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: 1685717
Sex: F
Age: 35
State: TX

Vax Date: 08/06/2021
Onset Date: 08/30/2021
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: COVID tests Blood draws - I stopped my vitamins because my B12 was crazy on the blood test results.

Allergies: Zoloft; Shrimp, chocolate; wheat, soy and corn.

Symptom List: Dysphagia, Epiglottitis

Symptoms: Side affects from vaccine at first - just mainly vertigo - I felt really drunk. Everything was moving without me for a few hours and that was it. I started getting Headaches a week later and those were tested for COVID August 26 - negative result at the Nurse Practitioner's office at Clinic and then a second test at home on 8/30 -positive result. 8/31/2021 - I had flu like symptoms for about a day. Headaches were bad the whole time before that and during that. COVID brain fog - but I am on Topiramate also so that contributes to it. I didn't have to go to hospital. I had an monoclonal antibodies infusion on the 3rd of September. I think it helped. I didn't have a high fever too much after that. My COVID symptoms lasted for about a week after the headache started. I had a negative COVID result yesterday for a test and I'm getting over my symptoms. I am really nauseous today.

Other Meds: Vyvanse; Topiramate; B12; One a day Vitamins

Current Illness: no

ID: 1685718
Sex: F
Age: 68
State: MN

Vax Date: 01/06/2021
Onset Date: 09/03/2021
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: Positive covid test after vaccination

Other Meds:

Current Illness:

ID: 1685719
Sex: F
Age: 53
State: LA

Vax Date: 09/09/2021
Onset Date: 09/09/2021
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: N/A

Allergies: Flu vaccine, amoxicillin, Hepatitis vaccines, Lexapro, Toradol, Lisinopril, Tree nuts, Cymbalta, Pregabalin

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

Symptoms: chest tightness, scratchy throat, shortness of breath, diaphoresis

Other Meds: diltiazem, simvastatin, aspirin, clonidine, montelukast, tizandidine, cetirizine

Current Illness: N/A

ID: 1685720
Sex: F
Age: 55
State: MT

Vax Date: 01/25/2021
Onset Date: 09/01/2021
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: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: 2x3 cm area of redness several months after injection ?.

Other Meds: Amlodipine, lisinopril, vitamin D

Current Illness: None

ID: 1685721
Sex: F
Age: 32
State:

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:
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: passed out/fainted

Other Meds:

Current Illness:

ID: 1685722
Sex: M
Age: 46
State: IN

Vax Date: 04/03/2021
Onset Date: 06/03/2021
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: EMG

Allergies: None

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

Symptoms: Right arm and left arm unable to make a complete fist! Right hand numb and painful

Other Meds: Can be released from Doctors office with ROI request!

Current Illness: None

ID: 1685723
Sex: F
Age: 57
State: NE

Vax Date: 07/29/2021
Onset Date: 08/04/2021
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: n/a

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Lymph Nodes under right arm pit. Severe pain, swelling, redness, and some had fluid in them. I was unable to put my arm down to my side. Got the second injection on August 19,2021. The symptom with the lymph nodes started all over again. I was asked if I want to change arms and I informed the nurse that I did not want to go around with both of my arms hurting. As of today September 9 2021, I have a small lymph nodes still under my right arm. It is gradually going away.

Other Meds: n/a

Current Illness: none

ID: 1685724
Sex: F
Age: 73
State: NJ

Vax Date: 04/22/2021
Onset Date: 05/10/2021
Rec V Date: 09/09/2021
Hospital: Y

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

Lab Data: Ultrasound of leg Cat Scans of chest Blood tests

Allergies: Maybe shellfish

Symptom List: Pharyngeal swelling

Symptoms: Blood Clot embolism in lung. Hospitalized for four days on oxygen Had to be on oxygen for 1.5 months after releae from hospital

Other Meds: preservision/Areds2 - 2 daily esomeprazol mag dr - 40 mg 1 daily metoprolol succer 25 mg 1 daily hydrochorothiaz 12.5 mg 1 daily amlodipine 5 mg 1 daily ramapril 10 mg 1 daily multivitamin 1 daily vitamin 1 daily

Current Illness: N/A

ID: 1685725
Sex: F
Age: 23
State: TX

Vax Date: 03/31/2021
Onset Date: 04/05/2021
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: N/A I?ve never gotten tested about it just based on my dad and fianc? also had the same effects of nail growth from Moderna as well.

Allergies: Clindomycine

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: My nails are growing wayyyy too fast and this only occurred after getting the vaccine. I trim my nails bare within the evening of the next day they are fully grown (about 1-2 cm in growth a day).

Other Meds: None

Current Illness: Asthma (non reactive)

ID: 1685726
Sex: F
Age: 54
State: CA

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: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: None

Allergies: Paradoxical reaction to Benadryl Numbness and tingling with Aleve. Again probably due to MTHFR.

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Burning and tingling in arm, chest, leg on left side (injection side). Redness in face, chest. Swelling , tightness in nasal passages, upper palette, throat. Tightness when swallowing. Pharmacist gave me Claritin.

Other Meds: Methyl folate (for MTHFR gene variation as most likely don?t process regular folate the same as other people)

Current Illness: None

ID: 1685727
Sex: F
Age: 96
State:

Vax Date: 02/12/2021
Onset Date: 09/09/2021
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: Positive PCR

Allergies: Unknown

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

Symptoms: Resident had a breakthrough case of Covid-19 after completing the series of vaccine.

Other Meds: Unknown

Current Illness: Unknown

ID: 1685728
Sex: M
Age: 22
State: NJ

Vax Date: 02/06/2021
Onset Date: 08/27/2021
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: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose12/29/21 2nd dose02/06/21 Diagnosed covid positive:08/27/21 Symptom onset:08/28/21 Exposure:Home Symptoms:cough, fatigue,muscle aches, sorethroat

Other Meds:

Current Illness:

ID: 1685729
Sex: F
Age: 41
State: IL

Vax Date: 08/21/2021
Onset Date: 08/29/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Breakthrough menstrual bleeding, cramps and clots

Other Meds: Lexapro, Sulfasazine

Current Illness: Na

ID: 1685730
Sex: F
Age: 32
State: NY

Vax Date: 01/28/2021
Onset Date: 08/27/2021
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:

Allergies:

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

Symptoms: report completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose01/07/21 2nd dose01/28/21 Diagnosed covid positive:08/28/21 Symptom onset:08/27/21 Exposure: Symptoms:cough, fatigue,chills, runny nose, haedache

Other Meds:

Current Illness:

ID: 1685731
Sex: M
Age: 74
State: CT

Vax Date: 04/13/2021
Onset Date: 04/16/2021
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: CBC, ESR, ANA, RPR

Allergies: Bee sting

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

Symptoms: Patient developed bilateral hand swelling, limited range of motion. Mildly warm, erythematous, sausage shaped fingers.

Other Meds: Information not available

Current Illness: DM, COPD, hx of PE, chronic GERD, transurethral resection of prostate, prostate cancer, hx of inflammatory arthritis

ID: 1685732
Sex: F
Age: 41
State: NY

Vax Date: 01/28/2021
Onset Date: 08/24/2021
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: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose01/07/21 2nd dose01/28/21 Diagnosed covid positive:08/28/21 Symptom onset:08/24/21 Exposure:community Symptoms:Cough, sorethroat,runnynose

Other Meds:

Current Illness:

ID: 1685733
Sex: F
Age: 35
State: NY

Vax Date: 08/19/2021
Onset Date: 08/31/2021
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: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose/19/21 2nd dose Diagnosed covid positive:09/01/21 Symptom onset:08/31/21 Exposure: Symptoms:cough, fatigue,loss of taste,sore throat,runny nose.

Other Meds:

Current Illness:

ID: 1685734
Sex: F
Age: 57
State: PA

Vax Date: 01/21/2021
Onset Date: 09/01/2021
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: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose12/31/21 2nd dose01/21/21 Diagnosed covid positive:09/01/21 Symptom onset:09/01/21 Exposure:home Symptoms:Cough, fatigue,sore Throat,HA

Other Meds:

Current Illness:

ID: 1685735
Sex: F
Age: 57
State: PA

Vax Date: 01/21/2021
Onset Date: 09/01/2021
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:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose12/31/21 2nd dose01/21/21 Diagnosed covid positive:09/01/21 Symptom onset:09/01/21 Exposure:home Symptoms:Cough, fatigue,sore Throat,HA

Other Meds:

Current Illness:

ID: 1685736
Sex: F
Age: 74
State:

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

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

Symptoms: chills throughout night, exhaustion, body aches

Other Meds:

Current Illness:

ID: 1685737
Sex: F
Age: 23
State: IL

Vax Date: 09/09/2021
Onset Date: 09/09/2021
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: None

Allergies: Amoxicillin

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

Symptoms: Patient c/o dizziness and bilateral arm tingling within 10 mins after vaccination. Symptoms subsided within 30 min following her vaccination. Patient left with no complaints.

Other Meds: None

Current Illness: Constipation, Heartburn

ID: 1685738
Sex: F
Age: 24
State: NY

Vax Date: 01/21/2021
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:

Allergies:

Symptom List: Unevaluable event

Symptoms: report completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose12/31/21 2nd dose01/21/21 Diagnosed covid positive:09/01/21 Symptom onset:09/01/21 Exposure:Home Symptoms:fever, cough,runny nose,HA,chills, nausea.

Other Meds:

Current Illness:

ID: 1685739
Sex: F
Age: 26
State: NY

Vax Date: 01/28/2021
Onset Date: 08/31/2021
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:

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

Symptoms: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose01/07/21 2nd dose01/28/21 Diagnosed covid positive:09/01/21 Symptom onset:08/31/21 Exposure: Symptoms:fatigue,sore throat.

Other Meds:

Current Illness:

ID: 1685740
Sex: M
Age: 35
State: NY

Vax Date: 01/27/2021
Onset Date: 09/01/2021
Rec V Date: 09/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: Report completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose01/06/21 2nd dose01/27/21 Diagnosed covid positive:09/01/21 Symptom onset:09/01/21 Exposure: symptoms:fever, runny nose,sneezing

Other Meds:

Current Illness:

ID: 1685741
Sex: M
Age: 20
State:

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:
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: 1302: 1st dose Moderna vaccine administered 1309: Client stood up from chair, reported feeling nauseous, and immediately had syncope episode- NP able to ?catch? client and assist him to the floor where she put his legs up. Client did not sustain injury from assisted fall. Pallor appearance. Verbal and A&Ox4. Ice packs applied. 1310: HR 62 with thready radial pulse, PERRLA 4mm, RR 10, BP 108/68 1314: HR 68, PERRLA 4mm, RR 10, BP 108/72 1320: Client moved to couch, reports still feeling shaky and anxious. Says his hands feel like they are cold. Felt warm/even upon palpation. Water & graham crackers given 1325: Client reports feeling better and told us he was anxious about the vaccine and did not drink any water today. 1330: HR 72, PERRLA 3mm, RR10, BP 116/78, normal skin tone, extremities warm 1340: Client says he feels normal again and understood to seek medical assistance for any follow up issues. Client understands that this was not an allergic reaction and is eligible to receive 2nd dose in 28 days. 1343: Client left site without further complication.

Other Meds:

Current Illness:

ID: 1685742
Sex: M
Age: 59
State: NM

Vax Date: 03/12/2021
Onset Date: 09/01/2021
Rec V Date: 09/09/2021
Hospital:

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

Lab Data: Sept 1@12:53 FLU A (CEPHEID) NEGATIVE, FLU B (CEPHEID) NEGATIVE, RSV (CEPHEID) NEGATIVE _COVID-19 (CEPHEID) POSITIVEA*

Allergies: Cats

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

Symptoms: Dry Cough, Lost Taste and Smell, Other Fatigue

Other Meds: Atorbastatin, duloxetineDolic acid, Lisinopril, Opeprazole, Oxymetazoline, vitamin D3, Zinc

Current Illness: none

ID: 1685743
Sex: F
Age: 34
State: NY

Vax Date: 01/06/2021
Onset Date: 08/30/2021
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:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose12/26/21 2nd dose01/06/21 Diagnosed covid positive:08/31/21 Symptom onset:08/30/21 Exposure:community Symptoms:fever, cough,muscle aches,abd pain,sore hroat,chills,HA,runny nose

Other Meds:

Current Illness:

ID: 1685744
Sex: F
Age: 67
State: CO

Vax Date: 03/31/2021
Onset Date: 06/01/2021
Rec V Date: 09/09/2021
Hospital: Y

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

Lab Data:

Allergies: Pain Medications

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: After the second dose of the vaccine I got a local reaction around the injection site. It was a very red area that was itchy and it took a few days to go away. I seemed to be fine until three months after the vaccine. My Trigeminal Neuralgia got very flared up in my face and currently my feet legs and hands are burning. I called my doctor and they had to increase my medications and add two secondary medications to control my condition under control. I have been in and out of the hospital because of Pelvic Floor Issues and Gastro Intestinal Issues. I have tried Acid Reflux Medication. I have been to the ER 6 times and Hospitalized once.

Other Meds: RA Medications Multiple Medications

Current Illness: N/A

ID: 1685745
Sex: F
Age: 23
State: NY

Vax Date: 01/27/2021
Onset Date: 08/31/2021
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: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose01/06/21 2nd dose01/27/21 Diagnosed covid positive:08/31/21 Symptom onset:08/31/21 Exposure:Home Symptoms:cough, fatigue,muscleaches,sorethroat,HA

Other Meds:

Current Illness:

ID: 1685746
Sex: F
Age: 40
State: TX

Vax Date: 09/06/2021
Onset Date: 09/07/2021
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: 9/8/21 ER visit CRP 3.6mg/dL, Troponin 0 x 2, PTT 23.4, PT 12, INR 0.87, LA 1.10, CBC, CMP, BNP, Chest xray, CTA, Sed Rate, COVID swab negative, EKG, Echocardiogram

Allergies: None

Symptom List: Nausea

Symptoms: COVID Vaccine adverse reaction 9/6/21 Received second dose pfizer vaccine 1300. Night of receiving vaccine began having electrifying zips of chest pain. Lasting seconds at a time. 9/7/21 Woke up with severe back, hip, neck pain, flu like feeling, body aches, fatigue, febrile. Throughout the day began having constant chest pain with increased pain upon inspiration and exhalation along with shortness of breath during activity. Was not able to lye flat or on left side without severe increased chest pain and difficulty breathing. Slept in recliner on right side as it was the only position to get relief. 9/8/21 Back, hip and neck pain, flu like feeling, body aches, fever were gone but the chest pain and shortness of breath continued with worsening shortness of breath. Two events of dizziness. Made doctor appointment at 1315. Concern for PE or pericarditis and was sent to the ER from doctors office. ER visit concluded inflammation and placed on 600mg ibuprofen 3x day for 2 weeks. 9/9/21 Continue to have chest pain and shortness of breath

Other Meds: sronyx, ASA, Vit D3, Vit C, Zinc, Multivitamin

Current Illness: None

ID: 1685747
Sex: F
Age: 37
State: NY

Vax Date: 03/07/2021
Onset Date: 08/29/2021
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: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose03/07/21 2nd dose Diagnosed covid positive:08/28/2021 Symptom onset:08/29/21 Exposure:tavel Symptoms:cough

Other Meds:

Current Illness:

ID: 1685748
Sex: F
Age: 33
State: NY

Vax Date: 01/29/2021
Onset Date: 08/11/2021
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: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose01/08/21 2nd dose01/29/21 Diagnosed covid positive:08/12/21 Symptom onset:08/11/21 Exposure:community Symptoms:fever, cough, SOB,fatigue, loss of smell,nausea,vomiting,diarrhea,nasal congestion

Other Meds:

Current Illness:

ID: 1685749
Sex: F
Age: 58
State: NY

Vax Date: 01/26/2021
Onset Date: 08/30/2021
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:

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

Symptoms: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose12/29/21 2nd dose01/26/21 Diagnosed covid positive:08/3021 Symptom onset:Asymptomatic Exposure: Symptoms:

Other Meds:

Current Illness:

ID: 1685750
Sex: F
Age: 45
State: NY

Vax Date: 02/08/2021
Onset Date: 08/28/2021
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: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose01/11/21 2nd dose02/08/21 Diagnosed covid positive:08/3021 Symptom onset:08/28/21 Exposure: Symptoms:muscle aches, sore throat,diarrhea,runny nose

Other Meds:

Current Illness:

ID: 1685751
Sex: F
Age: 39
State: NY

Vax Date: 04/23/2021
Onset Date: 08/31/2021
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: Erythema, Pruritus

Symptoms: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose04/02/21 2nd dose04/23/21 Diagnosed covid positive:08/3021 Symptom onset:08/31/21 Exposure:travel Symptoms:muscle aches, chills.

Other Meds:

Current Illness:

ID: 1685752
Sex: F
Age: 22
State: WY

Vax Date: 09/09/2021
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: Unknown - this RN referred patient to be further evaluated at either an urgent care or emergency department for concerns of cardiac complications.

Allergies: None

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

Symptoms: Patient called Public Health, report she has been experiencing , "a pounding heart beat, time is moving slowly, and I feel dizzy, I think it is anxiety." Patient expressed some concern for cardiac issues, so this RN referred to UC or ER.

Other Meds: None

Current Illness: None

ID: 1685753
Sex: F
Age: 43
State: TX

Vax Date: 03/05/2021
Onset Date: 06/17/2021
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: Blood work, Ct scan,

Allergies: Morphine, Macrodantin, Codeine

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

Symptoms: On the 17th of august I started getting a red rash on my elbow area of my left arm. Wouldn't go away and I made a doctors appointment where my doctor diagnosed me with having shingles. I received a PCR which came back positive for shingles. Two weeks later I woke up with a pain in my neck, I took a motrin, and shortly after I experienced a muscle spasm and the pain moved down to my left arm and I started experiencing numbness in my fingers of my left hand. I made an appointment and pcp prescribed me a muscle relaxer and gave me a steroid shot. They wanted to get a few more test done to see what was causing this pain and sent me to a neurosurgeon. The neurosurgeon did a ct scan of my brain and decided to prescribed me more muscle relaxers and another steroid shot for the pain to get some improvement, I am currently waiting on my results.

Other Meds: Labetalol 100mg 1x day , Levothyroxine 1x day

Current Illness:

ID: 1685754
Sex: M
Age: 34
State: NY

Vax Date: 01/12/2021
Onset Date: 08/26/2021
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: Asthenia, Chills, Headache, Myalgia

Symptoms: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose12/23/21 2nd dose01/12/21 Diagnosed covid positive:08/3021 Symptom onset:08/26/21 Exposure: Symptoms:cough, SOB,loss of smell,sore throat,diarrhea,headache,nasal congestion

Other Meds:

Current Illness:

ID: 1685755
Sex: M
Age: 77
State: CA

Vax Date: 03/05/2021
Onset Date: 04/19/2021
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: Ultrasound EKG MRI X-ray Blood glucose checks- normal

Allergies: none

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

Symptoms: I started seeing double around 04/19, if I kept one eye closed I could drive. I went to the ER and they did an ultrasound, MRI and EKG. I stayed overnight and was discharged the next day. I followed up with my doctor and the ophthalmologist and he stated I have binocular diplopia. They told me to come back in 6 weeks. I am still having vision problems.

Other Meds: Lipitor, vitamin e, zinc, vitamin d3, aspirin, turmeric, co-q 10, vitamin e, Atorvastatin

Current Illness: no

ID: 1685756
Sex: F
Age: 66
State: TX

Vax Date: 08/31/2021
Onset Date: 09/01/2021
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: Fever, chills, muscle aches, lethargy. Symptoms would come and go, were not continuous. Lasting 8 days. Took ibuprofen and rested. This was my third (booster) shot. First two shots did not have adverse symptoms.

Other Meds: Xanax, Albuterol, Amlodipine, Trelegy, Arnuity, Losartan, Fluticasone, Escitalopram, Montelukast, Multi-Vitamin, Calcium, Vitamin D, Milk Thistle, Vitamin B Complex, Fish Oil

Current Illness: None

ID: 1685757
Sex: M
Age: 36
State: CA

Vax Date: 01/07/2021
Onset Date: 08/26/2021
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: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose12/16/2021 2nd dose01/07/2021 Diagnosed covid positive:08/30/21 Symptom onset:08/26/21 Exposure:Travel Symptoms:fever, cough, headache

Other Meds:

Current Illness:

ID: 1685758
Sex: M
Age: 48
State: OK

Vax Date: 08/12/2021
Onset Date: 09/09/2021
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: non

Allergies: penicillin and hydrocodone

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

Symptoms: Patient received 1st dose of Pfizer at job. Patient came to pharmacy and requested a vaccine and patien was given Moderna. Patient did not divulge he had previously received a Pfize vaccine. Patient's daughter asked pharmacist if father perhaps became ill with mild flu like symptoms because he received Modena after receiving Pfizer. Pharmacist did not immunize patient with second dose of Moderna following CDC guidelines

Other Meds:

Current Illness:

ID: 1685759
Sex: F
Age: 49
State: NY

Vax Date: 02/02/2021
Onset Date: 08/26/2021
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: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose01/12/21 2nd dose02/02/21 Diagnosed covid positive:08/29/21 Symptom onset:08/26/21 Exposure: Symptoms:cough, fatigue, muscle aches,loss of smell/taste,sore throat,runny nose.

Other Meds:

Current Illness:

ID: 1685760
Sex: F
Age: 25
State: NY

Vax Date: 03/04/2021
Onset Date: 08/28/2021
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: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose02/11/21 2nd dose03/04/21 Diagnosed covid positive:08/29/21 Symptom onset:08/28/21 Exposure:community Symptoms:fever, cough, loss of taste, diarrhea,HA

Other Meds:

Current Illness:

ID: 1685761
Sex: M
Age: 34
State: NV

Vax Date: 08/24/2021
Onset Date: 08/26/2021
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: None

Symptom List: Vomiting

Symptoms: A red rash with small little bumps all around the stomach and back area.

Other Meds: None

Current Illness: None

ID: 1685762
Sex: M
Age: 42
State: NY

Vax Date: 04/16/2021
Onset Date: 08/28/2021
Rec V Date: 09/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose03/26/21 2nd dose04/16/21 Diagnosed covid positive:08/28/21 Symptom onset:08/28/21 Exposure: Symptoms:COGH, FATIGUE, FEVER, MUSCLE ACHES,LOSSOF SMELL/TASTE,DIARRHEA,RUNNY NOSE,CHILLS, HA

Other Meds:

Current Illness:

ID: 1685763
Sex: F
Age: 30
State: TN

Vax Date: 09/03/2021
Onset Date: 09/04/2021
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: MRI, CT, and EKG negative

Allergies: Sulpha

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

Symptoms: Pt received 1st dose of Covid vaccine (unknown brand) on Friday. In the middle of the night on Friday she developed nausea, vomitting and right sided weakness. She spent 2 days in the hospital where stroke was ruled out. She presents back with primary care provider (myself) 6 days after event. She still has marked weakness on her right side and generalized fatigue and lethargy.

Other Meds: None

Current Illness: None

ID: 1685764
Sex: F
Age: 61
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: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Sore arm to start with then, fatigue, fever, chills started around bedtime. Did not sleep much...tossing and turning with symptoms. Around 3:30am, I threw up. Took ibuprofen and it helped but, symptoms came back. Took more ibuprofen. Around 9am was starting to come out of some symptoms but, fatigued to the max. Now, at 6:30pm, I have just worn out feeling and sore neck.

Other Meds: Atorvastatin, Verapamil, lisinipril, thyrox,amitryptilin

Current Illness:

ID: 1685765
Sex: F
Age: 33
State: PA

Vax Date: 08/25/2021
Onset Date: 08/26/2021
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: Seafood

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

Symptoms: Anxiety 185 heart rate Affected mood and emotions Migraines Neck Back Shoulders Spine Extreme pain Fatigue Stiffness Weak

Other Meds: Advil 2

Current Illness: No

ID: 1685766
Sex: F
Age: 26
State: SD

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: RA

Lab Data:

Allergies: soy, adhesives

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

Symptoms: nausea, vomiting, vertigo, coughing, itchy throat about 10 minutes after vaccination

Other Meds: fluoxetine 40 mg

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am