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

ID: 1659734
Sex: F
Age: 43
State: CT

Vax Date: 04/23/2021
Onset Date: 05/08/2021
Rec V Date: 08/31/2021
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: COVID-19 test, anaerobic culture, wound culture, MRI, x-ray of elbow, chest x-ray, blood work (May 20-May 23, 2021).

Allergies: n/a

Symptom List: Dysphagia, Epiglottitis

Symptoms: I do not know if this was related to the vaccine but I have never had anything like this happen in the past. I started having discomfort on May 8, 2021 in the area of my right elbow but it progressed to pain and swelling. I was hospitalized for four days from May 20, 2021 through May 23, 2021 and had surgery on my right elbow due to an infected blood clot. After surgery, I was treated with Cephalexin (500mg) to treat the Strep infection.

Other Meds: Montelukast and Zyrtec

Current Illness: n/a

ID: 1659735
Sex: M
Age: 38
State: PA

Vax Date: 06/30/2021
Onset Date: 07/06/2021
Rec V Date: 08/31/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data: CT SCAN of Head- Normal

Allergies: Levaquin; Flagyl

Symptom List: Anxiety, Dyspnoea

Symptoms: Benign tremor in hands, Brain Fog, temporary memory loss, loss of motor function, difficulty maintaining balance, persistent headaches, neck pain, random mysterious body aches that vary from time-to-time. Most of the above issues have resolved within six weeks of the second injection other than the persistent headaches, brain fog, neck pain and various body aches.

Other Meds: Claritin 15 mg per day; Digestive Enzyme 30 billion organism

Current Illness: None

ID: 1659736
Sex: F
Age: 69
State: FL

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 08/31/2021
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: Amoxicillin Sulfa

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

Symptoms: Ringing in the ears constantly

Other Meds: Synthroid Calcium with Vitamin D Aloe Vera capsules

Current Illness: None

ID: 1659737
Sex: F
Age: 45
State: WI

Vax Date: 08/19/2021
Onset Date: 08/21/2021
Rec V Date: 08/31/2021
Hospital:

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

Lab Data: Unknown

Allergies: Unavailable

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Patient has history of neurological side effects from influenza vaccine. 2 days after vaccine experienced similar side effects. 5 days after vaccine went to ER with numbness, limb heaviness, difficulty walking and using arms

Other Meds: Unavailable

Current Illness: Unavailable

ID: 1659738
Sex: F
Age: 88
State: IA

Vax Date: 02/01/2021
Onset Date: 03/16/2021
Rec V Date: 08/31/2021
Hospital: Y

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

Lab Data: ultrasound, CT scan, MRI, Blood tests inflammation seen, no masses seen

Allergies: codeine erythromycin derivaatives iodine TINC Bactrim TABS Adhesives Lisinopril Amlodipine Besylate Tabs Ace Inhibitors

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

Symptoms: acute pancreatitis

Other Meds: synthroid zantac losartan labetalol pravastatin restasis centrum silver multivitamin coq10 d3 .81 aspirin

Current Illness: tooth infection with root canal

ID: 1659739
Sex: F
Age: 33
State: NY

Vax Date: 08/25/2021
Onset Date: 08/26/2021
Rec V Date: 08/31/2021
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:

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

Symptoms: Extreme back/muscle pain, unable to move due to the extreme pain. Pain in left mid/upper back radiating to left chest/lungs. Pain caused me to fall to floor and I was unable to move from the floor fro multiple hours.

Other Meds:

Current Illness:

ID: 1659740
Sex: F
Age: 34
State: MI

Vax Date: 08/31/2021
Onset Date: 08/31/2021
Rec V Date: 08/31/2021
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: PCN

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: CHEST TIGHTNESS, AND NERVE ENDIGN NUMBNESS

Other Meds: UNKNOWN

Current Illness: UKNOWN

ID: 1659741
Sex: M
Age: 34
State: FL

Vax Date: 07/24/2021
Onset Date: 08/20/2021
Rec V Date: 08/31/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Patient called stated after first vaccine had trouble sleeping for one week after vaccine. After second shot had trouble sleeping twice a week. Since 8/27/21 patient states can not sleep, not sure he is sleeping. States not feeling well on 8/29/21 took blood pressure was 149/90. Took it again on 8/31/21 blood pressure was 135/88. He states has primary care doctor appointment this Thursday.

Other Meds:

Current Illness:

ID: 1659742
Sex: F
Age: 65
State: CA

Vax Date: 03/21/2021
Onset Date: 03/26/2021
Rec V Date: 08/31/2021
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: None

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Tinnitus, no treatment, ringing in ears continues without pause.

Other Meds: OTC 10mg antihistamine

Current Illness: None

ID: 1659921
Sex: F
Age: 28
State: PA

Vax Date: 12/29/2019
Onset Date: 03/07/2021
Rec V Date: 08/31/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: I had an irregular menstrual cycle for at least one cycle after getting the vaccine. I was not pregnant and historically had extremely regular menstrual cycles fir years prior. My OB/GYN mentioned that a lot of her patients experienced a similar reaction.

Other Meds: Singulair Symbicort Allegra Albuterol

Current Illness: None

ID: 1659922
Sex: F
Age: 22
State: TX

Vax Date: 08/30/2021
Onset Date: 08/31/2021
Rec V Date: 08/31/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Body aches, joint aches, headache, fever, back ache

Other Meds: None

Current Illness: None

ID: 1659923
Sex: M
Age: 46
State: WA

Vax Date: 06/15/2021
Onset Date: 08/23/2021
Rec V Date: 08/31/2021
Hospital: Y

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

Lab Data: COVID status positive on 8/20/21 and 8/23/21.

Allergies: Lisinopril

Symptom List: Rash, Urticaria

Symptoms: Patient received Pfizer COVID vaccine on 5/24/21 and 6/15/21. On 8/10/21 patient began to develop symptoms of GI upset and subjective fevers and chills. Patient then had progressive respiratory distress and therefore seen at ED on 8/20/21 with thrombocytopenia and positive COVID status. Patient discharged in stable condition. Patient was called at home and told to present to the ED (our facility) for infusion of REGEN-COV (which was completed). However patient was noted to be shaking with chills, afebrile, mildly tachypneic. And upon further evaluation was noted to be satting as low as 89% on room air about exertion. Patient also required 2 L nasal cannula to maintain ox saturations greater than 94%. Patient admitted to our facility for acute hypoxic respiratory failure secondary to COVID-19 pneumonia on 8/23/21. As of today (8/31/21), patient is still in the inpatient setting.

Other Meds: Acetaminophen PRN, amlodipine, atorvastatin, vitamin D, famotidine, fluticasone nasal sp, magnesium oxide, MVI w/folic acid, mycophenolate EC, prednisone, Bactrim, tacrolimus

Current Illness:

ID: 1659924
Sex: F
Age: 39
State: FL

Vax Date: 08/29/2021
Onset Date: 08/31/2021
Rec V Date: 08/31/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: The morning following the shot my arm was pretty sore. By the end of the day my head was slight hurting (not enough to take anything). On day two that morning I noticed I was getting very sweaty then noticed my heart rate seemed to be increasing. Started to monitor it and noticed it was fluctuating between 108 and 72 (resting) which is slight elevated (resting). Also started getting tired and not very hungry.

Other Meds: Breo inhaler, multi vitamin, vitamin C, vitamin D, omega 3, turmeric supplement. Occasional melatonin with added vitamin C elderberry and zinc

Current Illness: None

ID: 1659925
Sex: F
Age: 54
State: ID

Vax Date: 01/23/2021
Onset Date: 02/01/2021
Rec V Date: 08/31/2021
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: Blood tests on 9August, 2021 and MRI brain scan on 19 August, 2021. See doctor this week for results/treatment.

Allergies: Penicillin, Erythromycin, Levaquin

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

Symptoms: Tremors started in hands - intermittently. Gradually got more frequent and then tremors in head started. Keep increasing in frequency and intensity.

Other Meds: Meloxicam, Vitamin D, biotin

Current Illness: None

ID: 1659926
Sex: F
Age: 14
State: CA

Vax Date: 07/01/2021
Onset Date: 07/01/2021
Rec V Date: 08/31/2021
Hospital:

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

Lab Data: forthcoming

Allergies: none

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

Symptoms: no menstrual cycle in 3 months after 2nd dose

Other Meds: none

Current Illness: none

ID: 1659927
Sex: F
Age: 48
State: CA

Vax Date: 08/13/2021
Onset Date: 08/01/2021
Rec V Date: 08/31/2021
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: Dairy

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

Symptoms: I've experienced occasional shortness of breath. When this happens, I cough and cannot take a deep breath. I've never had asthma or bronchitis, but I've seen others with these issues and mine seems to resemble theirs when it occurs.

Other Meds:

Current Illness:

ID: 1659928
Sex: F
Age: 14
State: CA

Vax Date: 06/09/2021
Onset Date: 06/18/2021
Rec V Date: 08/31/2021
Hospital:

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

Lab Data: EEG performed which was negative for seizures

Allergies: none

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

Symptoms: neurological ticks and spasms.

Other Meds: none

Current Illness: none

ID: 1659929
Sex: F
Age: 49
State: AK

Vax Date: 08/22/2021
Onset Date: 08/30/2021
Rec V Date: 08/31/2021
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: PATIENT HAD INJECTION SWELLING AND REDNESS AND HEAT ONE WEEK AFTER INJECTION

Other Meds: NA

Current Illness: NONE

ID: 1659930
Sex: F
Age: 69
State: WA

Vax Date: 03/31/2021
Onset Date: 08/26/2021
Rec V Date: 08/31/2021
Hospital: Y

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

Lab Data: COVID status positive on 8/26/21.

Allergies: NKDA

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Patient received Moderna COVID vaccine on 3/3/21 and 3/31/21. On 8/20/21, she started having weakness, fatigue, body aches as well as shortness of breath with hypoxia, fever, and some loss of smell/taste. Patient presented to our Medical Center and was admitted on 8/26/21 for acute hypoxic respiratory failure due to COVID-19 pneumonia as well as AE of COPD exacerbation and small right-sided pulmonary embolism (likely secondary to COVID-19). As of today (8/31/21), patient is still admitted in the inpatient med/surg setting.

Other Meds: Albuterol inh, aspirin EC, Symbicort inh, vitamin D, MVI, simvastatin

Current Illness:

Date Died: 08/30/2021

ID: 1659931
Sex: F
Age: 62
State: MS

Vax Date: 08/16/2021
Onset Date: 08/17/2021
Rec V Date: 08/31/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Day after shot she began to feel, nausea, hurting, lying in bed a lot, refused to go to doctor thought she would get better. Husband left home about 15 minutes to find her dead sitting on chair, right lower leg hard and cold to touch, purple in color, blood in bilateral nares and upper body white.

Other Meds:

Current Illness: COVID, HTN, hypothyroidism

ID: 1659932
Sex: M
Age: 28
State: CA

Vax Date: 08/27/2021
Onset Date: 08/30/2021
Rec V Date: 08/31/2021
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: Blood test did not show anything abnormal.

Allergies: None.

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

Symptoms: I started to receive an abnormal feeling in my body near my heart. I had palpitations where my heart rate would jump from 60 bpm to 100 bpm. This has never occurred before and I believe this is a result of the Janssen vaccine. I had drank plenty of water the days after the vaccine, and I was not anxious about anything. These palpitations occurred in the middle of the night. Feeling that this was abnormal, I rushed myself to the nearest emergency room I was given a few lab tests (basic metabolic panel, complete blood cell count, troponin I). Two electrocardiograms were also performed. The nurses provided one liter of lactacted ringer during my stay at the hospital. I was discharged and left with a bill where over was requested to be paid by the patient.

Other Meds: Tylenol the day of August 28th.

Current Illness: None.

ID: 1659933
Sex: F
Age: 17
State: PA

Vax Date: 08/11/2021
Onset Date: 08/19/2021
Rec V Date: 08/31/2021
Hospital:

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

Lab Data: Breast Ultrasound results TBD this Friday 8/31/21

Allergies: NKA

Symptom List: Unevaluable event

Symptoms: In the morning of 8/19/21, the left breast was very sore. A lump was discovered under the nipple. In the evening of 8/20/21, the lump had grown in size, the breast was extremely sore and swollen, and a large area of skin under the nipple was red, enflamed and hot. On Monday 8/23/21, NP-C with the Practice, did an examination. The left breast was still swollen and sore, but the redness was gone. The lump had grown to the size of a ping pong ball. He could not determine the cause or provide a diagnosis. He suggested that a gynecological specialist be seen. On Thursday 8/26/21, PA-C with Obstetric and Gynecology did her examination. The lump had reduced slightly to the size of a grape, and the swelling was mostly gone. The soreness had lessened, but occasional pinching type pains remained. PA-C did not provide a cause or diagnosis, but provided a script for a breast ultrasound to examine the lump. The ultrasound is scheduled for this Friday 9/3/21. As of today 8/31/21, the lump is still the same size and is sore to the touch.

Other Meds: Aviane 0.10 mg/0.02 mg (birth control)

Current Illness: None

ID: 1659934
Sex: F
Age: 78
State: IN

Vax Date: 07/23/2021
Onset Date: 08/19/2021
Rec V Date: 08/31/2021
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: Post second dose, patient reports hip joint ache and what seems like a neurological sensation in her left hip. It hurts to stand straight, it hurts to sit. Putting pressure in the site helps the pain. It has been a daily occirabce without real relief.

Other Meds: Amlodipine Irbesartan Prevacid

Current Illness: None

ID: 1659935
Sex: F
Age: 67
State: CA

Vax Date: 02/06/2021
Onset Date: 02/09/2021
Rec V Date: 08/31/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: no one suspected it was the vaccine (given on Feb 6 & second dose March 6) so many different tests were run for heart, lungs, brain, etc. I almost passed out 3 times with little exertion.

Allergies: possibly sulfa drugs

Symptom List: Injection site pain, Pain

Symptoms: light headedness; shortness of breath; heart palpitations, nearly fainted 3 times symptoms began before 2nd dose but NO ONE THOUGHT OR SAID THEY THOUGHT IT WAS ABOUT THE VACCINE. they were happy to say it was because of my weight.... but I'd been heavier before and NEVER had symptoms like these!

Other Meds: before 2nd dose, a cardiologist put me on a statin

Current Illness:

ID: 1659937
Sex: F
Age: 70
State: AL

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

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Patient experienced anaphylactic like reaction to vaccine - epipen was given

Other Meds:

Current Illness:

ID: 1659938
Sex: F
Age: 56
State: HI

Vax Date: 04/13/2021
Onset Date: 04/14/2021
Rec V Date: 08/31/2021
Hospital: Y

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

Lab Data: I don't know how to attach these but I have them all on my system and can give someone my login and password OR my doctors office can provide. Medical Center has a ton of documentation.

Allergies: Penicillin, Bactrim, Zpack

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

Symptoms: I had my 2nd vaccine on April 13. On April 14 I had scheduled annual labs. My labs came back the next day and were ALL over the place. My glucose was high , cholesterol Numbers were ALL high, liver enzymes etc. My labs have always been normal. My doc said "we will just recheck them in a month" not thinking what my body must be doing to have registered those kind of numbers! I started feeling ill that day. Extreme abdominal pain, Extreme bloating, and as the days went on, weight gain of 15-20 lbs of fluid. I went to my doctor twice, I went to ER and got 2 rounds of antibiotics as they thought it was a bacterial infection in my gut. I was still in pain, they ordered a colonoscopy. I never got to do the colonoscopy as I died the night before. DIED. For 20 minutes - my boyfriend gave me CPR for 12 then the ambulance team took over. I was flown that night for 12 days. It has been a road getting back to anywhere near normal. I had a 100cc CLOT in my heart and 2 mini strokes in my brain because of the clotting.

Other Meds: Armour Thyroid, Senna, Exlax, Multi vitamin, protein shakes, hydroclothrize

Current Illness: none

ID: 1659939
Sex: M
Age: 31
State: NJ

Vax Date: 08/24/2021
Onset Date: 08/28/2021
Rec V Date: 08/31/2021
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: All bloodwork came back OK (within ranges). EKG came back normal.

Allergies: Clindamycin

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: While driving, 4 days after 1st dose: Sudden elevated heart rate, tunnel vision, sudden numbness in legs and arms, jaw clenching, dry mouth, shortness of breath. May have been triggered by bright lights/high beams from opposing traffic. Immediately went to Hospital emergency room, was treated with IV fluid and released about 3 hours later. Cause was noted as "panic attack" although I have no history of such.

Other Meds: None

Current Illness: None

Date Died: 08/13/2021

ID: 1659940
Sex: M
Age: 56
State: PA

Vax Date: 08/09/2021
Onset Date: 08/10/2021
Rec V Date: 08/31/2021
Hospital:

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

Lab Data: N/A

Allergies: N/A

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: After the 1st 24 hours from his shot, he was having trouble breathing, by the third day his skin color was looking grayish, but he thought this was all from him being recently diagnosed with COPD. He did not show up for work on Friday and when his coworker went to his home to check on him and found him unresponsive, she called 911. They tried to revive him, but was unable to. I sadly have to report he passed away.

Other Meds: Metoprolol Succinate

Current Illness: N/A

ID: 1659941
Sex: M
Age: 38
State: OK

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 08/31/2021
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: joint pain

Other Meds:

Current Illness:

ID: 1659942
Sex: M
Age: 19
State: IL

Vax Date: 08/24/2021
Onset Date: 08/28/2021
Rec V Date: 08/31/2021
Hospital:

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

Lab Data: EKG, X-ray, sono, d-dimer, thyroid labs, tryponin, 8-28/8-29

Allergies: N/a

Symptom List: Nausea

Symptoms: Tachycardia, high blood pressure, panic attacks

Other Meds: N/a

Current Illness: N/a

ID: 1659943
Sex: F
Age: 63
State: MA

Vax Date: 08/30/2021
Onset Date: 08/30/2021
Rec V Date: 08/31/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: Dizziness on 8/30 / 21 a few hours after the vax Headache on 8/31/21

Other Meds: Pristiq, klonopin, multi- vitamins, vitamin d, restasis , prazosin

Current Illness: None

ID: 1659944
Sex: F
Age: 39
State: IL

Vax Date: 08/31/2021
Onset Date: 08/31/2021
Rec V Date: 08/31/2021
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: Na

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

Symptoms: Severe pain in arm beginning @ 3 pm and worsening over time.

Other Meds: 10 mg melatonin nightly Depo provera injection 1x every 90 days

Current Illness: None

ID: 1659945
Sex: M
Age: 34
State: NY

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 08/31/2021
Hospital:

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

Lab Data: No tests and no medicine. I wanted to gauge my recovery from the vaccination and living going to a clinic for non-life-threatening discomfort would just be an arduous, one-armed drive for a couple of hours round-trip to just be told to go home and eat chicken noodle soup.

Allergies: Penicillin

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

Symptoms: Light-headedness a few hours after the shot. Injection site (deltoid of left arm) went stiff, slightly weak. High fever developed and stayed for four days. Shoulder pain worsened so much that I awoke moaning in pain multiple times in the night. Slowly regained use of arm (being able to lift arm), but I had limited arm mobility and pain for five weeks. Oddly, no injection site marks, redness, visible swelling. Although unable to lift arm, I never lost use of hand. I held off on reporting symptoms because I did not want to encourage vaccine skepticism, but at this point, I'm just going to be honest.

Other Meds: N/A

Current Illness: N/A

ID: 1659946
Sex: F
Age: 38
State:

Vax Date: 08/25/2021
Onset Date: 08/26/2021
Rec V Date: 08/31/2021
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: No

Symptom List: Tremor

Symptoms: The evening after my shot I had a deep flutter of the heart while lying down to go to sleep. It was a scary feeling so I took notice of any other abnormalities but nothing else occurred that night. The next morning as I was preparing to get up I felt like I almost fell over to my left side and it felt like I lost conscience very briefly because I started falling over (to the left). I paused to focus and proceeded slowly getting up. Nothing else happened that day. It?s A few days later and I notice some chest heaviness. I keep taking deep breaths and and drinking water.

Other Meds: No

Current Illness: No

ID: 1659947
Sex: M
Age: 39
State: OK

Vax Date: 08/09/2021
Onset Date: 08/19/2021
Rec V Date: 08/31/2021
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: Hives. Started on hands and feet.. prescribed and steroid that helped until doses were gone. Hives returned on my head hands and waist line So unbearable I get a steroid shot seems to help for notes hopefully for good will not get second shot!!!!

Other Meds: None

Current Illness: None

ID: 1659948
Sex: F
Age: 66
State: MO

Vax Date: 08/31/2021
Onset Date: 08/31/2021
Rec V Date: 08/31/2021
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: N/A

Allergies: Sulfa antibiotics, sensitive to gluten

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

Symptoms: Blurry Vision- warned of possible symptoms to seek emergency care (such as stroke symptoms) and if it does not improve by morning contact md. Tiredness/Dizziness- informed this was a possible side effect to get rest and get up/move slowly, stay hydrated and symptoms should subside.

Other Meds: Carbidopa/levodopa, gabapentin, levothyroxine, sertraline, Multivitamin, Caltrate w/ Vit D, fish oil, docusate, famotidine, probiotic

Current Illness: N/A

ID: 1659949
Sex: F
Age: 42
State:

Vax Date: 06/12/2021
Onset Date: 06/13/2021
Rec V Date: 08/31/2021
Hospital:

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

Lab Data: Left upper extremity ultrasound negative for DVT

Allergies: Morphine, atorvastatin

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

Symptoms: 24 hours after receiving her second Moderna vaccine, the patient experienced a rash and swelling in both arms. The reaction in the right arm resolved in a few days, but her left arm has remained swollen and painful for the pas 2 months. The patient has weakness, pain, tingling, numbness in her left hand that waxes and wanes. She also has pain in her deltoid muscle. The patient has continued to have a 6 cm x 2 cm rectangle of rash on the radial side of her left arm. The patient has tried hydrocortisone creams and ibuprofen to no avail.

Other Meds: levemir, rosuvastatin, victoza, metformin, mirapex

Current Illness: None

Date Died: 04/09/2021

ID: 1659951
Sex: M
Age: 77
State: GA

Vax Date: 02/24/2021
Onset Date: 04/09/2021
Rec V Date: 08/31/2021
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: Asthenia, Chills, Headache, Myalgia

Symptoms: Death

Other Meds:

Current Illness: Heart Problems

ID: 1659952
Sex: M
Age: 32
State:

Vax Date: 02/05/2021
Onset Date: 08/29/2021
Rec V Date: 08/31/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Fully vaccinated test positive for covid-19; sore throat, muscle aches, sinus pain

Other Meds:

Current Illness:

ID: 1659953
Sex: F
Age: 51
State: VA

Vax Date: 01/28/2021
Onset Date: 02/04/2021
Rec V Date: 08/31/2021
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: EKG-- March 19.2021 heart ultrasound-- June 1, 2021

Allergies: none

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

Symptoms: One week after receiving my first dose of the Pfizer vaccine, I noticed heart palpitations as I was sitting in the car on a trip. These became more frequent in the days and weeks that followed. I tried to ignore them and hoped they would just go away, but in March, while driving my daughter, my heart felt very jumpy and would not calm down. I had an uncomfortable feeling in my chest. I had no idea what was happening so I made an appointment with doctor. He listened to my heartbeat, ran an EKG, and confirmed that I was having a lot of irregular beats and referred me to a cardiologist. I saw doctor on March 31 who also listened to my heartbeat, ran an EKG and attached a week long heart monitor to my chest to see how often the extra beats were happening. At this time, I was not having extra beats all the time, only occasionally. After the monitor, my heart palpitations became more relentless. I had trouble sleeping at times, and I noticed my heart pounding all the time. Doctor then scheduled an ultrasound on June 1. The ultrasound showed that everything about my heart was healthy and normal except that the lower chamber was beating early. She referred me to doctor who explained what could be done to fix it. I do not want to have a procedure to fix this problem. I am still hopeful that it will go away on its own. I have had several weeks of normal heartbeats but then the palpitations come back again!

Other Meds: none

Current Illness: none

ID: 1659954
Sex: F
Age: 33
State: NY

Vax Date: 08/31/2021
Onset Date: 08/31/2021
Rec V Date: 08/31/2021
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: Pain in extremity

Symptoms: Patient received Janssen COVID-19 Vaccine on 04/02/2021 as per immunization Records Patient received first dose Pfizer COVID-19 vaccine on 8/31/2021 at the vaccine station by registered nurse patient denied and attested never receive any Covid-19 vaccine in the past No adverse reaction reported by the patient

Other Meds:

Current Illness:

ID: 1660119
Sex: F
Age: 73
State: GA

Vax Date: 08/25/2021
Onset Date: 08/26/2021
Rec V Date: 08/31/2021
Hospital:

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

Lab Data: None

Allergies: Sulfa, MSG, some food preservatives

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

Symptoms: On the day after receiving the first Shingrix injection, I experienced severe pain and a red rash that began 3 inches below injection site. Rash and pain extended 6 inches down upper arm and about 3 inches across. Pain diminished after 4 days but arm still sore on sixth day. Itching was intense on day 5. Rash color faded on sixth day and itching was minimal. Overall, it felt and looked like a brief case of shingles, which I have had in the past.

Other Meds: Calcium citrate, B complex, Vitamin D, SlowMag

Current Illness: None

ID: 1660120
Sex: F
Age: 42
State: MD

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 08/31/2021
Hospital:

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

Lab Data: On 4/1/21: CT head without contrast (no acute intracranial pathology) and EKG normal; labs (CMP, CBC with diff, UA, troponin). On 5/7/21: MRI Left Shoulder

Allergies: None

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

Symptoms: In the evening of 3/25/21, I felt excruitiating pain in the left shoulder/arm. Took Tylenol 500mg at bedtime as instructed by nursing clinic that administered the vaccine earlier that day. Over the next couple of days, pain was not improving and I was unable to reach behind with left arm. Continued to take Tylenol 500mg as needed for pain. On 4/1/21, experienced dizziness that resulted in going to the ER. Imaging and blood work was performed. D/C home same day with instructions to f/u with PCP. Saw PCP on 4/5/21 for f/u for continued dizziness and muscle pain in left arm. Medications prescribed. Contacted PCP regarding continued pain in left shoulder. MRI of left shoulder ordered by PCP. Due to MRI findings, PCP referred me to orthopedic specialist for further evaluation/SIRVA injury. Orthopedic prescribed medication and exercise handouts. CDC contacted me and recommended I complete an AE on VAERS concerning this information as I am still experiencing left shoulder shoulder/arm issues.

Other Meds: Allegra daily, Multivitamin in PM, hydroxychloroquine in PM

Current Illness: None

ID: 1660121
Sex: F
Age: 26
State:

Vax Date: 08/30/2021
Onset Date: 08/30/2021
Rec V Date: 08/31/2021
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: No

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

Symptoms: Dry mouth shortly after shot and still present Second day: weak arm- inability to grasp and hold things easily in the arm the vaccine was administered. Also arm was a bit shaky especially holding items roughy 5+ pounds.

Other Meds: Multivitamin

Current Illness: No

ID: 1660122
Sex: F
Age: 58
State: TX

Vax Date: 08/26/2021
Onset Date: 08/26/2021
Rec V Date: 08/31/2021
Hospital:

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

Lab Data: n/a

Allergies: UNKNOWN

Symptom List: Vomiting

Symptoms: Patient said she developed cold sores within hours of vaccination

Other Meds: UNKNOWN

Current Illness: NON

ID: 1660123
Sex: F
Age: 40
State: OK

Vax Date: 08/31/2021
Onset Date: 08/31/2021
Rec V Date: 08/31/2021
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: NKA

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Patient is a 40 year old who came to the pharmacy today to get her first COVID-19 immunization. She received the Pfizer shot in her right deltoid. After the shot she complained about being hot and feeling light headed. I decided to keep her in the room and observe her because she mentioned she has experienced fainting from drawing blood before which she didn't mention on her PQCF form. Her condition deteriorated in a few minutes of feeling lighted headed which led to fainting in the chair. We activated CODE WHITE and called 911 for EMS. I was with her all that time and when she fainted. Her condition did not last long and started improving with in a few minutes. She responded when I called her name and started recovering. The whole episode took about 5 minutes. She was fully recovered when EMS arrived. She refused medical care from EMS. She waited about 15 minutes longer before letting her go.

Other Meds:

Current Illness:

ID: 1660124
Sex: M
Age: 73
State: NM

Vax Date: 05/06/2021
Onset Date: 05/06/2021
Rec V Date: 08/31/2021
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: None

Allergies: None

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

Symptoms: Shortly after getting vaccinated, my arms and legs felt as if they weighed a ton. I could move, but with difficulty. This lasted for approximately 2 hours. I have a severe phobia of needles and usually feel weak, but the heaviness has not happened before.

Other Meds: Valsartan, HCTZ, Metformin, allopurinol, Amlodipine, Pravastatin switching to Atorvastatin(not sure which I was using at the time), aspirin, multi-vitamin, B-complex supplement, potassium supplement

Current Illness: None

ID: 1660125
Sex: F
Age: 36
State: NY

Vax Date: 08/30/2021
Onset Date: 08/30/2021
Rec V Date: 08/31/2021
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: EKG done at ER, but ER became overwhelmed with patients and further testing was not done.

Allergies: none

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Blurry vision, dizzy, light headed, chest pain, pain with breathing, abdominal cramping, headache. I became dizzy, light headed, and got blurry vision within the first 5 minutes after my dose. The other symptoms started within the first hour of the vaccine.

Other Meds: none

Current Illness: none

ID: 1660126
Sex: F
Age: 52
State: NM

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

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

Lab Data:

Allergies: NA

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

Symptoms: Possible SIRVA injury. Patient stated difficult to move arm and tingling sensation. Pain is radiating throughout shoulder and arm. Was told to self treat with Tylenol and ibuprofen until recovery by provider.

Other Meds: NA

Current Illness: NA

ID: 1660127
Sex: M
Age: 66
State:

Vax Date: 08/30/2021
Onset Date: 08/31/2021
Rec V Date: 08/31/2021
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: Swelling that resulted in limited arm movement. Self treated with tylenol.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am