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: 0950604
Sex: F
Age: 29
State: IL

Vax Date: 01/11/2021
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: none

Symptom List: Dysphagia, Epiglottitis

Symptoms: Received vaccine around 8 am, arm soreness within 4 hours of administration. At midnight (16 hours after administration), woke up with chills, body aches, headache, hands and feet hot, skin hot to touch/tactile fever.

Other Meds: none

Current Illness: Illness November 2020, runny nose, congestion, malaise. Husband tested positive for COVID antibodies 1 month later, was never tested myself

ID: 0950605
Sex: F
Age: 31
State: PA

Vax Date: 01/09/2021
Onset Date: 01/10/2021
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: none

Symptom List: Anxiety, Dyspnoea

Symptoms: Fever of 99.6 (1/10) morning- went away by afternoon; swollen, sore and blotchy red arm 1/10-1/15; itchy arm 1/13-1/16

Other Meds: D3, probiotic, multi vitamin

Current Illness: none

ID: 0950606
Sex: F
Age: 40
State: AZ

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: 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: 1/13/20 fever, cough, chills, headache, fatigue lasted only a few hours. 1/14/20 approximately 36 hours (8pm) I developed pain and swelling in my left armpit. I went to bed and woke up with the same swelling and pain. Checked in at Urgent Care 1/15/20 swelling started in glands in neck around mid day.

Other Meds: Melatonin, ibuprofen, naproxen, tylenol

Current Illness:

ID: 0950607
Sex: F
Age: 68
State: CO

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: unknown
Dose Series: UNK
Vax Route:
Vax Site:

Lab Data:

Allergies: maybe sulfa drugs

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: extreme catarrh and extreme runny nose the day after the vaccine, fatigue, achiness, general malaise the day of

Other Meds: tumeric, coenzyme q10, calcium, magnesiom, potassium. garlic, probiotics, chromium picolinate, Vit B, digestive enzymes, K2D3, zinc, melatonin, Dhist, benadryl, fish oil, carnitine, alphalipoic acid, quercetin,grape seed extract, milk thist

Current Illness: none other than some nasal congestion from allergies

ID: 0950608
Sex: F
Age: 59
State: GA

Vax Date: 12/30/2020
Onset Date: 01/10/2021
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:

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

Symptoms: On 1/10 patient begin to have facial swelling that continued to worsen. She had to seek medical treatment and was steroids to alleviate swelling.

Other Meds:

Current Illness:

ID: 0950609
Sex: F
Age: 71
State: MD

Vax Date: 01/08/2021
Onset Date: 01/09/2021
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: Sulfa Drugs Codeine Reglan Promethazine Celexa

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

Symptoms: sore arm, first couple of days.. on 6th day got a red rash, slightly puffy and itchy about 3 inches long and around. Still sore.

Other Meds: Atenolol 100mg 1x daily Glimeperide 1mg 2x daily Synthroid 137mcg Lisinopril 40mg ix daily Metformin 500mg x2 2x daily Nexium 40mg 1x daily Zetia 10mg 1x daily Gabapentin 300mg 3x daily Amitriptyline 50mg 1x daily Prempro .065mg/2.

Current Illness: None

ID: 0950610
Sex: F
Age: 55
State: MN

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

Lab Data:

Allergies: clindamycin, shrimp, ? augmentin

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: The adverse events are side effect perhaps but extremely strong. Lightheadedness x 1.5 days, feeling shaky and short of breath- afternoon of injection Significant headache x 48 hours (note: still having intermittent HA associated with 1st dose.) Significant arm pain (injection site)- 2 days Feeling shaky in legs- evening of injection Low grade fever x 48 hours, ongoing intermittently Waking at night several times- this does not happen to me. Waking overnight last night (AM of 1/16/21) with right hand numbness that lasted for some time. Extreme, extreme fatigue- the worst lasted 48 hours post vaccination. Still continuing but not as severe as the first 48 hours. Body aches, particularly (but not only) right hip and knee that have arthritis- worst sx ~ 36 hours post vaccination. Ongoing intermittently. Heart palpitations but unable to determine if related to vaccination. Chest pain, mid-left sternal, intermittent, ongoing. More of a muscular pain/discomfort. Note: for 1st injection had some similar "side effects" but also some that were different.

Other Meds: none at time of vaccination. Not sure if you mean regular daily medications.

Current Illness: none. However side effects from 1st Pfizer dose were intermittently linger. I did not report after the first dose. But thinking now I should have.

ID: 0950611
Sex: F
Age: 47
State: PA

Vax Date: 01/08/2021
Onset Date: 01/15/2021
Rec V Date: 01/16/2021
Hospital: Y

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: After vaccination on 1.8.21 felt fatigue, metallic taste, and intermittent tingling. on 1.15.21 at approximately 8 am developed occipital headache (4/10 pain) inability to move right upper or lower extremities and slurred speech. No evidence of intracranial hemorrhage on CT. Patient administered Alteplase and transferred to higher level of care

Other Meds: Duoneb Metformin Tricor Synthroid Zocor

Current Illness:

ID: 0950612
Sex: F
Age: 62
State: NJ

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

Lab Data:

Allergies: none

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Generalized itching that started within one hour of receiving vaccine and lasted for more than 12 hours

Other Meds: none

Current Illness: none

ID: 0950613
Sex: M
Age: 62
State: CA

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: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: HA, myalgia

Other Meds:

Current Illness:

ID: 0950614
Sex: M
Age: 73
State: GA

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: SYR
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: On the night of the day I received the shot, I ran a fever. For the next two days, I had fatigue and a fever. Temperature was generally between 100 and 101.9. My normal temperature is 97.6. For the next 2 days, I had no fever but did have fatigue.

Other Meds: None

Current Illness: Approximately two weeks prior to the vaccine, I ran a fever for about four days.

ID: 0950615
Sex: F
Age: 45
State: FL

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

Lab Data:

Allergies: Phenobarbital

Symptom List: Rash, Urticaria

Symptoms: Fever, chills, headache,Tired, And body aches started Friday night at 8o?clock it is now Saturday at 5:30 still having symptoms

Other Meds: Abilify 2 mg, so core 20 mg, Pepcid 20 mg,

Current Illness: None

ID: 0950616
Sex: F
Age: 85
State: ND

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: LA

Lab Data:

Allergies: 0

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

Symptoms: Swelling of lymph node in left side of neck. No other symptoms

Other Meds: Creon , ASA, Metoprolol ,atorvastatin, calcium , Vitamin D

Current Illness: 0

ID: 0950617
Sex: F
Age: 47
State: AR

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: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Plavix

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

Symptoms: 1st dose only side effect was sore injection site - 2nd dose- 14 minutes after injection near syncope episode with severe dizziness, nausea, tachycardia, high blood pressure. Benadryl 50 mg was administered. 45 minutes after Benadryl administration driven home and severe dizziness was present until next morning. 17 hrs post injection had severe flu like symptoms (chills, severe headache, muscle/body aches/no fever). Took Advil 800mg. At 48hrs no symptoms remain. At 69 hrs post injection had severe dizziness that is still present at 72.5 hrs post injection.

Other Meds: Wellbutrin XR 150mg Stool softener Valacyclovir

Current Illness:

ID: 0950618
Sex: F
Age: 62
State: NJ

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

Lab Data:

Allergies: Penicillin

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

Symptoms: Sore Arm at site of injection onset couple of hours after shot Fever of 100.2 onset approximately 14 hours after the shot Chills and slight headache onset 14 hours after shot Fainting onset about 14 hours after the shot Aches and Pains onset about 14 hours post injection Fatigue

Other Meds: Multivitamin Brisdelle for menopause

Current Illness: None

ID: 0950619
Sex: F
Age: 48
State: IL

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

Lab Data:

Allergies: shellfish nickel environmental

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

Symptoms: About 40 minutes after the vaccine i noted my throat was dry and my voice started to change and it was deep and scratchy, The change in voice got worse as i was speaking to my friend so i went to the ED (building next to where I work). I had no problems breathing but was eventually treated for anaphylaxis with epi, prednisone, benadryl, and pepcid

Other Meds:

Current Illness:

ID: 0950620
Sex: M
Age: 55
State: MO

Vax Date: 01/11/2021
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: None

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

Symptoms: Fever on day 2 despite preemptive ibuprofen, max 100.8F, lasted 4 hours

Other Meds: Lisinopril, tamsulosin

Current Illness: None

ID: 0950621
Sex: F
Age: 26
State: FL

Vax Date: 01/07/2021
Onset Date: 01/13/2021
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: Gluten, sulfa medications, bee stings

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Swollen lymph node in left arm pit, swollen clavicular left sided lymph node

Other Meds: Ibuprofen 400mg

Current Illness: None

ID: 0950622
Sex: F
Age: 44
State: WA

Vax Date: 01/09/2021
Onset Date: 01/09/2021
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: Five minutes after injection, experienced a sense of doom, shortness of breath, and blood pressure/heart rate significantly above baseline. I was monitored with vital signs for the next 45 minutes and the symptoms resolved. For the next several days, experienced injection site pain and fatigue.

Other Meds: Tylenol 659 mg and Claritin 10 mg taken one hour prior to vaccination

Current Illness: None

ID: 0950623
Sex: F
Age: 17
State: WA

Vax Date: 01/16/2021
Onset Date: 01/16/2021
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: None

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

Symptoms: Patient is 17 years and 10 months and she works at a physical therapy clinic. She answered the screening questions on the website and got the ok to get the vaccine. Vaccine was given to the patient but the EUA for Covid-19 Moderna vaccine is for 18 years and older. The patient did not develop any type of reaction. BUT due to the EUA we had to call the patient after she has already received the vaccine and inform her that we are not able to administer the second dose until further instruction from the AICP.

Other Meds: None

Current Illness: None

ID: 0950624
Sex: F
Age: 65
State: NY

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: Bactrim, augmentin, azithromycin

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

Symptoms: Patient started to feel dizzy after approximately 10 minutes. She was taken into counseling room and laid flat on the floor with her feet up as syncope treatment. She stated her tongue was swelling and her throat was scratchy and EMS 911 was called. She stated she was having trouble breathing and was administered 1 epinephrine 0.3mg auto-injector. After approximately 5 minutes symptoms continued to progress and she stated her entire body was tingling. She stated she was still having trouble breathing and a second epinephrine 0.3mg auto-injector was administered.

Other Meds: unknown

Current Illness: unknown

ID: 0950625
Sex: F
Age: 65
State: LA

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: Demerol, Dulcolax, Augmentin, Bactrim, adhesives(band-aids, tape),

Symptom List: Unevaluable event

Symptoms: I began to have fever and chills about 8 that night after I got home from work. My fever and chills continued through the next day and night. My highest temperature was102.3. I also experienced fatigue, muscle and joint pain, and weakness and lightheadedness. The fatigue, muscle aches, weakness/lightheadedness is still there along with pain and swelling at the injection site.

Other Meds: Elmiron, Nexxium, Diltiazem, Flomax, Estradiol, Macrodantin, probiotics, Norco-prn, Phenergan-prn, Dramamine-prn, Elavil, Xanax, Ibuprofen-prn, Atarax-prn,

Current Illness: Sinus congestion

ID: 0950626
Sex: F
Age: 29
State: CT

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: LA

Lab Data:

Allergies: Nka

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

Symptoms: Severe chills, sweats, fever like symptoms with headache and muscle fatigue starting at 2:30am at night and lasting all night. Symptoms became mild for the next 24 hours but lasted till next morning in a more mild fashion.

Other Meds: None

Current Illness: None

ID: 0950627
Sex: F
Age: 34
State: KY

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

Lab Data:

Allergies: None known

Symptom List: Injection site pain, Pain

Symptoms: I received my first dose of the Pfizer COVID vaccine at approximately 9:15am on Thursday, January 14, 2021 in my right arm. Almost immediately, I felt a pain go down to my wrist and across my chest. We pulled into the waiting area and around five minutes after the injection the right side of my face went numb., the pain had left my arm and chest by the time. The nurse reacted by calling the emergency room and sending me there.

Other Meds: Depakote for migraines, Enskyce birth control pills

Current Illness: None known

ID: 0950628
Sex: F
Age: 57
State: WA

Vax Date: 01/10/2021
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: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Sulfa

Symptom List: Injection site pain, Menorrhagia

Symptoms: Day after 2nd shot fatigue Day 4 after 2nd shot mild and pain Day 5, woke up 3 am, severe abd pain, unable to sleep, vomited once, took Tylenol, went to walk in at 7 am, did blood work, urine and Covid screen, all normal and negative, pain improved after about 15 hours Day 6 , today, pain came back, mild at 10 am and then severe at 11, nausea, vomited once, took Tylenol at 11 and feels better but still quite uncomfortable. Able to drink, normal stool, no other symptoms

Other Meds: Daily MVT Kirkland Fiber on Vit D 2000 IU Flax seed 1 TBS

Current Illness: None

ID: 0950629
Sex: F
Age: 58
State: CO

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

Lab Data:

Allergies: Sulfa drugs, codeine

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

Symptoms: Mild pain at injection site for a few days, but late on day seven swelling and rash started, worse on day eight (today)

Other Meds: Fish oil, flaxseed oil, niacinamide

Current Illness: None

ID: 0950630
Sex: F
Age: 50
State: OR

Vax Date: 12/26/2020
Onset Date: 12/26/2020
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: Nausea, Pain in extremity, Pyrexia

Symptoms: Sore deltoid lasting approximately 12 hours.

Other Meds: Climara patches

Current Illness: none

ID: 0950631
Sex: F
Age: 43
State: OR

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

Lab Data:

Allergies: Penicillin

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: On 1/15/20 at 10am, i noticed my L arm at the vaccine injection site was itchy and felt like it had a couple of raised bumps. I was at work so i didn?t look at it until i got home after 5pm, when i discovered a blotchy rash around the injection site, around 2 inches long by an inch wide. It was itchy. As the night went on, it grew larger, became more raised like a welt, and became painful/tender. It was also still itching and burning, and hot to the touch. I didn?t take my temperature but i was very cold and have felt fatigued for two days. I applied ice, which seemed to help some, and took Benadryl. It has grown a bit larger overnight.

Other Meds: Bupropion, Multivitamin

Current Illness: N/A

ID: 0950632
Sex: F
Age: 59
State: MD

Vax Date: 01/14/2021
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: None

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

Symptoms: Felt left side of face was swollen in less then an hour after injection. Redness/swelling ( slightly greater then 5cm)at injection site still present 48 hours later. Mild fever since injection, still persisting. Chills, tired, slight headache and slight achiness.

Other Meds: Clonazepam, Lexapro, Synthroid, Trazadone

Current Illness: None

ID: 0950633
Sex: F
Age: 29
State: MI

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: RA

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: 6 days after injection i developed redness and swelling of the injection site. It became very hard upon palpation. The area was hot to touch and continued to spread. The area has been marked with a sharpie and the redness continues to spread. It is Saturday so I have to wait until Monday for my primary care office to open for further treatment. Currently I am utilizing oral benadryl, benadryl cream, cold compresses, and ibuprofen.

Other Meds:

Current Illness:

ID: 0950634
Sex: F
Age: 69
State: CO

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

Lab Data:

Allergies: None given on immunization form

Symptom List: Injection site pain

Symptoms: Patient had vaccination at approximately 12: 30 pm and remained for an initial observation of 20 minutes. The patient returned to the observation area after 1:30 pm complaining of symptom onset at approximately 1:35 pm of "wooziness", faster heart beat, and legs tingling. She did not want medical help but stayed for an hour of observation in which her blood pressure was taken at least twice in the normal range, sat with her legs elevated for a few minutes but not most of that time. At 2:30pm she reported not feeling any better but now reported tingling in hand and leg of her right side only. BP/hr at 2:35pm were 121/96 and 112 from a seated position and both legs on floor. The patient said she would touch base with her physician who is unnamed. She was also given information and encouraged to fill a report herself with VAERS.

Other Meds: Unknown besides Plaquenil

Current Illness: None reported

ID: 0950635
Sex: F
Age: 57
State: CA

Vax Date: 01/08/2021
Onset Date: 01/10/2021
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: PCN

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

Symptoms: Myalgia, weakness, fatigue, rash at injection site Left deltoid red area moving outside of circled area

Other Meds: none

Current Illness: NONE

ID: 0950636
Sex: F
Age: 49
State: AZ

Vax Date: 01/09/2021
Onset Date: 01/10/2021
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:

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

Symptoms: Skin reaction sustained 7d after injection, discharged from ED with benadryl

Other Meds:

Current Illness:

ID: 0950637
Sex: F
Age: 50
State: OR

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

Lab Data:

Allergies: none

Symptom List: Tremor

Symptoms: Swollen, painful, tender left deltoid Shaking chills Body aches, muscle aches, joint aches Fatigue, malaise

Other Meds: Climara patch

Current Illness: none

ID: 0950638
Sex: F
Age: 38
State: WI

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: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Erythema, Pruritus

Symptoms: Patient reported tingling sensation in face/head that started 2 hours after vaccination. It was resolved by 5 hours after vaccination.

Other Meds: Unknown

Current Illness: None

ID: 0950639
Sex: M
Age: 71
State: TX

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: No known allergies

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

Symptoms: After my first vaccine (EK5730--on 12/26/20), I had absolutely NO reactions. The second one was quite a different matter. 14 hours after the shot, I developed shaking chills. The next day I had myalgias and arthralgias pretty much all over. It was that "run over by a truck" feeling of the flu. Headache, fatigue followed. Appetite was down. No fever. Slept for many hours. Now in my third day after the vaccine and not feeling better. Still, I remain grateful that I was immunized and am taking the optimistic spin that this kind of intense reaction shows my immune system is responding strongly and nicely to the vaccine. It is miserable though, particularly since the first one was so benign. I am a family doctor (MD) and am torn between discussing this in my weekly health column which may dissuade patients, some already on the fence, from getting vaccinated. I saw the FDA info confirming higher incidence of side effects with second shot, which was definitely the case with me.

Other Meds: Metoprolol, Losartan, Crestor Fish oil, Vit D3, Vit C, B complex, zinc, elderberry extract, probiotic mix, magnesium

Current Illness: None, except some nasal allergies

ID: 0950640
Sex: F
Age: 34
State: AL

Vax Date: 12/29/2020
Onset Date: 12/30/2020
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: Stadol

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

Symptoms: Day 1-3 after the dose flu like symptoms Day 3-7 swelling in lymph nodes on left side of body (baseball sized) took ibuprofen and Tylenol Day 8 angioedema, anaphylaxis. Received epi subq, IVP 50mg Benadryl, Pepcid 20mg IVP, liter of NS Day 9 raised red rash all over body and face still going on Day 16- present: severe joint pain and fever, unable to obtain any relief

Other Meds: Ambien, metformin, spironolactone, zyrtec, adderall, birth control

Current Illness: Upper respiratory infection 2 weeks prior

ID: 0950641
Sex: F
Age: 70
State: WA

Vax Date: 01/13/2021
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: no known allergies

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: patient noticed round 'rash' in left armpit on Friday 1/15/2021, it's just an outline of a circle patient's arm was sore locally for a couple days but nothing else presented, including itching, dryness, muscle aches, fever, or any other body symptoms.

Other Meds: not known

Current Illness: none known

ID: 0950642
Sex: F
Age: 25
State: IN

Vax Date: 01/09/2021
Onset Date: 01/10/2021
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: Amoxicillin

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

Symptoms: 24 hrs post vaccination, my left axillary began to hurt and was tender to touch. I noticed a lump start to form and did not go away until 5 days post vaccination.

Other Meds: Multivitamin, Birth Control, tylenol

Current Illness: none

ID: 0950643
Sex: F
Age: 66
State: NV

Vax Date: 01/07/2021
Onset Date: 01/08/2021
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: Patient reported sore arm, redness, and hot when touched at ejection site

Other Meds: Alprazolam, amlodipine, losarten

Current Illness: none

ID: 0950644
Sex: F
Age: 68
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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

Symptom List: Pain in extremity

Symptoms: Unrelenting nausea, crushing headache, fatigue After 36 hours, went to urgent care and received IV fluids with nausea meds. Not 100% but felt better. I HAD COVID APPROX 10 MONTHS PRIOR. TESTING SHOWED ANTIBODIES APPROX 6 MONTHS PRIOR

Other Meds: Synthroid, Amlodipine, Simvastatin, Estradiol Vitamin D3, Allegra or Zyrtec, Baby aspirin, Melatonin

Current Illness: none

ID: 0950645
Sex: F
Age: 37
State: NC

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

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

Symptoms: A few minutes after taking had a ?cleaning? taste in mouth and tingling of tongue but no swelling of tongue. then for 15 mins off and on taste of metal/ soap. then after 15 mins never had again. that evening had sore arm which intensified the next day tender to touch but by monday was better. also had a headache saturday.

Other Meds: none

Current Illness: none

ID: 0950646
Sex: F
Age: 28
State: WI

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

Lab Data:

Allergies: No known allergies.

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

Symptoms: Muscle aches, low grade fever of 99.8 F, vomiting, weakness and fatigue.

Other Meds: Tylenol 500mg taken before vaccine.

Current Illness: No illnesses

ID: 0950647
Sex: F
Age: 54
State: PA

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

Lab Data:

Allergies: Lisinopril, quinolones, ceclor

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

Symptoms: Low grade fever, severe joint pain and headache 16 hours post injection. Headache for over 72 hours. Large swollen right supraclavicular lymph node noticed at 72 hours post injection. Painful and warm to touch approx size golf ball. Entire right clavicle swollen and painful.

Other Meds: Losartan, claritin

Current Illness: None

ID: 0950648
Sex: F
Age: 30
State: GA

Vax Date: 01/07/2021
Onset Date: 01/13/2021
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: PCN

Symptom List: Vomiting

Symptoms: Rash witha knot on left arm and hot to touch

Other Meds: Knot on left arm with rash and hot to touch

Current Illness:

ID: 0950649
Sex: M
Age: 15
State: CA

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

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: No adverse event. Reporting patient received vaccine at 15 yes 26 days old... under 16 year old guideline

Other Meds:

Current Illness:

ID: 0950650
Sex: F
Age: 31
State: IN

Vax Date: 01/04/2021
Onset Date: 01/11/2021
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: Copaxone, Betaseron

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

Symptoms: Bright red circle, 2? by 2.5?. Warm to touch. Large lump under skin. Itchy. All lasted roughly 2 days before got better. Used Benadryl cooling gel to soothe.

Other Meds: Emgality, Ocrevus, Colestipol, Vitamin C, Zinc, Vitamin D,

Current Illness: N/a

ID: 0950651
Sex: M
Age: 37
State: CA

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: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Headache, body ache, feeling feverish/hot, some itchiness.

Other Meds:

Current Illness:

ID: 0950652
Sex: M
Age: 26
State: IA

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: RA

Lab Data:

Allergies: Penicillin

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

Symptoms: Whole body burning sensation, chills, headache, nausea, muscle aches and general exhaustion. Improved on second day to only muscle aches, general exhaustion, headache, and nausea. On third day, only mild muscle aches, headache, and nausea. Resolved on fourth day post-vaccine.

Other Meds: Sertaline 50mg once daily

Current Illness: None

ID: 0950653
Sex: F
Age: 42
State: IN

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: IM
Vax Site: RA

Lab Data:

Allergies: None

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

Symptoms: Headache, fever 101, severe body aches, joint pain, chills, sore throat, shakes, chest tightness, shortness or breath, muscle stiffness all over and muscle weakness, nausea

Other Meds: Cymbalta, gabapentin

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm