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**
PLEASE CHECK BACK SOON
Download the files above while you wait.






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: 0951791
Sex: F
Age: 35
State: NJ

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/17/2021
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: Soreness at injection site, starting 2-3 hours after injection, still existing, though faded, 54 hours later. Headache night of injection, though 1 naproxen sodium tablet relieved it. Light fatigue the day after injection.

Other Meds: Prenatal vitamins, vitamin D3 2000ui

Current Illness: None

ID: 0951792
Sex: F
Age: 58
State: HI

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/17/2021
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: Mango, Mango sap, if I use antibiotics too long like more than 2 weeks i break out in hives or a rash. Oral or IV. If I wait over a year to take that class of antibiotic again I am usually ok for the first 10-14 days. Although Cipro didn't do that. Most others did. October/ November 2020 I was on IV cefipime for pseudomonas Aeriginosa in the lungs. after 2 weeksof therapy I had hives, rash. Took benadryl and continued on for one more week. When I finished the hives went away.

Symptom List: Anxiety, Dyspnoea

Symptoms: 1/15/21 at 0900 injection. some mild headache between then and 2300 when I had chills, headache, body aches, Nausea, T 100.2 F. 1/16/21 0200 took Tylenol 500mg nausea, chills HA T 100.8 at 0410 symptoms continue and I i still had insomnia (that is not uncommon for me) symptoms were a bit milder. 0420 took 500mg Tylenol, 1030 500 mg tylenol HA nausea dizzy T 100.8F. 2345 bad again. took 1000 mg Tylenol and a 3mg tab of Lunesta. body aches HA nausea chill dizzy T 100.7. Overnight I had a bout of terrible night sweat and the bed and pillow and night clothes were soaked (not menapausal related) 1/17/21 0830 T 97.8 feel a bit better. as the day goes on I notice when I move around, especially quickly I have a horrible pain in my head and dizziness. at 1700 T99.9 nausea, dizzy HA.

Other Meds: sertraline 100mg, lunesta 3mg

Current Illness: None

ID: 0951793
Sex: F
Age: 43
State: FL

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/17/2021
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: PCN, sulfa

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

Symptoms: Fever, chills, fatigue, myalgias, tachycardia, palpitations

Other Meds: Carvedilol 12.5mg bid, zyrtec 10mg qhs, singulair 10mg qhs, Vitamin C 1000mg qd, Vitamin D3 5,000IU qd, Zinc 50mcg qd

Current Illness: N/A

ID: 0951794
Sex: F
Age: 38
State:

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Fever up to 102.5F, extreme malaise, headache, chills lasted for about 1 day

Other Meds:

Current Illness:

ID: 0951795
Sex: F
Age: 22
State: OR

Vax Date: 01/17/2021
Onset Date: 01/17/2021
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies: grass pollen

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

Symptoms: flushing right after vaccination and then dizzy, 2 hours later had HA and difficulty breathing and central chest tightness

Other Meds: multivitamins, Bio10 supplement

Current Illness: nil

ID: 0951796
Sex: M
Age: 23
State: SC

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/17/2021
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: used to get allergy shots for a lot of things stoped in May of 2020

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

Symptoms: Slight swelling and moderate pain from the axillary lymph nodes started: Friday morning, swelling disappeared Sunday morning; pain still persists

Other Meds: Fexofenadine

Current Illness:

ID: 0951797
Sex: F
Age: 62
State: NY

Vax Date: 12/29/2020
Onset Date: 01/05/2021
Rec V Date: 01/17/2021
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: bee sting

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: 1 week after vaccine received, injection site itching and noted to be red, hot and firm to touch in an area 2.5 x 3.5 inches. Within 24 hours area spread to 4 x 6 inches. Dissipated after 4-5 days.

Other Meds: none

Current Illness: none

ID: 0951798
Sex: M
Age: 38
State: CA

Vax Date: 01/07/2021
Onset Date: 01/12/2021
Rec V Date: 01/17/2021
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: Sevwre headache die one week and then at one week Severe left sided knee arthropathy and could not work

Other Meds: None

Current Illness: None

ID: 0952829
Sex: F
Age:
State: NY

Vax Date:
Onset Date: 01/10/2021
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies: Benicar

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Day after 2nd dose of shingles vaccine, has left me shivering and nauseous

Other Meds: Benicar

Current Illness:

ID: 0953018
Sex: F
Age: 54
State: OH

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/17/2021
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: pt felt ringing in ears after vaccine, feels heart pounding 1056 AM BP 160/97 HR 68 "similar to hot flash 1058 AM BP 145/96 HR 69 talking, alert, oriented, skin warm and dry, denies feeling dizzy 1102 AM 143/96 HR 69 sipping water, skin warm & dry 1104 AM 137/93 HR 74 talking with nurse 1108 AM 139/94 HR 72 skin warm & dry 1112 142/89 HR 74 feeling better, no ringing in ears, skin warm & dry, states husband at home to be w/her

Other Meds:

Current Illness:

ID: 0953194
Sex: F
Age:
State: WV

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: "Casirivimab (part of Regeneron mAbs) under Emergency Use Authorization (EUA)" On 12-30-2020 at 17:01, Dr. was notified by medical personnel that 42 people who went to the vaccination site for those 80 years and above, inadvertently received 0.5 mL Regeneron antibody instead of Moderna vaccine by the nurse vaccinator. During the call, determined that it was the REGN10933 component which is casirivimab 300 mg/2.5 single-dose vials were in a box instead of Moderna vaccine. Mistake was noticed when the pharmacist vaccinators at three other vaccination locations that evening called the center to report they received incorrect vials. Upon notification, alerts went to other sites receiving vaccine and the error was identified. At the original storage site, vials of casirivimab and vials of Moderna vaccine were stored side by side in the refrigerator as both require refrigeration. It should be notified that the box of casirivimab was shipped separately from the rest of the Regenerol mAbs product without notification; therefore, arrival of this box was not anticipated. When the people came to pick up the vaccine, vials of both drugs were taken for re-distribution to vaccination site locations. It should be noted that the shipping boxes used for both drugs are identical on the outside; the packing list inside the box identifies box contents. The boxes for the vaccine inside the shipping boxes are marked. The labels for both of the Regeneron mAbs drugs (casirivimab and imdevirmab) are poorly label for identification having letters and numbers instead of the drug name on the vials: vials do say 2.5 mL. The Moderna vial does not list total volume of contents but rather (10 doses of 0.5 mL per dose). Both drug vials have a red top.

Other Meds: Casirivimab

Current Illness:

ID: 0953201
Sex: M
Age:
State: WI

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/17/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: I was diagnosed with COVID-19 on 12/7/2020. My course of symptoms lasted 16 days, meaning I started feeling healthy again on 12/23/20. I am a pharmacist with a healthcare system and they have been offering the Pfizer/Biontech COVID-19 vaccine for essential associates. I received by first dose of vaccine on 12/31/20. On 1/1/20 I woke up with very noticeable muscle aches and fairly profound lethargy, which last 18-20 hours. I was not able to do much on 1/1/21 because of the way I was feeling. I'm not sure if this reaction is normal for patients who receive their COVID-19 vaccine close to their illness/infection with COVID-19, which is why I'm reporting this to the FDA.

Other Meds: Famotidine 40 mg daily, TUMS 1-2 tablets daily prn, APAP 500 mg daily prn, Magnesium tablets 500 mg daily, Voltaren OTC gel apply to affected area daily prn

Current Illness: None

ID: 0953252
Sex: F
Age: 75
State:

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/17/2021
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: Patient reported a mild headache after receiving the Moderna COVID vaccine in the Right Deltoid. patient's vitals stable.

Other Meds:

Current Illness:

ID: 0953253
Sex: F
Age: 72
State: FL

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/17/2021
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:

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

Symptoms: Upon receiving Moderna COVID vaccine, patient became light headed and hypertensive ( BP 200/100).

Other Meds:

Current Illness: Patient denies history of hypertension

ID: 0953254
Sex: F
Age:
State:

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/17/2021
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: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: [pfizer covid 19 vaccine] treatment under Emergency Use Authorization(EUA):pfizer covid 19 vaccine administration 12/28/2020 0830 left deltoid. At 1200 (within 4 hrs) began experiencing L sided facial and Left foot numbness/tingling and left hand. At 1600- palpitations, chest tightness. 1900-chills, myalgia, cold sensation of b/l feet. 12/20-+fatigue, SOB, left sided low back pain - severe 12/30-headache, left ear pain, left face pain/continued numbness tingling 12/31-mild facial weakness left forehead, left cheek/smile asymmetry. Reported to health care provider, began steroid for early onset bell's palsy. Today is 1/8/2021 continue to have paresthesia of my left face, left hand, left foot, headache, mild left facial weakness/altered sensation Use Authorization(EUA):

Other Meds:

Current Illness:

ID: 0953255
Sex: M
Age: 74
State: CA

Vax Date: 12/21/2020
Onset Date: 12/31/2020
Rec V Date: 01/17/2021
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: NKA

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

Symptoms: I received the Pfizer vaccine on 12/21/20 without adverse events other than soreness in deltoid. On 12/31/20 I began to notice pain, redness and swelling in second toe on R foot from base of toe to base of nail. I initially thought it was gout and self medicated with ibuprofen 400 mg BID x 1 day on 01/01/21 with some improvement. I did not take anything on 01/02/21 and woke up on 01/03/21 with return of swelling, redness and pain. I took another 400 mg of ibuprofen and it felt better but after examining the toe, I questioned whether I had developed pernio (COVID toe).

Other Meds: ATORVASTATIN, EPLERENONE, EZETAMIBE, CITALOPRAM, JARDIANCE, ENTRESTO, XARELTO, CARVEDILOL, ASA, FOLATE

Current Illness:

ID: 0953256
Sex: U
Age:
State: MD

Vax Date:
Onset Date: 12/23/2020
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Five (5) vials of Moderna COVID vaccine (NDC:80777-0273-99 (5010700] Lot#011J20A) that was supposed to contain (10) doses per vial contained only (9) doses. Facility received 250, 5ML (10) dose vials in a shipment received 12/22/2020. At onset of vaccinations, the Immunization Clinic noted five of the vials did not contain the appropriate amount of vaccine as stated per the manufacturer. No adverse impact. No mission degradation. Quality Report is submitted to address this discrepancy on current and future vaccine shipments.

Other Meds:

Current Illness:

ID: 0954163
Sex: F
Age: 36
State:

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Swelling/redness/itchiness at injection site 1week after dose #1 of Moderna vaccine

Other Meds:

Current Illness:

ID: 0954164
Sex: F
Age:
State: NE

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Emergency Use Authorization (EUA): injection Hard red swelling painful at injection site and migraine headache

Other Meds:

Current Illness:

ID: 0954166
Sex: F
Age:
State: NY

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/17/2021
Hospital:

Vax Type: RV1
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: ROTAVIRUS (ROTARIX)
Lot:
Dose Series: 1
Vax Route: PO
Vax Site: MO

Lab Data:

Allergies:

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

Symptoms: Received Moderna COVID vaccine 12/31/20, 3 days later noticed generalized joint pain all over. Day 4 noticed both knees were red and tender and could palpate pockets of fluid. Had bilateral ankle and foot pain, right ankle swollen. Overnight 1/5-1/6/21 was in severe pain and unable to sleep, very difficult to walk on ankles and feet, stairs were very painful. Motrin relieved symptoms to where able to walk more comfortably but generalized achiness and tenderness to ankles and knees remain.

Other Meds:

Current Illness:

ID: 0954167
Sex: F
Age:
State: AZ

Vax Date: 01/03/2021
Onset Date: 01/03/2021
Rec V Date: 01/17/2021
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: I only have sensitivities to Erythromycin (GI upset) and Clindamycin ("black hairy tongue")

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

Symptoms: This is a report about me. I received my Covid vaccine on Sunday after my hospital shift (it was first dose of the Pfizer vaccine). Other than some muscle soreness, which I expected, I started experiencing numbness and tingling in the arm that received the shot (my left arm). It is now 4 days later, and the numbness/ tingling is not any better. I don't know if this is a frequent side effect that will go away in time, but it is very concerning to me.

Other Meds:

Current Illness:

ID: 0954168
Sex: F
Age:
State: AR

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/17/2021
Hospital: Y

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: Anaphylaxis after Covid 19 vaccine #1. Pfizer Lot # EH9899

Other Meds:

Current Illness:

ID: 0954169
Sex: F
Age:
State: OH

Vax Date: 10/19/2020
Onset Date: 10/19/2020
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: I was given the Fluzone Quad vaccine in left arm on 10 19 2020. This injection is suppose to be given intramuscularly. It was given in errant location and as a result a permanent 2.5in diameter and 0.5in deep soft tissue defect resulted by the 4th post-injection day and remains unchanged.

Other Meds: none

Current Illness: none

ID: 0954170
Sex: U
Age:
State: NM

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/17/2021
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: doxycycline

Symptom List: Injection site pain, Pain

Symptoms: I experienced a significant reaction after receiving the pneumoooooal polysaccharide 23 vaccine on Wednesday, January 6. The right upper arm was the site of the injection. I experienced redness, swelling and the area was very warm. The redness spread down into the foreaarm and encircled my upper arm the next day. My arm became very swollen. It looked like hives. I could not lift my arm or extend my arm without great pain. I went to the urgent care center or Friday and they diagnosed this as cellulitis and prescribed antibiotics. My practicioner did not let me know there were any side effects or provide me with paperwork. I realize now, via articles in NH that there can be allergic reactions. My doctor an the physician assistant both saw this as cellulitis and not allergic reaction. Today, on Sunday my arm is still painful to touch and lift.

Other Meds: Vitamin d

Current Illness:

ID: 0954171
Sex: F
Age: 68
State:

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies: Talwin, sulphur, preparation H,

Symptom List: Injection site pain, Menorrhagia

Symptoms: Received 2nd shingrix vaccination 1/8/21. On 1/9/21 my arm was sore but I had sever generalised body aches lasting 24 hours. Treated with ibuprofen and Tylenol. 2months earlier after the first vaccine I just had fatigue and a sore arm

Other Meds: Eliquis 5mg bid Flecanide 59mg Bid vitamin D 3 50,000units weekly Vitamin B12 1ml monthly Calcium 1 tab po bid Colace bid Miralax daily Areds 2 Bid

Current Illness:

ID: 0954172
Sex: M
Age:
State: WA

Vax Date:
Onset Date: 01/07/2021
Rec V Date: 01/17/2021
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: Penicillin

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

Symptoms: Second Shingrix shot. Arm swollen and red. Shivering during the night. Severe headache. Upset stomach and diarrhea.

Other Meds: Fenofibrate Multi vitamin, Vit D3, Magnesium, prostate formula

Current Illness:

ID: 0954173
Sex: F
Age:
State: FL

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/17/2021
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:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Person received final shot of Covid vaccine by Moderna today at 11:05am, then experienced dizziness 5 minutes after. Her blood pressure was 191/92 with HR of 94 at 11:20 am, then retaken at 11:40AM with values of BP=163/77 and HR of 95. SHe also experienced rash at injection site and in chest/breasts.

Other Meds:

Current Illness:

ID: 0954174
Sex: F
Age:
State: IN

Vax Date: 12/19/2020
Onset Date: 12/19/2020
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies: PCN, sulfa. Intolerance: EES

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: I received the Covid vaccine. The injection itself was without any issues. However, 6-7 hours later, my entire upper arm began aching-pain from my trapezius down to my elbow. This continued throughout the weekend and then Monday, my index and middle finger began tingling (as if asleep). This symptom has never subsided. I am noting pain in each of the major joints of my arm-shoulder, elbow and wrist. I have tired trigger injections in my trapezius, ibuprofen, muscle relaxers, heat, exercises, a steroid burst-all without relief of symptoms. I am able to move my arm and I do have strength in the extremity. I have seen a specialist in physical medicine and rehabilitation. What I believe may have triggered this reaction is that in October I had a radial and ulnar tunnel release in the same extremity. I wonder whether the medication has affected the nerves that had been manipulated during surgery. I am wondering if anyone participating gin the trial had recent surgery was well? if so, did they note any complication after receiving the vaccine. Any help you can give would be appreciated. Thanks you for your time.

Other Meds: Adderall, zoloft; ASA

Current Illness: N/A

ID: 0954175
Sex: F
Age: 71
State: FL

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/17/2021
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: CELEXA, chemical, food color red, gluten, iodine, LEVAQUIN, penicillins, preservative, red dye, shellfish, soy, and sulfa

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

Symptoms: After administration of Moderna COVID vaccine to left arm, patient reported itchy throat and tingling from left arm to back of neck.

Other Meds:

Current Illness:

ID: 0954894
Sex: F
Age:
State: CA

Vax Date:
Onset Date: 01/07/2021
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies: pepper, chilies, mustard, menthol, eucalyptus, quaternium 15, formaldehyde, nickel sulfite, Zofran, marcaine, epinephrine, demerol, keflex, doxycycline, clindamycin.

Symptom List: Nausea

Symptoms: Pneumovax 23. Rash away from injection site. Unusual intense pain above injection site, specifically at shoulder joint.

Other Meds: Rx 1/2 daily Jinteli - 1 mg Norethindrone Acetate and 5 mcg Ethinyl Estradiol Tablets Fe 29, C 500 mg (sometimes + 1000 mg C granules) Omega 3 Ca 400 mg + D 500 IU B50's

Current Illness: never smoked, never pregnant, quit drinking at 32,

ID: 0954904
Sex: F
Age:
State:

Vax Date:
Onset Date: 01/06/2021
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies: No Allergy hx

Symptom List: Injection site pain

Symptoms: After injection , c/o itchlness to site.

Other Meds:

Current Illness:

ID: 0954926
Sex: M
Age:
State: CA

Vax Date:
Onset Date: 01/08/2021
Rec V Date: 01/17/2021
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: 6 hours after receiving 2nd dose of Pfizer COVID-19 vaccine I began experiencing palpitations. Using mobile device it appears to be PACS. Sustained.

Other Meds:

Current Illness:

ID: 0954938
Sex: F
Age:
State: TX

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/17/2021
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 said he had a rash that developed under her breasts an hour after receiving the vaccine. pt took Benadryl and went to sleep. Rash was there still when she woke up and she also had flu-like symptoms

Other Meds:

Current Illness:

ID: 0954950
Sex: F
Age: 58
State:

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/17/2021
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: Metoclopramide, experienced diarrhea

Symptom List: Tremor

Symptoms: The patient received the vaccine on 12/28/2020 around 2:45pm. She reported a headache the next morning which turned into body aches and a cough. She was sent home and advised to call occupation health.

Other Meds:

Current Illness:

ID: 0954952
Sex: F
Age:
State: AZ

Vax Date: 01/03/2021
Onset Date: 01/03/2021
Rec V Date: 01/17/2021
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:

Symptom List: Erythema, Pruritus

Symptoms: This is a report about me. I received my Covid vaccine on Sunday after my hospital shift (if was first dose of the Pfizer vaccine). Other than some muscle soreness, which I expected, I started experiencing numbness and tingling in the arm that received the shot (my left arm). It is now 4 days later, and the numbness/tingling is not any better. I don't know if this is a frequent side effect that will go away in time, but it is very concerning to me.

Other Meds:

Current Illness:

ID: 0954958
Sex: F
Age: 58
State:

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/17/2021
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: Allergies: Metoclopramide, experienced diarrhea

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

Symptoms: The patient received the vaccine on 12/28/2020 around 2:45pm. She reported a headache the next morning which turned into body aches and a cough. She was sent home and advised to call occupational health.

Other Meds:

Current Illness:

ID: 0955027
Sex: F
Age: 72
State: FL

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/17/2021
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: Upon receiving Moderna COVID vaccine, patient became light headed and hypertensive ( BP 200/100).

Other Meds:

Current Illness:

ID: 0955032
Sex: M
Age: 33
State: MN

Vax Date: 01/12/2021
Onset Date: 01/15/2021
Rec V Date: 01/17/2021
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: [Pfizer COVID Vaccine] treatment under Emergency Use Authorization(EUA): Pfizer Covid Vaccine- substantial lymphedema under armpit of injected arm. Dose of vaccine #2 on 1/12/2021. armpit sore to touch and patient experienced 6 lb weight gain from edema

Other Meds:

Current Illness:

ID: 0955042
Sex: M
Age:
State: TX

Vax Date: 01/09/2021
Onset Date: 01/11/2021
Rec V Date: 01/17/2021
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: Pollen. NKDA.

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

Symptoms: Standard side effect, it seems, just reporting for tracking. EXTREME tiredness/lethargy 36-72 hours after Pfizer Bion Tech vaccine dose 2. No other side effects, did not require any medical treatment, self-resolved with time.

Other Meds: Edarbyclor, Metformin, Trulicity, Freestyle Libre 2 C CGM, Zyrtec

Current Illness:

ID: 0955056
Sex: F
Age:
State: CA

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/17/2021
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: Papaya

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

Symptoms: I received the first COVID vaccine from Pfizer. At first I experienced only mild side effects such as headache and fatigue and dizziness. That night I awake with severe stabbing abdominal pain. I couldn't sleep much of the night due to pain. The pain continued until the following day. I had to take the day off work due to fatigue and pan. I have a couple of autoimmune diseases and I surmised this is why the vaccine affected me in this way

Other Meds: Hydrocortisone, florinef acetate

Current Illness:

ID: 0955087
Sex: F
Age:
State: CA

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies: Papaya

Symptom List: Pain in extremity

Symptoms: I received the first COVID vaccine from Pfizer. At first I experienced only mild side effects such as headache and fatigue and dizziness. That night I awoke with severe stabbing abdominal pain. I couldn't sleep much of the night due to pain. The pain continued until the following day. I had to take the day off work due to fatigue and pain. I have a couple of autoimmune diseases and I surmised this is why the vaccine affected me in this way.

Other Meds: Hydrocortisone, florinef acetate

Current Illness:

Date Died:

ID: 0955091
Sex: M
Age: 65
State: NV

Vax Date: 11/16/2020
Onset Date: 11/16/2020
Rec V Date: 01/17/2021
Hospital: Y

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

Lab Data:

Allergies:

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

Symptoms: Pt rec'd flu vaccine (lot # 2202: UJ535AB) at a pharmacy on 11/16/2020. The next day he developed right hemifacial spasm and palatal myoclonus. 11/17/2020 BRAIN MRI showed a small left frontal non-enhancing lesion, initially thought to possibly be a subacute stroke. However, he worsened and developed anarthria, aphagia, right arm wkns, and aspiration pneumonia necessitating intubation. Repeat BRAIN MRI 11/24/2020 was worse. He had the 1st of 2 brain biopsies 11/28/2020, which pathology was resulted as "reactive changes" but was non-diagnostic. He had add'l BRAIN MRIs that showed continued worsening of the left hemisphere lesion and subsequent involvement of the right hemisphere. A 2nd brain brain biopsy was done 12/16/2020, which pathology was also resulted as "reactive changes" but was also non-diagnostic. The pt has a h/o "low-grade" T-cell lymphoma, but neither biopsy samples had evidence of lymphoma in CNS or of obvious features to suggest other neoplasm, vasculitis, granulomatous disease, infection, or demyelination. This is a very odd / challenging case. Initially despite the timing I did not consider the flu vaccine to be relevant / causative. However, there is no other obvious possible etiology. Hence I would consider the flu vaccine probably related to his CNS problem and a serious adverse reaction. He eventually started having seizures. He remains in a coma on life support. His family is going to withdraw care 1/8/2020.

Other Meds:

Current Illness:

ID: 0955097
Sex: F
Age: 47
State: IA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/17/2021
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: mRNA-1273 treatment under Emergency Use Authorization(EUA): Patient received first dose of Moderna Covid vaccine at about 10:30 on 1/4/21. Experienced body aches and low grade fever throughout the night of 1/4/21 and continued with body aches most of day on 1/5/21. Felt fine again morning of 1/6/21.

Other Meds:

Current Illness:

ID: 0955109
Sex: F
Age: 56
State: NJ

Vax Date: 01/02/2021
Onset Date: 01/02/2021
Rec V Date: 01/17/2021
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:

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

Symptoms: COVID-19 vaccine: patient experienced swelling of lips, tongue, and itchy throat after receiving vaccine. One dose of EpiPen was administered, Medical Emergency Response Team was called and patient was taken to ED.

Other Meds:

Current Illness:

ID: 0955117
Sex: F
Age:
State:

Vax Date:
Onset Date: 12/29/2020
Rec V Date: 01/17/2021
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: None

Symptom List: Vomiting

Symptoms: Reaction to 1st Shingrix vaccine; within 24 hours, lasted for 4 days; pain at injection site, headache, neusea, vomitting, shivering, new cold sore.

Other Meds: Humira injection, methotrexate, folic acid

Current Illness: None

ID: 0955124
Sex: F
Age: 36
State: OR

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/17/2021
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: lactose intolerant

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: First dose of the Moderna Vaccine: I got an optic nerve meningioma this summer and I've had a horrible migraine with accompanying nausea since I got the vaccine. It is not the 13th and I feel horrible. Moderna Batch 039K20A

Other Meds: birth control, Singulair, Topamax, Imitrex, Zofran, ibuprofen, iron, vitamin d

Current Illness:

ID: 0955137
Sex: F
Age: 51
State: IA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/17/2021
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: mRNA-1273 treatment under Emergency Use Authorization(EUA): After getting the Covid vaccine 1/4, I developed a tingling, skin of numb area on my left upper lip 1/5 and it continues today, 1/6. Also had some diarrhea and left sided abd pain for 2 days but seems to be resolving today.

Other Meds:

Current Illness:

ID: 0955156
Sex: U
Age:
State:

Vax Date:
Onset Date: 01/13/2021
Rec V Date: 01/17/2021
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: Covid vaccination, Clinic: The involved Nurse was attempting to dilute vial of Pfizer vaccine with needle and syringe, some amount of saline went into vial, the rest squirted out of syringe outside of vial.

Other Meds:

Current Illness:

ID: 0955159
Sex: F
Age: 57
State: WI

Vax Date: 09/16/2020
Onset Date: 09/16/2020
Rec V Date: 01/17/2021
Hospital: Y

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: Received Shingrix vaccine 9/16/2020. Later that day noted dragging right leg when walking. By following day had weakness in right leg and right arm. Presented to ED 9/22/2020 and found to have left frontal intraparenchymal hemorrhage measuring 2.7 x 2.2 x 2.6 cm. Subsequent imaging showed 7 x 10 mm left centrum semiovale cavernoma. Patient has had good recovery without residual weakness and did not require intervention during 6 days of hospitalization.

Other Meds:

Current Illness:

ID: 0955167
Sex: F
Age: 53
State: NY

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/17/2021
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: cipro sulfa melon onion peas tree/grass pollen dust mold/mildew

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

Symptoms: I received my 2nd shingles shot I was told of body aches, fatigue etc. 36 hours after shot and feeling sore head to toe, I discovered an enlarged lymph gland on my collar bone, same side as shot. I notified my physician who said swollen glands can happen after a vaccine. it was not one of the symptoms on the patient reaction page so it alarmed me

Other Meds: levothyroxine citalopram zyrtec buproprion buspar b12 mutli vitamin calcium plus d

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm