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: 1684959
Sex: F
Age: 52
State: PA

Vax Date: 09/09/2021
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:

Allergies: Ultram

Symptom List: Dysphagia, Epiglottitis

Symptoms: Patient come in for her second dose of Covid vaccine, complete the Moderma paper when patient have her Pfizer vaccine, today patient recieved a second doze of Moderma instead of Pfizer, we will follow up up with the patient

Other Meds:

Current Illness: no

Date Died: 08/23/2021

ID: 1684960
Sex: F
Age: 83
State:

Vax Date: 01/15/2021
Onset Date: 08/17/2021
Rec V Date: 09/09/2021
Hospital: Y

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: CONFUSION, POSITIVE COVID TEST, BILATERAL PULMONARY INFILTRATE, PULMONARY EDEMA

Other Meds:

Current Illness:

ID: 1684961
Sex: F
Age: 14
State: MI

Vax Date: 08/06/2021
Onset Date: 08/06/2021
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: None

Allergies: None

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

Symptoms: None, advised to complete due to patient under 18 and receiving Moderna

Other Meds: None

Current Illness: None

ID: 1684962
Sex: M
Age: 17
State: NC

Vax Date: 08/25/2021
Onset Date: 08/25/2021
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: N/A

Allergies: N/A

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Vaccine administered with no diluent

Other Meds: N/A

Current Illness: N/A

ID: 1684963
Sex: F
Age: 33
State: AL

Vax Date: 07/24/2021
Onset Date: 07/25/2021
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: NA

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

Symptoms: Insomnia beginning at 2:30 AM the following day and had sleeplessness nightly until 8/5/2021.

Other Meds: Topiramate 50 mg q HS Propranolol 10 mg BID

Current Illness: NA

ID: 1684964
Sex: M
Age: 55
State: FL

Vax Date: 06/18/2021
Onset Date: 08/16/2021
Rec V Date: 09/09/2021
Hospital: Y

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: Tested positive for Covid via PCR on 8/16/21.

Allergies: nka

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

Symptoms: 8/16/2021: admitted. presents to ED with complaints of generalized weakness, slurred speech, mild confusion, nagging non productive cough and feels run down since last week. Wife (at bedside) thought his weakness and slurred speech were related to high ammonia level so patient has been taking lactulose daily. COVID 19 PCR was positive. Note: patient previously vaccinated with Pfizer COVID-19 vaccine: First dose: 05/29/21 Lot Number;EW0180; Second dose: 06/18/21 Lot Number EW0196 Diagnosed with: toxic metabolic encephalopathy, COVID-19 infection Discharged 8/22/21.

Other Meds: furosemide, gabapentin, glipizide, insulin NPH, lactulose, parparoxetine, rifaximin, spironolactone

Current Illness:

ID: 1684965
Sex: F
Age: 35
State: NH

Vax Date: 06/04/2021
Onset Date: 06/05/2021
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:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: The patient had fever, body aches and neuropathy. Initially in the same arm at eh vaccine with numbness and decreased mobility. subsequently, she developed significant eosinophilia and had more lower extremity weakness and numbness. She needed a wheelchair to get around. She had significant medical workup, without a diagnosis. eosinophilia has improved slowly, as have symptoms over a period of months, but has not returned to completely normal.

Other Meds:

Current Illness:

ID: 1684966
Sex: F
Age: 56
State: LA

Vax Date: 07/14/2021
Onset Date: 09/02/2021
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:

Allergies: None

Symptom List: Pharyngeal swelling

Symptoms: Post-menopausal period

Other Meds: Multivitamins

Current Illness: None

ID: 1684967
Sex: M
Age: 23
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: Abdominal pain, Chills, Sleep disorder

Symptoms: vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1684968
Sex: F
Age: 50
State: TN

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

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

Lab Data: Had the JJ vaccine April 12, within hours I had a nerve in my right eye that would not quit (have video). For several days had severe pain in my arm and severe flu symptoms with fever, bloody rash on arms developed the following week. Wouldn?t itch, would just bleed constantly. The eye twitch continued, and I started to experience full body pain, some tingling that travelled and coordination issues (dropping and tripping). I went to see my endocrinologist on April 26 Doctor, explained my symptoms because I thought they may be thyroid related. Blood: High WBC High MCV Low MPV Low vitamin d so he put me on a daily regimen of D to bring my levels up. The eye twitch continued constant for about a month, deep pain and sensitivity to touch continued. (Video) on June 17th an ambulance took me to Magnolia for symptoms of heart attack. Severe chest pains that wrapped around to my back, shortness of breath. Referred to cardiologist Doctor. Saw him the 23rd, ordered stress test and echocardiogram ultrasound. Everything came back good the chest pain lasted for 11 days straight, could not lay down lean forward or side to side, breathing was painful and difficult constant dry cough. Intermittent headaches, lost feeling in the entire left side of my head when laying down on July 8th, so much so I could pull my hair the hardest I could and not feel it, hit myself and not feel it this only lasted minutes. Body pain continues. If my husband wraps his arms around me or tries to massage my back it hurts. Mostly all touch from mid abdomen down to feet hurts especially thighs and calves. Occasional sharp burning sensation on tips of toes. July 15th a nerve in my right hand has started pulsing and will not stop, hand feels very weak. (video) July 15th Pain in fingertips like burning very local to fingertips just on the ends when I place my fingers in water, left hand only and only when I place my hand in water. Tingling sensations from bottom of rib cage to hip on left side only. July 21st saw Endo, at office 90/50 bp with symptoms (drowsiness, blurred vision, fatigue and a disconnected confused feeling, did not feel present) July 21. Severe chest Pain begins that evening in heart again Cardiologist orders more tests (pain continued until 8/3) primary Dr runs more labs on 7/22 to check for blood clotting issues related to vaccine, results Neg, went for CT scan/contrast normal results on 8/2, met with Doctor (cardiologist) 8/2 diagnosed with incessant Pericarditis (lasted 13 days of intense pain could not lay down lean forward or side to side when this happens) started on Cholchicine, pain in chest has become manageable with only dull aching pain, did have the signature stabbing pain 8/8 at 8pm. Did lose voice and voice change/ throat sensation for the duration of each episode with dry cough. Pain continues on and off saw cardiologist 8/17 about pain breaking through the meds, says to continue treatment and document. 8/18 rash began on legs and midsection, deep body pain and fatigue. Brain fog and severe memory issues began

Allergies: Tetracycline

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Had the JJ vaccine April 12, within hour I had a nerve in my right eye that would not quit (have video). For several days had severe pain in my arm and severe flu symptoms with fever, bloody rash on arms developed the following week. Wouldn?t itch, would just bleed constantly. The eye twitch continued, and I started to experience full body pain, some tingling that travelled and coordination issues (dropping and tripping). I went to see my Dr on April 26 Doctor, explained my symptoms because I thought they may be thyroid related. Blood: High WBC High MCV Low MPV Low vitamin d so he put me on a daily regimen of D to bring my levels up. The eye twitch continued constant for about a month, deep pain and sensitivity to touch continued. (Video) on June 17th an ambulance took me to Magnolia for symptoms of heart attack. Severe chest pains that wrapped around to my back, shortness of breath. Referred to cardiologist Doctor. Saw him the 23rd, ordered stress test and echocardiogram ultrasound. Everything came back good the chest pain lasted for 11 days straight, could not lay down lean forward or side to side, breathing was painful and difficult constant dry cough. Intermittent headaches, lost feeling in the entire left side of my head when laying down on July 8th, so much so I could pull my hair the hardest I could and not feel it, hit myself and not feel it this only lasted minutes. Body pain continues. Mostly all touch from mid abdomen down to feet hurts especially thighs and calves. Occasional sharp burning sensation on tips of toes. July 15th a nerve in my right hand has started pulsing and will not stop, hand feels very weak. (video) July 15th Pain in fingertips like burning very local to fingertips just on the ends when I place my fingers in water, left hand only and only when I place my hand in water. Tingling sensations from bottom of rib cage to hip on left side only this continued for days. July 21st saw Doctor, at office 90/50 bp with symptoms (drowsiness, blurred vision, fatigue and a disconnected confused feeling, did not feel present) July 21. Severe chest Pain begins that evening in heart again Cardiologist orders more tests (pain continued until 8/3) primary Dr runs more labs on 7/22 went for CT scan/contrast normal results on 8/2, met with Doctor (cardiologist) 8/2 diagnosed with incessant Pericarditis (lasted 13 days of intense pain could not lay down lean forward or side to side when this happens) started on Cholchicine, pain in chest has become manageable with only dull aching pain, did have the signature stabbing pain 8/8 at 8pm. Did lose voice and voice change/ throat sensation for the duration of each episode with dry cough. Pain continues on and off saw cardiologist 8/17 about pain breaking through the meds, says to continue treatment and document until next visit in October. 8/18 rash began on legs and midsection, deep body pain and fatigue. Brain fog and severe memory issues began around 8/10 and continue. Brain MRI and more labs performed 8/30 will get results 9/8 Spike protein antibody test taken on 8/30, results show only .82 (.80 and below is considered negative for vaccine induced spike protein antibodies) very low antibody response right now 8/31 developed multiple pustular lumps in left eye lower lid. (Pic) Debilitating fatigue neurological symptoms continue 9/2 9/8 Neurologist gives me Emgality injection. Normal MRI results.

Other Meds: Levothyroxine 1x daily

Current Illness: None

ID: 1684969
Sex: M
Age: 64
State: WV

Vax Date: 08/29/2021
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: SYR
Vax Site: LA

Lab Data: None

Allergies: None

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

Symptoms: Left arm got sore red rash moved around to front of arm pain went down into elbow causing numbness and bottom fingers on my hand. It caused a knot on my shoulder Then my shoulder got hot where red rash was

Other Meds: Metformin, Plavix, thyroid med.

Current Illness: None

ID: 1684970
Sex: M
Age: 70
State: GA

Vax Date: 02/09/2021
Onset Date: 08/13/2021
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: 08/13/2021 PCR+ COVID-19 Test.

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Breakthrough COVID-19 Case

Other Meds:

Current Illness:

ID: 1684971
Sex: M
Age: 54
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: 1684972
Sex: F
Age: 38
State: IL

Vax Date: 08/31/2021
Onset Date: 08/31/2021
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: N/A

Allergies: N/A

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

Symptoms: Pt. states that after receiving the 1st dose of Moderna 08/31/2021, started experiencing symptoms that evening of low-grade fever, pain throughout the arm, fatigue, and nausea. Lasting estimated 72hrs. 09/08/2021 noticed red welp around the injection site with fever to touch and painful. Hard knot noticeable at the injection site. No known Primary visit.

Other Meds: N/A

Current Illness: N/A

ID: 1684973
Sex: M
Age: 52
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: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1684974
Sex: F
Age: 45
State: PR

Vax Date: 03/01/2021
Onset Date: 04/01/2021
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: March April September

Allergies:

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

Symptoms: High blood pressure Since I got the one dose janssen, I now have blood pressure over 150/100. I always had low blood Presume

Other Meds:

Current Illness:

ID: 1684975
Sex: M
Age: 24
State:

Vax Date: 06/05/2021
Onset Date: 06/05/2021
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:

Allergies:

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

Symptoms: vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1684976
Sex: F
Age: 68
State: NJ

Vax Date: 12/18/2020
Onset Date:
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: I am a Nurse Anesthetist that worked during the COVID crisis in hot spot. As primary workers, all staff was encouraged to get vaccinated - and to see the death and dying - we did. Had my first dose in December, 2020, second dose in January, 2021. A few months later, my vision was changing ( known floaters as previously mentioned). My eye doctor, performed further tests and diagnosed me as having Fuchs corneal dystrophy. This ia an autosomal dominant trait, but why did it show its colors aggressively. There is no alleviating treatments, but will probably have endothelial keraptoplasty in the future. HOWEVER, never hearing of this disease after 40 years in the health field, I looked more into this disease. The last sentence in one optic journal stated "...paraphasing... due to increase knowledge with human genome, 96 newly discovered microRNAs are now discovered and associated with malignancies. Fuch's corneal dystrophies are associated with breast cancer! This really peaked my interest. Immediately got script for mammogram in May - abnormal, June-confirmed abnormality, July - ultrasound -site found , August -biospsy confirmed breast cancer, September - MRI confirmed site. Now for surgery, Radiation treatments, and hormone therapy. But I am not alone, I have a friend, newly diagnosed with breast cancer, co-workers newly diagnosed with gall bladder cancer, and pancreatic cancers, a friend with thymus cancer, etc. I think you will see more and more cancers evidenced. It may have taken a few months = or even years to raise its ugly head. I truly hope that this is not a travestry.

Allergies: NKDA

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Adverse events - aggravation of eye disease, and breast cancer, even though years of mammograms before were read as negative. Treatment ongoing for eyes and cancer

Other Meds: Lipitor, Claritin for seasonal allergies

Current Illness: Had vitreous separation right eye

Date Died: 09/05/2021

ID: 1684977
Sex: F
Age: 63
State: KY

Vax Date: 01/20/2021
Onset Date: 09/05/2021
Rec V Date: 09/09/2021
Hospital: Y

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

Lab Data: COVID-19 PCR positive on 8/16/2021.

Allergies: unknown

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: 1st vaccine given on 1/20/21, 2nd dose given on 2/9/21; tested positive for COVID-19 via PCR on 8/16/2021; admitted to hospital on 8/31/21 with acute respiratory failure secondary to COVID, also had superimposed bacterial pneumonia, severe fever, and died on 9/5/21.

Other Meds: unknown

Current Illness: unknown

ID: 1684978
Sex: F
Age: 35
State: TX

Vax Date: 08/30/2021
Onset Date: 08/31/2021
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:

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

Symptoms: fever, chills, severe body aches, and diarrhea

Other Meds: humira

Current Illness:

ID: 1684979
Sex: F
Age: 78
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: 1684980
Sex: F
Age: 50
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: Unevaluable event

Symptoms: vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1684981
Sex: F
Age: 54
State:

Vax Date: 09/06/2021
Onset Date: 09/06/2021
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: Iron causes a rash. Nickel causes a rash.

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

Symptoms: Soon after receiving the vaccine she started getting a terrible headache, migraine like. Within 2 hours of receiving the vaccine her nose swelled and she was unable to breathe out of it, her lips swelled, and her tongue felt swollen. Swelling improved by the next day. She also had bad muscle spasms in her legs, arms, and hips which hurt for 2 days.

Other Meds: levothyroxine, estradiol, progesterone, pregabalin, fexofenadine

Current Illness: No

Date Died: 08/27/2021

ID: 1684982
Sex: M
Age: 66
State:

Vax Date: 03/17/2021
Onset Date: 08/24/2021
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:

Symptom List: Injection site pain, Pain

Symptoms: POSITIVE COVID TEST, MYALGIAS, FEVER, BLOOD CULTURE POSITIVE FOR MSSA

Other Meds:

Current Illness:

ID: 1684983
Sex: F
Age: 31
State: FL

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: SYR
Vax Site: LA

Lab Data: None at this time

Allergies: Cephalosporins (duriceff)

Symptom List: Injection site pain, Menorrhagia

Symptoms: Trouble swallowing, ears very painful with ringing, heart racing fast, tingling discomfort in hands and legs, terrible headache, entire body aches. Neck stiff and can barely rotate.

Other Meds: Multivitamin

Current Illness: None

ID: 1684984
Sex: M
Age: 49
State:

Vax Date: 05/26/2021
Onset Date:
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:

Allergies:

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

Symptoms: Pt was vaccinated for COVID and then tested positive months later.

Other Meds:

Current Illness:

ID: 1684985
Sex: F
Age: 53
State: AZ

Vax Date: 12/23/2020
Onset Date: 03/02/2021
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: See also above. Patient had port-a-cath placed on 7/12/2021 and has started on neoadjuvant chemo therapy with Dr. with Oncology. I am not questioning that the vaccine caused this cancer but if it was an accelerant to a very small tumor which may have been present. Note patient had a negative BIRADS 2 mammogram on 11/12/19. We are a small rural facility serving a relatively closed population and such cases are very rare but I have noted several since the spring. Will be reporting others also.

Allergies: nka

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Had a very aggressive inflammatory breast cancer developing within 4 months of completing vaccination. Patient noted no symptoms prior to screening mammogram 3/2/21. Read as BIRADS 0, noting R subareolar lesion. Compression studies incorrectly read as BIRADS 2 on 4/5/2021. Punch skin biopsy on 7/1/2021 showed poorly differentiated cancer. U/s 7/6 with multiple lobulated nodes.

Other Meds: Unknown. None noted in EHR

Current Illness: Healthy . She did have a family history of breast cancer in her mother

ID: 1684986
Sex: M
Age: 63
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: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1684987
Sex: F
Age: 40
State: OK

Vax Date: 04/07/2021
Onset Date: 04/08/2021
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: None

Allergies: N/A

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

Symptoms: The next day my joints were completely swollen in my left fingers, wrist and hand, as well as my right, this lasted for over three months.

Other Meds: Nora-b, birth control, multivitamin, vitamin d, omega 3 fish oil, B12

Current Illness: Rheumatoid Arthritis

ID: 1684988
Sex: M
Age: 37
State: GA

Vax Date: 02/23/2021
Onset Date: 08/13/2021
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: 08/13/2021 PCR+ COVID-19 test at Medical Center

Allergies:

Symptom List: Nausea

Symptoms: Breakthrough COVID-19 Case

Other Meds:

Current Illness:

ID: 1684989
Sex: M
Age: 17
State: NY

Vax Date: 06/14/2021
Onset Date: 06/14/2021
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:

Allergies:

Symptom List: Injection site pain

Symptoms: Patient 17 at time of administration. No adverse outcomes, symptoms , signs.

Other Meds:

Current Illness:

ID: 1684991
Sex: M
Age: 59
State:

Vax Date: 06/17/2021
Onset Date: 08/27/2021
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: Got covid after getting vaccinated

Other Meds:

Current Illness:

ID: 1684992
Sex: F
Age: 24
State: NC

Vax Date: 08/27/2021
Onset Date: 08/27/2021
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: No medical tests needed.

Allergies: Robatussin AC

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

Symptoms: Pt started feeling tingling in lips and around eyes and anxiety about 15 minutes after receiving her 2nd covid vaccine. She had immediate local swelling, itchy eyes, nasal congestion, and angioedema.

Other Meds: Bactrim DS 800-160mg, omeprazole 40mg, ondansetron 4mg, hydroxyzine 25mg, Yasmin 28, Wellbutrin XL 150mg, Valcyclovir 500mg

Current Illness: Pt was seen on 8/18/21 for epigastric abdominal pain, GERD, Nausea, and paronychia of the R great toenail.

ID: 1684993
Sex: F
Age: 22
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: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1684994
Sex: M
Age: 70
State: MA

Vax Date: 03/04/2021
Onset Date: 03/08/2021
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: HOSPITALIZATION OVERNIGHT - CSCAN FOR DIAGNOSIS WEEKLY APPOINTMENTS TO EYE DOCTOR - MY EYE CANNOT SHUT AND BLINK EYE DROPS AND TAPING OF EYE DAILY

Allergies: NONE

Symptom List: Erythema, Pruritus

Symptoms: 4 DAYS AFTER THE FIRST SHOT I HAD FACIAL PARALYSIS ON RIGHT SIDE OF MY FACE WHICH PERSISTS TODAY - 6 MONTHS LATER. SOME IMPROVEMENT BUT I STILL HAVE NOT RECOVERED

Other Meds:

Current Illness: ATENOLOL, CALCITRIOL, SODIUM BICARB, POTASIUM CITRATE, SODIUM POLYSTYRENE SULFONATE,

ID: 1684995
Sex: M
Age: 19
State:

Vax Date: 06/05/2021
Onset Date: 06/05/2021
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:

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

Symptoms: vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1684996
Sex: F
Age: 7
State: MI

Vax Date: 08/26/2021
Onset Date: 08/26/2021
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: none

Allergies: none

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

Symptoms: 7 year old patient received inappropriate dose of DTAP. Pt should have received Td instead. She had no adverse reaction.

Other Meds: none known

Current Illness: none

ID: 1684997
Sex: F
Age: 59
State: MO

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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: none

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Local inflammation with large, hot induration measering 4cmx9cm. Received second dose elsewhere on 09/03/2021 (Lot FA7485 Exp. 10/1/2021) and reports a similar reaction with the second dose. Resolved without treatment. Developed shingles a week after second dose.

Other Meds:

Current Illness:

ID: 1684998
Sex: M
Age: 30
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: 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: vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1684999
Sex: F
Age: 66
State: GA

Vax Date: 08/09/2021
Onset Date: 08/10/2021
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:

Allergies: Penicillin

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

Symptoms: Patient reports severe arm pain of scale 3 to 8

Other Meds: Aspirin 81mg Amlodipine 5mg

Current Illness: none reported

ID: 1685000
Sex: F
Age: 31
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: Pain in extremity

Symptoms: vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1685001
Sex: F
Age: 69
State:

Vax Date: 06/23/2021
Onset Date: 08/27/2021
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: Contracted COVID-19 after being fully vaccinated

Other Meds:

Current Illness:

ID: 1685002
Sex: M
Age: 56
State: MD

Vax Date: 08/23/2021
Onset Date: 08/30/2021
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: None

Allergies: Ampicillin

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

Symptoms: Multiple itchy small blister on both ankles. Four of five family who all received the Pfizer 2-dose vaccine exprienced same symtptoms; three males (ages: 56, 28, 21) and one female (54). The symptoms have not abated as of yet for any of the family members. The symptoms have been ongoing for the female about 8 weeks post-vaccination and the males about 2 weeks post-vaccination.

Other Meds: None

Current Illness: None

ID: 1685003
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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1685004
Sex: F
Age: 61
State: GA

Vax Date: 04/28/2021
Onset Date: 08/13/2021
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: 08/13/2021 PCR+ COVID-19 test.

Allergies:

Symptom List: Vomiting

Symptoms: Breakthrough COVID-19 Case

Other Meds:

Current Illness:

Date Died: 08/07/2021

ID: 1685005
Sex: M
Age: 88
State: FL

Vax Date: 01/23/2021
Onset Date: 08/01/2021
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: sulfa drugs

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: 8/1/2021: patient admitted. Apparently, he has been ill for a few days. He was given antibiotic as outpatient basis - including oral ivermectin. He was diagnosed with COVID at outside facility. He failed outpatient treatment. His oxygen has been going down. He presented to the emergency department with shortness of breath as well as chest pain. Diagnosed with Covid pneumonitis, hypoxic resp failure Note: patient previously vaccinated with Covid-19 vaccine: First dose: 01/02/21 Lot Number E110140;Second dose: 01/23/21 Lot Number EL3248 8/7/2021: patent Died

Other Meds: aceaminophen-ibuprofen, amlodipine, atorvastatin, doxycycline, ergocalciferol, hydralazine, ivermectin, metformin, multivitamin, Visine, valsartan, zinc sulfate

Current Illness:

ID: 1685006
Sex: F
Age: 18
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:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1685007
Sex: F
Age: 75
State: MI

Vax Date: 09/02/2021
Onset Date: 09/03/2021
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 started feeling very hot the next morning and then went to the hospital

Other Meds: N/A

Current Illness: none

ID: 1685008
Sex: M
Age: 78
State: MT

Vax Date: 03/06/2021
Onset Date: 09/01/2021
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: Diagnosed and hospitalized with COVID 19 while fully vaccinated

Other Meds:

Current Illness:

ID: 1685009
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: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: vaccine expired in fridge

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am