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: 1693288
Sex: F
Age: 44
State: TN

Vax Date: 09/01/2021
Onset Date: 09/10/2021
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: Swelling of tongue, throat tightness, metal taste, arm pain, headache, fatigue, muscle weakness

Other Meds: Synthroid and bupropion

Current Illness:

ID: 1693289
Sex: F
Age: 29
State: WV

Vax Date: 04/22/2021
Onset Date: 06/03/2021
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:

Allergies: None

Symptom List: Anxiety, Dyspnoea

Symptoms: My first period, post covid vaccine wasn?t anything like my periods have been since I started my period when I was 16. My periods have stayed consistent every month for years. The first day was always fairly light, second day I would say medium heavy, I never wore anything large than a regular tampon. Then each day I would bleed less, and less. My period would last 5 days. My first period after the covid vaccine and every one since then has been completely different. The first day is fairly light, the second, third, and sometimes fourth day I use a super tampon and a thick pad. I have to change both at least every hour or I bleed through. When I say bleed through, I mean LOTS AND LOTS of blood, enough to saturate my pants. I have also noticed some decent size blood clots. I usually get kind of light headed and very drained.

Other Meds: Latuda 20mg

Current Illness: None

ID: 1693290
Sex: F
Age: 56
State: MN

Vax Date: 12/23/2020
Onset Date:
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:

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

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 1693291
Sex: F
Age: 37
State: MI

Vax Date: 02/19/2021
Onset Date: 02/19/2021
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: Seasonal allergies

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Arm pain and reduced range of motion, difficulty lifting even light items without pain, occasional shooting pains when using left arm. Discomfort was mentioned to primary care physician and chiropractor on several occasions. Has not subsided in past 7 months.

Other Meds: Zertec

Current Illness: None

ID: 1693292
Sex: M
Age: 28
State: MN

Vax Date: 12/29/2020
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: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Positive after vaccination

Other Meds:

Current Illness:

ID: 1693293
Sex: F
Age: 46
State: OR

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: Went to the er the doctor listened to my airway and had nurses administer steroids, benadryl, and pepcid, and I was monitored for some time until they deemed I was ok to go home and rest.

Allergies: Ceftin, shellfish, nsaids, Reglan, Coumadin, iv contrast , iodine, latex sensativoty

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

Symptoms: Anaphylaxis. Face started turning red and swelling up, throat swelled up and couldn't breath, hands were swollen and red too.

Other Meds: Morphine, wellbutrin, tompamax,ropinirole, zetia,, zyrtec, albuterol, advair, Singulair, atorvastatin,, trazadone, nurtec, equality, both every 3 months

Current Illness: No

ID: 1693294
Sex: F
Age: 37
State: ID

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: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: N/A

Allergies: Latex, diazepam, hydrocodone

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: About 30 minutes later my arm was itchy, then swollen and I felt slightly short of breath so I took 50mg of Benadryl and my symptoms went away. When I woke up today, they were back so I took another 50 mg of Benadryl. Now at 7:30 pm I am more short of breath and wheezing, and coughing so I am more concerned. I am a nurse, so I know when I would need to go to the hospital. I will take more Benadryl but I thought I should report this.

Other Meds: None

Current Illness: None

ID: 1693295
Sex: F
Age: 36
State: SC

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:
Dose Series: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Redness, sore, itching and knot formed where shot was given.

Other Meds: Also received Flu vaccination at time of second COVID shot.

Current Illness:

ID: 1693296
Sex: F
Age: 64
State: TX

Vax Date: 01/04/2021
Onset Date: 01/04/2021
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: demerol, metals

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: By 4:30 pm had 102.7 chills, body aches headache, uncontroable shakes. Im a nurse practitioner thought it was immune response to vaccine. It was better by morning. After that felt fatigue and weak. Planne for second vaccine on 2/10/21 had vaccine and had same repsonse but at 2:30 am and s/s were gone by morning but was off stayed home to rest. Had Covid disease in November 2019 sever Headache could not move eyeballs with increasing pain in head, body aches and chills nausea and stomach cramps. Had positive PCR antibody test for Covid. In this year of 2021 have increasing fatigue and brain fog, body aches unable to work had to take early semi retirement 07/21.

Other Meds: metformin 500 mg bid, ozempic 1mg weekly, valsartan 160 mg, vi

Current Illness: fibromyalgia, Cervical neck surgery Aug. 6th 2020

ID: 1693297
Sex: F
Age: 28
State:

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

Allergies: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Injection pain :sharp stabbing pain , throbbing in arm, Headache ,, increased in weird heart flutter

Other Meds: Lexapro

Current Illness:

ID: 1693298
Sex: F
Age: 43
State: MN

Vax Date: 01/14/2021
Onset Date:
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: None stated.

Other Meds:

Current Illness:

ID: 1693299
Sex: M
Age: 50
State: KY

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: SYR
Vax Site: RA

Lab Data:

Allergies: Tree nuts, cipro

Symptom List: Rash, Urticaria

Symptoms: Tinnitus

Other Meds: Augmenten, Buproprin, Klonipon, Dexilant, topomax, multi vitamin, vitamin d, B12, fish oil, baby aspirin, singular, Zyrtec

Current Illness: Sinus infection

ID: 1693300
Sex: F
Age: 39
State: NY

Vax Date: 03/12/2021
Onset Date: 03/12/2021
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 and anything in the Penicillin family

Symptom List: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Extreme pain in my arm where the vaccine was injected; heavy menstrual cycles

Other Meds: none

Current Illness: none

ID: 1693302
Sex: F
Age: 29
State: NJ

Vax Date: 09/03/2021
Onset Date: 09/07/2021
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:

Allergies: None

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

Symptoms: Swollen lymph node in left armpit, rash on arm increasing in size

Other Meds: Birth control

Current Illness: None

ID: 1693303
Sex: M
Age: 34
State: HI

Vax Date: 08/14/2021
Onset Date: 08/14/2021
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: Advil, aspirin, latex, MSG, capers PEG

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

Symptoms: Immediately after the shot -- Tingling & loss of feeling in my arms & legs, lightheaded Persistent leg pain, body/joint aches, fatigue, and headaches. Both arms are stiff & heavy 3 weeks afterwards, and sometimes click & pop when moving them around. Also developed red spots (hives?) throughout my body & legs up until my second shot. The rash seem to get worse after second shot

Other Meds: Synthroid

Current Illness:

ID: 1693304
Sex: F
Age: 30
State: IL

Vax Date: 09/09/2021
Onset Date: 09/09/2021
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: None- asked nurse and have been treating at home with cortisone cream, Benadryl, Tylenol and ibuprofen, ice

Allergies: Amoxicillin

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

Symptoms: Swelling to shoulder and down mid arm. Red in uneven circular area around vaccine site, hot to touch, itchy going on 52+ hours. migraine for 24 hours past.

Other Meds: Birth control Topamax Ecitalopram

Current Illness: None

ID: 1693305
Sex: F
Age: 38
State:

Vax Date: 09/10/2021
Onset Date: 09/11/2021
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: Fever, fatigue, muscle & body aches, chills, headache, nausea, tremors in both arms, sore throat.

Other Meds:

Current Illness:

ID: 1693306
Sex: F
Age: 32
State: NY

Vax Date: 08/06/2021
Onset Date: 08/06/2021
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: Received a pulmonary exam to compare tests from last year and results were slightly worse from previous testing.

Allergies: none that I know of

Symptom List: Ear pain, Hypoaesthesia

Symptoms: within five minutes of administration, my throat became itchy, then began to close immediately. My throat became really tight and I became to feel the same in my chest. I began feeling slightly faint. Breathing became more difficult and it felt like my lungs would not expand. By this point I felt extremely light headed and needed to sit down. Health seemed to return back to normal within 30 minutes.

Other Meds: none

Current Illness: none

ID: 1693308
Sex: F
Age: 55
State: IL

Vax Date: 08/06/2021
Onset Date: 08/08/2021
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: 8/26 x-ray

Allergies: Lyrica

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Pain in left arm and can?t move certain ways. I?m afraid to get the 2nd. Do you recommend?

Other Meds: Emgality

Current Illness:

ID: 1693309
Sex: M
Age: 39
State: MD

Vax Date: 05/05/2021
Onset Date: 07/15/2021
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: EKG, Chest x-ray 07/15/2021 CT Scan, EKG 07/26/2021

Allergies: Ceclor

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

Symptoms: Blood pressure on day of first vaccination was 135/80, consistent with previous two years of blood pressure readings. Next blood pressure reading was on 07/15/2021 at 160/185. After EKG, chest x-ray, and CT scan, an enlarged aorta was discovered. No other changes in health, diet, lifestyle, or activity during that period.

Other Meds:

Current Illness:

ID: 1693310
Sex: F
Age: 21
State: TX

Vax Date: 08/12/2021
Onset Date: 08/12/2021
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: Azythromycin

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

Symptoms: Respiratory distress, erythema over extremities, heart palpitations

Other Meds: Norethindrone Acetate & Ethinyl Estradiol tablet (generic Loestrin FE)

Current Illness: None

ID: 1693311
Sex: F
Age: 38
State: KY

Vax Date: 04/07/2021
Onset Date: 04/07/2021
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, Latex, Anesthesia

Symptom List: Unevaluable event

Symptoms: The first night, I had an extremely horrific headache, injection pain, severe neck pain, almost paralyzing full body pain, joint pain, cold sweats and hot flashes. Those symptoms have lasted for six months, but aren't as severe as they were the first two weeks. I experienced extremely severe brain fog at first. My job was the same thing every day and every day after the shot, I grew more and more forgetful. A normal person would have admitted themselves into the hospital.

Other Meds: Lamotrigine 100 mg, Folic Acid, 1 mg

Current Illness:

ID: 1693312
Sex: M
Age: 66
State: OR

Vax Date: 04/06/2021
Onset Date: 05/01/2021
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: None

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

Symptoms: Tinnitus. Started out being intermittent. For at least 2 months now it is constant, day and night. It sounds like Cicadas or crickets. It's a high-pitched continuous (non-rhythmic) hissing sound. It's not super loud, but I am constantly aware of it. I can still hear real sounds from outside, and the tinnitus doesn't interfere much with my normal hearing. But it is very tiresome and annoying.

Other Meds: Only vitamins

Current Illness: None

ID: 1693313
Sex: F
Age: 21
State: TX

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: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: None

Allergies: Azythromycin

Symptom List: Injection site pain, Pain

Symptoms: Chest pain, throat tightening, bilateral, sharp pain lungs with wheezing breath sounds, severe inflammation at injection site, GI pain and pattern alteration, cessation of menstruation during menses following administration of vaccine.

Other Meds: Norethindrone Acetate & Ethinyl Estradiol (generic Loestrin FE)

Current Illness: None

ID: 1693314
Sex: F
Age: 49
State: NY

Vax Date: 05/21/2021
Onset Date: 05/21/2021
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: Iodine

Symptom List: Injection site pain, Menorrhagia

Symptoms: Experienced numbness on the left side of the face and toes. Face swelled, redness and hives on the face. Tingling on the left side of face and wheezing. Swelling , numbness , tingling lasted for 3 1/2 weeks. I still have tingling on the left side of my face.

Other Meds: Atenolol Rosuvastatin

Current Illness:

ID: 1693315
Sex: F
Age: 19
State: NC

Vax Date: 09/01/2021
Onset Date: 09/05/2021
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: None

Allergies: None

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

Symptoms: Asthma flare began a couple of hours following the injection. Her Asthma is very mild and she has not experienced a flare in several years.

Other Meds: Multivitamin

Current Illness: None

ID: 1693316
Sex: F
Age: 84
State: CO

Vax Date: 07/01/2021
Onset Date: 07/01/2021
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: Substance: ACE Inhibitors. Status: Active. Substance: Penicillins. Status: Active. Substance: Clonidine ER. Reaction: headaches. Status: Active. Substance: Demerol HCl. Status: Active. Substance: Sulfonamides. Status: Active. Substance: Tramadol. Status: Active. Substance: Albuterol. Reaction: Atrial fibrillation. Status: Active. Substance: Axid. Status: Active. Substance: Captopril. Status: Active. Substance: Clindamycin HCl. Reaction: abdominal pain. Status: Active. Substance: Codeine Sulfate. Status: Active. Substance: Enbrel. Status: Active. Substance: Humira. Status: Active. Onset Date: 1/30/2019. Substance: iodine. Status: Active. Substance: Keflex. Status: Active. Substance: Leflunomide. Status: Active. Substance: Levaquin. Status: Active. Substance: Macrodantin. Status: Active. Substance: Meperidine HCl. Status: Active. Substance: Minoxidil. Status: Active. Substance: Morphine Sulfate. Status: Active. Substance: Norco. Status: Active. Substance: Ondansetron HCl. Status: Active. Substance: Oxycodone HCl. Reaction: itching. Status: Active. Substanc

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Patient had swollen eyes to the point where she could not see shortly after receiving the Pfizer vaccine.

Other Meds: Unknown Ketorolac Tromethamine 0.5 % Solution, Sig: 1 drop into affected eye as needed Ophthalmic Four times a day Unknown Iron (Ferrous Sulfate) 325 (65 Fe) MG Tablet, Sig: 1 tablet Orally Once a day Unknown Erythromycin ophthalmic ointm

Current Illness: 08/05/2015 M54.5 Low back pain 09/28/2017 Z86.73 Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits 10/02/2012 M06.9 Rheumatoid arthritis, unspecified 06/12/2017 D50.8 Other iron deficiency anemias 06/06/2018 I35.0 Nonrheumatic aortic (valve) stenosis G40.909 Seizure disorder N32.81 Overactive bladder K57.90 Diverticulosis F34.1 Dysthymia N18.3 Chronic kidney disease, stage III (moderate) J44.9 Chronic obstructive pulmonary disease, unspecified COPD type Z99.3 Wheelchair dependent E11.22 Type 2 diabetes mellitus with chronic kidney disease E03.9 Hypothyroidism, unspecified type K59.09 Chronic constipation Z96.652 History of left knee replacement I71.4 Abdominal aortic aneurysm (AAA) without rupture E11.42 Type 2 diabetes mellitus with diabetic polyneuropathy, without long-term current use of insulin E78.00 Hypercholesterolemia H35.3212 Exudative age-related macular degeneration, right eye, with inactive choroidal neovascularization I27.20 Pulmonary hypertension I13.0 Hypertensive heart and renal disease with renal failure, stage 1 through stage 4 or unspecified chronic kidney disease, with heart failure I50.30 (HFpEF) heart failure with preserved ejection fraction Z99.81 Dependence on continuous supplemental oxygen Z96.641 History of right hip replacement Z79.01 Current use of anticoagulant Z95.3 Status post transcatheter aortic valve replacement (TAVR) using bioprosthesis 12/19/2014 I48.11 Longstanding persistent atrial fibrillation Z9

ID: 1693317
Sex: F
Age: 65
State: TX

Vax Date: 02/19/2021
Onset Date: 02/21/2021
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: Visited my PCP April 22. He tested reflexes, thought I had inflammatory reaction to shot. He prescribed prednisone. Pain decreased while on the medication. Pain came back when prescription ran out. I saw PCP again May 20, and he ran blood tests for RA and inflammation. Negative results. Recommended me to neurologist. First visit June 11. He thought I had auto-immune response to shot. Ordered EMG to see if nerves or muscles damaged. EMG July 19, results showed no damage. Put me back on prednisone, 20 mg - 10mg -5 mg maintenance. Still on 5mg maintenance dose. Pain is manageable, but if I miss a day the pain is evident.

Allergies: none

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Total body pain, felt like my muscles were being stretched, very achy, could not get comfortable, could not sleep because pain would wake me up. My arms especially hurt. It was hard to reach for items on a shelf, hands felt weak because arms were in pain. Loss of energy because I hurt all the time.

Other Meds: Metformin for polysystic ovary syndrome, not diabetes; Atorvastatin; generic allergy pill; Trazodone for sleep; Tylenol PM; melatonin; zinc; vitamin C; quercetin; flaxseed oil; vitamin E; fish oil; PreserVision; iron; turmeric; vitamin D; f

Current Illness: none

ID: 1693318
Sex: F
Age: 29
State: TX

Vax Date: 07/28/2021
Onset Date: 07/28/2021
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: Ecg 8/10/21 D-dimer 8/26/21

Allergies: None

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

Symptoms: Palpitations , heart rate went up to 140 , strong chest pain specifically on the left side , pain when inhaling , and movement . Chest still currently hurts when power walking or running .

Other Meds: None

Current Illness: None

ID: 1693319
Sex: M
Age: 56
State: CA

Vax Date: 09/01/2021
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: RA

Lab Data: covid-19 test at the job 09.10.2021 Negative

Allergies: latex

Symptom List: Nausea

Symptoms: severe headache,muscle ache,fever,nausea,vomitting,local pain of injection,malaise

Other Meds: none

Current Illness:

ID: 1693320
Sex: F
Age: 35
State: WA

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

Allergies: No

Symptom List: Injection site pain

Symptoms: Headache; Dizziness

Other Meds: Diosmin and Hesperidin

Current Illness: No

ID: 1693321
Sex: F
Age: 52
State: IN

Vax Date: 09/09/2021
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: Flu vaccine

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

Symptoms: PVCs Saturday all day off and on . They are bad enough to cause it to catch my breath

Other Meds: B3 Claritin Zinc

Current Illness: None

ID: 1693322
Sex: F
Age: 53
State: WA

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: RA

Lab Data: N/A

Allergies: flu vaccine

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

Symptoms: PT. COMPLAINED OF TONGUE SWELLING AND DRY THROAT. THAT STARTED TO SUBSIDE IN 5 MINUTES. PT. WAS NOT HAVING ANY BREATHING DIFFCULTIES PT WAS FLUSHED. I TOOK PT. BLOOD PRESSURE AND CHECKED OXYGEN LEVELS. SWELLING STARTED IN PT. LIPS AT THIS TIME AND I ADMINISTERED EPINEPHRINE AT THIS TIME. PT STARTED TO GET COLOR BACK IN HER FACE AND SWELLING OF THE LIPS SUBSIDED. I HAD PT. TO CALL HER SISTER TO DRIVE HER HOME

Other Meds: n/a

Current Illness: n//a

ID: 1693323
Sex: M
Age: 30
State: FL

Vax Date: 09/07/2021
Onset Date: 09/07/2021
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: Augmentin

Symptom List: Tremor

Symptoms: Tingling hands and feet, chest pain, light headedness, headache, light sensitivity.

Other Meds: N/A

Current Illness:

ID: 1693324
Sex: F
Age: 69
State: MD

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

Lab Data: Not needed

Allergies: Sulfas, penicillin and derivs, lactose intolerance, skin allergies to fragrance mix, lanolin, gold.

Symptom List: Erythema, Pruritus

Symptoms: Initially just pain at injection site. (+ 7h post injection). By morning (+16h) generalized body ache and stiffness, shiveriness, felt cold, nauseous, no wish to eat or drink. Was incapacitated +16h-31h - unable to do anything but lie down, eyes shut. One Tylenol did nothing for me. Symptoms except for pain at injection site then all receded +31 h. I have not previously had any similarly unpleasant reaction to a vaccination. Usually I only have some pain at the injection site.

Other Meds: Losartan, atorvastatin, Flonase, cetirizine, multivitamin

Current Illness: seasonal allergies

ID: 1693325
Sex: F
Age: 29
State: WA

Vax Date: 09/07/2021
Onset Date: 09/08/2021
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: No

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

Symptoms: Sever headache and nausea. Bruising around lower stomach. Trouble keeping food down.

Other Meds: No

Current Illness: No

ID: 1693326
Sex: F
Age: 65
State: WA

Vax Date: 08/11/2021
Onset Date: 08/16/2021
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: None so far. In fact, haven't yet reported the problem to my provider. Doubt there's anything they can do about it but will report it on Monday and make an appointment.

Allergies: penicillin

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

Symptoms: A few days after I got the shot, maybe a week, I noticed I wasn't seeing out of my left eye, it was blurred and felt like and still feels like it has a film over it. I do wear corrective lenses and I had my annual eye exam and ordered some new glasses shortly before vaccination. At first I thought it was the glasses, but problem persisted even with glasses off.

Other Meds: None

Current Illness: None

ID: 1693327
Sex: F
Age: 51
State: NV

Vax Date: 07/30/2021
Onset Date: 08/02/2021
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: None

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Daily asthma flair ups multiple times a day.

Other Meds: None

Current Illness: None

ID: 1693328
Sex: F
Age: 43
State: MO

Vax Date: 08/27/2021
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: SYR
Vax Site: LA

Lab Data: Current episodes of dizziness for the past week, but I have not had any tests at this time.

Allergies: Eggs, Milk, Mustard, Steroids, Ibuprofen, Penicillin, many preservatives in some foods and medicines. I have had a reaction to the flu shot when accidentally given the flu vaccination with egg in it. Result - 24 hours of tightness in chest when breathing.

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

Symptoms: On the 8th day after the 1st dose of the vaccine, I became dizzy when laying down on my back and upon sitting up. This has continued for a week whether laying on my back with a spinning fewling in my head with or without my eyes closed as well as when going to pick something up on the ground whether in a standing or sitting position. This has occurred approximately 2 to 3 times daily that I have noticed.

Other Meds: Allegra 180 MG; 2 allergy shots per week

Current Illness: Nothing noted including any significant allergies within month prior or at time of vaccination. My allergy shots I had not received for 7 days prior to the COVID vaccination and waited to take next allergy shots until 8 days after.

ID: 1693329
Sex: F
Age: 40
State: CO

Vax Date: 09/05/2021
Onset Date: 09/06/2021
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:

Allergies: None

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

Symptoms: Immediate, severe hair loss

Other Meds: None

Current Illness: None

ID: 1693330
Sex: F
Age: 64
State: PA

Vax Date: 09/02/2021
Onset Date: 09/02/2021
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: None

Allergies: Sulfa

Symptom List: Pain in extremity

Symptoms: Wednesday and Thursday I only got 2 hours sleep which occurred Thursday early afternoon. I got the shot on Thursday morning 9/2/2021. My arm was very sore, swollen and red for 7 days all the way up to my shoulder and I had swelling in my right collarbone area which was the side I got the shot. It's still sore around the vaccination site. On Friday, 9/3/2021 I laid down to sleep at 11:00 a.m. and slept 33 hours. Every time I either had to get up to go to the bathroom or throw some food out for my cat I could barely stand up or walk. I felt queasy and had no appetite. My vision was blurry. I had COVID the end of March/beginning of April and the symptoms of the shot were the same as when I had COVID, except when I had it I slept non-stop for a longer period of time. A week after being diagnosed with COVID I had a monoclonal antibody infusion. That's why I had to wait three months before I could get the vaccine. The reason I didn't get the vaccine when the three months was up, was because I was in the process of moving and developed four infections at once and my doctor recommended waiting until I felt better before having the shot.

Other Meds: Omeprazole, Famotidine, Pravastatin Sodium, Prolia, Amitriptyline HCL, Vitamin D3, Probiotic Formula (Garden of Life - Primal Defense Ultra), Sodium Sulfacetamide Lotion, Aller-Tec (Generic Zyrtec).

Current Illness: 4 infections at once around July 29, 2021 - a sinus infection, cellulitis, cat scratch fever and a vaginal yeast infection

ID: 1693331
Sex: F
Age: 39
State: NC

Vax Date: 05/19/2021
Onset Date: 06/01/2021
Rec V Date: 09/12/2021
Hospital: Y

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

Lab Data: Complete stroke assessment at the hospital 6/2021. Have seen neurologist, hematologist, sleep doctor, been referred to cardiologist.

Allergies: None

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

Symptoms: I had a stroke 21 days after taking my first moderna vaccine. I soent 2 days in the hospital and have seen many doctors. I am only 39 and had a stroke.

Other Meds: Zoloft

Current Illness: None

ID: 1693332
Sex: M
Age: 42
State: CA

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

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

Lab Data: troponin, labs, ekg,

Allergies: morphine - difficulty breathing

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

Symptoms: chest pain, hypersensitivity to touch of skin.

Other Meds: no medications

Current Illness: none

ID: 1693333
Sex: F
Age: 58
State: OK

Vax Date: 07/08/2021
Onset Date: 08/20/2021
Rec V Date: 09/12/2021
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: NKDA

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

Symptoms: R Deltoid with skin atrophy/depigmentation at site of injection. Some itching. Onset 7 weeks after injection. Pt denied any excessive erythema or swelling at time of injection.

Other Meds: Flonase Hydroxyzine Chlorthalidone Lisinopril Breo Ventolin Duloxetine Celebrex Cyclobenzaprine

Current Illness:

ID: 1693334
Sex: F
Age: 67
State: CA

Vax Date: 08/02/2021
Onset Date: 08/13/2021
Rec V Date: 09/12/2021
Hospital:

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

Lab Data: 8-13-2021 Hospital

Allergies: Plums

Symptom List: Vomiting

Symptoms: Vertigo 5 days

Other Meds: Protonix, Simvastatin, 81 mg aspirin

Current Illness: None

ID: 1693335
Sex: F
Age: 50
State: NV

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 09/12/2021
Hospital:

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

Lab Data: None

Allergies: Demerall

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: With the first shat, a week after my arm started to swell and looked like I was hit in the arm by a baseball. School nurse told me to take benadryl to finally get the swelling down 3 days later, but the red mark stayed there tell shot #2. Shot 2 my arm swelled the same day of the shot, and 1030 pm my joints all started to hurt severely and I ran a fever. I finally went to the dr on Monday and reported it to him. Motrin and benadryl did not take the swelling down. Still have random swelling in my hands. And last Friday my arm hurt in the injection area for 2 hours, then went away. No reason for it to hurt this far after the shot.

Other Meds: Lyrica,

Current Illness: Fibromyalgia

ID: 1693336
Sex: M
Age: 32
State: CA

Vax Date: 08/21/2021
Onset Date: 08/25/2021
Rec V Date: 09/12/2021
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: No

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

Symptoms: I have an emptiness inside of my body. It could be an infection

Other Meds: No

Current Illness: No

ID: 1693337
Sex: M
Age: 71
State: CA

Vax Date: 02/01/2021
Onset Date: 02/06/2021
Rec V Date: 09/12/2021
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: EKG Feb9 2021. Subsequent Stress treadmill with CT Scan with contrast

Allergies: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Cardiac arrhythmia associated with swallowing

Other Meds: Vitamin C /D Zinc Fish oil

Current Illness: None

ID: 1693338
Sex: M
Age: 46
State: WA

Vax Date: 07/05/2021
Onset Date: 07/05/2021
Rec V Date: 09/12/2021
Hospital:

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

Lab Data: None at this time. My doctor is leaving the business. I am in the process of finding another doctor, preferably remaining in the Franciscan system. I do maintain a 4-days weekend from my job. I planned these shots for the morning of day 1 of my weekend and left my schedule clear to allow all 4 days for recovery.

Allergies: none

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

Symptoms: Right shoulder and bicep area is very painful as if punched really hard. The pain started within a half hour of receiving the 2nd shot and has remained since.

Other Meds: Amlodipine Besylate 10mg 1x daily, Chlorthalidone 25mg 1x daily, Januvia 100mg 1x daily, Atorvastatin 40mg 1x daily, Clonidine Hcl 0.1mg 2x daily, Lisinopril 20mg 2x daily, MetforminHcl 500mg 2x daily

Current Illness: none

ID: 1693339
Sex: F
Age: 35
State: WA

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 09/12/2021
Hospital:

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

Lab Data: N/a

Allergies: Sulfar drugs, pepper: spice and vegetable, cashew sensitivity, dairy intolerance and sensitivity, red #40 sensitivity, MSG, peanut sensitivity

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

Symptoms: Headache, alternating feeling of hot and chills, insomnia, dehydration, and body aches--these symptoms lasted one and half days. Also, arm pain that started at time of injection and lasted for one and half weeks, despite moving arm about and rubbing area.

Other Meds: Vitamin C

Current Illness: Bronchitus one month prior

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am