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**
PLEASE CHECK BACK SOON
Download the files above while you wait.







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: 1679941
Sex: F
Age: 30
State: TX

Vax Date: 09/03/2021
Onset Date:
Rec V Date: 09/07/2021
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: NO

Symptom List: Dysphagia, Epiglottitis

Symptoms: Patient showed symptoms of allergic reaction shortly receiving Pfizer Covid vaccine at 3:42 pm. She began with dizziness and nausea. At this point blood pressure and pulse was checked (BP 146/89 and Pulse 126) Pt started complaining of numbing of arm and legs then difficulty breathing and turning blue follow right after. A dose of Epinephine 0.3mg was given at this time. Patient is agitated, hyperventilating and pale but was talking. A few minutes after the injection , patient and family ask to call for EMT. 911 was called. EMT came to assess and check vitals. Vitals seems to be normal. Patient is still agitated. Patient was given oxygen canula. EMT stated that she may not need to be taken to hospital but would continue to monitor her and get her to calm down a little more. Patient was wheeled out to the EMT van for more privacy.

Other Meds: NO

Current Illness: NO

ID: 1679942
Sex: F
Age: 46
State: KS

Vax Date: 09/03/2021
Onset Date: 09/04/2021
Rec V Date: 09/07/2021
Hospital:

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

Lab Data: None.

Allergies: Aspirin, amoxicillin, penicillin, keflex, macrodantin, latex, any gassy foods, or citrus foods.

Symptom List: Anxiety, Dyspnoea

Symptoms: Donor states she was in the bathtub at home, when she began feeling chills and joint pain approximately 9/4/21 around 9:30pm. Donor got out of the bathtub and put on her heavy winter robe to try and warm herself. She then took 800mg of ibuprofen every 4 hours to help relieve her symptoms. A few hours later she developed a low grade fever. Symptoms subsided approximately 36 hours after onset.

Other Meds: Donor takes iron supplements twice weekly.

Current Illness: None

ID: 1679943
Sex: F
Age: 29
State: SC

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

Allergies: No

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

Symptoms: Patient vaccinated on Sunday 9/5/2021. She reported to the pharmacy on 9/7/2021 she has numbness in her right thumb and index fingers that started on Monday 9/6/2021 (the day after she received the second dose of Pfizer COVID-19 vaccine). Patient is unsure if it is related to the vaccine. Patient will monitor symptoms and seek medical attention if symptoms don't subside.

Other Meds: Not available

Current Illness: Not available

ID: 1679944
Sex: F
Age: 82
State: OH

Vax Date: 05/25/2021
Onset Date: 05/25/2021
Rec V Date: 09/07/2021
Hospital:

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

Lab Data: none

Allergies: Penicillins, cats

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Patient states she had pain in shoulder after she receiving her shot on 5/25/21. Patient went to Dr who gave her prednisone on 7/15/21 which did not relieve her pain. On 8/12/21 patient was given a cortisone shot which also did not relieve her pain. Patient is scheduled to see a neurologist in December or sooner.

Other Meds: Prilosec, doxepin, vitamin b complex, pressure vision and Algaecal Plus, Allegra

Current Illness: none

ID: 1679945
Sex: F
Age: 25
State: AL

Vax Date: 05/06/2021
Onset Date: 05/23/2021
Rec V Date: 09/07/2021
Hospital:

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

Lab Data:

Allergies: Walnut, hazelnut, crab

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

Symptoms: A few weeks after my second dose of this vaccine, I experienced an extremely irregular menstrual cycle. I have always had very heavy cycles, but they?ve been regular (4 days usually). This cycle lasted eight days. Since then my periods have been longer and more irregular, coupled with spotting and hormonal acne (I have never consistently had acne before).

Other Meds: Vitamin D, curcumin, Xyzal

Current Illness:

ID: 1679946
Sex: F
Age: 45
State: CA

Vax Date: 12/28/2020
Onset Date: 01/01/2021
Rec V Date: 09/07/2021
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: Ferritin <2 H/H 30.9/8.5

Allergies: None

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

Symptoms: Since receiving Covid vaccine, had 3 weeks of menstrual bleeding, more heavier, more painful cramps.

Other Meds: None

Current Illness: Dysmenorrhea

ID: 1679947
Sex: F
Age: 40
State: FL

Vax Date: 09/02/2021
Onset Date: 09/03/2021
Rec V Date: 09/07/2021
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: Penicillin

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Facial numbness?within minutes of shot lasted 12 hours Sore arm?started day after shot lasted 72 hours Red hard injection sight?still evident after 5 days Fever?started 23 hours after injection and went lasted 3? hours Body aches?started 23 hours after injection lasted 4 hours

Other Meds:

Current Illness:

ID: 1679948
Sex: M
Age: 24
State: OK

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

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

Lab Data: none

Allergies: penicillin

Symptom List: Pharyngeal swelling

Symptoms: patient took claritin. rash was severe, lots of red splotching all on left arm

Other Meds: none

Current Illness: none

ID: 1679949
Sex: F
Age: 24
State: NC

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

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

Lab Data: N/A

Allergies: Hydrocodone Pollen- tree, grass, weed Pineapples Bananas Latex

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Migraine Injection site pain Pain in legs, so bad I can barely walk Nausea Diarrhea

Other Meds: Aimovig Prozac Multivitamin

Current Illness: N/A

ID: 1679950
Sex: M
Age: 29
State: NV

Vax Date: 08/30/2021
Onset Date: 08/30/2021
Rec V Date: 09/07/2021
Hospital:

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

Lab Data: Covid 19 test on September 3rd 2021 - results were negative.

Allergies: Watermelon, apples

Symptom List: Diarrhoea, Nasal congestion

Symptoms: First night after taken the vaccine, I developed a soar throat, and a fever. The next day I continued to have a fever all day and night, with a slight soar throat, and extensive coughing difficulty breathing, The third day I had difficulty breathing still coughing up mucus and developing a headache. Fourth day my work had me go take a Covid 19 test, In which later that night I received my results and I was negative. I started to develop a bad headache in my forehead above my eyes. This headache has progressively gotten worse. As of day 8 I continue to have a migraine, as well as a bad cough, hard to keep an appetite as well as eat food.

Other Meds: None

Current Illness: None

ID: 1679951
Sex: M
Age: 39
State: NC

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

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

Lab Data: EKG, CT scan, 3 rounds of Blood work, Covid test 09/03/21 negative

Allergies:

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

Symptoms: while driving on highway I experienced extreme fatigue, shortness of breath, lightheaded, dizziness, face/head , legs, arms, feet, hands and abdomen numb and tingling/ strange sensation in head. near syncope. fever. high blood pressure, high pulse, left arm pain, chest and abdomen tightening. high heart rate. stiffening of muscles in arms, hands, face mouth and jaws / loss of control. hard/ unable to speak clearly. leg weakness inability to stand. was taken by ambulance to a hospital before being transported by my wife to a another Hospital 09/03/21 was given Tylenol and IV fluid 09/04 fatigue shortness and breath, 09/05 felt ok, 09/06 extreme fatigue, strange sensation in head,fever, chills, stomach pains, 09/07 fatigue , fever, stomach pain , strange sensation in head

Other Meds: Vitamin C, B-12, vitamin D, Omeprazole, probiotic

Current Illness:

ID: 1679952
Sex: F
Age: 56
State: CA

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

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

Lab Data: N/A

Allergies: Penicillin

Symptom List: Rash, Urticaria

Symptoms: Fever, chills, muscle pain, joints pain, headache , nausea

Other Meds: N/A

Current Illness: No

ID: 1679953
Sex: F
Age: 27
State:

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

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

Lab Data:

Allergies: Codeine, Penicillin, Amoxicillin, Cephalosporins, Ceftin, Bactrim, Erythromycin, Clyndamycin

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

Symptoms: Chills, joint pain, back pain, exhaustion, shortness of breath

Other Meds:

Current Illness:

ID: 1679954
Sex: F
Age: 31
State: AZ

Vax Date: 08/16/2021
Onset Date: 09/05/2021
Rec V Date: 09/07/2021
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: 9/6/21 - Lymes test pending

Allergies: Penicillin (rash)

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

Symptoms: Bell?s palsy, onset 21 days after vaccination, symptoms still ongoing since, on day 2 of prednisone and valtrex, started treatment about 24 hours after symptom onset, pending Lymes test

Other Meds: Allegra

Current Illness: None

ID: 1679955
Sex: M
Age: 67
State: TX

Vax Date: 02/03/2021
Onset Date: 08/23/2021
Rec V Date: 09/07/2021
Hospital:

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

Lab Data: EKG, (8/23/21 and 9/1/21), Echocardiogram (9/3/21)

Allergies: None

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

Symptoms: Paroxysmal atrial fibrillation, treated with Eliquis and metoprolol succinate.

Other Meds: Famotidine (40mg), Fish Oil (1000mg), Multi vitamin, Paliperidone (1.5 mg), Pravastatin (40 mg), Prednisolone Acetate, Tumeric Curcumin Complex (1300 mg), Co Q10.

Current Illness: None

ID: 1679956
Sex: F
Age: 63
State: AL

Vax Date: 02/03/2021
Onset Date: 02/08/2021
Rec V Date: 09/07/2021
Hospital:

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

Lab Data: Lipid profile

Allergies: Tetracycline Bactrium

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

Symptoms: Irregular heart rhythm, PVC's, tightness of chest, elevated blood pressure

Other Meds: Amour Thyroid; Adderall XR; Vivelle Dot HRT; Vit B1 B6 B12 D

Current Illness: None

ID: 1679957
Sex: F
Age: 27
State: TN

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

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

Lab Data: Covid test negative, physical exam

Allergies: Pertussis vaccination, macrobid, betadine

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

Symptoms: Swelling, COVID ARM, redness that spreads continuously days after injection, fever, soreness, tingling sensation at injection site, body aches, fatigue, cellulitis that needs to be treated with antibiotics

Other Meds: None

Current Illness: Asthma, anemia

ID: 1679959
Sex: F
Age: 51
State: LA

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

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

Lab Data: None

Allergies: Ampicillin, Iodine, Latex

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Swelling in right axilla, pain in right axilla, swelling in right side of neck under mandible., fatigue, headache

Other Meds: Losartan, Fluoxetine, Omeprazole DR, Loratadine, Vitamin D, Potassium Chloride ER, Euthyrox, Furosemide, Fluticasone Propionate, Calcium Carbonate, Magnesium Oxide, Zinc Sulfate Monohydrate, Calcium Ascorbate, Women?s 50+ One A Day,

Current Illness: Jone

ID: 1679960
Sex: F
Age: 48
State: TX

Vax Date: 04/12/2021
Onset Date: 04/14/2021
Rec V Date: 09/07/2021
Hospital:

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

Lab Data: Estrogen, Progesterone, CBC, Comprehensive Metabolism, TSH c-reactive protein, Lupus, Sedimentation rate, Cyclic Citrul Peptide AB, IGG. I had to push for the autoimmune tests to be run. Cyclic Citrul Peptide AB, IGG came back positive

Allergies: penicillin

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: High blood pressure/heart rate, chest tightness, light headed, dizziness. Went to the Hospital. Was released as GERD. Immediately following I started having deep pains in my arms and legs, extreme hot flashes, numbness in my right arm, and both hands. My GP saw me two weeks after the shot. Ran blood work and sent me for ultrasounds on my arms and legs, negative for DVT. Symptoms continued to worsen, now left elbow will not straighten and right shoulder has issues. Knees are always painful and my hands are extremely painful when I first wake and at different times of the day and it's difficult to walk upon initially standing. I have to have chiropractic care, and have massages every 2-3 weeks to keep moving because my muscles are tight and all my joints are painful.

Other Meds: Testosterone

Current Illness: n/a

ID: 1679961
Sex: F
Age: 26
State: CA

Vax Date: 08/29/2021
Onset Date: 08/31/2021
Rec V Date: 09/07/2021
Hospital:

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

Lab Data: None

Allergies: No

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

Symptoms: My periods are occur on a regular cycle (~26 days). I had my period 10 days before my first dose. Two days later, I experienced horrible cramping which only lasted 30 minutes and then an abnormally heavy period a day later. I was fine the next day. It was like a condensed and intensified period that came 3 weeks early.

Other Meds: Probiotics

Current Illness: None

ID: 1679962
Sex: F
Age: 47
State: WA

Vax Date: 08/27/2021
Onset Date: 08/27/2021
Rec V Date: 09/07/2021
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: point of care glucose = 160, 8/27/2021 tryptase = 4.4 ng/mL, 8/27/2021

Allergies: Sulfa drugs, mushrooms, lamb, beef, mango, seafood - all things from the ocean, hand sanitizer, amlodipine, nifedipine, hydralazine, lisinopril, carvedilol, empagliflozin, opiates, sumatriptan, metformin, doxazosin, products like paint / primer

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

Symptoms: At about 30 minutes, thought I was "OK to go home" so I self-administered 25mg of benadryl (am allergic to hand sanitizer & medical facilities really bother me) and hydrOXYzine hydrochloride 25 mg - which I take as needed, (currently at 2x a day). We scheduled my 2nd dose appointment and a few minutes after that (approx 45 min after dose) was BAM suddenly unable to breathe. Airways clamped shut. I could feel my head hurt like it does when you can't breathe. My sister said my face was turning bright red. Nurse administered epinephrine, called for the code blue team, oxygen administered. I also had my tremors (looks like a seizure but isn't clinically a seizure) that I can also have at non-allergic episodes. Coughing / choking because I couldn't breathe, ER administered IV Benadryl & Solu Medrol. Was able to breathe and stabilize and be discharged with a prescription for prednisone. At home I saw the purpura on my face, especially around my eyes and I continued to decide to take 25mg of Benadryl for the following 3 days. My neck, arms felt itchy though I did not see visible signs of urticaria. My lips had that "feels sunburnt" feeling that I get from other allergic reactions.

Other Meds: Insulin (Basaglar & Humalog), baby aspirin, hydroxyCHLOROquine 200 mg 1x daily, hydrOXYzine hydrochloride 25 mg 2x daily,

Current Illness: all illnesses are chronic or long-standing

ID: 1679963
Sex: F
Age: 38
State: WV

Vax Date: 03/12/2021
Onset Date: 03/20/2021
Rec V Date: 09/07/2021
Hospital:

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

Lab Data:

Allergies: Seasonal allergies

Symptom List: Unevaluable event

Symptoms: Missed period after 1st dose. Now having very heavy abnormal menstrual bleeding.

Other Meds: Women's multivitamin Vitamin C Vitamin D Prozac 40 mg Famotidine

Current Illness: None

ID: 1679964
Sex: F
Age: 67
State: VA

Vax Date: 08/17/2021
Onset Date: 09/05/2021
Rec V Date: 09/07/2021
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: N/A

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

Symptoms: unaccounted, unusual bruising on right arm and left hip. No treatment.

Other Meds: N/A

Current Illness: N/A

ID: 1679965
Sex: F
Age: 46
State: KS

Vax Date: 09/03/2021
Onset Date: 09/04/2021
Rec V Date: 09/07/2021
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: Aspirin, amoxicillin, penicillin, keflex, macrodantin, latex, any gassy foods, or citrus foods.

Symptom List: Injection site pain, Pain

Symptoms: Donor states 9/4/21 around 9:30pm she began having symptoms such as joint pain and chills. Donor states low grade fever developed a few hours later. Symptoms lasted for approximately 36 hours. She took 800mg of ibuprofen every 4 hours to help alleviate her symptoms. Symptoms have completely resolved now.

Other Meds: Donor takes iron supplements twice weekly

Current Illness: None

ID: 1679966
Sex: F
Age: 62
State: WA

Vax Date: 08/09/2021
Onset Date: 08/09/2021
Rec V Date: 09/07/2021
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: Patient was administered 1st dose of Moderna covid 19 vaccine. However in April 2021 she was also administered 1 dose of the Janssen covid vaccine. She stated no ill effects or issues after either dose

Other Meds:

Current Illness:

ID: 1679967
Sex: F
Age: 35
State: RI

Vax Date: 08/31/2021
Onset Date: 08/31/2021
Rec V Date: 09/07/2021
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: Pcn, Benadryl,

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

Symptoms: Sweating profusely, tingling and itching entire body, blurred vision , cluster headache, taste of metal in mouth, leg weakness

Other Meds: Mvt, Zyrtec, adderall, BC

Current Illness: COVID-19, one month prior

ID: 1679968
Sex: M
Age: 51
State: ID

Vax Date: 08/20/2021
Onset Date: 08/25/2021
Rec V Date: 09/07/2021
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: No tests. First suspected to be shingles then it appeared on both sides of body the next day and encompassed upper body in addition to the right calf were it originated.

Allergies: Shellfish

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Rash on legs and trunk approximately 4 days after second dose

Other Meds:

Current Illness:

ID: 1679969
Sex: F
Age: 36
State: IL

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

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

Lab Data:

Allergies: Amoxicillin

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Fluttering heart that lasted all evening and occasionally the next day

Other Meds:

Current Illness:

ID: 1679970
Sex: F
Age: 52
State: AZ

Vax Date: 02/14/2021
Onset Date: 03/31/2021
Rec V Date: 09/07/2021
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: Bloodwork, doctor visits.

Allergies:

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

Symptoms: I've been having headaches on and off since the COVID shot. Am starting meds for migraines at this point since I cant function properly in my daily work due to the headaches. No major history of this in the past.

Other Meds: Protonix, Cymbalta, Advil

Current Illness: Hiatal hernia. Asthma.

ID: 1679971
Sex: F
Age: 13
State: SC

Vax Date: 08/09/2021
Onset Date: 08/11/2021
Rec V Date: 09/07/2021
Hospital:

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

Lab Data: Blood tests were performed but I do not have actual results. Was told by doctor that everything, including inflammatory markers, were normal.

Allergies: Peanuts

Symptom List: Nausea

Symptoms: Approximately 2 days after the vaccination, she began having joint pain in her hands. Within a week she was experiencing joint pain in her feet. Went to the doctor ~August 20th and was prescribed naproxen and blood was drawn for tests. Naproxen did not help and blood tests showed no abnormalities. Then prescribed a 9-day course of prednisone and an antibiotic on August 27th. The prednisone helped a lot but as the dose decreased, the pain returned just as bad as before. Some swelling in her knuckles is present. Referred to rheumatologist on September 7th and waiting for an appointment.

Other Meds: None

Current Illness: None

ID: 1679972
Sex: F
Age: 31
State: AZ

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

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

Lab Data:

Allergies: Tylenol causes itchy throat but she doesn't carry epi-pen ok to take IBUprofen

Symptom List: Injection site pain

Symptoms: pt was waiting after receiving shot, loss consciousness and head tipped back, off duty paramedic who was in waiting room jumped to assist and put her head strait and she regained consciousness . we called 911, pt started to look better then she vomited and stated she felt better. fire department came and checked her out. She refused to go to hospital and was able to walk out.

Other Meds: unknown

Current Illness: unknown

ID: 1679973
Sex: F
Age: 38
State: NJ

Vax Date: 08/30/2021
Onset Date: 09/07/2021
Rec V Date: 09/07/2021
Hospital:

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

Lab Data: N/A

Allergies:

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

Symptoms: 1 week after injection, my left arm now has a rash, some swelling, a lump, warm to the touch and itchiness at the injection site.

Other Meds: Tylenol

Current Illness:

ID: 1679974
Sex: M
Age: 14
State: WA

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

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

Lab Data: Aug 22 neuro eval

Allergies: None

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

Symptoms: 10-12 days after first shot he developed dizziness, vertigo type symptoms with nausea and vision issues. Was pretty severe for 2-3 days. Symptoms seemed to subside with rest. 2nd shot was august 7- the weekend of Aug 21, he complained of the same type of symptoms. Dizziness. Vertigo, nausea, difficulty foCausing eyes.Symptoms persisted for over a week. We did see our Pediatrician at our annual check up on Aug 3-right in the midst of the initial symptoms after the first shot. We did visit the walk in on the 22nd because of symptoms. Neuro tests were performed. Was pretty much chalked up to be anxiety. My son is not an anxious kid or a worrier. He?s active and healthy and was absolutely not himself after either shot.

Other Meds: None

Current Illness: Diarrhea at soccer game weekend of July 31

ID: 1679975
Sex: M
Age: 18
State: AZ

Vax Date: 08/10/2021
Onset Date: 08/16/2021
Rec V Date: 09/07/2021
Hospital:

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

Lab Data: Physician completed exam

Allergies: None

Symptom List: Tremor

Symptoms: Approximately 6 days after vaccination #1, my son developed a lump under his left armpit, same side as his injection. After receiving his 2nd dose, 21 days later, in the same arm, the condition worsened. It is now larger and painful to the touch. Physician completed exam and determined it to be Lymphadenopathy due to Covid vaccine.

Other Meds: None

Current Illness: None

ID: 1680132
Sex: F
Age: 81
State: SC

Vax Date: 09/03/2021
Onset Date: 09/06/2021
Rec V Date: 09/07/2021
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: CT, CTA Brain and neck, CBC, Comprehensive chemistries, PT, PTT, EKG

Allergies: Codeine Lisinopril

Symptom List: Erythema, Pruritus

Symptoms: TIA with altered mental status. Occluded right vertebral artery. Improved

Other Meds: Amlodipine Atorvastatin Flecainide Levothyroxine

Current Illness: None

ID: 1680133
Sex: M
Age: 55
State: CA

Vax Date: 03/18/2021
Onset Date: 09/01/2021
Rec V Date: 09/07/2021
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: 20210.09.04 to 2021.09.07 multiple tests

Allergies: no

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

Symptoms: I am health all the time without disease before vaccination. I got hearing loss in the right side suddenly in Jun I got extrem pain all the body like myosities. 4 days can not stand up without the help of pain relife madicine.

Other Meds: no

Current Illness: no

ID: 1680134
Sex: F
Age: 42
State: SC

Vax Date: 08/18/2021
Onset Date: 08/21/2021
Rec V Date: 09/07/2021
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: Sulfa drugs

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

Symptoms: Sever headache, sweating and vomiting

Other Meds: Tamoxifen Bupropion Dexmethylphenidate

Current Illness: None knows

ID: 1680135
Sex: F
Age: 48
State: WA

Vax Date: 05/29/2021
Onset Date: 05/29/2021
Rec V Date: 09/07/2021
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: IB profin

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Severe Headache, hives on upper legs,and stomach, rash on upper legs, eyelids, neck and behind ears. Memory loss, severe depression, exhaustion in the last 3 months after the shot. Headaches have continued but gotten better. I break out in the rash on eyelids, neck and upper legs every couple weeks.

Other Meds: Iron supplement Vitamin D Vitamin C

Current Illness: N/A

ID: 1680136
Sex: F
Age: 54
State: TX

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 09/07/2021
Hospital: Y

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

Lab Data: see above

Allergies: nkda

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

Symptoms: started day of (not realized by family until now): mom 'thought she had a stroke' (weakness to 1 side), loss of full bladder control, leg pains, blurry vision (had to get stronger glasses), memory loss. Has been recently hospitalized w/ COVID, and 'possible' stroke. Family did mention 'blood clots found' and imaging had been done, but no clots seen in the end?? The patient's daughter, can give ALL the details.

Other Meds: metformin, glyburide, atorvastatin

Current Illness: none

ID: 1680137
Sex: F
Age: 42
State: SC

Vax Date: 08/18/2021
Onset Date: 09/04/2021
Rec V Date: 09/07/2021
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: Sulfa drugs

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

Symptoms: 17 days after vaccine I had serious menstrual cramps, ovarian pain and heavy bleeding two weeks before I was even due to menstruate which is all very unusual for me..

Other Meds: Tamoxifen Bupropion Dexmethylphenidate

Current Illness:

ID: 1680138
Sex: F
Age: 57
State: TX

Vax Date: 12/23/2020
Onset Date: 07/05/2021
Rec V Date: 09/07/2021
Hospital:

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

Lab Data: Ultrasound

Allergies: NKDA

Symptom List: Pain in extremity

Symptoms: I palpated a cylindrical mass in my right abdomen about 5.5 months after my 2nd vaccination dosage

Other Meds: I felt a mass in my tight abdomen. It?s cylinder in shape, soft, somewhat movable, not painful. I went to see my pcp about a month later who refer me for an alter sound of abdomen and pelvis, followed by a Pelvis MRI. It?s still unclear wha

Current Illness: Had severe eczema and was on mycophenolate . It was stopped 2weeks prior to my first dose of vaccination.

ID: 1680139
Sex: F
Age: 36
State: ME

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

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

Lab Data:

Allergies: Augmentin

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

Symptoms: First dose- itchy throat cough immediately after shot Second dose-Itchy throat, coughing, swelling of tongue difficult to swallow, hives on chest. Doctor over seeing clinic gave me a 2 doses of Benadryl before second shot because I reported symptoms I had after first dose symptoms started within a few minutes of second dose

Other Meds: Daily vitamin omeprazole

Current Illness:

ID: 1680140
Sex: F
Age: 46
State: NY

Vax Date: 09/03/2021
Onset Date: 09/04/2021
Rec V Date: 09/07/2021
Hospital:

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

Lab Data: CT scan head on 9/7/21

Allergies: Chanticleer-sensitivity, Lactose

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

Symptoms: Left sided facial numbness, facial twitching near corners of mouth, left sided headache, then mild facial droop with smiling noted

Other Meds: Amlodipine, HCTZ, MVI

Current Illness: None

ID: 1680141
Sex: F
Age: 36
State: KY

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

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

Lab Data:

Allergies: None

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

Symptoms: Bleeding from vagina. Blood was thick, black and heavy. Lasted four days. Abdominal pain.

Other Meds: None

Current Illness: None

ID: 1680142
Sex: M
Age: 50
State: CA

Vax Date: 07/30/2021
Onset Date: 08/01/2021
Rec V Date: 09/07/2021
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: No

Symptom List: Vomiting

Symptoms: Within 3 days of getting the vaccine i experienced fever chills lose of strength flu like systems which have lingered for 4 weeks. I'm still not feeling feel at all. I went from a healthy active lifetime feeling like I'm going to die. 3 episodes of feeling like I was going to have a heart attack.

Other Meds: No

Current Illness: No

ID: 1680143
Sex: F
Age: 69
State: SC

Vax Date: 03/14/2021
Onset Date: 04/14/2021
Rec V Date: 09/07/2021
Hospital:

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

Lab Data: Ultrasound 6/8/2 Mammogram 7/21 Chest CAt scan 7/22

Allergies: None

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: I developed lymphedema in my left arm one month after vaccination. I have not had breast cancer surgery, or injured my arm in any way. I had follow up ultrasound on my arm, mammogram, and complete chest CAT scan and there was no etiology found to explain the development of the lymphedema. It persists and I have undergone therapy and am wearing a compression sleeve. I felt I should report this due to the timing of my vaccines and the development of the lymphedema.

Other Meds: Atenolol Gabapentin Lorazepam Cymbalta Celebrex Metapropolol Tramadol

Current Illness: None

ID: 1680144
Sex: F
Age: 32
State: KS

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

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

Lab Data:

Allergies:

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

Symptoms: Moderns covid-19 vaccine EUA Migraine Shortness of breath Joint pain fever Runny nose Cough with phlegm Extreme fatigue

Other Meds: Birth control pill

Current Illness:

ID: 1680145
Sex: F
Age: 33
State:

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

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

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Patient complained of dizziness, nausea, headaches (similar to the 1st dose) starting this morning (around 24 hours after receiving the shot). However, there's chest pain & shortness of breath this time. Pt said she could not breath without opening her mouth. She tried Tylenol 500mg & Ibuprofen 800mg today, but the symptoms could not resolved or better. I told patient to see urgent care tonight and let us know later.

Other Meds:

Current Illness:

ID: 1680146
Sex: F
Age: 30
State: NJ

Vax Date: 08/23/2021
Onset Date: 08/31/2021
Rec V Date: 09/07/2021
Hospital:

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

Lab Data:

Allergies: N/A

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

Symptoms: I have had a regular period for over 10+ years, consistently arriving as a moderate flow lasting 5 days. When receiving my period after the first vaccine dose, I spotted for two days, then it disappeared entirely for two days, and came back full force on the fifth day with clotting/heavy bleeding for two days. Since then, I have had light to moderate flow for three days.

Other Meds: N/A

Current Illness: N/A

ID: 1680147
Sex: M
Age: 14
State: WA

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

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

Lab Data: Hospitalization/ICU - 06/2021 Positive for Type 1 Antibodies - GAD antibody value was 115

Allergies: None

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

Symptoms: Patient developed Type 1 diabetes after his Covid-19 vaccination. He had no family history or symptoms prior to the vaccine.

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am