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: 0950161
Sex: M
Age: 30
State: VA

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

Lab Data:

Allergies: Penicillin but unsure

Symptom List: Dysphagia, Epiglottitis

Symptoms: About any hour after sore throat left side , headache ,stomachache ,chills, throughout next day swelling in throat neck and face left side very hard and painful to swallow ,eat , drink felt like a golf ball was in my throat. By 3rd barely ate only had soup and a mild case of diarrhea , day face neck throat pain still and swelling , warm wash clothe hot fluids help with pain, 4 day cold things help reduces swelling in face and throat, neck still swollen and a lot more pain in face jaw , neck, still hard and painful to swallow. Current day a lot of pain in jaw neck throat face still only happening on left side of body more pain then before but less swelling neck still swollen a little bit. I tried cough drops soup heat ice and still having pain don?t want to pay for an ER visit found old painkillers haven?t taken yet. How long do symptoms like these last for ? I take medication for ADD and that masks pain to make it bearable. What do you recommend to do if I don?t want to go to the ER ?

Other Meds: ADD medication

Current Illness: None

ID: 0950162
Sex: F
Age: 37
State: IL

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: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: She said previous anaphylactic reaction to morphine

Symptom List: Anxiety, Dyspnoea

Symptoms: The patient was in observation for 5-10 minutes after the vaccine. She reported that she was hot. I asked her if she had any history of anaphylaxis. She said she did to morphine. Her bp was 119/74 with a pulse of 94. She said her nose was starting to get itchy, her ears and scalp were itchy, and her eyes were blurry. She had red blotches all over her neck and chest. She said her throat was tight. She was able to swallow the water she requested. I gave her 50mg of benadryl. She had no visible signs of being unable to breathe. I explained to her we could call 911. She reported she had no insurance. She said she was on her lunch break at the hospital and wanted to get back. She did walk back across the street unassisted. Clinical observer, followed her over just to verify she made it in the building. She ended up checking herself into the ER instead of returning to her shift.

Other Meds:

Current Illness:

ID: 0950163
Sex: F
Age: 42
State: NV

Vax Date: 01/04/2021
Onset Date: 01/16/2021
Rec V Date: 01/16/2021
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: None

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

Symptoms: 2 weeks after injection site still red in a circle and arm below has large circle and feels hot to the touch. Arm was sore for 2 days after injection but now again 2 weeks later and worse.

Other Meds: Bupropion 150 xl

Current Illness: None

ID: 0950164
Sex: F
Age: 53
State: OH

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/16/2021
Hospital:

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

Lab Data:

Allergies: NKDA at the time of vaccine

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Received 1st Moderna COVID 19 vaccine at UH-Parma Medical Center, as I am an employee of UH -Medina Pediatrics. Received a timer of 15 minutes to stay after injection, when the timer reached 12 minutes...I started having tingling/numbness in Bilateral hands, feet, tongue, heart palpitations, then noticed having body heaviness, extreme weakness, disoriented, increased heart palpitations, lightheadedness, ringing in bilateral ears-was admitted to the ER where I received IV fluids. I also received Benadryl IV push , quickly after injection of Benadryl had swelling of tongue, severe slurred speech, chest tightness, increased heart palpitations, shortness of breath, groggy-Non responsive, though could hear people around me. Was given IV Epinephrine, which helped recover from the slurred speech and the non-responsiveness, swelling of the tongue was reduced. Still having body heaviness, weakness, tingling/numbness in bilateral hands, feet, tongue, also face/lips, hard to concentrate/focus, stagger walking. Symptoms worsen as the day goes on with a use of a cane at times.

Other Meds: Centrum Silver Multi vitamin, Magnesium Asporotate 400mg twice daily, Lysine 1000mg once daily, Vitamin D3 2000 IU daily, Vitamin C 500mg once daily, Benefiber Prebiotic powder, Flonase 50mcg 2 sprays in each nostril daily.

Current Illness: None

ID: 0950165
Sex: F
Age: 33
State: TX

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

Lab Data:

Allergies: CECLOR, PINENUTS

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

Symptoms: ABOUT 20 MINUTES AFTER INJECTION BEGAN TO FEEL ITCHING ALL OVER BODY, SHORTNESS OF BREATH, FLUSHING, HIVES AND NAUSEA - TAKEN TO ER FOR OBSERVATION AND ADMINISTERED DIPHENEHYDRAMINE - RECOVERED AND DISCHARGED

Other Meds: CYMBALTA

Current Illness: HEAD COLD, RUNNY NOSE

ID: 0950166
Sex: M
Age: 31
State: NC

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

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

Symptoms: Shortly after midnight I woke up due to severe body aches, chills, and a fever of 101. I haven?t been able to sleep since then and my fever has spiked as high as 104.5. I?m also experiencing headache, ear aches, mild sore throat, nausea, and chest tightness/pain during deep breathing. No shortness of breath symptoms though. Aleve and Tylenol do not appear to be helping. I feel worse than when I had Covid back in November.

Other Meds: None

Current Illness: None, but I did have Covid back in 11/2020.

ID: 0950167
Sex: M
Age: 79
State: AZ

Vax Date: 01/14/2021
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: None

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Injection received in left arm (shoulder) - a sore has developed near his arm pit about the size of a dime. It has a scab and is red.

Other Meds: Metformin; mesalamine, losartan/hctz 50/12.5, multi-vitamin, vitamin D, calcium, ubiquinol

Current Illness: Diabetes, ulcerative colitis

ID: 0950168
Sex: F
Age: 55
State: UT

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: Pharyngeal swelling

Symptoms: Coughing Nausea / vomiting Cold sweats

Other Meds: Metformin HCL XR (500 mg) Omeprazol (20 mg) Pramipexole (1.5 mg) Ropinarole (4 mg) Losartan Potassium (100 mg) Nitrofursation (100 mg)

Current Illness: Tested positive for COVID-19 on 12/16/2020

ID: 0950169
Sex: F
Age: 29
State: NC

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: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Motrin, gabapentin

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Fever (102), severe body aches, chills, nausea beginning about 10 hours after injection.

Other Meds: Zyrtec, prenatal

Current Illness: Diagnosed with Covid-19 on 11/24/20

ID: 0950170
Sex: F
Age: 59
State:

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

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Patient ran fever (101-102F) and had body aches. Patient also had site reaction (pain, redness and swelling), but since 2 vaccines given in same arm, unable to determine which caused site reaction.

Other Meds:

Current Illness:

ID: 0950171
Sex: F
Age: 29
State: AZ

Vax Date: 01/01/2021
Onset Date: 01/08/2021
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: Raspberry

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

Symptoms: After receiving the vaccination the same day I was nauseous all day. The very next day my face was slightly swollen in areas where I?ve had fillers in my lips and around my lips. Three days after the vaccination I woke up with my face completely swollen one eye was swollen shut and my upper lip was extremely heave and yet icing my face the swelling went down a lot about two weeks after the vaccination I started slowly losing taste but ONLY with salty foods.

Other Meds: Collagen, daily woman?s vitamin, maca root

Current Illness: None

ID: 0950172
Sex: M
Age: 63
State: FL

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: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies: None known

Symptom List: Rash, Urticaria

Symptoms: Extreme soreness in left shoulder at site of injection. Pain would possibly be in the 8 category. Very uncomfortable and cannot lift left arm anywhere near shoulder height.

Other Meds: Lisinopril 40 mg daily / Celebrex 200 mg every other day / fish oil supplement / Centrum silver daily multiple vitamin / 2000 mg glucosamine hydrolchloride

Current Illness: PRP or Platement Rich Plasma shot to my left knee on Jan 4, 2021 Tetanus shot in same arm on November 17th, 2020

ID: 0950173
Sex: M
Age: 76
State: PA

Vax Date: 12/24/2020
Onset Date: 12/24/2020
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: LA

Lab Data:

Allergies: Rocephin

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

Symptoms: Sore arm

Other Meds: Centrum muti-vitamin, B-complex

Current Illness: Prostate cancer, hypertension

ID: 0950189
Sex: F
Age: 59
State: SD

Vax Date: 12/29/2020
Onset Date: 12/29/2020
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: I am allergic to erythromycin based products

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

Symptoms: I felt my heart racing, skipping beats and chest pressure that progressively got worse. I was taken to the ED. The same night I had arm aching, body aches, headache.

Other Meds: I take vitamin, B12 and calcium. I also take synthroid.

Current Illness: No

ID: 0950190
Sex: F
Age: 50
State: IL

Vax Date: 01/14/2021
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: Bydureon

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

Symptoms: Body aches for 24 hours. Itching and welts in areas 42 hours after injection.

Other Meds: Insulin, trulicity, metformen, iron, vitamin d

Current Illness: None

ID: 0950191
Sex: F
Age: 51
State: WI

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: 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 moderate joint and muscle pain all lasting approximately 16-18 hours which I treated with 800 mg ibuprofen every 6 hours

Other Meds: Lisinopril 5 mg 1xday Multivitamin B6 B12 D3

Current Illness:

ID: 0950192
Sex: M
Age: 37
State: NJ

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/16/2021
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: No

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

Symptoms: Persistent neck and shoulder pain. And tender, swollen lymph nodes.

Other Meds: Losartan 25 mg

Current Illness: No

ID: 0950193
Sex: M
Age: 55
State: TX

Vax Date: 12/19/2020
Onset Date: 12/21/2020
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: Penicillin/ coton

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Serum sickness-like Reaction

Other Meds: Claritin

Current Illness: Laparoscopic appendectomy due to acute appendicitis 11/23/2020

ID: 0950194
Sex: M
Age: 52
State: VA

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: None

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Headache and nausea

Other Meds: Trintellix,

Current Illness: None

ID: 0950195
Sex: F
Age: 29
State: MI

Vax Date: 01/08/2021
Onset Date: 01/08/2021
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: Penicillin, Keflex, Sulfa

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

Symptoms: Injection site pain began the night of receiving the vaccine and lasted for approximately 24 hours. I have now noticed a reddened area where I received the vaccine and it feels like a bump under the skin.

Other Meds: Vitamin B12

Current Illness: None

ID: 0950196
Sex: F
Age: 86
State: AR

Vax Date: 01/16/2021
Onset Date: 01/16/2021
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: TB skin test allergy

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

Symptoms: Swelling and tingling of left side of face.

Other Meds:

Current Illness:

ID: 0950197
Sex: M
Age: 31
State: NJ

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: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Cats, Albuterol

Symptom List: Unevaluable event

Symptoms: Respiratory Distress, chest tightness

Other Meds: levobuterol, klonopin, adderall

Current Illness: None

ID: 0950198
Sex: F
Age: 60
State: FL

Vax Date: 12/29/2020
Onset Date: 01/10/2021
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: NKA

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

Symptoms: Moderna COVID-19 Vaccine EUA Dermatological effects including hive type "Bites" that progressed to tiny vesicular fire ant type bites on lower extremeties ( heaviest behind the knee), but also the torso, webs of the fingers, palm of the hands, and face... mostly in cluster type patterns. These vesicle/bites were extremely itchy at night as in Scabies type exposure. 1 tube of Permethrin cream applied over course of several days. Proceeded to MD on 1/15/21 who ruled out scabies, but is suspicious this is possibly related to vaccine. 1 IM inj of Kenalog 40 and Triamcinolone cream for the face was the treatment. Expected to "run it's course".

Other Meds: Synthroid, Advil, Tyleno, Vit D , Volataren topical cream to knee

Current Illness: none

ID: 0950199
Sex: U
Age: 39
State: MI

Vax Date: 01/06/2021
Onset Date: 01/16/2021
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: n/a

Symptom List: Injection site pain, Pain

Symptoms: Cellulitis at injection site, red, warm, and swollen 10 days post vaccine. Treatment: Amoxicillin x 7 days

Other Meds: n/a

Current Illness: no

ID: 0950200
Sex: F
Age: 60
State: OH

Vax Date: 01/05/2021
Onset Date: 01/08/2021
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:

Symptom List: Injection site pain, Menorrhagia

Symptoms: I had the vaccine on January 5 and I was fine the whole day. For the next two days my arm was sore from my elbow to my shoulder. the third day my whole upper right side was crippled were as my shoulder neck and arm was almost paralyzed and I couldn't really move without severe pain. A few hours later, my legs felt like noodles like I would fall over; I ended up leaving work early that day incase I couldn't get home. The next morning I went to work. the pain moved to my left side, same areas and creeped around my left rib cage. This has been going on since. I had off January 11 and 12 for my weekend. I haven't been back to work since January 13. I have had severe pain in my left neck, shoulder, rib cage, elbow, and now my left wrist and at times, my left hand feels numb. Also, the within the last 24-48 hours my breasts have been tender. I've been lethargic since yesterday and now my vision is blurry. My nurse keeps telling me to rotate between ibuprofen and tylenol, it's not helping at all, I am extremely uncomfortable and in pain. In fact, when I take the ibuprofen, it causes more pain. I've been trying to reach the on call doctor for pain medication and no one is calling me back. The only relief I have is when i hold my arm above my head. I am groggy and I am feeling emotional. I've missed a week of work and I'm nervous about getting my second vaccine, but I will get it. Oh, and I'm not sleeping well.

Other Meds: descovy and tivicay

Current Illness:

ID: 0950201
Sex: F
Age: 58
State: UT

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: 025J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Strawberry, oranges

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

Symptoms: Generalized hives, worse on legs and buttocks, started ~30 minutes after injection. Never had allergic reaction to vaccines in past. Treated with 2 50mg Benadryl. Symptoms began improving ~30 minutes after Benadryl. No cough, difficulty swallowing or shortness of breath. (No other symptoms other than hives)

Other Meds: PRN antihistamine, PRN ibuprofen/Tylenol

Current Illness: Prior Covid + in October Week prior to vaccine had cold

ID: 0950202
Sex: F
Age: 44
State: MO

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

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Headache ibuprofen 400mg helpful

Other Meds: Aspirin 81 Vitamin D Folate and vitamin B-12 Rosuvastatin 5mg Azelastine Fluticasone

Current Illness:

ID: 0950203
Sex: F
Age: 56
State: MA

Vax Date: 12/28/2020
Onset Date: 12/28/2020
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: No

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Same day of vaccination on 12/28/2020 I was feeling my let arm sore I couldn't lift anything at night I had sever pain all over my left arm all the way to my finger tips. The next morning on 12/29/2020 when I woke up I shingles scattered on my left arm all the way to my hand it lasted till 1/12/2021. I had small fevers, I felt tired, weak & was in pain. Virtual doctors appointment on 12/29/2020 & prescribed valtrex for 7 days 3 times a day.

Other Meds: Atorvastatin

Current Illness: UTI 3 weeks before vaccination

ID: 0950204
Sex: M
Age: 63
State:

Vax Date: 01/13/2021
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:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: Patient ran a fever (101-102F) after immunization. Patient also had a site reaction (redness and swelling), but since both injections were in the same arm, it cannot be determined which caused the site reaction.

Other Meds:

Current Illness:

ID: 0950205
Sex: F
Age: 68
State: NY

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: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: BACTRIM,E-MICIN,THORAZINE,LASIX TAPE,FLAGYL 500MG

Symptom List: Nausea

Symptoms: moderna covid-19 vaccine eua ..fever of 100 deg when waking up..normal for me is 97.9..

Other Meds: TRIAMTERENE/HCTZ 37.4/25 MG DILTIAZEM/CARTIA XT/CARD CD 240 MG MULTI-VITAMIN, VITAMIN D-3 2000MG METFORMIN HCL 500MG 2 TIMES DAILY **METOPROLOL SUCC ER 25MG- 1/2 EVERY OTHER DAY "AS NEEDED"**N/A Zyrtec 5MG CRANBERRY 500 MG VITAMIN B-12 500

Current Illness:

ID: 0950206
Sex: M
Age: 29
State: WI

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

Symptom List: Injection site pain

Symptoms: chills, fatigue, muscle/body aches, no appetite (general flu like symptoms); symptoms lasted for about 10-12 hours

Other Meds:

Current Illness:

ID: 0950207
Sex: F
Age: 26
State: WA

Vax Date: 01/08/2021
Onset Date: 01/08/2021
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: environmental - multiple (mold, pollen) - severe (swelling of throat) food - walnuts, pine nuts - severe (swelling of throat) latex - rash/itching

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

Symptoms: 11:01 blotchy rash on L neck w/ pulsing sensation L neck. Anxiety, sense of impending doom. BP 167/98. Cap refill slow (recorded at 45 seconds). 11:05 25mg benadryl PO 11:09 mild chest pressure without SOB, no throat tightening or difficulty swallowing. 11:25 new R neck itching/rash and chest rash 11:30 another 25mg benadryl PO 12:00 increased rash across torso and back, BP 173/80 Presented to urgent care by 1:00PM, BP 157/96, increasing chest pressure, rash improving. EKG 12-lead completed (NSR w/ sinus arrhythmia). Instructed to take PO Benadryl 50mg every 4hrs.

Other Meds: Levothyroxine, Montelukast, Albuterol, Beclomethasone inhaler, Sumatriptan, Magnesium, vit D supplement

Current Illness: n/a

ID: 0950208
Sex: F
Age: 70
State: KY

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: RA

Lab Data:

Allergies: Penicillin

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

Symptoms: My symptoms are fever, moderate pain at sight, mild swelling, chills

Other Meds: Metformin, Pravachol, Vitamin D, Calcium, Blood pressure meds

Current Illness: None

ID: 0950209
Sex: F
Age: 51
State: NJ

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

Lab Data:

Allergies: Penicillin Erythromycin Biaxin

Symptom List: Tremor

Symptoms: Severe headache

Other Meds:

Current Illness: None

ID: 0950210
Sex: M
Age: 64
State: NH

Vax Date: 01/07/2021
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: cell fish, contrast dye, penicillin

Symptom List: Erythema, Pruritus

Symptoms: dizziness, motion sickness headache, lose of balance. sensitivity to dimly light places

Other Meds: aspirin 326 mg , zolpidem 10mg , simvastatin 40 mg every other day

Current Illness: had a stroke in 2007

ID: 0950211
Sex: F
Age: 61
State: PA

Vax Date: 01/14/2021
Onset Date: 01/14/2021
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: cephalosporins, metronidazole, penicillin, sulfa antibiotics

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

Symptoms: Patient called us stating that she had severe arm pain and developed a welt roughly the size of a tangerine after receiving her 2nd Shingrix dose. She states that the swelling has been going down and the pain has been gradually getting better.

Other Meds: N/A

Current Illness: N/A

ID: 0950212
Sex: F
Age: 49
State: AL

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: None

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

Symptoms: Tachycardia, Night Sweats, Persistent Cough, Fatigue, Brain Fog

Other Meds: Prescription-Alprazolam-.5mg, Spironolactone-12.5 mg, Chlorthalidone-12.5 mg, Lisinopril-20mg, Crestor-20mg Over the counter-Nexium

Current Illness: None

ID: 0950213
Sex: M
Age: 76
State: PA

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

Lab Data:

Allergies: Rocephin

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Sore and tender right arm, chills, muscle ache, joint pain, some nausea, fatigue starting at about 6 PM EST on 1/13/21, worse on 1/14/21 until around 5 PM EST, better on 1/15/21 with some fatigue, but all symptoms recurring again that evening starting around 7 PM EST. I took Tylenol 325 mg around 10 PM EST and went to bed and feel normal so far today 1/16/21.

Other Meds: Fosinopril, Anusol, Centrum multivitamin, B-Complex

Current Illness: Hypertension, prostate cancer

ID: 0950214
Sex: F
Age: 70
State: OR

Vax Date: 01/03/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: Penicillin Sulfa

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

Symptoms: After two weeks of receiving injection, redness, swelling and mild itching remain at injection site. Area of redness and swelling is approximately 2x3 inches.

Other Meds: Ibuprofen Vitamin D3

Current Illness: None

ID: 0950215
Sex: F
Age: 54
State: MA

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: Amoxycillin - mild rash

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

Symptoms: 1. Metallic taste immediately after receiving shot. 2. Large red welt about 1/2 inch beneath injection site noticed it within an hour; itchy and grew to about the 1 1/2" in diameter. By day three post injection, it has diminished by 90%. 3. Approximately 20 minutes after injection, face and lips became numb predominantly on the right side. Similar feeling to when one receives novocaine. Could not see any visible swelling. This peaked about 1 hour after shot and was gone about 4-5 hours after shot.

Other Meds: Metoprolol - 25mg once per day Vitamin D - 2000 IU once per day

Current Illness: None

ID: 0950216
Sex: F
Age: 34
State: TX

Vax Date: 01/08/2021
Onset Date: 01/08/2021
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: No e

Symptom List: Pain in extremity

Symptoms: 5min or less extreme headache on L side, vertigo, confusion, anxiety. Only lasted 5 min or so. Headache lingered for about 30min

Other Meds: Womens probiotics, cyclobenzaprine, zoloft, xanax, advair, albuterol

Current Illness: Asthma

ID: 0950217
Sex: F
Age: 72
State: CA

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: Penicillin

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

Symptoms: Increased Heart Beat for about 2 hours on 1/13 and again on 1/16. Contacted dr. Office and they said to file this report.

Other Meds: Lipitor Blood Pressure Arava (Arthritis) Hormone Avirstatin

Current Illness: None

ID: 0950218
Sex: F
Age: 29
State: NC

Vax Date: 01/12/2021
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: N/a

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

Symptoms: Fever, headache, chills, and body aches

Other Meds: Prenatal, probiotic, fish oil

Current Illness: None

ID: 0950219
Sex: F
Age: 47
State: NH

Vax Date: 01/05/2021
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: Levaquin

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

Symptoms: On day 7 post vaccine noticed redness, swelling and itching at vaccine site. On day 8 woke up with swelling and redness had spread, are became hard, warm to touch, I was seen at an urgent care facility and prescribed Keflex, prednisone and advised to take Benadryl and use hydrocortisone cream. Day 9 swelling as firmness began to decrease however the redness ?rash? did not. Day 10 (today) swelling and firmness almost completely resolved however the redness ?rash? continues to slowly spread.

Other Meds: Lisinopril HCTZ

Current Illness: None

ID: 0950220
Sex: F
Age: 31
State: IL

Vax Date: 01/06/2021
Onset Date: 01/14/2021
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: PPD skin test Sulfa Pneumococcal vaccine

Symptom List: Vomiting

Symptoms: 10 minutes after vaccination had a large localized site reaction. Was kept at the hospital to be watched for approximately 45 minutes. 12 hours later night sweats, headache, site reaction cleared up. 8 days later (1/14/21) site became red, hot, and very inflamed. I had a similar reaction to the pneumococcal vaccine in September so I immediately contacted my allergist. I immediately took prednisone as instructed by my doctor and went in for an appointment. About 4 hours after the new site reaction, joint pain and malaise began. I'm continuing on a steroid regimen for treatment. Today 1/16/21 I am still having joint pain and swelling. Site on my arm is mostly cleared up.

Other Meds: Advair Spiriva Zyrtec Montelukast Fish Oil Vit D supp Multi vitamin Liletta IUD

Current Illness: N/A

ID: 0950221
Sex: F
Age: 21
State: TX

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

Lab Data:

Allergies: Penicillin

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Patient woke up the morning after receiving the immunization and had facial and lip swelling.

Other Meds: None

Current Illness: None

ID: 0950222
Sex: F
Age: 64
State: TX

Vax Date: 01/16/2021
Onset Date: 01/16/2021
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:

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

Symptoms: raised reddened bumps on the left lower forearm, approximately 2 fingerbreadth below antecubital and redness on the left neck. Client seen and cleared by EMS

Other Meds: hydroxyzine

Current Illness:

ID: 0950223
Sex: F
Age: 34
State: IN

Vax Date: 01/09/2021
Onset Date: 01/09/2021
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: Nkda

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Fever (100.4 F), chills, felt very run down/tired. Took Advil. Symptoms resolved after 2 days.

Other Meds: Multivitamin, calcium and D3

Current Illness: None

ID: 0950224
Sex: F
Age: 36
State: CA

Vax Date: 01/04/2021
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:

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

Symptoms: Itchy hive reaction at injection site, 13 days later

Other Meds: Zyrtec, Cosyentex, heather birth control, Prozac, metformin

Current Illness:

ID: 0950225
Sex: F
Age: 23
State: PA

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

Lab Data:

Allergies: NKA

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

Symptoms: Chills the day and night after shot Flu like symptoms for next 2 days: headache, dizziness, lethargy and fatigue after sleeping 16 hours, loss of appetite

Other Meds: Lexapro, Oral Contraceptive

Current Illness: none

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm