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: 0944351
Sex: F
Age: 20
State: PA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
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: Systemic: Headache, Systemic: Nausea, Systemic: tinnitus, sweating, shortness of breath

Other Meds:

Current Illness:

ID: 0944352
Sex: F
Age: 51
State: CO

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/14/2021
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: lactose intolerant

Symptom List: Anxiety, Dyspnoea

Symptoms: Extreme fatigue, body aches, intermittent chills and headaches for 30 hours

Other Meds: none

Current Illness: none

ID: 0944353
Sex: M
Age: 40
State: IL

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/14/2021
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: Administration at 2:00pm; At 2:15, patient complained of nausea and became diaphoretic. He was placed in a supine position and provided a moist cloth for his forehead; vital signs and blood pressure remained stable. He was provided a snack and dishcarge d to home at 2:50pm

Other Meds:

Current Illness:

ID: 0944354
Sex: F
Age: 45
State: IN

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/14/2021
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: Patient called our office( family Dr) and reported reaction of nausea continuing on Friday 1/8/2021 from Covid vaccine that she received on Tuesday - is a healthcare provider (patient supplied lot number today so provider could report reaction.) This was patients 2nd vaccine. States the afternoon that she received dose, had trouble breathing, itching. Took Benadryl and resolved. however nausea continued. MD prescribed Zofran for patient to resolve.

Other Meds:

Current Illness:

ID: 0944355
Sex: F
Age: 44
State: CA

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin, shrimp, sulfa

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

Symptoms: "my tongue got sore (not swelling), and had a cold sweat and nauseated feeling, anxious." c/o mild soreness to back of tongue. sent for obs. took zyrtec, tylenol prior to getting vaccine. eupneic, a/ox4, skin w/d. no distress" Blood pressur 160/91

Other Meds: none known

Current Illness: none known

ID: 0944356
Sex: F
Age: 59
State: NY

Vax Date: 01/05/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
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: Sulfa drugs

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

Symptoms: initially mild edema around injection site palpable starting the 2nd day. Soreness disappeared after the 3rd day(not the event I am reporting, just history). On day 7, itchiness at injection site and possibly other areas related on upper torso left side, still apparent on day 8 and today, day 9. no soreness at injection site but is slightly still indurated .

Other Meds: Vit D 1000 IU, Magnesium citrate, 200 mg

Current Illness: none

ID: 0944357
Sex: F
Age: 48
State:

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: About 10 minutes after vaccination, patient began to experience heightened anxiety with no other symptoms. Evaluated by a paramedic on staff and symptom quickly resolved.

Other Meds:

Current Illness:

ID: 0944358
Sex: F
Age: 43
State: VA

Vax Date: 12/28/2020
Onset Date: 12/30/2020
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies: Wellbutrin

Symptom List: Pharyngeal swelling

Symptoms: Fever, Chills, Extreme Fatigue, Lymph node pain, Headache, Blisters on palms of hands and fingers, Sloughing off of skin inside mouth

Other Meds: Sertraline, Seasonale

Current Illness: None

ID: 0944359
Sex: F
Age: 37
State: MO

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/14/2021
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: Dec 28- sudden extreme fatigue, raised red hard hot whelp on arm approximately 1 1/2 inch x 2 inch, sore arm, headache, arm bruise dime size Dec 29- raised red hard hot whelp on arm approximately 1 1/2 inch x 2 inch, arm bruise nickel sized, arm sore, headache, needed extra sleep Dec 30- raised red hard hot whelp on arm approximately 2 inch x 3 inch, arm sore, arm bruise nickel sized, needed extra sleep. Dec 31- raised red hard hot whelp on arm approximately 2 inch x 3 inch, needed extra sleep Jan 1- red spot remains on arm approximately 2 inch x 3 inch but is no longer raised, hot or hard Jan 2- red spot remains on arm approximately 2 inch x 3 inch Jan 3- red spot remains on arm approximately 2 inch x 3 inch is now very itchy, mildly sore throat with waking up quickly resolved Jan 4- red spot remains on arm very itchy and again is hot, hard and raised approximately 2 inch x 3 inch, mildly sore throat with waking up quickly resolved Jan 5- red spot remains hot, hard, raised, very itchy approximately 2 inch x 3 inch. Jan 6- red raised outline remains of red spot no longer hard but still a little warm, mildly itchy, extreme fatigue (went to bed at 7pm, normally stay up until 10-11) Jan 7- red raised outline remains of red spot no other symptoms Jan 8- all symptoms resolved Jan 9- all symptoms resolved Jan 10- all symptoms resolved

Other Meds:

Current Illness:

ID: 0944360
Sex: F
Age: 34
State: SC

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
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:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: After the vaccine was administered the patient sat in the waiting room for less than 5 minutes and then felt a fast HR, she felt hot and was worried that she was going to faint. She also felt shaking in her hands and her arms felt heavy. She came back to the nurse that had administered her vaccine at 1:10pm where her oxygen level was monitored and she was given a cold cloth and water to drink. This lasted for about 20 minutes. Her oxygen level was monitored (~97%), her BP was checked at 1:45pm and it was 125/90. Her hotness, elevated HR, and shakes went away. At 2:00pm her BP was checked again and it was 139/96 and then again at 2:05pm where it was 132/90. The patient stated that she felt fine and normal by now and also said that she had a BP cuff at work and at home and said that she would monitor it. All 3 of 3 follow up options discussed with patient: virtual care, the CDC, and/or 911 depending on her condition. The patient left at 2:15pm and patient was called 1 hour later for follow up. On the follow-up call the patient stated that she was feeling fine and that her BP was 126/90. She said she would continue to monitor her BP and follow-up with virtual health if it wasn't back to normal by tomorrow.

Other Meds:

Current Illness:

ID: 0944361
Sex: F
Age: 50
State: CO

Vax Date: 12/26/2020
Onset Date: 12/26/2020
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, latex

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

Symptoms: Right after my shot, my arm started throbbing. I layed down and slept for 4 hours which is unusal. When I awoke, my arm was still throbbing. Red, achey, swollen, knotty, and unable to use my arm were the worst symptoms. The red rash went up my arm to my shoulder. I used an ice pack to help with the swelling and the ache. This went on for 5 days after my shot. Today is the 14th of January, almost 20 days after my shot, and I still have shooting pains going down my arm. I am unable to pick anything up if it has any weight to it (over 2 lbs).

Other Meds: Montelukast SOD 10mg, multivitamin, symbicort

Current Illness: Sleep apnea , asthma, allergies, migraines

ID: 0944362
Sex: F
Age: 50
State: CA

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
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: sea food

Symptom List: Rash, Urticaria

Symptoms: bad headache(9) for at least 3hrs my head still hurts (5) all day and today.... nausea joint pain chills

Other Meds:

Current Illness:

ID: 0944363
Sex: F
Age: 20
State: PA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Systemic: Headache, Systemic: Nausea, Systemic: tinnitus, sweating, shortness of breath

Other Meds:

Current Illness:

ID: 0944364
Sex: F
Age: 31
State: WI

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
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: Ceclor

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

Symptoms: Woke up at 4:30 am with severe arm pain. Advil and Tylenol took along with ice pack. Pain improved with movement in morning on Tuesday. At noon, fatigue, body aches, and temp of 99.6. Took more Advil and Tylenol with symptoms improving. 7pm on Tuesday symptoms returned with increased severity: headache, body aches, fatigue, temp 100.5. More Advil and Tylenol taken. Fatigued on Wednesday and feeling better on Thursday with mild fatigue.

Other Meds: Nexplanon Implant

Current Illness: N/A - COVID 11/23/2020

Date Died: 12/30/2020

ID: 0944365
Sex: M
Age: 76
State: KY

Vax Date: 12/26/2020
Onset Date: 12/30/2020
Rec V Date: 01/14/2021
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: N/A

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

Symptoms: Resident expired on 12/30/20, dx cardiac arrest.

Other Meds: Diazepam, Levothyroxine, Magnesium Oxide, Olanzapine, Omeprazole, Sertraline, and Vitamin D3

Current Illness: None

ID: 0944366
Sex: M
Age: 28
State: PR

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
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: HEADACHE,MUSCULAR PAIN, CHILLS, FEVER

Other Meds: NONE

Current Illness: NONE

ID: 0944367
Sex: F
Age: 43
State: MD

Vax Date: 12/30/2020
Onset Date: 01/05/2021
Rec V Date: 01/14/2021
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: penicillin (hives) bactrim (rash)

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

Symptoms: day 6: developed left axillary tenderness resolved by day 9 day 8: developed rash at injection site--warm, raised, slightly itchy. resolved in 48 hours (by day 10)

Other Meds: magnesium 200 mg daily (over the counter)

Current Illness:

ID: 0944368
Sex: F
Age: 34
State: CO

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
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: after receiving the vaccine, I sat for 15 mins in my car. I left and about 5 mins on the road I started my reaction. My left side of my throat swelled and I was having trouble swallowing. My lungs started to feel pressure and I became pale. I felt as if my blood pressure when down.

Other Meds: probiotics, mulitvitians

Current Illness: none

ID: 0944369
Sex: U
Age:
State: CO

Vax Date: 12/26/2020
Onset Date: 12/27/2020
Rec V Date: 01/14/2021
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: tried, achy, bump on arm, stuffed up

Other Meds:

Current Illness:

ID: 0944370
Sex: F
Age: 30
State: MA

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/14/2021
Hospital:

Vax Type: RV1
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: ROTAVIRUS (ROTARIX)
Lot:
Dose Series: 1
Vax Route: PO
Vax Site: MO

Lab Data:

Allergies:

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

Symptoms: Nausea; given ginger ale; observed 30 minutes; discharge w/ resolution

Other Meds:

Current Illness:

ID: 0944371
Sex: M
Age:
State: GA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
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: unknown

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

Symptoms: Anxiety, unusual taste in mouth. Observed 30minutes. No worsening of condition. B/P 150/84@10:10 which is normal for patient (per patient). Disposition: Stable

Other Meds: unknown

Current Illness: unknown

ID: 0944373
Sex: F
Age: 32
State: PA

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies: cocao, naproxen ,amoxicillin, procaine

Symptom List: Unevaluable event

Symptoms: Pt received vaccine felt fine right after , then got over come with a warming sensation then later with a burning in her throat. Pt was given IM benadryl 50mg and continues to be monitored she is feeling better but still having an all over warm sensation.

Other Meds: prenatal

Current Illness: miscarriage 6 weeks ago

ID: 0944374
Sex: F
Age: 60
State: ID

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
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: Within 15 min of admin; pt reported feeling super drowsy and complained of Headache. She was given water and Acetaminophen, 25mg of Diphenhydramine. BP 140/64 Pulse 74

Other Meds:

Current Illness:

ID: 0944375
Sex: F
Age: 58
State:

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
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: NO

Symptom List: Injection site pain, Pain

Symptoms: Moderna COVID -19 Vaccine EUA

Other Meds: SYNTHROID ZYRTEC ROSVASTATIN OMEGA 3 EZETIMBE

Current Illness: NO

ID: 0944376
Sex: F
Age: 52
State: PA

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
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: PFIZER-BIONTECH COVID 19 VACCINE EVA Soreness in arm, up neck and into face/temple/cheek and jaw on injection side. Face /cheek feels sore, swollen and numb- coming from neck, into face, up to temple/forehand, into cheek and jawline. Is this possible Bells Palsy ?

Other Meds: Flonase nasal spray, and Pantoprazole

Current Illness: none

ID: 0944378
Sex: F
Age: 36
State: NC

Vax Date: 12/29/2020
Onset Date: 01/02/2021
Rec V Date: 01/14/2021
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: NKA

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

Symptoms: Scattered hives on torso, bilateral arms/hands, neck and legs

Other Meds: N/A

Current Illness: None

ID: 0944379
Sex: F
Age: 54
State:

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/14/2021
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: Cellulitis at injection site. Gotten worse. 1/11/21 measured site. 70x80mm. Itching around site.

Other Meds:

Current Illness:

ID: 0944380
Sex: F
Age: 54
State: VT

Vax Date: 12/29/2020
Onset Date: 01/08/2021
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: sore arm, flank pain, nausea, fatigue

Other Meds:

Current Illness:

ID: 0944389
Sex: M
Age: 55
State: AZ

Vax Date: 11/05/2020
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
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: No known allergies

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

Symptoms: Injection site pain, pain radiating into the shoulder joint. Vaccine was administered in the mid part of the deltoid muscle (at least 3 fingers width from the shoulder joint). Not clear how the pain started and why it is continuing this long. Not clear why the patient took this long to report the symptoms. When asked, when the symptoms began, he indicated the symptoms began after the vaccination. He is going to see the provider in the near future and let us know the outcome.

Other Meds: Glipizide, Losartan, Amlodipine, Tadalafil

Current Illness: Diabetes, Hypertension,

ID: 0944390
Sex: F
Age: 49
State: OR

Vax Date: 01/03/2021
Onset Date: 01/03/2021
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies: adverse reaction to famotidine

Symptom List: Nausea

Symptoms: No pain at injection site after administered until 8 hours post at which time injection site became very painful and swollen as well as feeling like I had COVID all over again with shortness of breath, severe body ache/fatigue/pain, nausea, abdominal cramping, diarrhea, loss of smell and taste, severe headache, chills/and sweating. These symptoms lasted 3 days. Afebrile throughout.

Other Meds: Protonix 20mg BID Birth control QHS Multi Vitamin QD D3 QD

Current Illness: Positive COVID November 12th with residual side effects

ID: 0944391
Sex: M
Age: 28
State: TX

Vax Date: 12/21/2020
Onset Date: 01/09/2021
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies: Anaphylaxis to finned fish, tree nuts, and peanuts

Symptom List: Injection site pain

Symptoms: Myalgia, fatigue day 0 and day 1 Red, blanching rash on front trunk, back, and neck on day 2

Other Meds: None

Current Illness: None

ID: 0944393
Sex: F
Age: 72
State: NY

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
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

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

Symptoms: Patient experienced a "taste" in her mouth and a feeling of swelling at the back of her mouth/top of her throat.

Other Meds: symbicort

Current Illness:

ID: 0944394
Sex: M
Age: 44
State: TX

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Shivers, cold sweats, and body ache. Treatment: none. Outcome: mild improvement

Other Meds:

Current Illness:

ID: 0944396
Sex: F
Age: 41
State: CA

Vax Date: 12/21/2020
Onset Date: 12/21/2020
Rec V Date: 01/14/2021
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: My lymph nodes were very swollen on my right arm. I also developed headaches, fatigue and body aches. Consulted with my PCP who suggested a mammogram and an ultrasound. Both done at Hospital. It shows lymph nodes are swollen and a follow up appointment has been schedule for 3 months. If they are still swollen a biopsy will be made.

Other Meds: Multi vitamin. calcium, fish oil and vitamin c

Current Illness: no

ID: 0944397
Sex: F
Age: 36
State:

Vax Date: 12/27/2020
Onset Date: 01/03/2021
Rec V Date: 01/14/2021
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: hive reaction to pseudoephedrine, rash reaction to pineapple

Symptom List: Erythema, Pruritus

Symptoms: Itchy, swollen, red, and warm hive about 3 inches in diameter at the injection site.

Other Meds: Mirena IUD, adult multivitamin, fish oil, bcaa's

Current Illness:

ID: 0944399
Sex: F
Age: 57
State: IL

Vax Date: 01/08/2021
Onset Date: 01/10/2021
Rec V Date: 01/14/2021
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: shingles to lower back after 2nd dose

Other Meds:

Current Illness:

ID: 0944400
Sex: F
Age: 51
State: MT

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
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: Avelox, Codeine, latex skin allergy, sensitivity to eggs, cranberries and sesame seeds

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

Symptoms: After approx. 10 minutes I had a headache and my glands in my throat started to give me a sore throat sensation. I was asked to stay for 15 minutes more of monitoring, my tongue started to feel thick in the back of my throat and I was able to swallow normally. At that time, they walked me down to the ER for continued monitoring. Additional symptoms in the ER included itchy stomach and pain in my teeth. They gave me Benadryl in an I.V. and that helped most of the symptoms to subside. I left the ER approximately 3 hours after the vaccine was administered. Today I have a slight headache, runny nose, very sore arm and my tongue is itchy off and on.

Other Meds: 5,000 ius Vitamin D, MCT oil, Stress B Complex, Comprehensive Minerals

Current Illness: n/a

ID: 0944402
Sex: M
Age: 65
State:

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: observed for 30 min, flushing and/ or skin edema. Given 25mg Benadryl pill, felt better

Other Meds: N/A

Current Illness: N/A

ID: 0944403
Sex: F
Age: 55
State: CA

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Incorrect site for vaccination. No known reactions.

Other Meds:

Current Illness:

ID: 0944405
Sex: F
Age: 62
State: MA

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/14/2021
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: WARM FEELING IN CHEST AND THROAT DENIES ANY DIFFICULY SWALLOWING. HAPPENED 5 MINUTES AFTER INJECT. BP RANGING 140/60, O2 100. OBSERVED FOR 25 MINUTES. SYMPTONS REMAINS THE SAME SENT TO ER FOR FURTHER OBSERVATION.

Other Meds:

Current Illness:

ID: 0944407
Sex: F
Age: 72
State: MO

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies: Augumentin

Symptom List: Pain in extremity

Symptoms: injection given in right arm, given too low for IM, more probably subq. Knot in arm for 4 days, plus red, hot to touch, continues to have area which is darker in color than normal. Additionally, two days after injection had fever, chills and fatigue.

Other Meds:

Current Illness:

ID: 0944409
Sex: F
Age: 45
State: MN

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Systemic: Chills-Mild, Systemic: tingling in fingers-Mild; symptoms lasted 0 days

Other Meds:

Current Illness:

ID: 0944412
Sex: F
Age: 42
State: CA

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
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: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Lightheaded, body aches. Resolved

Other Meds:

Current Illness:

ID: 0944414
Sex: F
Age: 77
State: TX

Vax Date: 01/08/2021
Onset Date: 01/11/2021
Rec V Date: 01/14/2021
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: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: had a sever/sever head/chest cold on Monday following the shot given on Friday was on Z-pack and Mucinex--seems to be working

Other Meds: prempro/omeprazole/rosuvastatin/areds2

Current Illness: none

ID: 0944415
Sex: F
Age: 26
State: CO

Vax Date: 01/07/2021
Onset Date: 01/09/2021
Rec V Date: 01/14/2021
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: Latex and shellfish and pollen seasoned allergies

Symptom List: Vomiting

Symptoms: Diarrhea, bad rash/welts that is spreading, tired, lathargic, loss of appetite, excessive sweating and chills.

Other Meds:

Current Illness: N/A

ID: 0944416
Sex: F
Age: 57
State:

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 01/14/2021
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: THE PATIENT RECEIVED THEIR 2ND DOSE AND WAS OBSERVED FOR THE REQUIRED 15 MINS WITHOUT INCIDENT. IT WASN'T UNTIL THE PATIENT WAS HOME, ABOUT 11 HOURS POST VACCINATION, THAT THEY REPORTED SWELLING & ITCHINESS AT THE INJECTION SITE, SWOLLEN, TINGLY LIPS AND SWELLING UNDER THE EYES. THE PATIENT REPORTED TAKING BENADRYL, WHICH EFFECTIVELY RESOLVED THE REPORTED SIGNS & SYMPTOMS.

Other Meds:

Current Illness:

ID: 0944418
Sex: F
Age: 63
State: MO

Vax Date: 12/30/2020
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
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: Prior skin reactions to flu & shingrix vaccines

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

Symptoms: Generalized itching, redness of arm.

Other Meds:

Current Illness:

ID: 0944419
Sex: F
Age: 53
State: IA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
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: Systemic: Nausea, Systemic: Vomiting, Systemic: shortness of breath

Other Meds:

Current Illness:

ID: 0944420
Sex: F
Age: 35
State: CA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
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: Injection site pain, body aches, joint pain, Improving.

Other Meds:

Current Illness:

ID: 0944422
Sex: F
Age: 41
State: IL

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
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: Immediately after being vaccinated became short of breath, arm red and warm neck red

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm