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: 0958719
Sex: F
Age: 20
State: VA

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

Lab Data:

Allergies: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: Received vaccine afternoon of 1/19/21. Before going to bed that night, began to have fever and nausea. As of this afternoon (1p) only having fever, no nausea.

Other Meds: Unknown

Current Illness: None

ID: 0958720
Sex: M
Age: 39
State: IA

Vax Date: 01/19/2021
Onset Date: 01/20/2021
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: Received the first dose on 12/22/2020, which was associated with left arm soreness. Received 2nd dose on 01/19/2021 afternoon. Experienced self-limited mild tingling sensation and pruritus in the lower back for 2 hours. No rash. Next AM, experiencing right arm soreness, tenderness, mild chills, and mild discomfort in the long bones. No fever or rash.

Other Meds: Vitamin D3

Current Illness: None.

ID: 0958721
Sex: M
Age: 47
State: CA

Vax Date: 01/08/2021
Onset Date: 01/09/2021
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: Pitted fruit (apples, peaches, nectarines, plums, pears etc...but not to avocado) allergies. Carry Epi-pen. Mentioned this at the time of injection.

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

Symptoms: Friday 2-8-21 was the injection at 2:30 pm left arm was sore 15 minutes after injection, started noticing symptoms Saturday morning 1am massive headache took Motrin which helped. Flu like symptoms started around 9:30 am took Motrin again around noon on Saturday. Saturday night 8:30 pm started to get cold shivers until 1am woke up to massive headache took Motrin. Fell back to sleep about 2 am started to sweat and get hot. Woke up around 7:30 all was better except left armpit limp node was swollen to a tennis ball sized football shape lump which lasted for 5 days. Sunday 2-10-21 night started feeling an overwhelming since of anxiety of past, day 12 still working through the anxiety. Taking natural medications ( calming tea, Melatonin to help sleep) Have a prescription for Diazepam for flying have taken small doses to help sleep occasionally. Cut out evening coffee, drinking alcohol. Have been drinking more water.

Other Meds: None.

Current Illness: Had a cold in middle of December. Never did a Covid test.

ID: 0958723
Sex: M
Age: 24
State: UT

Vax Date: 01/11/2021
Onset Date: 01/15/2021
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:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: 24 year old male who had his COVID vaccination 08:00 yesterday. By last night about 22:00, he start an upset stomach. He has thrown up twice. 4-5 episodes diarrhea. Body aches. No fever. Little bit of scratchy throat but no itching or difficulty swallowing. No skin rash. Left arm where he got shot is sore but is not red or swollen. He has not taken anything for this. He is concerned he is reacting to the COVID vaccination. Patient describes symptom is mild-to-moderate. But just concerned so he came in. No known infectious exposure. He is active duty and works as security at the front gate. Air Force is vaccinating all their essential personnel. Allergies/ Adverse Reactions: No Known Drug Allergies Allergy (Verified 01/15/21 03:38)

Other Meds:

Current Illness:

ID: 0958724
Sex: F
Age: 41
State: MA

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:
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: NO PAST HX OF REACTIONS, AFTER IM ADMINISTERED PATIENTREPORTED TINGLING IN HAND COMPLETELY RESOLVED AFTER 15 MINUTES

Other Meds:

Current Illness:

ID: 0958725
Sex: M
Age: 43
State: PR

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: No

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

Symptoms: Inflammation in the left hand finger joint, it is observed red and hot

Other Meds: no

Current Illness: No

ID: 0958727
Sex: M
Age: 33
State: MD

Vax Date: 01/20/2021
Onset Date: 01/20/2021
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: Unknown

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Patient felt "a rush" come over him & becamed faint & fell to floor as was being assisted to bed. Pale. BP108/84, P75. States he has anxiety to new things, especially shots, & also had not eaten since 5pm yesterday. Drank 2 juices & rested. Reported feeling better. Accompanied via wheelchair to pick-up ride.

Other Meds: Unknown

Current Illness: Unknown

ID: 0958728
Sex: F
Age: 58
State: CT

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: Pharyngeal swelling

Symptoms: 10 cm x 4 cm, raised, red, hot, painful, rash . It started as two, round, red, raised areas that progressed over 18 hours to the previously mentioned dimensions. I took Tylenol, Benadryl and applied ice compresses. Day 2+ arm remains the same.

Other Meds: Lisinopril 10 mg Daily Celebrex 200 mg Daily Multi Vit Vit C, D and E

Current Illness: None

ID: 0958729
Sex: F
Age: 26
State: MN

Vax Date: 01/19/2021
Onset Date: 01/20/2021
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: NA

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Staff complained of low grade fever, nausea, headache and sore throat

Other Meds: NA

Current Illness: NA

ID: 0958730
Sex: F
Age: 66
State: PA

Vax Date: 01/05/2021
Onset Date: 01/06/2021
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: Fluorquinolone antibiotics Adhesives Opioids

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Inoculation pain and inflammation Day 3: Low grade fever 99.7 and achiness, resolved in less than 12 hours Day 5: Low grade fever 99.3 and achiness, resolved in 4 hours

Other Meds: Lotrel 5/20 qd Calcium 600 mg qd Magnesium Citrate 125 mg qd E-String 2mg Vitamin D3 2500 mg qd Women's Centrum Over 50 multi vitamin qd Vitamin Super-B Complex plus Vitamin C qd Cranberry 4200 mg with Vitamin C qd

Current Illness: None

ID: 0958734
Sex: F
Age: 62
State: CA

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

Lab Data:

Allergies:

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

Symptoms: Hi, I was vaccinated with the Moderna vaccine (1st administration) on 1/13/21. I have had persistent and very significant swelling since that day and it has not abated as of today, 1/20/21. The reason for this report is that I believe the swelling is not typical axillary swelling which I believe would be right under the arm where the lymph nodes are; rather it is located lower down and much farther away from where the lymph nodes are under my arm. It is a large swelling that is located to the side of my chest on the same side of the body as my vaccinated arm (which was my left arm). I have not checked fever but do not think I have any. I do have headache as of today. Can you advise on whether this swelling is a typical reaction and whether there are any steps I should take at this time ? Thanks very much,

Other Meds: HRT ( .05 mg estrogen; 100 mg progesterone) Biotin; calcium; multivitamin

Current Illness:

ID: 0958735
Sex: M
Age: 32
State: TX

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

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

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Vaccinated at 10:13 am - complained of a rapid heart beat in his chest at 10:30 am. Vitals obtained - tachycardic and hypertensive. EKG obtained - ST abnormality was identified & he complained of chest heaviness at 1050 . 911 was called. IV obtained to the right AC, Normal saline fluids initiated, oxygen via nasal cannula applied, 325 mg of ASA and 0.4 mg SL nitro given. Vaccine recipient was transferred to local ER.

Other Meds:

Current Illness:

ID: 0958736
Sex: M
Age: 57
State: GA

Vax Date: 01/04/2021
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: NKDA

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

Symptoms: Aphthous ulcer of mouth, swelling of hands and eyelids, fatigue, nausea Treatment: Triamcinolone acetonide 0.1% dental paste, ondansetron HCL 4mg, prednisone 20 mg

Other Meds: none

Current Illness: none

ID: 0958737
Sex: F
Age: 37
State: PA

Vax Date: 01/05/2021
Onset Date: 01/14/2021
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: Cat dander and dust mites

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

Symptoms: Moderna Vaccine. No immediate reaction. 1/13/21 I noticed there was still a sizable lump at the injection site. Called our Employee Health hotline and they advised to apply heat and massage the area. 1/14/21, I applied heat and massaged the area and within a few hours the injection site started to get red and increase in size, and my eyes began to itch and swell. Took a Benadryl and in the morning there was more swelling in my face. Went to the dr, they couldn't confirm if was or wasn't vaccine related, and advised to continue taking Benadryl and apply cool compress if arm was painful. Swelling continued on 1/15 and 1/16. Arm still has a large spot, it is less red in color now, there is still slight heat at the injection site. I have been taking at least 1 Benadryl for the last 7 days now.

Other Meds:

Current Illness:

ID: 0958738
Sex: F
Age: 77
State: NV

Vax Date: 01/17/2021
Onset Date: 01/17/2021
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: adhesive tape. Bug spray

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

Symptoms: Lightheaded nausea swelling headache chills itching. Swelling continues spreading around injection site and is hard as a tick. Sensation of stinging

Other Meds: Prilosec Effexor Losartan Restoril tizanadine vitamins c d-3 salmon oil culturally colostrum coQ10 pomegranate cranberry lute in zeaxanthin magnesium Zyrtec aspirin gabapentin

Current Illness: None

ID: 0958740
Sex: F
Age: 67
State: PR

Vax Date: 12/28/2020
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: NO

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

Symptoms: ENROJECIMIENTO, PICOR,ARDOR, AREA CALIENTE Y RONCHAS CON BURBUJAS CON LIQUIDO QUE SE EXTENDIERON HASTA EL CUELLO

Other Meds: NO

Current Illness: NO

ID: 0958741
Sex: F
Age: 47
State: MA

Vax Date: 12/31/2020
Onset Date: 12/31/2020
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:

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

Symptoms: Patient had her vaccination and went back to work for about 15 min. When she was at work, she felt her legs shaking and tingling on her top lip. She came back to the vaccine clinic and asked to be monitored. Vital signs taken 138/90, HR 109 POX 100 RA. Continued to have tingling upper lip and brought to ED for further observation. Warm hand off to ED RN

Other Meds:

Current Illness:

ID: 0958742
Sex: F
Age: 71
State: AZ

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

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Sore upper arm for first 24 hrs and dull headache starting 1/13/21, 2pm) ; Took acetaminophen Sudden onset severe chills/shivering, nausea, worse headache approx 24 hrs later (1/14/21, noon). Chills and nausea gone by 2am 1/15/21. Very sore arm persisting until 1/18/21, mid-day.

Other Meds: Creon, famotidine, calcitriol, losartan potassium

Current Illness: None

ID: 0958743
Sex: F
Age: 69
State: NC

Vax Date: 01/20/2021
Onset Date: 01/20/2021
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: Codeine Cortisone Iodine Nut - Unspecified pinenut Clinoril [Sulindac] Ginger R Iodinated Contrast Media Rash Low 5/28/2016 Past Updates... Other reaction(s): Headache Walnut Itching Low Allergy 10/27/2016 Past Updates... Sesame seeds, Pecans Demerol [Meperidine] Indocin [Indomethacin Sodium] Morphine

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Patient is a 69 y.o. female with history of multiple medical problems as indicated below including rheumatoid arthritis. She is a non-smoker. She tells me she has "a heart condition" and is followed by a cardiologist. She tells me she was in her usual state of health and took her COVID-19 first vaccine today. Approximately 30 seconds later she noted chest tightness/burning that has been constant. It is rated 9/10 at maximum and improved to 5/10 after about 10 to 15 minutes. She also states, "my eyes feel funny. I feel cold. I am dizzy." She endorses palpitations and dyspnea. She denies any abdominal pain, nausea, vomiting, fevers, diaphoresis, headache, cough, rash, or syncope. She does have a history of seafood allergies and had similar reactions after eating seafood. She tells me 3 years ago after a flu shot she fainted. She tells me the past 2 years after her flu shot she had nausea or vomiting. She tells me she fell yesterday and hurt her hip but she did not hit her head. No LOC. She tells me she takes baby aspirin nightly. Family history: Mom and dad both died at age 82 from lung cancer. They both had heart disease. She was sent back from the vaccination area to urgent care to be evaluated after her reaction to the COVID-19 vaccine.

Other Meds: ACETAMINOPHEN (TYLENOL EXTRA STRENGTH ORAL) Take 1 tablet by mouth continuously as needed. ? albuterol (PROAIR HFA) 90 mcg/actuation inhaler Inhale 2 inhalations into the lungs every 4 (four) hours as needed for Wheezing or Shortness of

Current Illness:

Date Died: 01/16/2021

ID: 0958745
Sex: M
Age: 73
State: CO

Vax Date: 01/12/2021
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: No Known Allergies

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

Symptoms: Resident was noted to have increase weakness on 1/15/2021. Resident was warm to touch with low grade fever of 99.3 F. Resident was up propelling self in w/c on 1/16/2021 he was pleasant, accepted medications and ate lunch. He was found slumped over in his w/c not responding and vital signs absent.

Other Meds: Divalproex Sodium Tab DR 250mg and 500mg, Lexapro 20mg, Quetiapine Fumarate 200mg tab, Senna 8.6 mg, Latanoprost drops,

Current Illness: Hx of TBI and schizophrenia with worsening behaviors over the past few months including refusing care including meals and medications and striking out with care. Resident had a fall on 1/14/2021. Resident received treatment for a UTI with Keflex for 7 days starting 12/6/2020.

ID: 0958746
Sex: F
Age: 54
State: CA

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: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Patient describes this is her 2nd dose and she is experiencing Joint pain, Arm numbness, range of motion in lifting her arm, very fatigued and also reports headache and her blood suger shot up to the 300 range, patient is an insulin dependent diabetic and this is her main concern.

Other Meds:

Current Illness:

ID: 0958748
Sex: M
Age: 66
State: FL

Vax Date: 01/11/2021
Onset Date: 01/12/2021
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: IODO

Symptom List: Unevaluable event

Symptoms: A reddened swelling with pain

Other Meds:

Current Illness:

ID: 0958749
Sex: F
Age: 25
State: MA

Vax Date: 12/23/2020
Onset Date: 12/28/2020
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:

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

Symptoms: woke w/ arm pain the following day which resolved, 12/28 arm pain, swollen, gland axillary/post neck, eval PCP; inc redness by 1/1/21, seen in ED, RX for cellulitis

Other Meds:

Current Illness:

ID: 0958750
Sex: F
Age: 54
State: NJ

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: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: CODEINE

Symptom List: Injection site pain, Pain

Symptoms: LOW GRADE FEVER, BODY ACHES, HEADACHE, RESTLESSNESS, TIREDNESS. TOOK TYLENOL EVERY 6 HRS AND REST.

Other Meds: VALSARTAN; JANUVIA; DILTIAZEM; PRAVASTATIN; JARDIANCE

Current Illness: NONE

ID: 0958751
Sex: F
Age: 39
State: HI

Vax Date: 12/23/2020
Onset Date: 12/23/2020
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: Medication allergy list is massive! Only remember Codeine - makes me dizzy and nauseaus; can't even walk and Sulphur drugs - gives me hives and that's all I remember at the top of my head - Allergy- strawberries, dogs, cats, rabbits, dust mites, sensitivity to Wheat and lactose intolerant.

Symptom List: Injection site pain, Menorrhagia

Symptoms: Time I got shot - within 2 hours; arm sore; body aches - by five hour mark I knew something wrong. Extremely fatigued. 7:00 Pm had a fever. Slept a long time - so much pain in body aches that I was crying into the 24th. "Like I want to die" body aches. I took Tylenol for pain and fever. Had these symptoms until I went to Dec 27 went to URGENT CARE. Had to take a COVID test and Flu test - negative. Continued to have symptoms until New Year's Eve. Urgent care just said to keep taking Tylenol. Fatigue and weak still for 14 days. Was also getting Vertigo - 7 days into it and it lasted a week - off and on.

Other Meds: Gummy Multi-Vitamins - Womens; Vit D; Bioastin; generic Zyrtec

Current Illness: no

ID: 0958752
Sex: M
Age: 49
State: WA

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

Lab Data:

Allergies: none

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

Symptoms: Lethargy and an extreme migraine

Other Meds: Melatonin 3mg, Zyrtec and Multivitamin

Current Illness: none

ID: 0958753
Sex: M
Age: 53
State: FL

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

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Swelling, redness and itching but symptoms subsided after a few days.

Other Meds:

Current Illness:

ID: 0958754
Sex: F
Age: 46
State: NJ

Vax Date: 01/13/2021
Onset Date: 01/20/2021
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: Sulfa drugs

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: 7 Days after the shot I woke up with a quarter size red bump at the injection site it was very itchy but not warm to touch. Treated topically with Benadryl spray for hours later extremely itchy treated topically with Cortizone cream red and area has increased in size to about 6? x 4?

Other Meds: Lisinopril norvasc lexapro zyrtec

Current Illness: None

ID: 0958755
Sex: F
Age: 40
State: CA

Vax Date: 01/12/2021
Onset Date: 01/18/2021
Rec V Date: 01/20/2021
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: none

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

Symptoms: Pt was 18 weeks pregnant at the time of the vaccine. Second pregnancy. Pt is a physician. Pregnancy was entirely normal up to that time. On 1/18/2021, she began to have heavy vaginal bleeding probably due to a placental abruption and subsequently delivered at 18 weeks. Baby was stillborn. Ultrasound done 1/15/2021 normal. Lethal event for the fetus. The patient did well.

Other Meds: prenatal vitamins

Current Illness: none

ID: 0958757
Sex: F
Age: 40
State: ID

Vax Date: 01/20/2021
Onset Date: 01/20/2021
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: Codeine, Morphine, Effexor

Symptom List: Nausea

Symptoms: mild swelling of the left hand initially, then mild swelling of the right hand,

Other Meds: unknown

Current Illness: none

ID: 0958760
Sex: F
Age: 34
State: MA

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:
Dose Series: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: TINGLING ARM ; RESOLVED

Other Meds:

Current Illness:

ID: 0958761
Sex: M
Age: 51
State: AR

Vax Date: 12/29/2020
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: Penicillin

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

Symptoms: 2 days after 1st dose: severe headache and body aches. Severe tinnitus. Insomnia, constipation. After 3 days tingling numbness and weekends in extremities. Loss of appetite. Weight loss. Symptoms persisting for 3 weeks.

Other Meds: Synthroid 125ug Lexapro 10mg

Current Illness: None

ID: 0958762
Sex: F
Age: 33
State: NY

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: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

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

Symptoms: 33M with pmh GERD, no known hx allergies, p/w sob after receiving IM epi at clinic. Pt received covid vaccine and was having anxiety - told the provider she was SOB so she was given epi and started having more anxiety so she was brought to the ED. Upon arrival, patient agitated tachy to 120s, screaming, flailing her arms,

Other Meds: None

Current Illness: None

ID: 0958764
Sex: F
Age: 51
State: CA

Vax Date: 01/05/2021
Onset Date: 01/13/2021
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: Latex, Tylenol, PNC class, Imatrex, Benzocaine, other caines,

Symptom List: Tremor

Symptoms: 1/13/21: Via email, client stated on 01/13/2021 @ 5:45 AM she noticed the injection site on left upper arm was red and hot aprox. 3" x 2" in size, and was very itchy with some soreness. 01/20/21 @ 10:30 AM spoke with client who stated the redness faded but there was a red streak running down the upper arm with warmness to site. Client stated she had a phone appointment on 1/15/21 with PCP who told her to monitor the site. Client stated on 1/16/21 the redness or warmth to site was resolved. RN

Other Meds: Topomax, Zoloft, Advair, Alvesco, spiriva, stool softener,

Current Illness: None

ID: 0958765
Sex: F
Age: 65
State: FL

Vax Date: 01/08/2021
Onset Date: 01/20/2021
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: No known medication or food allergies Inhalant allergies/cat dander

Symptom List: Erythema, Pruritus

Symptoms: Diffuse maculopapular rash- minimal itching on torso- ? started after 2nd vaccine? Noticed worsening on 1/19/21

Other Meds: Famotidine Fish oil Vitamin D3 Losartan Intermittent Citracal +D Intermittent Centrum silver- woman>50

Current Illness: None

ID: 0958766
Sex: F
Age: 47
State: IN

Vax Date: 01/18/2021
Onset Date: 01/18/2021
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: Sulfa; pollens; dust ; wheat

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

Symptoms: Chills, lethargy, body aches

Other Meds: Citalopram; lamictal; Adderall Xr; Zyrtec; Wellbutrin

Current Illness: None

ID: 0958767
Sex: F
Age: 49
State: CA

Vax Date: 01/12/2021
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: LA

Lab Data:

Allergies: Sulfa, certain vegetables, turkey

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

Symptoms: One week after receiving the vaccine, I awoke at 4am to severe pain, swelling, and stiffness at the injection site. By 7am I was feeling nauseous, lightheaded and my arm was very stiff, itchy and swollen at the injection site. I took Zyrtec D thinking that this was a delayed allergic response to the vaccine. By 10am the symptoms were worsening and my lymph nodes in my left underarm and in my neck were swollen. I called my physician who had me add another dose of Zyrtec and Motrin. These symptoms worsened over the course of the day including tingling in my left arm and hand, numbness in my arm and hand until approximately 730pm when I was finally able to eat something and keep it down. I went to bed exhausted, still with stiff upper arm and feeling general malaise. I awoke this morning (1/20/21) at 6:45am and my arm is still stiff and swollen. Other symptoms are resolving and I have been able to eat.

Other Meds: Advair, Flonase, Zyrtec-D

Current Illness: None

ID: 0958768
Sex: F
Age: 33
State: CA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
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

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Dizziness, Feeling Hot, flushed. Treatment ice pack.

Other Meds: Daily vitamin

Current Illness: No

ID: 0958769
Sex: F
Age: 85
State: IN

Vax Date: 01/20/2021
Onset Date: 01/20/2021
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: shell fish, sulfa, penicillin

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

Symptoms: patient was complaining of 'hoarseness of throat'. This was approximately 20 minutes after the administration of vaccine. Patient taken to ER when she arrived to ER patient stating her throat was itchy.

Other Meds:

Current Illness:

ID: 0958770
Sex: M
Age: 43
State: MD

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: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Soon after the injection he noted a slight fever, body pain, migraine, slight nausea. These symptoms lasted for 2 days

Other Meds:

Current Illness:

ID: 0958771
Sex: F
Age: 39
State: CO

Vax Date: 01/18/2021
Onset Date: 01/20/2021
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:

Symptom List: Pain in extremity

Symptoms: Rash on body, treated with Benadryl

Other Meds:

Current Illness:

ID: 0958772
Sex: M
Age: 78
State: NY

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:
Dose Series: 2
Vax Route:
Vax Site:

Lab Data:

Allergies: none

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

Symptoms: day after injection noticed approx 1/2 inch diameter hard lump at site oozing clear liquid. Has since almost disappeared but leaving small longitudinal scab.

Other Meds: Rosuvastatin Ccalcium Amlodipine Benazepril Tamsulosin HCL Various vitamins

Current Illness: none

ID: 0958773
Sex: M
Age: 49
State: IN

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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Codeine

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

Symptoms: Exhausted and cold then hot.

Other Meds: Medium & melatonin

Current Illness: No

ID: 0958774
Sex: F
Age: 56
State: NM

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

Lab Data:

Allergies: Sulfa drug, maybe. Latex

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

Symptoms: Patient reports that the day after receiving the vaccine, she had a reddened area around the site. The following day, she began having blisters and redness, near where the vaccine had been given. She reports she had taken Benadryl and Aleve, and the next day the the redness was half the size. Today, that area is intact, but shows white scaring.

Other Meds: Bencar/HCTZ, Metoprolol, Progesterone, Estridol, Claritin, CO Q10, Lexapro. Botox injection 12/29/20

Current Illness: None. Only HTN

ID: 0958775
Sex: F
Age: 53
State: GA

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: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: unknown

Symptom List: Vomiting

Symptoms: Individual was given vaccine at 10:00am. At 10:40 am after receiving the vaccine individual developed itchy and reddened left forearm and stomach individual vitals were stable. Individual went home after waiting 45 mins. with no noted distress.

Other Meds: unknown

Current Illness: unknown

ID: 0958776
Sex: F
Age: 59
State: FL

Vax Date: 01/01/2021
Onset Date: 01/19/2021
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: Sulfa Iodine Clyndamycin Penicillin Levaquin

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Chills muscle pain Headache Nausea Sore throat Tylenol protonix

Other Meds: Aspirin day before Lipitor day before vaccination

Current Illness: RA ? Mild

ID: 0958777
Sex: F
Age: 54
State: TN

Vax Date: 01/11/2021
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:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Codeine, Demerol, and Prednisone

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

Symptoms: On Sunday, January 17, 2021 I started having severe joint pain in my wrists, elbows, knees, hips and shoulders. Along with aching all over. Over the course of the day, I started to feel bad. Then on Monday January 18, 2021, in addition, to the joint pain, I started feeling disoriented, dizzy like spells of vertigo. I went to my PCP who did lab work and all was normal. He said it muse be delayed reaction to the vaccine. Later in the day, I was having difficulty putting words together and more dizzy and very lethargic. I laid down and slept until the next morning. (Tuesday 1/19/21) On Tuesday 1/19/21, they symptoms were improved but still had some dizziness. On Wednesday 1/20/21, the symptoms have improved except for an occasional dizzy spell.

Other Meds: Metoclopramide 5mg, Gabapentin 300mg, Ondansetron 8mg (PRN), Estrogen-Methyltestos 1.25-2.5MG TB, Metamucil, Atorvastatin

Current Illness: None

ID: 0958778
Sex: F
Age: 44
State: IL

Vax Date: 01/11/2021
Onset Date: 01/18/2021
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: Penicillin Sulfa

Symptom List: Injection site swelling, Limb discomfort

Symptoms: About 8 days after receiving the vaccine the injection site is red, swollen and tender. It was not at all for the first week when I would have expected it. Going on day 3 of the discomfort.

Other Meds: Zoloft Multivitamin

Current Illness: None

ID: 0958779
Sex: F
Age: 45
State: OR

Vax Date: 12/28/2020
Onset Date: 12/29/2020
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: Aspirin, morphine, oxycodone, lisinopril, topiramate, Wellbutrin, shellfish, losartan.

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

Symptoms: 12/29/20 , left arm soreness, sinus issue, throat issue, which by 12/30/20 sinus/chest congestion with cough. HD tested for Covid 19 (negative on 1/1/21) Started aka seltzer cold and flu medicine, seen in respiratory clinic on 12/31 - started new meds codeine with guaifanesin cough syrup, Flovent inhaler, and Mucinex Max strength cold and flu. 1/8/21, felt more fatigued and cough felt more violent. Seen again in respiratory clinic 1/11/21 negative chest X-ray and Covid 19 test, continue same regimen - rest, OTC, inhalers. 1/20/21, first day of feeling overall improvement, still ongoing cough.

Other Meds: Maxzide, Irbesartan, Omeprazole, Lomaira, Double X Supplement, Hair Skin, Nails Supplement

Current Illness: 1 day prior 12/27 cried all day due to recent death in the family, only symptom I noticed were plugged sinuses. Also never felt fully recovered with mild case of Covid 19 in April 2020.

ID: 0958780
Sex: F
Age: 31
State:

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

Lab Data:

Allergies:

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

Symptoms: I have a subjective fever, and fatigue and severe headache and body pain

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm