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: 1349961
Sex: M
Age: 33
State:

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Headache, Myalgia, Fever, FATIGUE; CHILLS

Other Meds:

Current Illness:

ID: 1349962
Sex: F
Age: 31
State:

Vax Date: 01/13/2021
Onset Date: 01/12/2021
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:

Symptom List: Anxiety, Dyspnoea

Symptoms: Myalgia fatigue, runny nose, stuffy nose

Other Meds:

Current Illness:

ID: 1349963
Sex: F
Age: 61
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: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Headache, Myalgia & NauseaVomiting Narrative:

Other Meds:

Current Illness:

ID: 1349964
Sex: F
Age: 29
State:

Vax Date: 01/04/2021
Onset Date: 01/10/2021
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: Rash + numbness and tingling in right forearm and all five fingers. + throbbing in entire right arm including axillary area on right side Narrative:

Other Meds:

Current Illness:

ID: 1349965
Sex: F
Age: 57
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: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Headache, Myalgia, NauseaVomiting, pain in injection, left neck pain, chills

Other Meds:

Current Illness:

ID: 1349966
Sex: F
Age: 40
State:

Vax Date: 01/02/2021
Onset Date: 01/13/2021
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:

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

Symptoms: Headache & Myalgia Narrative:

Other Meds:

Current Illness:

ID: 1349967
Sex: M
Age: 50
State:

Vax Date: 12/29/2020
Onset Date: 01/08/2021
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: Arthralgia FATIGUE Narrative:

Other Meds:

Current Illness:

ID: 1349970
Sex: M
Age: 43
State:

Vax Date: 01/07/2021
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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Headache, Myalgia, Arthralgia, ErythemaMultiform, Diarrhea, bloating, diarrhea, spinal pain and malaise

Other Meds:

Current Illness:

ID: 1349972
Sex: F
Age: 35
State:

Vax Date: 01/13/2021
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: LA

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Headache chills

Other Meds:

Current Illness:

ID: 0949819
Sex: F
Age: 65
State: IL

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/16/2021
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: Coprocessor, Celebrex, Mobic, Banana flavoring

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Had fever of 102.3 deg F oral. Took 1000 mg of acetaminophen and fever broke. No further fevers occurred. Also had muscle aches during fever.

Other Meds: Lisinopril, HCTZ, L-thyroxine, FeSo4, omeprazole, lamisil, Estradiol, sertraline, multivitamin, zinc, vit D, metformin

Current Illness: None

ID: 0949820
Sex: F
Age: 78
State: NY

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/16/2021
Hospital:

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

Lab Data:

Allergies: All Sulfa Latex

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

Symptoms: 7 am. 1/13/2021 increased poly arthritis joint pain Chills Headache Malaise . Tylenol every 6 hours 1/14/2021. headache , malaise, hyper skin sensitivity on back arms; felt like sunburn 1/15/2021 increased pain on skin especially on back headache increased malaise ; joint pain subsided, Malaise and headache has lasted for 3 full days

Other Meds: calcium citrate w/d venalafaxine celexa valacyclovir magnesium Colace Prolia B12 Ester C Crestor

Current Illness: 1 episode atrial fibrillation 2015

ID: 0949821
Sex: F
Age: 28
State: NV

Vax Date: 01/06/2021
Onset Date: 01/15/2021
Rec V Date: 01/16/2021
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: None

Symptom List: Rash, Urticaria

Symptoms: Dose 1 was on 12/16/2020, 9 days after on Christmas I became violently ill with what I assumed to be a 24 hour stomach flu or food poisoning and was vomiting approximately every 15 minutes for about 3 hours. Today 1/15/2021, 9 days after my second dose of the vaccine I again became violently ill, vomiting about every 15 minutes for approximately 3-4 hours. I reported it once I noticed the coincidence.

Other Meds: None

Current Illness: None

ID: 0949822
Sex: F
Age: 39
State: AZ

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/16/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

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

Symptoms: Im injection placed in shoulder not deltoid. National guard administering improper technique and administration. He stuck me 2 times in my shoulder too high up. I have pain and very limited range of motion. I am unable to lift my arm 20%. So much pain and limited movement I sought care at ER.

Other Meds: Ortho cyclen

Current Illness: None

ID: 0949823
Sex: F
Age: 0
State: NH

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/16/2021
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: Morphine Bactrim Sulfa Doxycycline Reglan Latex

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

Symptoms: Tingling in lips and chest, hives, flushing of face and chest, swelling in throat, headache, ear pain, fullness in neck, tachypnea, tachycardia, hypertensive

Other Meds: Zyrtec 10 mg daily Pepcid 20 mg twice daily

Current Illness: No

ID: 0949824
Sex: F
Age: 32
State: CA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/16/2021
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: Acetic acid otic drops causes stinging sensation in ear with redness Mupirocin causes rash

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

Symptoms: Patient had her first Moderna COVID vaccination at 4:00 PM today and 5 min later felt dizziness, worsening, associated with headache, nausea, sore throat, hot flashes, and dizziness is from side to side when she looks at her phone, no dizziness when she does not look at it. Patient primary complaint is headache on bilateral temples. All other symptoms resolved, and no dizziness if not looking at phone. Patient has history of headaches, similar in quality, but this is more intense (6/10 intensity, less than her scoliosis pains, but more than usual headache pain), but otherwise the same, pounding sensation, and she can feel throbbing. Headache is about the same currently. Started simultaneously as dizziness, immediately, unchanged. No changes in vision. Peak intensity of headache around 30 min after onset, peak at 4:30 or so. Patient notified the vaccine clinic staff and was instructed to be observed in another area, and did not improve. Patient remembered that her initial blood pressure was low and it fluctuated. Patient was then sent to the ED. Upon initial assessment in the Emergency Department 2 hours after her initial injection, the assessment is likely vasovagal near syncope with tension headache, rather than true allergic reaction. Given metoclopramide, diphenhydramine, normal saline, and obtained labs.

Other Meds: Patient denies

Current Illness: Patient denies

ID: 0949825
Sex: M
Age: 71
State: CA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/16/2021
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 and all related antibiotics, most mycins, triamterene, others I can't remember.

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

Symptoms: I started itching all over my body. I have had enough allergic reactions to know I was having one. I took a Benadryl and went to bed. I was still having some itching the next morning.

Other Meds: anti-diahrrea meds, tramadol, methocarbomol, lipitor gabapentin,amiloride,naproxen, levothyroxine. vitamins garlic, calcium,D3, E, melatonin, B12, B complex,, prevagin, tylenol, benadryl, fish oil, omega 3, ester C, lutein, L-arginine, ap

Current Illness: I didn't have any illnesses but I do have a lot of medical problems. High blood pressure, colitis, gout, partial blocked heart artery, major back injuries, hypothyroidism,

ID: 0949826
Sex: F
Age: 85
State: CA

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/16/2021
Hospital: Y

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: Resident reported loose stool, not feeling well, resident complaint of lost taste. Hospitalization on 01/14/2020.

Other Meds:

Current Illness:

ID: 0949827
Sex: F
Age: 65
State: CA

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/16/2021
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: LEFT ARM SORENESS AND NECK PAIN.

Other Meds:

Current Illness:

ID: 0949828
Sex: F
Age: 32
State: AK

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/16/2021
Hospital:

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

Lab Data:

Allergies: Keflex

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Lightheadedness in the 5 minutes following the SARS Cove 2 vaccine #1 that rapidly progressed to lower abdominal cramping, AMS, eyes rolling upwards, and hypotension with systolic blood pressures in the 70s?80s/40s that promptly improved following IM epinephrine. Diphenhydramine, famotidine, methylprednisolone, and a LR bolus was administered. Following IM epinephrine administration, the patient's hemodynamic instability promptly improved along with her mentation. Patient was monitored for 4.5 hours before being discharged home under the care of her partner with a EpiPen autoinjector kit.

Other Meds: Albuterol, diplopia, BuSpar, cholecalciferol, hydroxyzine, losartan, and sumatriptan.

Current Illness: None

ID: 0949829
Sex: F
Age: 27
State: CA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/16/2021
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: Patient developed a feeling of heaviness of her left leg and left arm after approximately 30 minutes after vaccine administration. Her tongue became numb. Temperature was normal @ 98.2 F.

Other Meds:

Current Illness:

ID: 0949830
Sex: F
Age: 38
State: MI

Vax Date: 01/06/2021
Onset Date: 01/14/2021
Rec V Date: 01/16/2021
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: There was a lot of pain at injection site for the first couple of days, then that subsided. On day 8 I woke up and the injection sight was raised, warm to the touch, and very itchy. So far it hadn?t gone away, but gets a bit better with Benadryl. No other issues at this point.

Other Meds: None

Current Illness: None

ID: 0949831
Sex: F
Age: 30
State: WA

Vax Date: 01/08/2021
Onset Date: 01/14/2021
Rec V Date: 01/16/2021
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: Unevaluable event

Symptoms: started filling bad pain and soreness on my arm on 1/14/2021. 1/15/2021 notice the spot of injection is swollen (quarter coin size) and half arm is swollen. Area getting more red now and hurting a lot and itching. Starting to get body ache like if am getting a fever.

Other Meds: none

Current Illness: none

ID: 0949832
Sex: M
Age: 39
State: TX

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/16/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Fever

Other Meds: Azithromycin Tylenol Advil Centrum

Current Illness: Fever 2 days prior Body ache

ID: 0949833
Sex: F
Age: 32
State: WI

Vax Date: 01/03/2021
Onset Date: 01/15/2021
Rec V Date: 01/16/2021
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: Azithromycin, clindamycin, amoxicillin

Symptom List: Injection site pain, Pain

Symptoms: Delayed onset injection site reaction. Maculopapular rash near injection site.

Other Meds: Sertraline

Current Illness:

ID: 0949835
Sex: F
Age: 69
State: CA

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/16/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Vomiting

Other Meds:

Current Illness:

ID: 0949836
Sex: F
Age: 36
State: NY

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/16/2021
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: bactrim, penicillin, bees, cats, seasonal allergies

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

Symptoms: there was bleeding at the injection site more than from a typical vaccination I have recieved in the past. I sat to wait and within five minutes was lightheaded, overheated but having chills and having intense abdominal cramps. My pulse ox and bpm were fine but my blood pressure was low for me; normal is 110/70 and emt's confirmed that I was 90/60 and then 98/62 after 40 minutes post vaccine. I waited longer and then not feeling worse left. Advil fixed the cramps. So far it's only been pain at the injection site.

Other Meds: allergy medicine, curcumin, ashwanganda, women's multivitamin, zinc

Current Illness: covid positive 12/19/20. left isolation after minor symptoms on 1/2/2021

ID: 0949837
Sex: F
Age: 54
State: HI

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/16/2021
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: Nausea, Pain in extremity, Pyrexia

Symptoms: At approximately 20 min following dose administration noted left neck pain subsequently developed perioral paresthesia, chest tightness. No stridor, drooling, wheezing or nausea/vomiting. Vitals were stable. Patient states that she took Claritin prior to her vaccination. No medications since symptoms started. States symptoms have improved in all told lasted approximately 30 min.

Other Meds: pepcid, epi pen

Current Illness: none

ID: 0949838
Sex: F
Age: 30
State: IL

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/16/2021
Hospital:

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

Lab Data:

Allergies: Adhesives, mastisol, bees, pollen, iodides, shellfish derived products, influenza vaccine.

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Severe headache, fever of 103.9, tachycardia, lymphadenopathy, body aches, chills, fatigue, and shortness of breath. Advised to go to Urgent Care on 1/14/2021. Was given fluids and toradol and told to continue to monitor and treat symptoms at home.

Other Meds:

Current Illness: Tested positive for COVID 19 on 12/29/2020

ID: 0949839
Sex: F
Age: 53
State: MI

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/16/2021
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: red and blue dye; grass, cat, dog, oat tress, coconut, kiwi, dust, mole, cashew, every tree in Michigan

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

Symptoms: headache, racing heart, very weak and tried, chills, hot flashes, stomach pain and cramps, nausea, fever , body pain .

Other Meds: vitamin c; vitamin D; fish oil; women multiple vitamin.

Current Illness: none

ID: 0949840
Sex: F
Age: 43
State: KY

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/16/2021
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: Nausea

Symptoms: Rash, swollen lymph node, fever

Other Meds: N/A

Current Illness: N/A

ID: 0949841
Sex: F
Age: 36
State: WI

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/16/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain

Symptoms: Chills, headache, sore arm, tired

Other Meds: None

Current Illness: None

ID: 0949842
Sex: F
Age: 52
State: CA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/16/2021
Hospital:

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

Lab Data:

Allergies: Can?t remember

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

Symptoms: Sore arm, bruising on injection site

Other Meds: Amlodepine

Current Illness: None

ID: 0949843
Sex: F
Age: 22
State: CA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/16/2021
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: Moderna vaccine

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

Symptoms: After extreme muscle soreness and fatigued for a week after vaccination. Nerve pain and numbness on extremities began. Each day is a different location for the nerve pain for example one day it'll be on my left side of my face; the next day will be my hands; the following day will be my left side of my body from underneath my clavicle down my arm and from the side of my leg to my knee, etc. The numbness is felt on the top of my feet occasionally the left side of my face.

Other Meds: N/a

Current Illness: N/a

ID: 0949844
Sex: F
Age: 27
State: MD

Vax Date: 01/07/2021
Onset Date: 01/14/2021
Rec V Date: 01/16/2021
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: Tremor

Symptoms: At the time of injection, the site became swollen and tender, and was red, itchy, and warm to the touch. I knew this was a normal side effect so I was not worried. They faded after a couple of days. However, a week after the injection, these side effects returned. My arm was not as tender but it is itchy, red, warm, and swollen (feels firm.) I doubt it is anything serious but I figured I should report it just in case.

Other Meds: Lithium ER 600mg Lamotrigine 100mg Atomoxetine 60mg Duloxetine 60mg Synthroid 75mcg Famotine 20mg

Current Illness: None

ID: 0949845
Sex: M
Age: 34
State: HI

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/16/2021
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: NO

Symptom List: Erythema, Pruritus

Symptoms: 34-year-old male presenting with lightheadedness and transient episode of hypertension following vaccine administration. Appears most consistent with vasovagal episode and patient does report similar episodes in the past. ECG performed without any acute ischemic change. Symptoms have resolved by the time of my evaluation. Blood pressure within normal limits. No clinical features concerning for anaphylaxis

Other Meds: amoxicillin, ibuprofen, celebrex,

Current Illness: NO

ID: 0949846
Sex: F
Age: 53
State: GA

Vax Date: 09/01/2020
Onset Date: 09/01/2020
Rec V Date: 01/16/2021
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: Tramadol

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

Symptoms: Arm painful aa per usual after getting yearly flu shot. Pain has been getting progressively worse and now radiating down my arm.

Other Meds: No

Current Illness: None

ID: 0949847
Sex: F
Age: 40
State: AZ

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/16/2021
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: Metoclopramine hydrochloride monohydrate Scopolamine butylbromide

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

Symptoms: No

Other Meds: Mesalamine 800 mg

Current Illness: No

ID: 0949848
Sex: F
Age: 28
State: CA

Vax Date: 01/08/2021
Onset Date: 01/15/2021
Rec V Date: 01/16/2021
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: Seasonal allergies, dust, keflex, potentially allergic to eggs (unconfirmed)

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Delayed rash at injection site. Raised, swollen, itchy, hot to touch

Other Meds: Adderall XR, multivitamin, probiotic

Current Illness: N/a

ID: 0949849
Sex: F
Age: 53
State: CA

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/16/2021
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: Erythromycin, September and Shellfish

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

Symptoms: About 24 hours after I felt feverish, fatigued and wanted to cry - hormonal? About 48 hours after I felt very fatigue, almost too exhausted to get ready for work. The following two days I felt nauseated, very fatigued, achy and interrupted sleep patterns - going to bed earlier than usual, waking up between 2-4am. 4 today after still fatigued aches. The 6th day I felt better with energy, then that evening came the headache and by the following morning (7th day) felt fatigued with chills. The head ache woke me up from sleep at 1 am that night and 3:45am the following night. By the Friday 1/15/21 I still had chills, broke out in a sweat walking throughout house, still tired but not as bad and the headache is gone. I felt so bad onvthe 14th I went and saw a Doctor who suggested I was having a severe reaction to the vaccin. He said my vitals were good, performed a covid test to rule out the possibility (turned out negative) and told me to rest. He also warned the 2nd dose could be worse reaction.

Other Meds: collegen pills, apple cidar vinegar tablets, zrytec, multi vitamins, calcium, probiotics

Current Illness: none

ID: 0949850
Sex: M
Age: 32
State: AZ

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/16/2021
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: None

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

Symptoms: Elevated heart rate, chills, nausea, perspiration, body aches, neck and lower back stiffness

Other Meds: Multivitamin, Pepcid

Current Illness: None

ID: 0949851
Sex: F
Age: 21
State: CA

Vax Date: 01/08/2021
Onset Date: 01/14/2021
Rec V Date: 01/16/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Pain in extremity

Symptoms: HIVES ON BOTH PALM OF HANDS AND FEET, SCATTERED THROUGHOUT BODY (LARGE SIZE)

Other Meds: TYLENOL

Current Illness: NONE

ID: 0949852
Sex: F
Age: 51
State: GA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/16/2021
Hospital:

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

Lab Data:

Allergies: Peanuts, and some other tree nuts, and codeine

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

Symptoms: 1st day- Body aches, headache, mild fever 100.1, night sweating when sleep 2nd - Body aches, headache, mild fever 99.9 3rd day - body aches only

Other Meds: Tylenol, hydrochlorithiazide

Current Illness: None

ID: 0949853
Sex: F
Age: 55
State: CA

Vax Date: 01/08/2021
Onset Date: 01/14/2021
Rec V Date: 01/16/2021
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: Seasonal hayfever

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

Symptoms: Large red swelling at injection site which resolved 4 days post vaccine. Late on day 6 itching started. on Day 7 larger swelling started to spread which was 4-5 inches in diameter. Looked like histamine response, red, hot, and solidly hard. Started antibiotics as bacterial cellulitis could the cause of symptoms. Fatigue, headache, nausea, and brain fogginess have been part of the general reaction. No fever present at any time.

Other Meds: None

Current Illness: None

ID: 0949854
Sex: F
Age: 43
State: NY

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/16/2021
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: Severe muscle and joint pain, fatigue, low grade fever for 2 days. Loss of appetite. Treatment Tylenol 650 mg and Ibuprofen 400 mg. Symptoms resolver after 2 days

Other Meds: none

Current Illness: none

ID: 0949855
Sex: F
Age: 25
State: GA

Vax Date: 01/12/2021
Onset Date: 01/15/2021
Rec V Date: 01/16/2021
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, peanuts

Symptom List: Vomiting

Symptoms: Menstrual spotting . I have the nexplanon implant and have not had a period in 4 years, and have heard of similar complaints from other providers who have received the vaccine. Mine started yesterday (1/15/2021) and the spotting continues to this moment.

Other Meds: Amoxicillin

Current Illness: Tonsillitis

ID: 0949856
Sex: F
Age: 24
State:

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/16/2021
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: 1 hour post injection: severe headache, injection site pain

Other Meds: Birth control, Prilosec

Current Illness:

ID: 0949857
Sex: F
Age:
State: GA

Vax Date:
Onset Date:
Rec V Date: 01/16/2021
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: Larex bandaids ,ivp dye

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

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 0949858
Sex: F
Age: 24
State: TN

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/16/2021
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: Bactria, sulfa drugs, flagyl, hazelnuts

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Full body/muscle aches, bone pain, nausea, vomiting, fever, chills, bloating, weakness

Other Meds:

Current Illness:

ID: 0949859
Sex: F
Age: 29
State: MI

Vax Date: 10/14/2020
Onset Date: 10/16/2020
Rec V Date: 01/16/2021
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, shell-fish

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

Symptoms: Pregnant First Trimester ended in miscarriage 11/11/2021

Other Meds: prenatals

Current Illness: none

ID: 0949860
Sex: M
Age: 48
State: RI

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/16/2021
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: All Covid-19 symptoms including loss of taste, sore throat, aches, chills, low grade fever, cough

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm