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: 1714193
Sex: M
Age: 64
State: IL

Vax Date: 08/31/2021
Onset Date: 09/16/2021
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:

Allergies: raw eggs

Symptom List: Dysphagia, Epiglottitis

Symptoms: Several days of cold sensitivy. The most recent was 9/16. No fever was measured. Temp in the home displayed 77F, minor shivering. This has not happened in the last 3 days.

Other Meds: zinc

Current Illness: none

ID: 1714194
Sex: F
Age: 38
State: TX

Vax Date: 03/01/2021
Onset Date: 07/21/2021
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: 3 rounds of antibiotics tested for covid 3 times week July 21st 2 times and week of August 1st no viruses detected, no flu, no strep. X-ray for pneumonia was negative

Allergies: Septra, keflex, levothyroxine

Symptom List: Anxiety, Dyspnoea

Symptoms: Several months later unknown relation: got sick and lost voice. Sore throat and trouble breathing upon exhale. Needed inhaler every two hours consistently coughing with pressure.

Other Meds: NPthyroid, cosmedix, ADK vitamin supplement, Estro Dim, BioTE pellet, fish oil, vitamin c and zinc

Current Illness:

ID: 1714195
Sex: M
Age: 13
State: GA

Vax Date: 08/20/2021
Onset Date: 08/20/2021
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:

Allergies:

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

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1714196
Sex: F
Age: 51
State: KY

Vax Date: 09/18/2021
Onset Date: 09/18/2021
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: Swelling sensation in the throat.

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Patient got a first dose of Covid vaccine . After about 5 minutes of sitting and waiting on the mandatory 15-minute wait, she complained having aa swelling sensation inside the throat. She did not have difficulty breathing nor was she gasping. Patient was placed under close observation, and after about 5 minutes she complained that the condition was getting worse, still was breathing normally. At this point, however, EpiPen (0.3mg) was administered intramuscularly.. After about 2 minutes following the injection , she got better and improved a lot. She was still observed for further 15 minutes after which she was discharged. She was advised to follow up with her physician and to seek medical assistance if the condition repeats.

Other Meds: Not known. Moderna covid vaccine was administered

Current Illness: Asthma

ID: 1714197
Sex: F
Age: 14
State: TX

Vax Date: 09/14/2021
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: LA

Lab Data: None

Allergies: None

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

Symptoms: Vaccinated with expired vaccine 09/14/2021. No adverse reactions noted.

Other Meds: None

Current Illness: None

ID: 1714198
Sex: F
Age: 50
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: 1714199
Sex: F
Age: 43
State: NY

Vax Date: 01/01/2020
Onset Date: 02/01/2020
Rec V Date: 09/19/2021
Hospital: Y

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

Lab Data: 4/3/21-present: MRI, audiology hearing tests, and neurological tests ans blood work

Allergies: Sulfa antibiotics Opioid containing medications (like codeine) Gluten Wheat

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: First vaccine: sick with fever and body aches for 4 days, 2nd vaccin: sick with fever and extremely painful muscle cramps for 5 days and clogged ears there after which lead to sudden hearing loss in left ear one morning on waking up. Then Developed Tinnitus and Hyperacusis in same ear. These symptoms lead to chronic daily migraines, light orbs in both eyes, eye floaters in both eyes, and inability to read & write as well as sensitivity to light. Hospitalized for Hyponatremia

Other Meds: SPIRONOLACTONE, progesterone, omega 3s, coq10, probiotic, vitamin D3,

Current Illness: None Known

ID: 1714200
Sex: M
Age: 15
State: TX

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

Lab Data: none

Allergies: None

Symptom List: Pharyngeal swelling

Symptoms: Vaccinated with expired vaccine by 10 days. No adverse reaction noted.

Other Meds: None

Current Illness: None

ID: 1714201
Sex: F
Age: 55
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:
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: 1714202
Sex: M
Age: 46
State: VA

Vax Date: 09/04/2021
Onset Date: 09/04/2021
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:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Moderna vaccine (lot # 048C21A) was received at the pharmacy on 7/16/2021 and placed under refrigerated temperature. 3 vials were transferred to another pharmacy where 20 doses were administered beyond use date.

Other Meds:

Current Illness:

ID: 1714203
Sex: F
Age: 93
State: MO

Vax Date: 02/13/2021
Onset Date: 09/10/2021
Rec V Date: 09/19/2021
Hospital: Y

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

Lab Data: unknown

Allergies: unknown

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

Symptoms: cough, loss of taste and smell, congestion, diarrhea and fatigue

Other Meds: unknown

Current Illness: unknown

ID: 1714204
Sex: M
Age: 61
State: OK

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: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies: nkda

Symptom List: Rash, Urticaria

Symptoms: patient broke out into a sweat all over, face lost color and had a low heart rate (51bpm) per patient he felt the same way he felt after getting a rocephin shot and he passed out which happened to him twice - he did not pass out this time but he said it felt like he was going to pass out. Patient observed, given cold water to cool down and looked over by EMS which released patient to go but he couldn't drive himself home.

Other Meds: losartan & latanoprost

Current Illness: unknown

ID: 1714205
Sex: M
Age: 15
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:
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: 1714206
Sex: F
Age: 29
State: WI

Vax Date: 08/03/2021
Onset Date: 08/05/2021
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: 8/6/2021: LE doppler positive for DVT in popliteal and posterior tibial vein

Allergies: Bee stings, sulfa antibiotics

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

Symptoms: Developed right lower extremity swelling and pain two days after vaccine (8/5/2021). Diagnosed with right lower extremity DVT on 8/6/2021

Other Meds: None

Current Illness: None

ID: 1714207
Sex: M
Age: 24
State: MN

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

Lab Data:

Allergies: None

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

Symptoms: Extreme headache, body aches, nausea, pain at injection site and fatigue were experienced starting 12 hours after vaccine until 72 after vaccine. OTC ibuprofen used to somewhat manage headache and pain but didn?t fully resolve until after 72 hours had pasted.

Other Meds: Vitamin C Vitamin D Zinc

Current Illness: None

ID: 1714208
Sex: F
Age: 45
State: VA

Vax Date: 04/27/2021
Onset Date: 04/30/2021
Rec V Date: 09/19/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Menstrual cycle came 2 weeks early following COVID vaccine. Menstrual cycle previously was very consistent but came 2 weeks early following vaccine.

Other Meds: none

Current Illness: None

ID: 1714209
Sex: F
Age: 15
State: WA

Vax Date: 08/30/2021
Onset Date: 09/16/2021
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:

Allergies:

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

Symptoms: Started period the day after shot but expecting one anyways but then on 9/16 period started again and was very heavy for two days. This period was very heavy and short, not like usual periods. Much more cramping and some nausea.

Other Meds:

Current Illness:

ID: 1714210
Sex: M
Age: 78
State: OH

Vax Date: 09/10/2021
Onset Date: 09/10/2021
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: none that I am aware of

Allergies: none

Symptom List: Ear pain, Hypoaesthesia

Symptoms: During the administration, per the patient, a large amount of blood squirted from the administration site. Pressure was applied to the site as well as below the site. Patient used cold compresses three times a day for about 2 weeks. He returned to the pharmacy and he had some swelling in the area were the shot was administered as well as below, closer to just above the elbow bend, with some noticeable warmth to the touch. Patient was advised to be evaluated by his physician or urgent care. A follow up call was made on 9/19/21 where he reported that he did go to an urgent care and was told to apply heat and see his primary care physician if there were no improvements in the next 2 days. Was told it could have been due to hitting a nerve or a vein.

Other Meds: None

Current Illness: None

ID: 1714211
Sex: M
Age: 42
State: CA

Vax Date: 09/17/2021
Onset Date: 09/17/2021
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: All tests came back fine. Basic metabolic panel, CBC with differential HIV 1,2 - Combo hepatitis C Ab screen POCT troponin. Performed 9/17/2021

Allergies: N/a

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Within 5 minutes of vaccine I started to feel really warm and started sweating followed by light headedness, and then loss of consciousness.

Other Meds: N/a

Current Illness: None

ID: 1714212
Sex: M
Age: 61
State: GA

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

Allergies:

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

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1714213
Sex: F
Age: 79
State: GA

Vax Date: 08/22/2021
Onset Date: 08/22/2021
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:

Allergies:

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

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1714214
Sex: F
Age: 38
State: VA

Vax Date: 09/04/2021
Onset Date: 09/04/2021
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: Moderna vaccine (NDC--80777-0273-99, lot # 048C21A) was received at store on 7/16/2021 and placed under refrigerated temperature. 3 vials were transferred to another store location where 20 doses were administered beyond use date.

Other Meds:

Current Illness:

ID: 1714215
Sex: F
Age: 60
State: NY

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

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

Lab Data: I have had many blood tests and other tests at Hospital. They did not give me what they did.

Allergies: Zoloft

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

Symptoms: Very high blood pressure. Possible stroke. Twice in the hospital so far. Dizzy, tired, with headaches.

Other Meds: Venlafaxine Clonazepam Quetiapine Prazosin

Current Illness: None

ID: 1714216
Sex: F
Age: 71
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: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1714217
Sex: F
Age: 45
State:

Vax Date: 09/15/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: injection site became red, warm, and itchy the day after the shot was received. 2 days after the shot, the patient had some malaise as well.

Other Meds:

Current Illness:

ID: 1714218
Sex: F
Age: 30
State: CA

Vax Date: 09/14/2021
Onset Date: 09/15/2021
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: None

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

Symptoms: Tingling, numbness in hands and feet. Feeling of numbness and pins and needs/heat

Other Meds: None

Current Illness: None

ID: 1714219
Sex: F
Age: 48
State: GA

Vax Date: 08/06/2021
Onset Date: 08/06/2021
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:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1714220
Sex: M
Age: 41
State:

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

Lab Data:

Allergies: No

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: First Migraine hours after, then by 11 I had sore throat and chest pain. Now it?s 2 days later and I still have a lump in my throat and coughing.

Other Meds: No

Current Illness: No

ID: 1714221
Sex: F
Age: 59
State: SC

Vax Date: 03/08/2021
Onset Date: 03/13/2021
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: Ace Inhibitors

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

Symptoms: In addition to pain at site of vaccine, Intense stomach pain and nausea began on morning of 13 Mar 2021 (received vaccine on 8 Mar 2021), Took Pepto Bismol late that night and vomited shortly afterward. Pain and nausea continued for approximately another 12 hours after vomiting and then slowly subsided and I was able to eat again.

Other Meds: Fluoxetine, propranolol, Losartan, Hydrochlorothiazide, Montelukast, Cetirizine, Fluticasone Propionate, Cholecalcif D3,

Current Illness:

ID: 1714222
Sex: F
Age: 17
State: TX

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:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data: None

Allergies: None

Symptom List: Nausea

Symptoms: Vaccinated with expired vaccine by 10 days. No adverse reaction noted.

Other Meds: None

Current Illness: None

ID: 1714223
Sex: F
Age: 48
State: GA

Vax Date: 08/06/2021
Onset Date: 08/06/2021
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: Injection site pain

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1714224
Sex: F
Age: 78
State: VA

Vax Date: 09/04/2021
Onset Date: 09/04/2021
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: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Moderna vaccine (lot # 048C21A) was received at the pharmacy on 7/16/2021 and placed under refrigerated temperature. 3 vials were transferred to another pharmacy where 20 doses were administered beyond use date.

Other Meds:

Current Illness:

ID: 1714225
Sex: M
Age: 17
State: GA

Vax Date: 08/14/2021
Onset Date: 08/14/2021
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: 1714226
Sex: F
Age: 44
State: SC

Vax Date: 09/14/2021
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: None yet

Allergies: None

Symptom List: Tremor

Symptoms: Received the shot Ion Tuesday and waited 15 min before leaving the pharmacy. Most symptoms the next day were typical shot symptoms, muscle aches and under the weather for a couple of days. On Friday morning I rode my bicycle and the same shorts I always wear. I started having ulcers in both my mouth and external on my vagina later in the day. They were painful. The mouth ulcers have gone away but the vaginal ones are still there as of Sunday. I am a cyclist and have ridden my bike but have not had these issues in many years. No pain while cycling Friday prior to them appearing.

Other Meds: Bisoprolol( 2.5mg); Larissa; ibuprofen

Current Illness: None

Date Died:

ID: 1714227
Sex: M
Age: 55
State: AL

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

Lab Data:

Allergies: NONE

Symptom List: Erythema, Pruritus

Symptoms: WIFE CALLED AND SAID HE HAS PASSED

Other Meds: NONT THAT I AM AWARE OF

Current Illness:

ID: 1714228
Sex: F
Age: 26
State: CA

Vax Date: 09/08/2021
Onset Date: 09/10/2021
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: Tree nuts, pineapple and peach, mild peppermint allergy

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

Symptoms: Menstrual cycle changes. Started earlier than anticipated. Menstruation is darker and more stringy than usual. Instead of typical 7 day length, it has still continued for over 10.

Other Meds: None

Current Illness: None

ID: 1714229
Sex: M
Age: 44
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: 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: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1714230
Sex: F
Age: 49
State: WA

Vax Date: 08/30/2021
Onset Date: 09/15/2021
Rec V Date: 09/19/2021
Hospital:

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

Lab Data:

Allergies: ibuprophen

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: I had an ablasion years ago but still have infrequesnt periods due to beginning menopause. I had cramping followed by almost two days of bleeding and then it stopped.

Other Meds: multi vitmin

Current Illness: no

ID: 1714231
Sex: F
Age: 34
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: 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: 1714232
Sex: F
Age: 78
State: MO

Vax Date: 02/22/2021
Onset Date: 09/14/2021
Rec V Date: 09/19/2021
Hospital: Y

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: unknown

Allergies: unknown

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

Symptoms: fever, cough, SOB, loss of taste and smell, sore throat, congestion, chest pain, wheezing, (difficulty breathing), fatigue and muscle aches.

Other Meds: unknown

Current Illness: unknown

ID: 1714233
Sex: F
Age: 38
State: VA

Vax Date: 09/04/2021
Onset Date: 09/04/2021
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: Moderna vaccine (NDC--80777-0273-99, lot # 048C21A) was received at store on 7/16/2021 and placed under refrigerated temperature. 3 vials were transferred to store where 20 doses were administered beyond use date.

Other Meds:

Current Illness:

ID: 1714235
Sex: F
Age: 56
State: GA

Vax Date: 08/05/2021
Onset Date: 08/05/2021
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: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1714236
Sex: M
Age: 61
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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: Flu symptom, low grade fever for 24 hours

Other Meds: Bp medicine

Current Illness: None

ID: 1714237
Sex: F
Age: 24
State: ID

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

Lab Data: n/a

Allergies: Penicillin, horses, dogs, cats,

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

Symptoms: starting half an hour after injection, severe sinus congestion that has remained for two days post injection. After three hours a fever of 101 developed with severe lethargy and body aches. Fever remaining for two days currently, sinus congestion, trouble breathing, body aches, lethargy

Other Meds: Armodafinil, venlafaxine, xyrem

Current Illness: Urinary tract infection, covid infection treated and recovered by 9/3/ 2021

ID: 1714238
Sex: M
Age: 28
State: MA

Vax Date: 09/15/2021
Onset Date: 09/01/2021
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: pt had xray upon going to hospital for shoulder pain post vaccine administration

Allergies:

Symptom List: Vomiting

Symptoms: Pt said he felt shoulder pain after Dose 2 COVID19 Moderna vaccine administration, so he went to hospital emergency room, where xrays were taken. Pt says that hospital staff told him that shoulder pain was due to improper vaccine administration technique through rotator cuff.

Other Meds:

Current Illness:

ID: 1714239
Sex: M
Age: 17
State: TX

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: 037K20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data: None

Allergies: None

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Vaccinated with expired vaccine by 10 days. No adverse reaction noted.

Other Meds: None

Current Illness: None

ID: 1714240
Sex: M
Age: 67
State: VA

Vax Date: 09/02/2021
Onset Date: 09/02/2021
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: Moderna vaccine (NDC--80777-0273-99, lot # 048C21A) was received at store on 7/16/2021 and placed under refrigerated temperature. 3 vials were transferred to store where 20 doses were administered beyond use date.

Other Meds:

Current Illness:

ID: 1714241
Sex: F
Age: 12
State: TX

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: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: fever, lethargy, headache, pain in arm, chills, body aches

Other Meds:

Current Illness:

ID: 1714242
Sex: F
Age: 59
State: PA

Vax Date: 03/03/2021
Onset Date: 03/03/2021
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: CAT scan to rule out stroke

Allergies: CAT scan contrast dye; Sulfa drugs

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

Symptoms: Had tightness in chest, breathing difficulty after both shots were administered (more pronounced after first dose). Have experienced symptoms of onset of vertigo several times in the ensuing months. Had one episode of severe vertigo (May 29th that required an overnight visit to the emergency room at Hospital) . Also get huge blood blisters (about 3/4 inch diameter) inside both of my cheeks. My seasonal allergies have come back even though I was rid of them for about 10 years after a regimen of desensitization shots.

Other Meds: Glyxambi; Lotrel 10-20; Vitamin D3

Current Illness:

ID: 1714243
Sex: F
Age: 16
State: GA

Vax Date: 08/14/2021
Onset Date: 08/14/2021
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