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: 1684755
Sex: M
Age: 68
State: IN

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

Symptom List: Dysphagia, Epiglottitis

Symptoms: Body aches and emesis

Other Meds: Extra strength Tylenol

Current Illness: N/AI have been a cancer patient for non Hodgkin lymphoma . In remission but infused with Rituxan every 60 days

ID: 1684756
Sex: M
Age: 42
State:

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

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

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1684758
Sex: F
Age: 19
State:

Vax Date: 06/05/2021
Onset Date: 06/05/2021
Rec V Date: 09/09/2021
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: vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1684759
Sex: M
Age: 21
State:

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

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1684760
Sex: M
Age: 19
State: KY

Vax Date: 07/07/2021
Onset Date: 09/03/2021
Rec V Date: 09/09/2021
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: Covid positive...friend

Other Meds:

Current Illness:

ID: 1684761
Sex: M
Age: 47
State:

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

Vax Type: FLUC4
Manufacturer: SEQIRUS, INC.
Vax Name: INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)
Lot: 276563
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1684762
Sex: M
Age: 44
State: WI

Vax Date: 05/04/2021
Onset Date: 05/12/2021
Rec V Date: 09/09/2021
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: blood tests showing hepatitis.

Allergies: no known allergies

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: fever and hepatitis. hospitalized

Other Meds: none

Current Illness: possible viral infection with hepatitis

ID: 1684763
Sex: F
Age: 49
State: WI

Vax Date: 09/03/2021
Onset Date: 09/04/2021
Rec V Date: 09/09/2021
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: None

Symptom List: Pharyngeal swelling

Symptoms: 1. Soreness around injection site within 3 hrs. Still sore. 6 days later. 2. Swollen and sore lymphnodes in the left armpit . Started day after injection. Still sore 6 days later but soreness is lessening. 3. Day 2 after injection sore tail bone for no reason. Day 6 soreness almost gone.

Other Meds: Ibuprofen

Current Illness: None

ID: 1684764
Sex: F
Age: 27
State: FL

Vax Date: 08/25/2021
Onset Date: 08/31/2021
Rec V Date: 09/09/2021
Hospital:

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

Lab Data: None

Allergies: None

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Muscle twitches all over body (legs, abdomen, chest, arms) and high pitched ringing in my ears began just a few days after my second shot and still persist to this day.

Other Meds: None

Current Illness: None

ID: 1684765
Sex: F
Age: 45
State:

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

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

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1684766
Sex: M
Age: 34
State:

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

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

Lab Data:

Allergies:

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

Symptoms: vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1684767
Sex: M
Age: 46
State:

Vax Date: 06/05/2021
Onset Date: 06/05/2021
Rec V Date: 09/09/2021
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: vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1684768
Sex: M
Age: 19
State:

Vax Date: 06/05/2021
Onset Date: 06/05/2021
Rec V Date: 09/09/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1684769
Sex: M
Age: 17
State: AL

Vax Date: 09/08/2021
Onset Date: 09/08/2021
Rec V Date: 09/09/2021
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: EKG

Allergies: BEE STINGS

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

Symptoms: THE VACCINE WAS GIVEN TO THIS PATIENT AT 8:41 AM. THE PATIENT FELT LIGHT HEADED AND SICK A FEW MINUTES FOLLOWING THE VACCINE. I WALKED IN THE ROOM TO CHECK ON HIM AND I ASKED "YOU FEELING ALRIGHT?" HE REPLIED "NO, I DONT FEEL SO WELL." I ASKED "ARE YOU FEELING SICK?" HE REPLIED "A LITTLE." I WENT AND TOLD THE NP ON SHIFT. THE PATIENT WAS PALE AND HIS BODY FELT WEAK. VITAL SIGNS WERE OBTAINED AT THAT TIME AND REVEALED NOTHING ABNORMAL. WE THEN PERFORMED AN EKG AND THE PATIENT WAS SINUS BRADY. AFTER A FEW MOMENTS A HEART RATE WAS CHECKED AGAIN AND HE WAS WITHIN THE NORMAL RANGE AT 68. THE PATIENT REGAINED FULL MOTOR SKILLS AND WAS DISCHARGED. WE BELEIVE THE PATIENT HAD A VASOVAGAL RESPONSE TO BEING STUCK BY THE NEEDLE CAUSING THE REACTION HE HAD. NO FURTHER ELEMENTS HAVE BEEN REPORTED TO THE STAFF FOLLOWING THIS EVENT.

Other Meds: NONE LISTED PER PT.

Current Illness: COVID-19 POSITIVE 8/22/2021

ID: 1684770
Sex: F
Age: 56
State: LA

Vax Date: 03/01/2021
Onset Date: 07/19/2021
Rec V Date: 09/09/2021
Hospital:

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

Lab Data: Covid test positive

Allergies:

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

Symptoms: It started out as a mild scratchy throat, I got text that day that said I was exposed. I went and got tested was positive. I had congestion, cough, and fatigue that lasted 6 weeks. I lost my taste and smell, I had one toe go numb, I got a secondary sinus infection.

Other Meds: FP iron; cytoenyl; levothyroxine; rosuvastatin calcium; vitamin K2 D3; estradiol patch; COQ10; progesterone

Current Illness:

ID: 1684771
Sex: M
Age: 47
State:

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

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

Lab Data:

Allergies:

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

Symptoms: vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1684772
Sex: F
Age: 70
State:

Vax Date: 09/07/2021
Onset Date: 09/08/2021
Rec V Date: 09/09/2021
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: Penicillin

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

Symptoms: Head stopped up and severe headache, left arm sore at injection site, body aches all over, extremely tired.

Other Meds: OTC antihistamine for seasonal allergies

Current Illness: None

ID: 1684773
Sex: M
Age: 62
State:

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

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1684774
Sex: M
Age: 60
State: FL

Vax Date: 08/12/2021
Onset Date: 08/20/2021
Rec V Date: 09/09/2021
Hospital:

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

Lab Data: none

Allergies: none

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Pt reports severe fatigue and brain fog. Considered seeking medical treatment but decided against it.

Other Meds: n/a

Current Illness: none

ID: 1684775
Sex: F
Age: 76
State: NE

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

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

Lab Data:

Allergies: hydrochlorothiazide, levofloxacin, lisinopril, losartan, sulfonamide antibiotics

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

Symptoms: Pulmonary Embolism

Other Meds: amlodipine, biotin, multivitamin, carvedilol, cholecalciferol, spironolactone, lovaza

Current Illness: N/A

ID: 1684776
Sex: F
Age: 58
State:

Vax Date: 06/05/2021
Onset Date: 06/05/2021
Rec V Date: 09/09/2021
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: vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1684777
Sex: F
Age: 56
State: ME

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

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

Lab Data: dr. wouldnt see for this. stay in bed.

Allergies: none

Symptom List: Unevaluable event

Symptoms: 24 hours after shot in arm, I started feeling sick, feverish and tired. i went to bed sat afternoon and slept on and off for a solid week. ipassed this virus to my husband the following day. same for him, in bed for a solid week. muscle,joint aches, headaches, tired.

Other Meds: none

Current Illness: healthy till I got the shot, temp of 101.2, mscle aches, headache the worst Ive ever experienced besides a migraine. Joints hrt muscles hrt to lift, tired, slept for a week straight except to vomit, or pee whih was limited. Called my dr. said its normal to feel that. NOT!!!

ID: 1684778
Sex: F
Age: 77
State: FL

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

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: Cafergot, ciprofloxacin, sulfadiazine

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

Symptoms: 9/6/21: Patient arrived at the ER due to shortness of breath and increased weakness having multiple episodes of hypoxia at home with oxygen saturations in the low to mid 70s. Patient was diagnosed with COVID on 9/1. Over the last week she has had increase in weakness and shortness of breath. She also has a intermittent cough. Symptoms started about a week and half prior to arrival to hospital. Her oxygen saturations were 89% on room air in the emergency department. She was on 94% and satting well. Remainder of vitals are within normal limits. Lab work revealed potassium of 3.4 and blood sugar of 183-she is on steroids on outpatient basis for COVID.

Other Meds:

Current Illness:

ID: 1684779
Sex: M
Age: 27
State: FL

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

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

Lab Data:

Allergies: Milk products

Symptom List: Injection site pain, Pain

Symptoms: 9/8/21: Patient arrived at the ER due to positive COVID test on 8/24 with lost of taste. Given persistent tachycardia patient will be admitted due to possible post viral myocarditis. Please note: Patient received first dose Moderna vaccine on 3/5/2021 Lot # 011A21A and the second dose on 4/2/2021 Lot # 007B21A

Other Meds:

Current Illness:

ID: 1684780
Sex: F
Age: 43
State:

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

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1684781
Sex: F
Age: 36
State: IN

Vax Date: 08/13/2021
Onset Date: 08/16/2021
Rec V Date: 09/09/2021
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: Pregnant (due 11/4/2021) no symptoms prior to vaccination, first dose of covid Pfizer vaccine 8/13/2021 shot in left arm. Skin rash/sores begin 8/15/2021 under arms, under breasts, upper thighs/groin, spreading to neck. Reported to community physicians 8/18/21, Obgyn on 8/19/2021. Asked about rash being vaccine side effect. They were both unsure of what is causing. Told to take OTC Benadryl and to contact primary care physician should rash spread. By the time of 2nd dose of Pfizer vaccine, some rash sores beginning to clear up. After 2nd dose was received as shot in left arm on 9/3/2021, rash became worse in groin, causing pain and also became worse under arms and across stomach and neck. New sore beginning on left eyelid. Scheduled appt with primary care physician who could not confirm cause of rash, even when I asked if related to vaccine, and prescribed me prednisone steroid to treat sores.

Other Meds: Prenatal vitamins, iron supplement

Current Illness: None

ID: 1684782
Sex: F
Age: 57
State: GA

Vax Date: 08/24/2021
Onset Date: 08/24/2021
Rec V Date: 09/09/2021
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: Environmental, shrimp, Motrin,

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Within 2 hours severe headache last three days medication did not ease, since getting headaches off and on. (Took Tylenol) Fever day 2 and 3 (Took Tylenol) since get periods of hot flashes. Sore right arm from elbow to neckline for 7 days. After 7 days right arm area of injection measuring approximately 6 inches by 6 inches swollen hot to touch rash looking mild itch, (Took Tylenol and Benadryl ) lasted 9 days. Today got checked by doctor area only pink not hot to touch, blood pressure 172/92 do not have high blood pressure monitoring for two weeks will treat if does not go back to normal. Advised to wait for second shot which was scheduled for 21 September 2021 maybe at least a week later to report symptoms to this site.

Other Meds: Alive Woman's Multivitamin 50+ gummies.

Current Illness: None

ID: 1684783
Sex: M
Age: 39
State: WA

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

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

Lab Data:

Allergies: None

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: High blood pressure (165/100); Heart palpitations; Stabbing chest pains pronounced on inhale: Feeling of fullness in chest.

Other Meds: None

Current Illness: None

ID: 1684785
Sex: M
Age: 80
State: MI

Vax Date: 03/18/2021
Onset Date: 09/06/2021
Rec V Date: 09/09/2021
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: Unknown

Allergies: Levaquin

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

Symptoms: Only 1 Pfizer vaccine shows up in MCIR. Patient states he is fully vaccinated. Trying to get nurse to look at vaccine card. Symptoms are shortness of breath, cough, and malaise. Hospitalization.

Other Meds: Unknown

Current Illness: Unknown

ID: 1684786
Sex: F
Age: 27
State: TN

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

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

Lab Data:

Allergies: Allergic to Avocados and ceclor

Symptom List: Nausea

Symptoms: Shot was taken around 9:30AM- waited 20min for any reactions and none at that time just a sore arm. Around 8:00/8:30 PM face turned blood red, and skin began to get blotchy on chest and neck. Arms turned red and started getting hives. Felt like a severe sunburn. Elevated heart rate- oxygen levels were fine. resting heart rate was around 115BPM. Took zyrtec and felt fine. Redness went away around 6:30AM on 09/09.

Other Meds: None

Current Illness: Hand foot and mouth contracted by daughter around 2 weeks ago

ID: 1684787
Sex: F
Age: 41
State: MD

Vax Date: 03/03/2021
Onset Date: 05/01/2021
Rec V Date: 09/09/2021
Hospital:

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

Lab Data: Basic metabolic panel - 5/13/21 Magnesium - 5/13/21 Thyroid Testing - 5/13/21 CBC - 5/13/21 Iron Studies - 5/26/21 MRI Spine - 6/2/21

Allergies: Coconut Acetaminophen Ibuprofen

Symptom List: Injection site pain

Symptoms: Sudden, high level adrenaline response with nightly nocturnal panic attacks and tremors. Began immediately after dose 2 and stopped suddenly exactly 3 months later. Muscle twitching, fatigue, and soreness. Internal vibrations and tremors. Began on 5/1/21. I have twitched, jerked, and spasmed every day since. Symptoms began alleviating approximately 3 months later but still persist. Severe lower back pain - Began 5/2021. Mostly resolved by late August 2021. Joint pain and cracking - Began 5/2021. Mostly resolved. Enlarged lymph nodes - detected via mammogram and follow-up ultrasound 5 months after second dose. Radiologist believes I am experiencing an long-term protracted immune response to the vaccine.

Other Meds: Pepcid AC Multivitamin Probiotic

Current Illness: None

ID: 1684788
Sex: F
Age: 31
State: CO

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 09/09/2021
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 induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: I took my pulse ox at around 5 PM the day of the vaccine. My resting heart rate was well over 100, sometimes topping out at 130. It is typically much lower, around 60. It stayed elevated for about 24 hours after my vaccination. I had flu-like symptoms for about 12 hours which resolved after 24 hours. I also feel I experienced a temporary drop in milk supply while breastfeeding.

Other Meds:

Current Illness:

Date Died: 09/05/2021

ID: 1684789
Sex: M
Age: 65
State:

Vax Date: 03/30/2021
Onset Date: 04/15/2021
Rec V Date: 09/09/2021
Hospital:

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

Lab Data:

Allergies: NKDA

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

Symptoms: Patient brought to the ED on 4/15/2021 at 0330 with increased weakness. Patient takes Sinemet every 3 hours and last Sinemet dose was sometime late on 4/14/2021. Patient stated the medication wore off sooner than it should have. Patient was discharged to home on 4/15 at 0551. Patient was seen again in the ED on 7/17/2021 at 2100 for weakness. Again, brought in by EMS. No medications were given in the ED. Patient discharged to home on 4/17/2021 at 2345.

Other Meds: Sinemet

Current Illness: Parkinson's disease

Date Died:

ID: 1684790
Sex: M
Age: 89
State: GA

Vax Date: 09/01/2021
Onset Date: 09/05/2021
Rec V Date: 09/09/2021
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: NKA

Symptom List: Tremor

Symptoms: PT IS RESIDENT OF HEALTH AND REHAB FACILITY. PT WAS FOUND UNRESPONSIVE ON 9/5/21 BY NURSE.

Other Meds:

Current Illness:

ID: 1684791
Sex: M
Age: 86
State: KY

Vax Date: 04/01/2021
Onset Date: 09/08/2021
Rec V Date: 09/09/2021
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:

Symptom List: Erythema, Pruritus

Symptoms: Moderna on 3/1 and 4/1. Positive on 8/27 admitted 9/8 to current

Other Meds:

Current Illness:

ID: 1684792
Sex: F
Age: 31
State: VT

Vax Date: 09/08/2021
Onset Date: 09/09/2021
Rec V Date: 09/09/2021
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: Allergic to Keflex

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

Symptoms: Every time I have gotten the Pfizer vaccine, it starts my period or causes spotting (menstrual bleeding).

Other Meds: None

Current Illness: No

ID: 1684793
Sex: F
Age: 39
State: MO

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

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

Lab Data: NA

Allergies: Sulfa

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

Symptoms: After receiving the vaccine in my left arm I had pins and needles in the left side of my face for about 1.5 hours. I was able to move my face and it was symmetrical, but I could feel the pins and needles like the left side of my face was asleep.

Other Meds: NA

Current Illness: NA

ID: 1684794
Sex: M
Age: 17
State: NC

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

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

Lab Data: Step test, COVID test

Allergies: None

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: His fever started to go up, and he was very quiet. He was flushed and lethargic. On the second day of the fever, it spiked to 103.2, and I gave him a sponge bath with peppermint oil and gave him Tylenol and Ibuprofen, which started to bring it down. On the fourth day, the fever was in the low 101 range and broke the next day. I took him to the walk in clinic, and he was tested for COVID and strep throat. He went back to normal.

Other Meds: None

Current Illness: None

ID: 1684795
Sex: M
Age: 71
State: KY

Vax Date: 03/01/2021
Onset Date: 09/07/2021
Rec V Date: 09/09/2021
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:

Allergies:

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

Symptoms: Pfizer on 2/8 and 3/1. Positive on 9/8 admitted 9/7 to current

Other Meds:

Current Illness:

ID: 1684796
Sex: F
Age: 42
State: MI

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

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: none

Allergies: none

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

Symptoms: Following the second dose of Pfizer client c/o dizziness, weakness and a headache. Client denied any pre-existing condition prior to vaccine being given, but admitted to a history of Myasthenia Gravis and arthritis. 10 minutes after the vaccination client expressed her discomfort and I immediately took her vitals (118/88, 20, 77, 98% o2, 96.8 temp). Her breathing was regular and unlabored and her safety was maintained throughout the incident. So , I applied and ice pack to the rear of her neck and forehead. 10-15 minutes later she said she felt better but weak, she asked for a drink of water. I assessed her swallowing and it went without incident. I then gave her some water to drink. She stated again that she felt weak and then admitted to the pre-existing conditions mentioned above. After resting for another 10-15 minutes she stated that she was feeling much better. I then had her stand but her gait was unsteady then I had her sit. The Husband and daughter then expressed that her gait is sometimes off due to her illness. She did have a cane to assist with her ambulation. So I re-took her vitals (122/84, 16, 84, 99%o2). She said that she was feeling much better and her head ache was mild but she was fatigue but had no dizziness. I then decided to discharge the client to her family and have them follow up with her primary doctor. So I asked her husband to pull the car up to the door so she would have a shorter distance to walk. We pushed her to the door in a chair with wheels and had her stand and did stand by assist until she was in the car. Her daughter did all of the translating. It went with and problems and I did call to follow up and the daughter stated she was in bed resting and felt much better.

Other Meds: None admitted to

Current Illness: none

ID: 1684797
Sex: F
Age: 66
State: TX

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

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

Lab Data: 9/01/2021 mammogram 9/09/2021 ultrasound

Allergies: Bactrim

Symptom List: Pain in extremity

Symptoms: Enlarged lymph node in right axilla found on mammography

Other Meds: Metformin, Synthroid, coQ10, stool softener, biotin, multivit, Crestor, fenofibrate, aspirin, magnesium, glucosamine, vit D, Trulicity, Farmiga

Current Illness: None

ID: 1684798
Sex: F
Age: 62
State:

Vax Date: 12/31/2020
Onset Date: 09/04/2021
Rec V Date: 09/09/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: PATIENT HAD PFIZER COVID VACCINE Dose 1 date: 12/31/2020, Dose 2 date: 01/21/2021, AND TESTED POSITIVE TO COVID ON 9/4/21.

Other Meds:

Current Illness:

ID: 1684799
Sex: F
Age: 73
State: KY

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

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

Symptoms: Pfizer on 3/19 and 4/18. Positive on 9/8 admitted 9/8 to current

Other Meds:

Current Illness:

ID: 1684800
Sex: F
Age: 55
State: NY

Vax Date: 06/24/2021
Onset Date: 06/25/2021
Rec V Date: 09/09/2021
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: Positive Troponin, BNP, EKG, blood cultures, lactic acid.

Allergies: None

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

Symptoms: Respiratory failure, organ failure due to sepsis, heart attack.

Other Meds: Tacrolimus, prednisone, magnesium

Current Illness: Pneumonia

ID: 1684801
Sex: F
Age: 42
State: PA

Vax Date: 09/08/2021
Onset Date: 09/08/2021
Rec V Date: 09/09/2021
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: SULFA, PENICILLIAN, LEVOQUIN

Symptom List: Vomiting

Symptoms: chills, fever, body aches, coughing, stuffy nose, headache, burning eyes, fatigue, frequent urination

Other Meds: ANASTROZOLE, RIBOCICLIB

Current Illness: NONE

ID: 1684802
Sex: F
Age: 79
State: KY

Vax Date: 02/19/2021
Onset Date: 09/07/2021
Rec V Date: 09/09/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Pfizer on 1/29 and 2/19. Positive on 9/7 admitted 9/7 to now

Other Meds:

Current Illness:

ID: 1684803
Sex: F
Age: 79
State: FL

Vax Date: 08/22/2021
Onset Date: 08/24/2021
Rec V Date: 09/09/2021
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: ace inhibitors cephalexin

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

Symptoms: 1-2 days after receiving initial dose patient experienced loss of appetite ranging from no consumption to little consumption. Patient was recommended by cardiologist to take vaccination, with her pace maker it made breathing difficult. Patient reported the tiredness making everyday activities, and labor hard. ex. vacuuming, flights of stairs, walking around grocery store etc. Today is 9/9/21 patient is finally able to do semi normal activities like walking around a grocery store.

Other Meds: Carvedilol , Losartan, Xarelto

Current Illness:

ID: 1684804
Sex: M
Age: 13
State: IA

Vax Date: 08/13/2021
Onset Date: 08/13/2021
Rec V Date: 09/09/2021
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: none

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Patient reports left armpit area swelled up for a day after to the size of a golfball. He took some iburprofen and that helped. no difficulty breathing, pain, or redness. Reports mother had same reaction

Other Meds: none

Current Illness: none

ID: 1684805
Sex: F
Age: 69
State: KY

Vax Date: 05/21/2021
Onset Date: 09/08/2021
Rec V Date: 09/09/2021
Hospital: Y

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: Moderna on 4/23 and 5/21. Positive on 9/4 admitted 9/8 to current

Other Meds:

Current Illness:

ID: 1684806
Sex: F
Age: 47
State: PA

Vax Date: 09/07/2021
Onset Date: 09/09/2021
Rec V Date: 09/09/2021
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: Pcn, floxin

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

Symptoms: Sore arm, swollen lymph node in armpit, fatigue, generalized muscle ache, feeling feverish

Other Meds: Spironolactone, vit c,d,b complex. Selenium, zinc, glucosamine, chondroitin, chaste berry, lemon balm

Current Illness: None

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am