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: 0967116
Sex: F
Age: 71
State: NY

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
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: Redness and swelling to injection site, diarrhea, headache, palpitations, myalgias

Other Meds: Advair, gabapentin, Trulicity, Glipizide, Metformin, sitagliptan, cetirizine, simvastatin, lisinopril, atenalol, levothyroxine, dexlansoprazole

Current Illness: COVID illness

ID: 0967117
Sex: F
Age: 27
State: KY

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/22/2021
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: Sore arm for about 24 hours starting about 12 hours after injection

Other Meds: Taytulla Naproxen Baclofen

Current Illness: None

ID: 0967118
Sex: F
Age: 45
State: TX

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/22/2021
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: Penicillin and apple juice

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

Symptoms: Arm sore, Tired, weak, fever 100.3

Other Meds: collagen. Niacin. Turmeric. Probiotic. Lisinopril. Venlafaxine. Singular - allergies. Nasal spray allergies.

Current Illness: None

ID: 0967119
Sex: F
Age: 87
State: AR

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: penicillin

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: 89 y/o female w/ history of syncope presented to RX for 1st dose COVID-19 vaccination. Patient buckled in wheel-chair, unable to walk, assisted. Requested vaccine be administered without moving patient from wheelchair. After administration, patient remained in waiting area for recommended 15 minute observation time, then patient's wheelchair was moved nearby, but still waiting area. Approximately 20 minutes after vaccination, granddaughter called me over to help. Patient was unconscious and appeared not to be breathing, but pulse was palpable. Called for code white. Pharmacist asked granddaughter to hold patient's head up. Pulse remained palpable, pharmacist administered 1 dose of 0.3mg epinephrine via epi-pen into patient's left thigh. Patient quickly regained consciousness, spoke to family, said she didn't feel well. EMS arrived. Patient began to vomit, was placed on stretcher by EMS and left with EMS. A few hours later the granddaughter reported to us that the patient had a UTI and physical exam by ER attributed her experience to untreated infection.

Other Meds: none reported

Current Illness: none reported at time of vaccination. after adverse event patient was transported to local emergency room. Upon exam an untreated urinary tract infection was diagnosed.

ID: 0967120
Sex: F
Age: 42
State:

Vax Date: 12/30/2020
Onset Date: 01/22/2021
Rec V Date: 01/22/2021
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: Amenorrhea

Other Meds: Toprol xl 50mg Losartan 50mg

Current Illness: None

ID: 0967121
Sex: F
Age: 30
State: IL

Vax Date: 01/15/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
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: Muscle pain on upper extemedies Hip,back , pain on both arms Left had has been swollen for 2 days After one week of vaccination

Other Meds: Birthcontrol Pills Phentermine

Current Illness: No

ID: 0967122
Sex: F
Age: 33
State: ND

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Low grade fever 100F, severe headache, muscle aches, tenderness at injection site, left arm/neck/shoulder is hard to move because it is stiff and hurts, diarrhea

Other Meds: Pantoprazole

Current Illness:

ID: 0967123
Sex: F
Age: 37
State: KY

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: Penicillin and things anything made from it. Bees.

Symptom List: Pharyngeal swelling

Symptoms: Light sensitivity, skin sensitivity, flushed skin. My whole body itched.

Other Meds:

Current Illness: Nothing

ID: 0967124
Sex: F
Age: 54
State: CA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: Soy protein isolate. History of food allergy, but food never identified.

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: It felt similar to the beginning of an anaphylactic reaction I had a few years ago to a random food (never found out what the allergen was). About 20 minutes after receiving the vaccine, my throat felt strange, my sinuses started getting congested, my ears started plugging. I felt dizzy when walking. I spent extra time at the clinic under observation. About 40 minutes after receiving the vaccine, I suddenly felt like I was being sucked into a vacuum and thought I was going to pass out. I alerted the nurses, who checked my vital signs and put me on O2. My heart rate was normal, my BP was high, my O2 sat was 100%. After about 5 minutes I started to feel normal, they removed the O2. They continued to observe me for another 15 minutes, until I felt better. As I drove home (about 1 hour 10 min after receiving the vaccine), my face and lips became numb. I continued driving home and the numbness resolved in about 10-15 minutes. I notified my doctor of the event and she advised me not to get the second dose and to report the event.

Other Meds: Vitamin, Calcium supplement, Fish oil, Glucosamine

Current Illness: None

ID: 0967125
Sex: F
Age: 19
State: GA

Vax Date: 01/20/2021
Onset Date: 01/22/2021
Rec V Date: 01/22/2021
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 known

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Slight soreness of injection site until today. There is a 1.5 X 2 in raised, red triangular area around the injection site. It is warm and painful; however, the patient says it is not getting more painful. The actually injection point as a raised, smooth, moderately dark pink wheal about 4 X 4 mm. No drainage at site. The Wheal reminds me of an old smallpox vaccine scar.

Other Meds: Sertraline Guanfacine

Current Illness: None known

ID: 0967126
Sex: F
Age: 28
State: KY

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: Wheat Egg

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

Symptoms: Rash on arm where shot was given Muscle aches Fever (100.2?) not fixed with ibuprofen Fatigue

Other Meds: Paxil Amitriptyline

Current Illness: None

ID: 0967127
Sex: F
Age: 79
State: AZ

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/22/2021
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: Any ?cillin? drugs

Symptom List: Rash, Urticaria

Symptoms: Terrible diarrhea

Other Meds: Carvedilol omeprazol hydroxyzine gabapentin baby aspirin glimepide atorvastatin

Current Illness: Undergoing lung cancer treatments. Had Keytruda infusion on Tuesday

ID: 0967128
Sex: F
Age: 27
State: KY

Vax Date: 01/15/2021
Onset Date: 01/22/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Red swollen circle about 2 inches diameter. Area is hot to touch and very itchy. Has become increasingly red, larger area, and itchier over the past 8 hours.

Other Meds: Baclofen Naproxen Taytulla

Current Illness:

ID: 0967129
Sex: F
Age: 42
State: IN

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
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: None

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

Symptoms: Headache, muscle ache, joint pain, low grade fever, nausea, fatigue. Symptoms lasted only few hours.

Other Meds: None

Current Illness: None

ID: 0967130
Sex: F
Age: 54
State: OR

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 01/22/2021
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: clindamycin ivp dye methylchloroisothiazolinone phenylenediamines latex avocado banana kiwi seafood nickel horse hair fragrance mix

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

Symptoms: Large local reaction 7 days after injection--pain, redness, swelling around injection site 12 cm diameter. Pain radiating to left ear and left hand.

Other Meds: cetirizine, buspirone, azelastine nasal spray, flax seed, vitamin D, turmeric, magnesium, joint supplement, Mirena IUD

Current Illness: None

ID: 0967131
Sex: F
Age: 78
State: MI

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
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: Severe multiple chemical sensitivities especially to pesticides and fertilizers nut also to many cleaning products and acented products Aspirin Ibuprofen..some Dilantin Sulfa drugs

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

Symptoms: CDizzy. Weak after an hour, increasing so could barely stand by 8 pm. severe abdoominal pain, chills, throat swelling during night, feeling as id needles pricking entire body for an hour or so around 2 or 3 am. Better next day exvept tired and weak. Ok since then.

Other Meds: Estrace Modafinal Celebrex Levothyroxine Htdrachlorathiazide Folic acid

Current Illness:

ID: 0967132
Sex: M
Age: 75
State: FL

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/22/2021
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: lipitor

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

Symptoms: Headache, & mild fever for a couple of days. Then lethargic, dizzy and brain fog.

Other Meds: Multi Vitamin, D3, Zink, C, Calcium, Fish Oil, Glucosame,, Red Yeast Rice, Q10, Turmeric, Magnesium, Melatonin

Current Illness: None

ID: 0967133
Sex: F
Age: 28
State: CA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/22/2021
Hospital:

Vax Type: HIBV
Manufacturer: MERCK & CO. INC.
Vax Name: HIB (PEDVAXHIB)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies: Meperidine, Minocycline, Benzol peroxide.

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Within 30 minutes I felt itchy at the injection site. That evening I began feeling pain in my left wrist; I believe it was joint pain. The next day I felt moderate pain, swelling and firmness at the injection site. I was also lethargic and mentally depressed; however, the pain in my left wrist ceased. The third day I had no pain in my wrist or arm, but the muscle around the injection site felt firm and swollen. This is the 7th day and I still have firmness/ swelling at the injection site and experience itchiness.

Other Meds: Apri 0.15mg/0/03mg

Current Illness: Diarrhea and nausea.

ID: 0967134
Sex: F
Age: 39
State: TX

Vax Date: 01/15/2021
Onset Date: 01/22/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: Penicillin Morphine Allspice

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Received vaccine 7 days before adverse reactions. On the 7th day redness and swelling at the injection site presented. Very warm to touch. Pain under arm, tender lymph nodes.

Other Meds: Lisinopril 5mg

Current Illness: None

ID: 0967135
Sex: F
Age: 31
State: CA

Vax Date: 01/07/2021
Onset Date: 01/12/2021
Rec V Date: 01/22/2021
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: Injection site days from injection date became red, hot to the touch and itchy. Injection site appeared like a giant mosquito bite, measured w a ruler to be 3.5 in in diameter. Consulted w physician who said this to be a delayed allergic reaction

Other Meds: Birth control oral daily tablet

Current Illness: None

ID: 0967136
Sex: F
Age: 62
State: OK

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: None known.

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

Symptoms: Lost sense of taste approximately 1 week after receiving vaccine. Have had no treatment because I don't know what to do.

Other Meds: Armour Thyroid 180 mg Tab Omeprazole 20 mg Cap ~ Supplements ~ BioTE DIM BioTE A-D-K 10 Zinc Gluconate (50 MG) Vitamin D3 (125 mcg) Multi-Vitamin Packs BioCell Collagen Folexin Tumeric (1

Current Illness: None

ID: 0967137
Sex: F
Age: 30
State: NY

Vax Date: 01/07/2021
Onset Date: 01/09/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: sulfa allergy

Symptom List: Unevaluable event

Symptoms: Chills, Headache day after vaccinated. Took one dose of Ibuprofen for symptom relief. Developed tinnitus that has persisted since day after vaccinated to today, 14 days later.

Other Meds: none at time of vaccination, 1 Ibuprofen 100mg on 1/9 at 9:00PM

Current Illness: none

ID: 0967138
Sex: M
Age: 68
State: MO

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/22/2021
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: The patient states that he had severe swelling at the injection site.

Other Meds:

Current Illness:

ID: 0967139
Sex: F
Age: 75
State: SC

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
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: Sulfa, keflex, and porphyria medication precautions.

Symptom List: Injection site pain, Pain

Symptoms: Immediately, during the vaccine injection , it felt as though the needle hit a wall and caused me to yell out loud in pain. I received multiple injections, but I have never had such a painful shot. The nurse played it off stating that it hurt ?because it was a big needle.?

Other Meds: Percocet, lisinopril hctz, neurontin, pamelor, and colace.

Current Illness: None.

ID: 0967140
Sex: F
Age: 71
State: CA

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: NKDA and no known food allergies

Symptom List: Injection site pain, Menorrhagia

Symptoms: Itchy red rash (papular) appeared over chest the evening after vaccination, followed by the appearance of similar lesions across both cheeks and ?R posterior upper arm the next morning. Symptoms persisted for 4-5days prompting patient to come to clinic for in-person evaluation via drop-in clinic on 1/22/2021

Other Meds: tocilizumab, atorvastatin, montelukast, famotidine

Current Illness: No acute illness at time of vaccine or up to 1mo prior as noted in EHR; mult chronic conditions as listed below

ID: 0967141
Sex: F
Age: 40
State: WA

Vax Date: 01/09/2021
Onset Date: 01/17/2021
Rec V Date: 01/22/2021
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: amoxacillin, Lidocaine, doxycycline, percocet

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

Symptoms: typical side effects with in the first 48 hours. then 8 days post injection began to have side effects again. Began with an itchy arm at injection site and thought nothing of it b/c there were not marks. by the end of that Sunday my arm was red and warm with round spots. I took some Cetirizine and used a topical cortisone. Monday morning I woke to two lumps, itchiness, heat, tenderness, sore muscles, headache. I took some APAP and IBU and applied some more cortisone, went about my day with a two hour car ride and a walk. i was stiff through the day so i completed stretches several times through the day. When i got home that night most of my major joints hurt enough that I could not sleep through the night even with Naproxen 440 mg , APAP 1000 mg, Cetirizine 10 mg on board. My arm began to be more swollen, my nervous system began to be off. I had no appetite, was dizzy, felt shaky but when I held my arm and hand out, I did not shake. I have continued on a with Naproxen an d APAP since Tuesday after read not to take PO IBU if had Moderna vaccine. I have not been able to complete house hold chores, missed three days of work, and been able to be with family. As of today, January 22nd 2021, thirteen days post injection I still have fatigue, intermittent dizziness, loss of appetite, joint pain, headache with no relief with OTC's. The redness, swelling, heat have dissipated in left arm at and near injection site.

Other Meds: Topamax, wellbutrin, Lamictal

Current Illness: none

ID: 0967142
Sex: F
Age: 37
State: TX

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/22/2021
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: None But did have an anaphylactic reaction to this Covid vaccine today

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: About 12-13 minutes into my wait after getting the vaccination... my throat had a tickle in it... like I needed to clear my throat. So I did... and then again.... and again. Then I felt dizzy and disoriented... foggy headed kind of drunk feeling. Then within what seemed like seconds... my mouth felt full so I opened my mouth and looked in the mirror. My tongue seemed bigger than usual and lighter in color. But what was most noticeable was that I had Ripples along the whole outer edge and side of my tongue. pulse ox reading was an 89 so they administered a prescription strength Benadryl shot and told me they would need to monitor me and keep an eye on me. Another woman drove me from the vaccination site to the clinic where they checked my oxygen levels again and i was already back up to 99. They monitored me and checked on me for about 15-20 minutes before releasing me. My tongue finally felt normal again about 2 hours later while resting at home.

Other Meds: Spark from Advocare NLA for her Shred Her

Current Illness: None

ID: 0967143
Sex: F
Age: 30
State: CA

Vax Date: 01/15/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Delayed reaction: redness at injection site, a bump at injection site. Enlarged lymph node underneath the neck (behind clavicle bone) on the side where the vaccine injection took place

Other Meds: None

Current Illness: None

ID: 0967144
Sex: F
Age: 91
State: WA

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/22/2021
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: Pollen extract

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

Symptoms: Dizziness about 5 minutes after vaccination. BP 220/110, rechecked at 190/110. EMS called due to high BP. EMS came and examined pt, released her to home.

Other Meds:

Current Illness:

ID: 0967145
Sex: F
Age: 50
State: TX

Vax Date: 01/19/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Nausea

Symptoms: On the 20th, had significant nausea that improved with zofran, and on the 21st, my ears started burning and when I looked in the mirror saw that they were extremely red, and then saw that my neck was red, pulled my long sleeves up and noticed a rash forming and within 5 minutes had a full blown body rash and redness; I was given a Benadryl and then I drove to the Urgent Care Clinic and was treated with Dexamethasone, and a Pepcid which resolved the rash within 20 minutes .

Other Meds: Estrogen pellet, Eco-thyroid 125, Vitamin B complex, Co Q10,

Current Illness: None

ID: 0967146
Sex: F
Age: 61
State:

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: nuts, trees, cats, dogs, grass

Symptom List: Injection site pain

Symptoms: Fever for 24 hrs. after injection. Burning sensation when injection went into arm. Moderate soreness for two days in deltoid area. Approx. 8 days after injection a large welt formed about 3 inches in diameter surrounded the injection site. It was also itchy. It went away about 7 days later but is still slightly itchy.

Other Meds: levothyoxine, multi vitamin, omega 3, calcium

Current Illness: no

ID: 0967147
Sex: F
Age: 54
State: CA

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/22/2021
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 e

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

Symptoms: None stated.

Other Meds: Vit c, calcium, tumeric

Current Illness: None

ID: 0967148
Sex: F
Age: 60
State: NJ

Vax Date: 01/03/2021
Onset Date: 01/13/2021
Rec V Date: 01/22/2021
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: Moderna COVID-19 Vaccine EUA" Rash at the injection site the size of 2 half dollars 10 days after receiving vaccination .

Other Meds: Fosamax

Current Illness: None

ID: 0967149
Sex: F
Age: 70
State: NY

Vax Date: 01/15/2021
Onset Date: 01/22/2021
Rec V Date: 01/22/2021
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: Penicillin

Symptom List: Tremor

Symptoms: Large hive like reaction at injection site appeared suddenly after one week. Red, warm, hard. I am going to ice it and apply topical steroid cream

Other Meds: Levothyroxine, pravastatin, curcumin, vitamin D3, magnesium taurate

Current Illness: None

ID: 0967150
Sex: M
Age: 36
State: SC

Vax Date: 01/19/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Erythema, Pruritus

Symptoms: Awoke in middle of night 18 hours after injection itching all over. Awake finally 21 hours after vaccine with visible hives on arms and chest. Benadryl taken with relief. 48 hours after injection, whole body hives ensued. Benadryl, Zyrtec taken. PA ordered Medrol dose pack. Mostly resolved by next morning, 60 hours after injection, but hives intermittently appeared throughout the day in between medrol doses.

Other Meds: None

Current Illness: None

ID: 0967151
Sex: F
Age: 28
State: GA

Vax Date: 01/15/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
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: No

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

Symptoms: Heavy vaginal bleeding with golf ball size clots started 01/21/21 received Covid-19 vaccine 2nd dose on 01/15/21. Started period 2 days prior 1/13/21) to getting vaccine, cycle should've ended on the 18th but has had it for a week with excessive heavy bleeding

Other Meds: None

Current Illness: None

ID: 0967152
Sex: F
Age: 53
State: WA

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/22/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: Fatigue Injection site pain/soreness for 3 days Chills at 24 hours Joint aches Symptoms lasted total of 36 hours

Other Meds: Lamotrigine Vitamin D Phenylephrine Loratidine Topiramate

Current Illness: None

ID: 0967153
Sex: F
Age: 30
State: FL

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
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: Low blood pressure 79/52 post 16 hours of vaccine and increased resting heart rate 152 post 24 hours of vaccine.

Other Meds: Wellbutrin Syeda

Current Illness: None

ID: 0967154
Sex: F
Age: 41
State: VT

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/22/2021
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: Dairy and all dairy derivatives, multiple sensitivities to multiple medications due to Mast Cell Activation Syndrome.

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

Symptoms: Mouth tingling and burning, throat feels a little swollen, mouth tastes like metal, itchy hands and head, loss of clear verbal articulation

Other Meds: Sertraline,loratidine,famotidine, baclofen, clonazepam. OTC benadryl.

Current Illness:

ID: 0967155
Sex: M
Age: 25
State: MT

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
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: ~3 hours after injection: chills, sweating, heart rate increase. 10 hours after injection: 102 degree fever, nausea, vomiting, chills, headache. 30 hours after injection: fever lowered to 100 degrees and nausea subsided.

Other Meds:

Current Illness:

ID: 0967156
Sex: F
Age: 54
State: CA

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: Red swollen arm following MMR vaccine in 2020, told never to take it again. Anaphylaxis from antibiotic, possibly Cephalosporin

Symptom List: Pain in extremity

Symptoms: Pt. complained of nausea and mild headache, she appeared to have some mild erythroderma of face and both arms, but unclear if it was baseline. She seemed anxious about the vaccine, and wanted to leave as her husband was waiting for her.

Other Meds: Estradiol patch, Lexapro, Gabapentin

Current Illness: denies

ID: 0967157
Sex: F
Age: 29
State: HI

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: PCN

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

Symptoms: Anaphylaxis. Upper Extremity Rash, and Shortness of breath with throat swelling.

Other Meds: NONE

Current Illness: NONE

ID: 0967158
Sex: F
Age: 68
State: OR

Vax Date: 01/14/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Delayed acute urticaria

Other Meds:

Current Illness:

ID: 0967159
Sex: M
Age: 37
State: OH

Vax Date: 12/24/2020
Onset Date: 12/26/2020
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Persistent (> 4 weeks) right shoulder pain and weakness with certain movement of the arm/shoulder as well as a full pain at rest. This is not a report of the typical soreness after a shot. Concern for tendonitis/shoulder injury from the shot itself or a complication thereafter. I have been taking ibuprofen around the clock. The normal soreness after the shot started around 12 hrs. These subsequent pain/weakness issues continued on after that point

Other Meds: None

Current Illness: None

ID: 0967160
Sex: F
Age: 42
State: CA

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/22/2021
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: Advil, aleve, nsaids

Symptom List: Vomiting

Symptoms: Anaphylaxis. Face, lips, throat swelling. Epi in each leg. Benadryl in right arm.

Other Meds: Juice Plus, advair, Tylenol

Current Illness: None

ID: 0967161
Sex: F
Age: 86
State:

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
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 arm at injection site

Other Meds:

Current Illness:

ID: 0967162
Sex: M
Age: 62
State: TX

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: sulfa

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

Symptoms: pt called questioning the worsening of his arthritis shoulder is a side effect of the shingrix vaccine. He received his vaccine on his right arm but his left shoulder arthritis has been getting worse and he wanted to know if shingrix vaccine could cause it

Other Meds: voltaren gel & advil

Current Illness: none

ID: 0967163
Sex: F
Age: 70
State: NY

Vax Date: 01/06/2021
Onset Date: 01/16/2021
Rec V Date: 01/22/2021
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; erythromycin, gadolinium; gold

Symptom List: Injection site swelling, Limb discomfort

Symptoms: On day 10 after getting the vaccine, I developed aired hot rash that covered my upper arm from just above my elbow to my shoulder. It was red, hot and itchy and painful. There was an on outer line that encircled it. I called my dermatologist on day 12 and she prescribed a cortisone prescription cream that I applied 2x per day. Rash resolved on day 14.

Other Meds: Synthroid; multi vitamin, Rouvastatin; Vitamin D; Zinc; ubiquinol

Current Illness: Diagnosed with MGUS and low immunoglobulins

ID: 0967165
Sex: F
Age: 37
State: IN

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/22/2021
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: Increased HR, headache, dizziness, SOB, sore arm, and body aches

Other Meds:

Current Illness:

ID: 0967166
Sex: F
Age: 47
State: IN

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
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: Body aches for 24 hours Headache for 48 hours

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm