44
State: KY

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

Lab Data:

Allergies: Fish and tree nuts

Symptom List: Unevaluable event

Symptoms: ?Moderna COVID-19 Vaccine Rash all over body, does not itch but will not go away.

Other Meds: Metformin 500 mg twice daily Triameterene HCTZ 75- 50 MG daily

Current Illness: NA

ID: 0941979
Sex: F
Age: 63
State: AZ

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: LA

Lab Data:

Allergies:

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

Symptoms: 11:45: C/O: HEART RACING REALLY FAST. EMS ON SCENE. VS: 02 SAT R.A.: 97%; P: 72; BP: 159/90 (FSBS: 257); 12:00 SYMPTOMS IMPROVED- VS: 144/73; P: 68; LEFT FACILITY, NO COMPLAINTS

Other Meds:

Current Illness:

ID: 0941980
Sex: F
Age: 48
State: IN

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: NKA

Symptom List: Injection site pain, Pain

Symptoms: Patient complained of itchy feeling to the left deltoid area of injection site. Patient took band-aid off and stated she has a history of itching with adhesives prior. Alert and oriented x3. Respirations easy and unlabored. Skin pink warm and dry. Denies any SOB, feeling of doom, etc. Sipped on H2O without difficulty swallowing. Upon inspection of injection site, no swelling, rash, hives, etc. Denies N/V.

Other Meds: None dispensed at Vaccine Clinic; not stated by patient

Current Illness: Not stated

ID: 0941981
Sex: F
Age: 49
State: CA

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:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Patient describes flu like symptoms, sore arm at injection site, congestion with no cough but feels "heavy in her chest".

Other Meds:

Current Illness:

ID: 0941982
Sex: F
Age: 59
State: MA

Vax Date: 12/31/2020
Onset Date: 12/31/2020
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: Seasonal allergies Never documented as allergic to shellfish. But I cannot eat shellfish for it does not stay with me

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

Symptoms: After 10 minutes after I received the vaccine a sharp pain shot up the left side of my neck. Then it felt like bees stinging my left shoulder, upper arm and upper back and a rash developed. Then I experienced my tongue and throat get very dry with a metallic taste in my mouth. They brought me to urgent care and gave me a couple of Benadryl and watched me for any other reactions

Other Meds: Lisinopril 5 mg Famotidine 20mg Simvastatin 5mg Allergy pill 10mg Vitamin D 50mcg Fish oil Vitamin C

Current Illness: None

ID: 0941983
Sex: M
Age: 37
State: WA

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: Allergic to Penicillin and has seasonal allergy

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Patient received the Covid vaccine on 1/12/2021 at 11:18 am. He felt light headed a minute or two post vaccination. He then lost consciousness for about <30 seconds. The staff eased him down the floor from the chair he was sitting on. He regained consciousness at 11:21am. He was diaphoretic and very pale. BP was 128/73 and HR was 46. Patient was given O2 at 2L/min and Gatorade which he tolerated well. At 11:26 am BP was 121/75, HR 53, O2 Sats at 99%, and RR 16. At 11:40am, patient stated he felt well and at this time, his color had returned. Patient stated he has a history of fainting with blood draw in 2003 but no issues with vaccines in the past. Also stated his HR usually runs in the 50's range.

Other Meds: Patient did not take any medication that day.

Current Illness: None. Had Corona Virus on November 2020

ID: 0941984
Sex: F
Age: 39
State: PR

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: RA

Lab Data:

Allergies: Penicillin and Latex

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: The day of vaccination developed fever and joint pain 24 hrs later nausea and diarrhea, 48 hrs later headache and left hand numbness

Other Meds: None

Current Illness:

ID: 0941985
Sex: F
Age: 38
State: OR

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: none

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

Symptoms: Began with shooting sharp pains in left foot gradually going up my left leg. At that point I took aleve and a trazadone in hopes of getting some rest. I fell asleep. I woke up around 0200 on 1/13/21 with extreme muscle and joint aches, a sensation of pins, needles, and tingling all over my body I felt very jittery and was actually shaking slightly throughout the ordeal. I felt like my nervous system was overloaded and my perception of pain was extremely heightened. At one point during this 4 hour period I had a visual hallucination. By 0600 I was feeling better- more relaxed. Muscle aches and sore joints are still present today. Also have a slight increase in temp 99.6 and injection site pain.

Other Meds: Losartan, Pristiq, Zyrtec, Tylenol, hydroxyzine, trazadone

Current Illness: viral cold (head congestion, runny nose, sneezing, malaise) Covid test performed 3 days prior to vaccine administration was negative.

ID: 0941986
Sex: F
Age: 17
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:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: Moderna COVID- 19 Vaccine EUA Patient recieved first dose of COVID-19 Vaccine utilizing MODERNA Vaccine on January 13, 2021 at the current age of 17 years 5 months. Moderna EAU is for patients 18 years of age and older.

Other Meds:

Current Illness:

ID: 0941987
Sex: F
Age: 21
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:
Dose Series: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Unknown

Symptom List: Injection site pain

Symptoms: Patient received Moderna COVID 19 at COVID Vaccine outreach. Prior to administering vaccine patient was screened for any severe reactions to a vaccine or allergies. After patient was administered vaccine by MA at 1025 am and as waiting out her fifteen minutes post vaccination and began to 'feeling funky' according to patient. States that this is what happens when she has had a reaction in the past and then progressed to coughing and itching without hives.Patient did have flushing and redness of skin. RN attended to patient and her heart was in the 70's. RN gave 50mg IM Benadryl and EMS was called. EMS arrived and patient was checked out and cleared to leave. RN's were there to help pot benadryl administration.

Other Meds: Unknown

Current Illness: Unknown

ID: 0941988
Sex: F
Age: 34
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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Muscle ache, fever, chills, fatigue. Improving.

Other Meds:

Current Illness:

ID: 0941989
Sex: F
Age: 22
State: WA

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: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: sulfas

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

Symptoms: 1416 covid vaccine given IM in right deltoid 1434 patient states she isn't feeling well, nauseated, pain at injection site 4/10 on pain scale, itching to right arm. VSS 98% on RA, 86 pulse, 131/82 BP, 98.8 temp. Band-Aid removed. 1434 50mg Benadryl given lot 202906 exp 9/20/23. Sitting in chair with fan. Noted that patient was drinking a energy drink with 300mg caffeine 1/4 gone. 1445 c/o pain in right upper abdomen/lower right rib pain with breathing, "trouble breathing- hard to take deep breaths d/t this pain, a little throat pain, 1449 Dr called/updated orders Tylenol 1000mg PO now. 1456 Tylenol 1000mg given PO with water, c/o dry mouth, throat "tight", Right arm where injection given- c/o pain 8/10 on pain scale. 98.8temp, 126/83 bp, 100% saO2 on RA, states not feeling well. 1502 bilateral lower legs beefy red, capillary refill >8 seconds, pulses present states her feet are tingling. 1500 patient states she doesn't feel well and asks to go to the ER to be evaluated. 1505 99 called and ambulance dispatched 1515 ambulance arrived and assessed patient and at 1521 patient left the facility per ambulance stretcher accompanied by EMT's x2

Other Meds: Fluoxetine 20mg QD dx depression, Trazadone 50mg PRN for sleep

Current Illness: none reported

ID: 0941990
Sex: F
Age: 42
State: CA

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

Lab Data:

Allergies: No

Symptom List: Tremor

Symptoms: Severe body aches, chills, nausea, malaise, headache. Took Tylenol around the clock. Resolved in one day

Other Meds: None

Current Illness: None

ID: 0941991
Sex: M
Age: 75
State: CA

Vax Date: 01/06/2021
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: none

Symptom List: Erythema, Pruritus

Symptoms: COVID-19 positive on 1/13/2021. He states he feels like there is chest pressure and some chest congestion. He felt really bad the last few days and today is somewhat better.

Other Meds: Clonazepam, Rosuvastatin, Amlodipine, Sitagliptin, Allopurinol, Lisinopril, Cholestyramine,Metformin, Acarbose, Omega-3, Levothyroxine, Albuterol, Hydrochlorothiazide

Current Illness: none

ID: 0941992
Sex: F
Age: 25
State: OR

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

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 KNOW DRUG ALLERGIES

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

Symptoms: Patient began having cramping of her upper extremities and subsequent swelling of her face and neck and also shortness of breath, chest pressure and flushed appearance. She denies any tongue or throat swelling. She is also complaining of bilateral arm pain. The initial reaction treatment was started in the conference room and then the patient was transferred to the emergency room. She continued to has arm and chest pain in the emergency room. She had muscle tension/rigidity in the upper extremity which caused significant pain. She also developed a nonspecific rash on the chest and abdomen that persisted for through out he hospital stay. Treatment was started with epinephrine 0.5 mg IM x2 and diphenhydramine 50 mg IM x1, prior to transfer to emergency room. In the emergency room treatment was dexamethasone 10mg IV x 1, famotidine 20mg IV x1, Ketorolac 30mg IV x 1, lorazepam, 1mg IV x 2, morphine 4mg IV x 2, 1000ml Saline Solution. As an inpatient the treatment included scheduled acetaminophen 500mg TID, as need morphine for pain after treatment with fentanyl, scheduled diphenhydramine 25mg IV q8 and compazine 5mg IV for nausea, cyclobenzapine 10mg as need for muscle spasms, dexamethasone as a scheduled dose started at 4 mg BID and tapered to 2 mg BID, Naproxen 500mg BID and Norco 7.5/325 as need for pain. with famotidine 20mg BID .

Other Meds: ETONOGESTROL 68 MG IMPLANT EVERY 3 YEARS, OMPERAZOLE 40MG DAILY, RIZATRIPTAN 10 MG AS NEEDED FOR HEADACHE

Current Illness: MIGRAINE HEADACHES

ID: 0941993
Sex: F
Age: 59
State: CA

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

Lab Data:

Allergies: Latex Sulfa, amoxicillin, cephalosporins Oxycodone (rash) Stone fruits, kiwi

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

Symptoms: Bumpy, red, mildly itchy rash on cheeks and forehead, lasted about 3 days. No other allergic symptoms

Other Meds: Prozac, propranolol, pepcid, pantoprazole, vitamin D, Xiidra, Pazeo, Losartan, Trazodone, Flovent

Current Illness: None

ID: 0941994
Sex: F
Age: 36
State: TX

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

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

Lab Data:

Allergies: no

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Note: I am currently breastfeeding. Had body aches; chills; fever of 102.6; headache; nausea; cough; shortness of breath - I went to ER and that is where I received COVID positive test and positive tests for COVID Pneumonia and Microplasm Pneumonia as well. Stayed overnight in ER observation - 2 am to 8 am . Went home next morning and was quarantined approximately 8 days. Body aches and a cough had started two days prior to injection. IV antibiotics at the hospital and oral antibiotics at home. Received nebulizer breathing treatments. Pain meds and anti-inflammatory medication.

Other Meds: Norethindrone - .35mg/day; Nasacort - 2 sprays a day; Symbicort - 160/4.5 - 2 puffs 2x/day; 600mg of Calcium/day; 10 mg of Zyrtec; 1 x/day prenatal vitamin; 500 mg of Valacyclovir; Colace =100 mg/day; Escitalopram - 20 mg/day; Omeprazole -

Current Illness: Covid - positive test after vaccine that same day Myoplasm pneumonia - positive test later that same day. Anemia - new diagnosis on that same day.

ID: 0941995
Sex: F
Age: 35
State: TN

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: SYR
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: Fever of 100.4 Fatigue Very sore arm where injection was given

Other Meds: None

Current Illness: None

ID: 0941996
Sex: F
Age: 53
State: MT

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

Lab Data:

Allergies:

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

Symptoms: Chills and Body aches

Other Meds:

Current Illness:

ID: 0941997
Sex: F
Age: 24
State: VA

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

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

Lab Data:

Allergies: None

Symptom List: Pain in extremity

Symptoms: body aches, chills, nausea, vomiting, diarrhea, dizziness, headache, fatigue, and fever

Other Meds: Oral Birth Control

Current Illness: None

ID: 0941998
Sex: M
Age: 52
State: IL

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: lightheaded right after shot for 30 ninutes, then chills for the whole night after. The next day, headache and then respiratory symptoms with dry cough and 02 sat down to 93%. More headache and body aches/fatigue that day. Insomnia for two nights after the injection.

Other Meds: Vitamin D3, fish oil, flax oil

Current Illness: none

ID: 0941999
Sex: M
Age: 66
State: IA

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

Lab Data:

Allergies: iodine, Haldol, thorazine, atorvastatin

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

Symptoms: Patient found unresponsive and pronounced dead by staff in early morning day after vaccine.

Other Meds: unknown

Current Illness: none

ID: 0942000
Sex: M
Age: 30
State:

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

Lab Data:

Allergies:

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

Symptoms: 0900 Patient had allergic reaction post covid vaccine injection. Patient has c/o chest discomfort, itching, rash on bilateral arms, denies SOB . O2 Sat= 97% Allergies reviewed. 0910 25mg diphenhydramine administered , EKG performed as ordered. Per provider patient to be observed for 1 hour in clinic. Obs start time 0910, 1010 patient s/s subsided no additional complaints verbalized and patient was d/c from clinic area without further incident- released to sister.

Other Meds:

Current Illness:

ID: 0942001
Sex: F
Age: 63
State: TX

Vax Date: 12/21/2020
Onset Date: 12/22/2020
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: none

Symptom List: Vomiting

Symptoms: I developed a swelling in the right axilla, not a discrete node, but what felt like an accumulation of fluid - lymph perhaps - about the size of a large lemon.

Other Meds: metoprolol, Vitamin D3, ibuprofen, pravastatin

Current Illness: Covid 19 diagnoses November 22, 2020. Strep throat December 2020.

ID: 0942002
Sex: F
Age: 26
State: MN

Vax Date: 01/12/2021
Onset Date: 01/12/2021
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: Metformin

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Onset of tachycardia was 8:30pm on 1/12/21 with a noted HR of 164 and SR. Went to ER and had HR of 171 upon arriving to triage window. EKG said Sinus Tachycardia. Admitted to observation station with telemetry to monitor HR. HR normalized around 100 when up and walking at 10:45am on 1/13/21.

Other Meds: Adderall, modafinil, duloxetine, Latuda, Rybelsus, levothyroxine, topamax, spironolactone, prazosin, trazodone, gabapentin, Ativan, pindolol, fludrocortisone, Seasonale birth control

Current Illness: N/A

ID: 0942003
Sex: M
Age: 31
State: NE

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

Symptoms: Patient is here to receive his first COVID-19 vaccine. He was inadvertently given the vaccine with a filtered needle, BD 305211, Blunt needle- filter, 5 Micron, 18g x 1 1/2 inch. Vaccine has white particles with size of particles not available.

Other Meds:

Current Illness:

ID: 0942004
Sex: F
Age: 38
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: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Recieved shot Thursday, FRiday night severe chills so bad your shaking. Then Since Saturday, chest pain and palpitations. Heart is fine as i had cardio look at it .

Other Meds:

Current Illness:

ID: 0942005
Sex: F
Age: 50
State: CA

Vax Date: 01/04/2021
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: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: swelling in neck and down chest blood clots enlarged lymph nodes

Other Meds:

Current Illness:

ID: 0942006
Sex: F
Age: 45
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: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Shellfish, Shrimp, Avocado and seafood.

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

Symptoms: After receiving the 2nd dose of the Covid-19 vaccine on 1/11/2021 at 8:15 am . On 1/12/2021 at 5:36 am I started to experiencing headaches, slight fever and whole body aches, and both of the back and front of my calf's muscle felt very heavy had a hard time getting out of bed and not able to walk well, I took Ibuprofen every 6 hours. The Ibuprofen helped with the headaches and fever. on 1/13/2021 I woke up feeling better, no fever just very tired and had 3 headaches during the day.

Other Meds: Ibuprofen

Current Illness: none

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm