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**
PLEASE CHECK BACK SOON
Download the files above while you wait.






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: 0942259
Sex: F
Age: 59
State: OH

Vax Date: 12/23/2020
Onset Date: 12/23/2020
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: pcn, biaxin, and newly discovered tromethamine

Symptom List: Dysphagia, Epiglottitis

Symptoms: started with woozy head and extreme hyperactivity, followed by extreme fatigue, weakness, hunger, dizziness, chest pain, very jittery and the jittes get alot worse if i take my thyroid med. i have been unable to take them and i am now hypothyroid. the fatigue and weakness lasted a week. the chest pain and jitters continue today 3 weeks post vaccine. i am concerned for a possible heart attack or something. how long will these symptoms last? should i see my cardiologist? what should i do about thyroid medication?

Other Meds: synthroid 100 mcg and 112 mcg alternating qod, nexium 40mg qd, sonata 10mg 2 hs, restoril 15mg 1 qhs, xanax 0.5mg q hs, hctz 12.5 mg qd, asa 81mg 2 qhs, zyrtec 10mg qd, multi vit women over 50

Current Illness: none

ID: 0942260
Sex: F
Age: 28
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: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Bactrim

Symptom List: Anxiety, Dyspnoea

Symptoms: Fever as high as 101.5F and chills starting since 1am, lasting until 10pm. Extreme body and muscle aches. headache that was not alleviated with tylenol or advil.

Other Meds: none

Current Illness: none

ID: 0942261
Sex: F
Age: 44
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: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: NKA

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

Symptoms: 18 hours after second dose I had Temp 99.0, chills, body aches, fatigue, headache not relieved by Tylenol or Advil, injection site pain. The symptoms were so severe that I was unable to go to work this morning. I have a headache, fatigue, feel foggy, and injection site pain still.

Other Meds: Tylenol

Current Illness: None

ID: 0942262
Sex: F
Age: 48
State: AL

Vax Date: 12/22/2020
Onset Date: 12/23/2020
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: Levaqui

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Developed Shingles rash on 1/23/2020

Other Meds: Lexapro, Vitamin D,

Current Illness: none

ID: 0942263
Sex: F
Age: 39
State: AZ

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

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

Lab Data:

Allergies: Allergy to Vicodin causing itching

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

Symptoms: Body aches; took Tylenol for relief, which helps temporarily.

Other Meds: Vitamins: D, C, multi (prenatal), calcium Took valacyclovir a few days prior to vaccine

Current Illness: Cold sore 1week ago

ID: 0942264
Sex: F
Age: 36
State: CA

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

Vax Type: FLUC4
Manufacturer: SEQIRUS, INC.
Vax Name: INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)
Lot: 276563
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: No

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

Symptoms: I have bady ache and fever 101.5 and cough and hard to breathe, after 5 days of the vaccine .

Other Meds: No medication

Current Illness: No

ID: 0942265
Sex: M
Age: 34
State: IN

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

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

Lab Data:

Allergies: Sulfisoxazole

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Pruritis ~48 hours after injection

Other Meds: Citalopram 40mg daily

Current Illness:

ID: 0942266
Sex: F
Age: 40
State: NJ

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

Lab Data:

Allergies: Fluconazole, Milk, Legumes

Symptom List: Pharyngeal swelling

Symptoms: I have felt extremely lethargic and exhausted since vaccine, but today noted some supraclavicular lymph node enlargement and mild submandibular lymph node enlargement on the same side as the vaccine was given

Other Meds: Nexium, Zyrtec, Vit D, Probiotics, Magnesium

Current Illness: none

ID: 0942267
Sex: F
Age: 48
State: IL

Vax Date: 01/04/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Injection site is now red inflamed like a wasp bite. Warm and hurts.

Other Meds: Methemizole

Current Illness:

ID: 0942268
Sex: F
Age: 46
State: CA

Vax Date: 12/29/2020
Onset Date: 01/07/2021
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: pollen, dust

Symptom List: Diarrhoea, Nasal congestion

Symptoms: By 1/6 eight days following the injection a bruise began to form under the skin near the site. It extended outward to a circumference of approx. 15 X 15 cm. it since has faded, employee saw physician yesterday for this and there is no treatment given. Advised to have shot # 2 against COVID by her doctor.

Other Meds: estradiol, atenolol, Zyrtec, trazadone, citralopram, Combivent inhaler if needed.

Current Illness: none active

ID: 0942269
Sex: M
Age: 44
State: MT

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

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

Lab Data:

Allergies: no known allergies

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

Symptoms: onset of body aches, fatigue, tachyccardia a few hours after receiving his second vaccine dose on 1/8/21. onset of and L3 dermatome shingles on 1/10/21 pulse was 138 on presentation for evaluation 1/13/21. Hypertensive 170/80

Other Meds: lisinopril and zyrtec

Current Illness: none

ID: 0942270
Sex: M
Age: 48
State:

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: SYR
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Patient describes fever and chills, headache, body aches, pain in your back especially where the kidneys are located. Site injection soreness. Patient report nausea, but also says he hadn't eaten all day

Other Meds:

Current Illness:

ID: 0942271
Sex: F
Age: 36
State: TX

Vax Date: 12/29/2020
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: LA

Lab Data:

Allergies: None

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

Symptoms: After the vaccine was administered, the injection site was more sore than how a regular flu shot feels. The third day after the vaccine was administered the injection site and the area around it began swelling. The swelling went away a few days after that. The redness faded to a dull pink. Around the 10th of January I again had redness around the injection site accompanied by major itching. The redness had almost a perfect circle around the injection site that began about the circumference of a golf ball. The next day (the 11th), the circumference of the rash increased to the size of a baseball. The rash is now spreading down and around my arm. The itching is not nearly as bad. I've been taking my temp and it has ranged from 97.9 to 98.3. I haven't had a fever or any other symptoms since my injection day. I went to a free-standing er/clinic (last night, 01/12/2021), and the doctor there told me to watch for swelling of my lymph nodes and also for a red line or red streaking to go up my neck.

Other Meds: Gabapentin, Paxil

Current Illness: None

ID: 0942272
Sex: F
Age: 53
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: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: None.

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

Symptoms: Two hours after second dose, 1/12/2021, nausea, mild headache. In evening fatigue, aching all over. Next day 1/13/2021, flu like symtoms, felt feverish, sluggish, ache all over, felt better after 3PM in afternoon, but not 100% normal.

Other Meds: calcium supplement, magnesium supplement, Vitamen B supplement, Omega 3 supplement.

Current Illness: None.

ID: 0942273
Sex: M
Age: 29
State: DE

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

Lab Data:

Allergies: None

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

Symptoms: Beginning 24 hours later: Space flu like symptoms, bodyaches, night sweats, pain and pressure in front of chest, severe fatigue, malaise

Other Meds: Vyvanse 30mg 1x/day

Current Illness: None

ID: 0942274
Sex: F
Age: 28
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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: My arm became tender, I got chills at 330am on 1/12, my temp never got above 99.7F, my leg muscles were achy, felt weak, my neck was sore and I had a knot at the injection site. I took 400 mg of ibuprofen around 7am on 1/12 and my symptoms subsided until around 3pm and started getting chills and leg aches. My arm developed redness right where the knot is on my arm and I still have the knot today (1/13). I have had no other symptoms since 3pm 1/12.

Other Meds: Alive women's multivitamin gummy

Current Illness: None

ID: 0942275
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: DTAPHEPBIP
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: DTAP + HEPB + IPV (PEDIARIX)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies: NONE

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

Symptoms: None stated.

Other Meds: ATORVASTATIN, AMLODOPINE,LOSARTA-HCTZ, OXYBUTYNIN, SUCRULFATE,ONDANSETRON

Current Illness: NONE

ID: 0942276
Sex: M
Age: 26
State: GU

Vax Date: 01/11/2021
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: none known

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Facial edema, glossitis, slurred speech (non-asymmetrical) onset 1/12/2021 (time unspecified). Tingling sensations to lips and tongue onset 1/13/21

Other Meds: Flonase, Zyrtec

Current Illness: Obstructive Sleep Apnea, High lipidemia, obesity (BMI 37)

ID: 0942277
Sex: F
Age: 37
State: IL

Vax Date: 01/11/2021
Onset Date: 01/11/2021
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: Naproxen

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Monday night started with Nausea and diarrhea Tuesday: chills, nausea, diarrhea, fatigue, headache Wed: chills, max fever 100.8, headache, fatigue, diarrhea

Other Meds: None

Current Illness: None

ID: 0942278
Sex: F
Age: 35
State: IN

Vax Date: 01/11/2021
Onset Date: 01/12/2021
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: 16 hours post vaccine #2 had fever of 102, headache, fatigue, body aches and chills. Ibuprofen 600 mg taken at 20 hours post vaccine. Improvement notified and fever decreased. At 26 hours post vaccine headache notified and fever of 99.6. Tylenol 500 mg taken. Today (1/13) 2 days past vaccine heart rate has been in 100s -110s all day. Headache notified. At 48 hours post vaccine fever developed of 100.5, aches, headache. Tylenol 650mg taken

Other Meds: Multivitamin, vitamin c, zinc

Current Illness: None

ID: 0942279
Sex: F
Age: 24
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: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: After receiving the vaccine i just felt pain on my right arm. Took 600mg of ibuprofen around 8:30pm and went to bed. Upon waking up the next morning (today) at 7am, I felt very weak. I ate breakfast by 8am and head to work. The weakness persisted, by 10am when I went to the restroom I felt as if i was going to collapse from how weak I felt while standing. Felt some chills as if my chest was breathing in cold air. By 10:40am I was home in bed resting. Had a moderate headache and chills, weakness persisted. At 12:50pm I had a fever of 100.9 F. I drank water, took 600mg ibuprofen and ate an orange. Around 2pm I felt strong enough to get up and take a short walk. At 3:00pm my temperature was 99.8 F, chills were gone. Weakness had improved. No more headache. At 4:45pm temperature at 99.2 F. And feeling better. I took lunch around 3pm

Other Meds: None, but did take ibuprofen 3 hours after receiving vaccination

Current Illness: Covid 19 infection a month ago

ID: 0942280
Sex: F
Age: 44
State: NJ

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: Bactrim

Symptom List: Unevaluable event

Symptoms: The symptoms started after the second shot.Fatigue, muscle aches, chills, headache were the most debilitating symptoms started at 8am the morning after administration of shot. Fatigue and chills have continued into the next day and evening.

Other Meds:

Current Illness:

ID: 0942281
Sex: M
Age: 35
State: NY

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: Sulfa

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

Symptoms: Patient developed diffuse itching following vaccination, presented to the ER 3 hours post vaccine. No airway compromise.

Other Meds:

Current Illness:

ID: 0942282
Sex: F
Age: 27
State: ID

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

Lab Data:

Allergies: NKA

Symptom List: Injection site pain, Pain

Symptoms: On Friday 1/8/21 0830 Patient started to have whole body aches and soreness to the arm where vaccine was given. Patient developed a fever of 102.0 at 1pm then took Ibuprofen 800mg and took temperature again and it was 99.4. Patient also stated she was tired. Patient was advised to push fluids and take Tylenol 1G now . Body aches and fever went away on 1/9/21. Patient stated she was tired and had a HA until 1/11/21.Patient took Tylenol to help with these symptoms which was effective.

Other Meds: Prenatal QD, Zyrtec QD , Phentermine 37.5 mg 1 PO QD

Current Illness:

ID: 0942283
Sex: M
Age: 55
State: OH

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: n/a

Symptom List: Injection site pain, Menorrhagia

Symptoms: Fever, chills, headache

Other Meds: n/a

Current Illness: Cleared on 12/11/20 from covid

ID: 0942284
Sex: F
Age: 45
State: NJ

Vax Date: 12/27/2020
Onset Date: 01/04/2021
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: Sulfa Tree nuts Melon Raw carrots

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

Symptoms: Sudden appearance of urticaria lesion on left arm below injection site. Not painful or cellulitis. Not itchy. Not raised. Lesion was visable and spanned approximately 3x5 inches. Resolved in 48 hours without medication.

Other Meds: Lamotrigine Lithium Zyrtec Multivitamin Vit D3 Vit B12 Calcium Stool softener

Current Illness: None

ID: 0942285
Sex: F
Age: 31
State: CA

Vax Date: 01/10/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Fatigue Nausea

Other Meds:

Current Illness:

ID: 0942286
Sex: F
Age: 54
State: ID

Vax Date: 12/23/2020
Onset Date: 12/24/2020
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: RA

Lab Data:

Allergies: Prozac - Rash

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Woke up on the 24th with a puffiness in the face, patient looked at the back of her throat and noticed some swelling, pt was able to maintain the airway. Pt was able to stay monitor sx which resolved the next day.

Other Meds: None

Current Illness: None

ID: 0942287
Sex: F
Age: 67
State: NJ

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: Lower left side of lip numb for 1/2 hour after leaving facility. Next day 4x3 inch area around site red, hard, swollen and hot to touch. Extremely itchy.

Other Meds: Prilosec Lisinopril Fish oil Vitamin E & D3 Hctz

Current Illness: None

ID: 0942288
Sex: F
Age: 54
State: PA

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

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

Lab Data:

Allergies: Sulfa, codeine

Symptom List: Nausea

Symptoms: 15-20 minutes after being vaccinated employee started to feel funny and head started spinning. BP 193/80. Transported to ER.Given script for Meclizine.

Other Meds: Lisinopril, HCTZ,

Current Illness: NONE

ID: 0942289
Sex: F
Age: 47
State: TX

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

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

Lab Data:

Allergies: Nsfibs Penicillin Pineapple

Symptom List: Injection site pain

Symptoms: 15 min after I got the vaccine I got a rash all over my body I drank Benadryl & 30 to 45min after it got much better then 2-3 days after I had sever fatigue lasted for about a week also I had headaches, body ache, body sweats & chills and that lasted for 2 weeks .

Other Meds: Allergy medication zyrtec Vitamin D 3 Estradiol and norethindrone

Current Illness: no

Date Died: 01/11/2021

ID: 0942290
Sex: F
Age: 89
State: CA

Vax Date: 01/04/2021
Onset Date: 01/06/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: Dilaudid; Morphine Sulfate; Sulfonamides; Influenza Virus Vaccines

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

Symptoms: Resident received 1st dose on 1/4/2021. On 1/6/2021 resident having SOB, increased weakness with O2 sats at 91% RA. On 8th resident sustained a fall, O2 sats 88-92, dizzy, weakness. Rapid COVID test performed with negative results. Evening of 8th resident was lethargic and diaphoretic with fever of 99.9. Resident transferred to ER, on 5lt of oxygen. Resident returned from the ER on 1/9/2021 with new diagnosis of Leukemia and orders for hospice. Continued with fever, crackles and N/V and loss of appetite from the 9th and 10th of January. Resident expired at 820am on 1/11/2021.

Other Meds: Tylenol, tylenol with codeine, Artificial Tears, ASA, Cal-Mag-Zinc, Claritin, Sertraline, Melatonin, MOM, Latuda, Estradiol, Gabapentin, Alendronate, Atorvastatin, Multi-Vit

Current Illness:

ID: 0942291
Sex: M
Age: 55
State: FL

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

Lab Data:

Allergies: Nil

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

Symptoms: Pain in right leg since evening of injection. Got rash 1 week after injection on right buttock . Found to have shingles when saw pmd today

Other Meds: Bystolic 5 mg Crestor 10 mg

Current Illness: Nil

ID: 0942292
Sex: F
Age: 30
State: TX

Vax Date: 12/31/2020
Onset Date: 01/01/2021
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: Allergies to environmental allergens. Molds, trees, animals and grasses.

Symptom List: Tremor

Symptoms: Area around my injection has been raised, red, tight, feels like there is a mass under the skin. It started the day after I received my injection and I could not move my arm at all due to the pain. For the last two weeks the red circle around the injection site has grown and the center is purple or bruised. Sometimes it is itchy but not unbearable. It is has not gone away and it has been 14 days since receiving the vaccine. I also have a headache almost daily and feeling nauseous. I do not have a fever or shortness of breath.

Other Meds: CBD gummies, Nuvaring, Melatonin

Current Illness: Sciatica flare up, inflammation

ID: 0942293
Sex: F
Age: 34
State: OH

Vax Date: 12/31/2020
Onset Date: 01/06/2021
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: Shot given 12/31/20. Pain in arm and chills lasting two days. Was fine until noticed red raised area around injection that itched on 1/7/21. Since this date redness and swelling with itching has progressed down arm from injection site in the deltoid muscle to the bend of the elbow, and today?s date is 1/13/21.

Other Meds: Trazodone 100 mg

Current Illness: None

ID: 0942294
Sex: M
Age: 52
State: WI

Vax Date: 01/13/2021
Onset Date: 01/13/2021
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: Seasonal allergies.

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

Symptoms: Mild rash & itching on both arms, antecubital area.

Other Meds: Omeprazole, Lisinopril

Current Illness: None.

ID: 0942295
Sex: F
Age: 27
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: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: No known allergies

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

Symptoms: Starting on 1/12/21 about 24 hours after vaccination, I felt very severe flu-like symptoms. I had nausea, chills, felt very lethargic and sore to the point where I couldn't stand at work, and had a pounding headache. The site where I got the vaccine was also more tender and sore than usual after a vaccination. I left work early around 3 pm, took 400 mg of ibuprofen every 6 hours and tried to get as much sleep as I could. By 6 am on 1/13/21, all these symptoms had gone away, but now I've noticed a very swollen lymph node just above my left clavicle.

Other Meds: Mirena IUD, Valtrex 500 mg once a day

Current Illness: No other illnesses

ID: 0942296
Sex: F
Age: 47
State: LA

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

Lab Data:

Allergies: None

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Moderna COVID-19 vaccine EUA

Other Meds: Caltrate d B complex Colesevelam Centrum Armour thyroid Fenofibrate Spironolactone 50 mg

Current Illness: None

ID: 0942297
Sex: F
Age: 37
State: VA

Vax Date: 12/18/2020
Onset Date: 12/27/2020
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: Seasonal

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

Symptoms: Itching on trunk, arms and legs with severe rash over the course of several days Moisturizer, Benadryl, Pepcid, triamciclinone cream.

Other Meds: Allegra, Pnv, magnesium, vit d

Current Illness: None

ID: 0942298
Sex: F
Age: 46
State: MN

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

Lab Data:

Allergies: malarone

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

Symptoms: The day after I received a vaccine, I had higher than usual blood pressure and pulse rate. I also had a muscle pain in the arm and I felt tired during the day and in the evening. My pulse rate continues to be high. My pulse rate was 100 on the second day and for number of days it is around 95. Today it was 95 most of the day. I have not been regularly checking my pulse rate before, but based on what I found in some information in my medical record, it is most likely around 75. I notice the higher pulse rate through pulsation in the chest and temples. I have a hard time concentrating on work and reading things on the screen.

Other Meds: iron, multi-vitamin

Current Illness: none

ID: 0942299
Sex: M
Age: 58
State: IN

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Pain in extremity

Symptoms: myalgia Subjective fever

Other Meds: amlodipine hctz Metformin

Current Illness: none

ID: 0942300
Sex: F
Age: 33
State: PA

Vax Date: 12/21/2020
Onset Date: 12/21/2020
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

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

Symptoms: Bell?s palsy Trigeminal nerve tingling and numbness started about 4 hours after vaccine. Treated with prednisone and valtrex. Improved after three days on medication.

Other Meds: Unithroid Sprintec

Current Illness: Cold sore

ID: 0942301
Sex: M
Age: 59
State: CA

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

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

Lab Data:

Allergies: No

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

Symptoms: Symptoms were first noted on 12/22/2020 in 15 minutes after getting the Covid Pfizer vaccine. He had numbness of his face and right hand. It resolved in two hours. He did have soreness for two days after the vaccine. He did not have any other symptoms like rashes or difficulty breathing. He could lift his arm. It made him a little nervous. It was bad enough that he pulled over from the freeway and rested for a few hours. He used an ice pack that helped the soreness, but this was after then numnbness resolved.

Other Meds: Valsartan-hydrochlorothiazide

Current Illness: hypertension

ID: 0942302
Sex: F
Age: 39
State: CT

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

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

Lab Data:

Allergies: Penicillin

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

Symptoms: Redness, rash, and itching on face, chest, neck, shoulders within 10 mins of injection.

Other Meds: Lexapro 20 mg Focalin 10 mg

Current Illness:

ID: 0942303
Sex: F
Age: 49
State: MA

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

Lab Data:

Allergies: N/A

Symptom List: Vomiting

Symptoms: 2 nd dose : Dizziness, lightheaded, severe headache, fever all night. 1/9/21 Dizziness, lightheaded, nausea. Nausea continues all other symptoms have resolved. 1 dose: no ae to report

Other Meds: N/A

Current Illness: N/A

ID: 0942304
Sex: F
Age: 57
State: NY

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

Lab Data:

Allergies: Penicillin, morphine

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Fatigue started evening of 1/7/21, I awoke about 1:30am 1/8/21,with headache, body aches, chills and nausea. Took advice at approximately 7am, then able to fall asleep. Woke at 11am, felt better, very tired for the remainder of the day. 1/9/21, symptoms gone upon rising in the morning.

Other Meds: Sulfasalazine, folic acid, synthroid, Vitamin D

Current Illness: Head cold

ID: 0942305
Sex: F
Age: 29
State: FL

Vax Date: 12/17/2020
Onset Date: 12/17/2020
Rec V Date: 01/13/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

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

Symptoms: Fever, Chills, Severe headache and unilateral left sided neck pain, severe malaise, fatigue, body aches, diarrhea and abdominal cramps

Other Meds: Tylenol

Current Illness: None

ID: 0942306
Sex: F
Age: 46
State: CA

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: IM
Vax Site: LA

Lab Data:

Allergies: no

Symptom List: Injection site swelling, Limb discomfort

Symptoms: TIGHTNESS OF CHESS, FEELS LIKE I AM GOING TO GET AN ASTHMA ATTACK. SOME COUGHING DIZZINESS

Other Meds: levothyroxine 200 mcg a day

Current Illness: none

ID: 0942307
Sex: F
Age: 30
State: AK

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

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

Lab Data:

Allergies:

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

Symptoms: 11 minutes after vaccine this employee developed a metallic taste in her mouth, tachycardia and hives on her chest and neck. She reports her heart rate normalized quickly. Before she went to bed, she felt her tongue slightly swell and developed a scratchy throat. She reports the top portion of her throat feeling swollen as well. Benadryl resolved the symptoms.

Other Meds:

Current Illness:

ID: 0942308
Sex: M
Age: 34
State: MI

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

Lab Data:

Allergies:

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

Symptoms: Extreme chills, generalized weakness, headache, low back pain.

Other Meds: Inderal Prevacid

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm