VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
PLEASE CHECK BACK SOON
Download the files above while you wait.






Manufacturers

Total Manufacturer
187,133MODERNA
33,878JANSSEN
2,321PFIZER\BIONTECH
1,091GLAXOSMITHKLINE BIOLOGICALS
983UNKNOWN MANUFACTURER
363MERCK & CO. INC.
229SEQIRUS, INC.
45DYNAVAX TECHNOLOGIES CORPORATION
41NOVARTIS VACCINES AND DIAGNOSTICS
29SANOFI PASTEUR
18EMERGENT BIOSOLUTIONS
8PAXVAX
7TEVA PHARMACEUTICALS
4PFIZER\WYETH
3BERNA BIOTECH, LTD.
2SMITHKLINE BEECHAM
2INTERCELL AG
2PROTEIN SCIENCES CORPORATION
1CSL LIMITED

Incidents per State

State Total
77,548
AK1,869
AL5,581
AR3,688
AS47
AZ14,288
CA61,984
CO11,665
CT8,149
DC1,663
DE1,807
FL37,749
FM5
GA15,058
GU120
HI2,453
IA4,625
ID2,692
IL20,334
IN24,007
KS4,615
KY7,696
LA4,887
MA14,654
MD12,514
ME3,129
MH11
MI18,739
MN12,528
MO9,710
MP29
MS2,790
MT2,375
NC16,368
ND1,356
NE2,880
NH3,100
NJ17,634
NM3,916
NV4,239
NY34,355
OH19,081
OK6,195
OR8,636
PA23,083
PR2,370
QM2
RI2,088
SC6,411
SD1,212
TN9,131
TX35,174
UT4,273
VA14,937
VI64
VT1,676
WA14,909
WI11,259
WV2,388
WY861
XB5
XL1
XV2

ID: 0962493
Sex: M
Age: 75
State: CA

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

Lab Data:

Allergies: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: Persistant fever 100-103 Chills Headache Nausea Body Ache Loss of Appetite Aversion to Light Difficulty taking liquids Very tight stomach Extreme fatigue

Other Meds: Atorvastatin Co Q 10 Vitamin D Fomotadine

Current Illness: None

ID: 0962494
Sex: F
Age: 34
State:

Vax Date: 01/12/2021
Onset Date: 01/16/2021
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:

Symptom List: Anxiety, Dyspnoea

Symptoms: 1/16/21 congestion, wheezing, cough

Other Meds:

Current Illness:

ID: 0962495
Sex: F
Age: 27
State: VT

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: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Sulfa

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

Symptoms: Arm pain, headache, body aches, leg cramps, fatigue

Other Meds: Allegra, vitamin d

Current Illness: None

ID: 0962496
Sex: F
Age: 54
State: MN

Vax Date: 12/16/2020
Onset Date: 12/23/2020
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: Benedryl, Sulfa

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Pain & swelling in left lymph node under left arm. Noticed it Dec. 23, 2020, saw healthcare provider Dec. 28, it had not gotten better. I was to watch it. Pain eventually went away Jan. 4, 2021. Received 2nd covid vaccine Jan. 6, 2021.

Other Meds: Synthroid, Atenolol, Lipitor, Estradial, Miralax,

Current Illness: None

ID: 0962497
Sex: F
Age: 54
State: NY

Vax Date: 01/04/2021
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: none

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

Symptoms: Arthus phenomenon, mild, at site of injection.

Other Meds: multivitamin

Current Illness: none

ID: 0962498
Sex: M
Age: 24
State: NY

Vax Date: 01/21/2021
Onset Date: 01/21/2021
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: Shellfish ethyl acetate

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

Symptoms: Pt became lethargic, slow to respond, speech muttered, shaking, drooping right eye, nauseous. BP 169/108, O2 sat=98%, pulse 100. Paramedics called and patient transferred to hospital.

Other Meds: 1. sumatriptan succinate, 50 MG, TABLET, ORAL TAKE ONE TABLET BY MOUTH AS NEEDED FOR HEADACHE, IF HEADACHE PERSISTS CAN TAKE ANOTHER TABLET IN 2 HOURS, MAX DOSE 200 MG / 24 HOURS 2. topiramate, 25 MG, TABLET, ORAL TAKE ONE TABLET BY MOUTH A

Current Illness: Shoulder/arm pain, headaches, anxiety, insomnia, tremor, obesity

ID: 0962499
Sex: F
Age: 48
State: NY

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

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Arm very sore and swollen with "knots" near injection site starting 1/4 and continuing through 1/21. Took tylenol at onset and after seeing PCP instructed to use low-dose ibuprofen and voltaren cream. PCP has considered possibility that injection technique may be responsible for prolonged symptoms.

Other Meds:

Current Illness:

ID: 0962500
Sex: M
Age: 73
State:

Vax Date: 01/14/2021
Onset Date: 01/18/2021
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: Nausea in stomach. Symptoms lasted less than one hour.

Other Meds:

Current Illness:

ID: 0962501
Sex: F
Age: 55
State: NY

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: IM
Vax Site: LA

Lab Data:

Allergies: Bactrim

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Chills/ severe body aches, headache began @ 8pm on 1/20/21 persisting through the night . Muscle aches & headache continues 1/21/21.

Other Meds: Motrin 200mg Biotin 1,000 mg

Current Illness: None

ID: 0962502
Sex: F
Age: 51
State: MS

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

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Fever, weakness to bilateral arms/legs, dizzy

Other Meds: Prief daily, Mobic 7.5mg prn, Zantac 300mg, Zofran 4mg prn, Gas X prn, Hemp Seed Oil daily, Xanax prn, Vitamin E daily, OTC Joint daily, Trazadone daily, Stool softener prn, Tylenol prn, Excedrin prn, Urimart prn, Nexium prn, Wellbutrin dai

Current Illness: None

ID: 0962503
Sex: F
Age: 64
State: MI

Vax Date: 12/29/2020
Onset Date: 12/30/2020
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: Neomycin; Flagel; some local anethesitics; environmental allergies

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

Symptoms: Lost peripheral vision on my right eye - the next day around midday - lasted 20 minutes when I couldn't see out of my right eye; Went to ER - and then saw saw an opthamologist and a neurologist

Other Meds: Vit D3; Baby aspirin; Wellbutrin

Current Illness: No

ID: 0962504
Sex: F
Age: 56
State: CA

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: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies: Tetanus vaccine, morphine, sulfa drugs

Symptom List: Rash, Urticaria

Symptoms: 6 days after injection, injection site is red, swollen, itchy, rough textured, thick-skinned, about 2? in diameter. Day 7 no improvement even after topical and oral Benadryl.

Other Meds: Fluticasone Propionate and Salmeterol Inhaler

Current Illness: None

ID: 0962505
Sex: M
Age: 59
State: PA

Vax Date: 01/15/2021
Onset Date: 01/18/2021
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: none

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

Symptoms: Systemic rash with hives. No respiratory or intraoral involvement.

Other Meds: Cardizem, Lipitor, aldactone, Zyrtec-D, ursodil,

Current Illness: none

ID: 0962506
Sex: F
Age: 68
State: NC

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

Lab Data:

Allergies: Codeine, penicillin, mepivicaine, oxycodone

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

Symptoms: 20 minutes after receiving the vaccine, my head became flushed, my face turned red and I had a slight headache. These symptoms lasted about 10 minutes and then went away. No further reaction at this time.

Other Meds: Zyrtec, Vitamin D, Levothyroid, Cytomel, Naproxen

Current Illness:

ID: 0962507
Sex: F
Age: 65
State: NY

Vax Date: 01/06/2021
Onset Date: 01/13/2021
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:

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

Symptoms: 1 week after I had the injection, the arm with the injection had an oval red rash. It is itchy and warm to the touch. My primary care physician and I had a telehealth meeting. She felt because it was 1 week after the injection I had cellulitis and put me on Cefadroxil for 10 days. THe rash seem to be getting better however it was spreading on my arm. I went to a dermotologist who feel that it is due to the vaccine and gave me a cream Triamcinilone. Today I notice that the rash has spread to my torso and I believe my unvaccinated arm ( it's itchy and starting to get red)

Other Meds:

Current Illness:

ID: 0962508
Sex: F
Age: 43
State: AL

Vax Date: 01/12/2021
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: Bactrim- swelling of face, itching, blisters in the mouth, fever, chills, muscle aches Another antibiotic, but I can't remember the name- hives and itching Allergic to black toxic mold Seasonal allergies

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

Symptoms: Redness, warmth, hardness, and soreness and vaccine injection site. (Left upper arm in the muscle). Noticed several days later. I took over the counter Ibuprofen and applied a cold pack to area. The color became lighter and it wasn't as warm, but it still has a hard spot and is sore to touch.

Other Meds: Triamterene (Generic of Maxide) for Hypertension (High Blood Pressure) Duloxetine (Generic of Cymbalta) for Anxiety & Fibromyalgia Gabapentin (Generic of Neurotin) for Restless Leg Omeprazole (Generic of Prilosec) for GERD/ acid reflux Zin

Current Illness: None

ID: 0962509
Sex: F
Age: 53
State: CO

Vax Date: 01/12/2021
Onset Date: 01/19/2021
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: NKDA

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

Symptoms: Delayed reaction, itchy at injection site, 5cm area of erythema, induration, soreness.

Other Meds: None

Current Illness: None

ID: 0962510
Sex: M
Age: 71
State: CT

Vax Date: 01/05/2021
Onset Date: 01/05/2021
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: none

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Acute Covid--diagnosed april 2020--Hospitalized about 1 week Day of the vaccination--severe rigors, chills, muscle pains lasting about 10 hours--very similar to about 5 other people in my office 2-3 days later acute facial rash, involving eyes, conjunctiva on both sides--not responsive famvir, neomycin, eye drops for conjunctivitis. The pictures are much more dramatic than the description----lasted about 5 days.

Other Meds: losartan, carvedolol, vit d, allopurinnol

Current Illness: bP gout CRD stage 3

ID: 0962511
Sex: F
Age: 66
State: MN

Vax Date: 01/20/2021
Onset Date: 01/21/2021
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: Pennecillin, Topamax.

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Nausea, lethargic, tiredness, abdominal cramps, severe pain at site of Covid injection

Other Meds: Adderall, aripiprazole, Atorvastatin, Bupropion, Escitalopram, Loratadine, Levothyroxine, Omeprazole, Trazadone, Melatonin, Calcium, Metronidazole, Fluticasone.

Current Illness: Getting over Covid 19. Some residual stuff in lungs. Had it over Thanksgiving.

ID: 0962512
Sex: F
Age: 55
State: FL

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: Fatigue, nausea, headache, right axillary lymphadenopathy

Other Meds: Losartan,Atorvastatin,Zoloft,HCTZ,Ibuprofen,Gabapentin,B Complex,Vit C

Current Illness: Common Cold

ID: 0962513
Sex: F
Age: 58
State: VA

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

Lab Data:

Allergies: Iodine

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

Symptoms: I had the shot in my left arm. Stayed for about 10 minutes and headed out. I told my coworker my tongue felt like it was a little swollen. A little later on I felt like something was on my neck so I reached up felt some swelling on my lower neck and shoulder. Before reaching back to work my face felt like it was swelling only on the left side. As the day went by the workers at my school could tell that my face was swelling. Got home called the hospital and the told me to go to the ER. I went and they checked me out and put me on prednisone and benadryl. Second day I still feel like my face feels numb and still have to swelling at the bottom of my neck.

Other Meds: Estradiol, Omeprazole, Losartan, B12 and woman's gummy vitamins

Current Illness: None

ID: 0962514
Sex: M
Age: 46
State: TX

Vax Date: 01/08/2021
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:

Symptom List: Unevaluable event

Symptoms: Pfizer-BioNTech COVID- 19 Vaccine EUA Received communication that patient experienced a Bell's Palsy symptoms on 1/16/2021. Patient received vaccine dose #1 on December 18, 2020 and dose #2 on January 8, 2021.

Other Meds:

Current Illness:

ID: 0962515
Sex: M
Age: 51
State: MO

Vax Date: 12/29/2020
Onset Date: 01/03/2021
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: Fever 101.1, sore throat, congestion, body aches

Other Meds:

Current Illness:

ID: 0962516
Sex: F
Age: 35
State: LA

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

Lab Data:

Allergies: Metformin

Symptom List: Injection site pain, Pain

Symptoms: Client was vaccinated at her place of employment. When I called them, said representative from a pharmacy came over and gave the vaccines. States she did not have access to lot numbers or dose number in series. Having body aches, pain in left arm, redness and swelling, pain has moved from her arm to her neck, shoulder, axilla, and left breast. Cant touch her left breast of move her arm w/o pain.

Other Meds: Gabapentin, HCTZ, Prozac, glipizide, jardiance, Lipitor, Tresiba, Humalog for SS

Current Illness: Fibromyalgia

ID: 0962517
Sex: F
Age: 80
State: MI

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

Lab Data:

Allergies: NKA x 2

Symptom List: Injection site pain, Menorrhagia

Symptoms: grand mal seizure and temperature of 101.3

Other Meds: asa, ativan, prn; Debrox, aricept, keflex x 7 days (day 6), klonopin, paxil, seroquel,

Current Illness:

ID: 0962518
Sex: M
Age: 62
State: ID

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

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

Symptoms: fatigue, chills, shaking, weakness, nausea, fever

Other Meds: atenelol, imdur, plavix, actos, lisinoprel, metforman, multivitimin, salpometo,

Current Illness: none

ID: 0962519
Sex: F
Age: 55
State: KY

Vax Date: 12/30/2020
Onset Date: 12/31/2020
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: Sulfa

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Injection was administered in appropriate area of left deltoid muscle. Day of injection some arm pain, day after injection bruising at injection site was noticeable by patient. With time, pain became more severe with swelling at injection site. Peak of pain occurred approximately 1 week after injection and continues today on day 22, especially when arm is raised in certain positions. Pain will radiate to shoulder and neck at times. Pain is described as 9/10 for about 15 minutes when this occurs and is relieved with pressure to injection site where swelling is.

Other Meds: Multivitamin daily

Current Illness: none

ID: 0962520
Sex: F
Age: 34
State: IN

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: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Headache, body aches, extreme fatigue, joint pain

Other Meds:

Current Illness:

ID: 0962521
Sex: F
Age: 59
State: IN

Vax Date: 01/10/2021
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: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: severe erythema multiforme developed within 36 hours, treatment ongoing

Other Meds:

Current Illness:

ID: 0962522
Sex: F
Age: 52
State: CA

Vax Date: 01/09/2021
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: RA

Lab Data:

Allergies: Allergic reactions to insect bites including swelling and welts

Symptom List: Nausea

Symptoms: Redness, swelling and welt 7 days post vaccination

Other Meds: None

Current Illness: None

ID: 0962523
Sex: F
Age: 28
State: IN

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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Injection site pain

Symptoms: Body aches, low grade fever

Other Meds: None

Current Illness: None

ID: 0962524
Sex: F
Age: 26
State: NY

Vax Date: 12/16/2020
Onset Date: 12/26/2020
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: LA

Lab Data:

Allergies: no

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

Symptoms: After the vaccination I began to suffer from SOB and tested positive for covid-19 on 12/29 and was given an enhaler to help with the breathing. I had a sore throat, fatigued, a headache and diarrhea

Other Meds: Melatonin

Current Illness: no

ID: 0962525
Sex: F
Age: 60
State: WV

Vax Date: 01/12/2021
Onset Date: 01/12/2021
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: Sulfa Thimerosol

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

Symptoms: Injection site got really red started about a quarter in diameter and swelled to about 9 inches in diameter. Itched and was painful. Lasted about 1 weeks time. Ibuprofen and diphenhydramine.

Other Meds: Inderal

Current Illness: None

ID: 0962526
Sex: F
Age: 71
State:

Vax Date: 01/09/2021
Onset Date: 01/17/2021
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:

Symptom List: Tremor

Symptoms: Numbness around my mouth and cheek Has not stopped.

Other Meds:

Current Illness:

ID: 0962527
Sex: F
Age: 40
State: CO

Vax Date: 01/08/2021
Onset Date: 01/18/2021
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: Bactrim, clindamycin, penicillin, sulfa drugs

Symptom List: Erythema, Pruritus

Symptoms: Delayed reaction, sore, indurated, red arm, hot to the touch, around injection site

Other Meds: Citalopram, topiramate, vitamin D

Current Illness: None

ID: 0962528
Sex: F
Age: 66
State: IN

Vax Date: 01/19/2021
Onset Date: 01/19/2021
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: None

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

Symptoms: Slight headaches and dizziness lasting 36 hours Chills

Other Meds: Losartan 100 Multivitamin Calcium with D3

Current Illness: None

ID: 0962529
Sex: F
Age: 38
State: MN

Vax Date: 12/22/2020
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: gluten

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

Symptoms: heart palpitations, lightheaded, panic attack feeling of passing out

Other Meds: b12, vitamin D, probiotic,/prebiotic, multivitamin

Current Illness:

ID: 0962530
Sex: F
Age: 9
State: FL

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

Lab Data:

Allergies: none

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: urticaria around injection spot spreading down the rest of the arm. It was warm to the touch.

Other Meds: none

Current Illness: none

ID: 0962531
Sex: M
Age: 28
State: CA

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: 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: Chills. Couldnt go to sleep.

Other Meds:

Current Illness:

ID: 0962532
Sex: F
Age: 36
State: CA

Vax Date: 01/09/2021
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: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Penicillin

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

Symptoms: After I took I vaccine I only had the sore arm at injection site for 2 days. One 01/17/2021 at lunch while drinking water, I noticed water dripping out the right side of my face (mouth). The next day morning my doctor I work from found that right side weakness. The referred me to my primary care doctor, and she did a video visit with me and was diagnosed with Bell's Palsy, I seen her at 01/18/2021 at 1:50 PM. She prescribed prednisone 60 mg and once a day and Acyclovir 800 mg taking 5 times a day q4hr for 7-10 days. As of today I have not recovered, it is not getting worse but not getting better.

Other Meds: Zyrtec 10 MG, Vitamin C QD

Current Illness:

ID: 0962533
Sex: F
Age: 32
State: NY

Vax Date: 01/08/2021
Onset Date: 01/08/2021
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: None

Symptom List: Pain in extremity

Symptoms: I received the vaccine around 0900. When I woke up later in the day around 1500, I had some slight muscle aches and chills. I worked an overnight shift with some muscle aches and chills. On 1/9 I came home in the morning and slept. When I woke up, I felt feverish and had worse muscle aches and chills. I felt that way for the rest of the night.

Other Meds: Lo Loestrin Fe

Current Illness: None

ID: 0962534
Sex: M
Age: 55
State: TX

Vax Date: 01/21/2021
Onset Date: 01/21/2021
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: unknown

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

Symptoms: 10 minutes after vaccine administration-complained of headache, blood pressure taken 158/111 pulse76, O2 sat 99%, Patient then told healthcare providers he had not taken any of his daily (morning) meds and had not eaten, offender was sent to hospital by ambulance

Other Meds: Losartan, Metformin

Current Illness: unknown

ID: 0962535
Sex: F
Age: 32
State: WA

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

Lab Data:

Allergies: Na

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

Symptoms: The first morning after the vaccine I awakened with a terrible headache and fever of 101.7 and chills. The second morning the lymph nodes in my left armpit were substantially swollen and the right side less swollen.

Other Meds: Na

Current Illness: Na

ID: 0962536
Sex: M
Age: 39
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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Patient was vaccinated with booster dose too early. Booster was provided on day 13 instead of minimum of 21 days.

Other Meds:

Current Illness:

ID: 0962537
Sex: F
Age: 37
State: MN

Vax Date: 01/07/2021
Onset Date: 01/09/2021
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: I developed the expected side effects of fever, chills, and body aches. The body aches were mostly in my neck and hips. They slowly improved but lingered in my neck. Then on Sunday 1/9 I developed severe 10/10 pain in my neck and shooting down my left arm and down my shoulders and back. It was unrelieved by ibuprofen, norco, heat, essential oils, and changing of positions. I was unable to sleep. I went to my chiropractor and she was unable to adjust me due to severe pain. She applied icy hot, did some gentle massage, and gave me curcumin for the inflammation . She believed it was an inflammatory response in my cervical spine. It slowly improved to a 8/10 pain, but I was still unable to sleep laying down. I was unable to work for 3 schedule shifts. I saw my chiropractor 4 times total that week. On 1/16 I went to urgent care because the pain was not getting better. She said I had torticollis and gave me naproxen and a stretching exercise. It is still lingering muscle pain, but I am able to finally sleep and function normally. I had never experienced pain like that before and I hope I never do again.

Other Meds: NONE

Current Illness: NONE

ID: 0962538
Sex: F
Age: 30
State: CA

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

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: sore throat congestion

Other Meds:

Current Illness:

ID: 0962539
Sex: F
Age: 48
State: OK

Vax Date: 01/09/2021
Onset Date: 01/09/2021
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: beef, soy

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

Symptoms: nausea, dizziness for 4 days , chills, fever for 4 days,, full arm was red and knot size of a baseball for 2 weeks, itching is currently . continue taking zyrtec. took benadryl as well., tylenol and advil for fever.

Other Meds: synthroid, vit d, valium, zyrtec, fiorocets,

Current Illness: hashimoto thyroiditis, rheumatoid arthritis, sleep apnea, Migraines ,gastroparesis ,Meniere's , asthma, auto immune

ID: 0962540
Sex: F
Age: 66
State: IL

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

Lab Data:

Allergies: IVP dye.

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Nausea and feeling of wanting to vomit. Been resting, took Zofran and thought she was hungry, but still having the same symptoms.

Other Meds: Albuterol inhaler, Claritin, Loratadine, Amlodipine, aspirin 81 mg, folic acid, gabapentin, methotrexate, spiriva inhaler, Singulair, omega fatty acid, Zofran, oxcarbazepine, Crestor (generic), Spirinolactone.

Current Illness: None.

ID: 0962541
Sex: F
Age: 28
State: NY

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: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Methimazole, Keflex

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

Symptoms: Swelling, hot and very itchy at injection site along with pain in armpit, starting on 7th and 8th day after vaccination.

Other Meds: Atenolol, Pepcid, Propylthiourcil, Folic Acid

Current Illness:

ID: 0962542
Sex: F
Age: 41
State: FL

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

Lab Data:

Allergies: Sulfa drugs

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

Symptoms: Severe chills, fever, nausea, vomiting, loose stools, muscle and joint pain

Other Meds: Citalopram

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm