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: 0961407
Sex: F
Age: 39
State: NE

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/21/2021
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: DEVELOPED SWEATING AND DIZZINESS AT 12PM

Other Meds:

Current Illness:

ID: 0961408
Sex: F
Age: 52
State: MD

Vax Date: 01/08/2021
Onset Date: 01/17/2021
Rec V Date: 01/21/2021
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 that I know of

Symptom List: Anxiety, Dyspnoea

Symptoms: Started having itchiness on both hands and around ankles 1/17/2021 notice itchiness started to go to my arms and legs than I notice little bumps on my inner arms itchy and red; than my legs stared getting bumps didn't notice redness yet until Wednesday but both legs where real itchy, and my back itch a little bit, but my hands, arms and legs are the worse.1/21/2021 Today I went to get some Hydrocortisone Cream with vitamins & Aloe and I did take Benadryl also. I contacted my Primary Physician still waiting on her response of what I need to do.

Other Meds: Chlorthalidone 25mg one-half tablet daily, Atorvastatin 20mg daily and I took Benadryl for the itching since Sunday 1/17/2021

Current Illness: High blood pressure and cholesterol level was a little high

ID: 0961409
Sex: M
Age: 56
State: MN

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
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: None Known

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

Symptoms: Musicale aches, fatigue, tingling, crawling and prickling skin, mild headache and low-grade temperature

Other Meds: 1280mg Omega 3 + 100 i.u. D3 Bupropion 150mg Mirtazapine 15mg Nature's Way Fortify Optima Age 50+ Probiotic Advanced Care (90 Billion) 30ml Nature?s Way Alive Liquid Fiber with Prebiotics

Current Illness: None

ID: 0961410
Sex: F
Age: 48
State: KY

Vax Date: 01/11/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Starting 11 days after injection (1/20) the injection site is painful, red, hot to touch, hard, and spreading. It looks like cellulitis. Also, 1 day after receiving the vaccine (1/12) I bent over and I had terrible pain in my abdomen and it felt like my intestines were in a knot and I saw stars. This lasted for a few hours and has recurred a few more times since after bending.

Other Meds: none

Current Illness: none

ID: 0961411
Sex: F
Age: 41
State: OH

Vax Date: 01/04/2021
Onset Date: 01/12/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: Advil

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

Symptoms: Swelling and redness in the right arm where she had recieved the vaccine 9 days earlier. Also some itching and spasms in the right hand. Symptoms self resolved as of 1/20/21

Other Meds: Benadryl, Acetaminophen, fluoxetine

Current Illness: n/a

ID: 0961412
Sex: F
Age: 42
State: MA

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
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: NKA

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

Symptoms: The patients left upper arm began to feel mildly itchy ~15 minutes after COVID vaccine administration to the left deltoid. The area was free from hives, redness, and rash. The patient was monitored for an extra 10 minutes. He reported that the itchy sensation had decreased and was not bothering him. He reported no other symptoms.

Other Meds: None

Current Illness:

ID: 0961413
Sex: F
Age: 54
State: MA

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/21/2021
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: amoxicillin

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: pt states she has had pain at the injection site for a couple of days after vax along with severe headache that has not subsided after taking Tylenol, Ibuprofen and now Naproxen. pt also states having fatigue and brain fog. Pt was prescribed Medrol 4mg to take for headache that will start taking today,.

Other Meds: Lexapro 15 mg

Current Illness: none

ID: 0961414
Sex: F
Age: 28
State: NC

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: panic attack 2 hours after vaccine; since, multiple panic attacks, with other episodes of feeling like i'm going to pass out, dizzy, nauseated, tachycardic

Other Meds:

Current Illness:

ID: 0961415
Sex: F
Age: 60
State: NJ

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
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 and sulfa papaya

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: received 2nd dose at 7pm 1/18/21. woke up tuesday with sore arm went to work and while working afternoon progressed to chills and total body aches. temp 101 through evening up and down after motrin to next day Wednesday. wednesday had some chills but during night into Thursday had joint pain no fever. woken up thursday with joint pain and headache no fever.

Other Meds: flecainide, acebutolol, levothyroxine, pantoprazole, lisinopril/hctz, Valium, amytriptilline, famotidine, simvastatin, Clarinex, Singulair, Flonase, lipoflavanoid, vitc, vit d, biotin, multivit prn- fioricet, Valium suppositories, immodium

Current Illness: BPV, GERD, HIATAL HERNIA, IC, PFD, IBS, HTN, ARRYTHMIA- LOOP MONITOR, HYPOTHYROID

ID: 0961417
Sex: F
Age: 75
State: VA

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: By 7 p.m. my face was as red as Rudoph's nose! It was also very hot. I took a Benadryl tablet, washed my face with cold water, and went to bed. The following morning, I had burst blood vessels on both cheeks. These are resolving.

Other Meds: Evista; Restasis; Citalopram; Trazadone; Flexeril; Meloxicam; Vit. D3; Fish Oil; multiple vitamin ; calcium; Magnesium

Current Illness: None

ID: 0961418
Sex: F
Age: 23
State: MA

Vax Date: 01/12/2021
Onset Date: 01/14/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: Acetaminophen, Cefuroxime

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

Symptoms: Patient developed intermittent chest pain 2 days after receiving her 2nd dose of Pfizer covid vaccine. She was seen in the ER on 1/17/2021. Pt improving. Seen for follow up by PCP on 1/19/21. Pt called office on 1/21/2021 - ongoing intermittent chest pain. Will see Cardiology.

Other Meds: Albuterol inhaler, Advair inhaler, multivitamin

Current Illness: None

ID: 0961419
Sex: F
Age: 60
State: FL

Vax Date: 01/11/2021
Onset Date: 01/18/2021
Rec V Date: 01/21/2021
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: sulfa, Macrobid

Symptom List: Rash, Urticaria

Symptoms: Arm red and swollen and itchy 1 week after injection. Pain for 2 days at injection site for 2 days after injection.

Other Meds: Boniva, calcium, Vitamin D, magnesium citrate

Current Illness:

ID: 0961420
Sex: F
Age: 64
State: VA

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: No

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

Symptoms: I woke up Saturday morning and both eyeballs were hurting. I had sensitivity to all light. Hurting felt like a migraine in the front of my forehead. Pain with touch when washing my face or applying a cool compress. Took Tylenol and it did not improve the pain.

Other Meds: Steroids and muscle relaxer

Current Illness: Sciatica

ID: 0961421
Sex: F
Age: 66
State: NY

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/21/2021
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: garlic, onion

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

Symptoms: 1/6/21: tiredness 1/7/21: swelling, erythema, induration & pruritis at injection site, increased over next 9 days to size of 4" x 3", until 1/15/21. Symptoms resolved on 1/16/21.

Other Meds: amlodipine besylate, rosuvastatin, metroprolol ER, amlodipine

Current Illness: none

ID: 0961422
Sex: F
Age: 25
State: MS

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
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: strawberries, latex, adhesive

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

Symptoms: Immediately itchy, later on become swollen and hot to the touch, now has doubled in size, raised and reading 100 on thermometer. Left arm feels heavy and numb like its been slept on all night. Taken Tylenol, allergy medicine, plenty of water and only getting larger

Other Meds: n/a

Current Illness: n/a

ID: 0961423
Sex: M
Age: 62
State: MI

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
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: Muscle Pain Headache Shivering/Chills Fever

Other Meds: Vitamin C Biotin Vitamin D Simvastatin 20mg Amlodipine-benazepril 5-10 mg

Current Illness: No

ID: 0961425
Sex: F
Age: 51
State: TX

Vax Date: 10/15/2020
Onset Date: 10/15/2020
Rec V Date: 01/21/2021
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: none

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

Symptoms: Patient had severe local reaction and pain that persisted. Patient was seen during virtual visit, refused to come in for F2F appt. Appt was 10/30/2020

Other Meds: none

Current Illness: none

ID: 0961426
Sex: F
Age: 40
State: NE

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/21/2021
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: DEVELOPED HEADACHE ON 1/14/21 AND RAN A LOW GRADE FEVER ON 1/15/21.

Other Meds:

Current Illness:

ID: 0961427
Sex: F
Age: 33
State: NC

Vax Date: 01/06/2021
Onset Date: 01/16/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Starting feeling pain/discomfort on 01/16/2021 when waking up. When woke up on 01/17/2021, upper arm was red

Other Meds: Zoloft

Current Illness: None

ID: 0961428
Sex: F
Age: 56
State: VA

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Tingling in left hand Nausea Body aches Chills

Other Meds: none

Current Illness: none

ID: 0961429
Sex: M
Age: 64
State: CA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
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: Sluggish fever chills achy headache body aches joint pain weakness

Other Meds:

Current Illness:

ID: 0961431
Sex: F
Age: 42
State: OK

Vax Date: 01/18/2021
Onset Date: 01/21/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: Morphine Demerol

Symptom List: Unevaluable event

Symptoms: Vaccine received on Jan 18-- Jan 19th- body aches, fever,fatigue jan 20th- body aches, fatigue jan 21st-rash on left hand/arm- left arm pain

Other Meds: Celexa Welbutrin Corgard Qzempic Injections Etrace Prilosec Culturelle(Probiotic) Ibuprofen

Current Illness: None

ID: 0961432
Sex: F
Age: 45
State: TN

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/21/2021
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: Second Vaccine was given too early. Reporting medical administrator error only.

Other Meds:

Current Illness:

ID: 0961433
Sex: F
Age: 49
State: MA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/21/2021
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: PCN

Symptom List: Injection site pain, Pain

Symptoms: Pain all over from head to toe, now lasting 6 days without any relief. Reported to my PCP, who prescribed Oxycodone for the pain. I have only taken it at night since 01/19/2021. Received Tramadol injection 01/20/21, did not help the pain at all. I have been trying to report my symptoms to V-safe & the website is not working. I need to know if this is happening to anyone else, if so how long will sever this pain last for.

Other Meds: Tylenol, & Motrin

Current Illness: none

Date Died: 01/21/2021

ID: 0961434
Sex: M
Age: 94
State: OH

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: No know allergies

Symptom List: Injection site pain, Menorrhagia

Symptoms: This is a 94-year-old male who is brought in by ambulance after being found on the floor with unknown downtime. He was in asystole upon EMS arrival. He remains in asystole. No advanced airway is in place. The patient is getting compressions from Lucas device upon arrival. It was reported that he was last talked to by family at 2 PM. The patient got his SARS-CoV-2 vaccination this morning. The patient is evaluated emergently. CPR was ongoing with 3 rounds of epinephrine given. The patient remains in asystole. He has rigor mortis. The patient's pupils are fixed and dilated. The patient has compressions paused and ultrasound is used to evaluate for cardiac activity. None is detected. The patient has no electrical activity on monitor. The patient's time of death is 2113.

Other Meds: Tamsulosin 0.4 mg daily Metoprolol Succinate ER 100 mg daily Rivaroxaban 15 mg daily Levothyroxine 100 mcg daily Furosemide 40 mg daily Atorvastatin 40 mg daily Amiodarone 200 mg daily Nitroglycerin 0.4 mg SL PRN Aspirin 81 mg daily Polyeth

Current Illness: Chronic back pain

ID: 0961435
Sex: F
Age: 35
State: WI

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/21/2021
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: CATS

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

Symptoms: 10 min after vaccination patient complained of dizziness, feeling very warm. reminded her of the aurora before migraine comes on. V.S. HR 75, Pulse ox, 99% BP 102/76, 0800 cool cloth applied to back of neck and and we put her head down. 0810 dizziness better seeing spots, 0810 Dizziness better spots persisted, 0825 same monitored and patient drinking water ate some crackers. 0830 V.S BP 114/80 HR 71 Pulse ox, 99% . 0835 bent over to pick up phone off the floor developed dizziness again cold, warm blanket applied monitored. 0850 feeling queezy and dizziness persistent 0900 sent to the ED per W/C. 2 sm. bottles of water taken in.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 0961436
Sex: F
Age: 27
State: OH

Vax Date: 01/13/2021
Onset Date: 01/17/2021
Rec V Date: 01/21/2021
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: penicilin, amoxicilin, zithromax, bee stings

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: 4 days after vaccine: armpit began to get sore with small lump in apartment (sometimes I have this reaction when I am fighting off an infection) 5-6 days after vaccine: armpit continues to be sore, lump does not grow in size 7 days after vaccine: left arm at injection site is itchy and dry, put vacceline on it to reduce dryness, about 1 hr later noticed it was lumpy with hives and read, took a benadryl and went to bed 8 days after vaccine: injection site remains red, and warm but has not grown in size, remains a minor dry itch

Other Meds: nuva ring

Current Illness: non

ID: 0961437
Sex: F
Age: 34
State: NY

Vax Date: 01/13/2021
Onset Date: 01/21/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Woke up on 1/21/21 with itching, redness, and mild localized swelling to vaccine site on L arm

Other Meds: Triamterene-HCTZ, Centrum Women's Multivitamins, Zinc

Current Illness: No

ID: 0961438
Sex: F
Age: 73
State: FL

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
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: Fish, targocid, aspirin

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

Symptoms: At 10:47 am client complained of nervousness and heart palpation. Client was attended by onsite EMS and released home after stating she felt better.

Other Meds: Thyroid medication, Blood pressure meds

Current Illness: Hypothyroidism, High blood pressure

ID: 0961439
Sex: M
Age: 30
State: OH

Vax Date: 01/20/2020
Onset Date: 01/20/2020
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: IV contrast

Symptom List: Nausea

Symptoms: Severe myalgia and fever 101

Other Meds: None

Current Illness: None

ID: 0961440
Sex: F
Age: 28
State: AZ

Vax Date: 01/13/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs

Symptom List: Injection site pain

Symptoms: Itchy red rash on arm that appeared days after injection.

Other Meds: None

Current Illness: None

ID: 0961441
Sex: M
Age: 59
State: KY

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

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

Lab Data:

Allergies: KNDA

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

Symptoms: injection site pain (mild), runny nose (mild), headache (mild), generalized muscle aches (mild)

Other Meds: Terbinafine Imiquimod

Current Illness: Hx of shingrix and TDaP vaccine 15 days prior

ID: 0961442
Sex: F
Age: 31
State: IN

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/21/2021
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: Ceclor

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

Symptoms: At 3:30 am woke up needing to throw up. Had some diarrhea. Went back to bed. 5am full body ache, severe headache, severe fatigue. Took a tylenol and shower. Napped from 9am to 10:45. Woke up freezing. Temperature taken 100.5 degrees with upset stomach. No desire to eat. Crackers make stomach upset.

Other Meds: Birth control

Current Illness: None

ID: 0961443
Sex: F
Age: 24
State: WI

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/21/2021
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: NA

Symptom List: Tremor

Symptoms: ARM SORENESS, SEVERE NAUSEA AND VOMITING12-24 HOURS AFTER VACCINE, CHILL 12-36 HOURS

Other Meds: NA

Current Illness: NONE

ID: 0961444
Sex: F
Age: 28
State: MD

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/21/2021
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: Erythema, Pruritus

Symptoms: A day after the vaccine, I started to get a lot of hives and then a red rash on the arm where I got my vaccine

Other Meds: Spironolactone tab 150MG and Tri-Lo-Marzia

Current Illness: NO

ID: 0961445
Sex: F
Age: 55
State: TX

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 01/21/2021
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: Benzoyl peroxide

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

Symptoms: Mild tenderness to site, mild headache and feeling tired for a week. A week later my arm felt moderately sore and started feeling warm with red rashes, hives , accompanied by chills, achy feeling, no fever, like flu like feeling without fever and some headache. Red rashes stayed for a week. Topical cream applied(hydrocortisone, Triamcinolone acetonide ) and Benadryl tab taken, rashes gone after a week.

Other Meds: Tylenol, Ibuprofen

Current Illness: None

ID: 0961446
Sex: F
Age: 65
State: GA

Vax Date: 01/04/2021
Onset Date: 01/14/2021
Rec V Date: 01/21/2021
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: lactose intolerant

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

Symptoms: on 10th day after shot, it started itching, redness, swelling, a little pain, and I took the temperature at the site and it was hot 102.8. It's pretty much gone now, and hurt more during those days than the day I received the vaccine.

Other Meds: Amlodipine 5mg tab, Rosuvastatin Calcium 10mg tab, Bupropion HCL 150mg tab, low dose Aspirin 81mg daily, Loratadine 10mg tab

Current Illness: No

ID: 0961447
Sex: F
Age: 17
State: PA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/21/2021
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: Cephalosporins

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Significant pain began shortly after administration. Decreased ROM of left shoulder. No redness, swelling, or itching

Other Meds: none

Current Illness: none

ID: 0961449
Sex: F
Age: 42
State: AZ

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/21/2021
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: none

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

Symptoms: Woke up in the morning, GI upset, diarrhea, woke up throwing up and it continued about a week. I went to Urgent Care in Payson -IV fluids and nausea medicine - Zofran- and that seemed to help. The IV fluids and I got better. Am fine now.

Other Meds: Abilify 15 mg; Trazadone 100mg; Prozac 10 mg

Current Illness: no

ID: 0961450
Sex: F
Age: 48
State: NY

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/21/2021
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: Gadolimium-containing contrast, iodine/iodide containing cont

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

Symptoms: Felt dizzy and lightheaded, with a heaviness in her head following vaccine administration. Pt also experienced tingling to her lips, and then felt as if she was going to pass out. The staff at the vaccination site gave her epinephrine 0.3 mg/0.3 ml IM, and then brought her to the ED. No acute resp distress in ED, given famotidine inj, methylprednisolone and ondansetron in ED. Given 4 days of Prednisone to continue after ED discharge. Seen by allergist and observed during second dose administration with recurrence of symptoms during divided dose administration.

Other Meds: Albuterol MDI PRN, azelastine-fluticaone spray, bupropion SR,

Current Illness: N/A

ID: 0961451
Sex: F
Age: 38
State: MA

Vax Date: 01/12/2021
Onset Date: 01/14/2021
Rec V Date: 01/21/2021
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: Pain in extremity

Symptoms: CONTINUE BENADRYL AND CLARITIN START ANTIBIOTIC FOR POSSIBLE CELLULITIS

Other Meds: Claritin

Current Illness:

ID: 0961452
Sex: F
Age: 47
State: WA

Vax Date: 01/07/2021
Onset Date: 01/16/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: Sulfa SSRI NSAIDS

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

Symptoms: Initially had typical reaction after the vaccine: chills fatigue ending completely at 48h. But on day 8 at night I started to feel some muscle weakness and then woke up the next day Sat with widespread muscle and joint pain. It has moved around and even involves my teeth. The muscle aches abd joint pain started at the left arm, in the deltoid with the injection site. It was never red or looked infected, but it did swell and then the first joint involved was the left shoulder. I do have lupus so I recognize some of my autoimmune symptoms in this, but I have never had anything like this even with any flare I?ve ever had in my life and went into this feeling well. My neck, head and left jaw were involved on Sunday and Monday and I experienced sweating and malaise, but no fever. That?s somewhat better, but it moved on to other areas and my teeth are so sore it is hard to chew food. I now get a little better in the morning. And then my hands, feet, knees abd lower leg muscles hurt and have swelling starting about 4pm, which gets progressively worse with movement until I go to bed. I have no fever. No one in my house is ill. Aside from Saturday and Sunday when I had fatigue, I generally feel normal energy it?s just the physical symptoms are so painful.

Other Meds: Plaquenil 400mg per day x 10 years

Current Illness: None

ID: 0961453
Sex: F
Age: 38
State: ID

Vax Date: 12/28/2020
Onset Date: 12/30/2020
Rec V Date: 01/21/2021
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: n/a

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

Symptoms: 12/28/2020 Vaccination 12/30/2020 'wiped out', extreme fatigue, malaise, extreme HA, sore throat, nausea. I left work due to feeling unwell. Symptoms lasted for approximately for 3-4 days.

Other Meds: zoloft daily

Current Illness: antibiotics (?) HA, sinus congestion (couple months before?) COVID x2; Negative

ID: 0961454
Sex: F
Age: 42
State: TX

Vax Date: 01/14/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
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, Mycins, Morphine

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

Symptoms: 1/20/21 underarm/armpit pain, swelling - lymph nodes Day 7 post vaccine 1/21/21 same pain, continuing - Day 8 post vaccine

Other Meds: Zyrtec, Lisinnpril, Birth Control

Current Illness: none

ID: 0961455
Sex: F
Age: 41
State:

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
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: 10 hours past 2nd vaccination developed aches in joints and chills. Aches lasted 12 hrs and chills lasted 2 hours. No fever.

Other Meds: none

Current Illness: none

ID: 0961456
Sex: F
Age: 81
State: MA

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/21/2021
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: Ciprofloxacin, Lactose, Meperidine HCL, Sulfa

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Resident became hypotensive, chest pain, low O2 SAT, diaphoretic, body aches, fatigue and chills on 1/14/21. Second episode on 1/15/21 of nausea, body aches and lethargy.

Other Meds: Eliquis, Lasix, Gabapentin, Isosorbide, Mg Gluconate, Mesalamine, MVI, Omeprazole, Potassium Chloride, Tamsulosin, Trazodone, Tylenol

Current Illness:

ID: 0961457
Sex: F
Age: 54
State: CA

Vax Date: 01/04/2021
Onset Date: 01/11/2021
Rec V Date: 01/21/2021
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: Welt raised, red and hot it was 3 1/2 x 2 inches. this started a week after the injection

Other Meds:

Current Illness:

ID: 0961459
Sex: F
Age: 24
State: MA

Vax Date: 01/04/2021
Onset Date: 01/11/2021
Rec V Date: 01/21/2021
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: NKA

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Patient had a delayed reaction on her arm that started 7 days after receiving vaccine. Patient reports subtle sensitivity. Reports that it is not itchy but raised. No pain. Reports the rash has become less red and feels as though it is improving. She is also covid positive as of 1/7/2021.

Other Meds: buPROPion (WELLBUTRIN XL) 300 MG 24 hr tablet prazosin (MINIPRESS) 1 MG capsule

Current Illness: PTSD

ID: 0961460
Sex: F
Age: 31
State:

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
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: Chills with moderate sweats, that increase after 6 hrs and lasted for 24+ hrs. Moderate abdominal pain, starting after 24 hrs and lasting for 14+ hrs, with cramping, diarrhea, nausea. Full body soreness, with weakness, dizziness, and fatigue.

Other Meds: Lisinopril 10 mg

Current Illness:

ID: 0961461
Sex: F
Age: 82
State: IN

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/21/2021
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: Codeine Erythromycin

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

Symptoms: Developed redness at injection site on second day. Reports the redness is now approximately 3 inches across and she can feel a hard lump under the skin. Also reports the area is itchy.

Other Meds: Levothyroxine Lovastatin Metoprolol Losartin

Current Illness: none

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm