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: 0947171
Sex: F
Age: 64
State: NY

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
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: N/A

Symptom List: Dysphagia, Epiglottitis

Symptoms: Morning after my shot I have some chills and light nausea

Other Meds: Glucosamine, Vitamin D, calcium, Vitamin B

Current Illness: N/A

ID: 0947172
Sex: F
Age: 45
State: VA

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/15/2021
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: None

Symptom List: Anxiety, Dyspnoea

Symptoms: Approximately a minute after receiving it I felt a wave of heat start at my feet and go to my head. I then felt my heart rate increase. I took my heart rate from my apple watch and it was 145. Spoke to the nurse on site and she took my BP which was 185/140 (I am normally 120/80). Within a few minutes the heart rate started to drop but I was taken to the ED to be monitored. remained slightly tachicardic, but it was much better and BP dropped but was still elevated upon release -

Other Meds: Citalopram Empresse Vitamin C Vitamin D

Current Illness: None

ID: 0947173
Sex: F
Age: 34
State: VA

Vax Date: 01/11/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
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: Mesalamine; mild allergy to egg whites

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

Symptoms: Hives began 3:30; facial, hand and lip swelling began 4am

Other Meds:

Current Illness:

ID: 0947174
Sex: M
Age: 32
State: UT

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
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: Sore arm at site of injection, headache, fatigue, general malaise, runny nose and sore throat

Other Meds:

Current Illness:

ID: 0947176
Sex: F
Age: 59
State:

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: No adverse event reported. Only reporting administration of vaccine in possible temperature excursion

Other Meds:

Current Illness:

ID: 0947177
Sex: M
Age: 27
State: NY

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
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: Penicillins

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

Symptoms: Fever as high as 101.6, chills and shakes lasting almost 8 hours. Currently shaking has subsided and fever/chills starting to break after some rest and Advil

Other Meds: None

Current Illness: None

ID: 0947178
Sex: F
Age: 43
State: IN

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
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: On 1/6/2021 I received my COVID 19 vaccine along with other staff members at the medical center. The following day my arm was sore. Within 48 hours any soreness went away and I was fine until Wednesday, 1/13/2021 afternoon. My injection site had become itchy and slightly sore. By that evening the site was quite sore, red and slightly swollen. The following morning the site had swollen to a soft ball size, was an angry red, extremely painful and warm to the touch. At noon it was still worsening so I called and made an appointment with my doctor. I am now being treated for cellulitis (a deep tissue infection). I was prescribed Anti-biotics. I have yet to see any improvement, in fact the redness is still spreading.

Other Meds: Zoloft

Current Illness:

ID: 0947179
Sex: F
Age: 57
State: MI

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies: no know allergies

Symptom List: Pharyngeal swelling

Symptoms: ocalized injection site discomfort, generalized fatigue, and a decreased sense of taste the following morning. The decreased sense of taste improved after 24 hours, but the generalized fatigue and injection site discomfort persisted over the next several days. She also experienced body aches, but notes these are fairly typical for her, so she didn't think much about it. She recalls having headaches and stomachaches around days 3-5 following her injection, and beginning on day 7, she also started to notice some injection site itching and induration. The localized swelling and redness increased during days 7-10 following her COVID-19 vaccination, and over the last 6 hours, she also started to develop nausea. Her fatigue persists, but the headaches, stomachaches, and body aches have subsided.

Other Meds: Metformin 850mg Lisinopril 5mg Citalopram 20mg

Current Illness:

ID: 0947180
Sex: F
Age: 44
State: IA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies: IV Dye, Iodine contaning morphine seasonal cats dogs

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Immediate onset headache; 35 minutes later developed chest tightness and sensation of being "squeezed around the ribs"/chest area. Arrived to walk-in clinic at 03:50 p.m. for evaluation. Tx: self monitor. Outcome(s): condition continued at patient discharge to home

Other Meds: abilify 5 mg daily bupropion ER 150 mg daily citalopram 40 mg daily claritin 10 mg daily gabapentin 600 mg three times per day modafinil 200 mg twice daily

Current Illness: none

ID: 0947182
Sex: F
Age: 71
State: AK

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
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: Codeine

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Sore arm, fatigue

Other Meds: Amlodipine HCTZ levothyroxine Calcium fenofibrate

Current Illness:

ID: 0947184
Sex: F
Age: 35
State: CA

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Sore arm at injection site for two days

Other Meds:

Current Illness:

ID: 0947185
Sex: F
Age: 27
State: CO

Vax Date: 01/10/2021
Onset Date: 01/11/2021
Rec V Date: 01/15/2021
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 presented to emergency department with nausea, diarrhea, fatigue, and body aches. Patient was given phenergan with resolution of symptoms. Patient was discharged home in stable condition

Other Meds:

Current Illness:

ID: 0947186
Sex: F
Age: 43
State:

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/15/2021
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: Reports tingling in arm that she received the shot at entry site. Feels slightly dizzy. She reports she had similar reaction when she had gotten the Hep B shot. BP 137/93 HR 92 O2 97%. RR 16. Reports history of HTN. No SOB or tightness of throat. No other symptoms. Sat for 15 more minutes. BP 133/96 HR 88. No further issues except small amount of tingling at shot sites. Patient discharged from clinic with instructions to plan for 1/2 hour sit time with next shot. Any further issues to seek care through PCP.

Other Meds:

Current Illness:

ID: 0947187
Sex: F
Age: 42
State: TX

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
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: After 5 min following administration, developed low blood pressure and 3 pre-syncopal events. Continued with paresthesias in lips, tongue, mouth, fingers, legs, and toes. 2-3 hours after administration, developed lip swelling, facial swelling, and swelling of tongue. Zyrtec and tylenol were given. This improved but was still present the next day. At 18 hours following administration, developed rigors, fevers (Tmax 103), severe myalgias, nausea, vomiting, diarrhea, and abdominal pain. These persisted for another 18 hours.

Other Meds: ibuprofen 200 mg

Current Illness: none

ID: 0947188
Sex: F
Age: 64
State: VT

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/15/2021
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: Ceftin

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

Symptoms: Fever 101, chills, Arthralgia, red,hard sore painful left deltoid. Treated with Tylenol, Doxycycline started on 1/15

Other Meds: omeprazole

Current Illness:

ID: 0947189
Sex: F
Age: 30
State: CT

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
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: Oak pollen, birch pollen, maple pollen, mold, ragweed, cat dander, dog dander, Raw: cherries, carrots, pomegranates, celery, macadamia nuts, peanuts, peaches, plums, potatoes but none are life threatening reactions

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

Symptoms: Approximately 24 hours after the shot I experienced muscle aches, and pain at the injection site. A general feeling of lethargy became progressively worse throughout the day. from morning to noon i felt off but thought i was just psyching myself out. My noon I realized i was experiencing side effects. Around 2pm i began to experience mild chills. While cooking dinner at around 5pm I felt like my muscle aches in my back were on the threshold of feeling likes spasms. around 8-9pm before going to bed the symptoms were at there worst and comparable to a moderate illness. By the next morning I felt about 80% better but got headaches between my eyes whenever i stood up or moved too fast. As of today I feel about 95% better but still somewhat lethargic.

Other Meds: Zyrtec

Current Illness: none

ID: 0947190
Sex: M
Age: 32
State: UT

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Arm is sore at the site of injection, headache, sore throat, runny nose, general malaise and fatigue

Other Meds:

Current Illness:

ID: 0947191
Sex: F
Age: 49
State: TX

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Symptoms ? Patient reports around 11:00 am began feeling nauseated and emesis x 3 (last emesis at ~12:00 pm)? and + dizziness. RN asked Patient to take her temp while on call, temp 98.2. Patient denies recent exposure to COVID-19 without proper PPE and denies travel. Patient denies other symptoms at this time. Last day of work and shift ? currently at work Home remedies? - none Any improvement? ? none Recommendation? Patient encouraged to continue to monitor her symptoms and to contact the Vaccine support line with additional questions and concerns. Patient reports she is currently at work and educated of Illness in the Workplace Policy and to notify her manager if she needs to leave work and go home. Patient verbalized back understanding and denied further questions at this time.

Other Meds:

Current Illness:

ID: 0947193
Sex: F
Age: 48
State: TX

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies: No known allergies

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: palpitations and dizziness 15-20 mins after injection.

Other Meds: Optivar, Cochicine, Imitrex, lisinopril, zyrtec

Current Illness: none

ID: 0947194
Sex: F
Age: 57
State: IN

Vax Date: 01/12/2021
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
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: Red circle appeared on the site where shot was given three days after very warm to touch

Other Meds: calcium 600 mg x 2 daily ?.prednisone once daily

Current Illness: none

ID: 0947195
Sex: F
Age: 34
State: IA

Vax Date: 12/22/2020
Onset Date: 12/30/2020
Rec V Date: 01/15/2021
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: nickel, adhesive

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

Symptoms: 7-8 cm circle area of raised red area that was hot and itchy lower than actual puncture site

Other Meds:

Current Illness:

ID: 0947196
Sex: F
Age: 57
State: CA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies: vancomycin, Jenuvia, & latex

Symptom List: Unevaluable event

Symptoms: Pt felt tingling in arm where shot was received which spread to bilateral hands & then to feet. Vitals were taken & were stable. IM benadryl was administered at 1034 in the pt's left arm. Vitals were repeated & continued to be stable. Pt reported feeling better after the benadryl administration - no more tingling anywhere.

Other Meds: Tragenta, fluoroxtine, averstatin, methimazole, ocuvite

Current Illness: kidney infection - taking amoxicillin

ID: 0947197
Sex: F
Age:
State: FL

Vax Date:
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
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: Neosporin

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

Symptoms: Got 2nd dose vaccine at 7:20 am at 5:30 pm I developed chills, went to bed around 8:30 due to not feeling well. I woke up at 10 pm sweeting and body aches. All through the night I was hot then cold. I developed a temperature of 100.8. Had no appetite in the morning. At 7:30 am I started to feel better. Had head ache through out the day Thursday.

Other Meds: none

Current Illness: none

ID: 0947198
Sex: F
Age: 36
State: FL

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
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: immediately after vax patient fainted. Monitored her for 30 min. She was able to communicate with us and everything was well

Other Meds: no

Current Illness: no

ID: 0947199
Sex: F
Age: 48
State: NM

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies: tetracycline. doxycycline, fexofenadine, fluconazole

Symptom List: Injection site pain, Menorrhagia

Symptoms: face, with periorbital swelling and wheezing 38 to 45 hours post vaccine, to sore throat started 24 hours after vaccine . Severe headache and joint pain started 27 hours after vaccine

Other Meds: none

Current Illness: none

ID: 0947200
Sex: F
Age: 40
State: TX

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/15/2021
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: N/A to medications, food, other products Environmental Allergies, Cedar, Mold, Dust

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

Symptoms: I received my shot at 12:15 at around 12:30 I started feeling more aware of my throat. My swallowing felt slightly off however, I was not aspirated secretions. My throat felt slightly thick and I had the sensation of wanting to clear my throat. I took a deep breath and I could breath. It started to feel like my throat was getting sore or irritated. I felt slightly warmer. I decided to wait the full 30 minutes. When I went to stand had a moment of dizziness that passed but then I felt lightheadedness for about 2 hours after the injection. My ear felt like it was warm and there was slight pressure there. My throat continued to feel irritated and still feels lightly irritated after 4 days. After about 3 hours it felt like something lifted and I felt better. That night I was really fatigued and tired. Maybe slightly cold. The next day felt fine except for the throat irritation that still persists today. The side where I received the injection my arm, shoulder, and chest area felt affected for two days after receiving injection.

Other Meds: Diltiazem 240 mg XR 1 Capsule by Mouth Everyday Zyrtec 20mg one tab everyday

Current Illness: On December 27th 2020, two days after Christmas I had nasal congestion and was fatigued to where I worked from home in bed on my computer for about two days. My stomach had hurt a little but I was very tired. At the time of the vaccine dose. I felt great.

ID: 0947201
Sex: M
Age: 58
State: MS

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
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: Nausea, Pain in extremity, Pyrexia

Symptoms: Fever, Chills, Tachycardia, Headache, Dehydration, Muscle aches, Sleeplessness. Onset approximately 8:00 pm evening of vaccination, 1-14-2021. Fever, tachycardia , dehydration relieved approx 10:00 am following morning, 1-15-2021. Headache and muscle soreness persist.

Other Meds: Lisinopril 10mg, Propanalol 20mg

Current Illness: COVID -19 Test Positive, 12-14-2020. Recovered.

ID: 0947203
Sex: F
Age: 42
State: ME

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies: cashews, coconut, almonds

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Chest pressure, anxiety, headache, shortness of breath, dizziness starting 15 minutes after vaccination. Monitored and offered ED but refused.

Other Meds: none

Current Illness: none

ID: 0947204
Sex: M
Age: 31
State: MI

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/15/2021
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: Penicillin Amoxicillin Ceclor Sulfa I also had a bad allergic reaction to the whooping cough vaccine as a child and have had to get a modified version ever since.

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

Symptoms: Within 2-5 minutes of receiving the vaccine, I began to feel dizzy. I signaled for help while in my car and help arrived. Within the next few minutes the severity seemed to go from ?0-100? and I began to feel a deep impending sense of doom and panic/fear. I also felt extremely tense in my muscles and felt itchy in the chest area. That continued for 15 minutes or so before subsiding slowly. Staff surrounded my car and were very supportive and great about the situation. It was one of the most frightening experiences to date I have had. No EpiPen type intervention was done. Once the event was on the downswing I was kept for additional observation and release on my own accord. Everyone there was great. I am reporting for my own records in case further testing reveals I have an allergy to this vaccine for employment purposes should the vaccine become mandated prior to me having alternative means of vaccination or allergy testing competed to determine if it was an true reaction or not so I can get vaccinated safely.

Other Meds: 20 mg adderall XR daily

Current Illness: None

ID: 0947205
Sex: F
Age: 23
State: TX

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies: Doxycycline, Azithromycin

Symptom List: Nausea

Symptoms: Gradual onset of soreness beginning about an hour post-vaccine and worsening throughout day. By the evening, left arm pain was too uncomfortable to wash dishes and lift household objects. Pain woke me up at 3am that night and I could not push the covers off of me, dress or undress, and I experienced severe pain with slight movement (7/10). Nausea and cold sweats began around 5am and lasted for 45min. I contacted the nurse via messaging system and was told to take OTC nausea medicine and Tylenol. I took the maximum dosage for Tylenol that day but could not do my normal school functions. The next day I was still limited by pain but did not require medication to cope. By day three, I had full range of motion back and minimal pain. Day four I am back to exercising normally.

Other Meds: Viorele, Biotin, Zyrtec, Flonase

Current Illness: N/A

ID: 0947206
Sex: M
Age: 27
State: CO

Vax Date: 01/07/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
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: On 1/14/2021 client started experiencing a red, hot rash around vaccine site as well as muscle tension and pain. No prior side effects before this day despite being vaccinated on 1/7/2021. Encouraged the client to seek care from his PCP or urgent care.

Other Meds:

Current Illness:

ID: 0947207
Sex: M
Age: 32
State: TN

Vax Date: 12/26/2020
Onset Date: 12/27/2020
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies: cats

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

Symptoms: Initially there was a lot of bruising in the injection site, and 24hr later there was a red spot lower in the injection site. It started spreading. It was also hot to the touch,. Doctor prescribed me Keflex and told me to FU with my PCP. DR, my PCP told me to keep taking the antibiotics the doctor suggested and to ice it. AS of Friday 01/08 I still had some redness, I finished the antibiotics. As of this morning the bruising is gone, it stayed for about 3 weeks.

Other Meds: Multivitamin, Vitamin D 50,000u 1X a week

Current Illness: no

ID: 0947208
Sex: F
Age: 32
State: VA

Vax Date: 01/05/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
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: seasonale

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

Symptoms: redness and swelling over R arm - started 8 days after injection

Other Meds: none

Current Illness: none

ID: 0947210
Sex: F
Age: 75
State: FL

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
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: Propofol (severe), Demerol (nausea)

Symptom List: Tremor

Symptoms: 5mm after VAX HTN BP 160's-170's, fatigue flushing, decreased vision, lightheaded, can't focus vision. Later arthralgias, fatigue. Sx improved after 4 hrs, Resolved after 48hrs. EMT eval recommended ER eval, but pt declined, went home instead.

Other Meds: None

Current Illness: None

ID: 0947211
Sex: F
Age: 38
State: KY

Vax Date: 12/24/2020
Onset Date: 12/25/2020
Rec V Date: 01/15/2021
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: Bleach, Latex, Levaquin, Macrobid

Symptom List: Erythema, Pruritus

Symptoms: (L) arm immobile 25-96 hrs after vaccine. fatigue, SOB, HA, diarrhea, Heart rate fluctuations

Other Meds: Singulair, Meclomen, Elavil, Atenolol, Breo, Ca, Celebrex, Catapr, Dexilant, Allegra, Flonase, Synthroid

Current Illness: No

ID: 0947213
Sex: M
Age: 76
State: IN

Vax Date: 01/04/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
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: none

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

Symptoms: morning of 01/13/2021 awakened with early Bell's Palsy on right side

Other Meds: Fluoxetine,coreg,entresto,lasix,potassium,finasteride,crestor, metformin ER, ASA 81mcg,Slodosin, Humalog Insulin Tuojejo Insulin

Current Illness: none

ID: 0947214
Sex: M
Age: 37
State: UT

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/15/2021
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: Onion

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

Symptoms: Weakness in dorsiflexion of right ankle--causing unstable gait. Patient stated this began the morning after he received 3 immunizations from the Health Dept. No other injuries or illnesses noted. Neurology consult being scheduled.

Other Meds: Remeron, Effexor XR

Current Illness: none

ID: 0947215
Sex: F
Age: 57
State: MA

Vax Date: 01/05/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
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: skin lotion -

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: 9 days after receiving injection pt developed 8 x 8 cm redness, tenderness Induration below the injection site (L) deltoid

Other Meds: Lisinopril, metformin

Current Illness: none

ID: 0947216
Sex: F
Age: 69
State: NY

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
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: Tegertol, Sulfa,Thorazine,Mellaril, Compazine, Ibuprofen

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

Symptoms: No immediate adverse effects noted on 1/13/21. Patient was tired on the morning of 1-14-21.Her pulse was noted to be 106 at approx. 7:30am. She had a 10 minute tonic clonis seizure at approx. 8:15am. She was post ictal until 10:30 am. After the seizure, her O2 was 90% and she was noted to have a temp of 100.4. She was also very tired and confused.She went to ER by ambulance approx. 8:45am and they did a CT, Labs and a urine analysis. No significant findings reported. She returned to the residence at 4:37pm on 1-14-21 and was on vitals every 4 hours. Her vitals have returned to baseline.

Other Meds: aripiprazole Depakote Sprinkles(generic) citolopram clopidgrel daily vite, oxybutymin, Donepezil, benefiber, Dole tab, Risperidone, artificial tears, tussin cough syrup (PRN), Levothyroxine

Current Illness: Recurrent Melanoma of Left eye being treated with Nivolumab

ID: 0947217
Sex: F
Age: 65
State: CA

Vax Date: 01/05/2021
Onset Date: 01/12/2021
Rec V Date: 01/15/2021
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: NKA

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

Symptoms: 2 days after - sore arm 1 week later - bumpy/lump formed - redness (spreading) - itchy

Other Meds: - Women's multivitamin - Riboflavin 400 mg

Current Illness: NONE

ID: 0947219
Sex: F
Age: 51
State: NJ

Vax Date: 01/06/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies: Perfume

Symptom List: Pain in extremity

Symptoms: Left upper arm at injection site red, hard, warm swollen

Other Meds: Synthroid Rovustatin

Current Illness: None

ID: 0947223
Sex: F
Age: 87
State: TX

Vax Date: 01/04/2021
Onset Date: 01/11/2021
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies: No Known allergies

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

Symptoms: Patient presents with itchy red rash since 1/11/21. Some relief with hydrocortisone. She does not remember any trauma to the area. No new meds/ soaps/ detergents. No close contacts with similar symptoms.

Other Meds: Advair, amiodarone, Vitamin C, biotin, Calcium Citrate w/D, Denosumab, Diclofenac, ferrous sulfate, Fluticasone nasal spray, Furosemide, Hydroxychloroquine, losartan, singulair, multivitamin, pantoprazole, PEG3350, Tramadol

Current Illness: None

ID: 0947224
Sex: F
Age: 52
State: IN

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
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: sulfa drugs

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

Symptoms: I got my 2nd dose on Wednesday and felt fine all night. On Thursday, I started to have a low grade fever with body aches and tiredness. On Thursday night about 6pm, I developed severe swelling under my left arm and down the left side of my ribs.

Other Meds: Lisinopril 15mg daily, vitamins D and calcium

Current Illness: none

ID: 0947225
Sex: F
Age: 24
State: FL

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
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: Amoxicillin, penicillin

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

Symptoms: Low-grade fever: 100 F less than 12 hours after, broke next morning Headache: Right after vaccination, still occurring Blurry vision: 1 hour after vaccination, ended around 5-6 hours later Sore arm: Right after vaccination, still occurring Body aches: Day after vaccination, still occurring Body chills: Less than 12 hours later, still occurring Out of breath: Day after vaccination, still occurring

Other Meds: Birth control, hydroxyzine

Current Illness: NA

ID: 0947226
Sex: F
Age: 44
State: NM

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/15/2021
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: bactrim, ciprofloxacin - rash/hives

Symptom List: Vomiting

Symptoms: itching, lip swelling - started ~45 minutes after vaccine administration, resolved w benadryl

Other Meds: methotrexate, Humira, folic acid, omeprazole

Current Illness: none known

ID: 0947227
Sex: F
Age: 57
State: NC

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
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: Sulfa

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: low grade fever Shakes Cold numb hands fingers blanch white blood pressure drop 70/40 severe body aches diarrhea nausea

Other Meds: Duloxetine Amitiza Sulindac Estradiol Vitamins A, E Glucosamine

Current Illness:

ID: 0947228
Sex: M
Age: 66
State:

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/15/2021
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: Penicillin

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

Symptoms: Diaphoretic and dizzy

Other Meds: Messaline 2400mg , Amlodipine besylate 5mg, Lipitor 20mg, Advair

Current Illness: No

ID: 0947229
Sex: F
Age: 60
State: WI

Vax Date: 01/14/2021
Onset Date:
Rec V Date: 01/15/2021
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: sulfa and vicodin

Symptom List: Injection site swelling, Limb discomfort

Symptoms: About 8 hours after getting the vaccine, I got a headache , chills and body aches that lasted about 12 hours.

Other Meds: Iron, vitamin c , tums, baby asprin. d vitamin, cetirizine HCL

Current Illness: none

ID: 0947230
Sex: F
Age: 48
State: UT

Vax Date: 01/07/2021
Onset Date: 01/11/2021
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

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

Symptoms: 4 days after getting the Moderna #1 vaccine, my left armpit has swelled up and in pain. Swelling seems to be the lymph node, but it also moving down the side of my armpit and is painful.

Other Meds: Amour 90 mg thyroid pill

Current Illness: none

ID: 0947231
Sex: F
Age: 30
State: OH

Vax Date: 01/07/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
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: Egg Lettuce Lorabid

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

Symptoms: Cellulitis with fever & pain into left axillary. Benadryl & doxycycline prescribed. Severe symptoms started 7 days s/p injection

Other Meds: Prozac

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm