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**
PLEASE CHECK BACK SOON
Download the files above while you wait.







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: 1713669
Sex: F
Age: 36
State: MN

Vax Date: 09/15/2021
Onset Date: 09/16/2021
Rec V Date: 09/18/2021
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: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: Fatigue, increasing redness and inflammation at the injection site, itchiness (rash) at injection site, soreness around left clavicle

Other Meds: Phentermine 37.5 mg

Current Illness: None

ID: 1713670
Sex: F
Age: 52
State: VA

Vax Date: 09/09/2021
Onset Date: 09/18/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data: plan to contact doctor's office tomorrow and schedule appontment

Allergies: none

Symptom List: Anxiety, Dyspnoea

Symptoms: Heart racing a few times that afternoon (approx 2-6 hours post injection), 9 days later hard painful lump at site of injection approx 3 inches diameter. Appeared very quickly, hot to touch, burning pain, movement uncomfortable

Other Meds: Vitamin C

Current Illness: none

ID: 1713671
Sex: F
Age: 28
State: TX

Vax Date: 08/05/2021
Onset Date: 08/07/2021
Rec V Date: 09/18/2021
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: Hydrocodone

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

Symptoms: Weakness, fatigue, fever and chills, headache and body ache, loss of taste and smell, labored breathing

Other Meds: Birth control

Current Illness:

ID: 1713672
Sex: F
Age: 44
State: CA

Vax Date: 09/09/2021
Onset Date: 09/14/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data: none

Allergies: none

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Chest pain post 5th day of second shot - pain worse with deep breaths - started late afternoon, went on until I went to bed and resolved next day- Pain level of 4/10 - I did not seek medical attention

Other Meds: quercertin

Current Illness: none

ID: 1713673
Sex: M
Age: 37
State:

Vax Date: 09/05/2021
Onset Date: 09/06/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data: Going to emergency tonight

Allergies:

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

Symptoms: Immediately after shot the first effect I felt was extremely dehydrated. I drank a bottle provided immediately and got a second and drank right away also. The next morning my left chest swelled up huge and my heart was in pain. My chest had sharp pains and felt horrible like I was poisoned. My heart has been in pain ever since, mainly on the left side. The swelling went down after 5 days and my arm also was so sore I couldn?t lift it or sleep on it for a week. Today is almost 2 weeks later and typing this right now I have mild sharp pains that come and go on what feels like the outer left side of my heart. Before this, my whole life I?ve been extremely active and in great shape.

Other Meds:

Current Illness:

ID: 1713674
Sex: F
Age: 28
State:

Vax Date: 08/21/2021
Onset Date: 09/08/2021
Rec V Date: 09/18/2021
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: After over 5 years without periods (nexplanon user), I had a heavy period with cramping 2 weeks after the injection. My nexplanon is fresh (April 2021) so based on my personal history with the nexplanon it should be completely suppressing my periods at this time.

Other Meds:

Current Illness:

ID: 1713675
Sex: M
Age: 14
State: GA

Vax Date: 08/17/2021
Onset Date: 08/17/2021
Rec V Date: 09/18/2021
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: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1713676
Sex: M
Age: 33
State: GA

Vax Date: 08/17/2021
Onset Date: 08/17/2021
Rec V Date: 09/18/2021
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: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1713677
Sex: M
Age: 26
State: GA

Vax Date: 08/17/2021
Onset Date: 08/17/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Error: Improper storage/temperature.

Other Meds:

Current Illness:

ID: 1713678
Sex: M
Age: 12
State: GA

Vax Date: 08/19/2021
Onset Date: 08/19/2021
Rec V Date: 09/18/2021
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:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1713679
Sex: M
Age: 32
State: GA

Vax Date: 08/05/2021
Onset Date: 08/05/2021
Rec V Date: 09/18/2021
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: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1713680
Sex: F
Age: 32
State: GA

Vax Date: 02/01/2021
Onset Date: 03/01/2021
Rec V Date: 09/18/2021
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: None

Symptom List: Rash, Urticaria

Symptoms: 6weeks after 2nd shot miscarriage

Other Meds: None

Current Illness: No e

ID: 1713681
Sex: F
Age: 27
State: NY

Vax Date: 05/19/2021
Onset Date: 06/02/2021
Rec V Date: 09/18/2021
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: Penicillin

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

Symptoms: Body Rash and continues to have it since vaccine. Covers trunk, legs, and every body part intermittently. Only goes away with treatment and then comes back.

Other Meds: None

Current Illness: None

ID: 1713682
Sex: M
Age: 14
State: GA

Vax Date: 08/13/2021
Onset Date: 08/13/2021
Rec V Date: 09/18/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1713683
Sex: M
Age: 61
State: GA

Vax Date: 08/17/2021
Onset Date: 08/17/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1713684
Sex: M
Age: 8
State: WA

Vax Date: 09/18/2021
Onset Date: 09/18/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data: oxygen sat, BP, HR all normal

Allergies: environmental allergies only

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

Symptoms: After giving vaccine, patient went to sit in his mothers lap complaining of having trouble breathing. Mom took his mask off to see if that helped. Seemed to relieve some issues. I gave vaccines to patients sister, mother and father. I walked back into the pharmacy when complete. Mother knocked on the pharmacy door about 1 minute later holding the patient saying he had trouble breathing. Patient had very labored breathing, sweating, very pale, and very lethargic. Mom had patient lay down, I retrieved the e-kit. Got epipen ready, patient said he was getting better. Mom and I decided on IM benadryl because pt was still having some trouble breathing and very lethargic. I gave patient 25 mg IM bendadryl while my tech called 911. EMT's arrived within 5-10 minutes. Took all vitals, patient was stable. He was transported via ambulace to ER for further evaluation. Pt was very stable upon leaving, His father carried him to the ambulance.

Other Meds: hydrocortisone topical cream 2.5%, unknown if pt taking other meds

Current Illness: none

ID: 1713685
Sex: F
Age: 13
State: GA

Vax Date: 08/19/2021
Onset Date: 08/19/2021
Rec V Date: 09/18/2021
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: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1713686
Sex: F
Age: 12
State: GA

Vax Date: 08/20/2021
Onset Date: 08/20/2021
Rec V Date: 09/18/2021
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: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1713687
Sex: F
Age: 68
State: CA

Vax Date: 04/06/2021
Onset Date: 08/11/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data: blood test taken 8/11/2021

Allergies: 26 "allergies" on y list - see it if it will upload

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: I had rabies post exposure series - 2 gammaglobulin and 1st rabies 2/17/21; 2nd rabies 2/20/21; 3rd rabies 2/23/21; 4th rabies 3/3/21 - all given by Hospital ER (1st 3) and (last 3). On 8/11/21 I had a "full medical blood test" at which I requested to knowwhat my raboes titer was post injections. I was horrified to see when the results came back (analysed by Clinic) as 0.5 is required for immunity). Why? The immunity shoud have been for 2y. WORSE, IF the Covid vaccination negated the immunity, MANY Vets and rehabbers nationally and internationally who potentially have no immunity without knowing. CDC, CMC Covid R&D, my GP and vet; waiting call back from Health. No one knows

Other Meds: E, D, B12 shots every 2 weeks, cod liver oil, niacin non-flush

Current Illness:

ID: 1713688
Sex: F
Age: 23
State: GA

Vax Date: 08/15/2021
Onset Date: 08/15/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1713689
Sex: F
Age: 37
State: IA

Vax Date: 08/25/2021
Onset Date: 09/09/2021
Rec V Date: 09/18/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

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

Symptoms: Menstrual cycle came 4 days early and much, much heavier than normal. It lasted 2 extra days. I have never taken birth control and have had regular periods since age 14. Even after having my children, my period came back the month after birth and was regular. I have date on my phone of the last 6 years of cycles showing they come every 28 days and last 4-5 days. This was definitely not a normal cycle for me. I just received my 2nd vaccine this week. I will send another report after my next period if it is abnormal again. I just wanted to add this to your records. Thank you.

Other Meds: none

Current Illness: none

ID: 1713690
Sex: M
Age: 12
State: GA

Vax Date: 08/21/2021
Onset Date: 08/21/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1713691
Sex: F
Age: 13
State: GA

Vax Date: 08/04/2021
Onset Date: 08/04/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1713692
Sex: F
Age: 64
State: MN

Vax Date: 01/07/2021
Onset Date:
Rec V Date: 09/18/2021
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: tested positive for Covid-19

Other Meds:

Current Illness:

ID: 1713693
Sex: F
Age: 24
State: AR

Vax Date: 08/13/2021
Onset Date: 08/13/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1713694
Sex: F
Age: 34
State: GA

Vax Date: 08/15/2021
Onset Date: 08/15/2021
Rec V Date: 09/18/2021
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: Error: Improper storage/temperature.

Other Meds:

Current Illness:

ID: 1713695
Sex: M
Age: 74
State: GA

Vax Date: 08/19/2021
Onset Date: 08/19/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1713696
Sex: M
Age: 17
State: TX

Vax Date: 09/18/2021
Onset Date: 09/18/2021
Rec V Date: 09/18/2021
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: Error: Wrong Vaccine Formulation (ex. different manufact. initial and booster)

Other Meds:

Current Illness:

ID: 1713697
Sex: F
Age: 73
State: NY

Vax Date: 09/18/2021
Onset Date: 09/18/2021
Rec V Date: 09/18/2021
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: Error: Wrong Vaccine Formulation (ex. different manufact. initial and booster)-

Other Meds:

Current Illness:

ID: 1713698
Sex: F
Age: 73
State: NY

Vax Date: 09/18/2021
Onset Date: 09/18/2021
Rec V Date: 09/18/2021
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: Error: Wrong Vaccine Formulation (ex. different manufact. initial and booster)-

Other Meds:

Current Illness:

ID: 1713699
Sex: F
Age: 44
State: FL

Vax Date: 09/18/2021
Onset Date: 09/18/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: Systemic: Nausea-Mild, Additional Details: Patient claim she felt nauseous after the vaccine. She and her husband believe that it may have been attributed to anxiety of the vaccine instead of the vaccine itself. We gave her a water and she went to the bathroom. She and her family had to go. She said she felt a little better and I told her to call us later and see how she is doing. .

Other Meds:

Current Illness:

ID: 1713700
Sex: F
Age: 35
State: AL

Vax Date: 09/16/2021
Onset Date: 09/17/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-

Other Meds:

Current Illness:

ID: 1713701
Sex: F
Age: 65
State: CA

Vax Date: 09/17/2021
Onset Date: 09/17/2021
Rec V Date: 09/18/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Site: Pain at Injection Site-Severe, Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-

Other Meds:

Current Illness:

ID: 1713702
Sex: M
Age: 38
State: NJ

Vax Date: 04/16/2021
Onset Date: 04/18/2021
Rec V Date: 09/18/2021
Hospital: Y

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

Lab Data: 04/08-COVID PCR test; 04/18- EKG; 04/19-COVID test, X-ray, ECG; 05/09-COVID PCR test, blood test, CT Scan; 06/16-Hematology blood advance test; 06/19- VQ Scan

Allergies:

Symptom List: Tremor

Symptoms: 04/16-Received Vaccination; 04/18-went urgent care for breathing difficulties; 04/19-admitted ER for Off balance, Dizzy & Breathing difficulty- prescribed Ibuprofin, Meclazine & rest for 8 days; 05/07-Lower right back pain started; 05/08-Pain increased to right chest; 05/09-Went urgent care, took CT & identified PE and sent to ER for admission through ambulance; 05/11-Discharged; Under blood thinner medication for next 6 months & follow up with PCP, Pulmonary, Cardiologist & Hematologist; 06/16- Hematologist evaluated blood with advanced test & resulted that possible Blood Clots could be through vaccine as nothing found in blood

Other Meds:

Current Illness:

ID: 1713703
Sex: F
Age: 42
State:

Vax Date: 08/29/2021
Onset Date: 09/01/2021
Rec V Date: 09/18/2021
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: None

Symptom List: Erythema, Pruritus

Symptoms: Shortness of breath ness; need deep breath; squeezing chest pain almost every hour, waking up in the middle of the night every hour with pain.

Other Meds: None

Current Illness: None

ID: 1713704
Sex: F
Age: 16
State: GA

Vax Date: 08/07/2021
Onset Date: 08/07/2021
Rec V Date: 09/18/2021
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: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1713705
Sex: F
Age: 66
State: MN

Vax Date: 02/03/2021
Onset Date:
Rec V Date: 09/18/2021
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: tested positive for Covid 19

Other Meds:

Current Illness:

ID: 1713706
Sex: F
Age: 12
State: GA

Vax Date: 08/23/2021
Onset Date: 08/23/2021
Rec V Date: 09/19/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1713707
Sex: F
Age: 20
State: GA

Vax Date: 08/10/2021
Onset Date: 08/10/2021
Rec V Date: 09/19/2021
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: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1713708
Sex: F
Age: 60
State: GA

Vax Date: 08/23/2021
Onset Date: 08/23/2021
Rec V Date: 09/19/2021
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:

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

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1713709
Sex: F
Age: 40
State: GA

Vax Date: 08/13/2021
Onset Date: 08/13/2021
Rec V Date: 09/19/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1713710
Sex: F
Age: 65
State: CA

Vax Date: 09/17/2021
Onset Date: 09/17/2021
Rec V Date: 09/19/2021
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: Site: Pain at Injection Site-Severe, Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-

Other Meds:

Current Illness:

ID: 1713711
Sex: F
Age: 39
State: CA

Vax Date: 09/16/2021
Onset Date: 09/17/2021
Rec V Date: 09/19/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Exclusively breastfed infant had increased fussiness and was inconsolable. Milk supply decreased as well.

Other Meds:

Current Illness:

ID: 1713712
Sex: F
Age: 50
State: GA

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

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

Lab Data:

Allergies:

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

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1713713
Sex: F
Age: 53
State: LA

Vax Date: 09/16/2021
Onset Date: 09/18/2021
Rec V Date: 09/19/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Vomiting

Symptoms: Red rash on neck parts of upper torso.

Other Meds: Ropinirole 4mg, Mydayis 37.5mg, Trazodone 100mg, dextroamphetamine 10mg, Brintellix 10mg, Diazapam 10mg

Current Illness: None

ID: 1713714
Sex: F
Age: 48
State: GA

Vax Date: 08/05/2021
Onset Date: 08/05/2021
Rec V Date: 09/19/2021
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: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1713716
Sex: F
Age: 52
State: GA

Vax Date: 08/03/2021
Onset Date: 08/03/2021
Rec V Date: 09/19/2021
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: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1713717
Sex: F
Age: 17
State: GA

Vax Date: 08/21/2021
Onset Date: 08/21/2021
Rec V Date: 09/19/2021
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: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1713718
Sex: F
Age: 35
State: TX

Vax Date: 01/22/2021
Onset Date: 02/17/2021
Rec V Date: 09/19/2021
Hospital:

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

Lab Data: All negative. Lab work 2/17/21, head CT 2/18/21, head MRI 3/27/21 No one performed HINTS exam on me but this may have been positive.

Allergies: None

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

Symptoms: Woke up with visual spinning to the left, in standing resulted in right sided loss of balance backwards. Unable to make symptoms better or worse. I contemplated going to the ER due to possible CVA although I did not have any classic CVA symptoms. I called my PCP who recommended I come in to the clinic: waited 3 hrs with symptoms unchanged. They performed an EKG (improperly) it was negative, some form of EEG (that was later denied by the insurance) also negative, received a head CT next the day it was negative. Visual symptoms of impaired gaze stability persist to this day. Ophthalmologist ordered MRI with special focus to inner ear and it was negative. I am currently still seeing an optometrist for vision therapy.

Other Meds: Vitamin D3 50,000 IU 1x/wk; OTC: B12, prenatal vitamins

Current Illness: None

ID: 1713720
Sex: M
Age: 14
State: GA

Vax Date: 08/08/2021
Onset Date: 08/08/2021
Rec V Date: 09/19/2021
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: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am