VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 11/12/2021
** VAERS DATABASE Last updated: November 12, 2021**
PLEASE CHECK BACK SOON
Download the files above while you wait.







Manufacturers

Total Manufacturer
199,106MODERNA
36,710JANSSEN
5,381PFIZER\BIONTECH
2,555GLAXOSMITHKLINE BIOLOGICALS
1,469UNKNOWN MANUFACTURER
897MERCK & CO. INC.
627SEQIRUS, INC.
112DYNAVAX TECHNOLOGIES CORPORATION
91SANOFI PASTEUR
75NOVARTIS VACCINES AND DIAGNOSTICS
40EMERGENT BIOSOLUTIONS
14PAXVAX
12TEVA PHARMACEUTICALS
12PROTEIN SCIENCES CORPORATION
9PFIZER\WYETH
4BERNA BIOTECH, LTD.
4SMITHKLINE BEECHAM
3INTERCELL AG
1MEDIMMUNE VACCINES, INC.
1CSL LIMITED

COVID19 Lot Number

VAX LOT Total
2S9CL7,949
7,473
2,547
1,506
1,187
1,051
1,049
s0294561,043
866
IMM209861
816
UT7065MA766
657
579
U62828AA563
557
538
U6737AA516
515
S034636506
4F472471
458
P100253275449
444
276563436
429
418
4BH32414
MENVEO404
PP9L5362
UJ446AA337
319
306
290
271
49TM3270
R1B252M253
4F472179
933622147
C5763AA144
CW3116134
3Y7NL126
UNK114
113
ARBA141A105
104
103
96
300057A90
79
1F4EB73
R1B743M62
56
UJ090AA55
51
UH894AB46
45
UNK44
UNK42
42
EJ168638
Unknown36
35
34
32
32
26
el128424
24
A115A22
22
EN620222
21
UNK20
20
19
Z127A19
19
17
JEV18K95E15
12
111798PI12
10
A739088
No batch number8
3333324181078
6
6
TAR356
5
5
U6935AA5
UNK5
4
unknown4
3
2
55RB72
2
2
2
2
2
U7124AA2
JEV18A68E2
2
ABYB05BA1
1
1
1
1
AMVA436A1
1
1
TJ3521
A130A; VIS give1
1
U7140BB1
1
1
SP UP016AA1
1
1808P08802/ESV01
037K20A300,947
EL1284288,578
57,766
1,432

Incidents per State

State Total
82,750
CA62,821
FL38,209
TX36,512
NY34,921
PA23,646
IN23,622
IL20,597
MI19,590
OH19,426
NJ18,413
NC16,769
GA15,932
WA15,351
VA15,234
MA14,876
AZ14,206
MN12,940
MD12,656
CO11,908
WI11,425
MO10,240
TN9,685
OR8,768
KY8,437
CT8,300
SC6,700
OK6,293
AL5,692
LA5,025
IA4,825
KS4,821
UT4,637
NV4,374
NM3,967
AR3,807
ME3,161
NH3,096
NE2,918
MS2,859
ID2,785
WV2,469
HI2,459
PR2,417
MT2,414
RI2,076
DE1,868
AK1,830
VT1,734
DC1,715
ND1,388
SD1,269
WY866
GU118
VI69
AS47
MP29
MH8
XB6
FM4
QM3
XV2
XL1

ID: 1632712
Sex: F
Age: 48
State: OK

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 08/25/2021
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: pneumonia vaccine

Symptom List: Dysphagia, Epiglottitis

Symptoms: Short of breath, cough, body rash.

Other Meds:

Current Illness: None

ID: 1632713
Sex: F
Age: 33
State: TN

Vax Date: 08/24/2021
Onset Date: 08/25/2021
Rec V Date: 08/25/2021
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: Minocycline

Symptom List: Anxiety, Dyspnoea

Symptoms: Lower left side of face down to left hand feels numb and site of injection is sore.

Other Meds: Metformin, spironolactone, levothroxine, vitamin b, vitamin c, CO q10,melatonin, zinc, pepcid

Current Illness: None aware of

ID: 1632714
Sex: F
Age: 95
State: OH

Vax Date: 08/25/2021
Onset Date: 08/25/2021
Rec V Date: 08/25/2021
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: No - she states there is an eye drop that causes tremor

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

Symptoms: The patient states that first dose , she got very sleepy after 5 minutes getting the dose. She states she get tremors from an eye drop she doesn't know the name of. Patient states that she has no seizures, and her dr cant explain tremors from eye drop. On the second dose , patient got tremors after 5 minutes, the tremor was a bit severe, patient got sleepy and her neighbor states that's what happened last time , in terms of sleepiness but not tremors. Then patient was back to normal . talking normally

Other Meds: NO

Current Illness:

ID: 1632715
Sex: F
Age: 94
State: MI

Vax Date: 02/23/2021
Onset Date: 08/20/2021
Rec V Date: 08/25/2021
Hospital: Y

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

Lab Data: rapid test

Allergies: NKA

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Tested positive for COVID 19 post vaccine

Other Meds: Lisinopril, metoprolol, folic acid, simvastatin, acetaminophen hydrocodone

Current Illness: covid pneumonia

ID: 1632716
Sex: F
Age: 70
State: VA

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 08/25/2021
Hospital:

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

Lab Data: CT scan of the head. Can?t remember the exact date of the scan, order was for an emergency scan, my insurance approved payment of said test quickly. Results were normal.

Allergies: NONE

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

Symptoms: I experienced extremely elevated blood pressure, at stoke level. It was stubborn, had to increase my hypertension medication. BP finally decreased from a dangerous level to a high, but no longer dangerous one. I remained on that increased treatment until the second vaccine dose was given. BP was high the entire period, it remained elevated for at least a month following the second shot. I felt terrible during those few weeks, experienced headaches that would not go away. Had to take a CT scan of the head to be certain that there wasn?t bleeding in the brain, and that I actually didn?t have a stroke. I am still on the same medication regimen. Spent several hours at the clinic to ensure that there wasn?t any danger before going home.

Other Meds: No herbal remedies. Multivitamin, vitamin D, calcium. Lipitor, lisinopril, lexapro, Wellbutrin, omeprazole. 325 mg aspirin

Current Illness: NONE

ID: 1632717
Sex: F
Age: 33
State: MN

Vax Date: 01/26/2021
Onset Date: 08/08/2021
Rec V Date: 08/25/2021
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: COVID19 PCR NP swab collected on 8/16/21.

Allergies:

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

Symptoms: Patient was fully vaccinated with Pfizer COVID19 vaccine first dose on 1/5/21 2nd dose on 1/26/21. Patient noticed COVID symptoms of sore throat, congestion, runny nose starting 8/8/21. Patient reported a COVID positive PCR test result after testing on 8/16/21.

Other Meds:

Current Illness:

ID: 1632718
Sex: F
Age: 74
State: NY

Vax Date: 03/26/2021
Onset Date: 05/01/2021
Rec V Date: 08/25/2021
Hospital:

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

Lab Data: TSH wnl 12 Aug , EKG wnl stress test 03 Aug with hypertensive diastolic response to exercise

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: about 6 weeks after 2n dose.(1st dose red swollen painful arm about 10 days after and lasted about 10 days. 2nd shot reaction about 6 weeks after, Painful red swollen arm in bed 24+ hrs exhausted, unable to get out of bed. Legs started to swell bilaterally 3+ pitting edema to mid calf and become very fatigued. Unable to do stairs as DOE faculations of muscles arms, legs,eyes appetite deminished

Other Meds: Diltiazem CD 120mg, Lexapro 10 mg, Milk Thistle, Oculite

Current Illness:

ID: 1632719
Sex: F
Age: 54
State: CA

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 08/25/2021
Hospital:

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

Lab Data: Blood work

Allergies: No

Symptom List: Pharyngeal swelling

Symptoms: Flu symptoms, Fatigue, lost of taste and smell.

Other Meds: Tylenol

Current Illness: No

ID: 1632720
Sex: F
Age: 43
State: MA

Vax Date: 07/21/2021
Onset Date: 08/18/2021
Rec V Date: 08/25/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: I experienced an irregular menstruation cycle. More painful and heavier than usual. I'm currently mid cycle and so unable to determine if the cycles will normalize.

Other Meds:

Current Illness:

ID: 1632721
Sex: M
Age: 70
State: GA

Vax Date: 02/25/2021
Onset Date: 08/01/2021
Rec V Date: 08/25/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Patient hospitalized due to COVID-19. Patient is fully vaccinated. He complained of chest pain and had an MI.

Other Meds:

Current Illness:

ID: 1632722
Sex: F
Age: 51
State: CA

Vax Date: 08/24/2021
Onset Date: 08/25/2021
Rec V Date: 08/25/2021
Hospital:

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

Lab Data: Negative Covid test on 8/23/21

Allergies: none

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

Symptoms: I woke with a headache at approximately 1AM and unable to sleep well after and now experiencing fatigue.

Other Meds: synthroid

Current Illness: none

ID: 1632723
Sex: F
Age: 30
State: VA

Vax Date: 07/12/2021
Onset Date: 07/12/2021
Rec V Date: 08/25/2021
Hospital:

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

Lab Data: In addition to the pericarditis or myocarditis, the provider also indicated that an echocardiogram shows thickening of the patient's mitral valve.

Allergies: none

Symptom List: Rash, Urticaria

Symptoms: A few hours after receiving the 2nd does of the Pfizer Covid19 vaccine patient started experience chest discomfort which grew increasingly worse over the next few hours. She went to the Emergency Room at the in , . The provider indicated she had either low-grade pericarditis or early myocarditis related to the Covid vaccine. Patient has had subsequent visits with Cardiologists who recommended ongoing treatment with anti-inflammatory medications.

Other Meds: amitriptyline 25 mg, 1/2 tablet at bed time (migraine) butalbital- acetaminophen 50-325 mg tablet, PRN (migraine) SUMAtriptan 50 mg, PRN (migraine)

Current Illness: none

ID: 1632724
Sex: F
Age: 69
State: AR

Vax Date: 03/08/2021
Onset Date: 08/23/2021
Rec V Date: 08/25/2021
Hospital: Y

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

Lab Data: Coroavirus Test: 08232021 = positive

Allergies:

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

Symptoms: Pt arriving via emergency services with c/o respiratory distress. Tested covid + on the 17th. Initial O2% at home in 70's on 5L. Put on Cpap in route with a saturation of 86%. AxOx4. C/o SOB, cough, aches. Given 1 duoneb Patient is 70-year-old female with a history of sleep apnea on 2 L at night, childhood asthma who the 16th of this month diarrhea and nausea and weakness. She underwent COVID-19 testing on the 18th and was positive. She states that in March of this year she was x-ray of COVID 19. She presents tonight due to having increased her home O2 for shortness of breath. EMS was called there she was satting 75% on 5 L nasal cannula. Currently she is currently tolerating BiPAP and says her dyspnea is markedly improved.

Other Meds:

Current Illness:

ID: 1632725
Sex: F
Age: 38
State: IN

Vax Date: 08/24/2021
Onset Date: 08/25/2021
Rec V Date: 08/25/2021
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: Patient is currently 8 months pregnant. Within 12 hours of second vaccine dose administration, experienced sore arm at injection site, headache, and fatigue.

Other Meds: Prenatal vitamin Calcium supplement Pepcid AC

Current Illness: None

Date Died: 08/25/2021

ID: 1632726
Sex: M
Age: 28
State: GA

Vax Date: 08/24/2021
Onset Date: 08/25/2021
Rec V Date: 08/25/2021
Hospital:

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

Lab Data: Per Coroner the patient will be sent to the local Crime Lab for potential autopsy.

Allergies: No allergies reported.

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

Symptoms: Patient found in early morning hours by family member. Unfortunately he had already expired with rigor.

Other Meds: Unknown

Current Illness: None reported when questioned.

ID: 1632727
Sex: M
Age: 57
State: CA

Vax Date: 07/10/2021
Onset Date: 07/27/2021
Rec V Date: 08/25/2021
Hospital:

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

Lab Data: N/A

Allergies: N/A

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

Symptoms: I was in my backyard one afternoon I felt pain in my back I thought it was a bee or something that stung me, I didn't pay much attention to it and to bed that night. I wasn't feeling 100 percent the next morning into that night. I had my wife check my back and she noticed little bumps and rash all over, it was very red and painful. The next day after that I went to urgent care and I was told I had shingles. I was prescribed medicine to take for 7 days and the doctor told me to go to my PCP and follow up to see how the shingles were doing I took the medicine. I followed up with my PCP 1 week later and she prescribed me more medicine and pain medicine for my right hand. After I started taking the medicine I didn't work for a whole week because it was really bad. I have severe pain in my right hand, it's a little swollen but it has severe burning pain in my right hand, its 9/12 out of 10 pain.

Other Meds: Aspirin

Current Illness: N/A

ID: 1632728
Sex: F
Age: 43
State: CA

Vax Date: 02/17/2021
Onset Date: 03/17/2021
Rec V Date: 08/25/2021
Hospital:

Vax Type: DTAPHEPBIP
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: DTAP + HEPB + IPV (PEDIARIX)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data: Blood work normal. Ultrasound normal.

Allergies: Gluten; butorphanol injection; codeine; adhesives.

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

Symptoms: I experienced redness from the middle of my calf down to my toes became swollen and progressively traveled to the right leg as well. I went to see my doctor and he ordered lab work and an ultrasound to find out why I was having the symptoms. I was diagnosed me with Venous Insufficiency.

Other Meds: Topiramate; omeprazole; cetirizine; montelukast; Flovent; sumatriptan; albuterol sulfate.

Current Illness: No

ID: 1632729
Sex: M
Age: 28
State: CA

Vax Date: 08/24/2021
Onset Date: 08/25/2021
Rec V Date: 08/25/2021
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: Temporary blindness for 1-2 minutes after getting out of bed at about 14 hours after the vaccine. Could not tell the difference when switching the light on or off, everything dark. After about 2 minutes, vision returned. No lingering effects so far.

Other Meds: Sertraline 100mg/day

Current Illness: None

ID: 1632730
Sex: M
Age: 77
State: MN

Vax Date: 02/26/2021
Onset Date: 08/04/2021
Rec V Date: 08/25/2021
Hospital: Y

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

Lab Data: 8-4-21 Abbot ID-NOW COVID-19 Virus Molecular Test - Positive

Allergies: IODINE, IODINE CONTAINING IV DYE, SHELLFISH

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: HOSPITALIZATION WITH COVID-19

Other Meds: MIRALAX, MULTIVITAMIN, RITUXIMAB/BENDAMUSTINE

Current Illness: MANTLE CELL LYMPHOMA

ID: 1632731
Sex: F
Age: 50
State: NC

Vax Date: 08/16/2021
Onset Date: 08/17/2021
Rec V Date: 08/25/2021
Hospital:

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

Lab Data:

Allergies: codeine, lovenox, cymbalta

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

Symptoms: Fever- 100.8, chills, sweats, bodyaches, headaches 1 week Temp has resolved

Other Meds:

Current Illness:

ID: 1632732
Sex: F
Age: 14
State: AR

Vax Date: 07/26/2021
Onset Date: 07/26/2021
Rec V Date: 08/25/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Patient was given Moderna Vaccine under the age of 18. Patient had no adverse reaction other than a sore arm. Did not receive second dose.

Other Meds:

Current Illness:

ID: 1632733
Sex: F
Age: 63
State:

Vax Date: 04/08/2021
Onset Date: 08/07/2021
Rec V Date: 08/25/2021
Hospital: Y

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

Lab Data: Covid 19 positive on 8/7/21 was performed by reverse transcription of viral RNA and PCR amplification using real-time reverse transcriptase PCR (RT-PCR) methods (Cepheid SARS CoV-2 EUA).

Allergies: Chocolate flavor and spices

Symptom List: Unevaluable event

Symptoms: Patient received J&J vaccine in April 2021. Was admitted to the hospital 8/7-8/18, for Covid-19 pneumonia. She required transfer to the ICU but not intubation. Was treated with dexamethasone, remdesivir and tocilizumab.

Other Meds: losartan, metfomin

Current Illness: None

ID: 1632734
Sex: F
Age: 61
State: TN

Vax Date: 03/14/2021
Onset Date: 04/26/2021
Rec V Date: 08/25/2021
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: None

Allergies: None

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

Symptoms: Developed breathing problem/tightness of chest around a month later. Went to my Dr. (5/6/21) who put me on a COPD inhaler for two weeks.

Other Meds: Nurtec ODT Maxalt Imitrex Montelukast Citalopram

Current Illness: None

ID: 1632735
Sex: F
Age: 31
State: NC

Vax Date: 08/20/2021
Onset Date:
Rec V Date: 08/25/2021
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: NKA

Symptom List: Injection site pain, Pain

Symptoms: Patient went into sickle cell crisis.

Other Meds: Cymbalta, Zyrtec

Current Illness:

ID: 1632736
Sex: F
Age: 57
State: MO

Vax Date: 07/31/2021
Onset Date: 07/31/2021
Rec V Date: 08/25/2021
Hospital:

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

Lab Data:

Allergies: penicillin sulfa morphine septra prednisone

Symptom List: Injection site pain, Menorrhagia

Symptoms: 5 hours after receiving the vaccination severe headaches ,nausea vomiting no appetite extreme fatigue. Also had all the same effects after receiving the 2nd vaccination on 8/21 .

Other Meds: none all med are as needed

Current Illness: no

ID: 1632737
Sex: F
Age: 55
State: TX

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 08/25/2021
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:

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

Symptoms: throat closure same day, then on & off, lip swollen and sore and dry

Other Meds: prezo, suppositories

Current Illness:

ID: 1632738
Sex: F
Age: 13
State: MD

Vax Date: 08/24/2021
Onset Date: 08/25/2021
Rec V Date: 08/25/2021
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: none

Allergies: no

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: L hand and upper arm swelling, nausea and vomiting (1)

Other Meds: no

Current Illness: no

ID: 1632739
Sex: F
Age: 44
State: NY

Vax Date: 08/13/2021
Onset Date: 08/13/2021
Rec V Date: 08/25/2021
Hospital:

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

Lab Data:

Allergies: Sulfa allergy

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Itchy/ scratching of the throat; lump/restricting of airway in the throat, heart rate dropping.

Other Meds: Hydrochlorothiazide 12.5mg; Arnuity Ellipta POW 200 mcg; Albuterol inhaler 90 mcg;

Current Illness: None

ID: 1632740
Sex: M
Age: 43
State: KY

Vax Date: 01/01/2021
Onset Date: 08/16/2021
Rec V Date: 08/25/2021
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: positive covid test 08/2021

Other Meds:

Current Illness:

ID: 1632741
Sex: F
Age: 49
State:

Vax Date: 04/02/2021
Onset Date: 04/09/2021
Rec V Date: 08/25/2021
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: Itchy blisters covering entire body, was prescribed Prednisone by healthcare provider. Used ultra violet ray machine on patient, blistering became worse. Dermatologist.

Other Meds:

Current Illness:

ID: 1632742
Sex: F
Age: 44
State: CA

Vax Date: 02/13/2021
Onset Date: 07/20/2021
Rec V Date: 08/25/2021
Hospital:

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

Lab Data: COVid 19 PCR test

Allergies: Sulfa, Percocet

Symptom List: Injection site pain

Symptoms: I was diagnosed with COVID-19 on July 24, 2021 despite vaccination.

Other Meds: None.

Current Illness: None.

ID: 1632743
Sex: F
Age: 67
State: CA

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 08/25/2021
Hospital:

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

Lab Data: Blood work, CT Scan, Ultrasound. X-ray

Allergies: Amlodipine, Cipro, Voltaren

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

Symptoms: Tinnitus, Dizziness, Weakness, Fever, Body Aches - All adverse events lasted for a week, with the exception of the dizziness and tinnitus, which is persistent. On Feb. 25th I got extremely dizzy and had a syncopal episode, injuring my abdomen, which required a call to paramedics and the transfer to a trauma hospital for treatment of large abdominal wound. Long term wound care was required, and ended on April 16th, 2021.

Other Meds: Fosamax 70 mg weekly - Osteopenia Remicade 500 mg IV q 6 weeks - RA, Ankylosing Spondylitis Lefunomide 20 mg daily - RA Prednisone 5 mg daily - RA Budesonide 6 mg daily - Auto Immune Microscopic Colitis Gabapentin 400 mg 4 times daily - Ne

Current Illness:

ID: 1632744
Sex: F
Age: 34
State: OR

Vax Date: 02/20/2021
Onset Date: 04/29/2021
Rec V Date: 08/25/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data: EKG, urine test, blood tests, all given April 30th, all normal.

Allergies: Lexapro (first taken a month and a half after vaccination)

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

Symptoms: Beginning in mid-April, I had conjunctivitis a few different days over the course of about three weeks. All occurrences happened after starting Lexapro for depression and anxiety on April 10th. The conjunctivitis was usually accompanied by a mild headache, for which I took Tylenol. I was also experiencing mild heart palpitations most mornings. On April 29th, the conjunctivitis got very intense and was accompanied by severe photophobia, blurred vision, and heart palpitations beginning in the afternoon. I eventually ended up going to the ER around 11:00pm that night. At the ER, I was given an EKG, urine and blood tests, all of which came back normal. I was diagnosed with allergic conjunctivitis, given a Benadryl and told to start Zyrtec. The blurred vision did not resolve and I was unable to drive to work. The photophobia still remained and looking at screens was painful. On May 4th, I had a virtual visit with my primary care physician where we decided to take ease me off of the Lexapro. This resolved the heart palpitations once I was fully off of the medication. Also on May 4th, I visited my eye doctor, who prescribed steroid eye drops for 10 days for allergic conjunctivitis, which eventually cleared up the blurred vision after several days, allowing me to return to work on May 10th. A follow-up with my primary care physician on May 24th resulted in marking Lexapro as an allergy. She offered trying a different anti-depressant, but I declined for now. Since then, all severe symptoms have resolved, but my eyes are still dry and I have been trying various eye drops ever since. I visited an allergist and my eye doctor in July, and the allergist performed a skin test. All seasonal allergens and cats came back negative. The eye doctor found I'm still experiencing some allergic conjunctivitis in my left eye, and both eyes are moderately dry. He suggested trying a few different treatments for dry eyes and getting a new glasses prescription, which I am in the middle of now. The new glasses seem to be helping some, but the dry eyes are still persisting.

Other Meds: One-A-Day Women's Daily Multivitamin

Current Illness: None

ID: 1632745
Sex: F
Age: 55
State: FL

Vax Date: 08/23/2021
Onset Date: 08/24/2021
Rec V Date: 08/25/2021
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: NKA

Symptom List: Tremor

Symptoms: Fever 101 Chills Rash/ painful bump on left side of chest Body aches

Other Meds: Progesterone 100 mg Estradiol .5 mg Requip 1 mg Multivitamin

Current Illness: None

ID: 1632746
Sex: M
Age: 43
State: IL

Vax Date: 04/22/2021
Onset Date: 05/11/2021
Rec V Date: 08/25/2021
Hospital:

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

Lab Data: skin biopsy with and without immuno luminescence 7/16/21

Allergies: none

Symptom List: Erythema, Pruritus

Symptoms: Began to notice pale spots on hands approximately 2-3 weeks after vaccine. Over time, spots worsened and spread to arms, face and genitalia. Dermatologist did biopsy and confirmed vitiligo depigmentation of skin.

Other Meds: Vitamin D Fish Oil Synthroid 137 mcg

Current Illness: none

ID: 1632747
Sex: M
Age: 1
State:

Vax Date: 01/01/1981
Onset Date: 01/01/1981
Rec V Date: 08/25/2021
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:

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

Symptoms: rash

Other Meds:

Current Illness:

ID: 1632748
Sex: F
Age: 73
State: IL

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 08/25/2021
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: Hayfever

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

Symptoms: Nausea and fatigue

Other Meds: Levothyroxine

Current Illness:

ID: 1632749
Sex: M
Age: 24
State: IL

Vax Date: 08/25/2021
Onset Date: 08/25/2021
Rec V Date: 08/25/2021
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: Patient became dizzy and light headed and diaphoretic. Symptoms occurred at 1:00PM Patient was placed on mats, vials taken, BP 105/60, Pulse 50.Patient was offered advanced medical care, but refused. Patient was observed for 30 mins. Vital signs at 1:30PM, BP 110/60, Pulse 50. Patient was asked about his heart rate, he stated it runs between 50 and 60. Patient was asked how he was feeling stated he felt okay. He was asked if he was okay to drive home, stated he could drive. Patient was asked if we could do anything else for him and refused.

Other Meds: Dont Know

Current Illness: None

ID: 1632750
Sex: F
Age: 47
State: NY

Vax Date: 08/23/2021
Onset Date: 08/25/2021
Rec V Date: 08/25/2021
Hospital:

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

Lab Data: no

Allergies:

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

Symptoms: itchy back and neck red and swollen face Patient has no difficulties in breathing and able to work. She stated she had a similar reaction from hydrocortisone shot in past. She said symptoms aren't worsen, and maybe improving. I improved patient if its get worst.. I recommend that she see her PCP. Also, ask patient to ask PCP is it recommend to receive the 2nd shot pfizer covid shot

Other Meds:

Current Illness: no

ID: 1632751
Sex: F
Age: 28
State: PA

Vax Date: 08/19/2021
Onset Date: 08/21/2021
Rec V Date: 08/25/2021
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: denies

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

Symptoms: pruritic papular rash on nostril and lower lip, reported lower lip swelling. associated with headache, fatigue and arm soreness

Other Meds: denies

Current Illness: denies

ID: 1632752
Sex: M
Age: 48
State: IL

Vax Date: 02/19/2021
Onset Date: 03/18/2021
Rec V Date: 08/25/2021
Hospital: Y

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

Lab Data: CT scan, blood work.

Allergies: Amoxicillin; Valtrex

Symptom List: Pain in extremity

Symptoms: I started to experience some pains in my chest around the time that I got my vaccine. I do not know for sure exactly how long after the vaccine that it started. They symptoms came and went. I finally went to the ER. I was hospitalized for one day. They diagnosed me with pulmonary embolism. I have had follow up doctor visit with a hematologist. They ran a lot of tests and they have not been able to determine the cause of the clot(s). They ran some tests that were related to blood clotting. They all came back as inconclusive. I can't remember all of the tests that they ran. The blood clot was located in my lower right lung. I have to take blood thinners now.

Other Meds: Allegra; Vitamin D

Current Illness:

ID: 1632753
Sex: F
Age: 52
State: OH

Vax Date: 07/19/2021
Onset Date: 07/19/2021
Rec V Date: 08/25/2021
Hospital:

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

Lab Data: Sed rate and blood count were performed yesterday, 8/25. My doctor is ordering head scans. I will likely also follow up with my eye doctor regarding my prescription strength and see if my eyesight has worsened since receiving the vaccine.

Allergies: Sulfa, acetaminophen

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

Symptoms: Within 5 minutes my eyes were blurry. That seemed to be somewhat better in 15 minutes. I got a taste in my mouth immediately upon receiving vaccine. That lasted about 24 hours. I got a terrible headache within 30 minutes. That has persisted everyday since. Nothing takes it away. My resting heart rate was increased for approximately 10 days, often times around 105 bpm. I was tired the first day receiving the vaccine and wanted to sleep all day for about 5 days. I am still struggling with extreme sleepiness throughout the day. Although better than the first 5 days, it still persists and makes my daily function challenging. Lastly, my eyesight continues to be blurry, at times, and feels as thought it has gotten much worse overall. I just got a prescription for reading glasses in the spring but feel that prescription is no longer working.

Other Meds: NP Thyroid, Vit C, K2, D, B complex, Mag, CoQ10

Current Illness:

ID: 1632754
Sex: F
Age: 68
State: NY

Vax Date: 12/24/2020
Onset Date: 01/21/2021
Rec V Date: 08/25/2021
Hospital:

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

Lab Data: PCR TEST

Allergies: GEODON, MOTRIN, PENICILLIN, LITHIUM

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

Symptoms: TESTED POSITIVE FOR COVID, 7 MONTHS AFTER FULLY VACCINATED, VIA PCR TEST ON: 08/06/21, 08/13/21, 08/21/21

Other Meds: ABILIFY, ASPIRIN, ATORVASTATIN, CALCITRIOL, CARVEDILOL, COLACE, FERROUS SULFATE, LEVOTHYROXINE, MELATONIN, MULTIPLE VITAMINS WITH MINERALS ORAL TABLET, VALPROIC ACID, VITAMIN D3

Current Illness: UNKNOWN

ID: 1632755
Sex: F
Age: 34
State: WA

Vax Date: 02/01/2021
Onset Date: 05/01/2021
Rec V Date: 08/25/2021
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: Menstrual cycle late or absent a couple months after getting vaccine. I have never had this issue before.

Other Meds: Wellbutrin, Adderall, Xanax, Prozac, Spironolactone

Current Illness: None

ID: 1632756
Sex: M
Age: 49
State: NC

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 08/25/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data: none

Allergies: Levaquin, amoxicillin.

Symptom List: Vomiting

Symptoms: moderately severe shortness of breath starting 15 minutes after injection and lasting one hour.

Other Meds: Lisinopril 20 mg daily, Allopurinol 100 mg daily, Colchicine as needed.

Current Illness: Gout.

ID: 1632757
Sex: F
Age: 69
State: CA

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 08/25/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data: still in process.

Allergies: penicillin--given penicillin shots (2) at the age of 1-3 weeks causing allergy, among other possibilities; dairy

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: irst shot, no problems.Second shot has practically destroyed my life as I knew it.. First side effect started the first night after being vaccinated. Urinated every 45-60 minutes, excessive amounts. This has continued, though after about 10 days, it became every hour to 1.5 hours. Then, the vaccine seemed to attack everywhere I had had a muscle injury over the last year and a half. Not all at once,but rotating. First the right shoulder for 3 days, then the left for three days. Moved to the wrists and hands, again 3days. My began to ache and stiffen.knees,mostly the left. My left calf swelled up to a third larger than normal. That lasted about 10 days. The cycle repeated itself, though not as intense as the first round...shoulders, wrists, hand then knees. At this point, my left ankle and foot swelled and looked like a sprain, though no pain and I hadn't trwist it. Than lasted 3 days. On the fourth day I got up and my left ankle and foott appeared normal size. Doctor says I have arthritis in my knees. I did not have any arthritic pain in my knees prior to the vaccine. Now I can barely walk, cannot get out of a chair or otff the toilet without assistance. I try heat, rubs and icing my knees to no avail.I attempt to walk a few 100 feet several times a day. Sometimes it slightly relieves the pain, sometimes no. People who know me come up and exclaim "what did you do to your knee?" because it is so swollen. Can be either knee. Started with my left knee after the vaccination, now it's my right knee. The medical profession refuses to acknowledge my pain and discomfort as being the result of the vaccine and give little advice or direction in what to do to stop this misery. It may be of interest that in thefirst1-3weeks of my life I was given at least2 shots of penicillin. It is my understanding that this altered my immune system for life and could effect how I react to live vaccines.

Other Meds: Amlodipine, Hydrochlorothiazide, vitamin C, aspirin

Current Illness: none

ID: 1632758
Sex: M
Age: 20
State: TN

Vax Date: 08/24/2021
Onset Date: 08/25/2021
Rec V Date: 08/25/2021
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: not known

Allergies: not known

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

Symptoms: patient noticed on his smart watch that his heart rate during the night had gone up to about 120 and it is normally 60. He called and I told him to go to urgent care clinic. Doctor had clinic said it was vaccine and related and may last about two weeks.

Other Meds: not known

Current Illness: not known

ID: 1632759
Sex: F
Age: 50
State: CA

Vax Date: 07/17/2021
Onset Date: 07/20/2021
Rec V Date: 08/25/2021
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: None

Allergies: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: I have had a constant spasm in my right eyeball as well as nausea and loose bowel movements ever since I received the first dose of the covid 19 vaccine.

Other Meds: Vitamin D, Elderberry, pro biotic, Vitamin C

Current Illness: None

ID: 1632760
Sex: F
Age: 14
State: NM

Vax Date: 07/27/2021
Onset Date: 07/30/2021
Rec V Date: 08/25/2021
Hospital:

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

Lab Data: 8/12/21- CBC + Diff, ESR, CRP, IgM, IgG, Rheumatoid factor, ANA screen, C4

Allergies: None

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

Symptoms: Per patient's most recent visit note: Patient and her mom have similar sx. it started 3 days after a recent covid (pfizer) shot, the 2nd one. Patient has intense pain at the site of the shot (right arm0, but also pain in the left arm. the right arm pain shoots down her arm and she can't straighten her elbow because of it. She has a tremor of the hand especially the little finger. She has swelling around the eyes and generalized joint pain This all began 3 days after the shot, and she and her mom attribute it to the vaccine. Patient was diagnosed in infancy as having a neural crest disorder. i am not clear from the history whether the vaccine is reportedly exascerbating this neural crest disorder. She is otherwise a normal teen.

Other Meds: Flovent, Ventolin

Current Illness:

ID: 1632761
Sex: F
Age: 26
State: PA

Vax Date: 08/24/2021
Onset Date: 08/24/2021
Rec V Date: 08/25/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data: none

Allergies: none

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

Symptoms: temp, fatigue, nausea

Other Meds: none

Current Illness: none

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am