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: 1715120
Sex: M
Age: 56
State: IL

Vax Date: 03/12/2021
Onset Date: 04/15/2021
Rec V Date: 09/20/2021
Hospital:

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

Lab Data: Chest x ray,blood work Results can be obtained through Family Practice Dr

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Swelling of heart an surrounding membrane Fatigue,flu like symptoms daily Antibody an steroid prescribed Issue still persists ,not as severe

Other Meds: Amlodipine Besylate 5mg Tramsdol 50mg

Current Illness:

ID: 1715121
Sex: F
Age: 2
State: NJ

Vax Date: 09/19/2021
Onset Date: 09/19/2021
Rec V Date: 09/20/2021
Hospital:

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

Lab Data: Basic vitals check on 9/20/2021 - pulseox, weight, temperature, breathing, looked into her mouth. All normal.

Allergies: Peanuts and previously diagnosed egg allergy; skin test was not positive for egg allergy when taken in July 2020. Doctor cleared pt. to get the vaccine (she has received it before).

Symptom List: Anxiety, Dyspnoea

Symptoms: Vaccine administered around 3:50pm - around 6:00pm, she complained of arm pain, which is standard, so I gave her Tylenol for the pain. at 6:05ish, she became verbally unresponsive, staring off into space, not focusing on me. I picked her up and gave her a sip of water, which she bubbled back out of her mouth. I was then very concerned at this point - she was very pale, but breathing normally - no fever spiked at all this entire time or leading up to the event. I then brought her upstairs and laid her down on her changing table - her eyes were almost closed and very glassy. I then went to pick her back up and her body went limp (head flopping/hanging backwards). I then called EMS -they were no help; they did not check her vitals or anything upon arrival. When they did arrive around 6:30, she started to smile and respond a little bit via facial expressions (acting shy, etc.). She did eat dinner around 7pm - ate normally. She was starting to come out of it, responding more verbally, but still not 100% herself. She then had the shivers - but still no fever. I snuggled with her in a blanket. Around 7:40pm she bounced back to her normal self. I monitored her overnight. No fever and responded when I poked and prodded her to make sure she was ok. She woke up today totally normal. I brought her in to the doctor to check her vitals and all are normal.

Other Meds: Daily Multi-Vitamin and Elderberry Immune support gummies

Current Illness: None

ID: 1715122
Sex: F
Age: 25
State: NY

Vax Date: 08/07/2021
Onset Date: 08/24/2021
Rec V Date: 09/20/2021
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: EKG- 8/24/2021; Stress test-8/31/2021; Echocardiogram-8/31/2021.

Allergies: Sulfa.

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

Symptoms: Rapid heartbeat with palpitations and chest discomfort. Received EKG, stress test and echocardiogram. Had to wear at home heart monitor. All tests were negative. Received no treatment. It went on for weeks. My other symptom was tinnitus. I had a swishing sound in my right away for a few days.

Other Meds:

Current Illness:

ID: 1715123
Sex: F
Age: 57
State: MN

Vax Date: 01/07/2021
Onset Date: 09/16/2021
Rec V Date: 09/20/2021
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: Tested positive for Covid-19 on 9/19/21

Other Meds: none

Current Illness: none

ID: 1715124
Sex: F
Age: 26
State:

Vax Date: 09/17/2021
Onset Date: 09/17/2021
Rec V Date: 09/20/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Tingling, pins and needles in extremities

Other Meds:

Current Illness:

ID: 1715125
Sex: M
Age: 33
State: MN

Vax Date: 05/10/2021
Onset Date: 05/11/2021
Rec V Date: 09/20/2021
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: Shellfish, Bee Venom

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

Symptoms: Patient received for Moderna COVID-19 vaccine on 05/10/2021. Per provider ED note, patient presented to the ED on 05/11/2021 around 1 a.m. Per provider note, "He had his COVID vaccine today and got home had a lot of tingling and numbness and pins-and-needles feeling in his legs. He also nauseated and a very dry throat. He got up and use urinated and then started to feel very lightheaded like he might pass out so he tried to walk back to his bed but he passed out in the bathroom and thinks he bumped his head on the vanity. His wife heard him pass out and went to check on him. He says he thinks he was "out of it for a while, like 15 seconds."...Complaining of severe burning in his left arm...Denies chest pain or palpitations." As of today, patient reports that he continues to experience intermittent shortness of breath, tachycardia, and tingling in his legs and arms. Patient also shared that since receiving the COVID vaccine, he has completed an EKG, ECHO, and Stress ECHO all of which has been "normal," per patient.

Other Meds:

Current Illness:

ID: 1715126
Sex: M
Age: 11
State: PR

Vax Date: 06/12/2021
Onset Date: 06/12/2021
Rec V Date: 09/20/2021
Hospital:

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

Lab Data: UNKNOWN

Allergies: UNKNOWN

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: INADVERTENTLY VACCINATED BEFORE 12 YRS OLD. UNABLE TO REACH CONTACT WITH INFO PROVIDED. WRONG DATA ENTRY SUSPECTED.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1715127
Sex: M
Age: 41
State: NJ

Vax Date: 08/31/2021
Onset Date: 09/02/2021
Rec V Date: 09/20/2021
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: On the second and third date after the first shot I fell minor chest pains but on the second week after the first shot I fell strong chest pain for about 5 minutes.

Other Meds: None

Current Illness: None

ID: 1715128
Sex: F
Age: 17
State: NE

Vax Date: 09/17/2021
Onset Date: 09/17/2021
Rec V Date: 09/20/2021
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: The undiluted vial had been refrigerated for a total of 44 days before being reconstituted and administered. Reasoning: The vial was refrigerated at public health for 20 days prior to being transferred to the hospital. Once received, the vial was refrigerated for 24 days. It wasn't until after administration that the dates were put together and found to be out of Pfizers recommended storage requirements.

Other Meds:

Current Illness:

ID: 1715129
Sex: M
Age: 52
State: AZ

Vax Date: 08/26/2021
Onset Date: 08/27/2021
Rec V Date: 09/20/2021
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: N/A.

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Numbness from neck to elbow on the left side.

Other Meds: multi-vitamin, enbrel, methotrexate, welbutrin, folic acid.

Current Illness: N/A.

ID: 1715130
Sex: F
Age: 42
State: KY

Vax Date: 08/31/2021
Onset Date: 09/07/2021
Rec V Date: 09/20/2021
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: Sept 7, starting itching/tingling on my face, midday, not bad or consistent. Colored my hair that night, using same product I've used for 15-20 years. When washing off my face near hairline and neck was red and tiny bumps, it itches all night. Wednesday the 8, I could hear my heartbeat in my left ear, usually happens with headache in both ears, but no headache and only in left ear. All day Wednesday, Thursday, Friday I scratched uncontrollably til I bled, on my neck, face, arms and legs. Hydrocortisone cream didn't help, my only relief was from hand sanitizer wipes. That weekend I took some Benadryl but could only take at night, by Monday I tried otc allergy pills while at work but the made me super drowsy, even tho they were non drowsy meds. Some, very few of the itchy patches I had have went away, like on my nose and ear love have went away, all other spots are trying to heal but when one starts itching it's like a domino effect, they all do, do I without knowing scratch off the scabs. Now a large itchy rash has developed on my back as well. I'm currently using Benadryl topical cream but it wears off sooner than it should. I haven't had any major physicals symptoms that are ER worthy, it's just super irritating with no end in sight

Other Meds:

Current Illness:

ID: 1715131
Sex: M
Age: 44
State: TX

Vax Date: 03/17/2021
Onset Date: 05/01/2021
Rec V Date: 09/20/2021
Hospital:

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

Lab Data: 3rd CT scan - 5millimeter

Allergies: penicillin, amitrex

Symptom List: Rash, Urticaria

Symptoms: I was having abdominal and back pain in May2021 and went to Urgent care in June 2021, small stone found in CT scan and no prescription. July and august 2021, I was in a meeting and the pain was painful and I couldn't even speak and ER and 2nd CT scan and found a larger stone. Got medication to dissolve the stone. referred to Urologist. Sept 2021 3rd CT scan, The pain moved to the lower part and groin. Concerned that the stone was in the kidney and the results were that the stone was gone. So there was at least 2 stone since Mar2021. Looking to change the migraine. I still abdominal issues .

Other Meds: Zyrtec , Allegra, Lactobacillus acidophilus, Lipitor, Ubrogpant. Topamax, Tepacite, Aspirin, Budesonide

Current Illness: no

ID: 1715132
Sex: F
Age: 77
State: NM

Vax Date: 08/27/2021
Onset Date: 08/28/2021
Rec V Date: 09/20/2021
Hospital:

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

Lab Data: not-sure check with doctor

Allergies: none

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

Symptoms: difficulty breathing, fast heartbeat shortness of breath, injection site pain and tenderness, fatigue headachemuscle pain, joint pain, chills, fever

Other Meds: carvediolol potassium Cl 10 mEq, diclofenac sodium

Current Illness: hypertension

ID: 1715133
Sex: F
Age: 69
State: CA

Vax Date: 03/16/2021
Onset Date: 03/23/2021
Rec V Date: 09/20/2021
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: No

Allergies: Sulfur drugs Nickel products Codine

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

Symptoms: Shingles Migraines body aches

Other Meds: thyroid medication/tirosint

Current Illness:

ID: 1715134
Sex: F
Age: 42
State: NE

Vax Date: 09/17/2021
Onset Date: 09/17/2021
Rec V Date: 09/20/2021
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: The undiluted vial had been refrigerated for a total of 44 days before being reconstituted and administered. Reasoning: The vial was refrigerated at public health for 20 days prior to being transferred to the hospital. Once received, the vial was refrigerated for 24 days. It wasn't until after administration that the dates were put together and found to be out of Pfizers recommended storage requirements.

Other Meds:

Current Illness:

ID: 1715135
Sex: M
Age: 13
State: TX

Vax Date: 06/07/2021
Onset Date: 09/19/2021
Rec V Date: 09/20/2021
Hospital: Y

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

Lab Data:

Allergies: NONE

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

Symptoms: DEVELOPED 3 DAYS OF ABD PAIN WITH N/V, ANOREXIA & FEVER. ADMIT 9/19, APPENDICITIS. TO OR FOR REMOVAL

Other Meds: NONE

Current Illness: NONE

ID: 1715136
Sex: F
Age: 53
State: PA

Vax Date: 02/25/2021
Onset Date: 06/29/2021
Rec V Date: 09/20/2021
Hospital:

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

Lab Data: Annual eye check-up 6/29/2021. No symptoms.

Allergies: nonr

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

Symptoms: I have been diagnosed with narrow-angle glaucoma.

Other Meds: Allegra (allergy)

Current Illness: none

ID: 1715137
Sex: F
Age: 34
State:

Vax Date: 01/19/2021
Onset Date: 09/16/2021
Rec V Date: 09/20/2021
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 HAD PFIZER VACCINE DOSES, Dose 1 date: 01/19/2021, Dose 2 date: 02/10/2021. PATIENT TESTED POSITIVE TO COVID.

Other Meds:

Current Illness:

ID: 1715138
Sex: F
Age: 59
State: TX

Vax Date: 08/01/2021
Onset Date: 08/01/2021
Rec V Date: 09/20/2021
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: Day 2 ran high fever for 2 days, severe muscle weakness Approximately 1 week after injection: Brought back my Covid symptoms (severe muscle weakness in legs, fatigue, brain fog) Increased my neuropathy pain in my feet 10 fold Increased migraines Increased depression Overall it amped up my problems through the roof

Other Meds:

Current Illness:

ID: 1715139
Sex: M
Age: 75
State: SD

Vax Date: 09/07/2021
Onset Date: 09/08/2021
Rec V Date: 09/20/2021
Hospital: Y

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

Lab Data: CMP, CBC, SARS, POCT glucose 9/8/2021

Allergies: NKA

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

Symptoms: 9/8/2021 patient became very weak and unable to walk. Patient presented to the ER was admitted acutely for observation.

Other Meds: Albuterol inhaler, ASA, calcium/ vit D3, Vit D3, furosemide, insulin aspart, insulin glargine, lenalidomide, magnesium, omega 3, miralax, potassium. senna plus, simvastatin

Current Illness: none

ID: 1715140
Sex: F
Age: 71
State: CT

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 09/20/2021
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: Stress test - results to be given 9/24/2021 - Test given on 8/27/2021 Echocardiogram - results to be given 9/24/2021 - Test given on 9/13/2021

Allergies: Butter.

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

Symptoms: Well I was having chest pains and dizziness and extreme fatigue and weakness. I went to the ER and then had a follow up with my DR, then went to a cardiologist as well. I was put on heart medications. I was in the ER for ten hours originally though, they gave a lot of tests that I cannot even recall. I do not remember anything else really.

Other Meds: The following are ALL taken daily: Symbicort 160/4.5 2 puffs, Benazepril, Synthroid 25mcgs, Calcium Citrate with Vitamin D3 (6x daily), Extra D3, Advil PM, Extra Strength Excedrin, Aspirin 250MG

Current Illness: None.

ID: 1715141
Sex: M
Age: 11
State: PR

Vax Date: 06/17/2021
Onset Date: 06/17/2021
Rec V Date: 09/20/2021
Hospital:

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

Lab Data: UNKNOWN

Allergies: UNKNOWN

Symptom List: Unevaluable event

Symptoms: INASVERTENTLY VACCINATED BEFORE 12 YRS OF AGE. WRONG DATA ENTRY. UNABLE TO CONTACT.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1715142
Sex: M
Age: 28
State: KY

Vax Date: 04/09/2021
Onset Date: 09/10/2021
Rec V Date: 09/20/2021
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: Covid positive contact unknown

Other Meds:

Current Illness:

ID: 1715143
Sex: F
Age: 83
State: GA

Vax Date: 03/25/2021
Onset Date: 09/01/2021
Rec V Date: 09/20/2021
Hospital: Y

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

Lab Data: 09/01/2021 PCR+ COVID-19 test at District 9-2 GA-67 Parking Lot Site 2; 09/01/2021 Antigen+ test at local Hospital; 09/13/2021 Antigen+ COVID-19 test at local drug store.

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: Breakthrough COVID-19 case with symptom onset 9/1/2021: Muscle or body aches, Runny nose/Congestion, Cough (new onset or worsening of chronic cough) , Fatigue or tiredness, Headache. Hospitalized 9/1/2021-9/3/2021. While in the hospital she experienced a problem with atrial fibrillation.

Other Meds:

Current Illness:

ID: 1715144
Sex: F
Age: 74
State: FL

Vax Date: 09/17/2021
Onset Date: 09/18/2021
Rec V Date: 09/20/2021
Hospital:

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

Lab Data: NONE

Allergies: NONE

Symptom List: Injection site pain, Menorrhagia

Symptoms: WIFE HAS ALL THE SIDE EFFECTS LISTED BY CDC - SOME WORSE THAN OTHERS, DIARRHEA IS NON-STOP, AS WELL AS CHILLS, LOW GRADE FEVER, FATIGUE ETC.........ALL THE SIDE EFFECTS LISTED. VERY CONCERNING.

Other Meds: NONE

Current Illness: NONE

ID: 1715145
Sex: F
Age: 82
State: NE

Vax Date: 09/01/2021
Onset Date: 09/02/2021
Rec V Date: 09/20/2021
Hospital:

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

Lab Data: N/A

Allergies: Shellfish

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

Symptoms: Pt. states that after receiving the 1st dose of Moderna 09/01/2021, started experiencing symptoms 09/02/2021 of uncomfortably shakey, extreme fatigue, and weakness (slight headache). 09/03/2021 symptoms subsided. No noted Primary visit.

Other Meds: Metropalol, Lisinopril, Atorvastatin, Gabapentin, Levothriyxm, Amlodipine

Current Illness: N/A

ID: 1715146
Sex: F
Age: 48
State: IA

Vax Date: 09/17/2021
Onset Date: 09/17/2021
Rec V Date: 09/20/2021
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: mild reaction to the aluminum in deodorant

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: On 9/17 at around 10:00 pm client states her arms and legs started shaking really bad. She was awake and talking but her ext were shaking uncontrollably. She had mild nausea at the time but that is all. She said the shaking would go on for about 15 then stop for about 5 minutes then start back up again. She said this shaking lasted about 45-60 minutes. She then went to bed and felt better the next day. She also experienced normal side effects from the vaccine like, pain in the arm, mild body aches, and feeling tired. She said she felt back to normal on Sunday 9/19/21

Other Meds: Tylenol and Ibuprofen

Current Illness: none

ID: 1715147
Sex: M
Age: 43
State: WI

Vax Date: 09/15/2021
Onset Date: 09/15/2021
Rec V Date: 09/20/2021
Hospital:

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

Lab Data: None

Allergies: None

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Fairly uncomfortable, "splitting" headache in front and sides of head. Nausea, muscle aches, chills and sweats. Lasted for 1 day as moderately intense symptoms and 1 additional day at less intense symptoms. No treatments or medications used for symptoms.

Other Meds: None

Current Illness: None

ID: 1715148
Sex: F
Age: 60
State: IN

Vax Date: 08/20/2021
Onset Date: 08/21/2021
Rec V Date: 09/20/2021
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: none

Allergies: np

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

Symptoms: My lips and my tounge swelled. Also around my face swelled one day. I'm not sure but it felt like my throat might have swelled a little one night.

Other Meds: thyroid, progesterone, Calsium, esteadial, growth hormone, vit D3,

Current Illness: no

ID: 1715149
Sex: F
Age: 63
State: DE

Vax Date: 04/26/2021
Onset Date: 05/17/2021
Rec V Date: 09/20/2021
Hospital: Y

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

Lab Data: EKG, stress test, blood work

Allergies: none

Symptom List: Nausea

Symptoms: During the injection, felt the liquid going up her neck. Told it was normal, but it was verified that it was not. Extreme pain through entire body. Could walk. Developed shingles in face 2 and a half weeks later. After shingles, had a 2nd episode where it felt like she was having a heart attack. Had the symptoms of a heart attack. Shingles are gone, but lingering sporactic pain and itching.

Other Meds: Blood pressure medication

Current Illness: none

ID: 1715150
Sex: F
Age: 0
State: FL

Vax Date: 04/16/2021
Onset Date: 08/20/2021
Rec V Date: 09/20/2021
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: Sulfa

Symptom List: Injection site pain

Symptoms: I had no adverse reaction to the vaccine; I feel like I would have been much sicker if I had not been vaccinated. I kept testing negative for Covid but my fever will not go away. They thought it was a breakthrough case of Covid. They treated me with monoclonal antibodies and high doses of vitamins. I was better in 4 days.

Other Meds: Atenolol, Zoloft, Estradiol, Atorvastatin

Current Illness: None

ID: 1715151
Sex: F
Age: 45
State: CA

Vax Date: 08/24/2021
Onset Date: 08/24/2021
Rec V Date: 09/20/2021
Hospital:

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

Lab Data: None. I thought this was just simply a side effect, but got scared when my vision got blurry.

Allergies: None

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

Symptoms: * I got my vision blurry for 4 consecutive days after the vaccine. * Really bad headaches for over a 1 week. I don't suffer of migraine or headaches in a regular basis. * Felt like my brain got inflamed. * My head doesn't feel the same after the vaccine.

Other Meds: Multi vitamin.

Current Illness: None

ID: 1715152
Sex: F
Age: 39
State: NY

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 09/20/2021
Hospital:

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

Lab Data: None

Allergies: Bee?s, orange, guava

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

Symptoms: First vaccine I had extreme sore arm for day 2-4 day 5 I couldn?t move my arm at all and end up with bursitis for 3 weeks.

Other Meds: Vyvanse

Current Illness: None

ID: 1715153
Sex: F
Age: 53
State: FL

Vax Date: 09/18/2021
Onset Date: 09/18/2021
Rec V Date: 09/20/2021
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: Sulfa, dilaudid, clindamycin

Symptom List: Tremor

Symptoms: Client stated they had a tickle in their throat

Other Meds: Lopressor, Multivitamin, Metoprolol,

Current Illness: No

ID: 1715154
Sex: F
Age: 65
State: KY

Vax Date: 04/07/2021
Onset Date: 09/11/2021
Rec V Date: 09/20/2021
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: Erythema, Pruritus

Symptoms: Covid positive unknown contact

Other Meds:

Current Illness:

ID: 1715155
Sex: M
Age: 61
State: PA

Vax Date: 08/12/2021
Onset Date: 08/12/2021
Rec V Date: 09/20/2021
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: None

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

Symptoms: Severe headaches after shot, both 1st and second shots, I never had headaches like this before? slowly disappearing

Other Meds: Ramipril

Current Illness: None

ID: 1715157
Sex: F
Age: 75
State: VA

Vax Date: 03/01/2021
Onset Date: 08/01/2021
Rec V Date: 09/20/2021
Hospital:

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

Lab Data: COVID test-neg strep throat test-neg

Allergies: Yes

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

Symptoms: Experiencing sore throat, ear ache, jaw bone pain. Been on two different antibiotics which have not cured the issues.

Other Meds: Yes, daily medications.

Current Illness: No

ID: 1715158
Sex: M
Age: 34
State: UT

Vax Date: 09/15/2021
Onset Date: 09/19/2021
Rec V Date: 09/20/2021
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: Abnormal EKG 09/09/2021 Chest pain 09/09/2021 elevated CRP ESR 09/09/2021 normal Cardiac Cath 09/09/2021

Allergies: Ancef

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: myocarditis pericarditis

Other Meds: None

Current Illness: None

ID: 1715159
Sex: F
Age: 78
State: NY

Vax Date: 09/09/2021
Onset Date: 09/10/2021
Rec V Date: 09/20/2021
Hospital:

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

Lab Data: None

Allergies: morphine, hydrocodone, percocet, adhesives

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

Symptoms: Muscular and joint aches and pain, fever 101.5, chills, frequent urination

Other Meds: meloxicam, exemestane, hydrochlorothiazide, simvastatin, gabapentin, B-comlex, calcium, vitamin D

Current Illness: none

ID: 1715160
Sex: M
Age: 44
State: MN

Vax Date: 03/11/2021
Onset Date: 09/16/2021
Rec V Date: 09/20/2021
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: Patient swabbed at our offsite collection site. Please contact primary care provider for further questions.

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

Symptoms: Patient vaccinated for and then tested positive for COVID-19

Other Meds: Patient swabbed at our offsite collection site. Please contact primary care provider for further questions.

Current Illness: Patient swabbed at our offsite collection site. Please contact primary care provider for further questions.

ID: 1715161
Sex: M
Age: 40
State: CA

Vax Date: 09/02/2021
Onset Date: 09/03/2021
Rec V Date: 09/20/2021
Hospital:

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

Lab Data: EKG negative Chest X-ray negative Blood test Troponin negative

Allergies: None

Symptom List: Pain in extremity

Symptoms: Constant Chest pain/discomfort. Increasing pain during deep inhalation. No change or relief after 2.5 weeks.

Other Meds: None

Current Illness: None

ID: 1715162
Sex: M
Age: 6
State: PR

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

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

Lab Data: UNKNOWN

Allergies: UNKNOWN

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

Symptoms: WRONG DATA ENTRY SUSPECTED. UNABLE TO REACH FOR CORROBORATION.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1715163
Sex: M
Age: 26
State: CA

Vax Date: 09/03/2021
Onset Date: 09/03/2021
Rec V Date: 09/20/2021
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 taken yet.

Allergies: None.

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

Symptoms: Sensitive to natural and artificial light, 12-24 hours after receive vaccine. Unable to be outside in day-light following vaccination. Bloody stool two passes directly after receiving vaccine. Hemorrhoids devolved 9/17/2021.

Other Meds: None.

Current Illness: Fever of 103 for 24 hours, another fever of 101 or another 24 hours. Severe sensitivity to light; unable to see adequately in day-light for 24 hours. Needed to stay indoors and avoid light completely. Two bloody stools directly after receiving J&J Covid Vaccine.

ID: 1715164
Sex: M
Age: 21
State: TX

Vax Date: 08/31/2021
Onset Date: 09/04/2021
Rec V Date: 09/20/2021
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: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: Just days after the vaccine the patient woke up with the left side of his face numb and inactive. He was shortly after diagnosed with Bells palsy. And has been prescribed a steroid pack for the bells palsy.

Other Meds: none

Current Illness: none

ID: 1715165
Sex: F
Age: 24
State: KY

Vax Date: 03/24/2021
Onset Date: 09/10/2021
Rec V Date: 09/20/2021
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: Covid positive community

Other Meds:

Current Illness:

ID: 1715166
Sex: F
Age: 68
State: MN

Vax Date: 09/17/2021
Onset Date: 09/17/2021
Rec V Date: 09/20/2021
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: Lisinopril

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Patient received Moderna vaccine DOSE 1 -on 2/13/2021 and DOSE 2 on 3/13/2021 then Pfizer vaccine DOSE 3 on 9/17/2021. The error occurred by giving Pfizer for dose 3 instead of Moderna. I spoke with patient on 9/20 and she reports no symptoms since receiving her Pfizer vaccine on 9/17/2021. Of note, patient also received a high dose flu vaccine on 9/17/2021. She is tolerating vaccines well at this point.

Other Meds: amlodipine, oretic, Zocor

Current Illness:

ID: 1715167
Sex: F
Age: 21
State: MI

Vax Date: 08/27/2021
Onset Date: 08/29/2021
Rec V Date: 09/20/2021
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: I missed my period. I am not pregnant and have never ever missed a period since taking birth since I was 11 years old.

Other Meds: Birth control

Current Illness:

ID: 1715168
Sex: M
Age: 54
State: TX

Vax Date: 04/07/2021
Onset Date: 08/06/2021
Rec V Date: 09/20/2021
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: Positive Covid test on 08062021

Allergies: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Contracted COVID-19. Flu-like symptoms; headaches , body aches, chills, fever, pneumonia

Other Meds: None

Current Illness: None

ID: 1715169
Sex: M
Age: 33
State: MN

Vax Date: 09/17/2021
Onset Date: 09/17/2021
Rec V Date: 09/20/2021
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: coconut

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

Symptoms: patient states it was like how he reacts to coconut. Throat swelling and tongue swelling. went to emergency room and they administered Benadryl and Prednisone. Patient sates swelling subsided and no issues since then

Other Meds: none

Current Illness: none

ID: 1715170
Sex: F
Age: 60
State: GA

Vax Date: 04/26/2021
Onset Date: 09/01/2021
Rec V Date: 09/20/2021
Hospital: Y

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

Lab Data: 09/03/2021 Antigen+ COVID-19 test at URGENT CARE; 09/05/2021 PCR+ COVID-19 test at Hospital

Allergies:

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

Symptoms: Breakthrough COVID-19 case with symptom onset 9/1/2021: Fever >100.4, Muscle or body aches, Runny nose/Congestion, Sore throat, Cough (new onset or worsening of chronic cough) , Shortness of breath or difficulty breathing, Fatigue or tiredness, Headache. On 9/4/2021 her temperature was 103.0 so her daughter took her to the Hospital ER and she was diagnosed with COVID pneumonia. She stayed in the Emergency Room for over 15 hours and did not have a room for her. She was discharged home

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am