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: 0956000
Sex: F
Age: 57
State: CA

Vax Date: 12/28/2020
Onset Date: 12/28/2020
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:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Reported day following vaccination: headaches, unable to sleep, feeling very tired, and weakness beginning day of vaccination

Other Meds:

Current Illness:

ID: 0956001
Sex: F
Age: 45
State: NY

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

Lab Data:

Allergies: Sulfadoxine - sulfa, oral, rash or hives

Symptom List: Anxiety, Dyspnoea

Symptoms: After waiting 15 -20 mins, she informed her colleague she was not feeling well and noted she felt her heart racing and felt dizzy, taken to rapid response area, responded to NP and MD, vitals noted to be elevated from baseline to 130's/ mid 80's and initial HR of 160, on monitor noted to be around 120's subsequently, with SpO2 98% and higher, symptoms subsided within 30 mins and she was sent to ED for further monitoring and testing. In ED her vitals were back to baseline BP 90's/70's, HR 70's and SpO2 99-100%. Labs including Tryptase and terminal complement complex were drawn. no other symptoms subsequently and around 1330 hrs being planned from discharge from ED and discussed about following up with allergists here at the Patient. Is herself a Pediatrician and would like to have direct follow up from VAERS, so provided her phone number for communication as well.

Other Meds: Seasonique - OCP

Current Illness: No

ID: 0956002
Sex: F
Age: 58
State: MN

Vax Date: 01/18/2021
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: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Dilaudid

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

Symptoms: Patient reported feeling flushed and shaky 5 minutes after injection, then reported a "weird" feeling in throat that lasted about 2 minutes at around 12 minutes post-injection-Mild

Other Meds:

Current Illness:

ID: 0956003
Sex: F
Age: 38
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: unknown
Dose Series: UNK
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Small rash on the upper arm that the vaccine was administered that went away after a couple of days

Other Meds:

Current Illness:

ID: 0956004
Sex: F
Age: 48
State: PR

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

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

Symptoms: Patient had 2 adverse reactions with the same administration of vaccine (2nd dose). At the day of the vaccine, patient started with leg weakness and a sensation of "heaviness" and tremors. Received hydration at ER Room. But 2 days later, developed severe lymphadenopathy at axilla of the same arm (right) where received vaccine.

Other Meds: none

Current Illness: None

ID: 0956005
Sex: F
Age: 53
State: TN

Vax Date: 12/23/2020
Onset Date: 12/23/2020
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: none noted

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

Symptoms: Moderna COVID-19 soreness noted at the injection site for approximately 2 days. On the 14th of January, developed external earpain and a left sided neck ache ("like i slept on it wrong") used ice pack. On the 16th, Saturday morning, the left side of my face was numb, lips were numb and tingling, and inside of mouth was tingling. On the 17th, the symptoms had gotten worse and couldnt hold liquids in mouth due to lips drooping and loss of muscle control. went to ER that day and got diagnosed with bells palsy by Doctor. He prescribed a steroid and an antibiotic. on the 18th eye continues to droop, mouth drooping. on the 19th, eye not closing, mouth drooping toward left side, lips remain numb

Other Meds: symbicort, omeprazole, ibuprofen

Current Illness: sinus headache, typical for this time of year

ID: 0956006
Sex: F
Age: 25
State: CO

Vax Date: 01/12/2021
Onset Date: 01/12/2021
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: latex, caramel food coloring, citric acid

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Upon receiving the vaccination the onset of nausea, migraine, and arm aches were experienced. Several hours later the aches moved to upper body aches causing pain breathing. Upon night, dizziness had set in. I fell unconscious hitting my head and received treatment for a concussion. I am currently pending a CT Scan to check for brain bleeding.

Other Meds: Botox for migraines

Current Illness: None

ID: 0956007
Sex: F
Age: 45
State: MO

Vax Date: 01/06/2021
Onset Date: 01/11/2021
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: NKDA

Symptom List: Pharyngeal swelling

Symptoms: Mild cellulitis type of reaction

Other Meds: Norco 5-325 mg tablet Otezla 30 mg tablet

Current Illness: n/a

ID: 0956008
Sex: M
Age: 45
State: MA

Vax Date: 01/13/2021
Onset Date: 01/14/2021
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: None

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Approximately 22 hours after injection felt very lethargic, headache. Lasted for approximately 24 hours. Arm was sore for approximately 48 hours.

Other Meds: Tumeric, Vitamin D, Advair 500MG 2x day.

Current Illness: None. Positive for Covid-19 on November 27, 2020.

ID: 0956009
Sex: F
Age: 14
State: NY

Vax Date: 01/16/2021
Onset Date: 01/19/2021
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:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Patient was 14 when vaccine was administered (authorized for 18 and older). No known adverse events.

Other Meds:

Current Illness:

ID: 0956010
Sex: F
Age: 29
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:
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Symptoms within 15 minutes of vaccination. Staggering, flushed and dizzy. Low pulse. Passed out while sitting in the chair while waiting to go to ED. Regained conscious within 1 minute, disorientated, complaining of chest pain. Taken to ED - thought to be a vasovagal episode.

Other Meds:

Current Illness:

ID: 0956011
Sex: F
Age: 34
State: IL

Vax Date: 01/07/2021
Onset Date: 01/08/2021
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: Dye

Symptom List: Rash, Urticaria

Symptoms: Woke up feeling achy, chills, Feverish Low grade fever Estimated date of delivery 08/25/2021

Other Meds: IVF Progesterone

Current Illness: Na

ID: 0956012
Sex: F
Age: 48
State: HI

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:
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: redness, itching and swelling at injection site

Other Meds:

Current Illness:

ID: 0956013
Sex: F
Age: 23
State: MA

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

Lab Data:

Allergies: Denies

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

Symptoms: Per email received on 1/18-So I had my first dose of Pfizer?s covid vaccine last Friday (3pm). I experienced several side effects that day: lightheadedness, dizziness, fainting, nausea, throat constriction leading to shortness of breath and difficulty in swallowing, hives, flushed face, and fatigue. The throat constriction honestly frightened me and I almost went to the ER, but it eventually went away. For Saturday and Sunday, I developed fever, muscle ache, and extreme fatigue. Today, I thought it would get better but I still have fever and the extreme fatigue has not gone away. And unfortunately, as I am typing this, I think my tongue is getting quite swollen and is making it uncomfortable to breathe and swallow

Other Meds: Oral contraceptive

Current Illness: Denies

ID: 0956014
Sex: M
Age: 0
State:

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: 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: Severe Nausea, no other symptoms. Escorted pt to the ER for further evaluation.

Other Meds:

Current Illness:

ID: 0956015
Sex: F
Age: 72
State: FL

Vax Date: 01/16/2021
Onset Date: 01/17/2021
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: None

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

Symptoms: Fever. Headache Severe chills. Achy all over No energy Off and on headache

Other Meds: Antibiotic. Ompresol. Lisonopril. Vitamin D. SoCal. Biotin Cranberry pills. Vitamin C. Turmeric.

Current Illness: Urinatiry tract infection

ID: 0956016
Sex: F
Age: 54
State: NH

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

Other Meds:

Current Illness:

ID: 0956017
Sex: F
Age: 31
State: NY

Vax Date: 01/05/2021
Onset Date: 01/05/2021
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: 7 days of diarrhea, golf ball sized swollen lymph node in armpit, weakness,joint pain,dizziness, palpitations, elevated heart rate (120-140's)

Other Meds:

Current Illness:

ID: 0956018
Sex: F
Age: 61
State: CO

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: Swelling, heat, itching started a week after the shot (Sunday 01/17/2021). On Monday there was a lump at injection site (1.5" diameter), by Tuesday morning it was hotter and doubled in size. 5 hours later it has doubled again. More heat, hardness, swelling, redness.

Other Meds: HCTZ, Lisinopril, Thyrozine, Taltz, VitD3, over 50 organic vitamins, potassium, organic greens powder

Current Illness: None

ID: 0956019
Sex: F
Age: 32
State: MN

Vax Date: 01/15/2021
Onset Date: 01/15/2021
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:

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

Symptoms: Employee received the Covid 19 vaccine around 4pm on 1/15/21. Employee waited 15 minutes then returned to the floor her shift. Around 5:15 employee felt dizzy and has slight headache and stomachache. Employee passed out and hit head on floor and was not breathing. RN Charge at time called code blue and started compressions and gave employee O2. 911 was called, paramedics arrived and transferred via ambulance .

Other Meds:

Current Illness:

ID: 0956020
Sex: F
Age: 30
State: CA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
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: None

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

Symptoms: About 5 hours after receiving my first Moderna shot, I experienced extreme soreness on my left arm (arm that was injected) where it greatly hurt to move my arm. I also experienced intense headache, body aches, high fever (103), and was extremely tired. I took medication to help my pain and fever (NyQuil). This all lasted about 48 hours except the headache/tiredness continued for another day (72 hours). Saw on the news that my lot number dose the was dose that was recalled so I wanted to report this. I still have a bruise on my left arm where the injection was (5 days later).

Other Meds: Tri Sprintec birth control

Current Illness: None

ID: 0956021
Sex: F
Age: 35
State: IL

Vax Date: 12/23/2020
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: LA

Lab Data:

Allergies: None

Symptom List: Unevaluable event

Symptoms: A week following the injection, there was a welt, redness, and itching at the injection site that lasted about 3 days.

Other Meds: 100mg Zoloft once daily

Current Illness: None

ID: 0956022
Sex: F
Age: 58
State:

Vax Date: 12/30/2020
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: LA

Lab Data:

Allergies:

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

Symptoms: Small rash on upper arm where vaccine was administered that went away after couple of days

Other Meds:

Current Illness:

ID: 0956023
Sex: F
Age: 51
State:

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/19/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: No known allergies

Symptom List: Injection site pain, Pain

Symptoms: Fatigue, wheezing, soreness, palpitations

Other Meds: Patient took ibuprofen after vaccine and also albuterol inhaler

Current Illness:

ID: 0956024
Sex: F
Age: 33
State: VA

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: SYR
Vax Site: LA

Lab Data:

Allergies: Penicillin

Symptom List: Injection site pain, Menorrhagia

Symptoms: Swollen cheecks, red face and raised bumps on both right and left arm

Other Meds: None

Current Illness: None

ID: 0956025
Sex: M
Age: 17
State: NY

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

Lab Data:

Allergies:

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

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

Other Meds:

Current Illness:

ID: 0956026
Sex: F
Age: 63
State: NJ

Vax Date: 01/18/2021
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:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Error: Improper Storage (temperature)

Other Meds:

Current Illness:

ID: 0956027
Sex: M
Age: 38
State: NY

Vax Date: 01/14/2021
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: RA

Lab Data:

Allergies: Penicillin

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Tired Oral Thrush Sleepiness Anxiety

Other Meds: Airborne Elderberry Gummies

Current Illness: none

ID: 0956028
Sex: F
Age: 50
State: KY

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

Lab Data:

Allergies: Sulfa antibiotics- rash

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

Symptoms: Chills, feeling unwell, mild nausea lasting 5 hours

Other Meds: Calcium, turmeric

Current Illness:

ID: 0956029
Sex: F
Age: 39
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:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: penicillin allergy

Symptom List: Nausea

Symptoms: arm soreness within 2 hrs of injection. Around 1pm started to feel worn down, a slight headache, warm in the face and arm of injection site. Took temperature at 4pm recorded 101.8 F. I took 400mg ibuprofen tabs. Left Arm of injection site and body became sore and achy throughout the night. Continued to monitor my fever. The next morning at 6:30am, took my temperature and recorded 103 F, and again took more Ibuprofen. The body aches had gone away, only had an annoying and constant headache in the front and back of the head. Placed an ice pack on the head to relieve discomfort. My body started to get warm again around 1pm, I took my temperature and recorded 102.8. I then took some ibuprofen 400mg tabs. Still experiencing a headache and fever, so I had notified employee health and was told to report to VAERS.

Other Meds: none

Current Illness: none

ID: 0956030
Sex: F
Age: 54
State: PA

Vax Date: 01/04/2021
Onset Date: 01/13/2021
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: Injection site pain

Symptoms: on 1/14 face became red started palpitations, afib and chest pain.

Other Meds:

Current Illness:

ID: 0956031
Sex: M
Age: 16
State: NY

Vax Date: 01/14/2021
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:

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

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

Other Meds:

Current Illness:

ID: 0956032
Sex: M
Age: 46
State: CA

Vax Date: 01/13/2021
Onset Date: 01/15/2021
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: No Known Allergies, taking levothyroxine 50 mcg daily

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

Symptoms: I received the first dose of Moderna vaccination on 01/13/21. On 01/15/21 in the morning, I felt chest compression, chill, bad headaches, muscle pains, shortness of breath and cough. I went to test for Covid 19 and the result came back on 01/16/21 as positive of Covid 19. My initial symptoms were mild without fever, but it is hard to compare my symptoms since no prior reference. The symptoms are getting better, but I noticed my back (between T8 to T6) has pain. I have consulted medical doctors and health care professionals regarding of being tested as positive after vaccination. No one can answer if I should take the second dose of Moderna vaccine in 4 weeks as scheduled, or I should wait for 90 days and start

Other Meds: N/A

Current Illness: N/A

ID: 0956033
Sex: F
Age: 35
State: MA

Vax Date: 01/04/2021
Onset Date: 01/12/2021
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: Clinda,augmentin,keflex

Symptom List: Tremor

Symptoms: Significant joint pain. Started in bilateral knees and progressed to all other joints

Other Meds: Xyzel VitaminD Nasocort

Current Illness: Sinusitis

ID: 0956034
Sex: M
Age: 48
State: CA

Vax Date: 12/29/2020
Onset Date: 12/29/2020
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: environmental, animals, pet dander.

Symptom List: Erythema, Pruritus

Symptoms: About 10 min after the vax I started feeling tingling in my mouth and my tongue felt swollen, out of place. They sent me to the ER for observation and after receiving the Epinephrine, I felt much better after about 2 hours or so. They kept me for observation until 7PM.

Other Meds: no

Current Illness: no

ID: 0956035
Sex: F
Age: 36
State: WA

Vax Date: 01/09/2021
Onset Date: 01/18/2021
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: Penicillin Allergy

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

Symptoms: Redness encircling the injection site appeared on 1/18. The redness is about 4 inches long and 3 inches wide with a darker red border around the area.

Other Meds: Phentermine 37.5mg once per day

Current Illness: none

ID: 0956036
Sex: F
Age: 59
State: KY

Vax Date: 01/16/2021
Onset Date: 01/17/2021
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: 12 hours after vaccination: temp of 102-103 for ~24 hours, followed by severe fatigue for another ~24 hours

Other Meds: none

Current Illness: none

ID: 0956037
Sex: F
Age: 64
State: NJ

Vax Date: 01/04/2021
Onset Date: 01/19/2021
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: Local reaction, circular redness 45mm X 50mm slight induration and slightly warm to the touch.

Other Meds: NONE

Current Illness: NONE

ID: 0956038
Sex: F
Age: 43
State: MO

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:

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

Symptoms: Rash on both arms and swelling in eyes

Other Meds:

Current Illness:

ID: 0956039
Sex: F
Age: 60
State: NY

Vax Date: 01/04/2021
Onset Date: 01/05/2021
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:

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

Symptoms: Redness at inj. site silver dollar size, shoulder and neck pain for one week with tingling on left side of face Date of Onset: 1/5/2021 Patient took tylenol. No follow-up with any healthcare provider

Other Meds:

Current Illness:

ID: 0956040
Sex: F
Age: 50
State: CA

Vax Date: 01/17/2021
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: Pain in extremity

Symptoms: swelling pain in arm on injection site body aches fever diarrhea

Other Meds:

Current Illness:

ID: 0956041
Sex: F
Age: 64
State: TX

Vax Date: 01/08/2021
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: 2
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: Hives to trunk, arms, groin face neck and lip area began 11 days post vaccine. Treatment include Benadryl with no improvement.

Other Meds:

Current Illness:

ID: 0956042
Sex: F
Age: 47
State: IN

Vax Date: 01/17/2021
Onset Date: 01/17/2021
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: NKA

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

Symptoms: Chills, Fever of 102.6, Loose Stools, Headache, Fatigue

Other Meds: Multi Vitamin, Spirnilactone 10 mg

Current Illness: None

ID: 0956043
Sex: F
Age: 39
State: MD

Vax Date: 12/31/2020
Onset Date: 01/07/2021
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: NKDA

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

Symptoms: SWELLING, REDNESS, MILD ITCHING AT SITE OF VACCINE

Other Meds: LEVOTHYROXIN

Current Illness:

ID: 0956044
Sex: F
Age: 46
State: TN

Vax Date: 12/23/2020
Onset Date: 12/27/2020
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: latex

Symptom List: Vomiting

Symptoms: On 12/26/20 at approximately 6:40 in the morning, I awoke with very watery eyes, excessive clear mucus from the nose and excessive sneezing (approximately 20 per hour). I took diphenhydramine & loratadine around 7:45. The symptoms did not reduce so I took another diphenhydramine at noon and finally another at 6 pm. The following day the symptoms were less and loratadine & 1/2 diphenhydramine was taken in the morning

Other Meds: diphenhydramine, loratadine

Current Illness: None

ID: 0956045
Sex: M
Age: 21
State: CT

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: SYR
Vax Site: LA

Lab Data:

Allergies: penicillin

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: about 5-7 minutes after injection I began to feel dizzy and very weak with tachycardia. ~140 BPM, seeing stars, and unable to concentrate (feeling as I will pass out) Symptoms lasted for about 10 minutes and recovered gradually on its own.

Other Meds: n/a

Current Illness: n/a

ID: 0956046
Sex: F
Age: 62
State: NH

Vax Date: 01/18/2021
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: RA

Lab Data:

Allergies:

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

Symptoms: Error: Improper Storage (temperature)

Other Meds:

Current Illness:

ID: 0956047
Sex: F
Age: 16
State: MI

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

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: ,Was given vaccine and approved age is 18

Other Meds:

Current Illness:

ID: 0956048
Sex: F
Age: 68
State: TX

Vax Date: 01/08/2021
Onset Date: 01/08/2021
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: Talc allergy

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

Symptoms: Started with uncontrollable chills that lasted 1 hr , Fever. The next day ( saturday)tiredness , headache joint pains , muscle pains , chest pains and nausea as well as Fatigue . I started taking Tylenol 500mg po q 6 hrs and that improve the sxs. The site of the injection was extremely red and swollen as well as lymphadenopathy underneath the left arm ( site of injection). The next day ( sunday) I noticed a swelling underneath the axilla going on top of the bra with blood exudate and looked as if I had bumped an object. The weakness continued during the next week and slowly the tiredness got better ( TOOK AT LEAST 7-10 DAYS).

Other Meds: Spark- Advocare

Current Illness: NONE

ID: 0956049
Sex: F
Age: 60
State:

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

Lab Data:

Allergies:

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

Symptoms: Redness at inj. site silver dollar size, shoulder and neck pain for one week with tingling on left side of face Date of Onset: 1/5/2021 Patient took tylenol, no follow-up with provider

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm