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: 1713984
Sex: F
Age: 24
State: SC

Vax Date: 07/26/2021
Onset Date: 08/27/2021
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: LA

Lab Data: N/A

Allergies: N/A

Symptom List: Dysphagia, Epiglottitis

Symptoms: Heavier and more frequent menstrual cycle than normal. Had a period from July 11-15, August 2-6, August 27-31, and now September 16-now.

Other Meds: Vitamin D Vitamin C Zinc Chaste berry supplements

Current Illness: N/A

ID: 1713985
Sex: M
Age: 27
State: MI

Vax Date: 09/17/2021
Onset Date: 09/17/2021
Rec V Date: 09/19/2021
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 stated

Symptom List: Anxiety, Dyspnoea

Symptoms: The patient received second dose one week early.

Other Meds: unknown

Current Illness: no

ID: 1713986
Sex: F
Age: 32
State: OR

Vax Date: 09/11/2021
Onset Date: 09/11/2021
Rec V Date: 09/19/2021
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: unknown

Allergies:

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

Symptoms: at .5 hr had headache, at 1 hr had heart pain. few hrs later had bilateral lower abdominal pain, left shoulder pain. these resolved by day three except for chest/heart pain which has been persistent as of friday 9-17-21. pt saw urgent care wed 9-15-21, who prescribed meloxicam for possible heart inflammation from covid shot. symptoms sill persist on friday 9-17-21.

Other Meds:

Current Illness: none

ID: 1713987
Sex: F
Age: 26
State: RI

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

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

Lab Data:

Allergies: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Migrane within 24 hrs Dizziness immediately Tmj / jaw pain/ cracking/ stiffness next day Sore arm Aching muscles next day

Other Meds: None

Current Illness: None

ID: 1713988
Sex: M
Age: 14
State:

Vax Date: 09/16/2021
Onset Date: 09/19/2021
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: none

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

Symptoms: swollen clavicular lymph node to right side

Other Meds: none

Current Illness: none

ID: 1713989
Sex: M
Age: 14
State: GA

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

Other Meds:

Current Illness:

ID: 1713990
Sex: F
Age: 0
State: IL

Vax Date: 10/05/2020
Onset Date: 10/06/2020
Rec V Date: 09/19/2021
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: none

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Within 24 hours of receiving the Prevnar Vaccine, we noticed Pt left eye drifting outward, eventually getting the diagnosis of strabismus. We had never seen her eye drifting outward until the day of the vaccine and after that, we saw it multiple times a day. Pt eventually needed eye muscle surgery to correct the strabismus and will most likely need another surgery in the future because the first surgery was only partially successful.

Other Meds: none

Current Illness: none

ID: 1713991
Sex: F
Age: 34
State: HI

Vax Date: 08/18/2021
Onset Date: 08/18/2021
Rec V Date: 09/19/2021
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: Shoulder Joint Injury (prolonged pain, tingling, etc.)-

Other Meds:

Current Illness:

ID: 1713992
Sex: F
Age: 13
State: NJ

Vax Date: 07/20/2021
Onset Date: 09/16/2021
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: none

Allergies: none

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: patient noted no sx for 2 months after vaccination- just hyperpigmented scar at site of injection right upper arm- approx 3 days ago noted darkening of site and then pain with erythema- extending approx 2cm- neg exam for joint/shoulder pain

Other Meds: none

Current Illness: none

ID: 1713993
Sex: M
Age: 34
State: NJ

Vax Date: 09/19/2021
Onset Date: 09/19/2021
Rec V Date: 09/19/2021
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: egg

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Patient felt dizzy and felt heartbeat change within a couple minute of shot; was not alert for approximately less than one minute and showed some possible convulsions; patient came to and became aware of surroundings and symptoms slightly improved; blood pressure was stable until medical professionals arrived on site for additional help

Other Meds: unknown

Current Illness:

ID: 1713994
Sex: M
Age: 54
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:
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: 1713995
Sex: M
Age: 40
State: GA

Vax Date: 08/15/2021
Onset Date: 08/15/2021
Rec V Date: 09/19/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1713996
Sex: F
Age: 70
State: GA

Vax Date: 08/16/2021
Onset Date: 08/16/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1713997
Sex: F
Age: 71
State: MO

Vax Date: 03/04/2021
Onset Date: 03/12/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: NSAIDS (bleeder); penicillin

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

Symptoms: First time, morning when drinking coffee, thought my nose was running, but when to dab it and there was blood. Stopped relatively quickly (I am a slow coagulator, but had not had a nosebeed for about 8-9 months). This happened every other morning just like this until April 4, when it started bleeding uncontrollably for 2 hours. So I went to Urgent Care, and they finally got it to stop. I had it happen a couple of days later, but used the stuff they suggested on cotton and stuck it up my nose and it stopped, and then it didn't occur again. I have not had any nosebleeds since that time. I should also say that 12 hours after receiving the seonc dose, I had a high fever, chills, shivering for about 16 hrs.

Other Meds: 5 mg daily Atorvastatin

Current Illness: none

ID: 1713998
Sex: F
Age:
State: CA

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

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

Lab Data:

Allergies: PCN

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

Symptoms: Maculopapular rash generalized

Other Meds: None

Current Illness: None

ID: 1713999
Sex: M
Age: 13
State: NY

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

Lab Data:

Allergies:

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

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1714000
Sex: F
Age: 61
State: GA

Vax Date: 03/19/2021
Onset Date: 05/14/2021
Rec V Date: 09/19/2021
Hospital:

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

Lab Data: May 14: vaginal ultrasound, bloodtests for ovarian cancer, bloodtests to determine hormone levels, pre-op bloodwork May 15 SURGERY - D & C, endometrial Biopsy (negative) July 14 Vagi

Allergies: penacillan, sulfa drugs, tramadol, cipro,cephalosporens, lipit

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

Symptoms: At the age of 61, one month following my 2nd shot,my menopause ended temporarily leading to two surgical procedures to rule out cancer and to stop or reduce VERY HEAVY menstrual flow. My postmenopausal phase was fi st identified at my health center in April or March of 2018, but hormone testing on May 14 revealed that I was "mid-cycle". This is highly irregular considering my age and considering how long I had been post menopausal. My first symptoms actually were the week before the bleeding began on May 14 with the strange return of premenstrual symptoms which confused me. NP/DR eval for cancer. TWO SURGERIES followed, outpatient, described below.

Other Meds: bupropion, levothyroxine,melatonin, D3, Magnesium

Current Illness:

ID: 1714001
Sex: F
Age: 29
State: CA

Vax Date: 09/19/2021
Onset Date: 09/19/2021
Rec V Date: 09/19/2021
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: Patient was prone to syncope after receiving vaccinations. Patient was monitored after vaccine. About 10 minutes post vaccination the patient fainted. She was slumped on the chair . She was helped to laying flat on the ground and given cold compress. . After she started to recover she was given water to sip slowly and a snack to raise blood suger. She stayed back in pharmacy waiting room for about an hour after and made a full recovery.

Other Meds:

Current Illness:

ID: 1714002
Sex: F
Age: 39
State: GA

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

Other Meds:

Current Illness:

ID: 1714003
Sex: F
Age: 71
State: CO

Vax Date: 04/07/2021
Onset Date: 05/13/2021
Rec V Date: 09/19/2021
Hospital:

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

Lab Data: None shown

Allergies: sulfa and leviquil

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

Symptoms: Loss of energy. High fever. In bed 2 days after both shots. Can not regain energy even now.

Other Meds: levothyroxine 25 mcg, acyclovir 400 mg, many suppliments no time to print all

Current Illness: none

ID: 1714004
Sex: F
Age: 18
State: FL

Vax Date: 10/01/2007
Onset Date: 11/01/2007
Rec V Date: 09/19/2021
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: Biopsy done in arm from rashes - resulted in Lupus diagnoses.

Allergies: None

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

Symptoms: Patient in perfect health, 18 years old - no prior condition. Patient took 3 doses of Gardasil. Within 1st dose, started feeling constant tiredness and soreness in muscles. The second dose, started rashes all over arms and joint pain. Upon further investigation was diagnosed with LUPUS. Third dose caused an entire lupus flare up. Lupus only started upon onset of vaccination. No previous symptoms were ever reported prior to vaccination.

Other Meds: None

Current Illness: None

ID: 1714005
Sex: F
Age: 24
State: GA

Vax Date: 08/17/2021
Onset Date: 08/17/2021
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: LA

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1714006
Sex: F
Age: 55
State: SC

Vax Date: 08/19/2021
Onset Date: 09/19/2021
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: LA

Lab Data: none

Allergies: n/a

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

Symptoms: Patient got Moderna 1st dose. Patient registered for appointment online for 2nd dose and chose Pfizer. Pfizer was administered for 2nd dose instead of Moderna. There was no adverse event, just reporting that wrong covid vaccine was given on 2nd dose.

Other Meds: n/a

Current Illness: n/a

ID: 1714007
Sex: M
Age: 52
State: CA

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

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

Lab Data: N/A

Allergies: N/A

Symptom List: Injection site pain, Pain

Symptoms: PAIN AT THE SITE OF INJECTION, CANNOT USE ARM CANNOT LIFT AND HAD TO CUT CLOTHES OFF WITH SCISSORS BECAUSE CANNOT EXTEND ARM TO GET CLOTHES OFF. HAVE FLU LIKE SYMPTOMS, WAS COMPLETELY HEALTHY BEFORE VACCINE, ABLE TO DRIVE AND WALK AROUND AND SHOP AT CVS NOW 24HOURS LATER I CAN'T. FEEL EXTREMELY TIRED COULD NOT SLEEP CANNOT USE MY LEFT ARM!

Other Meds: NONE

Current Illness: N/A PERFECTLY HEA.LTHY NO INLLNESSES PRIOR TO VACCINE

ID: 1714008
Sex: F
Age: 52
State: NM

Vax Date: 08/24/2021
Onset Date: 09/15/2021
Rec V Date: 09/19/2021
Hospital:

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

Lab Data: Chest X Ray, Ultra Sound, and Blood Work

Allergies: Seasonal Allergies, some medication fillers (blue color)

Symptom List: Injection site pain, Menorrhagia

Symptoms: enlarged lymph-nodes in neck acute with pain.

Other Meds: BioThroid, Bioadren, Biodine, K2+D3, Low dose Naltroxone, Selenium, Pre & ProBiotic,

Current Illness: Hayshimotos Throiditis

ID: 1714009
Sex: F
Age: 41
State: NY

Vax Date: 08/29/2021
Onset Date: 08/30/2021
Rec V Date: 09/19/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Patient developed shortness of breath over 24 hours after receiving 1st dose which lasted throughout the night into the next day. The shortness of breath was on and off along with a deep burning upper back pain, headache & bilateral knee pain.

Other Meds:

Current Illness:

ID: 1714010
Sex: M
Age: 64
State: VA

Vax Date: 03/03/2021
Onset Date: 08/01/2021
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: LA

Lab Data: X-ray and MRI done

Allergies: NKA

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Nerve damage in left shoulder and arm. Sore neck.

Other Meds: Gabapentin

Current Illness: None

ID: 1714011
Sex: F
Age: 31
State: GA

Vax Date: 08/07/2021
Onset Date: 08/07/2021
Rec V Date: 09/19/2021
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: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1714012
Sex: F
Age: 66
State: WA

Vax Date: 02/25/2021
Onset Date: 02/26/2021
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: Oximeter testing was tried at home but I was shaking so much a reading wasn't possible.

Allergies: NKA

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

Symptoms: I woke up 2/26/21, 8 am, the morning after the vaccination. I had a low key headache, some muscle aches, and tiredness. Around noon I walked downstairs to eat something. I felt about the same as in the morning. Around 1 pm I went back to bed and started shaking uncontrollably. I got up out of bed and walked about ten feet and couldn't walk any further. I had severe cramping/rigidity in my legs. I called out to my husband and he came upstairs to the bedroom. I thought we should go to an outpatient clinic but I couldn't walk on my own. My husband walked/helped me to the bathroom. I felt short of breath. I vomited into the sink. I still felt short of breath but I could talk some. My anxiety increased because I was concerned my shortness of breath may get worse. I decided my husband should call 911. An aide unit came to the house. The team was reassuring. My symptoms subsided.

Other Meds: Vit D

Current Illness: None

ID: 1714013
Sex: F
Age: 74
State: NC

Vax Date: 09/13/2021
Onset Date: 09/14/2021
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:

Allergies: no

Symptom List: Nausea

Symptoms: Red circular rash, warm to touch, and patient reported pain and itching. I recommended a visit to urgent care or providers office to be evaluated. In the meantime, I told pt to use cold compress, benadryl, and tylenol.

Other Meds: unknown

Current Illness: Yes, stated "immunocompromised" no other details about condition provided

ID: 1714014
Sex: M
Age: 69
State: CA

Vax Date: 09/10/2021
Onset Date: 09/11/2021
Rec V Date: 09/19/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain

Symptoms: Shot was in the upper right arm. I developed a very large (size of a softball) growth in my armpit. It seemed to be full of liquid. After a day it shrank to 20% of the size but then another identical growth occurred in my left armpit! It is 20% the size of the first one in the right arm. I have pictures of all the occurrences.

Other Meds: Blood pressure and cholesterol meds

Current Illness: None

ID: 1714015
Sex: F
Age: 44
State: NJ

Vax Date: 05/06/2021
Onset Date: 05/13/2021
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: I haven?t went for any tests yet as I would like to see what next month brings. I have read that this is most likely a temporary side effect but I felt it was important to report it.

Allergies: No known allergies at this time but was allergic to egg yolks. I no longer am allergic to egg yolks.

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

Symptoms: I?m get my period between 27-31 days. Period came early and extraordinarily heavy with a lot of clots after first dose. (Which I don?t have a history of getting). Period has been abnormal ever since (coming late in June with normal flow, July and August only slightly late (was not concerned ) with regular flow and September late with extraordinarily light flow. It may be helpful to know that after my second dose I also had the listed/expected side effects (fatigue, etc)

Other Meds: Omeprazole once daily

Current Illness: No

ID: 1714016
Sex: F
Age: 15
State: CA

Vax Date: 08/16/2021
Onset Date: 08/16/2021
Rec V Date: 09/19/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1714017
Sex: F
Age: 58
State: GA

Vax Date: 04/26/2021
Onset Date: 05/01/2021
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: Electro Cardiogram-August 17, 2021 -Pericardial effusion.

Allergies: sulfa drugs

Symptom List: Tremor

Symptoms: Headache, swollen ankles, bilateral knee pain, extreme fatigue. *The extreme fatigue persists. Prior to the vaccine patient walked on the treadmill for 1hour or more 5 to 7 days per week. The patient is now barely able to tolerate 30 minutes of exercise every other day. Exercise leaves the patient fatigued.

Other Meds:

Current Illness: ear infection

ID: 1714018
Sex: F
Age: 32
State: DE

Vax Date: 09/07/2021
Onset Date: 09/09/2021
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: Lab test, ultrasounds, and physical exam

Allergies: Bactrim

Symptom List: Erythema, Pruritus

Symptoms: At the time of the vaccine I did not know I was pregnant. I was due to get my period Saturday September 11.. I started bleeding Thursday as to what I thought was my period. My period only last 3 days maximum. I have had 2 abortions when I was a teen and I have two children. I know my body. As the bleeding started it wasn?t my normal flow of my period as the days went on I knew something is not right. I stopped needing a tampon or pad but I bleed and have chuncks come out every time I pee. This has been going on since Thursday Sept 9. The bleeding has not stopped. I called my OB bc this is not normal. I told them I have had sexual relations but I have my period. Never have I ever continued getting my period any of the other 4 times I?ve been pregnant. This is not a period blood. I cannot get the bleeding to stop. The doctors told me I need to wait one more week then they will do an ultrasound. They said they will send me to get pregnancy levels because of the chance. It comes to find out I am pregnant 4 weeks 4 days. My pregnancy levels are rising and they sent me to the emergency department because of this weird bleeding. They cannot tell what the bleeding is form nor stop it. The pregnancy is not yet identified through ultrasound. But bleeding will not stop. This is not normal for my body.

Other Meds: Adderal taken at 6:30am. Been on this medicine since 18 years old

Current Illness: None

ID: 1714019
Sex: M
Age: 13
State: CA

Vax Date: 08/16/2021
Onset Date: 08/16/2021
Rec V Date: 09/19/2021
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: 1714020
Sex: F
Age: 61
State: OH

Vax Date: 03/06/2021
Onset Date: 05/01/2021
Rec V Date: 09/19/2021
Hospital:

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

Lab Data: Negative mammogram

Allergies: Penicillin. Cipro. Sulfa.

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

Symptoms: I had a lump under my arm for a few months. My doctor sent me for an ultrasound and they did both an ultrasound and a mammogram. They found swollen lymph nodes and told me it was from the vaccine most likely.

Other Meds: Synthroid, multivitamin, valcyclivir, estradiol, melatonin, Claritin

Current Illness: None

ID: 1714021
Sex: F
Age: 31
State: CA

Vax Date: 09/10/2021
Onset Date: 09/10/2021
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: I felt the injection and a burning sensation as it went into my arm. I felt it down my arm to my fingertips and back up my arm into my shoulder. The burning stopped after it reached my shoulder. Headache began around 9:25 the same evening. 30 minutes later chills began. By 11:30 at night I had uncontrollable shakes and a fever of 102 degrees that lasted throughout the night. Leg cramps and loss of feeling in toes around 3:00am. By 9:00am symptoms subsided and felt like a mild flu. Body aches and mild temperature of 99degrees lasted until 6:00pm.

Other Meds:

Current Illness:

ID: 1714022
Sex: F
Age: 30
State: IN

Vax Date: 09/17/2021
Onset Date: 09/18/2021
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: N/A

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

Symptoms: 24 hours sore muscles and weakness

Other Meds: N/A

Current Illness: N/A

ID: 1714023
Sex: M
Age: 19
State: FL

Vax Date: 08/15/2021
Onset Date: 08/16/2021
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: Month later EKG and CMP at University EKG at health cardiologist under Dr on Thursday Sept 16, 2021 at approx 1:45pm Following up with an Echo cardio gram

Allergies: Penicillin

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

Symptoms: Shortness of breath occasionally and a rapid resting heart rate fluctuating between 98-125 BPM Lasting for almost 2 1/2 weeks!

Other Meds: Multivitamin

Current Illness: None

ID: 1714024
Sex: F
Age: 56
State: GA

Vax Date: 08/22/2021
Onset Date: 08/22/2021
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: 1714025
Sex: F
Age: 40
State: NC

Vax Date: 08/31/2021
Onset Date: 09/08/2021
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: ER visit on 9/13 which inflammation of lymph nodes. PCP visit on 9/16 which also confirmed visible lymph nodes. PCP sent me for ultra sound and results are not back. I check online and neither physician documented my concerns or statement about these symptoms coming from the Covid-19 vaccine which I clearly stated several times.

Allergies:

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

Symptoms: About 9 days after receiving my first vaccine, I became very weak and fatigued. I slept most of the days from 9/10-9/12. During that time, I experienced panic attacks, my lymph nodes in my neck and throat begin to swell and became painful. On 9/13 I attempted to start my shift at work but by 10:30am I was in the ER. Antibiotics were given due to my lymph nodes being enlarged.

Other Meds: Benadryl and Midol

Current Illness:

ID: 1714026
Sex: F
Age: 68
State: PA

Vax Date: 04/17/2021
Onset Date: 04/19/2021
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: Right foot and right arm spasms

Other Meds:

Current Illness: stroke

ID: 1714027
Sex: F
Age: 49
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: 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: 1714028
Sex: F
Age: 26
State: NY

Vax Date: 09/17/2021
Onset Date: 09/19/2021
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:

Symptom List: Vomiting

Symptoms: Left arm tremors and muscle spasms began today 9/19

Other Meds:

Current Illness:

ID: 1714029
Sex: F
Age: 52
State: NY

Vax Date: 04/12/2021
Onset Date: 06/01/2021
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: I missed two months of my period in July and August. I then got my period in September, but have continued to bleed for more than two weeks. At this time, I have not seen a doctor because the amount of blood per day has not exceeded that of a normal period although the length of the period is worrisome. I have never experienced a period of more than five days. I am supplementing my diet with iron.

Other Meds:

Current Illness:

ID: 1714030
Sex: F
Age: 42
State: FL

Vax Date: 05/12/2021
Onset Date: 05/20/2021
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: Doctors visit for prescription medication treatment of the infections.

Allergies:

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

Symptoms: Recurring yeast infections since the vaccine.

Other Meds: levothyroxine 75mcg daily

Current Illness:

ID: 1714031
Sex: M
Age: 38
State: MS

Vax Date: 08/17/2021
Onset Date: 08/17/2021
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: 1714032
Sex: F
Age: 24
State: GA

Vax Date: 08/18/2021
Onset Date: 08/18/2021
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:

Allergies:

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

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1714033
Sex: M
Age: 12
State: GA

Vax Date: 08/03/2021
Onset Date: 08/03/2021
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