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: 1676063
Sex: F
Age: 38
State: CA

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

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

Lab Data: N/A

Allergies: Yes but patient did not specify.

Symptom List: Dysphagia, Epiglottitis

Symptoms: After receiving her shot within 5 minutes she was feeling dizzy and her tongue got swollen. We lay her down and gave some water and call 911. They checked her vitals and she had high BP. They took her to urgent treatment center just to make sure she is ok

Other Meds: No knowledge.

Current Illness: Asthma

ID: 1676064
Sex: F
Age: 15
State: TX

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

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

Lab Data: UNKNOW

Allergies: UNKNOWN

Symptom List: Anxiety, Dyspnoea

Symptoms: PT WAS ADMINISTER AN UNDILUTED 0.3 ML DOSE OF THE VACCINE

Other Meds: UNKNOWN

Current Illness: UNKNOW

ID: 1676240
Sex: M
Age: 25
State:

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

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Patient reported full body urticaria 12 hrs after receiving injection. Urticaria lasted 36 hrs. Patient reported to Urgent Care on 4 Apr 21, managed symptoms with Benadryl and Zyrtec, provider determined not anaphylaxis. Patient made appointment with primary care provider on 13 May 21, who determined patient should not receive second dose of Moderna. On 23 Aug 21, patient was reassessed for 2nd dose, provider determined again that previous reaction was not classified as an immediate reaction per CDC classifications. Provider recommended getting a dose of Janssen, to have a complete series. Provider directed patient to starting taking Zyrtec 2 days prior to receiving Janssen vaccine and continue for 1 week post vaccination. Patient has not reported any adverse reaction post Janssen vaccine. Patient received Janssen dose on 26 Aug 21.

Other Meds:

Current Illness:

ID: 1676241
Sex: M
Age: 21
State: FL

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

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

Lab Data: I don?t have any idea.

Allergies: No Allergies.

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: He wasn?t feeling well after getting the vaccine. I asked him if he was able to breath then his grandmother told me that he has a type of disability that prevents him from expressing his feelings. Then he was trembling and sweating and started to cry so I didn?t take any chance. I injected him with Epipen right away then I let my technician call the emergency who came in less than 5 minutes and took care of him.

Other Meds: N/A

Current Illness: No Illness was mentioned.

ID: 1676242
Sex: M
Age: 63
State: TX

Vax Date: 03/01/2021
Onset Date: 06/01/2021
Rec V Date: 09/06/2021
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: Profound pain and weekness in both shoulders not related to injection site All injections only in left arm

Other Meds: Prozac

Current Illness: No

ID: 1676243
Sex: F
Age: 50
State: CA

Vax Date: 09/06/2021
Onset Date: 09/06/2021
Rec V Date: 09/06/2021
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: N/A

Allergies: N/A

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

Symptoms: Patient experienced an injection-site reaction following immunization administration. She reported pain and swelling in her right arm that radiated down to the right hand. A cold pack was given to the patient and one dose of Diphenhydramine 25 mg solution was given by mouth. A couple minutes after the Diphenhydramine was administered, she reported that her face felt "weird" but she denied any shortness of breath, throat swelling, or any other S/S of anaphylaxis. She was monitored for about 30 minutes following the adverse reaction, and after about 10-15 minutes following Diphenhydramine administration, she said that she was feeling a lot better. We let her know that she is free to stay at the pharmacy as long as she would like, but she said that she wanted to leave and that she felt fine to leave and to drive herself home.

Other Meds: N/A

Current Illness: N/A

ID: 1676244
Sex: F
Age: 33
State: TX

Vax Date: 08/12/2021
Onset Date: 08/14/2021
Rec V Date: 09/06/2021
Hospital:

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

Lab Data: Blood panel, hormone levels, thyroid - 8/16/21 results were normal Diagnosed with shingles 8/16/21

Allergies: Aspirin, NSAIDS

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Shingles started 2 days after vaccine administration, still have them. Pain at injection site for 2 days after Numbness of left arm on and off for 3 days, occasionally still have this Foggy brain - ongoing Body aches and feverish (no fever) - ongoing Severe diarrhea- ongoing since injection Headache - slight one daily Nausea - daily since injection

Other Meds: Allegra, fish oil, SAM-E, biotin, multi-vitamin, nasonex

Current Illness:

ID: 1676245
Sex: F
Age: 36
State: NY

Vax Date: 05/06/2021
Onset Date: 05/07/2021
Rec V Date: 09/06/2021
Hospital:

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

Lab Data: ct scan surgical biopsy

Allergies: neomycin

Symptom List: Pharyngeal swelling

Symptoms: first 24 hours some headaches, fatigue following morning of 2nd injection my upper eye area hurt especially to touch 48 hours post injection more headaches, fatigue, mild bloody nose, eyes slightly swollen everyday after this my eye was more and more swollen to the point of swollen shut 5x blurry vision swollen lacrimal gland, pain around eye

Other Meds: stelara

Current Illness: none

ID: 1676246
Sex: F
Age: 33
State: CA

Vax Date: 08/31/2021
Onset Date: 09/01/2021
Rec V Date: 09/06/2021
Hospital:

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

Lab Data: EKG Chest x-ray

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: After receiving the vaccine, I felt soreness in my right arm throughout the day. Chills and nausea began over night. The next day, I noticed redness to the upper arm/shoulder area, a raised welt to the right side of the site toward the front shoulder, and discoloration. As the day went on, I started getting increasingly worse pain in all sides of the upper right arm, the entire shoulder area, my upper back and spine, up the right side of my neck and numbness in my right lower jaw. These areas were feeling a burning sensation, tingly, and random sharp pains. I was unable to move my neck in either direction or have full motion of my right arm and shoulder. My body was shaking. I was seen in urgent care where I was given an injection of toradol with no relief and referred to the ED where an EKG and chest x-ray were done. Symptoms continued into the night and next day, where pains began in other areas as well. Still today, I am having ongoing pain in my neck, arm, shoulder, upper and lower back, right hip area, left thigh, right lower rib, and left-sided head pain.

Other Meds:

Current Illness:

ID: 1676247
Sex: M
Age: 71
State: GA

Vax Date: 07/28/2021
Onset Date: 08/15/2021
Rec V Date: 09/06/2021
Hospital:

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

Lab Data: I have contacted my doctor but what tests could possibly be done? I have only a minor fever of 99.5. He is scheduling me for circulation tests of my legs. What on Earth would you test regarding a complaint of a numb and tingly feeling all over the body? My BP is high but it is always high.

Allergies: Ace inhibitors, Calcium channel blockers, penicillin

Symptom List: Diarrhoea, Nasal congestion

Symptoms: After 1st dose in April about 2-1/2 weeks later these exact same symptoms described below started. It took May and June for them to fade away. It was clear that my doctor thought I might have a brain tumor since he suggested an MRI of my head. That was my same thoughts. After being told that there was no way what I experienced could be vaccine side effect I took the 2nd shot. After 2-1/2 weeks My front teeth got numb, My upper lip was numb and tingly. My nose is numb and tingly and all the skin around my nose similar. A bad headache that was different from anything I've ever had. It's like there is a numb and tingly spot inside my brain. My stomach has a numb and tingly feeling which also creates slight nausea and dizziness. There is a numb tingly feeling across my chest. My fingers and toes are cold. And even though my toes are cold my feet feel like they are burning. It took two months for the effects to fade away for the first shot. These are debilitating effects. I spend a lot of time in bed moaning. My doctor has no idea how to treat this since he is being told that side effects are only mild and go away after a couple of days. I have searched the internet for numb and tingly side effects. I couldn't find anything at all until August. Then suddenly I started finding others that were using the words numb and tingly the same words I had used to my doctor in May. And then I found Dr. He described almost precisely the exact symptoms I have. I found lots of people describing numb and tingly nose and lips. These side effects make me so sick that I have had to put off important surgery on my knee. If this second dose goes like the first dose then I don't expect to feel better until end of October at the earliest.

Other Meds: Diovan, Metoprolol, Avorstatin

Current Illness: Some problem with total knee replacement but that has been ongoing for a year.

ID: 1676248
Sex: F
Age: 11
State: AZ

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

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

Lab Data: none

Allergies: None

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

Symptoms: A pfizer vaccine ( first dose) was given to wrongfully to 11 years old and 4 months child by accident. Patient reported soar arms only.

Other Meds: None- 11 years old

Current Illness: none

ID: 1676249
Sex: M
Age: 32
State: MO

Vax Date: 04/20/2021
Onset Date: 07/19/2021
Rec V Date: 09/06/2021
Hospital:

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

Lab Data: None

Allergies: None

Symptom List: Rash, Urticaria

Symptoms: Unprecedented heart palpitations - pounding and skipping beats. Occurred most nights for about 3 weeks .

Other Meds: None

Current Illness: None

ID: 1676250
Sex: M
Age: 87
State:

Vax Date: 03/03/2021
Onset Date: 09/03/2021
Rec V Date: 09/06/2021
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 PCR positive 9/3/21

Allergies:

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

Symptoms: Breakthrough COVID infection requiring hospitalization

Other Meds:

Current Illness:

ID: 1676251
Sex: M
Age: 4
State: NY

Vax Date: 08/26/2021
Onset Date: 08/26/2021
Rec V Date: 09/06/2021
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: None

Allergies: None reported

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

Symptoms: Patient developed rash at site of vaccine administration. Rash was macular and erythematous with some pruritus. No vesicles or varicella-like lesions were present. Rash has been self-resolving with time. No medications were applied for management.

Other Meds: None reported

Current Illness: None reported

ID: 1676252
Sex: F
Age: 34
State: GA

Vax Date: 08/28/2021
Onset Date: 08/29/2021
Rec V Date: 09/06/2021
Hospital:

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

Lab Data: Pregnancy test (urine) - positive (9-2-21), HCG, Intact + Beta Subunit, Quant, Serum or Plasma - 102 (9-2-21), US, Obstetric, Transvaginal (9-2-21), beta- HCG, Quantitative, Serum or Plasma - 35 (9-5-21)

Allergies: None known

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

Symptoms: Miscarriage First known pregnancy, no estimated date of delivery or birth weight, approx. 4 weeks pregnant

Other Meds: Sertraline 50mg One a Day Women?s Complete Multivitamin

Current Illness: None

ID: 1676253
Sex: M
Age: 32
State:

Vax Date: 07/09/2021
Onset Date: 08/27/2021
Rec V Date: 09/06/2021
Hospital: Y

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

Lab Data:

Allergies: Penicillin

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

Symptoms: Presented to hospital. Over the last month he noted some difficulty with some word finding. States that it feels like the words on the tip of his tongue but he cannot find what he needs to say. Additionally feels that his cognitive processing is a bit slower than normal. Over the last 3-4 days he noted progressive foot numbness which was ascending. This was described as ?cold and like my fingers were asleep ?. Yesterday this significantly worsened with weakness all over that he could not work through. Has had some spasticity in the upper extremities, poor coordination and now cannot do his ADLs or walk without assistance. Also notes that his right eye feels delayed and motion though he has had no specific visual field deficit or blurred vision. No other constitutional symptoms including fever chills or diarrhea. Lumbar puncture was performed and IVIG was ordered. Patient to receive a total of 2 grams/kilogram of IVIG over 5 days (400 milligrams/kilogram x5 days) Intubated during hospital stay. Diagnosed with Guillain Barre.

Other Meds: Ibuprofen

Current Illness:

ID: 1676254
Sex: M
Age: 36
State: CA

Vax Date: 05/05/2021
Onset Date: 05/05/2021
Rec V Date: 09/06/2021
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: I am male 36 years old. On May 5th 2021 around 8:20am, I received the Johnson & Johnson Vaccine at Pharmacy. Within several hours that Same day I experienced soreness spread from the poke sight on my arm that spread outward to my entire body. Muscle soreness and joint pain. Physical fatigue and mental fog. Lately I've still been experiencing Muscle cramping without antagonizing with exercise. Also Lately I've been developing hives that come and go. My chiropractor has witnessed entire large muscle groups especially through my back, raised and inflamed.

Other Meds: None

Current Illness: None

ID: 1676255
Sex: F
Age: 33
State: FL

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

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

Lab Data:

Allergies: Sulfa, penicillin, pertussis

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Woke up at 2 am with fever, chills, extreme body aches, and diarrhea. Took Tylenol which brought the fever down but had to be repeated at 8am, 12pm, 8pm due to fever of 101.5 and chills. Also had quick bouts of moderate pain around my left temple intermittently throughout the day. Heart rate usually staying around 100-125 even at rest.

Other Meds: None

Current Illness: None

ID: 1676256
Sex: F
Age:
State: AL

Vax Date:
Onset Date: 09/03/2021
Rec V Date: 09/06/2021
Hospital:

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

Lab Data: Covid test 9/6

Allergies: None Known

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Started as a pinprick rash a few hours after injection and to a full blown hives rash on left armpit. Continued to get more inflamed and I went to the ER. They gave me IV steroids and Benadryl. Helped but I still have the rash.

Other Meds: Zoloft-50mg

Current Illness: None Known

ID: 1676257
Sex: F
Age: 42
State: AL

Vax Date: 08/17/2021
Onset Date: 08/22/2021
Rec V Date: 09/06/2021
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: My period started 2 weeks earlier than usual, was extremely heavy and began with clots vs starting with bleeding or spotting. Had very heavy cloths throughout. Period lasted 7 days with much higher than normal volume of clots and bleeding. When the period ended I had 2 days of no bleeding or spotting and then began spotting sporadically. This spotting has continued for 4 days so far and ranges from brown to red. I have generally had a predictable cycle that lasts between 7-10 days with heavy bleeding, so when I report that this was heavy, I mean this was much heavier than my already heavy cycle.

Other Meds: Lexapro 10mg Prenatal w iron Zyrtec

Current Illness:

ID: 1676258
Sex: F
Age: 29
State: GA

Vax Date: 08/16/2021
Onset Date: 08/20/2021
Rec V Date: 09/06/2021
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: Syncope, Seizure, Convulsions, Fainting, Fever, Sore throat

Other Meds: Asmanex, Zycam

Current Illness: Seasonal allergies

ID: 1676259
Sex: F
Age: 21
State: AZ

Vax Date: 02/25/2021
Onset Date: 08/16/2021
Rec V Date: 09/06/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin

Symptom List: Unevaluable event

Symptoms: Chest pressure, difficulty breathing (aug 16-present)

Other Meds: Lexapro

Current Illness:

ID: 1676260
Sex: M
Age: 63
State: GA

Vax Date: 09/03/2021
Onset Date: 09/04/2021
Rec V Date: 09/06/2021
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: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: Red, swollen big toe with pus, moderate to no pain

Other Meds: Omeprazole

Current Illness:

ID: 1676261
Sex: M
Age: 49
State: CA

Vax Date: 04/02/2021
Onset Date: 04/19/2021
Rec V Date: 09/06/2021
Hospital:

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

Lab Data: MRI ordered by Doctor S. and completed on 4 Aug 2021 revealed Transverse Myelitis, with attendant broad differential diagnosis.

Allergies: None

Symptom List: Injection site pain, Pain

Symptoms: Vomiting started on 19 April 2021; included fever ranging up to 103F and burning sensation in both legs. Ability to defecate normally also impacted. Symptoms also include weakness in legs. Several doctors visited were unable to diagnosis specific illness causing symptoms. After patient visit on 23 Apr 2021 included Febrile Illness with Uncertain Cause (Adult).

Other Meds: Synthorid; pantoprazole

Current Illness: None

ID: 1676262
Sex: F
Age: 64
State: CA

Vax Date: 08/09/2021
Onset Date: 08/25/2021
Rec V Date: 09/06/2021
Hospital:

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

Lab Data: Blood tests: Basis Metabolic Panel and Sedimentation Rate (ESR) - All normal results. Ordered MRI and MRA scheduled for 9/29/2021

Allergies: Penicillin, Codeine

Symptom List: Injection site pain, Menorrhagia

Symptoms: Intense pain beginning 9/25 on Right side of head above ear, lasting 10 seconds. Then again beginning at 5:00 am on 9/27 repeating every 30 to 60 seconds, continuing for 50 hrs., stopped on 9/28 at 10:00 pm. Stopped for 9 days, then began again on 9/6/21 at 3:00pm.

Other Meds: Multi Vitamin, Vitamin D, Iodine, Co Q10, Omega 3 oil, Melatonin.

Current Illness: None

ID: 1676463
Sex: M
Age: 18
State: NY

Vax Date: 08/30/2021
Onset Date: 09/02/2021
Rec V Date: 09/06/2021
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: Chills, sore throat, nausea, vomiting, body aches, malaise, headache

Other Meds: None

Current Illness: None

ID: 1676464
Sex: F
Age: 38
State: GA

Vax Date: 09/01/2021
Onset Date: 09/06/2021
Rec V Date: 09/06/2021
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: Delayed injection site reaction. Day 5. Redness, swelling and warm to touch. Mild itching at site.

Other Meds:

Current Illness:

ID: 1676465
Sex: F
Age: 52
State: OH

Vax Date: 08/13/2021
Onset Date: 08/28/2021
Rec V Date: 09/06/2021
Hospital: Y

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

Lab Data: I had a battery of tests taken on September 5, 2021. Those tests included a CAT scan, And ultrasound of my heart, a stress test, an x-ray, and two EKGs. They also included blood draws countless times throughout my stay from September 4 Through September 6. I do not know what exactly they were testing for with the blood. Lab results showed that my iron levels were low but those are the only results from that lab work that I know of.

Allergies: None

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: On September 4, 2021 I was admitted to the hospital for chest pain and shortness of breath. After battery of test a CAT scan showed that I had a blood clots in my right lung. I do not have risk factors for any type of blood clots. My first vaccine was on August 13, 2021. My second vaccine is scheduled for September 7, 2021. I was in the hospital for two days with two separate IVs going. One had A blood thinner and the other one was iron. I will be on blood thinners for six months to one year. During that entire time I will also have blood test taken every six weeks. The doctors and the cardiologist cannot explain how or why I got blood clots. My lifestyle is not conducive to the risk factors of it.

Other Meds: RX for Prilosec 40mg once daily

Current Illness: I suffer from anemia which is causing fatigue and shortness of breath, for approximately 4 years.

ID: 1676466
Sex: F
Age: 28
State: KY

Vax Date: 07/26/2021
Onset Date: 08/09/2021
Rec V Date: 09/06/2021
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: None

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

Symptoms: 2 weeks after the vaccination, developed vertigo on and off, ear fluid, dizziness, nausea, lightheadedness that is still ongoing

Other Meds: Protonix, tri lo sprintec, levocetirizine, nasacort

Current Illness: None

ID: 1676467
Sex: F
Age: 28
State: ME

Vax Date: 08/20/2021
Onset Date: 08/21/2021
Rec V Date: 09/06/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Nausea

Symptoms: Daily headache lasting until 9/3/21. Bug lump with red outline starting on 8/29 until 9/3/21

Other Meds: None

Current Illness: None

ID: 1676468
Sex: F
Age: 49
State: GA

Vax Date: 05/04/2021
Onset Date: 05/07/2021
Rec V Date: 09/06/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Sulfur antibiotics, bee or wasp stings

Symptom List: Injection site pain

Symptoms: Extreme candida rash in armpits

Other Meds: Duloxitine 60 mg 1x daily Meloxicam 15mg 1x daily

Current Illness: None

ID: 1676469
Sex: F
Age: 26
State: FL

Vax Date: 09/03/2021
Onset Date: 09/03/2021
Rec V Date: 09/06/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

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

Symptoms: Very fatigued, body soreness, vertigo, headache, and extremely nauseous.

Other Meds: Mirena IUD, Zyrtec

Current Illness: NONE

ID: 1676470
Sex: F
Age: 59
State: GA

Vax Date: 07/07/2021
Onset Date: 07/22/2021
Rec V Date: 09/06/2021
Hospital: Y

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

Lab Data: The following tests were performed while I was in the hospital from 7/22/21 through 7/24/21: CT & Contrast CT of brain MRI of brain Sonogram & Echo of heart

Allergies: Codeine Sulfa

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

Symptoms: Awoke with severe double vision, determined by E.R. Doctors to be a Transient Ischemic Attack

Other Meds: Levothyroxine Estradiol Metoprolol Tartrate Lisinopril-HCTZ

Current Illness: None

ID: 1676471
Sex: F
Age: 27
State: TX

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 09/06/2021
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: Received 2 dose of vaccine on Monday 1/25/21 at about noon, started feeling ache around 7-8 pm ran fever all night long, Tuesday evening around 9pm started having hives around eyes and face Wednesday morning woke up and passed out then looked in the mirror and my whole face was swollen took Benadryl and slept all morning then finally want to the ER about 2pm

Other Meds: Sertarline Birth control

Current Illness: None

ID: 1676472
Sex: F
Age: 42
State: FL

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 09/06/2021
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

Symptom List: Erythema, Pruritus

Symptoms: I smell cigarette smoke off and on a lot of the time when there is actually none present.

Other Meds: General women?s multivitamin

Current Illness: N/A

ID: 1676473
Sex: F
Age: 40
State:

Vax Date: 08/29/2021
Onset Date: 08/30/2021
Rec V Date: 09/06/2021
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: Fever the day after, chills, headache, tiredness. Hot flashes lasted a few days. Menstrual cycle delayed over a week. First dose was within first week of cycle.

Other Meds:

Current Illness:

ID: 1676474
Sex: M
Age: 70
State: AZ

Vax Date: 04/06/2021
Onset Date: 05/10/2021
Rec V Date: 09/06/2021
Hospital:

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

Lab Data: took triamcinolone acetonide 0.1% with no relief. Cortisone shot which only eased up the inching and that is coming back again.

Allergies: none

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

Symptoms: Mase of rashes with iching all over the body and head.

Other Meds: Allopurinol 300mg--amlopdipine besylalate 10mg---atenolol 50mg--furosemide 40mg--insulin reg human nivolin 30 units twice a day lisinopril 40mg---insulin, glargine 30 units at bedtime---lovastatin 20mg--- potassium chloride 10meq twice a d

Current Illness: none

ID: 1676475
Sex: F
Age: 17
State: GA

Vax Date: 04/21/2021
Onset Date: 06/04/2021
Rec V Date: 09/06/2021
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: none

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Bell's Palsy Woke up and face was drooping. Went to Dr and was diagnosed with Bell's Plasy Antibiotics, steroids, eye drops Recovered 8 days later

Other Meds: ibuprofen

Current Illness: none

ID: 1676476
Sex: F
Age: 71
State: TX

Vax Date: 09/06/2021
Onset Date: 09/06/2021
Rec V Date: 09/06/2021
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: Potassium

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

Symptoms: The patient came in and got her third pfizer dose for being immunocompromised. I asked her if there were any problems with vaccines, allergies, or anything that has made her throat close up. She only said potassium. I told her per recommendations she'd have to wait 30 minutes which she did not want to do with all the people in the lobby. She then called and spoke to another pharmacist here saying her throat was closing up with no problem breathing. She was instructed to take benadryl and seek medical help. I called her back around 415 to check on her and she said that the benadryl may be helping a little and she has a call out to her doctor. I told her that it is a holiday and probably wont respond today. I reminded her that if the swelling got worse minutes are precious with airways. She agreed to get her husband to take her to get examined.

Other Meds:

Current Illness:

ID: 1676477
Sex: F
Age: 23
State: NC

Vax Date: 09/05/2021
Onset Date: 09/06/2021
Rec V Date: 09/06/2021
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: No

Allergies: None

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

Symptoms: Chills, heat flashes, fever, body aches

Other Meds: None

Current Illness: None

ID: 1676478
Sex: F
Age: 35
State: NY

Vax Date: 02/25/2021
Onset Date: 04/06/2021
Rec V Date: 09/06/2021
Hospital:

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

Lab Data: Bloodwork completed on 8/16. I?m now experiencing premature menopause according to my FSH levels, other blood work, and symptoms .

Allergies: NA

Symptom List: Pain in extremity

Symptoms: No period since the second shot (6 months).

Other Meds: NA

Current Illness: NA

ID: 1676479
Sex: M
Age: 53
State: CA

Vax Date: 08/23/2021
Onset Date: 08/26/2021
Rec V Date: 09/06/2021
Hospital:

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

Lab Data: None

Allergies: None

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

Symptoms: Persistent nose bleeds for over a week that are difficult to stop. Sometimes several in a day.

Other Meds: None

Current Illness: Flu

ID: 1676480
Sex: F
Age: 33
State: CA

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

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

Lab Data: I had extensive labs drawn right before the vaccine was given on the same day and everything was normal. No new labs drawn since bruising began.

Allergies: N/a

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

Symptoms: Multiple bruises with different sizes on back of thighs on both legs, bruises on knees, shins, and feet.

Other Meds: None

Current Illness: None

ID: 1676481
Sex: F
Age: 35
State: OK

Vax Date: 08/04/2021
Onset Date: 08/04/2021
Rec V Date: 09/06/2021
Hospital:

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

Lab Data: ER visit, EKG, Xray and Ultrasound, Round of Steroid Medication and Pain Pills, Complete Blood Work up and panels ran. Being sent to specialist. Vaccine caused what appears to be vasculitis.

Allergies: Penicillin and Ethromicin

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

Symptoms: Immediate arm sore, red mark, skin rashing about elbow of same arm, lump size of golf ball appeared under left arm pit. Not even two weeks later, nausea and vomiting, diarrhea, sharp stabbing pain in upper stomach and chest wall, chest inflammation, bruising all over legs, fatigue, overall pain, vision problems, weakness, high blood pressure, all within two weeks of getting shot.

Other Meds: Birth Control, Aspirin, Vitamins

Current Illness: Fibromyalgia, no undiagnosed diseases

ID: 1676482
Sex: M
Age: 46
State: MN

Vax Date: 04/30/2021
Onset Date: 08/01/2021
Rec V Date: 09/06/2021
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: flu vaccine

Symptom List: Vomiting

Symptoms: I FEEL HEART PALPITATIONS, SKIPS A BEAT AND FLUTTERS. wILL SEEK MEDICAL ADVICE

Other Meds: none

Current Illness: none

ID: 1676483
Sex: F
Age: 45
State: CA

Vax Date: 04/27/2021
Onset Date: 07/26/2021
Rec V Date: 09/06/2021
Hospital:

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

Lab Data: Positive shingles test.

Allergies: no

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: shingles. I developed shingles. 2 months after, so who knows, but ugh.

Other Meds: birth control

Current Illness:

ID: 1676484
Sex: M
Age: 35
State: MA

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 09/06/2021
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: None

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

Symptoms: Extremely high fever, aches and pains, trouble breathing

Other Meds: None

Current Illness: None

ID: 1676485
Sex: M
Age: 76
State: IL

Vax Date: 02/15/2021
Onset Date: 04/25/2021
Rec V Date: 09/06/2021
Hospital: Y

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

Lab Data: Echo cardiogram. Pericardialcentesis5/9/21

Allergies: Erythromicin

Symptom List: Injection site swelling, Limb discomfort

Symptoms: On May 9th I had pericardial effusion and cardiac tamponade. they perform pericardialcentesis removing one liter of liquid. This was perfumed at a MedicalCenter

Other Meds: Lipitor, Advair, Singulair, Raberprazole, Fenofibrate, Multi vitamins

Current Illness: Sleep apnea, asthma

ID: 1676486
Sex: F
Age: 43
State: TX

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

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

Lab Data: Treated by paramedics

Allergies: Penicillin Sulfa

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

Symptoms: Vasovagal response (shortly after) Anaphylaxis (shortly after) Vertigo (evening of) Hives (evening of) Mild vision loss (next day) migraines (next day)

Other Meds: No

Current Illness: None

ID: 1676487
Sex: F
Age: 1
State: MA

Vax Date: 06/30/2021
Onset Date: 07/18/2021
Rec V Date: 09/06/2021
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: AMOXICILLIN

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

Symptoms: Rash started on 7/18/21. Seen in office on 7/19/21 and diagnosed with hand, foot, and mouth and a left ear infection.

Other Meds:

Current Illness: 5/27/21 ROM. 6/4/21 Rash thought due to AMOXICILLIN

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am