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: 0957519
Sex: F
Age: 58
State: CA

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/20/2021
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: temp 101.6 fatigue N & V lasted approx 36 hours

Other Meds: none

Current Illness: none

ID: 0957520
Sex: F
Age: 48
State: WA

Vax Date: 01/10/2021
Onset Date: 01/18/2021
Rec V Date: 01/20/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

Symptom List: Anxiety, Dyspnoea

Symptoms: Starting on the 18th, I noticed the area was suddenly itchy and when I looked at it, there was a large red oval area surrounding the injection site with raised welts. Without any treatment until that evening, the itchiness faded and the welts went away. Hydrocortisone was applied in the later evening. On the 19th, the area is still red and covers a large part of the upper arm with some slight itching occasionally

Other Meds: None

Current Illness: None

ID: 0957521
Sex: F
Age: 32
State: CO

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/20/2021
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: Amoxicillin, penicillin, sulfa, doxycycline, latex, shell fish

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

Symptoms: Headache x5 days, hives, sore throat, stomach cramps, nausea, vomiting, fatigue, diarrhea, body aches, fever. All symptoms lasted 5 days. Motrin and Tylenol, Benadryl and anti nausea.

Other Meds: None

Current Illness: None

ID: 0957522
Sex: F
Age: 34
State: TX

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/20/2021
Hospital:

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

Lab Data:

Allergies: sulfa

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: I had tingling in my face. Its on and off and has been going on since the day of the vaccine. Its sometimes on the right side of my face then goes away but mostly its on my lips/mouth area. the tingling comes and goes. Its wierd.

Other Meds: one a day multi vitamin, vitamin d3 5000mg

Current Illness:

ID: 0957523
Sex: F
Age: 37
State: CA

Vax Date: 01/10/2021
Onset Date: 01/17/2021
Rec V Date: 01/20/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: One week after vaccine my arm below the injection site broke out in a circular bumpy red rash that itches.

Other Meds: Birth control pills

Current Illness: None

ID: 0957524
Sex: U
Age: 33
State: CA

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/20/2021
Hospital:

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

Lab Data:

Allergies: sulfa, PCN, morphine, dilaudid, fentanyl. Celiacs diseases: soy, gluten, grains, corn, nuts, beans, sensitivity

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

Symptoms: He ( female to male transgender) started with tingling in left arm and hand, then itching in different places. Then developed hives on face and back. Given benadryl about 15 min after very first symptom started. The hives and itching stopped and he never needed epinephrine. Never had respiratory or throat symptoms. He was discharged home and needed no further treatment later.

Other Meds: testosterone cypionate 100mg subq weekly, CoQ10. Potassium, and carnations supplements

Current Illness: none

ID: 0957525
Sex: F
Age: 21
State:

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/20/2021
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: No

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: 1st covid shot. 12 hours after, developed pain at injection site and muscle pain all over body. 24 hours after, developed severe headache and fatigue

Other Meds:

Current Illness: No

ID: 0957526
Sex: F
Age: 36
State: AZ

Vax Date: 01/17/2021
Onset Date: 01/18/2021
Rec V Date: 01/20/2021
Hospital:

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

Lab Data:

Allergies: Codeine

Symptom List: Pharyngeal swelling

Symptoms: The following day @1:30pm on 1/18/21 I started feeling achy like I had a fever, chills, pains in my body all through the night. This morning on 1/20/21 I had a horrible migraine that lasted till 3:30pm. All the symptoms went away by 4:30pm

Other Meds: None

Current Illness: None

ID: 0957527
Sex: U
Age: 61
State: OH

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/20/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: 1/6/2021-vaccine @ 1506. Within an hour, felt nausea, headache, and horrible taste. In approximately 24 hours, felt very ill. Slept 4 hours. Woke with over 101 temp, chills, slight cough, and previous symptoms. By 3 am, fever up past 102 with body aches as well as the previous symptoms. Slept 2 1/2 days. Fever finally gone 1/10/2021. Headache finally subsided 1/13/2021. Nausea subsided 1/14/2021. Slight cough still lingering. One great note, my Covid-hands seemed to have possibly cleared. The swelling in my knuckles & palms of both hands seems to have disappeared after the vaccine!

Other Meds: TYLENOL, SYNTHROID, LIPITOR, CLARITIN, K, ZINC,, HYDRIURIL

Current Illness: , HYPOTHYROIDISM, HYPERTENSION, HYPERLIPIDEMIA, HYPOKALEMIA

ID: 0957528
Sex: F
Age: 53
State: OR

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/20/2021
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: linsinopril and penaceline

Symptom List: Diarrhoea, Nasal congestion

Symptoms: ? headache ? muscle pain ? chills ? joint pain nausea swollen lymph nodes (lymphadenopathy) Swelling of your face and throat ? A fast heartbeat ? A bad rash all over your body ? Dizziness and weakness

Other Meds: metformine hlc xr carvedilol low asprin atorvastatin clopdigrel amlodpine

Current Illness:

ID: 0957529
Sex: M
Age: 76
State: ID

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/20/2021
Hospital:

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

Lab Data:

Allergies: Cats, Dogs, dust mites, strawberries

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

Symptoms: About 8pm I began t experience total body itching. At 11pm the itching was too much to allow for sleep. I took two Gabapintin 300mg. At 4AM I went to sleep. I contactedmy dermatologist. He suggested the vaccine may have started a Grover's response. He asked that I add Zyrtec (over the counter) to my meds. He asked that I continue hydrating my skin with Vanicream cream. I folllowed his advice. The itching stopped on Sunday. I continued with the Zyrtec but stopped the Gabapintin. Today, Tuesday, I am having muscle tightening, especially in my legs.

Other Meds: Atenolol 25mg, Doxazsin 4mg, Simvastatin 40mg, Ramipril 10mg, Pioglitazone30mg, fluticasone Propionate 50mcg. Azelstine HCI .1% solution

Current Illness: Under treatment for Grover's Disease, an anti-immune condition. It had mostly quieted down, meaning no blistering, no rashes and no itching.

ID: 0957530
Sex: F
Age: 24
State: NY

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/20/2021
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: n/a

Symptom List: Rash, Urticaria

Symptoms: body aches, chills, fever and vomiting

Other Meds: n/a

Current Illness: n/a

ID: 0957531
Sex: F
Age: 73
State: CT

Vax Date: 12/24/2020
Onset Date: 01/02/2021
Rec V Date: 01/20/2021
Hospital:

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

Lab Data:

Allergies: thimerosol, nickel

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

Symptoms: On day 8 my arm became red from my injection site to just above my elbow. It was itchy and sore and somewhat swollen. A surgeon friend recommended doxycycline because he thought it was cellulitis. And I took Benadryl 50mg. I took Doxy and Benadryl at night and in the AM. I took the Benadryl 2 hours prior to the Doxy and it was looking less red before I even took the Doxy. After consulting with my own doctor in the AM, she advised me to stop the doxy and the benadryl and let nature take it's course. he redness subsided with 4 days and it was much less itchy. It was still a bit sore but that resolved within a week. I did not see the doctor in her office. I sent her a picture of my arm and we talked on the phone.

Other Meds: none

Current Illness: none

ID: 0957532
Sex: F
Age: 42
State: CA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/20/2021
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: topical iodine

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

Symptoms: Initial difficulty breathing and altered mental status, with hypertension 152/98 at 15 minutes (no other vitals available), gradually improving over about 30 minutes, followed by severe fatigue

Other Meds: DHEA, misoprostol, bupropion, hydrocortisone, synthroid, moteg

Current Illness: no acute illness

ID: 0957533
Sex: F
Age: 35
State: IA

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/20/2021
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: Environmental, Biaxin, Penicillin, Cefaclor, & Reglan

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

Symptoms: She reported to start to feel unwell around 9 pam - achey, tired, sore right arm & feverish. 11 pm Temp 102, by midnight was 104. She took a bath and tylenol around 1 am and temp only fell to 102. Woke the next am and was again 104. Breathing was fine. Friday 1/15/2021 by 2 pm she was still having fevers to 103.6 and was in contact with the experts she is seeing. I did not hear back again until 10 am Saturday 1/16/2021 when the fever had finally gone and she was still with right arm pain and a little headache. As of today 1/19/2021 other than her symtpoms for which she is seeing specialty care, she is back to baseline.

Other Meds: Sertraline, Trazodone, Breo Ellipta Loratidine, Iron

Current Illness: None

ID: 0957534
Sex: F
Age: 42
State: MD

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/20/2021
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: Z-pack, ketoconazole, stone fruits, carrots

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

Symptoms: Intense chills onset about 12h after vaccine and lasted for 3-4 hours, with a max temp of 101.2 that lasted around another 20 hours. Muscle aches, weakness, fatigue and decreased appetite for duration of fever. Took excedrin for severe headache once fever broke. Symptoms completely resolved 12h later, after sleeping.

Other Meds: None

Current Illness: None

ID: 0957535
Sex: F
Age: 39
State: AK

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/20/2021
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: Metformin Flagyl

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

Symptoms: Caused my Fibromyalgia to flare, started have inflammation in my joints especially my ribs, headaches, dizziness, nausea, anxiety was also having RUQ pain which hasn?t been figured out yet. My bones and muscles and joints and tissue hurt.

Other Meds: Vitamin C Vitamin D Multivitamin Probiotic Zyrtec Omeprazole Pepcid Ibuprofen

Current Illness: None

ID: 0957536
Sex: M
Age: 67
State: AZ

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/20/2021
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: Rigors for 2 hours. Needed to take an NSAID to stop them.

Other Meds:

Current Illness:

ID: 0957537
Sex: F
Age: 33
State: OK

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

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

Lab Data:

Allergies: ibuprofen, penicillin, tylenol

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: left pupil dilated

Other Meds: thc

Current Illness: none

ID: 0957538
Sex: F
Age: 28
State: RI

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/20/2021
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: After receiving the vaccine I felt HOT, JUST NOT RIGHT. IT WAS ABOUT 30 MINUTES DRIVING HOME WHEN MY THROAT SWELLED UP. DIFFICULT DRINKING, MY BODY BECAME VERY ITCHY. I PULLED OVER TOOK A BENADRYL. MADE IT HOME AND TOOK 2 MORE BENADRYL. FOLLOWING DAY I FELT SO DIZZY, WEAK STILL ITCHY WITH SWOLLEN THROAT I TOOK 2 MORE BENADRYL THAN ABOUT 2PM I HAD TO WAKE UP TO PICK MY DAUGHTER FROM SCHOOL JUST FROM WALKING DOWN THE STAIRS I BECAME SO DIZZY, MT FACE WAS FLUSHED. HAD NO CHOICE BUT TO CALL AN AMBULANCE AT THE HOSPITAL THEY GVE ME A EPIPEN FEW HOURS LATER SENT HOME. 3 DAYS STRAIGHT MY THROAT STILL SWOLLEN, FATIGUE JUST NOT MYSELF. BUT I CANNOT SEEM TO GET ANY HELP. MY PRIMARY CARE DOCTOR DOESNT KNOW ANYTHING SHE IS CONSTANTLY GOOGLING EVERYTHING. I CANNOT TRUST WHAT SHE SAYS AS SHE DOES NOT SEEM VERY EDUCATED. I NEED A NEW pCp . WELL ANYWAY I NEED TO KNOW WHAT I AM ALLERGIC TO AND IF IT IS SAFE TO GET THE SECOND VACCINE. ALSO HOW LONG ARE THESE SYMPTOMS SUPPOSE TO LAST BECAUSE I NEED TO GET BACK TO MY DAILY ACTIVIES AND WORK BUT DOING BASIC CHORES ETC WIPES ME RIGHT OUT. I NEED GUIDANCE ASAP

Other Meds: Took lots of Benadryl. Than Friday afternoon rushed to the hospital

Current Illness:

ID: 0957539
Sex: F
Age: 58
State: NJ

Vax Date: 01/07/2021
Onset Date: 01/14/2021
Rec V Date: 01/20/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: BACTRIM, PENICILLIN, FLOXIN

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

Symptoms: I TAKE ZYRTEC DAILY FOR ALLERGIES AND OUR CAT. 01-14, 7 DAYS AFTER VACCINE, AT INJECTION SITE, ITCHY AND 2 SMALL RED MARKS. IN THE MORNING, IT WAS A RED PATCH ABOUT 1 INCH WIDE AND 2 INCHES LONG. OVER THE WEEKEND, IT CONTINUED TO GET LARGER. 01-19 I SAW PCP IT WAS ABOUT 4 INCHES WIDE AND 5 INCHES LONG. SAME DAY MET WITH MEDICAL CENTER'S CORPORATE CARE. BOTH ADVISED ME TO SEE AN ALLERGIST AND STAY ON THE ZYRTEC. I HAVE AN APPOINTMENT FOR THE ALLERGIST ON 02-02-21 AND TO SEE IF I'LL BE CLEARED FOR MY SECOND INJECTION DOSE ON 02-04-21

Other Meds: ZYRTEC, VITAMIN C, CALCIUM, VITAMIN D, MULTI-VITAMIN

Current Illness: NONE

ID: 0957540
Sex: M
Age: 70
State: LA

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/20/2021
Hospital:

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

Lab Data:

Allergies: Reaction (slight fever, typhoid symptoms ,mild) to typhoid vaccine at initial military innoculation. Temporary effects less than 36 hours.

Symptom List: Unevaluable event

Symptoms: Soreness in site of injection. Soreness spread over next several days through connective muscle tissue traveled through back shoulder muscles and front pectoral muscles and upward thru neck muscles. Soreness diminished as it traveled outward and dissipated completely after 5 - 7 days

Other Meds: finasteride 5mg rosuvastatin 20mg metformin multivitamin fish oil w/vitamin D2

Current Illness: none

ID: 0957541
Sex: F
Age: 66
State: CO

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/20/2021
Hospital:

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

Lab Data:

Allergies: n k

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

Symptoms: fever aches and pains dizzy headache lasted about 24 hours

Other Meds: none

Current Illness: none

ID: 0957542
Sex: M
Age: 18
State: OR

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/20/2021
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: N/A

Symptom List: Injection site pain, Pain

Symptoms: High fever of 102.5 that couldn't go down with ibuprofen or acetaminophen, achy joints, lethargic, loss of taste and smell.

Other Meds: desvenlefaxine: 25 mg, prazozine: 15 mg, methylphenidate: 10 mg.

Current Illness: N/A

ID: 0957543
Sex: F
Age: 56
State: AR

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

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

Lab Data:

Allergies: Various allergies related tp pets, grasses, trees, dust, mold, etc.

Symptom List: Injection site pain, Menorrhagia

Symptoms: Approximately 15 minutes after injection, I began to experience chest tightness and labored breathing similar to the early onset of an asthma attack. The rescue inhaler helped reduce the effects but did not fully eliminate them. The Symbicort Inhaler also helped with breathing but not chest tightness. Although not severe, effects continued to linger 10 hours after injection.

Other Meds:

Current Illness: None

ID: 0957544
Sex: M
Age: 23
State:

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/20/2021
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: NKA

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

Symptoms: Pt reported to clinic for 1x left axillary lymph node enlargement secondary to COVID-19 vaccination, pain 7/10 and swelling the size of a ping pong ball. No anaphylaxis. Pt reported to clinic on 20 Jan 2021, 5 days after swelling presented.

Other Meds: None

Current Illness: None

ID: 0957545
Sex: M
Age: 47
State: OH

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/20/2021
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: Latex tape

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Patient felt tightness in jaw within 15 minutes of administration of vaccine. Patient developed bright red maculopapular rash over vaccine administration site (right deltoid) 45 minutes after delivery of the vaccine. Rash spread rapidly to encompass entire upper arm and right shoulder. Within two hours, edema developed- area appeared bright red, hot to the touch, with obvious and palpable edema. That evening, patient self administered an OTC H1 antagonist (Zyrtec 10mg PO), and contacted PCP. Patient was instructed to add an H2 antagonist in the evening (famotidine 20mg PO), and go to the ER if condition worsened. Patient now taking a combination of H1 and H2 antihistamines, which slowed the spread of the edema and rash, but not yet eliminated it. Patient now at initial onset + five days and is still symptomatic, but condition has not worsened. Still monitoring.

Other Meds: Linaclotide 145mg QD

Current Illness: None

ID: 0957546
Sex: F
Age: 61
State: HI

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/20/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Slightly sore left deltoid, cleared up in a few days. 16 hours after shot, experienced the dramatic sensation of tilting while sitting on a couch. Had I been driving, this would likely have caused an accident. This is the first time I have ever experienced this feeling. There were 2 or 3 other episodes of feeling like I was falling. 2 of this happened while lying down. They were sudden sensations that made me gasp. Spent most of 1 week in bed with fatigue, vertigo, and 2 times vomiting. Vomiting occurred day 2 post vaccine. Fatigue was continuous for about a week. At day 16 now, certain movements still illicit vertigo. All vertigo symptoms have lasted under 1 minute. However, some have been back to back, such as after repositioning multiple times in bed. Ears have felt very full for almost 2 weeks. Certain head positions or movements, still illicit sensations of the room moving. There was no specific headache, but my head did not feel good for about 2 weeks. There was no fever, but there was chilling one night, a couple of days after the vaccine. I don't know if getting 2nd vaccine is wise.

Other Meds: Escitalopram 20mg daily, Zolpidem 5mg nightly, Turmeric supplement 1000mg daily, Folic Acid 1mg daily, Fish Oil 1400mg daily, Calcium 600mg daily, Vitamin D3 800 IU daily, Shakley NutriFeron 500mg daily (contains- zinc oxide, copper carbona

Current Illness: none

ID: 0957547
Sex: F
Age: 50
State: VA

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
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: immediately after injection I began to sweat. then about 2 hours post injection, I began feeling nauses and close to vomiting. bad headache with Dizziness with light making the headache worse, I also would have intermittent chills then feel flush like my face was burning. I could not turn my head to fast I would get very Dizzy and more nauses. If I kept in one position in a semi supine state I felt ok not great but could tolerate it. I also had to keep the bright lights out of my eyes.

Other Meds: Victoza, Metforman, Levemere, Regular as needed, Cholesterol med, Voltarin, Ambian, Cymbalta med for bladder controll Metoprolol and another heart med. nka

Current Illness: NIDM, 60% heart blockage. neuropathy

ID: 0957548
Sex: F
Age: 64
State: CA

Vax Date: 01/17/2021
Onset Date: 01/18/2021
Rec V Date: 01/20/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Nausea

Symptoms: Moderna COVID-19 Vaccine EUA At about 8 pm the day following my vaccination; I started to experience sharp needle-like pain at the site of injection (left arm). It was brief. Immediately following that pain, the fingers on my left hand went numb and I couldn't feel them -- particularly my pinky and ring fingers. I could move my fingers but they were numb. I did not have a fever. This lasted about 2 hours. I iced the site of injection, kept my hand above my shoulder and massaged my fingers for the duration (about 2 hours). When this first occurred my heart was racing -- but that might have been because it scared me. I feel fine today.

Other Meds: vitamin C daily generic vitamins

Current Illness: none

ID: 0957549
Sex: M
Age: 26
State: WI

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
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: Headache, fever of 101.2, body aches, chills, fatigue. Lasted one day.

Other Meds: None

Current Illness: None

ID: 0957550
Sex: F
Age: 72
State:

Vax Date: 01/09/2021
Onset Date: 01/16/2021
Rec V Date: 01/20/2021
Hospital:

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

Lab Data:

Allergies: Statins (myalgias0

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

Symptoms: Local reaction at injection site with pruritis, edema, & erythema. L upper arm w/ erythematous macular rash. 3.5 x 3" in total size. Slightly firm portion 1 x 3/4 x 3".

Other Meds: Took a benadryl, Aspercreme, anti-itch cream & few ibuprofen.

Current Illness: None.

ID: 0957551
Sex: M
Age: 29
State: AZ

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
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: None known

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

Symptoms: Onset of fatigue and mild nausea at 7:00 PM, headache started around 8:00 PM, developed severe chills around 9:00 PM that lasted until development of fever around 10:30/11:00 PM. Fever currently persists as of now (12:06 AM)

Other Meds: None

Current Illness: None

ID: 0957552
Sex: F
Age: 78
State:

Vax Date: 12/29/2020
Onset Date: 12/31/2020
Rec V Date: 01/20/2021
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: ativan, fentanyl, PCNs, injectable steroids, statins

Symptom List: Tremor

Symptoms: Local injection site reaction: erythema, edema, pain. 4" x 3.5" Erythematous macular lesion @ L upper arm Firm/ edematous region: 3x 2.5" & superior portion of lesion

Other Meds: amlodipine, ASA, bystolic, levothyroxine

Current Illness: None.

ID: 0957553
Sex: F
Age: 32
State: NJ

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/20/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Erythema, Pruritus

Symptoms: Chills and shivering from 9:00pm 1/12/21 until 01:00am 1/13/21, followed by fever of 101.2 and fatigue until 8:00pm 1/13/21.

Other Meds: None

Current Illness: None

ID: 0957554
Sex: F
Age: 0
State: SC

Vax Date: 04/03/1982
Onset Date: 01/06/2021
Rec V Date: 01/20/2021
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: None

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

Symptoms: Increasing redness, heat and swelling, similar to cellulitis in appearance, occurred 7 days post vaccination. In a span of 48 hrs, redness and swelling had increased past two circles drawn to mark spread. (pictures available upon request)

Other Meds: None

Current Illness: None

ID: 0957555
Sex: M
Age:
State: NY

Vax Date: 10/02/1982
Onset Date: 01/01/2021
Rec V Date: 01/20/2021
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: PCN

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

Symptoms: I am a registered nurse at hospital. On 12/25, seven days after receiving the shot I started to get right lower leg pain and I kept complaining about it till New Years Day. I had no symptoms of a DVT. I triaged on 1/1/21 and the doctors ordered labs/imaging and the results were as followed: D-Dimer biomarker (+) , Ultrasound of the Rt lower leg ( - ) , CTA showed a PE (segmental right upper lobe pulmonary artery consistent with pulmonary embolus). I was discharged on Xarelto and advised to follow up with a hematologist. On 1/5/2021, I went to hematology and they did a whole bunch of labs. I was sent to get a ultrasound of the leg because the pain persist and they found a clot hidden by my soleus. The plan is to continue on the Xarelto for 6 months. Come back in 3 weeks to scan my leg again and get my lab results. On 1/12/2021, I received the 2nd shot of the Pfizer vaccination.

Other Meds: Vitamin D, Zinc, Descovy

Current Illness: N/A

ID: 0957556
Sex: M
Age: 68
State: FL

Vax Date: 01/15/2021
Onset Date: 01/17/2021
Rec V Date: 01/20/2021
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 known

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Vacinnated on Friday..following Sunday evening noticed bumps, blisters, hives on both of my hands in the pad areas of my hands. extended into the tips of index fingers and thumbs. very sensitive to the touch. I took some Benedril which helped with swelling. that was the most severe after effect. I'm pretty sure it was the vaccine because i had not been anywhere that weekend and had not put my hands on anything unusual that i don't normally touch. It only happened to my hands. Other than that i had minor flu like symtoms from the shot, achiness and slight fatigue feeling. I had an ER doctor look at my hands when i went in today to get help for my bronchitis, which i had some before the covid shot. It got worse on Monday. He perscribed prednisone which has pretty much taken the hand spots away..i was tested negative for covid today(1/19/21) by the way.

Other Meds: pot chor 10meq once daily, pradaxa 150mg x2, atorvastaton 80mg, aspirin 81, esomeprazole 40mg, finestreide 5mg, entresto 24/26 x 2, carvedilol 25 mg x 2, anastrozole 1 mg twice a week, Testosterone 1ml every ten days, Edex 20mcg as n

Current Illness: Bronchitis (covid tested negative 1/19/21

ID: 0957557
Sex: F
Age: 27
State:

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 01/20/2021
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: PRURITIS AND ERYTHEMA AROUND THE INJECTION SITE.

Other Meds: NAPROXEN, VANICREAM, AND AMITRIPTYLINE

Current Illness:

ID: 0957558
Sex: F
Age: 74
State: DC

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 01/20/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Nausea, hot flash type of feeling, cold sweat, chills, fatigue

Other Meds: Nexium, Trulance, Flexeril, Prolia, multi-vitamin, Vit. D, Magnesium

Current Illness: None

ID: 0957559
Sex: F
Age: 28
State:

Vax Date: 01/04/2021
Onset Date: 01/10/2021
Rec V Date: 01/20/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List: Pain in extremity

Symptoms: REDNESS AND ITCHING AT SITE

Other Meds: UNKOWN

Current Illness: NONE

ID: 0957560
Sex: F
Age: 58
State:

Vax Date: 01/11/2021
Onset Date: 01/13/2021
Rec V Date: 01/20/2021
Hospital:

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

Lab Data:

Allergies: DILAUDID, CIPRO, SEPTRA, PERCOCET, ADHESIVE TAPE

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

Symptoms: BODYACHES AND HEADACHE 48HRS POST VACCINE

Other Meds: UNK

Current Illness: HTN, SLEEP APNEA, MIGRAINES

ID: 0957561
Sex: F
Age: 48
State:

Vax Date: 01/05/2021
Onset Date: 01/12/2021
Rec V Date: 01/20/2021
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: pt c/o localized reaction after COVID Vaccine 9 days ago on 5 Jan 2021 on L Deltoid. 1 day after the vaccination pt felt tired that improved within 24hrs. started to develop rash with itchiness on the site x 2 days ago, getting bigger in size

Other Meds: SYNTHYROXINE

Current Illness:

ID: 0957562
Sex: F
Age: 23
State: MI

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/20/2021
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: On 01/14, I started my morning being nauseous, very dizzy (feeling like I was going to pass out). Later that day I had moderate body aches, headache, extreme fatigue, and hot flashes. The fatigue and hot flashes lasted all the way until 01/16. And I was back to normal by 01/17.

Other Meds:

Current Illness:

ID: 0957563
Sex: F
Age: 41
State: CA

Vax Date: 01/11/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
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: Baseball size redness, feels very hot, itchy and firm to touch on injection site, on day 8 since the vaccination

Other Meds: Multi vitamins

Current Illness: None

ID: 0957564
Sex: M
Age: 19
State:

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/20/2021
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: NKA

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: HA, FEVER, CHILLS, BODYACHES

Other Meds: UNK

Current Illness: NONE

ID: 0957565
Sex: F
Age: 55
State: CA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/20/2021
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: nausea vomiting diarrhea

Other Meds:

Current Illness:

ID: 0957566
Sex: F
Age: 51
State:

Vax Date: 01/07/2021
Onset Date: 01/11/2021
Rec V Date: 01/20/2021
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: Pt received COVID vaccine on Jan. 7. Pt c/o sob on 11 January. Pt states she had an itch near the place of vaccine injection starting today. Pt able to talk in full sentences w/o stopping. Pt able to take temp w/o issue.

Other Meds:

Current Illness:

ID: 0957567
Sex: F
Age: 23
State: CA

Vax Date: 01/13/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Swollen axillary lymph nodes in vaccination arm

Other Meds:

Current Illness:

ID: 0957568
Sex: F
Age: 63
State: NY

Vax Date: 11/30/2020
Onset Date: 12/01/2020
Rec V Date: 01/20/2021
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: D?veloped low grade fever for ten days accompanied by painful posterior cervical spine with posterior cervical lymphadenopathy. Had pressure in the TMJ?s. After 3 and a half weeks my right kneee swelled and I had a hard time weight bearing and couldn?t walk. My posterior cervical spine and right shoulder developped pain

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm