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: 1670264
Sex: F
Age: 49
State:

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 09/03/2021
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: Vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1670265
Sex: M
Age: 63
State:

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 09/03/2021
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: Vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1670266
Sex: F
Age: 43
State: DC

Vax Date: 08/16/2021
Onset Date: 08/17/2021
Rec V Date: 09/03/2021
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: CBC, TSH, BMP and CK all normal 8/23

Allergies: N/A

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

Symptoms: Severe fatigue, HA, nausea and dizziness since 8/17, pt received vaccine 8/16

Other Meds: N/A

Current Illness: N/A

ID: 1670267
Sex: M
Age: 61
State:

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 09/03/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1670268
Sex: M
Age: 18
State:

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 09/03/2021
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: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1670269
Sex: F
Age: 67
State:

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 09/03/2021
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: Vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1670270
Sex: M
Age: 48
State:

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 09/03/2021
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: Vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1670271
Sex: F
Age: 35
State:

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 09/03/2021
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: Vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1670272
Sex: M
Age: 67
State:

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 09/03/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1670273
Sex: M
Age: 87
State: MI

Vax Date: 08/24/2021
Onset Date: 08/25/2021
Rec V Date: 09/03/2021
Hospital: Y

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

Lab Data:

Allergies: NKDA

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Hospitalized; COVID-19 positive 8.28.21; admitted for COVID (fully vaccinated - 3 doses of Pfizer vaccine recevied) Admission Date: 8/29/2021 Discharge Date: 08/30/2021 Admitting Diagnoses: COVID-19 PRESENTING PROBLEM: COVID-19 HOSPITAL COURSE: Patient is a 87 y.o. man who presented to the emergency department with complaints of cough and shortness of breath. He has past medical history of chronic obstructive pulmonary disease, OSA with CPAP use, hypertension, hyperlipidemia, SVT, and CKD. Patient received a COVID-19 booster vaccine on Tuesday, 08/24/2021. Shortly after that time, he he developed a cough with shortness of breath. The cough had been worsening which prompted him to present to the emergency department for further evaluation. He additionally complained of fever, chills, weakness, and sputum production. In the emergency department, patient was febrile, tachycardic, hypertensive, and required supplemental oxygen to maintain a saturation greater than 90%. Complete blood count was unremarkable. BMP showed CKD. Lactic acid was 1.3. COVID-19 was positive. Chest x-ray showed no acute cardiopulmonary disease. Patient has been transferred and admitted to the hospital for further evaluation and management of COVID-19. He was started on decadron and remdesivir. His procalcitonin was mildly elevated and was started on rocephin and azithromycin. He was initially requiring supplemental o2 and successfully weaned off. He was discharged home on decadron and azithromycin.

Other Meds: acetaminophen (TYLENOL) 500 MG tablet albuterol HFA (PROVENTIL HFA, VENTOLIN HFA, PROAIR HFA) 108 (90 Base) MCG/ACT inhaler amitriptyline (ELAVIL) 50 MG tablet aspirin 81 MG tablet azithromycin (ZITHROMAX) 500 MG tablet cpap dexamethasone (

Current Illness: COVID-19 positive (8.28.21) - fully vaccinated PLUS "booster" dose (3 doses administered)

ID: 1670274
Sex: M
Age: 49
State:

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 09/03/2021
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: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: Vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1670275
Sex: F
Age: 26
State: KY

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

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

Lab Data:

Allergies: Maybe Bactrim

Symptom List: Rash, Urticaria

Symptoms: She said she woke up 09/03/2021 0100 with severe nausea, dizziness. she stood up to go to the bathroom and passed out. She said her arms felt like pins and needles were in them

Other Meds: Dexilant, birth control, Sertraline, nortriptyline, mvi, B, D E

Current Illness: No

ID: 1670276
Sex: F
Age: 75
State: KY

Vax Date: 02/01/2021
Onset Date: 08/18/2021
Rec V Date: 09/03/2021
Hospital: Y

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

Lab Data:

Allergies:

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

Symptoms: 76 year old female who presented to the emergency room with malaise, weakness for two weeks; she took her covid vaccine in February and tested positive a week ago; she has had a cough and fatigue; she had fevers but not for the last few days; she has had poor appetite and poor po intake; she has been short of air with exertion. Required inpatient admission to telemetry unit.

Other Meds:

Current Illness:

ID: 1670277
Sex: M
Age: 58
State:

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 09/03/2021
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: Vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1670278
Sex: M
Age: 37
State: PA

Vax Date: 08/11/2021
Onset Date: 08/31/2021
Rec V Date: 09/03/2021
Hospital: Y

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

Lab Data: Troponin peaked at 0.93 on 08/31 and downtrended. EKG on 08/31: Diffuse ST elevations in leads I, II, III, V3-V6. Echo on 09/01 showed LVEF of 55-60%, no pericardial effusion.

Allergies: Penicillin

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

Symptoms: Myo/pericarditis which started on 08/31. Pt presented to Hospital on 08/31. Treated with colchicine and ibuprofen. Pain improved and troponin trended down. Pt was discharged on 09/02.

Other Meds: Suboxone

Current Illness: Uncontrolled hyperthyroidism

ID: 1670279
Sex: M
Age: 38
State:

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 09/03/2021
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1670280
Sex: F
Age: 29
State: MN

Vax Date: 02/16/2021
Onset Date: 09/02/2021
Rec V Date: 09/03/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Tested positive for COVID 9/2/21 after being fully vaccinated.

Other Meds:

Current Illness:

ID: 1670281
Sex: M
Age: 21
State:

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 09/03/2021
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: Vaccine expired in fridge.

Other Meds:

Current Illness:

ID: 1670282
Sex: F
Age: 75
State: CT

Vax Date: 02/26/2021
Onset Date: 07/22/2021
Rec V Date: 09/03/2021
Hospital:

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

Lab Data: Covid test July 2021 negative

Allergies: Lactose intolerant; Ciprofloxacin

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: So for about several minutes after the vaccine, I had a weird feeling in my head. I can't describe it, it wasn't a headache, it was sort of like a buzz. The other thing was that on July 22, 2021, I felt hot and was feverish, my legs ached and my arms ached. I had a headache and felt like I had the flu. That persisted for about three and a half weeks. I contacted my DR on July 22 2021 because I thought I had Covid or the Flu. The DR suggested Tylenol and gave me Z-pak as well.

Other Meds: Loxo-305; Synthroid; Zinc; Vitamin D3

Current Illness: N/A

ID: 1670283
Sex: F
Age: 19
State:

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 09/03/2021
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: Vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1670284
Sex: F
Age: 38
State: TX

Vax Date: 09/02/2021
Onset Date: 09/03/2021
Rec V Date: 09/03/2021
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: FLU LIKE SYPMTOMS ALONG WITH RUNNY NOSE AND CONGESTION. PT REPORTS MINOR SWELLING ON LEFT SIDE OF FACE.

Other Meds:

Current Illness:

ID: 1670285
Sex: F
Age: 69
State: AR

Vax Date: 02/22/2021
Onset Date: 08/29/2021
Rec V Date: 09/03/2021
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 COVID19 PCR 8/28/21.

Allergies: Penicillins

Symptom List: Unevaluable event

Symptoms: Hospitalization with COVID after being fully vaccinated.

Other Meds: Unknown

Current Illness: unknown

ID: 1670286
Sex: M
Age: 55
State: ID

Vax Date: 08/18/2021
Onset Date: 08/18/2021
Rec V Date: 09/03/2021
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: PENICILLIN PEANUTS

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

Symptoms: Patient felt dizzy and sat on floor. May have lost consciousness. Pulse oximeter on finger showed 90%+ oxygen and pulse of 69-72. Called ambulance and patient was transported to hospital. Phone call to patient on 8/19/21 - "stressed from chiropractic appointment migraine and fear of needles/shot" reported by patient. He was feeling well.

Other Meds:

Current Illness: MIGRAINES

ID: 1670287
Sex: F
Age: 63
State: SC

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

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

Lab Data: none

Allergies: keflex

Symptom List: Injection site pain, Pain

Symptoms: pt complains of swelling and stiffness in area between neck and shoulder

Other Meds: hctz amlodipine

Current Illness: htn

ID: 1670288
Sex: F
Age: 28
State:

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 09/03/2021
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: Vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1670289
Sex: F
Age: 47
State:

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 09/03/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1670290
Sex: F
Age: 30
State: NC

Vax Date: 08/17/2021
Onset Date: 08/17/2021
Rec V Date: 09/03/2021
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: N/a

Allergies: metronidazole gel

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Within a few minutes experienced tightness in my chest, difficulty swallowing and catching my breath and then feeling like my throat and tongue were swollen and a metallic taste in my mouth that lingered for over an hour. Elevated blood pressure, but oxygen levels were ok. Was monitored for 30 minutes until blood pressure returned normal and i could swallow. Returned home and took 4 benadryl over the course of 4 hours, throat, mouth and tongue remained swollen through Thursday, 19 AUG - PCP ordered prednisone which was taken starting Wednesday. Upon removing bandaid from injection site - there were hives and irritation, arm was swollen and painful for over 4 days.

Other Meds: Lo Loestrin FE Zyrtec

Current Illness: n/a

ID: 1670291
Sex: F
Age: 91
State: TX

Vax Date: 02/04/2021
Onset Date: 08/30/2021
Rec V Date: 09/03/2021
Hospital: Y

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

Lab Data:

Allergies: NKDA

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: pneumonitis

Other Meds: nystatin, levothyroxine, buspirone, tramadol, furosemide, KCL, venlafaxine, isosorbide, cephalexin, metoprolol, aspirin, senna-lax, melatonin, trazodone, alprazolam, acetaminophen

Current Illness:

ID: 1670292
Sex: F
Age: 79
State: SD

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 09/03/2021
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: Heart/stress test ok, Bloodwork all ok

Allergies: Sulphur; alcohol on skin for injection; Cipro

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

Symptoms: After my vaccine, I had the normal reaction. 2 weeks. Extreme fatigue, fever and chills came went, extreme fatigue did not stop, it lasted about 6 months and still haven't stopped completely. A month ago, I saw the doctor. I asked if I was dying. Shortness of breathe.

Other Meds: Low dose Statin

Current Illness: No

ID: 1670293
Sex: M
Age: 27
State:

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 09/03/2021
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: Vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1670294
Sex: M
Age: 30
State: MN

Vax Date: 01/09/2021
Onset Date: 09/02/2021
Rec V Date: 09/03/2021
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: Tested PCR positive for COVID 9/2/21 after being fully vaccinated.

Other Meds:

Current Illness:

ID: 1670295
Sex: F
Age: 68
State: NC

Vax Date: 03/04/2021
Onset Date: 03/25/2021
Rec V Date: 09/03/2021
Hospital:

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

Lab Data: X-Ray normal

Allergies: No

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

Symptoms: A few weeks after the vaccine I woke up to a super sore left arm. The pain was so terrible I couldn't lift it or anything. I suffered for about a month with this pain and on 7/19 I went to my Orthopedic Dr. who took an X-ray but saw nothing but gave me a shot of Cortisone in the arm. The pain slowly diminished after about 2 weeks later along with exercises and hasn't come back since.

Other Meds: Diltiazem; Digoxin; Lipitor; Eliquis; Wellbutrin

Current Illness: No

ID: 1670296
Sex: M
Age: 61
State:

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 09/03/2021
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:

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

Symptoms: Vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1670297
Sex: F
Age: 24
State: TX

Vax Date: 08/06/2021
Onset Date: 09/02/2021
Rec V Date: 09/03/2021
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: Vaginal bleeding that began with a slight red coloration in the urine, as the days progressed the red coloration was transformed into bleeding; as if it were menstruation, however, in a matter of my period I was already on the 16th day of my menstrual cycle, my last menstruation began on August 19 and ended on August 24. My next period was scheduled to run until September 16th.

Other Meds: Omega 3

Current Illness:

ID: 1670298
Sex: F
Age: 31
State: CA

Vax Date: 08/12/2021
Onset Date: 08/12/2021
Rec V Date: 09/03/2021
Hospital:

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

Lab Data: blood pressure screen, oxygen monitor

Allergies: none

Symptom List: Erythema, Pruritus

Symptoms: Irregular heart beat, chest pain, dizziness, shortness of breath.

Other Meds: Birth control

Current Illness: none

ID: 1670299
Sex: F
Age: 40
State:

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 09/03/2021
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: Vaccine expired in fridge.

Other Meds:

Current Illness:

ID: 1670300
Sex: F
Age: 39
State: LA

Vax Date: 08/03/2021
Onset Date: 08/11/2021
Rec V Date: 09/03/2021
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: night-shades, latex, adhesive, trees, grasses

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

Symptoms: Moderna COVID-19 Vaccine EUA

Other Meds: exemestane, trazadone, zrytec

Current Illness:

ID: 1670301
Sex: M
Age: 68
State:

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 09/03/2021
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: Vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1670302
Sex: M
Age: 51
State: MA

Vax Date: 09/02/2021
Onset Date: 09/02/2021
Rec V Date: 09/03/2021
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: Codeine

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

Symptoms: Non linear tinnitus; left ear.

Other Meds: Finesteride

Current Illness:

ID: 1670303
Sex: F
Age: 62
State:

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 09/03/2021
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: Vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1670304
Sex: M
Age: 48
State: SC

Vax Date: 03/08/2021
Onset Date: 08/28/2021
Rec V Date: 09/03/2021
Hospital:

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

Lab Data: SARS Antigen FIA

Allergies:

Symptom List: Pain in extremity

Symptoms: COVID positive on 9/3/2021

Other Meds:

Current Illness: COPD,RADS,GERD

ID: 1670305
Sex: F
Age: 61
State: AR

Vax Date: 04/28/2021
Onset Date: 08/31/2021
Rec V Date: 09/03/2021
Hospital: Y

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

Lab Data:

Allergies: Nicotine

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

Symptoms: Hospitalization with covid after being fully vaccinated for covid

Other Meds: unknown

Current Illness: unknown

ID: 1670306
Sex: F
Age: 60
State: NJ

Vax Date: 08/12/2021
Onset Date: 08/30/2021
Rec V Date: 09/03/2021
Hospital: Y

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

Lab Data: 08/30/21 -09/01/21 IN HOSPITAL - TODAY IS 09/03/21 STILL RECOVERING AT HOME

Allergies: NONE

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

Symptoms: ACCUTE CHEST PAIN/ HEART ATTACK -PAIN DOWN BOTH ARMS, NAUSEA, EMT ADMIN NITROGLYSERIN & BABY ASPIRIN ADMITTED TO HOSPITAL - CHEST XRAY -BLOOD WORK ENZYME LEVEL 4.6 - HAD CATHERIZATION, NO BLOCKED ARTERIES, NO HEART DAMAGE

Other Meds: HYDROCHLOROTHIAZIDE 12.5 MG, DAILY VITAMINS

Current Illness: NONE

ID: 1670307
Sex: M
Age: 32
State: MN

Vax Date: 01/26/2021
Onset Date: 09/02/2021
Rec V Date: 09/03/2021
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: Tested PCR positive for COVID 9/2/21 after being fully vaccinated.

Other Meds:

Current Illness:

ID: 1670308
Sex: F
Age: 21
State: KY

Vax Date: 05/29/2021
Onset Date: 09/02/2021
Rec V Date: 09/03/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: MD note from 8/30/21 mentions patient reporting sinus congestion being treated with Robitussin. Pt also reporting increased vision changes within the last several days she has noticed black spots in her field of vision. Patient had tested negative for COVID at least once per MD note from 8/30/21. COVID test ordered when patient presented on admission for delivery. Tested 9/2/21, resulted positive. Pregnancy history: 38w5d Estimated date of delivery: 9/3/21 Unknown birth weight

Other Meds:

Current Illness:

ID: 1670309
Sex: F
Age: 38
State: OK

Vax Date: 08/30/2021
Onset Date: 08/30/2021
Rec V Date: 09/03/2021
Hospital:

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

Lab Data: None

Allergies: none

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Client received a dose of Janssen &Janssen COVID vaccine on 8/30/21 at 2:45 PM that had frozen in transport and experienced a temperature excursion. RN called and informed client. Client denies any issues. APRN reached out to Johnson and Johnson in regards to the temperature excursion and dose being administered from vial that experienced excursion. Johnson and Johnson have conducted an investigation and determined that there is no harm in administering a dose of Janssen & Janssen COVID vaccine that has experienced a temperature excursion like documented in this case, but stated the dose administered may not be as effective due to the excursion. Johnson and Johnson stated that nursing staff may use clinical judgement to determine if a second dose is needed. After speaking with the client the client declined wanting and additional dose.

Other Meds: none

Current Illness: none

ID: 1670310
Sex: M
Age: 89
State: WI

Vax Date: 02/19/2021
Onset Date: 08/26/2021
Rec V Date: 09/03/2021
Hospital: Y

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

Lab Data: COVID PCR NP swab 8/26/21- Positive Chest Xray 8/26/21-Low lung volumes and elevated right and left hemidiaphragms, with linear opacities lung bases likely reflecting atelectasis or scarring. Slight progression of the right lung base when compared to previous exams

Allergies: Adhesive Tape, Fentanyl

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

Symptoms: Patient completed COVID-19 Moderna vaccine series on 2/19/21. Lot number is not available to writer. Patient was admitted to the reporting hospital on 8/27/21 with an admitting diagnosis of Fever. Patient was reported in ER to have fatigue, fever and general recent decline. Patient comes from an assisted living facility with his wife. Admission test for COVID was positive on PCR NP Swab 8/26/21. Pt was discharged 8/27/21.

Other Meds: Tylenol, Bacitracin-Polymyxin B ointment, Aricept, Vitamin D2, Pepcid, Advair Diskus, Magnesium oxide, melatonin 3mg, Fiber-Lax, Flomax, Lamisil, Detrol

Current Illness: COPD, Dementia

ID: 1670311
Sex: M
Age: 44
State: CA

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

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

Lab Data: None to date - I just finished new lab work that will take a couple of weeks to process

Allergies: none

Symptom List: Injection site swelling, Limb discomfort

Symptoms: I have fibromyalgia that first appeared in April of 2020 and was diagnosed shortly after my vaccine. I take a supplement called Guiafenesin and follow a protocol that has reversed my fibro symptoms. In the last month a new wave of new (different) symptoms has risen up and I am experiencing significant joint pain in my hands/wrists, very sensitive and "raw" sensation in my legs, as well as burning in my legs, arms, and shoulders. There are also times where the temperature of my body raises and I feel markedly warmer. It can get to the point that it causes mild adrenal panic/rush.

Other Meds: guaifenesin 600 mg extended release - 3x/day (used for fibromyalgia)

Current Illness: none

ID: 1670312
Sex: F
Age: 61
State: TX

Vax Date: 08/18/2021
Onset Date: 08/21/2021
Rec V Date: 09/03/2021
Hospital:

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

Lab Data: I had made an appointment to see my doctor but there was some mix up about my insurance that I need to get worked out.

Allergies: None

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

Symptoms: My heart would flutter and tighten. During the fluttering/palpitations my head would get light; if it happened while I was standing I had to hold onto something or sit down. It was happening often; say every 10 to 20 minutes. This continued on with the same severity for about a week and has gradually subsided to just a few episodes per day as of this report.

Other Meds: Escitalopram Oxalate 20 mg

Current Illness: None

ID: 1670313
Sex: M
Age: 28
State: MI

Vax Date: 09/02/2021
Onset Date: 09/02/2021
Rec V Date: 09/03/2021
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: Ragweed; Mold; Pollen; Dust.

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

Symptoms: I initially felt dizzy about 20 mins after my first dose. My arm is sore which is to be expected, however last night before bed I felt shortness of breath and my heart felt like it was fluttering. I tried to sleep last night after a day of work and light exercise and had trouble sleeping throughout the night. My respirations throughout the night are usually between 14-15 breaths per minute. Last night my respirations were between 17-18 breaths per min. My heart rate is normally around 50 bpm, last night it was 63 bpm. My HRV was also negatively affected from a normal of 65 to 53. The device I use to track this is called the WHOOP. It's an athletic training device used by sport professionals and enthusiasts to track day strain and recoveries for an optimal training regime. The data is saved on the WHOOP app and is available if necessary.

Other Meds: Pea Protein; Ashwaghanda.

Current Illness: Fever- 2 weeks ago.

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am