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: 1667142
Sex: F
Age: 36
State: CA

Vax Date: 08/26/2021
Onset Date: 08/26/2021
Rec V Date: 09/02/2021
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:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Pt received 2nd dose of Pfizer Covid-19 Vaccine; Pt was advised to stay for 15 after dose due to not having any previous hx of anaphylaxis. about 10 min after vaccine administration pt c/o itchiness in throat and tingling sensation on lips. Rapid Response was called. VSS BP: 127/68 HR 96 SPO2 98%. Rn administered Benadryl per Dr order. Pt was given precautions per RN and left clinic with steady gait, a&o and with no other s/s.

Other Meds:

Current Illness:

ID: 1667143
Sex: F
Age: 28
State: MN

Vax Date: 12/28/2020
Onset Date: 08/30/2021
Rec V Date: 09/02/2021
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:

Symptom List: Anxiety, Dyspnoea

Symptoms: Positive covid after fully vaccinated

Other Meds:

Current Illness:

ID: 1667144
Sex: F
Age: 47
State: CA

Vax Date: 08/24/2021
Onset Date: 08/24/2021
Rec V Date: 09/02/2021
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: None

Allergies: Gabapentin, norco,

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

Symptoms: Developed acute shortness of breath and chest pressure after vaccine. Developed 2 minutes after vaccine was provided. Did not report to nurse.

Other Meds: Cinnamon, Vitamin D, magnesium, ferrous sulfate

Current Illness:

ID: 1667145
Sex: M
Age: 33
State: NJ

Vax Date: 08/27/2021
Onset Date: 08/28/2021
Rec V Date: 09/02/2021
Hospital:

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

Lab Data:

Allergies: n/a

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Backache, muscle ache in legs. Stiff neck. Started after 24 hours of receiving vaccine and has persisted for at least 6 days. Taking Ibuprofen daily.

Other Meds: n/a

Current Illness: n/a

ID: 1667146
Sex: F
Age: 93
State: FL

Vax Date: 04/12/2021
Onset Date: 04/13/2021
Rec V Date: 09/02/2021
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: Heavy bleeding of the gums

Other Meds: Azathioprine, Nexium, low-dose aspirin

Current Illness: Auto-immune hepatitis; Bedridden

ID: 1667356
Sex: F
Age: 54
State: TX

Vax Date: 06/22/2021
Onset Date: 06/23/2021
Rec V Date: 09/02/2021
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: Sulpha drugs

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

Symptoms: Measle type rash all over body

Other Meds: Cymbalta synthroid protonix

Current Illness: None

ID: 1667357
Sex: F
Age: 43
State:

Vax Date: 08/17/2021
Onset Date: 08/18/2021
Rec V Date: 09/02/2021
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: patient described severe underarm and shoulder swelling in left arm

Other Meds:

Current Illness:

ID: 1667358
Sex: F
Age: 71
State: PA

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

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

Lab Data:

Allergies: No

Symptom List: Pharyngeal swelling

Symptoms: Sore and swollen arm, headache, fever, chills, fatigue

Other Meds: Singulair, Hyzaar

Current Illness:

ID: 1667359
Sex: M
Age: 34
State: WA

Vax Date: 04/30/2021
Onset Date: 05/06/2021
Rec V Date: 09/02/2021
Hospital:

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

Lab Data: No, I Haven't been able to see a dermatologist yet

Allergies: Sulpha medications (feels like skin and blood are on fire if consumed) Vicodin (upset stomach, maybe mild vomiting, stomach gets foamy) Pollen and grass allergies Minor reactions to dying pine trees and cedar dander both of which are all over my area

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Lots of severe painful and scarring acne, I've never had a problem before in my life, deep rooted black head forming in my hair follicles. I've been my GP and gotten some cream that somewhat helps but doesn't make it go away, my mom who will be submitting a report later is experiencing the same thin. We were vaccinated at the same location at the same time.

Other Meds: Lisiniprol 20mg 1 times per day Men's daily vitamin Vitamin D,C,B multi. , calcium, zinc, magnesium

Current Illness: Quit drinking July 2020, had some stomach issue with gave, that was treated via an endoscopy and argon treatment I believe, but that procedure took place in July 2021 months after I had been vaccinated with the Johnson and Johnson single dose covid vaccine. Vaccine lot# 202A21A administered by Fire Department.

ID: 1667360
Sex: F
Age: 69
State: MI

Vax Date: 08/29/2021
Onset Date: 08/29/2021
Rec V Date: 09/02/2021
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:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Patient had bruising on arm at site of injection and in a ring around the injection site about 2 to 3 inches across

Other Meds:

Current Illness:

ID: 1667361
Sex: F
Age: 66
State: VA

Vax Date: 04/21/2021
Onset Date: 07/14/2021
Rec V Date: 09/02/2021
Hospital:

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

Lab Data: 7/14/2021 Just a physical

Allergies: NKA

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

Symptoms: Cough and severe nasal congestion, Ear canal congestion, Chest congestion 2 days later. Coughing was deeper as the day pass, (7/27/2021, 8/4/2021, 8/17/2021) altitude dizziness w/BP drop, Inhaler Albuterol, Breztri, and Benzonatate.

Other Meds: D3; Calcium; Aspirin; Wellbutrin; B5; Fluticasone; Azelastine; Centrum Silver; HPR; Xyzal; Prilosec; Lopressor; Dyazide; Lipitor; Calan; Synthroid; Effexor; Hydrocortisone Valerate; Clobetasol propionate; Levothyroxine; Melatonin

Current Illness: None

ID: 1667362
Sex: F
Age: 54
State: MD

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

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

Lab Data: EKG Blood Test Ecocariogram Stress Test Chest X-Ray IV Fluids for dehydration

Allergies: Clindymocine and Wellbutrine

Symptom List: Rash, Urticaria

Symptoms: Severe Itching Throat Swelling High Blood Pressure High Pulse Chest Pain Jaw Pain Headache Leg Swelling Mouth Inflamation

Other Meds: Vitamin D3, K2 and Iodine

Current Illness: None

ID: 1667363
Sex: F
Age: 54
State: TX

Vax Date: 07/23/2021
Onset Date: 07/24/2021
Rec V Date: 09/02/2021
Hospital:

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

Lab Data:

Allergies: Sulpha

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

Symptoms: Measle type rash , worse on this second injection. very bad on the arm where I ejection was given . ( on bottom side of arm ( rash all over body )

Other Meds: Cymbalta synthroid protonix

Current Illness: None

ID: 1667364
Sex: F
Age: 36
State: CA

Vax Date: 08/18/2021
Onset Date: 08/18/2021
Rec V Date: 09/02/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Patient received 1st dose Pfizer vaccine right deltoid @ 1034. Post vaccination pt felt dizziness, lightheaded, shortness of breath, and chest tightness. Hx anxiety & hypotension per pt. VS 130/90-98.3-103-20-99% RA. Sips of PO fluids given. Denies tongue/throat swelling, rash, redness, or wheezing. @ 1050 HR 92, 98%. @ 1105 BP 108/72, HR 93, 98% RA. Pt c/o ongoing dizziness and " some chest tightness". Offered pt UC services, pt agreed. RRT notified @ 1113, RN-to-RN nurse report given. Pt v/s stable at this time. Pt transferred down to UC via wheelchair. Pt transferred from exam table to wheelchair with steady gait. Significant other at bedside.

Other Meds:

Current Illness:

ID: 1667365
Sex: M
Age: 78
State: CA

Vax Date: 09/02/2021
Onset Date: 09/02/2021
Rec V Date: 09/02/2021
Hospital:

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

Lab Data: transfer to emergency department

Allergies:

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

Symptoms: Approximately 5 minutes after receiving second dose of Moderna, pt developed SOB. Pt with no tongue/lip/throat swelling or rashes. Pt denied sensation of throat tightening or chest pain. Pt reported hx of COPD, but denied SOB prior to receiving vaccine. Pt was tachypneic with a respiratory rate of 26-30/minute. Other vital signs were a BP of 131/57, HR of 70, and saturating at 100% on room air. Medical emergency team responded. MD recommendations were for transfer to emergency department.

Other Meds:

Current Illness:

ID: 1667366
Sex: F
Age: 38
State: MD

Vax Date: 08/30/2021
Onset Date: 08/31/2021
Rec V Date: 09/02/2021
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: My period is 3 days late since the shot. I have slight cramps as if it?s coming but it never shows up. My period has never been late like this maybe by a day. Never more than that.

Other Meds: None

Current Illness: None

ID: 1667367
Sex: M
Age: 33
State: WA

Vax Date: 09/02/2021
Onset Date: 08/01/1988
Rec V Date: 09/02/2021
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

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

Symptoms: Patient alerted rph that he has always had fainty/dizzy reaction from fear of immunization or blood draws. Pharmacist gave him covid vaccine and asked him to sit down in a chair. Gave him a bottle of water as well. WIthin 5 minutes he was feeling faint already and he sat down on the floor. RPH went out to see him and he said he was feeling dizzy so sat on floor. We gave him a wet cloth for back of his neck. Checking multiple times, he kept feeling better and better and got back into chair.

Other Meds: none

Current Illness: none

ID: 1667368
Sex: M
Age: 51
State: KY

Vax Date: 09/02/2021
Onset Date: 09/02/2021
Rec V Date: 09/02/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: patient fainted and fell over from post vaccination seat 5 minutes after vaccine. pharmacist spoke to paint and he came to immediately and was able to sit up and get back to his seat. patient stated he felt ok after the event with just a bit of nervousness. patient scraped his face under right eye due to glasses when he fell. emt was called and patient was checked out by the ambulance staff.

Other Meds:

Current Illness:

ID: 1667369
Sex: F
Age: 48
State: CA

Vax Date: 08/26/2021
Onset Date: 08/26/2021
Rec V Date: 09/02/2021
Hospital:

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

Lab Data: n/a

Allergies: no

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: 15 minutes after getting vaccinated patient stated that her tongue felt itchy . I ask if she felt anything else she said it felt itchy and maybe swollen. I ask if she can breathe. She said she can. I told her to wait 15 more minutes and let me know if I should call EMS. In about 10 minutes, she told the front counter technician that she needed EMS. I call 911 and was routed to paramedic. They told me to watch patient with an Epipen ready. While sitting in chair, she said she felt bump on her legs and was trying feel it and showed me . I couldn't see anything. When EMS arrive , she said that her daughter also felt itchy tongue. After closing at 7 pm , I call patient to follow up. She said she is ok.

Other Meds: no

Current Illness: no

ID: 1667370
Sex: F
Age: 35
State: PA

Vax Date: 04/01/2021
Onset Date: 04/13/2021
Rec V Date: 09/02/2021
Hospital: Y

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

Lab Data: CTA found Pulmonary embolism. Was prescribed blood thinners. Hemotologist blood work to identify other blood related disorders. All tests were negative.

Allergies: N/a

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

Symptoms: Pulmonary embolism

Other Meds: Buspar, multi vitamin

Current Illness: N/a

ID: 1667371
Sex: M
Age: 21
State: PA

Vax Date: 09/02/2021
Onset Date: 09/02/2021
Rec V Date: 09/02/2021
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: none

Allergies: none known

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

Symptoms: light-headedness, weak, sweating, dizzy

Other Meds: none known

Current Illness: none known

ID: 1667372
Sex: F
Age: 45
State: FL

Vax Date: 09/02/2021
Onset Date: 09/02/2021
Rec V Date: 09/02/2021
Hospital:

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

Lab Data:

Allergies: aspirin and latex

Symptom List: Unevaluable event

Symptoms: I administered 2nd dose of Moderna vaccine to patient. Since patient has prior history of allergic reaction to medications and latex, I instructed the patient to wait 30 minutes post-vaccination for observation. Patient got up from the booth to sit in the waiting area. 6 minutes after, patient came back to the booth and complained of shortness of breath and dizziness. I instructed her to get on the floor. I, immediately, had my technician call a Code White and instructed them to start the Adverse Reaction protocol. In the meantime, I was in preparation to administer the Epipen. As I was just about break the seal (never quite got to opening it), the patient mentioned to me that she was was able to breathe a little bit better after taking her mask off. We provided her with a cold water bottle and 2 ice packs. She started to feel better within minutes. I am left to believe it was an almost syncope event.

Other Meds:

Current Illness:

ID: 1667373
Sex: F
Age: 44
State: GA

Vax Date: 09/02/2021
Onset Date: 09/02/2021
Rec V Date: 09/02/2021
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: Vital signs monitored at Urgent Care along with MD and RN ongoing assessments. No lab work at the time of occurrence.

Allergies: none

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

Symptoms: Approximately 30-45 minutes after vaccine, became tachycardic, tachypneic, and experienced generalized uticaria. Hives/welts noted on neck, chest, and stomach. Felt short of breath with a rapid heart rate and lightheaded. Went to nearest Urgent Care for evaluation. Vital signs monitored. Received decadron and Benadryl IM, along with PO Pepcid. Remained at Urgent Care until stable. Discharged home with Rx for predisone to take as needed if rebound symptoms occurred.

Other Meds: Women's Multivitamin

Current Illness: none

ID: 1667374
Sex: F
Age: 27
State: VA

Vax Date: 08/30/2021
Onset Date: 08/31/2021
Rec V Date: 09/02/2021
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: I am a breastfeeding mother and was nervous to get the vaccine knowing there isn't alot of breastmilk testing on it. After receiving the shot my daughter has woken up with a fever that can not lower with medicine. We are now on day 2. My sister also experienced the same thing with her breastfeeding child.

Other Meds:

Current Illness:

ID: 1667375
Sex: F
Age: 21
State: WV

Vax Date: 07/15/2021
Onset Date: 08/16/2021
Rec V Date: 09/02/2021
Hospital:

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

Lab Data: X-rays done but nothing abnormal 08/22/2021. Diagnosed 08/22/2021 as tenosynovitis.

Allergies: None

Symptom List: Injection site pain, Menorrhagia

Symptoms: Left (non-dominant) wrist pain increasing over a week. Occurred after sustaining no injury. Visited ER after not being able to use wrist because of severe pain for around 12 hours. Diagnosed as tenosynovitis with an unknown cause. Put in a splint for 1-2 weeks, following up with primary care tomorrow.

Other Meds: Vestura

Current Illness: None

ID: 1667376
Sex: M
Age: 22
State: MN

Vax Date: 08/22/2021
Onset Date: 08/22/2021
Rec V Date: 09/02/2021
Hospital:

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

Lab Data: None

Allergies: None

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

Symptoms: Around 10:30 p.m. that same day, before I went to bed, I could feel that I wasn?t gonna sleep well. I might?ve have started to get a low grade fever too. I didn?t have thermometer to check my temp but I could I felt warmer than usual. Woke up multiple times in the middle of the night with chills, body aches, headache and probably a good fever at this point. Went in to work at noon, late, the next day feeling awful. No appetite the whole day, still felt like a fever, body hurt to move, body hurt just sitting doing nothing, and body aches, headache, chills, fever, all persisted but weren?t as intense. I did take Tylenol that afternoon I think, could have maybe been ibuprofen. I did start to develop a sore throat in the evening and left work early because my fingers started to feel some numbness. That numbness did go away the next morning. It was then either night following, or of the vaccination I swear my heart was racing and I just could feel every beat of it. Like it seemed fast, but couldnt tell if it was. I can?t say Ive experienced anything like it. The second night after the vaccination as well was aches, chills, mild fever, and it wasn?t as bad as the first night. The second day following the second was better. Was taking Tylenol too, and developed a little appetite finally. Only major thing that really stood out that day was my throat just felt raw. It looked raw too, and my sore throat did go away, but it was like I had strep. I don?t know how else to describe it. That is all I really have on this.

Other Meds: None

Current Illness: I dont recall being sick at all.

ID: 1667377
Sex: F
Age: 69
State: OH

Vax Date: 08/31/2021
Onset Date: 09/01/2021
Rec V Date: 09/02/2021
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: The patient noted that the reaction began the day after vaccination. A red circle appeared and spread down her arm, below the deltoid muscle where the vaccination had been injected. She said it started small, but spread larger (downwards and outwards). We had a ruler on hand and the circle measured 4 inches across left to right, and three inches top to bottom. It is red and warm to the touch. Patient also reported feeling off, but did not elaborate.

Other Meds:

Current Illness:

ID: 1667378
Sex: M
Age: 52
State: FL

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

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

Lab Data:

Allergies: None

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Patient has chronic tinnitus. Tinnitus significantly worsened later on the same day of vaccination. The increased severity of tinnitus has persisted.

Other Meds: None

Current Illness: None

ID: 1667379
Sex: F
Age: 21
State: CO

Vax Date: 08/30/2021
Onset Date: 08/31/2021
Rec V Date: 09/02/2021
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: N/A

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

Symptoms: Change in skin texture to face and neck. Skin texture change originally was around the mouth and on the chin but has since spread up to both sides of the nose and into the T-zone. The texture extends down onto the neck and jaw line. No current itching or redness. I reached out to the pharmacy where I received my first Moderna COVID19 vaccination and was advised to take antihistamines for the next 3-4 days and if sx's did not resolve after that, to go to the doctor's. Today (09/2/21) is the first day of antihistamines with little to no change in sx's.

Other Meds: Estarylla (BCP), Benzonatate, Albuterol inhaler

Current Illness: Bronchitis

ID: 1667380
Sex: M
Age: 61
State: CA

Vax Date: 08/15/2021
Onset Date: 09/01/2021
Rec V Date: 09/02/2021
Hospital:

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

Lab Data: none

Allergies: none

Symptom List: Nausea

Symptoms: patient came in on 9/1 complaining that his arm is still sore everytime he raise his hand or trying to lift something. His arm can't generate any power. He got his covid dose on 08/15/2021

Other Meds: n/a

Current Illness: none

ID: 1667381
Sex: M
Age:
State: CA

Vax Date:
Onset Date:
Rec V Date: 09/02/2021
Hospital:

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

Lab Data:

Allergies: gluten

Symptom List: Injection site pain

Symptoms: memory loss. HUGE. Fatigue. HUGE. Depression anxiety fear.

Other Meds: pentoxyffiline

Current Illness:

ID: 1667382
Sex: M
Age: 28
State: MI

Vax Date: 09/02/2021
Onset Date: 09/02/2021
Rec V Date: 09/02/2021
Hospital:

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

Lab Data: UNKNOWN

Allergies: NO KNOWN ALLERGIES

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

Symptoms: PATIENT HAD INJECTION ADMINISTERED. APPROXIMATELY 2 MINUTES AFTER INJECTION PATIENT BECAME UNRESPONSIVE, SQUATTING JUST ABOVE THE CHAIR HE HAD BEEN SITTING IN AND UNABLE TO RESPOND TO VOICE COMMAND. ATTEMPTED TO ADDRESS PATIENT 3 TIMES TO NO RESPONSE. PATIENTS SHOULDER WAS GENTLY TOUCHED AND THE PATIENT RESPONDED, SAT DOWN IN THE CHAIR AND COMPLAINED THAT HIS HEAD WAS "GOING A MILLION MILES AN HOUR" AND "COULDN'T THINK STRAIGHT". PATIENT THEN COMPLAINED OF A NEED OF THIRST, COLD WATER WAS GIVEN TO THE PATIENT WHO DRANK MINIMAL SIPS BEFORE COMPLAINING OF INABILITY TO AMBULATE WITHOUT EXTREME FATIGUE. AT THIS TIME PATIENT'S FACE BEGAN TO LOSE COLOR AS DID HIS EXTREMETIES AS WELL AS VISIBLE PERSPERATION, PATIENT WAS AT THIS TIME ABLE TO COMMUNICATE AND RESPOND TO QUESTIONS. PATIENT SLOWLY BEGAN TO RECOVER ABILITIES OVER THE COURSE OF 15-20 MINUTES POST INJECTION. PARAMEDICS WERE CALLED APPROXIMATELY 5 MINUTES POST INJECTION AND EVALUATED PATIENT UPON ARRIVAL APPROXIMATELY 30 MINUTES AFTER INJECTION. PATIENT DECLINED TO GO TO THE ED WITH PARAMEDICS AND OPTED TO BE DRIVEN THERE BY FAMILY.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1667383
Sex: F
Age: 55
State: FL

Vax Date: 09/02/2021
Onset Date: 09/02/2021
Rec V Date: 09/02/2021
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: Bleeding and swelling at injection site within 1 minute of administration

Other Meds: Unknown

Current Illness: None

ID: 1667384
Sex: F
Age: 34
State: CA

Vax Date: 08/16/2021
Onset Date: 08/16/2021
Rec V Date: 09/02/2021
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: ibuprofen Penicillin

Symptom List: Tremor

Symptoms: Patient was given Covid 19 vaccine at approximately 1730. Patient notified us that "my throat feels itchy". I went into the patients room to take vitals while contacted Rapid Response Team. They responded immediately and patient was assessed and taken to Urgent Care to be further evaluated. Patient administered Benedryl and discharged.

Other Meds:

Current Illness:

Date Died: 07/16/2021

ID: 1667385
Sex: M
Age: 69
State: NY

Vax Date: 04/16/2021
Onset Date: 07/14/2021
Rec V Date: 09/02/2021
Hospital:

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

Lab Data: Autopsy says myocarditis from viral infection. I wanted to share our story to help research in case it was linked to his recent vaccine.

Allergies: N/a

Symptom List: Erythema, Pruritus

Symptoms: My dad had received the Johnson and Johnson shot end of April. He was sick for a few days with the normal side effects. In July he died from myocarditis the autopsy came back as. Research has been showing that it is linked to the vaccine and to report it to help research just in case.

Other Meds: Irbesartan, lipitor, chlorthalidone, ambien, rybelsus, clindaycin

Current Illness: None

ID: 1667386
Sex: M
Age: 25
State: CO

Vax Date: 09/02/2021
Onset Date: 09/02/2021
Rec V Date: 09/02/2021
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: n/a

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

Symptoms: Vasovagal syncope with vomiting, approximately five minutes after vaccine administration.

Other Meds: n/a

Current Illness: n/a

ID: 1667387
Sex: M
Age: 39
State: MI

Vax Date: 08/24/2021
Onset Date: 08/24/2021
Rec V Date: 09/02/2021
Hospital:

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

Lab Data:

Allergies: None.

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

Symptoms: Fever with T > 100F lasting 48hrs total, central 24hrs had 102F < T < 103F. Temperature measured via in ear sensor.

Other Meds: None.

Current Illness: None.

ID: 1667388
Sex: M
Age: 17
State: NC

Vax Date: 09/01/2021
Onset Date: 09/01/2021
Rec V Date: 09/02/2021
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

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Moderna vaccine given to patient that is 17 years of age not 18. Mother was "glad of vaccination with moderna" preferred it over Pfizer. No alleged harm, doctor notified.

Other Meds: None

Current Illness: None

ID: 1667389
Sex: M
Age: 49
State: WA

Vax Date: 01/19/2021
Onset Date: 03/01/2021
Rec V Date: 09/02/2021
Hospital:

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

Lab Data: Electrodiagnostic study conducted on 07/19/2021 and the results were severe bilateral carpel tunnel syndrome.

Allergies: none

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

Symptoms: My carpel tunnel symptoms, which had been diagnosed as mild and manages without issue for 20+ years, went out of control and became severe in both hands which ultimately caused me to have bilateral carpel tunnel surgery; My knuckles on my hands enlarged to the point that I could no longer put my wedding ring on (prior to the vaccine, my ring was loose on my ring finger and I worried about it falling off); I had lasik surgery decades ago and NEVER had issues with my eyesight after that. However, after receiving the vaccine, my ability to see things close up, read a book, read anything on the computer screen, etc. has deteriorated to such a point that I know need strong reading glasses.

Other Meds: 1 - Daily Multi Vitamin; 1 - 1000mg Vit C (2/day); 2 - Super B Complex (2/day); 2 - 1200mg Red Yeast Rice (2/day); 1 - 180 mg Vit E; 1 - 400 mg Magnesium (2/day); 1 - 5000iu Vit D3; 1 - 300 mg CoQ10; 2 - 1 gm Lovaza (fish oil) (2/day).

Current Illness: none

ID: 1667390
Sex: F
Age: 15
State: NJ

Vax Date: 09/02/2021
Onset Date: 09/02/2021
Rec V Date: 09/02/2021
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: None known

Allergies: None

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

Symptoms: Pt felt nauseous and light headed. Parent took to restroom and pt fainted

Other Meds: Unknown

Current Illness: Unknown

ID: 1667391
Sex: F
Age: 58
State: PR

Vax Date: 09/02/2021
Onset Date: 09/02/2021
Rec V Date: 09/02/2021
Hospital:

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

Lab Data: n/a

Allergies: Pfizer Vaccine , ASA, Percocet, Indocin, Iodine

Symptom List: Pain in extremity

Symptoms: Pruritus in scalp, face, neck and left arm , Decrease Oxygen saturation to 93%, wheezing. skin rash Benadryl 50 mg IV Methylprednisolone 125 mg IV Respiratory Therapy with albuterol

Other Meds: N/A

Current Illness: n/a

ID: 1667392
Sex: F
Age: 45
State: AR

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

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

Lab Data:

Allergies: nuts

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

Symptoms: anaplyaxis: hives, swelling in face, eyelids, throat, low grade fever, increase heart rate

Other Meds:

Current Illness:

ID: 1667393
Sex: F
Age: 36
State: MD

Vax Date: 08/17/2021
Onset Date: 08/31/2021
Rec V Date: 09/02/2021
Hospital:

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

Lab Data: EKGs performed on 8/31/2021- showing SVT and then showing sinus rhythm/sinus tachycardia after successful vagal maneuvers performed. EKG performed on 9/2/2021 and cardiologist consultation.

Allergies: Codeine, clindamycin

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

Symptoms: I had acute onset of Supraventricular Tachycardia (SVT) with a heart rate in the 180's on 8/31/2021 upon waking up in the morning around 6:30am. I had symptoms of palpitations, rapid pulse, dizziness, weakness and shortness of breath. I went to my PCP's office and had an EKG which confirmed that I was in SVT and was sent to the emergency department. I was seen at Hospital that same morning and they performed vagal maneuvers which successfully converted me back to sinus rhythm. I then had repeat episodes of SVT on 9/2/2021. The first episode on this day occurred while working in a medical office, sitting in a patient exam room. I once again felt palpitations and rapid pulse followed by some dizziness and shortness of breath after my pulse was in the 150-170 range for more than 30 minutes. I successfully performed vagal maneuvers on myself and was able to convert myself back to sinus rhythm. On my way home from work on this same day, around 5pm, I had another episode of SVT with my heart rate up into the 160-170's. I immediately performed vagal maneuvers and converted myself back to sinus rhythm successfully. I saw a cardiologist on 9/2/2021 and was prescribed metoprolol tartrate 25mg twice daily to help prevent future episodes of SVT. The cardiologist asked me if there was anything new in my life/medications since I have never had SVT before this. I couldn't think of anything other than me getting my 3rd booster dose of moderna covid vaccine.

Other Meds: Plaquenil, Wellbutrin, Emgality,

Current Illness: None

ID: 1667394
Sex: F
Age: 47
State: HI

Vax Date: 08/10/2021
Onset Date: 08/11/2021
Rec V Date: 09/02/2021
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: Severe body aches, Nausea, Headache, Fever up to 102.4. All lasted 24-30 hours

Other Meds:

Current Illness:

ID: 1667395
Sex: F
Age: 31
State: NY

Vax Date: 09/02/2021
Onset Date: 09/02/2021
Rec V Date: 09/02/2021
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: pt received undiluted vaccine - at time of contact with pt she reported arm soreness and slight rash

Other Meds: none listed

Current Illness: none

ID: 1667396
Sex: F
Age: 27
State: PA

Vax Date: 06/08/2021
Onset Date: 06/19/2021
Rec V Date: 09/02/2021
Hospital:

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

Lab Data: Pregnancy test (blood) on August 25, 2021

Allergies: Shellfish

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Irregular period. Bleed for 3 weeks, now haven't had period for 52 days and counting. Pregnancy ruled out.

Other Meds: Celexa

Current Illness:

ID: 1667397
Sex: F
Age: 69
State: TX

Vax Date: 08/11/2021
Onset Date: 08/01/2021
Rec V Date: 09/02/2021
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: no known allergies

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

Symptoms: Swelling and rash in upper left arm. Started a few days after vaccine and lasted about 2 weeks. Patient used ice and heat and took tylenol.

Other Meds: Hydralazine, tizanidine, lisinopril,diclofenac 1% gel, olopataidne eye drops

Current Illness:

ID: 1667398
Sex: F
Age: 58
State: AL

Vax Date: 09/02/2021
Onset Date: 09/02/2021
Rec V Date: 09/02/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Severe diarrhea ~9lbs weight loss

Other Meds:

Current Illness:

ID: 1667399
Sex: F
Age: 37
State: WV

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 09/02/2021
Hospital:

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

Lab Data:

Allergies: Nka

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

Symptoms: Starting at 9:00pm, I woke to excruciating pain in every joint, dizziness, felt like my heart was racing, my body felt like it was on fire. I couldn?t breath, when I stood up I thought I was going to pass out and my chest was heavy. Elevated temperature for 4 days, three days of joint pain and headache. Lost taste and smell three weeks after injection, still can?t smell 4 1/2 months later.

Other Meds: Xyzal, multivitamin, probiotic

Current Illness: No illnesses

ID: 1667400
Sex: F
Age: 15
State: SC

Vax Date: 08/31/2021
Onset Date: 08/31/2021
Rec V Date: 09/02/2021
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: none

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

Symptoms: patient fainted for a quick second while seated about 2 minutes post vaccine, she was warm and clammy, she had not eaten all day and was nervous at time of administration.

Other Meds: none

Current Illness: none

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am