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: 1188470
Sex: F
Age: 23
State: NM

Vax Date: 04/01/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
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: Moderna COVID-19 Vaccine EUA. Localized rash at injection site. Swelling, itching, redness, and hotness localized on right arm where injection occurred. Treated with over the counter 1% diphenhydramine hydrochloride for short term relief.

Other Meds:

Current Illness:

ID: 1188471
Sex: F
Age: 58
State: MN

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/10/2021
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 sulfa mri contrast dye

Symptom List: Anxiety, Dyspnoea

Symptoms: Evening of injection, I experienced shortness of breath and heart racing 5-7 hours after injection. Then felt quite tired and achy throughout the night. Woke up feeling fine. 5 days later got ?COVID arm? itchy raised rash at injection site. Lasted 2 days.

Other Meds: 25 mg atenolol daily

Current Illness:

ID: 1188472
Sex: F
Age: 34
State: NC

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/10/2021
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: Body aches, Nauseas, chills

Other Meds:

Current Illness:

ID: 1188473
Sex: M
Age: 53
State: NY

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: Mild food and pollen/ragweed allergies and dust/mold allergies

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Severe vomiting, diarrhea, fever, nausea and severe headache. Significant Trembling and chills followed by high fever, disorientation and dizziness and fatigue. Symptoms started approximately 5-6 hours after shot - began with trembling followed by severe chills and dizziness - followed then another 4 hours later by fever, significant nausea and extreme vomiting and diarrhea - then loss of appetite, fatigue, dizziness. After 24 hours the severe symptoms stopped and there was just another 15 hours of fatigue. 40 hours later everything felt back to normal. Hour 6 to hour 30 after vaccination were horrible.

Other Meds: None

Current Illness: None

ID: 1188474
Sex: F
Age: 26
State: VA

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Nausea and tiredness were the strongest. They began the next day in the afternoon. I was so exhausted, although I had gotten a full night?s sleep.

Other Meds: None

Current Illness:

ID: 1188475
Sex: F
Age: 61
State:

Vax Date: 04/01/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
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: Red rash and itching on left arm where the infection was (8 days later)

Other Meds:

Current Illness:

ID: 1188476
Sex: F
Age: 50
State: NV

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/10/2021
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: Walnuts, sunflower seeds, pecans,

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Tightness of chest, sore arm, hard to breath, tiredness, nausea

Other Meds: Amlodophine, vitamins elderberry, vitamin d3, zinc, ginger, vitamin c,

Current Illness:

ID: 1188477
Sex: M
Age: 43
State: NM

Vax Date: 03/30/2021
Onset Date: 04/01/2021
Rec V Date: 04/10/2021
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: Itchiness at the injection site developed after ~ 2 days, still persistent at day 10. Minor swelling of lymph nodes near the arm pit at ~ 5 days, reduced at day 10 but not completely gone.

Other Meds: None

Current Illness: None

ID: 1188478
Sex: F
Age: 58
State: PA

Vax Date: 04/02/2021
Onset Date: 04/03/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: Contrast Dye, Augmentin

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: On Saturday04/03/21 the lymph node on the right low jaw was painful & swollen. On Sunday 04/04/21 my eyebrows, around my mouth, my chin & under my neck were excessively itching. To the point I felt like I had two chins. On Monday 04/05/21 my body began feeling itchy and during the evening I began seeing scanty rashes. By Tuesday 04/06/21 it was unbearable. I could not sit still. Different areas would feel funny like a burning sensation, then wherever I feel the burning rashes would break out with severe itching. My body itched beyond relief. I sought medical treatment at Urgent Care Facility. I was given predisone40 mg daily & Benadryl for 5 days. Only today 04/09/21 I finally got relief. My breast & abdomen still very tender, I took Photos of my rashed arm.

Other Meds: Norvasc, Protonix, Toprol XL, Lisonpril, Crestor

Current Illness:

ID: 1188479
Sex: F
Age: 19
State: TX

Vax Date: 04/01/2021
Onset Date: 04/08/2021
Rec V Date: 04/10/2021
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: Celiac

Symptom List: Diarrhoea, Nasal congestion

Symptoms: No signs of anything other than a large, warm, red patch surrounding the site of injection. It started as a solid red patch 7 days after the injection and is now just a ring on day 8.

Other Meds: Alavert, Fluoxetine HCL, Quetiapine, Femynor norgestimate and ethinyl estradiol tablets0.25mg/0.035mg

Current Illness: seasonal allergies & minor upper respiratory virus

ID: 1188480
Sex: F
Age: 41
State: IL

Vax Date: 03/20/2021
Onset Date: 03/21/2021
Rec V Date: 04/10/2021
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: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: Dizziness

Other Meds: Nexium Synthroid Surcalfate

Current Illness: Gastritis

ID: 1188481
Sex: F
Age: 25
State: CA

Vax Date: 01/21/2021
Onset Date: 01/28/2021
Rec V Date: 04/10/2021
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: NKA

Symptom List: Rash, Urticaria

Symptoms: Red swelling around site of injection one week after shot. Red patch grew to about 3 inches at widest section before shrinking back down. Mild itching. One day of entire upper arm being swollen.

Other Meds: Fiber supplements, prozac, levothyroxine, oral birth control, multi vitamin

Current Illness: None

ID: 1188482
Sex: F
Age: 32
State: CO

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: Some professional medical adhesive

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

Symptoms: Severe fever, chills, sweating, body aches, dehydration, joint and muscle aches, fatigue, weakness, lightheadedness, dizziness, headache. No effect from meloxicam 15 mg taken once daily or additional advil 400 mg taken every 4 hours.

Other Meds: Citalopram 40 mg 1 per day, buspirone 7.5 mg 2x per day, syeda 3 mg/.03 mg 1 per day, culturelle 200 mg 1 per day, cranrich 500 mg 1 per day, move free ultra uc 2/boron/ha 50 mg 1 per day, xyzal 24 hour 5 mg 1 per day, nasacort 2 sprays eac

Current Illness: Sprained left shoulder from fall injury on 4/3/21

ID: 1188483
Sex: F
Age: 32
State: UT

Vax Date: 03/30/2021
Onset Date: 04/07/2021
Rec V Date: 04/10/2021
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:

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

Symptoms: Wednesday, April 7, 2021 about 11 am I noticed my arm was red at the ejection site. I also started noticing it get bigger, redder, hot to the touch (about 100?) and very swollen. It's extremely itchy also.

Other Meds: Lamotrigine, pirmella, buspirone, paroxetine

Current Illness: The day after I had my vaccine (1st shot of Moderna) I had full body aches, headache, slight fever, extremely tired, foggy and overall felt how I would assume having covid felt

ID: 1188484
Sex: M
Age: 39
State: OH

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 04/10/2021
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: After 18 days of vaccine I feel itchy body and cramp legs at night. Also I still feel soar throat and stuffy nose.

Other Meds:

Current Illness:

ID: 1188485
Sex: F
Age: 51
State:

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/10/2021
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: swelling and pain at injection site nausea and vomiting fatigue

Other Meds: lisinopril/hydrochlorothyazinde

Current Illness: n/a

ID: 1188486
Sex: F
Age: 29
State: AZ

Vax Date: 03/25/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
Hospital:

Vax Type: DTAPHEPBIP
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: DTAP + HEPB + IPV (PEDIARIX)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies: N/A seasonal allergies only

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

Symptoms: Chills, fever, heavy breathing, body aches (began around 7PM 3/25/21 lasted until 3/26/21 night when they improved drastically, but did not feel all the way better until 3/26/21 from these symptoms) hallucinations (woke up in the middle of the night when this happened- 1x occurrence) dizziness (ongoing from 3/25/21 night and still continuing)

Other Meds: stertraline 50mg/day (stopped taking 4/1 - dizziness side effect continues)

Current Illness: N/A

ID: 1188487
Sex: F
Age: 33
State: CA

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Janssen COVID-19 Vaccine EUA About five minutes after receiving the shot I suddenly got tunnel vision, started sweating and felt like I was passing out. I laid down and vitals showed that my blood pressure went down to the 50s. I recovered after around 20 minutes of monitoring and rest

Other Meds: None

Current Illness: None

ID: 1188488
Sex: F
Age: 65
State: CA

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: Severe hives to amoxicillin, several other antibiotics; codeine causes vomiting, et.al

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: As above plus stiff neck no treatment and I?m reporting on same day as I received the 2nd dose

Other Meds: Atorvastatin, Serevent, Pulmicort

Current Illness: None

ID: 1188489
Sex: F
Age: 35
State: CO

Vax Date: 03/12/2021
Onset Date: 03/25/2021
Rec V Date: 04/10/2021
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: Tinnitus, sporadic hearing loss, whooshing sound in ears occurring at various times through each day

Other Meds: Wellbutrin XR 125mg

Current Illness: None

ID: 1188490
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/10/2021
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: None stated.

Other Meds:

Current Illness:

ID: 1188491
Sex: F
Age: 30
State:

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/10/2021
Hospital: Y

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: Unevaluable event

Symptoms: Extreme nausea, non stop throwing up, was about to pass out. Ended up in the hospital with a 101.5 fever, low blood pressure, elevated heart rate Immediately after getting the vaccine I felt very nauseas and dizzy as well

Other Meds:

Current Illness:

ID: 1188492
Sex: F
Age: 39
State: TX

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
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: None

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

Symptoms: Fatigue, headache, muscle aches, drainage, sneezing, coughing

Other Meds:

Current Illness: None

ID: 1188493
Sex: F
Age: 32
State: MI

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Sulfa, penicillin.

Symptom List: Injection site pain, Pain

Symptoms: Red, swollen, burning at the injection site. Size of golf ball.

Other Meds: None

Current Illness:

ID: 1188494
Sex: F
Age: 29
State: NE

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
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: Nausea, vomiting, diarrhea, headache, dizziness, fatigue, low grade fever (100.8?F), body aches, joint pain, abdominal pain, chills, insomnia

Other Meds: None

Current Illness: None

ID: 1188495
Sex: F
Age: 54
State:

Vax Date: 04/01/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Very sore shoulder joint. Swollen lump on arm at injection site. Warm. Itchy. Sore ness at site. Slightly red. Hard to mobilize shoulder.

Other Meds:

Current Illness:

ID: 1188496
Sex: F
Age: 71
State: CA

Vax Date: 04/06/2021
Onset Date: 04/08/2021
Rec V Date: 04/10/2021
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 and derivatives, Codeine, Lisinopril

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: 4/6: Lethargy, sore arm. Toward evening, strong chills developed.. 4/7: Awoke with slight headache and fatigue. Arm pain lessened. went to bed early. 4/8: Awoke feeling great. About 8 pm, felt my left arm itching. Looked in mirror and noticed red swelling at injection site and redness spread in appx 3-inch circle, Very itchy. Slept only 2 hours. Throughout the night, also got mild cramps in both my calves and bottom of my feet, about three times, which lasted only briefly. 4/9: Swelling and itching persisted upon waking and lingered throughout day. By 10:00 p.m., swelling and redness were nearly resolved and itching lessened. doctor contacted me to make sure the problem was resolving.

Other Meds: Losartan, Verapamil, Atorvistatin, Vitamin D3, Vitamin E, CoQ10, Viracid, BetaTCP, probiotics

Current Illness: None

Date Died: 03/24/2021

ID: 1188497
Sex: F
Age: 74
State: AZ

Vax Date: 02/06/2021
Onset Date: 02/08/2021
Rec V Date: 04/10/2021
Hospital: Y

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 others

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: After two days: severe nose bleed. After eight days: vomited blood; followed by endoscopy to fix stomach bleed. After 17 days days, lung hemorrhage.

Other Meds: Various for blood pressure

Current Illness: Systemic lupus and GPA vasculitis

ID: 1188498
Sex: F
Age: 36
State: FL

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/10/2021
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, intense nausea, disoriented all within 15 minutes. After 2 +/- hours, symptoms continued, but now pain in arm, body feels like I got run over by a truck, disoriented like I?m on a treadmill upside down, at fast pace, feeling of heat and cold, intense headache, heart fluttering, GI symptoms getting a bit worse.

Other Meds: Mesalamine, alaprozam, flexiril, fluconozale,colace, miralax, b12, zinc, vitamin c, multi vitamin, vitamin d, protonix, Tylenol, ketoral, zofran

Current Illness: Crohns; IBS D/C; endometriosis stage 4, acid reflux/gerd, candida esophagitus.

ID: 1188499
Sex: F
Age: 46
State: AZ

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Nausea

Symptoms: The day after vaccine, April 8, 2021, soreness under left armpit starting at 12:00 p.m. At 8:00 p.m. felt like a mass of liquid, not hard. Did not feel anything under right armpit. April 9, 2021, at 1:00 p.m. is a red circle two inches wide at injection site and slightly swollen. At 9:00 p.m. feels the same, a mass of liquid the size of a regular female hand.

Other Meds: Daily vitamin, Vitamin D, Vitamin C, Zinc

Current Illness: None

ID: 1188500
Sex: M
Age: 35
State: MN

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/10/2021
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: Injection site pain

Symptoms: Fever (102 degrees)- started 04/08 in the afternoon and got worse at night. Went away next morning. Headache - Next day 04/08, lasted all day and went away next morning. Sore body - started 04/08 morning and persisted until next morning.

Other Meds:

Current Illness:

ID: 1188501
Sex: F
Age: 56
State: AZ

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
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, avocado

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

Symptoms: Patient started experiencing mild itching in the right arm initially and then later reached the back and upper legs starting after 5 minutes post vaccination. The patient received the Janssen COVID vaccine in the left arm, but the itching was only on the right arm. The patient was monitored for an additional 15 minutes for a total of 30 minutes. The severity did not get any worse after 30 minutes. The patient did not have any other reactions. Benadryl was recommended to the patient for itch relief. The pharmacy followed up with the patient after she went home and her condition did not get any worse. She plans to use some anti-itch remedies for the itching.

Other Meds:

Current Illness:

ID: 1188502
Sex: M
Age: 54
State: CA

Vax Date: 04/01/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

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

Symptoms: Petechiae on right ankle/lower calf. Approximately 10 spots in a cluster. Cluster is roughly 7 cm x 4 cm. No other symptoms. No treatment.

Other Meds: Sertraline; Vitamin D supplement

Current Illness: None

ID: 1188503
Sex: F
Age: 48
State: NY

Vax Date: 03/28/2021
Onset Date: 04/04/2021
Rec V Date: 04/10/2021
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: chills leg swelling. period arrived 4 days early and has been going heavy and over 7 days when its usually 3

Other Meds: warfarin loratdine biotin zopedem

Current Illness: no

ID: 1188504
Sex: F
Age: 29
State: WA

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/10/2021
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: J&J COVID-19 Vaccine EUA beginning 5 hours after vaccination, I developed nausea that lasted 2 hours, chills that lasted 12 hours, aches that lasted 16 hours, and a 104-degree fever that lasted throughout the night but was gone by morning. Acetaminophen helped alleviate these symptoms.

Other Meds: Loratadine 10mg

Current Illness: none

ID: 1188505
Sex: F
Age: 36
State: CO

Vax Date: 04/06/2021
Onset Date: 04/08/2021
Rec V Date: 04/10/2021
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:

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

Symptoms: Sour stomach and fatigue 2 days after vaccination

Other Meds:

Current Illness:

ID: 1188506
Sex: M
Age: 49
State: CA

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/10/2021
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Mild headache about 2 hours after shot; increased urination about 2 hours after shot and continuing at least 2 days; soreness; tiredness; groggy

Other Meds: Protonix 20

Current Illness: No

ID: 1188507
Sex: F
Age: 34
State: CA

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/10/2021
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: Pain at injection site during shot. Soreness for 48 hours. Headache, chills, body aches - onset at 7 hours after and continued until next morning. Headache persisted until 24 hours from injection. Also experienced gastrointestinal discomfort and diarrhea until 48 hours.

Other Meds: Sertraline

Current Illness:

ID: 1188508
Sex: F
Age: 49
State: AZ

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/10/2021
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: Bee stings

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

Symptoms: Red bump where shot given and hot to touch. Went away after 6 days then has come back same issues after 10 days of the 1st dose.

Other Meds: Levothroxin

Current Illness: None

ID: 1188509
Sex: M
Age: 46
State: MD

Vax Date: 03/09/2021
Onset Date: 03/28/2021
Rec V Date: 04/10/2021
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: moxifloxacin (hives)

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

Symptoms: Piercing sound in left ear began on March 28. Saw ENT on March 30; diagnosed with tinnitus. Follow-up visit with ENT scheduled for week of April 19. ENT indicated he may prescribe steroids if tinnitus has not resolved by then.

Other Meds: losartan potassium (25mg twice daily); escitalopram (10 mg/day); magnesium citrate (250 mg/day); fish oil (1400 mg/day); vitamin c (1000 mg/day); COQ10 (300 mg/day)

Current Illness: None

ID: 1188510
Sex: F
Age: 26
State: CA

Vax Date: 03/16/2021
Onset Date: 03/18/2021
Rec V Date: 04/10/2021
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: Ringing in ears started on Thurs around 11am (3/18) after Tuesday at 3:00pm injection (3/16). The ringing has been a high pitched frequency that has not changed in volume, tone and is constant. I went to audiologist and they detected notched hearing at 1500hz. I have not had any other symptoms and this has never happened before. The ringing has not stopped and it has been just over 3 weeks.

Other Meds: None

Current Illness: None

ID: 1188511
Sex: M
Age: 35
State: NM

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 04/10/2021
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: Restong heart rate jumped to 100bpm when normal resting rate 8s 58 to 60bpm. Normal heart rate returned after 4 minutes. Jaw line, nose, back of the head and upper back went numb for 6+ hours after 1st vaccine. Second vaccine administered on March 18th at 1130. Jaw line and nose went numb for entire day. Woke up next morning and it was back to normal. A cough and chest pain started March 20th and it still is present today(April 9th) Primary doctor is useless and can't help.

Other Meds: None

Current Illness: Unknown

ID: 1188512
Sex: F
Age: 65
State: CA

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
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: LATEX, PENICILLIN

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

Symptoms: event: Patient complained of experience throat swelling and difficulty swallowing within 15 mins of administration treatment: 1 EpiPen was administered into thigh followed by 1 Benadryl 50mg capsule. RPH offered to contact paramedic for patient or have patient go to ER, but patient refused both. outcome: patient reported feeling better within 30 minutes of treatment and no more symptoms originally report. Patient was advised to still seek medical attention due possible symptoms returning but refused. Patient said she will have a friend pick her up and stay with to make sure she has supervision at all time.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1188513
Sex: M
Age: 33
State: MO

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
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: Severe chills, fever, dizziness/vertigo (severe), tired. Muscle pain

Other Meds:

Current Illness:

ID: 1188514
Sex: F
Age: 43
State: TX

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/10/2021
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: Starting at 12:30 the day after I got the shot (4/7), I started to have a headache, extreme tiredness and slight fever (101). Within the next hour my skin was sensitive to the touch, my joint ached - tired and headache continued. Walking was slow and I had a "drunk" feeling when standing. I woke up in the middle of the night drenched in sweat. *Side note, my period started on 4/8 so that could have contributed to some of the tired. Woke the next morning still feeling tired but most other symptoms had passed by 11am on 4/9. My arm turned red, warm, tight, and itchy at the injection spot on Friday morning (4/9) and has stayed that way - current time of typing is 12:23, 4/10. All other symptoms have passed.

Other Meds: generic Zyrtec, multi-vitamin, D3 suppliment

Current Illness: None

ID: 1188515
Sex: M
Age: 28
State: CA

Vax Date: 03/21/2021
Onset Date: 03/28/2021
Rec V Date: 04/10/2021
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: First 48 hours after the shot the common symptoms reported everywhere disappeared. Exactly a week later , sharp stomach pains at 3:00 am. From then on every day for 5 days having gas, bloating, stomach pains after eating. Shortly after, pain began affecting joints and spinal cord simultaneously with the stomach pain.

Other Meds: Fluconazole

Current Illness:

ID: 1188516
Sex: F
Age: 87
State: CA

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
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 received 1 shot of the J&J vaccine on 4/9/2021 at 1155 by Fire department paramedic. The patient was identified as a homebound resident in our community and met screening requirements for in home vaccination. Patient was very lucid and verbal prior to the shot, but showed some mild confusion afterwards. Upon calling her son, FD learned that the patient has been experiencing some confusion lately. FD also learned from son that the patient had already completed her series of COVID19 Vaccine with Moderna. Her Moderna 2nd shot was completed on 3/8/21. The patient's registration resulted from a contact list forwarded to the Fire Dept with the patient's phone number. The patient was registered through phone for the J&J vaccination homebound vaccinations on 4/9. J&J was notified with anonymous patient info. Follow up with the son was provided by, PharmD BCGP, who consulted with CDC recommendations: ?The patient may experience the same local and systemic adverse reactions as either mRNA/VV vaccine. Furthermore the patient may experience a higher rate of adverse reactions which should be monitored closely. The patient/family should notify the patient?s health care provider about the case. No additional COVID-19 vaccines should be provided to this patient.? FD will be following up with the patient and son tomorrow (day after the injection).

Other Meds:

Current Illness:

ID: 1188517
Sex: F
Age: 34
State: CA

Vax Date: 04/02/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
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: N/A

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Red and itchy lesion at the vaccine injection site

Other Meds: N/A

Current Illness: N/A

ID: 1188518
Sex: F
Age: 62
State: WA

Vax Date: 04/06/2021
Onset Date: 04/08/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Numbness on left side of face lasting from 3pm to after midnight on 3/8/21. It subsided on 3/9/21 during the day, but again felt numbness on left side of face at 10:00pm on 3/9/21. Continue to feel nausea, no appetite, and extreme fatigue.

Other Meds: Iodine and Tyrosine, multiple vitamin, vitamin d, c. Red yeast rice supplement.

Current Illness: None

Date Died: 03/30/2021

ID: 1188519
Sex: M
Age: 67
State: SC

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 04/10/2021
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: bananas

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

Symptoms: On 3/29/21 at 11:00pm my dad began having chills and uncontrollable shaking. My mother contacted Pfizer who instructed us to alternate Tylenol and Motrin. Tylenol given and Motrin given 4 hours later as instructed by Pfizer. On 3/30/21 around 11:10am my dad was found unresponsive, not breathing and did not have a pulse. My mother immediately called 911 and my aunt began CPR. When EMS arrived he was found to be in cardiac arrest and after 25 min of efforts by EMS my father passed away less than 24 hours after receiving his 2nd covid vaccine.

Other Meds: - phosphate binders - metoprol - nephro Vit - simvastatin - amlodipine besylate 5mg

Current Illness: - chronic kidney disease - On dialysis

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm