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: 1670618
Sex: F
Age: 52
State: NE

Vax Date: 08/10/2021
Onset Date: 08/22/2021
Rec V Date: 09/03/2021
Hospital: Y

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

Lab Data: Hospitalization for 3 days, CT scan, MRI, EKG, ECHO, BMP, CBC, troponin

Allergies: No known

Symptom List: Dysphagia, Epiglottitis

Symptoms: Patient received first dose COVID vaccine on August 10, 2021. Shortly after she developed symptoms of left upper chest pain that she described as pin prick needles. Later she was hospitalized on August 26, 2021 for evaluation of her symptoms which were later diagnosed as myocarditis.

Other Meds: ALEVE 220 mg tablet Sig: Take 440 mg by mouth daily as needed for pain. NIFEdipine (PROCARDIA XL) 30 MG 24 hr tablet Sig: TAKE 1 TABLET(30 MG) BY MOUTH EVERY DAY Patient taking differently: Take 15 mg by mouth every morning. albuterol

Current Illness:

ID: 1670619
Sex: M
Age: 27
State: CA

Vax Date: 08/15/2021
Onset Date: 08/15/2021
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: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1670620
Sex: F
Age: 11
State: WY

Vax Date: 08/13/2021
Onset Date: 08/13/2021
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: None

Allergies: No

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

Symptoms: Patient came into the school clinic on Aug. 13, 2021 to receive her first Pfizer vaccine. The nurse who administered the vaccine failed to check the patient's birthdate and went ahead and gave the vaccine. The patient was only age 11 at time of vaccine and Pfizer states the patient must be 12 and up. The patient did not have any adverse reactions to the first dose. On Sept. 3, 2021 another nurse checked the patient's birthdate and realized the patient was not eligible to receive a second dose, and shouldn't have received the first dose.

Other Meds: No

Current Illness: No

Date Died: 08/23/2021

ID: 1670621
Sex: F
Age: 68
State: FL

Vax Date: 12/21/2020
Onset Date: 07/27/2021
Rec V Date: 09/03/2021
Hospital: Y

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

Lab Data:

Allergies: nka

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: patient died

Other Meds:

Current Illness:

ID: 1670622
Sex: F
Age:
State: WI

Vax Date: 08/15/2021
Onset Date: 08/16/2021
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: Patient reports fatigue, hot and cold flashes within a day of vaccine administration. She also reports worsening of headache (light and noise sensitivity unrelieved by rest or over the counter medications) that resulted in a Primary Care Provider visit with an injection of sumatriptan and prescription for sumatriptan.

Other Meds:

Current Illness:

ID: 1670623
Sex: F
Age: 25
State: DC

Vax Date: 04/29/2021
Onset Date: 05/03/2021
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: CT scan - June 24

Allergies: None

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

Symptoms: Diagnosed with New Daily Persistent Headache on Aug 26, 2021. Developed tension type headache early May following second Pfizer Covid-19 vaccination. Headache persists and is constant every single day since May and remains ongoing. Pain level 3-5. No prior history of headache before covid vaccine. Over the counter medications are ineffective at relieving symptoms (tried: Advil, Tylenol, exedrine, aleve, etc.). Migraine medication also ineffective (Rizatriptan), went through round of steroids in June as well as antibiotic in case head pain was due to sinus infection. Visited ER on June 24, 2021 and received migraine cocktail via IV which was ineffective at reliving symptoms. On June 24 had head CT scan with no apparent issues. Was prescribed muscle relaxer cyclobenzaprine which was not effective at relieving symptoms. Have also received 3 chiropractic appointments and 4 massages to attempt to relieve symptoms. No inner ear issue either, following visit to ENT to confirm. Just finished a round of prednisone (5 day dose) and was prescribed amitriptyline to attempt to relieve symptoms. scheduled to obtain nerve block if headache does not go away.

Other Meds: Nexplanon

Current Illness: None

ID: 1670624
Sex: M
Age: 75
State: KY

Vax Date: 01/08/2021
Onset Date: 08/27/2021
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: Patient did not have a reaction to the vaccine but did become positive. Test positive on 08/30/2021

Other Meds:

Current Illness:

ID: 1670625
Sex: F
Age: 77
State: CA

Vax Date: 03/03/2021
Onset Date: 07/07/2021
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: Blood Work

Allergies: Penicillin; Avelox(Moxifloxacin); Quinolone Drugs

Symptom List: Pharyngeal swelling

Symptoms: During my Annual exam on 07/07/2021 I had labs done and my Platelet Count was 20,000 very low. I was diagnosed with Thrombocytopenia related to my immune system. I have never had a problem with a low Platelet Count which was not accompanied with a low Hemoglobin count. My Hemoglobin count was normal. I had a CBC in April of 2021 and everything was fine. I have been getting infusions to treat the problem. The infusion works but only on a temporary basis and then my Platelet count drops again. I have gotten two infusions and my doctor is trying to decide on a more long-term solution.

Other Meds: CLL Venetoclax; Gabapentin; Valacyclovir; Dexilant; Vitamin B; Vitamin D

Current Illness: N/A

ID: 1670626
Sex: M
Age: 20
State: CA

Vax Date: 08/13/2021
Onset Date: 08/13/2021
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: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1670627
Sex: M
Age: 54
State: IL

Vax Date: 07/28/2021
Onset Date: 08/02/2021
Rec V Date: 09/03/2021
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: Amoxicillin.

Symptom List: Diarrhoea, Nasal congestion

Symptoms: I have rarely seen HSV outbreaks, but I had a significant one 5 days after the vaccine and then again 3 weeks later. I had no other symptoms (almost zero pain from the injection) of any kind.

Other Meds: Multi-vitamin; Glucosamine; Chondritin; MSM; D3; HCTZ; Losartan.

Current Illness: None.

ID: 1670628
Sex: M
Age: 69
State: IA

Vax Date: 02/26/2021
Onset Date: 08/12/2021
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: Covid-19 test Blood test for white blood cells Chest x-ray for pneumonia Tests were done 08/13/2021 - all results were negative

Allergies:

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

Symptoms: Patient had chills and at one time registered a temperature greater than 101 degrees. Fevers began improving through the day on Friday, 08/13/2021 and were gone by Monday, 08/16/2021.

Other Meds:

Current Illness:

ID: 1670629
Sex: F
Age: 34
State: CA

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

Symptom List: Rash, Urticaria

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1670630
Sex: M
Age: 68
State: FL

Vax Date: 03/17/2021
Onset Date: 08/22/2021
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: covid test, cxr

Allergies: nka

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

Symptoms: short of breath, cough

Other Meds:

Current Illness:

ID: 1670631
Sex: M
Age: 13
State: CA

Vax Date: 09/01/2021
Onset Date: 09/01/2021
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: No medical test done

Allergies: Dust mites, indoor molds

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

Symptoms: After second dose close to 6 hrs but could be 4 hrs. patient developed very itchy hives on both arms, and pain at site of injection, increase over 2 days though remained on both arms, maybe a lesion on chest wall. No respiratory symptoms, no facial swelling, no GI symptoms, no sore throat. Noticed also small lymph nodes cervical at left side of neck, slightly tender. was prescribed H1 blocker cetirizine and Benadryl as needed .

Other Meds: none

Current Illness: none

ID: 1670632
Sex: M
Age: 16
State: CA

Vax Date: 08/13/2021
Onset Date: 08/13/2021
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: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1670633
Sex: F
Age: 12
State:

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

Lab Data: None

Allergies: None reported

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

Symptoms: Pt received the second dose of Pfizer Covid Vaccine (LOT# FD0809, exp. 10/2021) at 1602. At approximately 1606, patient fell from chair to the floor. RN turned patient onto her left side. RN observed minimal shaking for approximately 10 seconds. Patient opened her eyes and sat up. RN assessed patient. RN saw urine on the floor and noted pallor of the face. Patient was alert and oriented to person, place, situation and time. Patient stated "my head hurts". Patient reported 6/10 head pain. Patient reported "I heard my ears ringing" and "saw colorful stuff" before she fell. Patient's father reported patient has no history of seizures, no current medical conditions, and no current medications. At approximately 1607, EMT activated EMS. Patient denied seizures after the first dose of Pfizer (LOT# EW0187, exp. 08/2021) administered on 08/12/2021. At 1610, RN assessed patient vital signs: blood pressure 120/88 mmHg, pulse 101 beats/minute, and SpO2 99%. RN educated patient and patient's father on signs/symptoms of when to seek emergency care, to follow up with primary care provider, and to sign up on v-safe. At approximately 1620, RN reassessed patient. Patient reported 1/10 head pain. At 1622, EMS arrived and assumed care. At approximately 1635, patient was transported to a hospital for further care. At 1635, patient left facility with unlabored breathing.

Other Meds: None reported

Current Illness: None reported

ID: 1670634
Sex: F
Age: 53
State: FL

Vax Date: 03/23/2021
Onset Date: 04/10/2021
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: Medical diagnosis of Polymyalgia Rheumatica; Bloodwork completed 06/21 = (cardiac) HS CRP, sed rate prednisone 10mg qd started 07/08 08/24 = (non-cardiac) CRP, sed rate

Allergies: Sulfa

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

Symptoms: significant bilateral shoulder pain, neck pain, quad / thigh weakness, fatigue

Other Meds: Trintellix, Lisinopril, Simvastatin, Valacyclovir, Metformin, B12, D3, calcium, turmeric, iodine, glucosamine, Aleve

Current Illness: none

ID: 1670635
Sex: F
Age: 43
State: IL

Vax Date: 09/02/2021
Onset Date: 09/03/2021
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: none

Symptom List: Ear pain, Hypoaesthesia

Symptoms: right side chest pain, costacondritis

Other Meds: none

Current Illness: none

ID: 1670636
Sex: F
Age: 36
State: NY

Vax Date: 06/27/2021
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: ER visit on 7/27 CAT Scan done .Eye doctor on 7/27 . primary care on 7/28. Endocrine visit on 8/30

Allergies: no

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Starting on 7.22.21 patient started having migraines . patient is also having brain fog and vision problems .

Other Meds: multi vitamin probiotics vitamin C vitamin D calcium b12

Current Illness: no

ID: 1670637
Sex: F
Age: 22
State: VA

Vax Date: 09/03/2021
Onset Date: 09/03/2021
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: NKA

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

Symptoms: Client called office to report nausea, vomiting x3 events and mild headache.

Other Meds: Adderall; Birth Control

Current Illness:

ID: 1670638
Sex: F
Age: 64
State: CA

Vax Date: 08/16/2021
Onset Date: 08/16/2021
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: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

Date Died: 08/09/2021

ID: 1670639
Sex: F
Age: 83
State: MO

Vax Date: 03/12/2021
Onset Date: 08/08/2021
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: unknown

Allergies: unknown

Symptom List: Unevaluable event

Symptoms: admitted 8/08/2021 to hospital and died 08/09/2021

Other Meds: unknown

Current Illness: unknown

ID: 1670640
Sex: F
Age: 44
State: OR

Vax Date: 09/02/2021
Onset Date: 09/02/2021
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: None as of yet

Allergies: Difucan

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

Symptoms: Approximately two hrs after vaccination I began having ringing in the ears and it hasn't gone away.

Other Meds: ASA

Current Illness: Chest cold

ID: 1670641
Sex: M
Age: 16
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: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: none

Allergies: none

Symptom List: Injection site pain, Pain

Symptoms: no adverse reactions reported

Other Meds: none

Current Illness: none

ID: 1670642
Sex: M
Age: 21
State: CT

Vax Date: 09/03/2021
Onset Date: 09/03/2021
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: Site: Pain at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Additional Details: Patient is autistic. Did not respond well to process of administering the vaccine (jumped away and tried to push me away with his other arm despite efforts to calm him). Vaccine was administered, but will likely be more sore due to how he responded to administration. Patient seemed fine and actually not even in pain at time of leaving 30 minutes after the vaccine was given.

Other Meds:

Current Illness:

ID: 1670643
Sex: M
Age: 13
State: MN

Vax Date: 08/24/2021
Onset Date: 08/25/2021
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: None

Allergies: Amoxicillin

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

Symptoms: On August 25th, the patient began to develop hives on his arms, legs, and neck. With benadryl the hives went away but came back once the medication wore off. From the 25th to the 29th the hives began to get worse and became painful, spreading to his face back, hands, feet, legs, and arms. On the 29th, he was taken to the Clinic and was prescribed prednisone for five days. After three days of taking the prednisone, the hives finally stop coming back. The five days of doses was complete on September 2.

Other Meds: None

Current Illness: None

ID: 1670644
Sex: F
Age: 49
State: CA

Vax Date: 08/13/2021
Onset Date: 08/13/2021
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:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1670645
Sex: M
Age: 52
State: NJ

Vax Date: 08/28/2021
Onset Date: 08/29/2021
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: RA

Lab Data: 8/28/21-8/29/22 : EKG, CXR, cardiac blood markers

Allergies: Onions

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Sudden onset dyspnea, chest pain, markedly elevated blood pressure (186/105 taken by paramedics); admitted to Emergency Department for evaluation.

Other Meds: Atenolol, Gabapentin, MS Contin, Percocet, Multivitamin

Current Illness: None

ID: 1670646
Sex: F
Age: 61
State: OK

Vax Date: 09/01/2021
Onset Date: 09/01/2021
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: None called health department and my primary care physician and they sent me to report these reactions here on this site. I?m just staying home treating it like I did the COVID when I had it in October of last year I was tested June 2,2021 and was positive for antibodies

Allergies: Laytex

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

Symptoms: Swelling and pain at injection site arm sore for 2 days Severe body aches Headache Diarrhea Nausea Fever comes and goes Very tired Very weak

Other Meds: AMITRIPTYLINE 1 a day SUPPLEMENTS Cinnamon 500mg 1x daily Omega 3 Fish Oil 1000 1x daily Complete B complex vitamin Triple strength glucosamine 1500mg/Condroitin msm 1103mg 1x daily (Glucosamine Hydrochloride 1500mg) Probiotic 10 (10 d

Current Illness: None

ID: 1670647
Sex: F
Age: 45
State: CA

Vax Date: 09/03/2021
Onset Date: 09/03/2021
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: Vitals signs and Doctor's examination.

Allergies: NKA.

Symptom List: Nausea

Symptoms: Patient stated " I feel like my heart is accelerated, like I just run a lot."

Other Meds: None.

Current Illness: None.

ID: 1670648
Sex: M
Age: 22
State: NY

Vax Date: 08/08/2021
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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Nut allergy

Symptom List: Injection site pain

Symptoms: Experienced likely myocarditis, (chest pain, discomfort, tightness, un-ignorable sensation of rapid and erratic heartbeat)

Other Meds: None

Current Illness: None

ID: 1670649
Sex: F
Age: 38
State: NC

Vax Date: 05/01/2021
Onset Date: 05/01/2021
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: Breast and lymph node mammogram done today- 03/09/2021-results pending. HCP has recommended ultrasound as well but I don't have enough funds to cover such expensive procedure

Allergies:

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

Symptoms: Swollen/painful Lymph node or tissues around lymph nodes in the arms. Significant more pain and swelling in left armpit vs. right arm

Other Meds:

Current Illness:

ID: 1670650
Sex: F
Age: 81
State: WA

Vax Date: 02/25/2021
Onset Date: 02/26/2021
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: Blood tests March 22nd results on the 24th; May 25th referred to Hematologist 5/17/20221 rechecked my platelet counts and to check on what fatigue was about Dr. office the platelet counts were still elevated and the ferritin still was elevated, too. June 28th - 7 tubes of blood drawn where the Hematologist has office, August 4 more bloodwork to re-check it.

Allergies: Injectable - Lovenox - Started developing shortness of breath and asthma-like symptoms; Tagamet - gave me a headache; Allergic to nickel

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

Symptoms: I woke and had a fever (26th) - it was 100.5. I had a backache and muscle aches. I slept a lot that day. The next day, I felt okay - just had a slight headache. 28th - I took a nap (unusual for me) for about 3 hours. March 10th - around this date - I started having no energy - tired all the time. I started falling asleep during tv or movies at night. I was taking naps every day. Neither of these are like me, at all. 3/22/2021 - I saw my doctor's PA - I found out that I have elevated blood platelet counts and elevated ferritin. They set me up with a hematologist - I have gone to see her twice now. 1st time: July 12, '21 and diagnosed with elevated platelets (Essential Thrombocythemia) and elevated Ferritin at that time. Was put on medication: Hydrea Oral Capsule 500 mg 1 capsule once/day. Had to use gloves to handle it - and it had hazardous warning with it. 2nd time on August 4th, 2021. I went in to get a blood draw an hour before the visit. The results showed that the numbers were coming down, but they weren't coming down to what it needs to be - increased dosage to 2 on Saturday and 2 on Sunday (continued with 1 on the weekdays). I will see her again on the 9th of this month. Have bloodwork results from 2019 that showed everything was completely normal at that time. I have noticed some improvement - I still usually take a nap about three afternoons a month, if not more. I do fall asleep still sometimes at night with movies - not as often though maybe. I have to pace myself for energy which is just not me and so it's kind of hard. They have taken me off the iron - with the elevated Ferritin. It's never been a problem for me to have these elevated numbers.

Other Meds: Thyroid medicine; Losartan; Hydrochlorothiazide; Atenolol; Prescription Pepcid; Baby Aspirin; Multiple Vitamins; Calcium; Vitamin C; Vitamin D; Vitamin B Complex; Iron

Current Illness: No

ID: 1670651
Sex: M
Age: 83
State: FL

Vax Date: 07/17/2021
Onset Date: 07/28/2021
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:

Allergies: cortisone

Symptom List: Tremor

Symptoms: cough fever hospitalized

Other Meds:

Current Illness:

ID: 1670652
Sex: F
Age: 52
State: IN

Vax Date: 12/30/2020
Onset Date: 05/04/2021
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: June 9th blood work. Ruled out everything. Dermatologist said it could have been vaccine.

Allergies: Nka

Symptom List: Erythema, Pruritus

Symptoms: Unexplainable systemic rash severe itching. May 5th Family dr gave anti itch meds. Helped for a couple of weeks. Symptoms returned went to dermatologist on June 9th . Gave higher dose steroids and ordered all kinds of blood work.

Other Meds: Eatrogen

Current Illness: None

ID: 1670653
Sex: M
Age: 12
State: CA

Vax Date: 08/17/2021
Onset Date: 08/17/2021
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: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1670654
Sex: F
Age: 48
State:

Vax Date: 05/04/2021
Onset Date: 05/13/2021
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:

Allergies:

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

Symptoms: Intense abdominal pain resulting in multiple doctor and hospital visits. Symptoms began 9 days after second dose. In 6 weeks, I was admitted to the hospital for 4 days. There is still no diagnosis for the chronic inflammation with ulcers in my large intestine. There is still intense pain throughout entire abdomen.

Other Meds:

Current Illness:

ID: 1670655
Sex: F
Age: 46
State: FL

Vax Date: 01/27/2021
Onset Date: 07/05/2021
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: Covid-19 test

Allergies: Sulphur

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: With the 1st dose I only experienced fatigue, and the 2nd dose I did have a sore arm but everything seemed pretty okay afterwards. A few months later on July 5th is when you found out that I had COVID-19. July 23rd I went in to do a follow up Covid test and it still came back positive. I was only experiencing chills and allergy like symptoms such as runny nose and a slight cough.

Other Meds: Emergenc; vitamin D; probiotics; hair skin and nails vitamins

Current Illness:

ID: 1670656
Sex: M
Age: 15
State: MA

Vax Date: 08/31/2021
Onset Date: 08/31/2021
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: None

Allergies: None

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

Symptoms: Medication was mixed with the incorrect diluent and then administered to the patient intramuscularly in the left arm

Other Meds: None

Current Illness: None

ID: 1670657
Sex: F
Age: 42
State: CO

Vax Date: 08/21/2021
Onset Date: 08/29/2021
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: X-Ray chest 8/30/2021 Troponin I fir chest pain 8/30/2021 CBC with differential for chest pain 8/30/21 White Blood cell differential for chest pain 8/30/2021 EKG 12 or more Leads w INT& RPT 8/30/2021 All test reported non dangerous levels or outcomes

Allergies: N/A

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

Symptoms: Chest pain approx. 1 week after injection. Chest pressure then random stabbing and squeezing pains following chest tightness.

Other Meds: Vitamin C

Current Illness: N/A

ID: 1670658
Sex: F
Age: 33
State: CA

Vax Date: 08/18/2021
Onset Date: 08/18/2021
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: Pain in extremity

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1670659
Sex: F
Age:
State: NY

Vax Date: 08/12/2021
Onset Date: 08/13/2021
Rec V Date: 09/03/2021
Hospital:

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

Lab Data:

Allergies: Lactose, ragweed, certain pollens, mold.

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

Symptoms: On 8/13/2021, 8/14/21 still feel heart elevated and fatigue. Fever, chills, elevated heart rate, fatigue, pain at injection sight. Felt like I had covid again.

Other Meds: None nothing.

Current Illness:

ID: 1670660
Sex: M
Age: 68
State: CA

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

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

Lab Data: Self treatment let the condition run its course for 12-24 hours urination resolve itself.

Allergies: No

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

Symptoms: 03/03/2021 temperature, could not stop urination, high glucose level, did not eat, could not get up, the entire day at least 12- 24 hours. Let it run it course and unable to function. Very bad day.

Other Meds: Metformin; gabapentin; multivitamin; vitamin C

Current Illness: No

ID: 1670661
Sex: M
Age: 21
State: CA

Vax Date: 08/16/2021
Onset Date: 08/16/2021
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: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1670662
Sex: M
Age: 77
State: OH

Vax Date: 01/27/2021
Onset Date: 08/15/2021
Rec V Date: 09/03/2021
Hospital: Y

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

Lab Data: CAT scans, EKG, XRay, Blood work, Neurological evaluation, pericardial window placed. August 19, 2021- August 31, 2021.

Allergies: Codeine Hydromet Zithromax

Symptom List: Vomiting

Symptoms: Blood and fluid in pericardial sac, hallucinations, mass in lung

Other Meds: Lisinopril Metformin Amlodipine besylate One a day multivitamin Aredds 2

Current Illness: N/A

ID: 1670663
Sex: M
Age: 32
State: TX

Vax Date: 03/03/2021
Onset Date: 07/27/2021
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: Bone marrow, Blood tests (weekly)

Allergies: No

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: About a month ago was feeling lethargic noticed spots on my feet. I went to my Oncologist stated it was Petechiae and had a bone marrow done was diagnosed with ITP (immune disorder where body is killing my platelets). My doctor is uncertain why I'm dealing with this still dealing with today. As of today I'm on steroids and supplements.

Other Meds: Finasteride

Current Illness: No

ID: 1670664
Sex: M
Age: 46
State: CT

Vax Date: 04/25/2021
Onset Date: 05/09/2021
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: CT Scan on 5/9/2021.

Allergies: N/A

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

Symptoms: Blood Clot in my left kidney. 8am on May 9th I started to feel pain in my lower back which quickly moved to my left lower abdominal area and intensified in pain.

Other Meds: Multi Vitamin and Meloxicam

Current Illness: N/A

ID: 1670665
Sex: F
Age: 74
State: MA

Vax Date: 09/03/2021
Onset Date: 09/03/2021
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:

Allergies: Morphine, Iodinated contrast media

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Approximately 5 minutes after administration the patient reported an itchy rash at the site of injection that was spreading and intensifying. One 25mg tablet of Benadryl was administered, 911 was called, and an epi-pen was kept at the ready until EMS arrived and took over. The patient was very anxious throughout but maintained adequate ventilation and never lost consciousness.

Other Meds:

Current Illness: Unknown

ID: 1670666
Sex: M
Age: 60
State: CA

Vax Date: 08/16/2021
Onset Date: 08/16/2021
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: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: Error, Improper Storage temperature.

Other Meds:

Current Illness:

ID: 1670667
Sex: F
Age: 67
State: MI

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

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

Symptoms: Pt received her first dose of the Pfizer covid-19 vaccine on August 20, 2021 and on August 21, 2021 patient started experiencing numbness in her right arm through right pinky. As of September 3rd, 2021 she is still experiencing this numbness.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am