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: 0955899
Sex: F
Age: 28
State: CA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/19/2021
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: blood pressure drop, cold body, sweaty/clamy, dizziness, loss of hearing, shortness of breathe and unconsciousness/fainting. This happened 4 hours after vaccine was administered with a duration of 5 minutes.

Other Meds: no

Current Illness: none

ID: 0955900
Sex: F
Age: 33
State: AZ

Vax Date: 01/10/2021
Onset Date: 01/19/2021
Rec V Date: 01/19/2021
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: NKA Adverse reaction to Neproxin (nausea) Adverse reaction to IV Benadryl (increased HR/palpations)

Symptom List: Anxiety, Dyspnoea

Symptoms: 9 days after vaccine I have redness and swelling near injection site along with being hot and tender to the touch. I have also been experiencing dizzy spells with heat waves for approx 24 hours (current time 1117).

Other Meds: n/a

Current Illness: n/a

ID: 0955901
Sex: F
Age: 50
State: GA

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/19/2021
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: Penicillin

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

Symptoms: Severe arm pain after shot. Woke me out of sleep night after shot. Unable to lift arm horizontal to shoulder, knot size of walnut. Diarrhea x 24 hrs, headache, low grade temp, wheezing day 4, shortness of breath noted upon exertion day 3-7. Expiratory wheezing. Much better (able to walk without shortness of breath day 7). Laryngitis day 2-6. Went to ER. Received IVF for low potassium and dehydration due to diarrhea. T max 99.9.

Other Meds: Clonipin Lexapro Nexium Ibuprofen prn

Current Illness: NA

ID: 0955902
Sex: M
Age: 49
State: MD

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/19/2021
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: Significant painful axillary and supraclavicular lymphadenopathy lasting 96 hours

Other Meds: Prevacid, daily MVI

Current Illness: None

ID: 0955903
Sex: F
Age: 46
State: NH

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
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: Error: Improper Storage (temperature)

Other Meds:

Current Illness:

ID: 0955904
Sex: M
Age: 85
State: CA

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/19/2021
Hospital:

Vax Type: FLUC4
Manufacturer: SEQIRUS, INC.
Vax Name: INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)
Lot: 276563
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Big toe was irritated and sore sore arm Bi toe was inflamed and felt like gout

Other Meds:

Current Illness:

ID: 0955905
Sex: F
Age: 69
State: FL

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
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: Difluron, Zithromax, Levaquin and adhesive dressing

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Client verbalized feeling lightheaded. Client was evaluated by onsite Fire Rescue and released to go home at 11:28 am.

Other Meds: None

Current Illness: None

ID: 0955906
Sex: F
Age: 92
State: KY

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/19/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Systemic: unresponsive

Other Meds:

Current Illness:

ID: 0955907
Sex: F
Age: 64
State: MA

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/19/2021
Hospital:

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

Lab Data:

Allergies: sulfur/allergic reaction/rash

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Hello, i took the Moderna 1/4 and am scheduled for 2nd shot 2/1. I just wanted to pass on some side effects and i did not go on the agency website which i should have to report them. I had a headache off and on the first week. the first day afterward i had a 100 degree fever as well. I never have sleep issues (falling asleep etc) i had insomnia and could not sleep and didnt sleep well for around a week. What i noticed most though is it really affected my stomach and i was awakened with acid reflux several times. the muscles of my stomach were sore like i had been coughing (but hadn't) and i had no desire for food, only fruit, light watery things. as soon as i eat anything i have stomach pain digesting. Since last weekend i sleep way too much, even if i set the alarm i turn it off and keep sleeping. I try to walk and get out. when i wake up it seems my stomach has been really active, i have a horrible taste in my mouth and acid reflux liquid in my through. Just letting you know; and I have the 2nd shot so fingers crossed i'll come through all of this. Take care as well. Thanks

Other Meds: lisinopril 2o mg daily levothyroxine 88mcg daily fluoxetine 40 mg daily amlodipine beyalate 5mg daily chlorathalidone 25 mg 1/2 tab daily Vitamin D3 1000 iu daily

Current Illness: none, felt regular/fine, very rarely get sick with a cold, never have headaches or stomach issues.

ID: 0955908
Sex: F
Age: 42
State: IN

Vax Date: 01/06/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
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: none

Symptom List: Diarrhoea, Nasal congestion

Symptoms: 12 days post Moderna Covid-19 Vaccine on 1/18 I noticed on my right arm near where the vaccine was administered that my arm was red, itching, and warm to the touch. This started 1/18 afternoon. The area affected is about the size of a golf ball. I took ibuprofen and Benadryl which helped, also iced the area. 1/19 area is slightly smaller today, still red and itchy, but is not warm to the touch today.

Other Meds: none

Current Illness: none

ID: 0955909
Sex: F
Age: 23
State: PA

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/19/2021
Hospital:

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

Lab Data:

Allergies: no known allergies

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

Symptoms: The patient presented to the Emergency Department for evaluation after receiving her second Pfizer vaccine for COVID-19. She reports that after the first vaccine she became tachycardic and lightheaded with symptoms resolving. About 30 minutes after receiving the 2nd dose of the vaccine she started to notice difficulty forming words, difficulty walking and feeling generally tired. Two hours after vaccine, patient arrived to Emergency Department with chief complaints of altered mental status altered sensorium and difficulty ambulating. Had difficulty word finding, speaking, ambulating altered sensation in her hands and feet.

Other Meds: sertraline (Zoloft)

Current Illness: none

ID: 0955910
Sex: F
Age: 42
State: FL

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Rash, Urticaria

Symptoms: Localized arm soreness about 6 hrs after 12 hrs after-began to feel ill, severe chills, mild nausea 20 hrs after injection- fever 101.8 and headache 27 hrs after fever down to 99.9, headache persistent

Other Meds: None

Current Illness: None

ID: 0955911
Sex: F
Age: 40
State: NC

Vax Date: 01/15/2021
Onset Date: 01/17/2021
Rec V Date: 01/19/2021
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: Approximately 3 days after my injection I began experience severe tremors Ib bilateral arms, bilateral legs, head, and vocal cord tremors as well as blurry vision and memory impairment. Unfortunately, the symptoms don't seem to be improving. My MD prescribed metoprolol, which I will begin today.

Other Meds:

Current Illness:

ID: 0955912
Sex: F
Age: 41
State: MD

Vax Date: 01/04/2021
Onset Date: 01/15/2021
Rec V Date: 01/19/2021
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: Gadolinium (MRI contrast) Erythromycin

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

Symptoms: 11 days after vaccination, I developed a large area (approximately 4 inches) of erythema at the injection site (left deltoid) along with warmth, swelling and itchiness. Also with left sided axillary swelling and pain and left neck pain. Swelling and pain resolved over 24 hours. Redness and itching resolved over 3-4 days.

Other Meds: Metformin 1500 mg once daily Aspirin 81 mg once daily Vitamin D 2000 units once daily Multivitamin

Current Illness: None

ID: 0955913
Sex: F
Age: 56
State: MO

Vax Date: 12/23/2020
Onset Date: 01/10/2021
Rec V Date: 01/19/2021
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: Compazine

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

Symptoms: December 23 through December 27 illness with chills, nausea, aches, feeling the whole covid experience in these few days all over again, extreme fatigue, tremors. Sunday January 10, Not feeling right, something wrong extreme fatigue, had to sit to do anything, January 10 pm and through the night severe chills, tremors. Monday, January 11 Knees left greater than right swelling and painful. Monday pm/evening ankles swollen and painful. 10 pm included wrists bilateral painful and not able to bear weight on wrists or ankles. Not able to perform knee flexion Tuesday January 12, severe joint swelling and soreness, bilateral knees, ankles, wrists to hand, stiff neck and not able to perform oral motor bite. Wednesday January 13, all joints swelling continues, difficult to move and weight bear.very painful at all joint sites Each night tremors and chills continue for at least one to 2 episodes. Thursday, January 14 continue including all joint swelling and pain Friday, January 15 attempt to see primary doctor, sent to urgent care. began Meloxicam. Symptoms begin to lighten on Monday January 18 with wrist pain continues as most severe.

Other Meds:

Current Illness:

ID: 0955914
Sex: F
Age: 51
State: IL

Vax Date: 01/06/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
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: PCN; no food allergies

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

Symptoms: I get Botox injections every 10-12 weeks for migraine prevention. Redness/red marks under both eyes with puffiness, itchiness/burning.

Other Meds: Dicyclomine HCL 10mg/1x-2x daily; Methocarbamol 500mg/as needed; Gabapentin 300mg/1x daily; Doxycycline 100mg/1x daily; Omeprazole 20mg/1x daily; Amitriptyline HCL 75mg/1x daily; Propranolol HCL 120mg x2/1x daily; Polyethylene Glycol Oral P

Current Illness: Chronic pain, including arthritis & migraine

ID: 0955915
Sex: F
Age: 57
State:

Vax Date: 01/05/2021
Onset Date: 01/13/2021
Rec V Date: 01/19/2021
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: Minor rash on the upper arm that the vaccine was administered that went away after couple of days.

Other Meds:

Current Illness:

ID: 0955916
Sex: F
Age: 38
State:

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/19/2021
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: Patient describes Chills, cold sweats, body aches and a severe headache

Other Meds:

Current Illness:

ID: 0955917
Sex: F
Age: 26
State: NY

Vax Date: 01/10/2021
Onset Date: 01/17/2021
Rec V Date: 01/19/2021
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: None stated.

Other Meds: Vitamin C, Vitamin D3, Placenta supplement

Current Illness: none

ID: 0955918
Sex: F
Age: 61
State: IL

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/19/2021
Hospital:

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

Lab Data:

Allergies: Contrast Dye for MRI, Tagreso

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

Symptoms: Chills, swelling, warm to touch , redness on the right arm inject site area and very itching

Other Meds: Blood Pressure, Vitamin B3 and fish Oil

Current Illness: No

ID: 0955919
Sex: F
Age: 45
State: PA

Vax Date: 01/11/2021
Onset Date: 01/19/2021
Rec V Date: 01/19/2021
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: yes

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

Symptoms: Patient noticed left arm redness and swelling about the size 2.5 inches x1.5 inches left arm-site of vaccination. Pt. states that it looks cellulitis.

Other Meds: yes

Current Illness: denies

ID: 0955920
Sex: F
Age: 50
State: NJ

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/19/2021
Hospital:

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

Lab Data:

Allergies: codeine & sulfa, almonds

Symptom List: Unevaluable event

Symptoms: My arm became sore about 6pm on 1/16/21 Shortly I noticed my sense of smell was diminished. On 1/17/20 I noticed my taste gone also so I scheduled a test. I feel completely fine aside from a slightly stuffy nose and lack of smell and taste. On 1/18/21 I received the positive results. I still feel completely fine. I have not been out or know of anyone with Covid.

Other Meds: Crestor 10mg, Aurovela Fe 1/20, Vascepa, multi vitamin, vitamin C, CoQ10, Zyrtec

Current Illness: none

ID: 0955921
Sex: F
Age: 17
State: NY

Vax Date: 01/15/2021
Onset Date: 01/19/2021
Rec V Date: 01/19/2021
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: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: Patient was 17 when vaccine was administered (authorized for 18 and older). No known adverse events.

Other Meds:

Current Illness:

ID: 0955922
Sex: F
Age: 35
State: ME

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
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:

Symptom List: Injection site pain, Pain

Symptoms: Error: Improper Storage (temperature)

Other Meds:

Current Illness:

ID: 0955923
Sex: F
Age: 63
State: NC

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/19/2021
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: Aching, HA and temp of 101.8, fatigue beginning night of 1/15. On 1/16, was fatigued, had swelling of hands and face. Now resolved.

Other Meds:

Current Illness:

ID: 0955924
Sex: M
Age: 26
State: IN

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/19/2021
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: Slight chills and some body aches, mild headache, all starting at night. Sore arm at injection site reaction. Vaccine was administered around 10am. Went to sleep and woke up with more severe headache, took Naprosyn, headache resolved. Chills and body aches were gone after sleeping. Some fatigue also present after waking up.

Other Meds: none

Current Illness: none

ID: 0955925
Sex: M
Age: 43
State: IN

Vax Date: 01/17/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
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: Seasonal allergies

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Nauseous headache chills fever All lasted about 18 hours

Other Meds: None

Current Illness: None

ID: 0955926
Sex: F
Age: 25
State: KS

Vax Date: 01/13/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
Hospital:

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

Lab Data:

Allergies: Na

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Syncope Woke up from a nap, stood up about 1 minute later I started seeing black and woke up on the floor. Went to ER and all tests and labs were normal.

Other Meds: Prozac

Current Illness: Na

ID: 0955927
Sex: F
Age: 25
State: WV

Vax Date: 01/07/2021
Onset Date: 01/11/2021
Rec V Date: 01/19/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Site: Swelling at Injection Site-Mild, Systemic: lymph nodes swollen in left armpit and pain radiating to elbow; symptoms lasted 6 days

Other Meds:

Current Illness:

ID: 0955928
Sex: F
Age: 77
State: CA

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/19/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Nausea

Symptoms: DIZZY AND CHEST TIGHTNESS

Other Meds: ELIQUISE

Current Illness: NA

ID: 0955929
Sex: F
Age: 30
State: AZ

Vax Date: 01/15/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain

Symptoms: I got an ear infection. Don't know if it's related to vaccine shot.

Other Meds: Gabapentin, Mirtazapine, Vitamin D3, Lo Loestrin Fe, 5MTHF,

Current Illness: None

ID: 0955930
Sex: F
Age: 49
State: PA

Vax Date: 12/21/2020
Onset Date: 12/22/2020
Rec V Date: 01/19/2021
Hospital:

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

Lab Data:

Allergies: Codeine

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

Symptoms: Dose #1, Day 2-Approx 24hrs after IM injection started with finger joint swelling/pain/limited ROM and difficulty grasping items by end of day. Day #3 Fingers improving. Day 4 Knees swollen and difficulty bending or climbing stairs, resolved by Day 5. Dose #2, Day 1- 12 hrs after injection started with joint stiffness in hands. Day #2 Finger joint swelling/pain. Day #3 finger,hand,shoulder,hip,knee and metatarsal pain/swelling/limited ROM. Day #4 (same as Day 3), DAY 5,6,7 symptoms improving: able to complete 12 hr shift at work. Day 8 finger/hand joint swelling/pain/stiffness

Other Meds: Zoloft, HCTZ, KCl, B-Complex, MVI, Pepcid

Current Illness: None

ID: 0955931
Sex: F
Age: 33
State: IL

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/19/2021
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: nkda

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

Symptoms: Felt lightheaded, laid pt back, Vital signs stable, cool compress. Pt States feels better, snack and drink and patient left.

Other Meds:

Current Illness:

ID: 0955932
Sex: F
Age: 43
State: MO

Vax Date: 12/27/2020
Onset Date: 01/04/2021
Rec V Date: 01/19/2021
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: Latex, Biaxin, EES, Augmentin, Esgic tabs

Symptom List: Tremor

Symptoms: Day 8 after my injection I formed a bump under the skin that was extremely itchy. By the end of day 8 it was bumped up and red. The bump only last 2 days. The redness continued for 3 more days. the itching just at the site of injection lasted day 8 to 13. The only other symptom I had was increase in mucus drainage.

Other Meds:

Current Illness:

ID: 0955933
Sex: F
Age: 53
State: UT

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/19/2021
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: Allergies to Darvon and Sulpha

Symptom List: Erythema, Pruritus

Symptoms: I experienced chills, body aches, back pain, dizziness, nausea, dry heaves and passed out. When I passed out, I bit my lower lip and it bled quite a bit. I had brain fog, and couldn't come up with the correct words. Also, I could not sleep that night, at all without taking a few sleeping pills. It has been a week since this happened and I still can't sleep on my own. I used to be able to go right to sleep without any sleeping pills within about 5 min after laying down at night.

Other Meds: Pantoprazole and Estradiol, 2 Tylenol PM the night before

Current Illness: none

ID: 0955934
Sex: F
Age: 66
State: KS

Vax Date: 01/11/2021
Onset Date: 01/19/2021
Rec V Date: 01/19/2021
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: NKDA or foods

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

Symptoms: Day two after injection my arm began to itch around the injection site, had rash that lasted 3 days above and below injection site. Used hydrocortisone to help with itching. Had a few hives also. Injection site very sore for 3 days also.

Other Meds: Ibuprofen, Vitamin D3, Loratadine, prevacid

Current Illness: No

ID: 0955935
Sex: F
Age: 66
State: NY

Vax Date: 01/17/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

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

Symptoms: Shivers, trembling, vomiting, general weakness, low blood pressure and slight fever. slept for 1.5 day Took three time my Hydrocortisone medication. Also took my BP medication and Tylenol.

Other Meds: Hydrocortisone, Losartan, Atorvastatin, Omeprazon, Myrbetriq,

Current Illness: none

ID: 0955936
Sex: F
Age: 54
State: MI

Vax Date: 12/30/2020
Onset Date: 01/09/2021
Rec V Date: 01/19/2021
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: Asthenia, Chills, Headache, Myalgia

Symptoms: Arm sore at injection site for a few days. I noticed several days later that my neck (part between neck & shoulder) was swollen. I had a few lumps. I had swollen lymph nodes.

Other Meds: MetFormin 1000 MG tablets - 1 tab by mouth twice daily Atorvastatin 10 MG Tabs - 1 tab per night Esomeprazole 20 MG (Nexium) - 1 daily

Current Illness: none

ID: 0955937
Sex: F
Age: 66
State: IA

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/19/2021
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: Morphine, propranolol, trees and grasses

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

Symptoms: Fever 101-102. Chills (wearing winter coat and several winter blankets to get warm), headache, feeling of eyes popping out of head, muscle aches all over, and exhaustion. Feel like I have covid all over again.

Other Meds: Gabapentin, carafate, aspirin, multi-vitamin, omeprazole, loratadine atorvastin. Carvedilol, multi vitamin , 2000 units vitamin D, multi vitamin arthritis tylenol prn.

Current Illness: Gastro intestinal flu.

ID: 0955938
Sex: F
Age: 22
State: OH

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/19/2021
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: N/A

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

Symptoms: Felt fine the rest of the night, but woke up and had body aches, chills, fatigue, headache, congestion, nausea, shortness of breath and low grade fever.

Other Meds: Apri, lexapro, wellbrutrin

Current Illness: N/A

ID: 0955939
Sex: M
Age: 80
State: MA

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/19/2021
Hospital:

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

Lab Data:

Allergies: No known allergies

Symptom List: Pain in extremity

Symptoms: Drop in blood pressure. Patient was monitored for 15 minutes and after, the patient was not at base. Patient was moved from chair to bed and was monitored constantly for 1 hour

Other Meds: N/a

Current Illness: Elderly

ID: 0955940
Sex: F
Age: 32
State: CA

Vax Date: 12/18/2020
Onset Date: 12/18/2020
Rec V Date: 01/19/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Angioedema (swelling of the lips) noted. Resolved within 2 hours of taking benadryl.

Other Meds:

Current Illness:

ID: 0955941
Sex: F
Age: 44
State:

Vax Date: 01/05/2021
Onset Date: 01/13/2021
Rec V Date: 01/19/2021
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: Minor rash and swelling in upper arm that lasted a few days

Other Meds:

Current Illness:

ID: 0955942
Sex: M
Age: 77
State: MN

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
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: Systemic: Fainting-Mild

Other Meds:

Current Illness:

ID: 0955943
Sex: F
Age: 46
State: ID

Vax Date: 12/23/2020
Onset Date: 01/08/2021
Rec V Date: 01/19/2021
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: Anesthetics, bee stings, Ibuprofen

Symptom List: Vomiting

Symptoms: Runny nose, HA (from "my eyeballs to the top of my head.") for 5 days - developed into a sore throat and a cough for 3 more days - has cleared up now.

Other Meds: Omeprazole, magnesium/oxide, fish oil, ergocalciferol, fluticasone

Current Illness: Mild sleep apnea

ID: 0955944
Sex: F
Age: 63
State: VA

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/19/2021
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: from 1201 am to 0515 am on 1/7/21--headache, neck pain, cold hands/feet, chills, nausea, low grade fever (99 degrees) treatment taken at 0515 am --1 dramamine, 2 tylenol 0800 am- headache, temp 98.3 0915 am- headache treatment- 1 advil pm 0815 pm- temp 99, chills treatment- tylenol 3 days post vaccine- headache, nausea (treatment advil pm, dramamine) 6 days post vaccine- headache, nausea (treatment advil pm, dramamine) 9 days post vaccine--headache, nausea (treatment advil pm, dramamine)

Other Meds:

Current Illness:

ID: 0955945
Sex: F
Age: 53
State: MA

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/19/2021
Hospital: Y

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: No known allergies

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

Symptoms: a couple hours after the vaccine, I experienced a bit of rapid heart rate, which resolved after a few minutes. The following day around 3 pm I began to have chills and felt like I had the raid heart rate again. By 5 pm I was beginning to feel really bad, I was freezing, chills and my heart rate was now extremely fast, I was having trouble speaking complete sentences, my husband drove me to the emergency department. I had a very high heart rate and high fever, I was admitted and in the hospital until Sunday afternoon. The diagnosis was pneumonia, I don't really believe this, as I felt fine and had no symptoms prior to the onset of the fever.

Other Meds: No medications

Current Illness: None

ID: 0955946
Sex: M
Age: 94
State: CA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/19/2021
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: Arm soreness

Other Meds:

Current Illness:

ID: 0955947
Sex: F
Age: 54
State: NH

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/19/2021
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 allergy (reaction unknown)

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

Symptoms: Fever (T max 101.5), HA, body aches and chills, fatigue Symptoms lasted approx 24 hours (approx 11 AM 12/30/2020 ? approx 12 noon 12/31/2020)

Other Meds: No medications taken at time of vaccine.

Current Illness:

ID: 0955948
Sex: F
Age: 64
State: CA

Vax Date: 01/11/2021
Onset Date: 01/13/2021
Rec V Date: 01/19/2021
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: Physical exhaustion, slept all afternoon, Got up around 6PM and went back to bed at 9 and slept from 9 AM till the next morning at 8AM. Felt tired all morning and no appetite ,and felt nauseous. Began feeling better around 2 PM.

Other Meds: none

Current Illness: none

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm