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: 1693029
Sex: F
Age: 18
State: OK

Vax Date: 09/11/2021
Onset Date: 09/11/2021
Rec V Date: 09/11/2021
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:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Right after receiving the injection she passed out for 15 seconds.

Other Meds:

Current Illness:

ID: 1693030
Sex: F
Age: 42
State: CO

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

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

Lab Data: NA

Allergies: NKA

Symptom List: Anxiety, Dyspnoea

Symptoms: Swollen armpit lymph nodes, about 1.5 inches ht, 2 inches length. Quite painful, limited movement.

Other Meds: Hydoxyzine, vitamins

Current Illness: NA

ID: 1693031
Sex: M
Age: 61
State:

Vax Date: 08/19/2021
Onset Date: 08/21/2021
Rec V Date: 09/11/2021
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: Heparin. Sulfa.

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

Symptoms: DYSPNEA ON EXERTION

Other Meds:

Current Illness: Type II DM

ID: 1693032
Sex: M
Age: 56
State: GA

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

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

Lab Data: none

Allergies: Tomatoes

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: harsh pain in several joints, mostly in two knuckles on right hand and knuckle of my right foot. Other than those body aches.

Other Meds: Insulin Benazepril Farxiga glipizide Sertraline memantine

Current Illness:

ID: 1693033
Sex: F
Age: 54
State: IN

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

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

Lab Data:

Allergies: Penvk, sulfa

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

Symptoms: Started the next morning. A hey, very tired and fever 101.7

Other Meds: None

Current Illness: None

ID: 1693034
Sex: M
Age: 34
State: MD

Vax Date: 09/11/2021
Onset Date: 09/11/2021
Rec V Date: 09/11/2021
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: NONE

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

Symptoms: Syncope episode. Vitals were taken: Temp: 97.1 B/P: 100/75 Pulse: 79 Respiration: 18 SAO2:97 Ambulance called in precaution. Vitals were checked again and patient felt good/refused transport. When conscious, stated a similar episode happened 10 years ago.

Other Meds: NONE

Current Illness: NONE

ID: 1693035
Sex: F
Age: 31
State: KY

Vax Date: 04/02/2021
Onset Date: 09/04/2021
Rec V Date: 09/11/2021
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: positive test 09/2021

Other Meds:

Current Illness:

ID: 1693036
Sex: F
Age: 103
State: KY

Vax Date: 06/01/2021
Onset Date: 06/10/2021
Rec V Date: 09/11/2021
Hospital:

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

Lab Data: All sorts, cat scans MRI, xray blood tests

Allergies: None

Symptom List: Pharyngeal swelling

Symptoms: There was a similar reaction after both shots within a couple days, Fatigue, constant sleep, raised blood pressure, low oxygen, dehydration requiring hospitalization. The second hospitalization a week after the second shot treated her for enlarged heart never seen before, needed a blood transfusion, became disphashic thereafter. She never experienced these symptoms before getting these shots and despite my request of the ER doctors to report these reactions, twice, they dismissed my request without an answer. Patient was a Navy Nurse, a WW2 veteran.

Other Meds: Multiple vitamins, krill oil; Oxybutinin; Levothyroxin; Plavix

Current Illness: None

ID: 1693037
Sex: M
Age:
State: CA

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

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

Lab Data: N/A

Allergies: N/A

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: N/A

Other Meds: N/A

Current Illness: N/A

ID: 1693038
Sex: F
Age: 33
State: MS

Vax Date: 08/19/2021
Onset Date: 08/24/2021
Rec V Date: 09/11/2021
Hospital:

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

Lab Data: CVC, BNP, D Dimer, Lab work, Chest X-Ray and EKG. My PCP repeated those test as well. I am getting a CT Scan of my chest on 09/13/2021.

Allergies: Shrimp

Symptom List: Diarrhoea, Nasal congestion

Symptoms: I had to go to the ER on 8/24/2021 because I started having shortness breath, heart beating really fast and chest pain. Am then about a week after that I started having them again along with severe back pain. I am now seeing my PCP for all the complications. She also started me on 81 mg Aspirin and Albuterol.

Other Meds: I was taken Lexapro 20 mg.

Current Illness: No

ID: 1693039
Sex: M
Age: 57
State: AR

Vax Date: 08/26/2021
Onset Date: 08/26/2021
Rec V Date: 09/11/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: 8/26 within an hour: numbness covering left arm and hand. By 5PM, mild numbness left side of neck and left jaw. Night of 8/26 into 8/27 morning, insomnia and brain fog. 8/27 through 9/4; arm and hand numbness persist, but not severe enough to hamper motor skills. Facial numbness (all left side only) in jaw, left ear, back of tongue, and eyelid. Numbness felt like novocain injection at dentist office that had nearly worn off. 9/5 through 9/11: most numbness gone, only a little in left hand and left jaw

Other Meds: (OTC): multi-vitamin, D3, zinc

Current Illness:

ID: 1693040
Sex: F
Age: 52
State: TX

Vax Date: 03/01/2021
Onset Date: 08/23/2021
Rec V Date: 09/11/2021
Hospital:

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

Lab Data: Bmp, cbc

Allergies: None

Symptom List: Rash, Urticaria

Symptoms: I had gotten sick with covid and developed hyponatremia and hypokalemia and had to be hospitalized.

Other Meds: Atenolol, lisinopril -hctz, rosuvastatin, Phenergan, wellbutrin, zoloft

Current Illness: None

ID: 1693041
Sex: M
Age: 28
State: OH

Vax Date: 09/11/2021
Onset Date: 09/11/2021
Rec V Date: 09/11/2021
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: patient stated that he was feeling faint, I talked to him and then he became unresponsive to me. he was noticeably breathing and sweating. I had his wife come in to talk to him. It took about 20 minutes for him to completely respond to us. I called 911 for them to access his condition as well. he left feeling still a little "not quite right" and will get checked out more if he feels necessary. He did not want to go to er. It was very much like an extreme drop in sugar.

Other Meds: na

Current Illness: na

ID: 1693042
Sex: F
Age: 25
State: UT

Vax Date: 03/14/2021
Onset Date: 03/14/2021
Rec V Date: 09/11/2021
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: Blood work, CT

Allergies: N/A

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

Symptoms: High fever 104-105F X 10 days, night sweats, chills, shaking, muscle spasm, cold/hot, weakness, bowel control lost, syncope. Was discovered to have UTI during workup

Other Meds: Zoloft

Current Illness: None

ID: 1693043
Sex: M
Age: 76
State:

Vax Date: 08/31/2021
Onset Date: 09/03/2021
Rec V Date: 09/11/2021
Hospital: Y

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

Lab Data:

Allergies:

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

Symptoms: DVT

Other Meds:

Current Illness:

ID: 1693044
Sex: M
Age: 70
State: CA

Vax Date: 08/20/2021
Onset Date: 09/04/2021
Rec V Date: 09/11/2021
Hospital:

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

Lab Data: CBC

Allergies:

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

Symptoms: Vaccine induced thrombocytopenia Continuous drop in platelets from > 200 to 6 . Platelet nadir reached on 09/09/2021 Mild echymoses Received IVIG (1gm/kg x2 and and Dexamethasone (40 mg x4)

Other Meds:

Current Illness: CMV colitis

ID: 1693045
Sex: M
Age: 29
State:

Vax Date: 01/14/2021
Onset Date: 09/09/2021
Rec V Date: 09/11/2021
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: Individual's father tested covid positive on 9/8/21. Individual isolated away in a hotel and tested on 9/9/21 (positive result). He later returned home and continued to isolate. He's symptomatic with sore throat, pink eye, and HA. Advised individual to continue to isolate from family in separate rooms until 9/19/21 and to callback hotline for further instruction and also to callback when DOH contacts him.

Other Meds:

Current Illness:

ID: 1693046
Sex: F
Age: 14
State:

Vax Date: 09/11/2021
Onset Date: 09/11/2021
Rec V Date: 09/11/2021
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: syncope 10 minutes after pfizer vaccine. pt was fine after about 15 minutes. called a medic to come and evaluate patient. they determined she was fine and she went home with her parents

Other Meds:

Current Illness:

ID: 1693047
Sex: M
Age: 54
State: MA

Vax Date: 09/10/2021
Onset Date: 09/11/2021
Rec V Date: 09/11/2021
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: Muscle aches across body Headache Sore upper left arm

Other Meds:

Current Illness:

ID: 1693048
Sex: M
Age: 69
State: CA

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

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

Lab Data: None

Allergies: None

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

Symptoms: After second vaccination, I experienced severe body aches, including a debilitating headache; 101 temperature with resulting hallucinations; diarrhea and extreme shivers. In short, this was so bad, I think I would rather have the Covid instead.

Other Meds: None

Current Illness: None

ID: 1693049
Sex: F
Age: 50
State: WA

Vax Date: 09/07/2021
Onset Date: 09/07/2021
Rec V Date: 09/11/2021
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: Sulfa drugs, chlorhexadine

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

Symptoms: Starting with night of day 1 - fever, ache, pain, nausea, tiredness, headache, injection site painful Day 2 & 3, headache, nausea, tiredness, red welt on upper arm not at injection site (hot and tender) Day 4 - nausea and tiredness,red welt on upper arm not at injection site (hot and tender) Day 5 - nausea and tiredness, red welt on upper arm not at injection site (hot and tender)

Other Meds: Citalopram, daily vitamin

Current Illness: none

ID: 1693050
Sex: F
Age: 68
State: MA

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 09/11/2021
Hospital:

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

Lab Data: No medical tests...I sat and within a few minutes the episode would stop and then happen hours later. They always stopped but it was weird and now that a booster is being advised, I have reservations about taking one.

Allergies: Allergy to aspirin

Symptom List: Unevaluable event

Symptoms: I had random episodes of my heart racing beginning the evening of the second dose of the Pfizer Vaccine. It felt like my heart was taking off without me, something I've never had before. They occurred randomly throughout the week after the shot with the last couple happening on Friday, March 19. I did not go to the hospital as they would stop and not happen for another five or six hours. I am concerned about taking a booster dose and have advised my physician of my concerns.

Other Meds: 5mg Lisinopril ; Cosopt PF and Travatan Z

Current Illness: None

ID: 1693051
Sex: M
Age: 33
State: VA

Vax Date: 04/12/2021
Onset Date: 04/29/2021
Rec V Date: 09/11/2021
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: N/A. treatment is still ongoing and am taking the following medications: Timolol, Prednisolone, and Valtrex.

Allergies: N/A

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

Symptoms: adverse events: left eye became itchy, leading to skin around the under side of the to become slightly raw from rubbing. within 24 hrs. of the eye becoming itchy, my eye became more irritated and slowly became painful to blink. Within about 4 days, it was too painful to bare and ended up going to the ER, followed by seeing a cornea specialist. The cornea specialist noted several filaments skin from the eye) that were scattered around my, which she ended up removing (about 7 pieces i believe). She was not quite sure what it was and eventually went to go see a cornea specialist at Medical Hospital (near where i live/work). No specific diagnosis was given except possibly being herpetic, but even then the specialist didn't think that was the cause.

Other Meds: N/A

Current Illness: N/A

ID: 1693052
Sex: F
Age: 30
State: MD

Vax Date: 08/26/2021
Onset Date: 09/10/2021
Rec V Date: 09/11/2021
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: No

Symptom List: Injection site pain, Pain

Symptoms: Trembling for 5 hours, severe shaking, bask pain

Other Meds: No

Current Illness: No

ID: 1693053
Sex: M
Age: 43
State: VA

Vax Date: 09/07/2021
Onset Date: 09/08/2021
Rec V Date: 09/11/2021
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: Injection site pain, Menorrhagia

Symptoms: Within 10-12 hours of receiving 2nd dose began experience extreme fatigue, muscle weakness, chills, and significant headache up to the point of feeling like vomiting multiple times. Missed a day and a half of work due to the symptoms Feeling a bit better but still experiencing some fatigue, muscle weakness, worst symptom is head pain with accompanying dizziness.

Other Meds: Multi-vitamin; vitamin D

Current Illness: None

ID: 1693054
Sex: F
Age: 20
State: KY

Vax Date: 09/11/2021
Onset Date: 09/11/2021
Rec V Date: 09/11/2021
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: latex, chicken pox booster dose

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

Symptoms: Patient received vaccine at approximately 12:30pm on 9/11/2021. At approximately 12:45pm patient began having trouble breathing and experienced numbness in her lips, arms , and legs. Patient was helped to lay flat on the floor where she was administered 0.3mg epinephrine autoinjector in the right upper thigh at 12:47pm. At approximately 12:49pm police arrived and took over the scene. Patient had began to breath better but still experienced numbness in her lips, arms, and legs. Police communicated with EMS and were advised not to administer any further doses of epinephrine. EMS arrived on scene at approximately 12:55pm. They assisted patient to the cot where she was set to be taken to the local emergency room for further observation.

Other Meds:

Current Illness:

ID: 1693056
Sex: F
Age: 37
State: OR

Vax Date: 09/10/2021
Onset Date: 09/10/2021
Rec V Date: 09/11/2021
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: iodine

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Pt. experienced sensations of elevated temperature, "shaky vision", dizziness and "fullness" in her throat. Her pulse elevated moderately from 80 at resting to 100 during the event. She felt very anxious. She had no visible mouth or throat swelling and no difficulty breathing. All symptoms resolved except the throat "fullness" within 15-20 minutes. Continued to follow up with her intermittently for the next 6 hours and she reported all symptoms resolved except 10% of her throat sx remaining at 6 hours post vaccinations after 50mg diphenhydramine.

Other Meds:

Current Illness:

ID: 1693057
Sex: F
Age: 30
State: FL

Vax Date: 07/19/2021
Onset Date: 07/25/2021
Rec V Date: 09/11/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Heavier, longer periods with lower back pain

Other Meds: N/A

Current Illness: N/A

ID: 1693058
Sex: F
Age: 80
State: TX

Vax Date: 03/06/2021
Onset Date: 03/09/2021
Rec V Date: 09/11/2021
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: Aldosterone/renin ratio (4/20/21), Renin Direct (5/5/21,7/22/21 ), Comprehensive Metabolic Panel (7/8/21 )

Allergies: amlodipene, Metroprolol, Losartan,Lipitor, Zocor, Zetia, Penicillin & derivatives, Effexor, Erythromycin, Furadantin & Hydnatoids, Sulfas, Red Rice Yeast

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

Symptoms: Felt really badly days 3,4,5, post vaccination with extreme fatigue, headache and wild swings of BP uncontrolled, muscle pains in neck and shoulders. Followed by 2-3 days of extreme fatigue and feely badly every week for 3-5 weeks. Continue to have uncontrolled BP and fatigue.

Other Meds: Fexofenadine, Flonase, Losartan, carvedilol, Probiotic, Vitamin B complex, Magnesium, Glucosamine/Chondroitin, Cranberry Complex, AZO Bladder Control

Current Illness: none

ID: 1693059
Sex: F
Age: 47
State:

Vax Date: 08/16/2021
Onset Date: 08/01/2021
Rec V Date: 09/11/2021
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: The patient received her COVID vaccine and flu vaccine in the same arm, an inch apart from each other. The patient went to urgent care due to inflammation in her arm and received prescriptions for Norco and Ibuprofen. The redness and swelling did not resolve so she later went to another urgent care where she was given antibiotics and her symptoms resolved days later.

Other Meds:

Current Illness:

ID: 1693060
Sex: F
Age: 13
State: AZ

Vax Date: 09/05/2021
Onset Date: 09/05/2021
Rec V Date: 09/11/2021
Hospital:

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

Lab Data: patient has had no adverse event

Allergies: none

Symptom List: Injection site pain

Symptoms: moderna was given to patient under 18 years of age

Other Meds: none

Current Illness: none

ID: 1693061
Sex: M
Age: 50
State:

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

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

Lab Data:

Allergies: Penicillin

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

Symptoms: Extreme flu-like symptos: Chest pain/swelling, difficult breathing, face and eyes swelling, muscle pain, weakness, injection site swelling, feeling unwell. Was bed-ridden for over 24hrs. Currently monitoring at home.

Other Meds: None

Current Illness: None

ID: 1693062
Sex: F
Age: 57
State: WA

Vax Date: 09/08/2021
Onset Date: 09/10/2021
Rec V Date: 09/11/2021
Hospital:

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

Lab Data: MRI, CAT scan, blood work

Allergies: None

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

Symptoms: Tingling and numbness in my face and my left arm and shoulder. The doctor thought is was a stroke so I went to the hospital for a CAT scan and an MRI. I did not have a stroke. The tingling and numbness lasted for about 6 hours

Other Meds: Cortizone cream, vitamin C

Current Illness: None

ID: 1693063
Sex: F
Age: 41
State: CA

Vax Date: 09/11/2021
Onset Date: 09/11/2021
Rec V Date: 09/11/2021
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: the patient felt dizzy and rapid heart rate

Other Meds:

Current Illness:

ID: 1693064
Sex: F
Age: 31
State:

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

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

Lab Data: EKG

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: I got my first dose of the Pfizer shot around 4 pm and after midnight I felt a pinching in my chest which did not go away. Around 10 am I went to urgent care and was having trouble breathing (possibly a panic attack) and the chest pain is still there. They did an EKG which looked normal so I left there feeling better mentally but not feeling better from the chest pain.

Other Meds:

Current Illness:

ID: 1693065
Sex: F
Age: 31
State: MA

Vax Date: 09/11/2021
Onset Date: 09/11/2021
Rec V Date: 09/11/2021
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: Purple toenails and fingernails. Headache. Symptoms just started 45 minutes after 2nd vaccine.

Other Meds:

Current Illness:

ID: 1693066
Sex: F
Age: 40
State: TX

Vax Date: 09/11/2021
Onset Date: 09/11/2021
Rec V Date: 09/11/2021
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: N/A

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

Symptoms: DIZZINESS, NUMBNESS OF ARMS AND THROAT. GAVE PATIENT BENADRYL AND THEN EPIPEN ( ONCE THE PATIENT STARTED TO HAVE THROAT IRRITATION) THEN CALLED 911

Other Meds: N/A

Current Illness:

ID: 1693067
Sex: M
Age: 19
State: WA

Vax Date: 09/10/2021
Onset Date: 09/11/2021
Rec V Date: 09/11/2021
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: none

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: pt claims to have pain in upper arm area and decreased arm motion due to vaccine. says he did not feel any effects day of vaccine, but felt severe pain and loss of motion the day after

Other Meds: unknown

Current Illness: none

ID: 1693068
Sex: F
Age: 16
State:

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

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

Lab Data: BP 110/86 , RR 20

Allergies:

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

Symptoms: The patient has a history of anxiety attacks

Other Meds:

Current Illness:

ID: 1693069
Sex: F
Age: 52
State: NC

Vax Date: 09/10/2021
Onset Date: 09/11/2021
Rec V Date: 09/11/2021
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 100.1 Aches Fatigue Nausea

Other Meds: Centrum silver, vitamin D, estroven complete

Current Illness: None

ID: 1693070
Sex: M
Age: 14
State:

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

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

Lab Data: NA

Allergies:

Symptom List: Pain in extremity

Symptoms: Writer immunized patient with 8 vaccines. Upon exciting office patient appeared pale. Writer asked admin to translate in Spanish if he was dizzy, Patient replied :Yes. Writer escorted mother and patient back to office. Staff made aware , vital signs taken. PAtint observed for 20 minutes. 15:00 vital signs BP:102/57, HR 57, RR 16

Other Meds:

Current Illness:

ID: 1693071
Sex: M
Age: 17
State: TX

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

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

Lab Data:

Allergies: None known

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

Symptoms: Vomiting, 101.8 Fever, shortness of breath, neck pain, headache, sore bicep, sore forearm, chills, dizziness.

Other Meds: Vitamin D3/K2 4,000 Vitamin C400 mg Acidophilus Probiotic

Current Illness: GERD, Hiatal Hernia

ID: 1693072
Sex: F
Age: 68
State: WA

Vax Date: 02/26/2021
Onset Date: 09/04/2021
Rec V Date: 09/11/2021
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: Penicillin, Sulfa Drugs, Latex

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

Symptoms: It's been over 6 months since my 2nd Moderna shot, in my left arm. Because for a week now I have been experiencing pain in the same place as the vaccination, which has resulted in weird tingling down to my left and and up into my neck, I am filling out the VAERS form to report this. This first happened last Saturday for a short time. Since then it's happened overnight on Wednesday, as well as Thursday, and on Friday night the tingling went into my hand and was palpable enough that it kept me awake. Then last night it was both tingling and sore, into my neck. At this moment I can feel it in my upper arm radiating into my neck. I don't think it's such a big deal, but if it helps the regulatory authorities with determining effects of the vaccine, I'm going ahead and sharing my issue.

Other Meds: None

Current Illness: None

ID: 1693073
Sex: M
Age: 13
State: TN

Vax Date: 09/05/2021
Onset Date: 09/06/2021
Rec V Date: 09/11/2021
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: Troponin: Reported to be 0.84 on 9/6 0.710 on 9/6 0.301 on 9/7 TTE on 9/7: Normal bi-ventricular size and systolic function. The proximal coronary arteries are without ectasia, stenosis, and aneurysm in the areas imaged. Normal pericardium with no effusion. No cardiac disease identified. EKG 9/6: Sinus rhythm Non-specific T-wave changes No previous ECG available for comparison

Allergies: No Known Allergies

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

Symptoms: The day following the second COVID vaccine administration, patient reported chest pain. He went to his pediatrician, where troponin was noted to be elevated (reported to be 0.84 on 9/6) and was referred to ED. Troponin was confirmed to be elevated (0.710 on 9/6) and patient was admitted to pediatric cardiology service for suspected vaccine related myocarditis. Troponin on 9/7 was 0.301. Echocardiogram was normal. Was treated symptomatically with ibuprofen and tylenol, and discharged on 9/7. He will get cardiac MRI in the next few weeks.

Other Meds: None

Current Illness: None

ID: 1693074
Sex: M
Age: 37
State: TX

Vax Date: 08/25/2021
Onset Date: 09/03/2021
Rec V Date: 09/11/2021
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: Unknown

Symptom List: Vomiting

Symptoms: Hives and rash across body started 09/4. Swelling of hands, arms & lips; difficulty swallowing 9/6. Treatment and observation overnight at ER on 9/6-9/7. Home care with Rx steroid and antihistamines since 9/7. Swelling has subsided, rash persists but has improved slowly.

Other Meds: Sertraline, 100mg daily

Current Illness: None

ID: 1693075
Sex: F
Age: 57
State: OH

Vax Date: 08/07/2021
Onset Date: 08/21/2021
Rec V Date: 09/11/2021
Hospital:

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

Lab Data: Xray of cervical spine area on September 3, 2021 Showed arthritis and enlargement.

Allergies: Ampicillin

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: After first 7 days I developed a rash at site that was itchy and swollen. Couple days and that went away. Week 2 experienced pain from upper arm shoulder neck area. Lasted about 3 days and then I couldn't lift my arm on my own. No pain and it seems to be located just in the shoulder area that I can't extend it out but can move the rest of arm fine. Went to family doctor who ordered an cervical xray which showed arthritis and enlargement. They were to refer me to an orthopedic Dr but hasn't yet. Reading on my own I found PTS, and excess of motor cells in neck area as options. I'm just trying to figure out what to do. Do I get my second shot? Do I get it in the arm that's already affected? Or do I risk the other arm? It's been over a week now and movement has not improved.

Other Meds: Aspirin Zoloft Metoprolol Omeprazole Lipitor Womens daily vitamin

Current Illness: None

ID: 1693077
Sex: F
Age: 41
State: CA

Vax Date: 01/11/2021
Onset Date: 02/08/2021
Rec V Date: 09/11/2021
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: Rheumotology work up with testing in March 2021: neg RF, neg HLAB21, neg sjogrens ab, , neg sarcoid, +ANA 1:320 (neg fractionated tests), nl ESR/CRP, nl Cr

Allergies: none

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

Symptoms: I have previously reported severe lymphadenopathy and left hand neurapraxia starting 48hrs after 2nd dose. The neuropraxia evolved over about 4-5 weeks into aching pain in my left hand and swelling in my left ring finger. On examination by a rheumatologist, I had an inflammatory arthritis of small and medium joints in my upper extremities bilaterally. This eventually spread to include joints of my feet, and and enthesitis if my hips and knees. I am on prednisone and hydroxychloroquine, still having symptoms/disability though improved from the spring

Other Meds: None

Current Illness: none

ID: 1693078
Sex: F
Age: 53
State: CO

Vax Date: 08/20/2021
Onset Date: 09/03/2021
Rec V Date: 09/11/2021
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: Took magic mouthwash with lidocaine, steroid, antacid

Allergies: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Oral manifestations. Acute necrotizing gingivitis then cankers throughout mouth and on the lip. Fever on 3rd day

Other Meds: Omega 3 oil Vitamin c Iron Min Chex Zinc Stinging nettle root D3 Vitex Calcium Progesterone cream Zyrtec

Current Illness: None just seasonal allergies

ID: 1693079
Sex: F
Age: 44
State: NE

Vax Date: 08/01/2021
Onset Date: 08/19/2021
Rec V Date: 09/11/2021
Hospital:

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

Lab Data: None

Allergies: Nubian, oranges

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

Symptoms: Severe headache for 3 days. Cold and respiratory symptoms since.

Other Meds: Protonix

Current Illness: None

ID: 1693080
Sex: F
Age: 47
State: IL

Vax Date: 08/30/2021
Onset Date: 08/31/2021
Rec V Date: 09/11/2021
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: Received 1st shot 8/30/21. On 8/31/21 I had numbness, tingling all on my right side of the body. It started at my shoulder and went to my lower extremities. From there the right sole of foot was hot and then burning. While having those symptoms, my vision was affected by unable to see anything, it would be a bright light and then blurred vision. All symptoms would last 2 to 3 seconds. This happened 6 to 7 times thoughtout the day and last for 1 week (9/5/21). Also had rapid heart rate and elevated blood pressure. Current symptoms are ringing in my right ear, vertigo and swollen bilateral glands on neck.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am