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: 1688874
Sex: F
Age: 64
State: SC

Vax Date: 08/24/2021
Onset Date: 09/10/2021
Rec V Date: 09/10/2021
Hospital:

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

Lab Data: none

Allergies: none

Symptom List: Dysphagia, Epiglottitis

Symptoms: Ringing in ears, nasal pressure and congestion, pressure in ears

Other Meds: Vitamin C, Vitamin D, Zinc, Vitamin B complex

Current Illness: none

ID: 1688876
Sex: F
Age: 22
State: TX

Vax Date: 09/03/2021
Onset Date: 09/03/2021
Rec V Date: 09/10/2021
Hospital:

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

Lab Data: Steroid shot

Allergies: None

Symptom List: Anxiety, Dyspnoea

Symptoms: Rash.

Other Meds: Fluoxetine; birth control

Current Illness: None

ID: 1688877
Sex: F
Age: 27
State: IL

Vax Date: 09/09/2021
Onset Date: 09/09/2021
Rec V Date: 09/10/2021
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: Penicillin

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

Symptoms: Low grade fever, injection site pain and warmth, mild nausea, body aches, fatigue

Other Meds: Levothyroxine, paroxetine, pantoprazole, methylphenidate, vitamin D, fluticasone propionate, Advair Diskus

Current Illness:

ID: 1688878
Sex: F
Age: 44
State: PR

Vax Date: 08/28/2021
Onset Date: 08/28/2021
Rec V Date: 09/10/2021
Hospital:

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

Lab Data: CBC and liver panel done Sep-02-2021, CBC done Sep-08-2021

Allergies: No

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Saturday the same day of the first Pfizer shot: dizziness, 1st day after Pfizer shot: dizziness and weakness (all day in bed). 2nd day after the fist Pfizer shot: dizziness and weakness 2nd day after the first Pfizer shot: dizziness and weakness. 3rd day after the first Pfizer shot: severe headache, dizziness, weakness, nausea and vomiting. 4th day after the first Pfizer shot: acute headache, dizziness, weakness, nausea, vomiting, trembling in the body and extremities (arms, hands, and feet), strong palpitations, I felt cold and heat in my body, my menstruation came 14 days before, metallic taste in the mouth. I was treated in the clinic by a doctor. The doctor sent me to rest. 10 days after the first Pfizer the nausea and vomiting did not stop, I went to the clinic. I lost 4 pounds in 5 days. The doctor treated me for emergencies with intravenous treatment, to stop vomiting , dizziness and nausea and to hydrate me. He sent me to rest again for a few more days in recovery.

Other Meds: Vitamin D3 5000 IU monthly, CQ10 daily, Vitamin C 1000 mg daily, Folic acid 400 mg daily, Margesio 250 mg three times a week, Complex B daily

Current Illness: Spasm muscular neck and back and muscle strain left

ID: 1688879
Sex: M
Age: 15
State: PA

Vax Date: 07/29/2021
Onset Date: 07/29/2021
Rec V Date: 09/10/2021
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: Moderna given at age 15

Other Meds:

Current Illness:

ID: 1688880
Sex: F
Age: 53
State: MN

Vax Date: 01/22/2021
Onset Date: 09/09/2021
Rec V Date: 09/10/2021
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: Tested PCR positive for COVID 9/9/21 after being fully vaccinated.

Other Meds:

Current Illness:

ID: 1688881
Sex: M
Age: 64
State: TX

Vax Date: 08/04/2021
Onset Date: 08/06/2021
Rec V Date: 09/10/2021
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: Pyrexia, White blood cell count decreased

Symptoms: I broke out in psoriasis two days afterwards on the inside of my knees and elbows and later on my left shoulder and armpit. This cleared up after five weeks. I'd only had psoriasis once before about 12 years ago after a stressful night in which I'd ground my teeth after apparently having a nightmare that I couldn't recall.

Other Meds: none

Current Illness: none

ID: 1688882
Sex: F
Age: 17
State: MO

Vax Date: 09/09/2021
Onset Date: 09/09/2021
Rec V Date: 09/10/2021
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: Pharyngeal swelling

Symptoms: Discovered after the vaccine was given that the patient is 17 years of age and should not have received Moderna but rather should have received Pfizer.

Other Meds:

Current Illness:

ID: 1688883
Sex: M
Age: 17
State: WI

Vax Date: 08/25/2021
Onset Date: 09/07/2021
Rec V Date: 09/10/2021
Hospital: Y

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

Lab Data: Elevated ddimer CT chest with contrast showing bilateral subsegmental PE

Allergies: NKA

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Pulmonary Embolism

Other Meds: albuterol, aripiprazole, beclomethasone inhaler, bupropion, allegra-D 24, hydroxyzine, ibuprofen, zoloft, trazodone, prilosec

Current Illness:

ID: 1688885
Sex: F
Age: 64
State: OH

Vax Date: 03/01/2021
Onset Date: 06/10/2021
Rec V Date: 09/10/2021
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: Ct scan on e with contrast and one without. An mRI of brain, lots of blood work

Allergies: penicillin

Symptom List: Diarrhoea, Nasal congestion

Symptoms: All of a sudden I could not form words, or think straight. I could not articulate words, my voice was flat lined. Right before I had a real intense pain over my left eye. a TIA and I wore a heart monitor for a month

Other Meds: Citalopram 20 mg daily, allegra, one a day womens vitamin, Vit C, B12, twice a week Zicam, calcium, D3, zinc, vitamin K2

Current Illness:

ID: 1688886
Sex: M
Age: 62
State: TX

Vax Date: 07/23/2021
Onset Date: 07/23/2021
Rec V Date: 09/10/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: For three nights after the first vaccine shot I had flashes of lights in my right eye when I closed them. After three days my right eye became very dry. Since that time my right eye is blurry off and on. After the second vaccine shot both eyes Ache all the time and I se flashes of light off to the sides of my eyes when they are closed. I have waited to get them checked to see if they would recover. This has not happened.

Other Meds: None

Current Illness: None

ID: 1688887
Sex: F
Age: 43
State: MN

Vax Date: 01/11/2021
Onset Date: 09/09/2021
Rec V Date: 09/10/2021
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: Tested NAAT positive for COVID 9/9/21 after being fully vaccinated.

Other Meds:

Current Illness:

ID: 1688888
Sex: F
Age: 12
State: OH

Vax Date: 09/09/2021
Onset Date: 09/09/2021
Rec V Date: 09/10/2021
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: PATIENT RECEIVED SECOND DOSE OF PFIZER COVID-19 VACCINE AT APPROXIMATELY 5:00 PM . ABOUT 5 MINUTES LATER , WHILE SITTING ON THE BENCH IN FRONT OF THE PHARMACY , PATIENT EXPERIENCED A BLACKOUT FOR 5 TO 10 SECONDS . PARAMAEDICS WERE CALLED AND EVALUATED PATIENT , RELEASING HER TO FATHER'S CARE AT APPROXIMATELY 5:45 PM .

Other Meds:

Current Illness:

ID: 1688889
Sex: F
Age: 46
State: GA

Vax Date: 09/07/2021
Onset Date: 09/07/2021
Rec V Date: 09/10/2021
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: None known

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

Symptoms: Weakness, chills, headaches, arm numbness in arm of shot admin, malaise, sharp electric pain through the body, loss of appetite., muscle pain, muscle spasms in abdomen.

Other Meds: None

Current Illness: None

ID: 1688890
Sex: F
Age: 47
State: MO

Vax Date: 09/08/2021
Onset Date: 09/09/2021
Rec V Date: 09/10/2021
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: Sulfa

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

Symptoms: truncal rash with pruritis started within 24 hours of both doses. Treated with zyrtec and pepcid. Patient on prednisone at time of 2nd shot.

Other Meds: Fioricet prn, cyclobenzaprine prn, levothyroxine daily, naproxen prn, prednisone, Ubrelvy prn

Current Illness: none - was covid positive 7/13/21

ID: 1688891
Sex: M
Age: 13
State: PA

Vax Date: 07/29/2021
Onset Date: 07/29/2021
Rec V Date: 09/10/2021
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: Moderna given to 13 year old

Other Meds:

Current Illness:

ID: 1688892
Sex: F
Age: 49
State: VA

Vax Date: 08/29/2021
Onset Date: 09/07/2021
Rec V Date: 09/10/2021
Hospital:

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

Lab Data: None

Allergies: None

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

Symptoms: I have never had hives before in my life. On day #8 following the COVID-19 vaccine (Dose #1) I started to breakout with hives. The breakout is exceptionally bad starting around 5:30pm. I have now broken out in hives 3 days in a row. 9/9/2021 was day 3 of this side effect. The breakout occurs on my arms, hands, chest and neck. I have taken Benadryl to remedy this situation. Nothing else has changed in my life (i.e., no new perfumes, no change in detergent, no change in diet, etc.). The only explanation could be the COVID-19 vaccine.

Other Meds: multi-vitamin, trazadone (50mg), clonazepam (0.25mg)

Current Illness: None

ID: 1688893
Sex: F
Age: 46
State:

Vax Date: 05/21/2021
Onset Date: 05/21/2021
Rec V Date: 09/10/2021
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: 1688894
Sex: M
Age: 51
State:

Vax Date: 05/21/2021
Onset Date: 05/21/2021
Rec V Date: 09/10/2021
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: vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1688895
Sex: F
Age: 40
State: GA

Vax Date: 08/13/2021
Onset Date: 08/13/2021
Rec V Date: 09/10/2021
Hospital:

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

Lab Data: None yet

Allergies: Minocycline - caused a drug induced lupus

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

Symptoms: I experienced swelling and venous congestion after I received my 1st covid vaccine in the arm in which I received it. 28 days later and my arm is still swollen with venous congestion. Although it's not acutely painful, it does feel heavier with some aching that I'm not experiencing in the other arm. I have scheduled an appt with my PCP to have this evaluated but cannot be seen until 09/24/21

Other Meds: Citalopram, Propanolol, Meloxicam (PRN), singulair, Melatonin, Zyrtec, esomeprazole,

Current Illness: None

ID: 1688896
Sex: F
Age: 56
State: KY

Vax Date: 02/06/2021
Onset Date: 02/13/2021
Rec V Date: 09/10/2021
Hospital: Y

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: Blood work.

Allergies: None

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

Symptoms: Eight days later had a resting heart rate of 150. Went to my Primary Care Physician and he put me on Beta Blockers to lower the heart rate: Metorpolol.

Other Meds: None

Current Illness: None

ID: 1688897
Sex: F
Age: 44
State: TN

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 09/10/2021
Hospital:

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

Lab Data: Scheduled new allergy testing for 9/13/2021

Allergies: Augmentin, Azithromycin, Bactrim, Beef and Beef containing products, Chocolate, Clarithromycin, Demerol, Galactose-alpha 1, 3 Galactose Alpha gal, Dust, Medrol, Sulfa, Penicillin, Tree and shrub pollen, Cat dander

Symptom List: Unevaluable event

Symptoms: Within Minutes of the injection, my tongue went numb and swelled on the right side and I developed hives on my neck and chest. I was instructed to wait 45 minutes past the vaccination time while I was observed by the nurse on-site. I took half of Benadryl. After 40 minutes, the hives had mostly gone away. The tongue numbness and swelling took approx. 4 hours from the injection time to subside.

Other Meds: Wymzya Fe, Spironolactone, Hydrochlorothiazide

Current Illness: None

ID: 1688898
Sex: F
Age: 42
State: FL

Vax Date: 08/12/2021
Onset Date: 09/01/2021
Rec V Date: 09/10/2021
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: no known allergy

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

Symptoms: menstruation stops

Other Meds: none

Current Illness: none

ID: 1688899
Sex: M
Age: 69
State:

Vax Date: 05/21/2021
Onset Date: 05/21/2021
Rec V Date: 09/10/2021
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: vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1688900
Sex: F
Age: 16
State: NY

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

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

Lab Data:

Allergies: no known allergies

Symptom List: Injection site pain, Menorrhagia

Symptoms: Around 3:30pm on Sunday 9/5 patient fainted after receiving covid vaccine. According to the pharmacist on duty that day it took some time for the patient to wake up. 911 was called and paramedic checked on her. She eventually walked out on her on her own with her mom.

Other Meds: unknown

Current Illness: unknown

ID: 1688901
Sex: M
Age: 32
State:

Vax Date: 05/21/2021
Onset Date: 05/21/2021
Rec V Date: 09/10/2021
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: vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1688902
Sex: F
Age: 41
State: SC

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 09/10/2021
Hospital:

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

Lab Data: No tests or lab results. Saw physician on May 13 following 2nd dose of Moderna vaccine. Saw Dermatology on July 21, 2021.

Allergies: None.

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Hives flare up began once initial side effects faded (pains in back, throat, fatigue.) Hives lasted until next dose. CIU was well-controlled with a single allegra everyday for 12 years. No flare ups in 12 years until Covid vaccine. Upon receiving 2nd dose on May 13, 2021, hives flare up worsed greatly. Increased antihistamines but did not resolve. Went dermatologist on July 21, 2021. Began prednisone and received steroid cream which helped greatly. After prednisone wore off, hives are back daily. Flare up again on Sep. 5, 2021. On prednisone again, not as effective.

Other Meds: 1 Allegra tablet 180mg

Current Illness: None.

ID: 1688903
Sex: F
Age: 33
State:

Vax Date: 05/21/2021
Onset Date: 05/21/2021
Rec V Date: 09/10/2021
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: 1688904
Sex: F
Age: 34
State: TX

Vax Date: 09/09/2021
Onset Date: 09/10/2021
Rec V Date: 09/10/2021
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: Employee received the Pfizer vaccine dose #1 on 09/09 at the campus vaccine event. The injection was in the left upper arm in deltoid. Started have symptoms after vaccination (09/10): Sore and redness at injection site and warm to touch, half dollars size knot on arm on side of injection site. She is 6 weeks pregnant as of 09/10/2021. Advise to call back if symptoms worsen as follow up call, contact PCP/OBGYN follow up if needed. As well to put cold compress on site and take ibuprofen or Tylenol, which one she is comfortable with taking due to her pregnancy.

Other Meds: 6 weeks as of 9/10/2021

Current Illness:

ID: 1688905
Sex: M
Age: 20
State:

Vax Date: 05/21/2021
Onset Date: 05/21/2021
Rec V Date: 09/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1688906
Sex: M
Age: 47
State: IN

Vax Date: 09/10/2021
Onset Date: 09/10/2021
Rec V Date: 09/10/2021
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:

Symptom List: Injection site pain

Symptoms: Zoster diagnosed in office on 09/10/2021 treated with valaycyclovir

Other Meds:

Current Illness:

ID: 1688907
Sex: M
Age: 62
State: AL

Vax Date: 09/02/2021
Onset Date: 09/03/2021
Rec V Date: 09/10/2021
Hospital:

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

Lab Data:

Allergies: N/A

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

Symptoms: Recieved the shot on Thursday afternoon and woke up on Friday morning with Double-Vision. I mad an appointment with my eye doctor on Tuesday 09/07/2021 and was scheduled to see Dr on 09/09/2021. He told me I should report my side-effect.

Other Meds: Protonix

Current Illness: N/A

ID: 1688908
Sex: F
Age: 57
State: LA

Vax Date: 08/13/2021
Onset Date: 08/13/2021
Rec V Date: 09/10/2021
Hospital:

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

Lab Data: I did not go to doctor for the swelling although i should have. I am very disenchanted with going to the doctor.

Allergies: Latex, atavan, mobic, lidocaine, celebrex, bextra, butalbital, hibiscus, bee stings, wellbutrin, morphine, DTP shot as a child reaction, bee stings.

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

Symptoms: Both tops of feet swelled badly and remained swollen 4-5 days, then continued to swell daily to a worse degree on the left. This lasted about 14-17 days. Lots of anxiety also. Historically, I already experienced brief single partial days of swelling rarely. Years ago following PE in 2014 and DVT, i experienced swelling that was not so specific to the tops of feet.

Other Meds: Vitamins D, E, multi-vitamin. Iodine, Selenium, Milk Thistle, fish oil, garlic, had just stopped imiquimod, had just stopped rx cortizone, daily aspirin 2 x 80mg. I had had a Tetanus shot a few days prior - it did not include Pertussis

Current Illness: Nausea, squamous cell carcinoma i had forgotten to mention

ID: 1688909
Sex: F
Age: 43
State: SC

Vax Date: 09/01/2021
Onset Date: 09/09/2021
Rec V Date: 09/10/2021
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: Prednisone

Symptom List: Tremor

Symptoms: Painful, hard and swollen knot at injection site, very red and hot to the touch. Lymph nodes are also inflamed under arm on same arm as injection site.

Other Meds: vitamin C and D zinc

Current Illness:

ID: 1688910
Sex: M
Age: 52
State: TX

Vax Date: 04/01/2021
Onset Date: 05/01/2021
Rec V Date: 09/10/2021
Hospital:

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

Lab Data: 5-1-21 - CAT Scan of head - negative 5-1-21 - Xray of chest - Negative 5-1-21 Blood work - negative 5-15-21 CAT- scan of chest - negative 5-15-21 Xray of chest - negative 5-15-21 Blood work - negative 6-14-21 Xray of chest - negative 6-14-21 Blood work - negative

Allergies: no allergies

Symptom List: Erythema, Pruritus

Symptoms: I have developed tachycardia, palpitations, and anxiety. I am currently taking Alprazolam for the anxiety when needed and I am also taking Escitalopram daily to control panic/anxiety. My body is no longer able to deal with high levels of stress.

Other Meds: Atorvastatin, eszopiclone, multivitamin,

Current Illness: None

ID: 1688911
Sex: M
Age: 56
State: FL

Vax Date: 02/16/2021
Onset Date: 04/10/2021
Rec V Date: 09/10/2021
Hospital: Y

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: Covid test, cxr.

Allergies: NKA

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

Symptoms: 4/10/21: pt came to ER c/o progressively worsening pain with lower extremities. HX of MS.

Other Meds:

Current Illness:

ID: 1688912
Sex: M
Age:
State: TN

Vax Date: 09/07/2021
Onset Date: 09/08/2021
Rec V Date: 09/10/2021
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Redness, itching, big hard lump, pain when touched, warm to touched

Other Meds:

Current Illness:

ID: 1688913
Sex: F
Age: 29
State: WI

Vax Date: 09/08/2021
Onset Date: 09/08/2021
Rec V Date: 09/10/2021
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: Crab

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Developed itching, hives, dizziness, and flushing 30 minutes after receiving vaccine. Received Benadryl 25mg and solumedrol IM injection.

Other Meds: IUD

Current Illness: None

ID: 1688914
Sex: F
Age: 28
State:

Vax Date: 05/21/2021
Onset Date: 05/21/2021
Rec V Date: 09/10/2021
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: 1688915
Sex: M
Age: 49
State: NJ

Vax Date: 04/07/2021
Onset Date: 09/05/2021
Rec V Date: 09/10/2021
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: PCR + for Covid 9/8/2021

Allergies: none known

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

Symptoms: Client was vaccinated with Moderna vaccine for Covid on 4/7 and 5/7/2021. Covid symptoms started 9/5 (fever, nasal congestion, cough, headache). Tested + with PCR on 9/8 for Covid. Reported as a case of breakthrough Covid disease in fully vaccinated person.

Other Meds: none known

Current Illness: none known

ID: 1688916
Sex: F
Age: 38
State: NJ

Vax Date: 01/11/2021
Onset Date: 01/26/2021
Rec V Date: 09/10/2021
Hospital:

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

Lab Data: MRI: 3/3/2021

Allergies: Blueberries, SPF, Naproxen

Symptom List: Pain in extremity

Symptoms: Headaches. Have been treating with a neurologist and pain physicians since March with NO relief. Medications are not helping alleviate the pain.

Other Meds: Junel FE-24

Current Illness:

ID: 1688917
Sex: F
Age: 32
State:

Vax Date: 05/21/2021
Onset Date: 05/21/2021
Rec V Date: 09/10/2021
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: vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1688919
Sex: M
Age: 44
State: WI

Vax Date: 08/19/2021
Onset Date: 08/21/2021
Rec V Date: 09/10/2021
Hospital:

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

Lab Data: Urgent care visits

Allergies: Prednisone, Effexor

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

Symptoms: Nausea within 2 hours. By 8/21, major sinus congestion, leading to muscle aches, body fatigue, diarrhea, disorientation hog sweats etc.

Other Meds: Amolodipine, Synthroid, Sertraline, Oxycodone, Adderral

Current Illness:

ID: 1688920
Sex: F
Age: 75
State: MD

Vax Date: 03/30/2021
Onset Date: 06/15/2021
Rec V Date: 09/10/2021
Hospital:

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

Lab Data: Various Test Ran

Allergies: Shell fish

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

Symptoms: Pain in thumb and numbness and hands hurts all the time.

Other Meds: Januvia 100mg (once daily) Glimepiride 2mg (once daily) Metoprolol 25mg (once daily) Hydrochlorothiazide 25mg (once daily) Amlodipine 10mg (once daily)

Current Illness: Diabetes High Blood Pressure

ID: 1688921
Sex: F
Age: 35
State: MN

Vax Date: 01/26/2021
Onset Date: 09/02/2021
Rec V Date: 09/10/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data: COVID19 molecular NP swab collected on 9/7/21 Hospital

Allergies:

Symptom List: Vomiting

Symptoms: Pt. fully vaccinated with Pfizer dose 1 on 1/5/21 and dose 2 on 1/26/21. Pt. reports COVID symptoms of Cough, runny nose, loss of taste and smell, headache, fatigue, sore throat starting 9/2/21. Pt. worked 8/31/21, 9/1/21, 9/2/21, 9/3/21, 9/4/21, 9/5/21, 9/6/21, 9/7/21 at ER while symptomatic. Pt. then tested COVID positive on 9/7/21 at Hospital.

Other Meds:

Current Illness:

ID: 1688922
Sex: F
Age: 80
State:

Vax Date: 05/21/2021
Onset Date: 05/21/2021
Rec V Date: 09/10/2021
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: vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1688923
Sex: F
Age: 69
State: MI

Vax Date: 09/10/2021
Onset Date: 09/10/2021
Rec V Date: 09/10/2021
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: Client's initial 2 doses in series were Moderna. Pfizer administered in error. No history of anaphylactic type reactions in the past.

Other Meds:

Current Illness:

ID: 1688924
Sex: M
Age: 31
State:

Vax Date: 05/21/2021
Onset Date: 05/21/2021
Rec V Date: 09/10/2021
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: vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1688925
Sex: M
Age: 42
State: TN

Vax Date: 03/31/2021
Onset Date: 07/02/2021
Rec V Date: 09/10/2021
Hospital:

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

Lab Data: Chest x-ray July 2 2021 EKG

Allergies: None

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

Symptoms: On July 2 I was stung on the left shoulder by an unknown insect. Within 2-3 minutes I started having Anaphylaxis reaction. Swelling on lips, eyes, throat, fingers and feet. I had chest pains and hives broke out on my back. It should be noted that I have been stung many times throughout my life, by many different types of bees and insects and I have NEVER once had an Anaphylaxis reaction. I was stung in the leg in 2020, three times in the same incident by yellow jackets and I did not have a reaction. My sting on July 2 2021 resulted in being rushed to the Emergency room where I was treated with Antihistamine, steroid and Epinephrine. I was released after 2 hours.

Other Meds: None

Current Illness: None

ID: 1688926
Sex: M
Age: 39
State:

Vax Date: 05/21/2021
Onset Date: 05/21/2021
Rec V Date: 09/10/2021
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