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**
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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

Date Died: 08/22/2021

ID: 1633600
Sex: M
Age: 86
State:

Vax Date: 08/16/2021
Onset Date: 08/22/2021
Rec V Date: 08/25/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: patient had cardiac arrest x2 and died.

Other Meds:

Current Illness:

ID: 1633601
Sex: M
Age: 19
State: MI

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: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: AMOXICILLIN

Symptom List: Anxiety, Dyspnoea

Symptoms: While patient was waiting patient had nausea, sweating and lost consciousness for few seconds. We called 911 and let patient lie down on the back with leg lifted on a chair. patient felt ok and EMT checked him out.

Other Meds: NO

Current Illness: UNKNOWN

ID: 1633602
Sex: F
Age: 51
State: IN

Vax Date: 08/23/2021
Onset Date: 08/24/2021
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: none

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

Symptoms: I was on my 5th day of my menstrual cycle, which is nearly the end of my cycle, but the next day (day 6 of my menstrual cycle) I have severe menstrual cramps and fresh and heavy bleeding, as if it was day 1 of my menstrual cycle. I have had off and on severe bleeding and menstrual cramps since that day.

Other Meds: Advil, Lisinopril

Current Illness: none

ID: 1633603
Sex: M
Age: 33
State: IN

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: unknown
Dose Series: UNK
Vax Route:
Vax Site:

Lab Data: none

Allergies: unknown

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Pt given varicella vaccine 5 days after receiving MMR vaccine on 8/18/21

Other Meds: none aware of

Current Illness: unknown

ID: 1633604
Sex: F
Age: 33
State: IN

Vax Date: 05/19/2021
Onset Date: 05/20/2021
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: None

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

Symptoms: 9 Hours after the shot, started feeling body exhaustion followed by a headache and decided to go to bed. 13.5 Hours after the shot, woke up and legs felt like pins and needles, very uncomfortable. Stayed in bed and couldn't fall asleep. 14 Hours post injection felt Severe abdominal and Chest Pain. Chest pain felt like a stabbing sensation. Passed out because of the pain. Woke up and asked husband what happened, husband said I was only out for 10 seconds and sounded as though I was trying to breathe. Had to immediately get out of bed because I felt nauseous and started vomiting. Sat on the floor for a few minutes vomiting until the nausea passed. Brushed teeth, drank water, and returned to bed. Once I was in bed, I was shaking/shivering nonstop for 20 minutes until I fell asleep. Husband was also shaking and shivering, we got our second dose at the same time. Woke up throughout the rest of the night and gradually felt better. 28 Hours post second dose only experienced mild headache and body fatigue.

Other Meds: Tri-Sprintec, Womens Daily Multivitamin

Current Illness: None

ID: 1633605
Sex: F
Age: 57
State: CA

Vax Date: 08/07/2021
Onset Date: 08/07/2021
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:

Allergies: none

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

Symptoms: Extreme effects on the nervous system. Very bad muscular pain, loss of sleep, low grade fever which peaked 3 days after injection but started almost immediately. Affects were not clear till day 8.

Other Meds: none

Current Illness: none

ID: 1633606
Sex: F
Age: 47
State: TX

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: IM
Vax Site: LA

Lab Data:

Allergies: none

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: sore throat

Other Meds: Meloxicam, Prednisone, Enbrel, Folic Acid, Pantoprazole, Vitamin C, D, Zinc, Magnesium, Calcium

Current Illness: none

ID: 1633607
Sex: F
Age: 41
State: CO

Vax Date: 07/30/2021
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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Sulfa

Symptom List: Pharyngeal swelling

Symptoms: Rash on abdomen and back, noted approximately 1900 on day of injection. No changes to laundry soap, body soap, or diet in last greater than a year. Took Benadryl, rash resolved in the morning.

Other Meds:

Current Illness:

ID: 1633608
Sex: F
Age: 43
State: FL

Vax Date: 08/23/2021
Onset Date: 08/23/2021
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:

Allergies: Not aware

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: About four hours after shot, I started feeling funny. I was not able to sleep all night. During the night, I felt as if I needed to urinate. My feet and rest of body were extremely cold to touch. Later, I develop a headache and fever. It was hard to get out of bed. My body felt as if I had a boulder holding me down. Around 2:30 I decide to take 800 ml of Tylenol. When I tried to open my eyes, I could not keep them open for more that three seconds. I lost my appetite for more than 14 hours feeling nauseated. For 18 hours I was tired and irritable. For all the reasons above, I had to call in sick to work. I had night sweats two nights.

Other Meds: None

Current Illness: Fibromyalgia

ID: 1633609
Sex: M
Age: 87
State: MI

Vax Date: 02/06/2021
Onset Date: 08/07/2021
Rec V Date: 08/25/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Patient admitted to Hospital. Tested positive for COVID on admission despite full vaccination status in Feb 2021

Other Meds:

Current Illness:

ID: 1633610
Sex: F
Age: 61
State: IL

Vax Date: 02/17/2021
Onset Date: 02/17/2021
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: stress echo which showed no problems. Heart rate monitor which showed some episodes of rapid heart beats over 170 bpm. Echo which showed a leak in valve.

Allergies: none known

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

Symptoms: rapid heart beat with pressure high in chest and a very faint feeling with a loss of senses that lasted a few seconds per episode. Episodes repeated frequently over several days and decreased in frequency each day.

Other Meds: Fish oil supplement.

Current Illness: none

ID: 1633611
Sex: M
Age: 50
State: CA

Vax Date: 08/09/2021
Onset Date: 08/10/2021
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: COVID-19 Nasal Swab obtained on 19AUG21, POSITIVE via Lab test Code. No additional labs obtained as positive precluded pt from futher contact with clinic staff.

Allergies: None / Denies

Symptom List: Rash, Urticaria

Symptoms: Previously exposed at work to COVID patient; tested rapid test NEG, PCR test POS; no referee assay ordered/completed by hospital consult. Told test "NEG" with likely false POS. Advised to receive VX as it's work required. Pt vaccinated on AUG 09, 2021; first/only dose with Jansen product. By DAY-00 post VX noticed mild reactogenecity Sxs of malaise, fatigue. On Day-10 post VX, Sxs progressed from mild to severe with myalgias, fatigue & generalized malaise. Unable to manage all ADL, unable to attend work. By definition CTCAE v.5.1, GR3. By Day 11/12, loss of taste & smell began with with cough & mild SOB. Today, Day16 post Dx, remains ill. Unclear path of events un-dx'd COVID vs. IRIS + con't viral shed.

Other Meds: None

Current Illness: On the job exposure to COVID-19 patient, tested, mixed results

ID: 1633612
Sex: F
Age: 39
State: NM

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

Lab Data: None yet

Allergies: NKDA

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

Symptoms: Patient experienced sore arm at first, but around 10 pm the next day the skin on her underarm and chest began to get hot and swell. I advised her to take ibuprofen and diphenhydramine. She mentioned she was going to urgent care because her throat was sore (not related to shot).

Other Meds: Unknown

Current Illness: Unknown

ID: 1633613
Sex: M
Age: 84
State: MI

Vax Date: 04/20/2021
Onset Date: 07/22/2021
Rec V Date: 08/25/2021
Hospital: Y

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:

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

Symptoms: Admitted to Hospital, COVID positive on admission despite full vaccination in April 2021.

Other Meds:

Current Illness:

ID: 1633614
Sex: F
Age: 47
State: HI

Vax Date: 01/20/2021
Onset Date: 08/24/2021
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:

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

Symptoms: Fully vaccinated and tested positive for Covid-19

Other Meds:

Current Illness:

ID: 1633615
Sex: F
Age: 23
State: OR

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

Lab Data: Bp was 120/75. HR was 65

Allergies: pertussis vaccine.

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

Symptoms: pt was feeling nausea, dizziness and lightheadedness, 5 minutes after receiving vaccine. Bp was 120/75. HR was 65 . Pt waited for 25 minutes for nausea to resolve and was able to leave the store in good health.

Other Meds: sertraline, diazepam, birth control.

Current Illness: none known

ID: 1633616
Sex: F
Age: 52
State: VA

Vax Date: 08/25/2021
Onset Date: 08/25/2021
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:

Allergies:

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

Symptoms: patient felt nauseas after getting her covid shot, kept monitoring the patient , and then she said she felt much better.

Other Meds:

Current Illness:

ID: 1633617
Sex: M
Age: 82
State: MI

Vax Date: 02/17/2021
Onset Date: 08/05/2021
Rec V Date: 08/25/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Patient admitted to Hospital with COVID positive test despite full vaccination status Feb 2021

Other Meds:

Current Illness:

ID: 1633618
Sex: F
Age: 16
State: NM

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

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

Lab Data:

Allergies: NONE

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: PT REPORTED SHORTNESS OF BREATH THAT RESOLVED THEN SHE BROKE OUT IN HIVES

Other Meds: UNKNOWN

Current Illness:

ID: 1633619
Sex: F
Age: 41
State: NJ

Vax Date: 07/14/2021
Onset Date: 07/15/2021
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: Working with doctors now. So far, all blood work is normal. Still getting some more bloodwork completed and seeing a neurologist as well.

Allergies: no

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

Symptoms: Day after first dose, had muscle aches and joint pain. Legs felt very heavy and weak. Not tired, no headache. Few days later, started to have pins/needles in hands and feet. Goes away when shift positions. Had worst headache at the end of July. Stood out from other headaches. Felt like someone repeatedly taking a hammer to my head. Headache gone the next day. During this time, since the 1st dose, I have continued to have muscle pain. Joint pain has subsided. Muscle pain the first week after the shot felt like I was on the verge of a charley horse that never actually happened. That subsided a bit to more moderate muscle pain that has continued on and off to this very day. Mostly cramping in calf muscles and hamstrings feel incredibly tight. Calves feel likeI have 2-3 pound weights attached to them. Still getting pins and needles more frequently than I ever remember prior to getting the vaccine. Important to note, that I am still able to exercise. It hasn't stopped my exercise routine, but it has limited my range of motion and what I can I can do to a degree.

Other Meds: Multivitamin

Current Illness: none

ID: 1633621
Sex: F
Age: 60
State: CA

Vax Date: 06/02/2021
Onset Date: 06/02/2021
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: August 9, 2021. ER Blood tests, chest X-ray, ekg, Doppler. Tests all came back ok.

Allergies: Sulfa

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

Symptoms: Pain in right arm. Nausea and tiredness. Following day pain to right side of body. Ear pain, breast pain, back/lung area, leg pain. Congestion that won?t go away. These symptoms have not gone away as of today, August 25, 2021.

Other Meds: Gabapentin 300mg Atorvastatin 40mg

Current Illness:

ID: 1633622
Sex: F
Age: 53
State: CA

Vax Date: 08/16/2021
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: Treatment with Cefdinir and Doxycycline

Allergies: Codeine

Symptom List: Unevaluable event

Symptoms: Red raised single hive/lesion 6? long by 3? wide, amorphous shape

Other Meds: Plaquenil, Lisinopril, Lexapro, Trazodone, Meloxicam, L-Lysine, Black Seed Oil, Biotin, Centrum, Calcium/Magnesium

Current Illness: None

ID: 1633623
Sex: F
Age: 80
State: MI

Vax Date: 02/03/2021
Onset Date: 08/01/2021
Rec V Date: 08/25/2021
Hospital: Y

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: Patient admitted to hospital with COVID positive test despite full vaccination status in Feb 2021

Other Meds:

Current Illness:

ID: 1633624
Sex: F
Age: 57
State: OH

Vax Date: 08/20/2021
Onset Date: 08/21/2021
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:

Symptom List: Injection site pain, Pain

Symptoms: Ringing in left ear - starting approximately 38 hours after the injection and continues since.

Other Meds:

Current Illness:

ID: 1633625
Sex: F
Age: 34
State: IL

Vax Date: 08/21/2021
Onset Date: 08/22/2021
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: Physical exam by APRN

Allergies: Bactrim

Symptom List: Injection site pain, Menorrhagia

Symptoms: Aggravated lymph nodes in Right axilla/chest wall

Other Meds: Atorvastatin 40 mg pm Clopidogrel 75 mg pm Lisinopril 10 mg am Topiramate 50 mg twice daily Carvedilol 6.25 mg twice daily Zyrtek Metformin 1000 mg twice a day Humira citrate free 40 mg every 14 days Ubrelvy as needed

Current Illness:

ID: 1633626
Sex: F
Age: 39
State: MN

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

Lab Data: 08/24/2021 EKG found heart tachycardia Blood tests levels low in many areas

Allergies: Kiwi Pineapple Flomax Gabapentin

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

Symptoms: Tongue & throat tingling & numbness. Took 2 Benadryl that helped. Heart racing & blood pressure got high. Chest tightness. Feeling nauseous off & on. Went to ER they completed EKG & several blood tests. Gave Ativan to settle heart racing down & a short term blood pressure pill for high blood pressure.

Other Meds: Busperone Lexapro

Current Illness: Kidney Stones on right side

ID: 1633627
Sex: F
Age: 57
State: CO

Vax Date: 08/23/2021
Onset Date: 08/23/2021
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:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Patient is having extremely sensitive skin that seems hot to the touch. She thinks it may be Cellulitis as she has had this in the past and it seems very similar. She starting seeing this Welt 2 days post vaccine. She felt other flu like symptoms prior to this on day of vaccine and all day yesterday. If the swelling gets worse, she is going to go to Urgent Care to rule out Cellulitis.

Other Meds:

Current Illness:

ID: 1633628
Sex: M
Age: 42
State: KY

Vax Date: 07/01/2021
Onset Date: 07/14/2021
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: Penicillin

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: About 15 20 minutes the day after receiving the shot my left nostril started to run. Next day was really sore inside. Couple weeks later the right nostril has done same thing. Now both nostri feel raw inside. Just wanted to let you know of this. I was fine before hand and now nostrils are really sore .

Other Meds:

Current Illness:

ID: 1633629
Sex: M
Age: 77
State: MI

Vax Date: 03/30/2021
Onset Date: 08/08/2021
Rec V Date: 08/25/2021
Hospital: Y

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

Lab Data:

Allergies:

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

Symptoms: Patient admitted to Hospital with positive COVID result despite full vaccination in March 20201.

Other Meds:

Current Illness:

ID: 1633630
Sex: F
Age: 27
State: FL

Vax Date: 07/21/2021
Onset Date: 07/27/2021
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: Blood tests 1 week and 2 weeks after vaccine AST and alt elevated and continued to rise with each blood test. Ana positive Smooth muscle antibody positive

Allergies: Clindamycin, peanuts, chicken

Symptom List: Nausea

Symptoms: No symtoms until 4-5 days following the vaccine. Severe joint pain, nausea, weakness, muscle pain, fatigue. Blood tests were done which revealed elevated liver enzymes and other concerning levels. I was then diagnosed with autoimmune hepatitis after seeing a hepatologist. I was around 6 weeks post Partum when I received the vaccine. And my last blood test with normal levels related to my liver was done in April 2021.

Other Meds: 88 mcg levothyroxine Prenatal vitamins Vitamin D supplement

Current Illness:

ID: 1633762
Sex: M
Age: 71
State: MI

Vax Date: 03/03/2021
Onset Date: 07/29/2021
Rec V Date: 08/25/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: Patient admitted with COVID positive result despite fully vaccinated March 20201.

Other Meds:

Current Illness:

ID: 1633763
Sex: M
Age: 45
State: CT

Vax Date: 08/16/2021
Onset Date: 08/23/2021
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: None.

Allergies: No

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

Symptoms: Fever, sweats, achy joints, achy muscles, chills. I tested multiple times to see if I have the virus, but I don't. I still have my sense of smell too.

Other Meds: No

Current Illness: No

ID: 1633764
Sex: M
Age: 23
State: FL

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

Lab Data:

Allergies: None

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

Symptoms: Patient went unconscious after receiving all vaccines. Patient regained consciousness after about 15-30 seconds and remained light headed and dizzy. The patient then began vomiting. EMS was called and the patient was escorted to the hospital via EMS.

Other Meds:

Current Illness: None

ID: 1633765
Sex: M
Age: 21
State: MN

Vax Date: 07/23/2021
Onset Date: 07/23/2021
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: none

Allergies: none known

Symptom List: Tremor

Symptoms: Pt received Janssen vaccine on 05/11/2021 but then also came to Pharmacy #15982 on 06/29/2021 and Pharmacy #2769 on 07/23/2021 to also receive these shots from Pfizer. We were not able to contact the patient directly but when we contacted the Original Pharmacy store they believe he also did receive this shot. We check each and every shot in the system for COVID shot history and this did not show up that he had previously received any COVID shots.

Other Meds: none known

Current Illness: none listed

ID: 1633766
Sex: F
Age: 36
State: CT

Vax Date: 02/10/2021
Onset Date: 02/10/2021
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: X ray 8/16/21, MRI scheduled 8/31/21

Allergies: Sulfa allergy

Symptom List: Erythema, Pruritus

Symptoms: SIRVA diagnosis. Muscle soreness, weakness of left arm, limited range of motion, prolonged shoulder inflammation

Other Meds: None

Current Illness: None

ID: 1633767
Sex: F
Age: 56
State: NY

Vax Date: 08/25/2021
Onset Date: 08/25/2021
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: UNKNOWN

Allergies: CODEINE, PREDNISONE

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

Symptoms: patient received Pfizer covid 19 vaccine and immediately began complaining of tingling feeling in body, lightheadedness, and feeling like she was going to pass out. She was pale, and began sweating. We gave her a cool cloth and ice pack, checked her BP (which was high) then called for EMS and a code white. She left via ambulance to be checked out at the local hospital

Other Meds: UNKNOWN

Current Illness: NONE PROVIDED

ID: 1633768
Sex: M
Age: 35
State:

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: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Patient c/o numbness in Bilateral hands after vaccination. Patient stated he did not eat before receiving vaccine. Patient's blood pressure was 149/100 (@12:51pm). Patient can not open his hands (bilateral). EMS was called due to hyperventilating. EMS was given report. EMS checked blood pressure (152/92). Patient stated he does have panic attack to EMS. Blood sugar (114) Heart rate check: 1st time (127), 2nd time at 12:53pm (96). Blood press checked by EMS was 148/90. Patient was given orange juice and some snacks. EMS had stated patient did not need to go the ER at all. Patient was allowed to rest at the site until 01:30pm, and left on his own.

Other Meds:

Current Illness:

ID: 1633769
Sex: F
Age: 31
State: WA

Vax Date: 08/22/2021
Onset Date: 08/22/2021
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: Mold

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Lightheaded, high heart rate, hives, diarrhea

Other Meds: Effexor abilify Nuva ring

Current Illness:

ID: 1633770
Sex: F
Age: 32
State: MN

Vax Date: 01/01/2021
Onset Date: 08/21/2021
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: Positive COVID PCR yesterday (8/24/21)

Allergies: Amoxicillin Sulfa

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

Symptoms: I tested Positive for Covid yesterday (8/24/21) and am experiencing mild symptoms including head congestion, nasal stuffiness, and loss of taste & smell.

Other Meds: Oral Birth Control - Sprintec

Current Illness: N/A

ID: 1633771
Sex: F
Age: 38
State: FL

Vax Date: 03/17/2021
Onset Date: 05/04/2021
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: NA

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

Symptoms: So on May 4, 2021 I started getting chronic hives. They have continued since daily. When I ended up getting the delta variant on August 17, 2021, my hives were incessant while infected with Covid 19. Which leads me to believe the hives were originally caused by the vaccine and then worsened when getting covid. I had urticaria.

Other Meds: NA

Current Illness: NA

ID: 1633772
Sex: F
Age: 49
State: WA

Vax Date: 05/07/2021
Onset Date: 07/28/2021
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: Chest x-ray, 8/9/2021 D-dimer test, 8/9/2021

Allergies: Allergic to cephalosporins and sulfa drugs

Symptom List: Pain in extremity

Symptoms: Contracted COVID-19 through work place (co-worker) on Wednesday 07/21/2021; we were in same office, neither had a mask on and she was coughing an extraordinary amount. She had already been out of the office Monday and Tuesday of that same week and was feeling ill on the previous Friday. She was told the night before at urgent care it was a sinus and ear infection, but they did not test her for COVID-19. I became ill on Wednesday night, 07/28/2021 with slight headache and general not feeling well around 8:30pm. Took some Tylenol and Ibuprofen, went to bed. Thursday, 07/29/2021, woke up still feeling not quite right, took Tylenol and Ibuprofen again and went to work early at 6:30am to cover since my co-work was out ill. By 7:30am on Thursday morning I felt super warm in my office that only had a temperature of 73 degrees. I gathered my work stuff, sprayed Lysol all over my office and left to go home. Took my temperature when I arrived home and it was 100.8. I let my employer know I had a fever, would schedule a COVID test and work from home for the day. COVID-19 test was done at 9:30am. Positive test results were received around 5:00pm that evening. On Friday, 7/30/21 I lost all sense of taste and smell. During the course of the next 11 days, I was home with severe pounding headache anytime I moved from sitting to standing, standing to sitting, walking, bending over and laying flat. Fatigue set in on day 4 of being home. I isolated as much as I could from my 2 other family members and wore a 3 layered face mask all day long except for eating and drinking. At day 9, I called my insurance Doc who prescribed for me: Benzonatate 100 MG CAP EPIC, Flovent HFA 220 MCG/ACT AER GLAX and Albuterol 108 MCG/ATC AER LUP. I started the Benzonatate and Flovent that night on 08/05/2021. At day 11-12 I became super short of breath and went back to urgent care (PCP would not see me). Urgent care recommended I get re-tested anytime after day 15 and sent me to the ER for a chest x-ray to rule out pneumonia and for a D-dimer test to rule out any blot clot issues. The chest x-ray showed my lungs were good and the D-dimer test showed no signs of any blot clotting occurrences. I returned to work on Friday 08/13/2021 but not at 100% better and still not return of taste & smell. I continued the Flovent inhaler through Friday 08/20/21 which when taken helped my sense of taste and smell to return slightly. I am still to date, 08/25/2021, experiencing major fatigue, long lingering and painful headaches that build throughout the day and my sense of smell and taste is faint every morning and slowly returns through each day. I am hoping soon to be rid of all these lingering effects of having this virus.

Other Meds: Daily Multicap Vitamin D3 with K1 & K2 Vitamin B-12 Broad Spectrum Magnesium Caps De3 Dry Eye Omega Benefits with Vitamin D3 Sudafed

Current Illness: Seasonal allergies

ID: 1633773
Sex: F
Age: 58
State: TX

Vax Date: 04/30/2021
Onset Date: 04/30/2021
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: White echo, stress test, halter monitor x 2 weeks over past few months

Allergies: Msg, sodium benzoate, celebrex, sulfur drugs

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

Symptoms: Atrial tachacardia

Other Meds: Osphena Janumet

Current Illness:

ID: 1633774
Sex: F
Age: 35
State: AZ

Vax Date: 08/16/2021
Onset Date: 08/19/2021
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: NA

Allergies: NA

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

Symptoms: Vaccine log moderna - 16th, Monday- twitching/spams in injection sight within the first hour of recovering vaccine. Otherwise feeling sore worse throughout day. Could barely undress for bed - 17th- very sore very painful if touched, or bumped still spasming around injection sight swelling - 18th- pretty sore but easing up. Very tiered. Spasm continue near injection sight - 19th- sore but subsiding a lot. Middle of night arm began going numb, tingling, needle/pin like sensation through arm to fingertips. Alternates between pinky,ring,middle going numb to pointer and thumb, to all. Muscle spams all over body. Anxious - 20TH very tired. Spasms continue, numbness is off and on but getting stronger. A little sore in injection sight still but not bad. Pin and needle sensation continuing through left arm still. Spasm occasionally in random areas of body. Tiered, mild headache. Called pharmacist she said it is a rare side effect go see doctor if left arm becomes painful or week. Went to emergency room, doctor said come back if I loose strength in arm but could just be ?my normal? response to vaccines. She said I am swollen and bruised , could be caused by swelling. She also said how the vaccines are new so they just don?t know yet why some people are responding the way they are. Prescribed Benadryl. I told the nurse I was nervous to get my second does and asked if she had advice. Nurse suggested asking to take another brand, I could have misinterpreted her. Also suggested taking Tylenol before second does. - 21st. Still slightly sore. Spams seem to calm down in the morning but would come back or get stronger throughout day. Feels more like ?vibrating? throughout arm or mild electricity going through it. Very tiered, feeling depressed and not heard or helped. Mild headache - 22nd Very depressed hot flashes and tired. My hand feels numb most of the time with electric shock feeling going through it or like a vibrating. Some spasms still. Getting random aches in right leg and Very mild pin feeling in leg. Mild headache, in areas of head I?ve never felt before. Tired. Started light spotting not supposed to start next menstrual cycle for 3 more days. - 23rd, hot flashes. Very mild Pain/mild numbness , arm spasming. Right leg has some numbness, pain. Mild headache, tired. Saw allergist said it seems like i am having anxiety induced symptoms. I can decide to take moderna again or a non mRNA vaccine. He says I am not having an allergic reaction and that my symptoms will stop once I decide. - 24th numb, hot flashes, sharp pains in arm woke me up twice while sleeping - 25th numb, left hand grip is getting weaker, saw chiropractor to see if adjustment would help. Gave some relief to sharp/needle pains temporarily. Arm is still numb. Arm becomes very tiered if I try to do anything to long

Other Meds: NA

Current Illness: NA

ID: 1633775
Sex: F
Age: 58
State: TX

Vax Date: 08/18/2021
Onset Date: 08/23/2021
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:

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

Symptoms: redness, rash at injection site developed after 5 days, continues to get bigger per patient

Other Meds:

Current Illness:

ID: 1633776
Sex: F
Age: 89
State: MI

Vax Date: 03/02/2021
Onset Date: 08/04/2021
Rec V Date: 08/25/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: Patient admitted with STEMI

Other Meds:

Current Illness:

ID: 1633777
Sex: F
Age: 28
State: TX

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

Lab Data:

Allergies: NKDA

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Injection site rash, ~3 inches long and ~1 inch tall. It is warm to the touch and slightly raised. Rash not present after first injection. Slightly lethargic, no body aches, arm is not tender. Started this morning, 8/25.

Other Meds: Lo Loestrin, Sertraline, ibuprofen, aspirin

Current Illness: None

ID: 1633778
Sex: M
Age: 51
State: CA

Vax Date: 08/16/2021
Onset Date: 08/17/2021
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: No yet seen by a doctor-having difficulty getting an appointment to see my primary doctor

Allergies: Penicillins, Strawberry, Soy

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

Symptoms: Left chest pain, feeling of having a fast beating, fluttering or pounding heart

Other Meds: Entecavir, Tylenol, Benadry, Vertisil

Current Illness: None

ID: 1633779
Sex: M
Age: 34
State: WA

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

Lab Data: None done at Clinic, ER for cardiac r/o

Allergies: Sulfa

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Patient presented non emergent to Clinic for chest tightness. Stated pain hours before but that had subsided. VSS, no distress. Due to complaint, patient sent to ER for further cardiac evaluation unavailable at Clinic location.

Other Meds: None

Current Illness: none

ID: 1633780
Sex: M
Age: 39
State: CA

Vax Date: 08/10/2021
Onset Date: 08/17/2021
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: Pollen dust cats and.dogs

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

Symptoms: Hives or red swollen itchy rash developed on torso and genitals. First appeared one week after shot and is still present today, 8 days after it appeared. Doctor prescribed hydroxyzine and it seems to be helping after taking it for 2 days. But the hives/rash is still present. Very itchy. Makes me very worried about getting a second dose and would rather not do it

Other Meds: None

Current Illness: Common cold

ID: 1633781
Sex: F
Age: 22
State: IL

Vax Date: 04/19/2021
Onset Date: 06/01/2021
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: (8/10/2021) 24hr Holter Monitor Impression: Rare premature atrial and ventricular complexes. No sustained arrhythmias. Symptoms including palpitations and shortness of breath correlated with sinus tachycardia. Kidney Function Decreased; Basic Met Panel: low anion gap = 6 (7/27/2021), 7 (8/11/2021) (7/21/2021 & 8/11/2021) GFR Non African American = 56 *same results both times

Allergies: amoxicillin

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

Symptoms: steady increase of significant tachycardia accompanied with shortness of breath and intolerance to heat throughout the past several months, dizziness and tunnel vision upon standing

Other Meds: Bupropion

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am