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: 1662537
Sex: F
Age: 74
State: MO

Vax Date: 09/01/2021
Onset Date: 09/01/2021
Rec V Date: 09/01/2021
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: NO KNOWN ALLERGIES

Symptom List: Dysphagia, Epiglottitis

Symptoms: PT STATED SHE HAD NOT RECIEVED ANY COVID SHOTS. WHEN RUNNING HER PAPERWORK THROUGH IT APPEARED SHE MIGHT HAVE GOTTEN 2 MODERNA ALREADY LAST ONE WAS APPROX. 5 MONTHS AGO. CALLED PT AT HOME AND TOLD HER. SHE THEN STATED SHE REMEMBERED GETTING A SHOT BUT DONT REMEMBER FOR WHAT.

Other Meds:

Current Illness:

ID: 1662538
Sex: F
Age: 66
State: NY

Vax Date: 08/31/2021
Onset Date: 08/31/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data: NONE

Allergies: NONE REPORTED

Symptom List: Anxiety, Dyspnoea

Symptoms: PERSON RECEIVED 0.3ML OF THE UNDILUTED VACCINE, NO ADVERSE EFFECT REPORTED @15MIN AND @4HRS

Other Meds: NONE REPORTED

Current Illness: NONE REPORTED

ID: 1662539
Sex: F
Age: 45
State: MN

Vax Date: 04/13/2021
Onset Date: 05/11/2021
Rec V Date: 09/01/2021
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: No

Allergies: Only known allergy is the surgical glue used with stitches.

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

Symptoms: Since I received the second shot on 5/11/2021 I've had soreness in my upper arm where the injections where. It has not stopped during this time, some days are worse than others, some days it's barely noticeable and other days it hurts to use that arm. It doesn't feel like a muscle strain, it feel burning and tender to the touch.

Other Meds: Amitriptyline

Current Illness:

ID: 1662540
Sex: F
Age: 73
State: OH

Vax Date: 02/02/2021
Onset Date: 08/31/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data: Rapid test done 9-1-2021, resulted positive

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Fever, muscle aches, cough, headache

Other Meds:

Current Illness:

ID: 1662541
Sex: F
Age: 80
State: MN

Vax Date: 05/03/2021
Onset Date: 08/31/2021
Rec V Date: 09/01/2021
Hospital: Y

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

Lab Data: POSITIVE SARS-COV-2 RESULT 8/31/2021 BY PCR

Allergies:

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

Symptoms: This case meets vaccine breakthrough criteria review. Had positive COVID test 5/17/21, negative 8/10/21, positive 8/31/21. Patient presents with weakness, failure to thrive.

Other Meds:

Current Illness:

Date Died: 08/31/2021

ID: 1662542
Sex: F
Age: 34
State: TX

Vax Date: 08/31/2021
Onset Date: 08/31/2021
Rec V Date: 09/01/2021
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: unknown

Allergies: none on file

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

Symptoms: Patient recieved her 2nd moderna dose here on 8/31/21 at about 5:20pm. I recieved a call from my HCP asking us to fill out the Vaers report, she informed me that the patient had reported to hospital last night and had passed away.

Other Meds: none on file

Current Illness: none on file

ID: 1662543
Sex: F
Age: 26
State: OR

Vax Date: 08/30/2021
Onset Date: 08/30/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: The pharmacist administered 1 mL instead of 0.5 mL on accident. The pharmacy receives the Pfizer shot syringes (1 mL) and Moderna syringes (3 mL). The pharmacy received new syringe products for 5 mL and the labeling and color looked nearly identical to the 3 mL syringe. Unfortunately, in a chaotically busy retail pharmacy, where patients want their vaccines and medications quickly. I was trying to be quick and administered the vaccines in a 5 mL syringe. The graduations in the 5 mL syringes are by 1 mL, so 1,2,3,4,5 mL. Each mL increases in increments of 0.2 mL, so 0.2, 0.4, 0.6, 0.8 and 1 mL. In the usual syringe, the first bold graduation is 0.5 mL (for the 3 mL syringe). In the 5 mL syringe, the first bold graduation is 1 mL. I have been administering covid vaccines since February 2021. By habit, I drew up the vaccine to the first bold mark, but regretfully, this was 1 mL instead of 0.5 mL. My pharmacy manager and I are working on eliminating all syringes that are not suitable for measuring volume for the covid vaccine. We receive Pfizer and Moderna shot supplies via a large box that is automatically sent from corporate/CDC (to my knowledge). My pharmacy manager and I are both confused on why we would be sent vaccine supplies that are not suitable for covid vaccinations to begin with. It is almost like they are trying to create a situation for a pharmacist to measure an incorrect dose. Although, it is ultimately my fault, I was placed in a hazardous situation, both with the work environment (due to short staffing and unrealistic expectations) and with the incorrect syringe supplies.

Other Meds:

Current Illness:

ID: 1662544
Sex: F
Age: 34
State: WV

Vax Date: 08/27/2021
Onset Date: 08/27/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Pharyngeal swelling

Symptoms: Headache Arm tenderness Knot in arm Itchy at injection site Congestion Sore throat Fatigue

Other Meds: Post natal

Current Illness: None

ID: 1662546
Sex: M
Age: 41
State: FL

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data: No

Allergies: No

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Shortly after the vaccine I developed lightheadedness which turned to dizziness. Through the night I felt as if my bones were on fire, had severe shakes, cold sweats and shivers. I started vomiting and my vomit was completely white. I had severe diarrhea and just felt so bad I called the EMT who came and checked my vitals and both my BP and BS were super high. I refused to be transported to the ER and they advised I take my supplements to help with lowering my vitals which did help. I was talking out loud as if I was speaking in tongues, calling out for Jesus and for close people to me that has passed on.

Other Meds: No

Current Illness: No

ID: 1662547
Sex: F
Age: 42
State: SC

Vax Date: 08/30/2021
Onset Date: 08/31/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data: no

Allergies: no

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Woke up at 4:20 had sharp pain in heart . At 10 am another sharp pain in heart . Throughout the day sharp pains in heart.

Other Meds: women's multi vitamin Tylenol

Current Illness: no

ID: 1662548
Sex: M
Age: 45
State: TX

Vax Date: 08/06/2021
Onset Date: 08/08/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data: Steroid injection + Nsaid injection left buttock region 08/30/2021

Allergies: Amoxicillin

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

Symptoms: Lymph node under jaw / ear on right side became swollen and painful for 7 days. Lower back pain in muscles that has spread to upper buttocks and down left leg. Still currently in pain over three weeks now. Went to doctor and received a steroid and pain injection into left buttock region, no positive effect yet, injection received Monday 08/30/2021

Other Meds: Lisinopril

Current Illness: none

ID: 1662549
Sex: F
Age: 58
State: MD

Vax Date: 02/24/2021
Onset Date: 07/01/2021
Rec V Date: 09/01/2021
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 test, Strep test, Physician visit/check 7/2/21

Allergies: 6-Mercaptopurine, Remicade

Symptom List: Rash, Urticaria

Symptoms: Not sure it's an adverse even from the vaccine but I reported having an illness in July on the check in app. I had a cold that turned into a nasty sinus infection with severe headache and long lasting cough.

Other Meds: Vit D, Allegra, Multi Vitamin, Calcium

Current Illness: None

ID: 1662550
Sex: M
Age: 33
State: PA

Vax Date: 05/19/2021
Onset Date: 05/23/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data: 5/23/21 EKG and chest x-ray - negative

Allergies: none

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

Symptoms: Patient reported "chest fluttering," palpitations, fast heart beat that happened intermittently, and fluctuation in heart rate that began 4 days after immunization. Patient went to the emergency room upon experiencing these symptoms. Patient reported having an EKG, chest x-ray, and other monitoring performed, all of which had normal results. Heart rate was determined to be fluctuating up and down in the ER. Patient was discharged without treatment. Patient reported these symptoms lessened but maintained for about a week after he first experienced them. Patient has fully recovered, though expressed concerns about residual effects.

Other Meds: Allegra daily, ibuprofen as needed

Current Illness: none

ID: 1662551
Sex: F
Age: 23
State:

Vax Date: 09/01/2021
Onset Date: 09/01/2021
Rec V Date: 09/01/2021
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: N/A

Allergies: None

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

Symptoms: Client received 1st dose of Pfizer (lot #EW0177) with on 6/11/21. She provided vaccination card with proof and was cleared. Client did not have any reaction to her first dose. Requested to get 2nd dose and our team only had Moderna and JJ which we informed her that it is recommended to receive another mRNA vaccine. Client agreed to get Moderna as second dose and was monitored for 15 min with no reactions.

Other Meds: None

Current Illness: None

ID: 1662552
Sex: M
Age: 57
State: MA

Vax Date: 08/29/2021
Onset Date: 08/29/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data: N/A

Allergies: N/A

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

Symptoms: PATIENT FELT DIZZY 5 MINS AFTER GETTING THE VACCINE HE STATED IT TYPICALLY HAPPENS TO HIM EVERY TIME HE GETS A VACCINE

Other Meds: NICOTINE PRODUCTS

Current Illness: N/A

ID: 1662554
Sex: F
Age: 59
State: CA

Vax Date: 05/28/2021
Onset Date: 06/09/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data: MRI 8/18/21 and I have 2 9/2/21 Bloodwork at the hospital 6/23/2021 and full panel on 8/24/2021

Allergies: none

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

Symptoms: On June 9, 2021 my arms started hurting from my shoulders to my wrist and fingers. It would get worst at night and then it kept getting worse that I was having trouble sleeping and when I would get up in the morning I could hardly brush my teeth or hair....it progressive got worse that I was having extreme pain trying pull up my pj bottoms and get dressed. Then on June 23rd I woke up at 1:00am and in extreme pain, I could not move my arms and the pain in my fingers felt as though they would explode. When i stood up a felt as though I would pass out and was sweating and very pale. My daughter took my to the ER (I have not gone to a ER in 30 yrs) The ER ruled out bool clot, heart attack and stroke. They told me it was an inflammatory response possible to the Covid vaccine and to go see my Rheumatologist. As of today 9/1/2021 I am still in chronic pain in my shoulders, wrist and hands. I haven't slept well, have difficulty dressing, driving and doing everyday activities without being in pain. I have had to be on steroids, have steroid injections, 3 MRI's and numerous blood tests. I was never told this could happen, I was never given any information at all on the vaccine. I have become very depressed and can hardly get though the day. It has caused me to not be able to do my job as efficiently as once need and cry throughout my day just trying to complete tasks.

Other Meds: none

Current Illness: none

ID: 1662555
Sex: F
Age: 28
State: NY

Vax Date: 08/31/2021
Onset Date: 08/31/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data: NONE

Allergies: NONE REPORTED

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

Symptoms: PERSON RECEIVED 0.3ML OF UNDILUTED VACCINE, NO ADVERSE EVENTS REPORTED AT @ 20MIN, 4HR

Other Meds: NONE REPORTED

Current Illness: NONE REPORTED

ID: 1662556
Sex: M
Age: 51
State: FL

Vax Date: 05/26/2021
Onset Date: 07/14/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data: N/A

Allergies: n/a

Symptom List: Ear pain, Hypoaesthesia

Symptoms: N/A

Other Meds: Cortisone Hydrocortisone cream 1% Prednisone 20mg tablets

Current Illness: n/n

ID: 1662557
Sex: M
Age: 12
State: TX

Vax Date: 07/28/2021
Onset Date: 07/28/2021
Rec V Date: 09/01/2021
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: Heart pounding, accelerated heart rate, anxious, stressed Lasted for 15 minutes. Relax es, laid down and breathed slowly and then heart rate stabilized. After a couple of hours, body aches, fever for the next 24 hrs.

Other Meds: Ibuprofen 200mg after 11pm

Current Illness: None

ID: 1662558
Sex: F
Age: 47
State: OR

Vax Date: 08/30/2021
Onset Date: 08/30/2021
Rec V Date: 09/01/2021
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: The pharmacist administered 1 mL instead of 0.5 mL on accident. The pharmacy receives the Pfizer shot syringes (1 mL) and Moderna syringes (3 mL). The pharmacy received new syringe products for 5 mL and the labeling and color looked nearly identical to the 3 mL syringe. Unfortunately, in a chaotically busy retail pharmacy, where patients want their vaccines and medications quickly. I was trying to be quick and administered the vaccines in a 5 mL syringe. The graduations in the 5 mL syringes are by 1 mL, so 1,2,3,4,5 mL. Each mL increases in increments of 0.2 mL, so 0.2, 0.4, 0.6, 0.8 and 1 mL. In the usual syringe, the first bold graduation is 0.5 mL (for the 3 mL syringe). In the 5 mL syringe, the first bold graduation is 1 mL. I have been administering covid vaccines since February 2021. By habit, I drew up the vaccine to the first bold mark, but regretfully, this was 1 mL instead of 0.5 mL. My pharmacy manager and I are working on eliminating all syringes that are not suitable for measuring volume for the covid vaccine. We receive Pfizer and Moderna shot supplies via a large box that is automatically sent from corporate/CDC (to my knowledge). My pharmacy manager and I are both confused on why we would be sent vaccine supplies that are not suitable for covid vaccinations to begin with. It is almost like they are trying to create a situation for a pharmacist to measure an incorrect dose. Although, it is ultimately my fault, I was placed in a hazardous situation, both with the work environment (due to short staffing and unrealistic expectations) and with the incorrect syringe supplies.

Other Meds:

Current Illness:

ID: 1662560
Sex: F
Age: 51
State: IL

Vax Date: 08/26/2021
Onset Date: 08/27/2021
Rec V Date: 09/01/2021
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 EXPERIENCE MIGRAINE , HEADACHE, COUGH, VOMITING ON THE DAY AFTER VACCINATION.

Other Meds:

Current Illness:

ID: 1662561
Sex: F
Age: 63
State: OR

Vax Date: 04/19/2021
Onset Date: 07/21/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data: started on Keflex 8/15 and mupricin ointment. Post op still on Keflex and pain meds. THIS has NOT BEEN FUN AT ALL!.....Some of the nurses told me they have seen a few similar issues in patients...one had a bedsore blow up on her and another one had a hep lock become septic suddenly 1 mo post 2nd vax. Just wondering if this would be a warning not to get the booster yet...???????

Allergies: metal, bandaid tape - rash; amoxacillin. codeine- vomiting

Symptom List: Unevaluable event

Symptoms: about 1 month post 2nd vaccine a suture (ethibond suture) poked out of the back of my neck at the where the head connects to the neck. They used it to weave thru the tendon to re attach it to the bone when the rods were placed into my neck in 2016. I&D of site done 8/30/21 THIS HAS NOT BEEN FUN....my husband also had plantar facititis that progressed into achiles tentontitis, and he got Phizer vax

Other Meds: PROGESTERIN 100 MG; ESTRADIOL 1 MG; Amlodipine 5 mh qd; hydralazine 5 mg PRN BP 160/x; tizanidine 5 mg prn HS; rovustatin 5 mg sig: 1/2 tab qd; fantanyl 25 mcg patch 1 72h; hydromorphone 4 mg q 6-8h prn max 4 per day; OTC miralax in hot te

Current Illness: none other than chronic conditions listed below

ID: 1662562
Sex: F
Age: 53
State: GA

Vax Date: 04/30/2021
Onset Date: 05/01/2021
Rec V Date: 09/01/2021
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: Allergic to dogs and quaternium 15

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

Symptoms: Persistent shoulder/deltoid pain since the date of the shot, worsening over time and now quite severe with certain movements.

Other Meds: Spiranolactone, aspirin

Current Illness: None

ID: 1662563
Sex: F
Age: 62
State: NY

Vax Date: 05/12/2021
Onset Date: 05/13/2021
Rec V Date: 09/01/2021
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: no

Symptom List: Injection site pain, Pain

Symptoms: pain in right arm and shoulder started day after and it still hurts

Other Meds: no

Current Illness: no

ID: 1662564
Sex: F
Age: 56
State: RI

Vax Date: 08/30/2021
Onset Date: 08/31/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data:

Allergies: latex, lavaquin, papayin, insades,

Symptom List: Injection site pain, Menorrhagia

Symptoms: injection site discomfort, fatigued, chills, headache, fever, face/fingers swollen,

Other Meds:

Current Illness:

ID: 1662565
Sex: F
Age: 37
State: TX

Vax Date: 08/31/2021
Onset Date: 08/31/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data: NA

Allergies: NA

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

Symptoms: PT COMPLAINED OF "DISCOMFORT IN THROAT". GAVE PT WATER AND TOOK VITAL SIGNS, BP 148/82, HR 78, O2 98%, TEMP 98.6 F. STILL COMPLAINED OF SLIGHT DISCOMFORT SO GAVE PT 25MG OF BENADRYL.CONTINUED TO MONITOR AND RETOOK VITAL SIGNS BP 132/80, HR 79, O2 98%, TEMP 98.4 F. PT STATED " I FEEL BETTER".

Other Meds: NA

Current Illness: NA

ID: 1662566
Sex: F
Age: 38
State: NY

Vax Date: 08/31/2021
Onset Date: 08/31/2021
Rec V Date: 09/01/2021
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 at this time

Allergies: None

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Tinnitus, headache, jaw pain, fatigue, dizziness

Other Meds: None

Current Illness: Uti three weeks prior. Resolved.

ID: 1662567
Sex: M
Age: 83
State: MN

Vax Date: 02/21/2021
Onset Date: 08/28/2021
Rec V Date: 09/01/2021
Hospital: Y

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

Lab Data: Positive SARS-COV-2 test 8/31/21 >14 days post vaccination

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: This case meets vaccine breakthrough criteria review. Presented to ED with SOB

Other Meds:

Current Illness:

ID: 1662568
Sex: M
Age: 23
State: OH

Vax Date: 08/31/2021
Onset Date: 09/01/2021
Rec V Date: 09/01/2021
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: patient stated this morning, after getting his shot last night, he was having typical side effects, fever, body aches and chills. however he then fainted. States he got up from his bed and "slowly lost consciousness" and his vision went black. advised patient to follow up with prescriber regarding reaction.

Other Meds:

Current Illness:

ID: 1662569
Sex: M
Age: 26
State: OR

Vax Date: 08/30/2021
Onset Date: 08/30/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: The pharmacist administered 1 mL instead of 0.5 mL on accident. The pharmacy receives the Pfizer shot syringes (1 mL) and Moderna syringes (3 mL). The pharmacy received new syringe products for 5 mL and the labeling and color looked nearly identical to the 3 mL syringe. Unfortunately, in a chaotically busy retail pharmacy, where patients want their vaccines and medications quickly. I was trying to be quick and administered the vaccines in a 5 mL syringe. The graduations in the 5 mL syringes are by 1 mL, so 1,2,3,4,5 mL. Each mL increases in increments of 0.2 mL, so 0.2, 0.4, 0.6, 0.8 and 1 mL. In the usual syringe, the first bold graduation is 0.5 mL (for the 3 mL syringe). In the 5 mL syringe, the first bold graduation is 1 mL. I have been administering covid vaccines since February 2021. By habit, I drew up the vaccine to the first bold mark, but regretfully, this was 1 mL instead of 0.5 mL. My pharmacy manager and I are working on eliminating all syringes that are not suitable for measuring volume for the covid vaccine. We receive Pfizer and Moderna shot supplies via a large box that is automatically sent from corporate/CDC (to my knowledge). My pharmacy manager and I are both confused on why we would be sent vaccine supplies that are not suitable for covid vaccinations to begin with. It is almost like they are trying to create a situation for a pharmacist to measure an incorrect dose. Although, it is ultimately my fault, I was placed in a hazardous situation, both with the work environment (due to short staffing and unrealistic expectations) and with the incorrect syringe supplies.

Other Meds:

Current Illness:

ID: 1662570
Sex: F
Age: 64
State: TX

Vax Date: 03/19/2021
Onset Date: 08/24/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data: COVID test at home- positive

Allergies: Codeine

Symptom List: Injection site pain

Symptoms: August 24th I tested positive for COVID. Headache, nausea, cough, shortness of breath, Dr. Called in steroids

Other Meds: Sertraline Vallarta?s Levothyroxine Pantoprazole

Current Illness: None

ID: 1662571
Sex: F
Age: 52
State: NJ

Vax Date: 04/09/2021
Onset Date: 05/19/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data: tested for lyme, neg. various tests for infections and autoimmune diseases, all ruled out

Allergies: sulfa

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

Symptoms: fatigue, muscle weakness, growth in lymph node, severe headache, neuropathy, shortness of breath . treated with antibiotics for lymph node in neck 06/16/21 and prescribed gabapentin for neuropathy. 2 weeks later antibiotics for uti which i did not have. Hospitalized on 07/18/21 with shortness of breathe with other symptoms still present. Discharged with only test done for cardio related issues, none were found.

Other Meds: lansoprazole

Current Illness:

ID: 1662572
Sex: F
Age: 14
State: OH

Vax Date: 07/12/2021
Onset Date: 09/01/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data: Rapid test done 9-1-2021, resulted positive

Allergies:

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

Symptoms: none, tested due to being exposed to Volley Ball Team

Other Meds:

Current Illness:

ID: 1662574
Sex: M
Age: 57
State: CA

Vax Date: 05/20/2021
Onset Date: 07/07/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: Alopecia- started as a small hair loss the size of dime and is not two inches in diameter

Other Meds:

Current Illness:

ID: 1662575
Sex: M
Age: 65
State:

Vax Date: 03/19/2021
Onset Date: 03/22/2021
Rec V Date: 09/01/2021
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: Three days after 2nd pfizer, I experienced a sharp pain (like a pulled muscle) in the heart region. Lasted two days+. My thought was my heart sac was inflamed. Also experienced shortness of breath. I googled pfizer, side effect, heart...nothing came up then. Now you do it there is all sorts for stuff for younger men.

Other Meds: none

Current Illness: none

ID: 1662576
Sex: F
Age: 45
State: FL

Vax Date: 04/01/2021
Onset Date: 08/30/2021
Rec V Date: 09/01/2021
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: The patient presents with 45 YO WF HX OF CHF, CKD PRESENTS CC/ VAGINAL BLEEDING X 2 WEEKS. REPORTS GOING THROUGH 15 PADS PER DAY. HAS REQUIRED BLOOD TRANFUSION IN THE PAST. FEELS LIGHT HEADED. DENIES CP, ABD PAIN, SYNCOPE. . The degree of symptoms is minimal. Prior episodes: none. Therapy today: prescription medications. Patient has typical flu-like symptoms body aches weakness loss of taste has history of multiple chronic medical conditions symptoms described as mild starting yesterday.

Other Meds:

Current Illness:

ID: 1662577
Sex: F
Age: 24
State: IL

Vax Date: 08/31/2021
Onset Date: 09/01/2021
Rec V Date: 09/01/2021
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: High fever, severe muscle pains, migraine, and dizziness

Other Meds:

Current Illness:

ID: 1662578
Sex: F
Age: 0
State: KY

Vax Date: 09/01/2021
Onset Date: 09/01/2021
Rec V Date: 09/01/2021
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: vancamycin

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Obtained cellulitis in my right breast implant. Redness and fever in rt breast along with feeling lathargic. Was seen by my oncologist and told that they couldn't say it was from the vaccine but they couldn't rule it out either

Other Meds: amphet/dextr cap 20mg ER, hydrchlorothyzide 12.5 mg, Letrozole 2.5mg, vitamin b12

Current Illness: none

ID: 1662579
Sex: F
Age: 73
State:

Vax Date: 02/05/2021
Onset Date: 02/16/2021
Rec V Date: 09/01/2021
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: shellfish

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

Symptoms: EXTREMELY itchy legs. I could have torn my skin off. Attempt to alleviate left bruises. It lasted for 2 weeks. Used topical and oral Benadryl with some relief.

Other Meds: aspirin (81mg) biotin Cal/mag/zinc choline elderberry metanx metformin Ramipril rosuvastatin Vitamins A, C, D

Current Illness: NA

ID: 1662580
Sex: U
Age: 38
State:

Vax Date: 12/30/2020
Onset Date: 08/29/2021
Rec V Date: 09/01/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: PATIENT HAD PFIZER VACCINE Dose 1 date: 12/30/2020 Dose 2 date: 01/20/2021, AND TESTED POSITIVE TO COVID ON 8/29/21.

Other Meds:

Current Illness:

ID: 1662581
Sex: F
Age: 69
State: TX

Vax Date: 05/02/2021
Onset Date: 05/15/2021
Rec V Date: 09/01/2021
Hospital: Y

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

Lab Data: Spinal tap -June 2021 at Hospital

Allergies: None

Symptom List: Pain in extremity

Symptoms: Development of Guillen-Barre Syndrome several weeks after injection. Loss of legs, loss of hearing, and loss of arms and hands.

Other Meds: Heart medication and blood pressure

Current Illness: None

ID: 1662582
Sex: F
Age: 72
State: NC

Vax Date: 03/05/2021
Onset Date: 03/15/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: 10 days after receiving vaccination hives appeared, itchy rash, burning sensation on skin, a swelling throat, nausea,

Other Meds: Thyroid medication.

Current Illness: None.

ID: 1662583
Sex: M
Age: 54
State: CA

Vax Date: 02/25/2021
Onset Date: 03/01/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data: MRI of spine

Allergies: none

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

Symptoms: Inflamation in spinal chord between vert C5 to C7

Other Meds: Lovastatin

Current Illness: none

ID: 1662585
Sex: M
Age: 16
State: OH

Vax Date: 07/12/2021
Onset Date: 08/31/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data: Rapid test resulted positive 9-1-2021

Allergies:

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

Symptoms: Fever, muscle aches, headache, nasal congestion

Other Meds:

Current Illness:

ID: 1662586
Sex: F
Age: 37
State: AL

Vax Date: 08/10/2021
Onset Date: 08/11/2021
Rec V Date: 09/01/2021
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: None

Symptom List: Vomiting

Symptoms: Experienced pain in my left arm at the injection site along with feeling an increase level of tiredness.

Other Meds: None

Current Illness: None

ID: 1662587
Sex: F
Age: 23
State: OH

Vax Date: 08/27/2021
Onset Date: 08/31/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data: Haven't had them yet.

Allergies: None

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: August 28 and 29: Chills, body aches, tiredness, fever and lack of appetite. August 31st and September 1, 2021: Heart palpitations, shortness of breath and dull chest pain.

Other Meds: None

Current Illness: None

ID: 1662588
Sex: F
Age: 39
State: TX

Vax Date: 01/28/2021
Onset Date: 07/15/2021
Rec V Date: 09/01/2021
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: Skin irritated by any type of metal, breaks out in hives from the touch of it. Unable to eat fish, shrimp and chocolate after taking the vaccine. She was never allergic to anything before taking the vaccine. Irregular heart beats.

Other Meds: None

Current Illness: None

ID: 1662589
Sex: M
Age: 67
State: MN

Vax Date: 03/14/2021
Onset Date: 08/31/2021
Rec V Date: 09/01/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: POSITIVE SARS-COV2 TEST BY PCR 8/31/21

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: This case meets vaccine breakthrough criteria review. Also previous infection in 10/2020. SxS include with cough and fever, neutropenic.

Other Meds:

Current Illness:

ID: 1662590
Sex: F
Age: 53
State: PA

Vax Date: 08/26/2021
Onset Date: 08/27/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data: 8/ 29/2021 EKG, chest X-ray, CMP, d dimer.. 9/1/2021 saw PRIMARY DOCTOR

Allergies:

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

Symptoms: Headache, joint swelling and pain, chest tightness and congestion. Severely short or breath. Dizziness. Rapid heart rate with continuous premature ventricular contractions. Dangerously elevated blood pressure.

Other Meds: Atorvastatin 10 mg HCTZ 25 mg

Current Illness:

ID: 1662591
Sex: F
Age: 37
State: AL

Vax Date: 08/30/2021
Onset Date: 09/01/2021
Rec V Date: 09/01/2021
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: Experiencing pain at the injection site as well as muscle pain/soreness on my entire body.

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am