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: 0916907
Sex: M
Age: 40
State: NE

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/01/2021
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: Breathing difficulty-treated with nebulized medication. Received some relief after breathing treatment. I am on day 2 of having to take breathing treatments. Had fever as high as 102 degrees. I have been sweating profusely for 3 days. I had one night of hallucinating dreams and hardly slept at all. I had all of the general side effects, fatigue, headache, muscle pain, joint pain, chills. I had a rapid heartbeat.

Other Meds: Symbicort, levo-certrizine, montelukast, sertraline,

Current Illness:

ID: 0916908
Sex: M
Age: 37
State: CA

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/01/2021
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: 12/30/20 at 7am as soon as I woke up I was in sever pain and had fever and chills. I was not able to leave the bed at all the day unless to use the bathroom to which I would be out of breath from that. I slept most of the day as I was so very weak. This lasted all that day. On 12/31/20 I was still weak and tired but able to get out of bed with bad headaches and pain in my bones all over. I would still loose my breath walking anywhere in my home. Sharp pains would come and go throughout the day at least once and hour if not more. Sleeping was next to impossible due to the pain. On 1/1/21 which is my current day my headaches are still here along with slight pain and weakness. I can breath better but the injection site on my left arm is still sore but not as bad as the last few days where it was on fire and very sensitive.

Other Meds: Gabapentin

Current Illness: COVID 19 Positive on 12/11/2020

ID: 0916909
Sex: F
Age: 58
State: AZ

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/01/2021
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: codeine gives me a headache and morpine many years ago gave a mild rash

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

Symptoms: I had the chills during the night and a severe headache. My left arm pit(axilla )is tender and sore .

Other Meds: zinc, b12, vitD

Current Illness: none

ID: 0916910
Sex: F
Age: 73
State: MT

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

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

Lab Data:

Allergies: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Patient called and left voicemail she woke up during the night after her first COVID-19 Moderna vaccine with rapid heart rate 130bpm and high blood pressue, but did not elaborate what high blood pressure was. Said after that she has felt fine.

Other Meds: unknown at this time

Current Illness: None

ID: 0916911
Sex: F
Age: 43
State: CA

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/01/2021
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: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: severe upper back pain with increase in pain with movement of my neck radiating between shoulders pain in the upper thoracic with walkiing and raising arms tingling in the upper back bl

Other Meds: synthroid

Current Illness: none

ID: 0916912
Sex: F
Age: 29
State: NJ

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/01/2021
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: Gluten Dairy

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

Symptoms: Fatigue, joint pain, muscle aches, stabbing headaches, redness and swelling at injection site.

Other Meds: Multivitamin Vitamin E Vitamin C Melatonin

Current Illness: N/A

ID: 0916913
Sex: M
Age: 35
State: NY

Vax Date: 12/21/2020
Onset Date: 12/24/2020
Rec V Date: 01/01/2021
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: Hives on arms, legs, torso.

Other Meds: Truvada

Current Illness: None

ID: 0916914
Sex: F
Age: 27
State: MA

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/01/2021
Hospital:

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

Lab Data:

Allergies: n/a

Symptom List: Pharyngeal swelling

Symptoms: Moderna COVID-19 Vaccine EUA I had severe chills, bodyaches, headache and fever approximately 20 hours after receiving the vaccine. The chills, rigors and teeth chatter were the worst of my symptoms. All symptoms lasted about 18 hours.

Other Meds: n/a

Current Illness: n/a

ID: 0916915
Sex: F
Age: 49
State:

Vax Date: 12/28/2020
Onset Date: 12/31/2020
Rec V Date: 01/01/2021
Hospital:

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

Lab Data:

Allergies: penicillin; betadyne; cow-dairy intolerance

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: mild dizziness (at time of injection); injection site soreness (12 hours after injection; duration 1 day); 3 says after injection: nausea, dizziness and weakness, headache, tiredness, feeling unwell.

Other Meds: Arnuity Elipta; Flonase; Pristique; Allegra; iron supplement; multi vitamin; vitamin D supplement

Current Illness: none

ID: 0916916
Sex: F
Age: 33
State: CT

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

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Headache

Other Meds: Protonix

Current Illness: None

ID: 0916917
Sex: F
Age: 23
State: PA

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

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

Lab Data:

Allergies: N/a

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

Symptoms: Headache a few hours after injection and now it is 01/01/2021 and I still have a headache. Some nausea and overall generally feeling run-down and unwell. Also bad pain in my arm from site of injection.

Other Meds: Ritual Multivitamin

Current Illness: N/a

ID: 0916918
Sex: M
Age: 0
State: WI

Vax Date: 12/29/2020
Onset Date: 12/31/2020
Rec V Date: 01/01/2021
Hospital: Y

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: Slight fever the day of the injections. The next night he Stopped breathing in the middle of the night twice. Temperature was 96 degrees Fahrenheit when arriving at the emergency room.

Other Meds: None

Current Illness: Cough

ID: 0916919
Sex: U
Age:
State:

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

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

Lab Data:

Allergies:

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

Symptoms: Severe headache, flu like symptoms and fatigue the day after the vacinne. Followed by muscle aches and low grade fever for several days. Slowly started feeling better without a fever. 7 days after vacinne I begin feeling flu like symptoms with a 102 and 103 fever.

Other Meds:

Current Illness:

ID: 0916920
Sex: F
Age: 0
State: VT

Vax Date: 07/10/1992
Onset Date: 12/29/2020
Rec V Date: 01/01/2021
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: nka

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

Symptoms: Headsache,vertigo, and nausea

Other Meds: Levothyroxine

Current Illness: non e

ID: 0916921
Sex: M
Age: 61
State: FL

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/01/2021
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: Food allergy to oyster and crab

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

Symptoms: Previous Covid + physician with documented antibodies Symptoms started 17 hours post vaccine Fever x 36 hours Chills Rigors Malaise Myalgia Mild diarrhea, anorexia,

Other Meds: Rosuvastatin Metoprolol Modafinil

Current Illness: None

ID: 0916922
Sex: F
Age: 28
State: CA

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/01/2021
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: n/a

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

Symptoms: headache, fever, body aches, nausea, chills, muscle. Vaccine was administered at 8:30 am and symptoms ocurred at 10:30 pm

Other Meds: n/a

Current Illness: n/a

ID: 0916923
Sex: F
Age: 70
State: MT

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/01/2021
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: Grass & trees

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

Symptoms: Headache, chills & nausea

Other Meds: Allopurinol 100 mg - 2 pills daily Atorvastatin 20 mg 1 pill nightly Celecoxib 200 mg 1 ? daily Metoprol 50 mg 1? daily

Current Illness: None

ID: 0916924
Sex: F
Age: 49
State: OH

Vax Date: 12/23/2020
Onset Date: 01/01/2021
Rec V Date: 01/01/2021
Hospital:

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

Lab Data:

Allergies: Multiple allergies to antibiotics

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Initial injection, Dec 23rd, I had burning sensation for 3-5 minutes at which time it subsided. Approx 3 hrs later my arm was achy, stiff ( especially went not moving) and sore for 3days or so. On Jan 1, I noticed a large red, warm area on my deltoid in the area of injection site. At this point arm is feeling a bit sore

Other Meds: SMART daily women's vitamin Benadryl (taken precautionary prior to vax) Primrose supplement daily

Current Illness: Blepharitis of left eye

ID: 0916925
Sex: F
Age: 48
State: PA

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

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

Lab Data:

Allergies: Sulfa antibiotics

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Aches Chills Large area redness warmth biceps

Other Meds: Pantoprazole Claritin Clobetasol

Current Illness: None

ID: 0916926
Sex: F
Age: 60
State: SC

Vax Date: 12/29/2020
Onset Date: 12/31/2020
Rec V Date: 01/01/2021
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 known

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

Symptoms: Patient called the pharmacy on 1/1/21, 10:55am to state she has redness (about 1" diameter) at the injection site and swelling to upper arm. There is also a rash and swelling below her arm pit on her right side. She did not notice this until 12/21/20. She states that the redness and rash are less severe today than yesterday. She reports no itching. She states she has full range of motion with her shoulder and no pain. No fever.

Other Meds:

Current Illness:

ID: 0916927
Sex: F
Age: 39
State: IA

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/01/2021
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: Seasonal Allergies Sensitivity to Azithromycin-vomit

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

Symptoms: Fever up to 99.5, severe headache, severe nausea at times, dizziness, bilateral ear pain, fatigue, muscle aches in thighs, joint pain in hips, knees and hands, some congestion. Have had symptoms for past 36hrs and continue. I believe they are starting to lessen. Have been taking Tylenol, ibuprofen and Mucinex D around the clock since the day of getting vaccine.

Other Meds: Zoloft 50mg Prilosec 20mg Allegra 180mg Multivitamin

Current Illness: COVID positive 12/4/20. Symptoms lasted approx 8-9 days before improving. Included low back pain, HA, nausea/dizziness, fatigue, body aches, fever, congestion, lost of taste and smell. Continues lingering intermittent headaches and fatigue from Covid 19.

ID: 0916928
Sex: F
Age: 66
State: MD

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/01/2021
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: Unevaluable event

Symptoms: patient developed red papules on arm. no itching, swelling or respiratory symptoms. instructed to monitor and take benadryl 25mg prn. (Patient left vac clinic with no reaction and came back next day to report rash.)

Other Meds: patient is taking blood thinner

Current Illness:

ID: 0916929
Sex: F
Age: 93
State: FL

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/01/2021
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: Pencillin

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

Symptoms: Resident with physical decline prior to vaccination. Noted with fever, t. 100.6 after 24 hours, and t. 99.2 in 48 hours post vaccine with increasing physical decline with confusion. Sent to hospital for evaluation.

Other Meds: hydrALAZINE HCl Tablet 50 MG Give 1 tablet by mouth two times a day for HTN related to ESSENTIAL (PRIMARY) HYPERTENSION (I10) Pravastatin Sodium Tablet 10 MG Give 1 tablet by mouth at bedtime related to HYPERLIPIDEMIA, UNSPECIFIED (E78.5)

Current Illness: Recent physical decline

ID: 0916930
Sex: F
Age: 50
State: FL

Vax Date: 12/21/2020
Onset Date: 12/24/2020
Rec V Date: 01/01/2021
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: PCN Citrus

Symptom List: Injection site pain, Pain

Symptoms: I did immediately feel some slight dizziness but I also ad worked all night and was exhausted. I was driving home and did become itchy and developed a couple of small hives that quickly went away. The main event that I am reporting is a severe outbreak of eczema. I used to get it on my hands as a child and it was caused by citrus. On the morning of 12/24, I noticed itching and a red rash starting on my right wrist and my left hand. I thought perhaps it was from over washing or not rinsing all of the soap off. The rash became worse and I noticed a small area above my lip on the left side, I then developed a large area on the right side of my lower face. There were also a few spots elsewhere but these were the worst.

Other Meds: metoprolol, Adderall, Xanax, Multivitamin, Singular

Current Illness: Environmental allergies

ID: 0916931
Sex: F
Age: 54
State: CO

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/01/2021
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: Headache, muscle pain, fatigue

Other Meds: Levothyroxine, paroxetine

Current Illness:

ID: 0916932
Sex: F
Age: 54
State: VT

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/01/2021
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: none

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

Symptoms: lightheaded,dizzy, and nausea

Other Meds: Levothyroxine,atorvastatin

Current Illness: none

ID: 0916933
Sex: F
Age: 33
State: CA

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/01/2021
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: N/A

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Moderna COVID-19 Vaccine EUA. Tingling in the right arm. Also sore ness on the right shoulder. Itchy ness in the throat and miner headaches.

Other Meds: Vitamins

Current Illness: N/A

ID: 0916934
Sex: M
Age: 28
State: AZ

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

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

Lab Data:

Allergies: None

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA Fatigue 12/29 in the evening Fever 12/29 starting at 11 pm to late morning 12/30 Light nausea 12/29 from 11 pm to 3:00 am Headaches 12/29 through 12/31 Muscle aches 12/29 through 12/31 particularly lower back I rested and drank so much water and the symptoms went away on their own

Other Meds: None

Current Illness: None

ID: 0916935
Sex: F
Age: 54
State: OH

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/01/2021
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: Headache, fever, chills, nausea, dizziness

Other Meds: methylprednisolone

Current Illness: Within two weeks of vaccine: General malaise, sore throat, low grade fever of 99, headache

ID: 0916936
Sex: F
Age: 50
State: TX

Vax Date: 12/23/2020
Onset Date: 12/31/2020
Rec V Date: 01/01/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Nausea

Symptoms: At the 10th day redness, swelling, itchy arm at site on injection.

Other Meds: Ibuprofen, Multivitamins

Current Illness: None

ID: 0916937
Sex: F
Age: 22
State: UT

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/01/2021
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: Large swollen bump at injection site that has grown for 48 hours since injection.

Other Meds:

Current Illness:

ID: 0916938
Sex: M
Age: 46
State: UT

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/01/2021
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: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Vaccine was not administered Intramuscular by RN administering it. It was administered into the shoulder joint of the left arm. Approximately 6 hours later, severe pain, unable to lift arm and shoulder, tingling in left arm and hands. Progressed to very limited movement of left arm and unrelieved pain. Treatment sought at ER where diagnosis was traumatic hemmorhagic bursitis from vaccine needle.

Other Meds: Adderall 20mg XR, Adderall 20mg IR, Lisinopril 10mg

Current Illness: None

ID: 0916939
Sex: M
Age: 68
State: NY

Vax Date: 09/30/2020
Onset Date: 10/02/2020
Rec V Date: 01/01/2021
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: Pt states shoulder began to ache several days to a week after injection. Injection technique appeared normal and there was no immediate pain. Dull aching pain became worse over the next several weeks to months. Chronic shoulder pain was not cured by ibuprofen/ice/or heat.

Other Meds:

Current Illness:

ID: 0916940
Sex: F
Age: 37
State: MD

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/01/2021
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: 3 months postpartum and breastfeeding, had low grade fever to 99 within hours and fatigue/myalgias. This increased to chills, a temp of 101f (baseline 97.8), and myalgias/fatigue so severe Going to the restroom felt like running a marathon (which I have done). I had to fully lay down and couldn?t carry my 15lb son. I also had marked breast tenderness greater on the side of the injection. My son seemed to have trouble staying latched (?due to tiredness from my direct warmth), and had increased fussiness. I have never had more than a mild local injection reaction w tenderness with any other vaccine

Other Meds: Prenatal vitamin

Current Illness: Breastfeeding/ 12 weeks post partum

ID: 0916941
Sex: F
Age: 45
State: CA

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/01/2021
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: NKDA

Symptom List: Erythema, Pruritus

Symptoms: Numbness of pad of right thumb (vaccine was in left arm) starting 1 he after vaccine and persisting 48 hrs after.

Other Meds: Levothyroxine 50 mcg daily Lexapro 10 mg daily

Current Illness: None

ID: 0916942
Sex: F
Age: 52
State: VT

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/01/2021
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: erythromicin,lactose

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

Symptoms: nausea,woozy, and hot

Other Meds: levothyroxine

Current Illness: non e

ID: 0916943
Sex: M
Age: 35
State: MA

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/01/2021
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: After administration, patient experienced difficulty breathing, headache, anxiety, and elevated blood pressure (160/102 - 180/110 for 30 minutes). Patient was transported to Hospital as precaution.

Other Meds:

Current Illness:

ID: 0916944
Sex: M
Age: 47
State: NJ

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

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

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Low grade fever 100.3, tired

Other Meds: cardizem, xarelto

Current Illness:

ID: 0916945
Sex: F
Age: 27
State: NJ

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/01/2021
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: none

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

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA Extremely sore arm Ipsilateral neck stifness/soreness for greater than 72 hours Headache for 72 hours

Other Meds: Glucosamine Chondroitin

Current Illness: none

ID: 0916946
Sex: M
Age: 41
State: MA

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/01/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Patient had a fever (T100), severe body aches, and diarrhea one day post immunization. [note; COVID recovered April 2020]

Other Meds:

Current Illness:

ID: 0916948
Sex: M
Age: 64
State: TX

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

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

Lab Data:

Allergies: Z-Pack

Symptom List: Pain in extremity

Symptoms: Moderna COVID-19 Vaccine EUA Swelling and soreness from the injection site to the elbow.

Other Meds: 81 MG aspirin, 50+ multiple vitamin, Glucosomin-eCondroitan, Zinc, Vitamin B, Fiber Capsule,

Current Illness: None

ID: 0916949
Sex: F
Age: 43
State: CA

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

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

Lab Data:

Allergies: Bees, PCN, Pineapple

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

Symptoms: COVID Vaccine received on 12/30/2020 at 2:00pm on her left deltoid. On 12/31/2020 she reports severe fatigue8/10) with LUE burning and numbness from injection site to her 4th and 5th digit on her Left hand. She took Tylenol at 0500 am with minimal relief noted. She also reports around 9:00 pm her right eye began to swell and she took 25 mg of Benadryl with some improvement noted.

Other Meds: trajenta, Vitamin C, Atrovastatin, metroprolol, Hyzaar, sambucus

Current Illness: none

ID: 0916950
Sex: M
Age: 62
State: MA

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/01/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Patient experienced one day post immunization malaise, moderate headache, and chills.

Other Meds:

Current Illness:

ID: 0916951
Sex: M
Age: 33
State: MA

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/01/2021
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: About 24 hours after receiving the vaccine I woke up with a fever, headache, bodyaches and fatigue. Symptoms resolved with Tylenol. The next day symptoms continued along with lymph node pain in the right armpit. All symptoms resolved by day 3 post injection. Also note, I was symptomatic and tested positive in August with all of the previously stated symptoms except for lymph node pain. Symptoms post vaccine were much more mild than the actual infection with covid.

Other Meds: 15 mg adderall, men?s multi vitamin

Current Illness: None

ID: 0916952
Sex: F
Age: 25
State: CA

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

Symptom List: Vomiting

Symptoms: Fainting possibly due to pain Patient given motrin and sleeping at home

Other Meds: None

Current Illness: None

ID: 0916953
Sex: F
Age: 47
State: MD

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/01/2021
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: None

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Left side area of spleen, splenomagaly to palpation. Dull ache, increased pain on inspiration, sharp pain to palpation.

Other Meds: Zyrtec, vitamin c, zinc, multivitamin, vitamin D,

Current Illness: Eczema flare

ID: 0916954
Sex: F
Age: 45
State: WA

Vax Date: 12/30/2020
Onset Date: 01/01/2021
Rec V Date: 01/01/2021
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: PAIN AT INJECTION SITE, MUSCLE ACHES, FATIGUE, METALLIC TASTE, HEADACHE

Other Meds:

Current Illness:

ID: 0916955
Sex: F
Age: 45
State: NC

Vax Date: 12/18/2020
Onset Date: 12/18/2020
Rec V Date: 01/01/2021
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: augmentin- stomach cramps but no other allergies

Symptom List: Injection site swelling, Limb discomfort

Symptoms: 12/28 Urgent Care HPI - patient is a 45 year old who works for facility. she got a covid vaccine 8 days ago. The site on her left deltoid where she got the shot is warm and read. It also itches. No pain into the rest of left arm. no numbness of tingling at site or distally. no trouble breathing or tingling around mouth/throat. 01/01 - EE notes that her arm was very sore and she had a bad headache. As the days went on, it got redder, hotter, and more swollen. On 12/20, she began to feel bad. On 12/28 while at work, she heard that her supervisor was COVID (+). Throughout the day she felt worse and worse. Was seen at urgent care and COVID was negative. Prescribed Cephalxin and predinose 01/01 -- arm is much better today. Today it is still bruised. She thinks it was bruised previously but that the bruise could not be seen under the redness and swelling

Other Meds:

Current Illness: none

ID: 0916956
Sex: F
Age: 80
State: NV

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

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

Lab Data:

Allergies: none

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

Symptoms: fatigue, headache, muscle pain, joint pain, chills

Other Meds: amlodipine; Synthroid; Liothyonine; Lipitor; Prolia

Current Illness: none

ID: 0916957
Sex: F
Age: 56
State: NM

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/01/2021
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: Plaquenil

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

Symptoms: upset stomach , diarrhea , muscle pain, soreness & stiffness at site of injection in left arm upset stomach started around 11:00am & went away after having bowel movement, it returned again around 2:00pm & again went away after bowel movement, it returned for a third time around 3:00pm & that is when the diarrhea occurred. That was the last time of any signs or symptoms. I drank 2 cups of ginger tea afterwards which seem to help settle my stomach. The muscle pain, soreness & stiffness in left arm at injection site started at bedtime around 9:00pm on the day of receiving vaccine & still continues today but is improving

Other Meds: Levothyroxine, gabapentin, valacyclovir, cyclobenzaprine, multivitamin, vitamin D

Current Illness: none

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm