VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 11/12/2021
** VAERS DATABASE Last updated: November 12, 2021**
PLEASE CHECK BACK SOON
Download the files above while you wait.







Manufacturers

Total Manufacturer
199,106MODERNA
36,710JANSSEN
5,381PFIZER\BIONTECH
2,555GLAXOSMITHKLINE BIOLOGICALS
1,469UNKNOWN MANUFACTURER
897MERCK & CO. INC.
627SEQIRUS, INC.
112DYNAVAX TECHNOLOGIES CORPORATION
91SANOFI PASTEUR
75NOVARTIS VACCINES AND DIAGNOSTICS
40EMERGENT BIOSOLUTIONS
14PAXVAX
12TEVA PHARMACEUTICALS
12PROTEIN SCIENCES CORPORATION
9PFIZER\WYETH
4BERNA BIOTECH, LTD.
4SMITHKLINE BEECHAM
3INTERCELL AG
1MEDIMMUNE VACCINES, INC.
1CSL LIMITED

COVID19 Lot Number

VAX LOT Total
2S9CL7,949
7,473
2,547
1,506
1,187
1,051
1,049
s0294561,043
866
IMM209861
816
UT7065MA766
657
579
U62828AA563
557
538
U6737AA516
515
S034636506
4F472471
458
P100253275449
444
276563436
429
418
4BH32414
MENVEO404
PP9L5362
UJ446AA337
319
306
290
271
49TM3270
R1B252M253
4F472179
933622147
C5763AA144
CW3116134
3Y7NL126
UNK114
113
ARBA141A105
104
103
96
300057A90
79
1F4EB73
R1B743M62
56
UJ090AA55
51
UH894AB46
45
UNK44
UNK42
42
EJ168638
Unknown36
35
34
32
32
26
el128424
24
A115A22
22
EN620222
21
UNK20
20
19
Z127A19
19
17
JEV18K95E15
12
111798PI12
10
A739088
No batch number8
3333324181078
6
6
TAR356
5
5
U6935AA5
UNK5
4
unknown4
3
2
55RB72
2
2
2
2
2
U7124AA2
JEV18A68E2
2
ABYB05BA1
1
1
1
1
AMVA436A1
1
1
TJ3521
A130A; VIS give1
1
U7140BB1
1
1
SP UP016AA1
1
1808P08802/ESV01
037K20A300,947
EL1284288,578
57,766
1,432

Incidents per State

State Total
82,750
CA62,821
FL38,209
TX36,512
NY34,921
PA23,646
IN23,622
IL20,597
MI19,590
OH19,426
NJ18,413
NC16,769
GA15,932
WA15,351
VA15,234
MA14,876
AZ14,206
MN12,940
MD12,656
CO11,908
WI11,425
MO10,240
TN9,685
OR8,768
KY8,437
CT8,300
SC6,700
OK6,293
AL5,692
LA5,025
IA4,825
KS4,821
UT4,637
NV4,374
NM3,967
AR3,807
ME3,161
NH3,096
NE2,918
MS2,859
ID2,785
WV2,469
HI2,459
PR2,417
MT2,414
RI2,076
DE1,868
AK1,830
VT1,734
DC1,715
ND1,388
SD1,269
WY866
GU118
VI69
AS47
MP29
MH8
XB6
FM4
QM3
XV2
XL1

ID: 1723098
Sex: F
Age: 79
State: MI

Vax Date: 06/24/2021
Onset Date: 06/25/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data: yes

Allergies: no

Symptom List: Dysphagia, Epiglottitis

Symptoms: severe aches and pains in left arm, swollen face

Other Meds: metformin, antentalol, clonidine

Current Illness: no

ID: 1723099
Sex: F
Age: 11
State: DE

Vax Date: 09/13/2021
Onset Date: 09/16/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data: None

Allergies: None

Symptom List: Anxiety, Dyspnoea

Symptoms: Parent reports patient had a fever on 9/14/2021 and was sent home from school. Patient/Parent report that facial swelling began on the morning of 9/16/2021. Patient/Parent deny any anaphylactic difficulty such as trouble breathing, hives or any rashes.

Other Meds: None

Current Illness: None

ID: 1723100
Sex: F
Age: 19
State:

Vax Date: 09/21/2021
Onset Date: 09/21/2021
Rec V Date: 09/22/2021
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: Patient arrived at vaccine site at approximately 1535 reporting that she had received the Janssen COVID vaccine approximately 3 months ago but was not given proof of vaccination. She requested to receive the Pfizer COVID vaccine as she is required to have proof of COVID vaccination. PHN called PHN supervisor and the medical team. Dr from the medical team approved Pfizer vaccine series for the patient. Patient returned to vaccine site and received dose 1 of the Pfizer COVID vaccine (lot FF8839) at approximately 1800. Patient wait in observation area for 15min, no report of adverse symptoms. Patient left walking with steady gait at approximately 1815.

Other Meds:

Current Illness:

ID: 1723101
Sex: F
Age: 39
State: NY

Vax Date: 07/06/2021
Onset Date: 07/11/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data: n/a

Allergies: N/A

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: do not get an organism

Other Meds: N/A

Current Illness: N/A

ID: 1723102
Sex: F
Age: 32
State: NC

Vax Date: 09/17/2021
Onset Date: 09/18/2021
Rec V Date: 09/22/2021
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: Heart flutters since 9/19/2021 when I lay down

Other Meds: Xeloda Xarelto Busiprone Effexor

Current Illness:

ID: 1723103
Sex: F
Age: 45
State: KS

Vax Date: 09/18/2021
Onset Date: 09/18/2021
Rec V Date: 09/22/2021
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: chest xrays, blood work CBC, Heart panel and respiratory panel 9/18/2021

Allergies: sulfa

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

Symptoms: Both injections gave me high fever, cough, shortness of breath, high blood pressure and chest pain

Other Meds: Metoprolal, losartan, escitalopram; wellbutrin, xanax, gabapentin, multivitamin, biotin, b12, omeprazole, claritan

Current Illness: none

ID: 1723104
Sex: F
Age: 51
State: CA

Vax Date: 08/19/2021
Onset Date: 08/19/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data: N/A

Allergies: None

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Back pain and nerve pain started soon after second vaccine. Hip pain started late and continued to decline. Numbness and tingling with pins and needles feelings in feet, legs and hands. Patient had difficulty walking and breathing that got worse and went to the hospital on 08/23/2021. She had no fever and the hospital did a scan and it came back clear. Her body was burning and she developed a persistent mouth thrush with swelling of her tongue. She went to the hospital five different times since the incident without getting better. She has an appointment with a neurologist in a month.

Other Meds: N/A

Current Illness: None

ID: 1723105
Sex: F
Age: 68
State: FL

Vax Date: 03/01/2021
Onset Date: 03/02/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data: no

Allergies: no

Symptom List: Pharyngeal swelling

Symptoms: 12hours after the vaccine, I woke up at 1AM with a really weird dream, Headache and fever. I couldn't get up and felt like a wanted to vomit and nauseous. I vomiting , I sipped Gatorade and ginger ale. I was out of it. I slept. GI - direahha into the afternoon. I finally stopped vomiting. I had anti vomiting meds. I went to bed that night and the next I woke and felt like I could run a marathon Teledoctor on 2nd.

Other Meds: Lipitor

Current Illness: no

ID: 1723106
Sex: M
Age: 35
State: ID

Vax Date: 04/03/2021
Onset Date: 06/20/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data: June 19th - MRI to rule out Stroke. Diagnosed with Bells Palsey

Allergies: Allergies to many fruits, trees, cat hair. Penicillin

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Bells Palsey - June 19th - Lasted 3 weeks. Vestibular Neuritis (possibly) - Suggested by Doctor, not officially diagnosed. Severe Dizziness lasted 4 days. Lingering Dizziness still ongoing. July 26th

Other Meds: None

Current Illness: None

ID: 1723107
Sex: F
Age: 56
State: NY

Vax Date: 09/21/2021
Onset Date: 09/21/2021
Rec V Date: 09/22/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: ECG Lab tests

Allergies: none

Symptom List: Diarrhoea, Nasal congestion

Symptoms: chest discomfort only briefly left arm discomfort elevated blood pressure

Other Meds: amlodipine

Current Illness: none

ID: 1723108
Sex: F
Age: 47
State: MD

Vax Date: 05/04/2021
Onset Date: 06/01/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data: I had blood work done, it revealed no known issues. I had a Nerve Conduction Study performed on my left arm, leg and neck. The neurologist did not see anything of major concern but did say I had carpel tunnel syndrome on my left side, but I am right hand dominant. I had an MRI after the NCS and no major issues were revealed. I continue to have symptoms on my left side, a loss of strength and agility.

Allergies: none

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

Symptoms: I have experienced numbness and loss of function on my left extremities. Both my arm and leg have loss of strength and "pins and needles" sensation. Some of all symptoms were present on my right side but have since largely resolved. My left side persists.

Other Meds: none

Current Illness: none

ID: 1723109
Sex: M
Age: 71
State: IL

Vax Date: 02/18/2021
Onset Date: 09/22/2021
Rec V Date: 09/22/2021
Hospital: Y

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: Pt received Pfizer x2. Pt tested COVID + on 9/17/21 and admitted to hospital for COVID on 9/20/2021. Pt received Regeneron and receiving Remdesivir and Dexamethasone.

Other Meds:

Current Illness:

ID: 1723110
Sex: F
Age: 38
State: TX

Vax Date: 09/17/2021
Onset Date: 09/19/2021
Rec V Date: 09/22/2021
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: Employee calling to report a reaction after receiving a COVID-19 vaccine. Vaccine Name - Pfizer Vaccine Date - ? 9/17/2021 Is this your first or second dose- 2nd Date of symptom onset - ? 9/19/2021 Symptoms - ? Severe migraine, fatigue, and puffiness around eyes (that she did not seek treatment for) Last day of work and shift - ? NA Home remedies- NA Any improvement- Employee stated all symptoms have resolved except for the migraine but it has improved Recommendation- Advised employee to take Tylenol per package instructions as needed for headache. Employee voiced understanding Employee of information ? Yes Employee voiced any concerns ? No Employee?s questions answered to employee?s satisfaction -Yes

Other Meds:

Current Illness:

ID: 1723111
Sex: F
Age: 67
State:

Vax Date: 01/26/2021
Onset Date: 09/08/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Breakthrough COVID 19 vaccine not requiring hospitalization

Other Meds:

Current Illness:

ID: 1723112
Sex: M
Age: 48
State: FL

Vax Date: 04/15/2021
Onset Date: 05/20/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data: So far, I had a bunch of blood tests done by a neurologist. I also had a brain MRI. They didn't find anything that could explain the symptoms.

Allergies: none

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

Symptoms: Approximately 5 weeks after my second shot, I started getting paresthesia (prickling, tingling sensations), mostly in my hands and feet, but also on my face, neck, arms, legs, and chest. Around the same time, I started experiencing tinnitus, ringing in my ears, mostly in my left ear.

Other Meds: multivitamin evening primrose oil

Current Illness: none

ID: 1723113
Sex: F
Age: 35
State: MA

Vax Date: 08/01/2021
Onset Date: 08/06/2021
Rec V Date: 09/22/2021
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: Began to experience seizures, Seizure-like activity, tremors 5 days post vaccination

Other Meds: IC Dextroamphetamine 10MG IR, Fluticasone Propionate 50 MCG

Current Illness: Acute covid-19 Syndrome (long covid)

ID: 1723114
Sex: U
Age: 20
State:

Vax Date: 07/06/2021
Onset Date: 07/08/2021
Rec V Date: 09/22/2021
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: Swollen nipples

Other Meds:

Current Illness:

ID: 1723115
Sex: F
Age: 67
State: AK

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

Vax Type: HIBV
Manufacturer: MERCK & CO. INC.
Vax Name: HIB (PEDVAXHIB)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data: none. I just want to document that my toes are still numb.

Allergies: none

Symptom List: Ear pain, Hypoaesthesia

Symptoms: All toes are numb all day and night since vaccine one week ago. I thought it would subside. I just want to document this reaction.

Other Meds: none

Current Illness: none

ID: 1723116
Sex: F
Age: 43
State: ME

Vax Date: 03/10/2021
Onset Date: 03/13/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data: Lab work(antibody pieces)

Allergies: Wish not to provide

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: I started having difficulty walking, talking and swallowing. About a week later started having motor skills with my hands. This all hours of the day until I got IVIG now partial hours of the day. It was not until recently my symptoms started to subside. I have had to increase my medications.

Other Meds: Wish not to provide

Current Illness: No

ID: 1723117
Sex: F
Age: 32
State:

Vax Date: 01/15/2021
Onset Date: 09/08/2021
Rec V Date: 09/22/2021
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: Breakthrough COVID 19 infection not requiring hospitalization

Other Meds:

Current Illness:

ID: 1723118
Sex: F
Age: 59
State: GA

Vax Date: 08/23/2021
Onset Date: 09/11/2021
Rec V Date: 09/22/2021
Hospital: Y

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: CT Scan, MRI, Endoscopy, Bloodwork 9/14, 9/15, 9/16, 9/17

Allergies: Brazil Nuts, Bacitracin, Chlorhexadine, Tamiflu, Ketamine, Adhesive, CT Contrast

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

Symptoms: Shortly after receiving the vaccine I had loose stools consistently for 3+ weeks. On 9/11/21 I began throwing up and continued to be nauseous and vomit through 9/13. At approximately midnight on the 13th I went to Hospital where I was admitted with severe dehydration and my liver enzymes were very elevated. I was kept there through 9/17. I then returned to the ER on 9/18 with high blood pressure and a vicious headache. I was treated with Zofran, IV fluids and released from the ER.

Other Meds: Cymbalta 60mg, Metformin 1000mg, Metropolol 50mg, Ropinerole XR. 4mg

Current Illness: None

ID: 1723119
Sex: F
Age: 36
State: FL

Vax Date: 06/01/2021
Onset Date: 06/02/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data: CBC test. One of the indicators was slightly off, however a primary care physician said it was fine overall and it's nothing to worry about. There are no written results of any other lab tests being done that can confirm the effects in item 18.

Allergies: ambien

Symptom List: Unevaluable event

Symptoms: I feel a lot less energy after the 2 series of Phizer\BioNTech vaccines. The first one was on 6/1/2021, the second dose on 6/22/2021. Immediately after the vaccine I felt super tired. Little by little the effects became less horrible, however by june 21, 2021 I still didn't have enough energy to drive to the same place (about 1 hour away) for the second vaccine. So I went to a nearby store - only 15 min away. The second dose made me have headaches and feel dizzy. 2 weeks and 1 day later I still didn't have enough energy to drive 2 hours away for an interview. I didn't have enough energy, nor optimism to go to gym classes. Overall I still feel worse than before the vaccine. I just don't have enough energy and feel very sad. I never feel like running anymore (and I did before the vaccine). Now I stay in an even worse place, because I still don't have a job. Sometimes I fall asleep during the day, which rarely happened before the vaccine. It scares me. I have not read anywhere that the vaccine can have such an effect. Also, I thought the pandemic will end once there are widely available vaccinations, which happened some time in June. There is still a pandemic. People are still wearing masks. When will the pandemic end? How can I get the same energy and optimism I had before, i.e. reverse the negative effects of the vaccine? Will the effect of the vaccine wear out and if so in how much time?

Other Meds: multi-vitamins sometimes

Current Illness: no

ID: 1723120
Sex: F
Age: 67
State: NY

Vax Date: 05/02/2021
Onset Date: 09/12/2021
Rec V Date: 09/22/2021
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: MRI 09/12/2021 Cat-Scan 09/12/2021 Ultrasound 09/12/2021 Blood Lab 09/12/2021

Allergies: N/A

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

Symptoms: Pt.'s Caretaker states that after receiving the 2nd dose of Moderna 05/02/2021, started experiencing symptoms 09/12/2021 of Positive Covid + 09/20/2021, 09/12/2021 Acute Ascemic Temperal Lobe Stroke, 09/22/2021 home-care.

Other Meds: Unknown

Current Illness: N/A

ID: 1723121
Sex: M
Age: 53
State: GA

Vax Date: 05/28/2021
Onset Date: 05/31/2021
Rec V Date: 09/22/2021
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: Pollen during spring

Symptom List: Injection site pain, Pain

Symptoms: Diarrhea for almost a week after. Short of breath, elevated heart rate with no physical exercises and random times. Fatigue. First month after the second shot was really bad, it has been getting better slowly.

Other Meds: Multivitamins.

Current Illness: None

ID: 1723122
Sex: F
Age: 14
State: OK

Vax Date: 09/21/2021
Onset Date:
Rec V Date: 09/22/2021
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: NKA

Symptom List: Injection site pain, Menorrhagia

Symptoms: CHILD BROUGHT BY MOM STATED NEEDING TO GET IMMUNIZATIONS FOR SCHOOL AND COVID VACCINE,CLERK BY ACCIDENT PUT IN WRONG DOB IN OSIIS AND STARTED NEW CHART , CLIENT HAD BROUGHT IMM.RECORD FROM IMMGRATION IMM.PUT INTO OSIIS, HAD ONE DOSE OF PFIZER FROM IMMGRATION,SECOND DOSE GIVEN BY ME ALONG WITH IMM FOR SCHOOL,TODAY CLERK NOTED HAD PUT IN WRONG DOB IN OSIIS WHEN SHE LOOKED AT THE RIGHT DOB CLIENT HAD ALREADY HAD ONE PREVIOUS DOSE OF PFIZER TOTALLY 3 DOSES ALL 5 WEEKS APART,

Other Meds: N/A

Current Illness: NONE

ID: 1723123
Sex: F
Age: 27
State: NC

Vax Date: 09/16/2021
Onset Date: 09/16/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data: Blood work , ekg,

Allergies: Latex

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

Symptoms: I was completely Healthy I had ate and drank water, I went to get vaccine in my left arm. I got the shot and sat down to wait the 15mins, left arm starting tingling then going numb, I felt a warm sensation going across my chest then my right arm started tingling . I started feeling hot and so I put my hair up and then I was waking up on the floor i had passed out my blood pressure was low and they couldn?t get my pulse. I could not move my whole body was tingly and numb and my hands and fingers went stiff and I could not move them from that position. I haven?t had issues with my blood pressure before it?s usually textbook and my bp was 70/50. The first responder tried to sit me up and I almost passed out again I was taken to the hospital on the way I was given an ekg and saline. I still could not move , my body was heavy and my throat was starting to feel like it was closing it was hard to breathe. At the hospital I was given more saline and blood was taken I could not stand for about 4 hours and my blood pressure was still very low. When my bp got up they sent me home. I was very tired and achy. The next day 9/17/21 I was still very drained and weak I also had 2 nosebleeds ( never really had for no reason ) and I felt really bad , headache and a little dizzy. I have a follow up appointment with my primary In a few days.

Other Meds: No

Current Illness: No

Date Died: 08/19/2021

ID: 1723124
Sex: M
Age: 72
State: TN

Vax Date: 01/21/2021
Onset Date: 07/19/2021
Rec V Date: 09/22/2021
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: CXR 7/27, 8/5, 8/12, 8/16 CT scan 8/12 chest tube insertion 8/5 ECHO 8/5, 8/19 Ultrasound Lower Extremities 8/18 CT scan/Thorax PE protocol

Allergies: Unknown allergies

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Death

Other Meds: None

Current Illness: None

ID: 1723125
Sex: M
Age: 56
State: IA

Vax Date: 09/18/2021
Onset Date: 09/18/2021
Rec V Date: 09/22/2021
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: Patient reported fever of 103, severe arm pain, itchy welts, swollen lymph node under the arm, swollen arm, and stabbing pain in the heart. He said he had this reaction after both doses

Other Meds:

Current Illness:

ID: 1723126
Sex: F
Age: 27
State: MD

Vax Date: 09/20/2021
Onset Date: 09/21/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Pain and tenderness caused by swelling the size of a baseball in lymph nodes in the left armpit, swelling in lymph nodes below collar bone, swelling in lymph nodes above collar bone at the base of the neck. I was told that the swelling should go down and to keep an eye on it. Apply warm compresses and take Advil/Tylenol as needed for pain.

Other Meds:

Current Illness: Fibroid

ID: 1723127
Sex: F
Age: 56
State: IN

Vax Date: 09/13/2021
Onset Date: 09/13/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data:

Allergies: chicken, corn, soy, wheat

Symptom List: Nausea

Symptoms: Soreness at injection site. Headache and nausea for a few days.

Other Meds: Estrace, cytomel, magnesium, multivitamin, sumatriptan, Vit B complex.

Current Illness: unknown

ID: 1723128
Sex: M
Age: 36
State: CO

Vax Date: 09/21/2021
Onset Date: 09/21/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data: Activity intolerance

Allergies: Vaccine additives and reactive proteins

Symptom List: Injection site pain

Symptoms: Burning across chest which started 20 minutes after administration, heart pain, and activity intolerance

Other Meds: None.

Current Illness: None.

ID: 1723129
Sex: M
Age: 49
State: NC

Vax Date: 08/16/2021
Onset Date: 08/17/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data: EKG: 19th EKG/CT SCAN/Blood tests: 20th

Allergies: None

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

Symptoms: Mon: Vaccine and no effects Tue: mild flu like symptom by mid second day. No fever, but cold sweats and chills with body aches. Went home early from work and went to bed and slept until the next morning. Wed: felt a little better but by mid-day was feeling very tired and drained. Body aches and flush feeling. Went home and took a nap and went back to work for a later meeting and stayed to get caught up on work missed from the earlier nap. Around 7:30 PM felt a sharp pain in my chest and thought I was having a heart attack. Called my wife and walked next door. By the time I got down stairs and almost to my Apt the pain stopped. I felt like it came as fast as it went. I laid down for a few and felt fine... so I did not go to the hospital... Thur: Was sitting at my desk Thursday morning early and felt the same pain in my chest but not as bad but scared me... also came and left fast. Maybe only 3-5 mins this time. I went to urgent care and they ran EKG and said if I had an issues it did not show on the EKG and recommended if I have more issue to go to the hospital. I felt relatively fine the rest of the day other than very drained and tired. Fri: Friday morning in the shower getting ready for work I lost the felling in the left side of my face. The lose of feeling only lasted about 10-15 mins and I thought I was having a stroke. I was officially freaked out at that point. spend most of the day in the ER having them run test. The could not tell me what was wrong with me and could also not tell me what the path of treatment was and by that point I was feeling fine. I did not want to stay and be a test subject without know what we are looking for so I check out of the ER and went home. It took about two weeks for me to get to what I would consider normal. I am normally a very active person that goes to the gym daily, hikes 5 mile in the mountains with no issues and I have struggled to get back to gym and complete a 30 min workout. I feel fine as long as I dont do too much physical activities. But I do feel like I am getting better every day.

Other Meds: losartan/hctz 100/25 Testosterone Pellets

Current Illness: None

ID: 1723130
Sex: F
Age: 64
State: IL

Vax Date: 04/09/2021
Onset Date: 09/21/2021
Rec V Date: 09/22/2021
Hospital: Y

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: Pt received Pfizer x2. Pt tested COVID + on 9/21/21 and admitted to hospital for COVID on 9/21/2021. Pt receiving remdesivir and dexamethasone.

Other Meds:

Current Illness:

Date Died: 09/18/2021

ID: 1723131
Sex: M
Age: 84
State: TN

Vax Date: 02/11/2021
Onset Date: 09/17/2021
Rec V Date: 09/22/2021
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: Tremor

Symptoms: Patient fully vaccinated with Pfizer vaccine. Tested positive for COVID 19 on 9/17/2021. Brought to ED at Medical Center on 9/18/2021 with shortness of breath and expired while in the ED.

Other Meds:

Current Illness:

ID: 1723132
Sex: F
Age: 30
State: MD

Vax Date: 09/03/2021
Onset Date: 09/03/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data: None

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: Full body uticaria with itching. Patient given a steriod pack at the hospital and famotidine for symptom relief.

Other Meds: Adderall, Dicyclomine, Pantoprazole, Nexplanon, Ramipril, Citalopram

Current Illness: Colitis

ID: 1723133
Sex: F
Age: 40
State: FL

Vax Date: 09/13/2021
Onset Date: 09/13/2021
Rec V Date: 09/22/2021
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: VACCINE GIVEN TOO EARLY, GIVEN ON DAY 20

Other Meds: NONE

Current Illness: NONE

ID: 1723134
Sex: F
Age: 47
State: CA

Vax Date: 03/18/2021
Onset Date: 03/22/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data: EKG- normal Blood work- normal MRI- showed lesions

Allergies: Vicodin, Penicillin, seasonal allergies

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

Symptoms: On 03/22/2021 I felt dizzy and unbalanced. I had an MRI, neck ultrasound. Now I am medicated for hypertension. I had a hypertension crisis. I had multiple doctor?s visits. I had blood work done. I have not had a good day since that day. On the night of 03/28/2021 I went to the ER for dizziness and heart palpitations. They did an EKG and blood work. They said it was an anxiety attack and that I should see my PCP. The dizziness continued and I got my MRI on June, which showed lesions but I have not been able to see a neurologist yet. They said it could be from MS or hypertension or something else but they have not given me any diagnosis yet. I am still dizzy.

Other Meds: Multi vitamin

Current Illness: None

ID: 1723135
Sex: F
Age: 54
State: WA

Vax Date: 04/29/2021
Onset Date: 07/18/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data: ESR: 5/15/21 - during flare: 55 6/18/21 - resolved - 6 7/27/21 - after first rash - 50 9/17/21 - with shingles non-resolving 37 Varicella IgG 9/17/21 - >4000

Allergies: Nitrous oxide, metoprolol, narcotis

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: 2 month autoimmune flare, with ESR >50. Then development of shingles 7/18/21 with small mammary rash and C8/T1 dermatome involvement. Recognized as shingles 8/2/21 with 2 weeks of Valtrex 1 g tid. Symptoms recurred (R arm pain and numbness) rash not resolving, resumed Valtrex 500 mg bid on 9/17/21,

Other Meds: Vitamin B12 injections, clonazepam PRN

Current Illness: None

ID: 1723136
Sex: M
Age: 79
State: NY

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data: covid pcr - 9/20-21

Allergies: none

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

Symptoms: breakthrough covid infection

Other Meds: apixaban, crestor, calcitriol, plavix, pantoprazole, detemir, sevelamer, hydralazine, metoprolol,

Current Illness:

ID: 1723137
Sex: M
Age: 90
State:

Vax Date: 02/28/2021
Onset Date: 09/02/2021
Rec V Date: 09/22/2021
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:

Allergies:

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

Symptoms: Patient presented to the hospital with a positive COVID test and presented with typical COVID symptoms. Treated with typical COVID therapies and went home with home health.

Other Meds:

Current Illness:

ID: 1723138
Sex: F
Age: 50
State: NY

Vax Date: 09/21/2021
Onset Date: 09/21/2021
Rec V Date: 09/22/2021
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: Pain in extremity

Symptoms: called to report Headache and diarrhea after vaccination

Other Meds: Multivitamin

Current Illness: none

ID: 1723139
Sex: M
Age: 84
State: NV

Vax Date: 02/11/2021
Onset Date: 02/25/2021
Rec V Date: 09/22/2021
Hospital: Y

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

Lab Data: Multiple while in the hospital and ongoing.

Allergies: Sulfa.

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

Symptoms: He got the vaccine, had no reaction other than slight soreness. Then 2 weeks later he fell to the ground, was rushed to the hospital and had CT scan that told that he had a blood clot on the left side of his brain. Had slow drip for 2 hours and then started getting feeling back in right side of his body and speech started coming back. Was admitted to the ICU at Medical Center. The next day did another CAT scan and there was no sign of the blood clot. He is now on Plavix, heart pills, as well as Lasix. His blood counts have been low since this and still being monitored to that. Blood count 129 3 months ago, and 104 the other day. Hemoglobin is low as well. Went to the ICU to a regular room and then released. Due for the 2nd vaccine while in the hospital and then had it subsequently on 3/9/21. He did not have any reactions from that vaccine other than some soreness. Lot #EL3302. Before moving 22 years ago he did have a stroke and was hospitalized for 9 days, and has not had any problems until after the vaccine. He believes that it is more than coincidence that for over 23 years he has been fine, and that he had it 2 weeks after the vaccine.

Other Meds: Heart medications, BP medications.

Current Illness: None.

ID: 1723140
Sex: F
Age: 65
State: TN

Vax Date: 08/11/2021
Onset Date: 08/11/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data: EKG Blood Test

Allergies: Avalox ibuprofen

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

Symptoms: pt states 15 minutes after she got the covid vax she could taste the medicine in her mouth. She became very flushed. The medicine taste disappeared after 2 days and the flushing went away after 4 days. About a week later she developed chest pressure that felt abnormal. She went to the ER w/ Gastro problems and had them do an EKG and labs for the chest pressure she was having. These test came back normal. After 2nd dose on 9/7/2021 LOT # 088621A she had arm pain with some fever, diarhea, chills, weakness and flu like symptoms that lasted about 4 days. She was still weak so went for another EKG and more lab work that was normal.

Other Meds: Lisinopril 40 mg, amlodipine 10mg, metoprolol 25mg, loratadine 10mg,

Current Illness:

ID: 1723141
Sex: F
Age: 76
State: MO

Vax Date: 02/24/2021
Onset Date: 09/10/2021
Rec V Date: 09/22/2021
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: UNKNWN

Allergies: UNKNOWN

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

Symptoms: FULLY VAXED AS OF 2/24/2021 AND DEVELOPED COVID SXS 9/10/2021 AND DIAGNOSED 09/12/2021. ADMITTED TO HOSPITAL 9/15/2021 DUE TO COVID.CURRENTLY STILL HOSPITALIZED, IMPROVING AND HAS PLANS FOR BEIGN DISCHARGED TO REHAB WITHIN THE WEEK

Other Meds: UNKNOWN

Current Illness:

ID: 1723142
Sex: F
Age: 72
State: MO

Vax Date: 03/21/2021
Onset Date: 03/29/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data: BLOOD WORK

Allergies: NONE

Symptom List: Vomiting

Symptoms: GOUT, SOME CARDIO ISSUES STILL SEEKING TREATMENT

Other Meds: LEVOTHYROXINE VITAMIN D MULTIVATIMIN

Current Illness: NONE

ID: 1723143
Sex: F
Age: 30
State: NJ

Vax Date: 09/13/2021
Onset Date: 09/14/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data: doctor explained this looked to be hyperthrombosis.

Allergies: N/A

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Heavy bruising throughout both legs that have lasted a little over one week.

Other Meds: N/A

Current Illness: N/A

ID: 1723144
Sex: F
Age: 21
State: WA

Vax Date: 09/20/2021
Onset Date: 09/20/2021
Rec V Date: 09/22/2021
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: None

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

Symptoms: Fainted multiple times several hours after receiving vaccine. Loss of muscle control and difficulty standing up. Intense head ache and confusion.

Other Meds: None

Current Illness: None

ID: 1723145
Sex: F
Age: 59
State: UT

Vax Date: 04/03/2021
Onset Date: 04/13/2021
Rec V Date: 09/22/2021
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: Mammogram- normal

Allergies: Cyprol

Symptom List: Injection site swelling, Limb discomfort

Symptoms: I experienced the occasional sore arm and cold like symptoms shortly after getting the vaccine. About 10 days after receiving the vaccine my lymph nodes under both arms started to hurt. On the left side I had breast cancer in 2002, I had 18 of my lymph nodes on the left side of my arm removed. On the left side the whole breast would just ache and feel as if it was burning. I experienced pain on the right but it went away after two weeks, but the pain would not go away on the left side of my breast. I decided to take tylenol for the pain it occasionally took the pain away. On June 23rd I had a screening mammogram that was ordered by my gyno, and they did not find anything that was of concern. My oncologist ordered a diagnostic screening and ultrasound for October 1st. The pain is still coming and going until this day.

Other Meds: Levoxyl .75mcg 1xday,

Current Illness:

ID: 1723146
Sex: M
Age: 80
State: IL

Vax Date: 03/12/2021
Onset Date: 08/30/2021
Rec V Date: 09/22/2021
Hospital: Y

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

Lab Data:

Allergies:

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

Symptoms: Pt received Pfizer x2. Pt tested COVID + on 8/30/21 in the ED and was admitted to the hospital for lower GI bleed on 8/30/2021. COVID (+) was an incidental finding (patient was asymptomatic for COVID and did not require COVID treatment).

Other Meds:

Current Illness:

ID: 1723147
Sex: M
Age: 37
State: NH

Vax Date: 04/14/2021
Onset Date: 05/29/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data: sed rate 39

Allergies: leafy vegetables - lettuce

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

Symptoms: headaches/ eye pain/ memory changes

Other Meds: none

Current Illness: none

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am