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: 1726463
Sex: M
Age: 87
State: MI

Vax Date: 03/09/2021
Onset Date: 09/03/2021
Rec V Date: 09/23/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Patient admitted to hospital 9/3 for pneumonia and COVID positive. Fully vaccinated March 2021

Other Meds:

Current Illness:

ID: 1726464
Sex: F
Age: 50
State: GA

Vax Date: 07/18/2021
Onset Date: 07/18/2021
Rec V Date: 09/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1726465
Sex: F
Age: 40
State: TX

Vax Date: 09/21/2021
Onset Date: 09/22/2021
Rec V Date: 09/23/2021
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: n/a

Allergies: Codeine, latex, pineapples, papaya, bell peppers

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

Symptoms: Pain at injection site started 5 hrs after injection, following day body aches began around 3:00 pm with a low grade fever of 99.3. By 11:55pm I was nauseated and vomiting. Body aches began to intensify leading to no sleep. By 7:00 am I began sneezing and have head congestion with the body aches.

Other Meds: Cranberry Azo gummies

Current Illness: seasonal allergies

ID: 1726466
Sex: M
Age: 16
State: GA

Vax Date: 07/18/2021
Onset Date: 07/18/2021
Rec V Date: 09/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Error: Improper Storage (temperature).

Other Meds:

Current Illness:

ID: 1726467
Sex: F
Age: 59
State: IA

Vax Date: 08/17/2021
Onset Date: 09/01/2021
Rec V Date: 09/23/2021
Hospital:

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

Lab Data:

Allergies: Bees and wasps topical creams and lotions . Bactrim,

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

Symptoms: Joint pain and stiffness.

Other Meds: None

Current Illness: None

ID: 1726468
Sex: F
Age: 60
State: GA

Vax Date: 07/18/2021
Onset Date: 07/18/2021
Rec V Date: 09/23/2021
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: 1726469
Sex: M
Age: 61
State: MN

Vax Date: 03/18/2021
Onset Date: 04/15/2021
Rec V Date: 09/23/2021
Hospital:

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

Lab Data: Positive RT-PCR COVID-19 Test

Allergies: NKA

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Tested positive for COVID-19 while fully vaccinated

Other Meds: Albuterol HFA, Viagra, butalbital-aspirin-caffeine-codeine, simvastatin, motrin, depo-testosterone, flexeril, celebrex, aspirin, benadryl

Current Illness: N/A

ID: 1726470
Sex: F
Age: 72
State:

Vax Date: 03/24/2021
Onset Date: 09/03/2021
Rec V Date: 09/23/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Patient was admitted to the hospital for COVID-19 symptoms and received typical COVID treatments. They discharged to home.

Other Meds:

Current Illness:

ID: 1726471
Sex: F
Age: 63
State: PA

Vax Date: 09/11/2021
Onset Date: 09/12/2021
Rec V Date: 09/23/2021
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: Red arm rash

Other Meds:

Current Illness:

ID: 1726472
Sex: F
Age: 31
State: FL

Vax Date: 08/28/2021
Onset Date: 08/29/2021
Rec V Date: 09/23/2021
Hospital: Y

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

Lab Data: 9/16/2021 Labs , CT of abdomen with contrast, MRI of abdomen under anesthesia Lab work was ok but my liver enzymes were elevated, Results of CT was normal, MRI results was fairly normal

Allergies: Iodine; Shellfish; Robaxin; Percocet; Augmentin

Symptom List: Diarrhoea, Nasal congestion

Symptoms: I was extremely fatigued and achy and couldn't get comfortable. This has continued since I got the shot. I had mild fevers not over 100. The exhaustion is the main issue. Last week I ended up having a lot of stomach pain and lack of appetite. I felt like I almost passed out in a store. I was taken to hospital by ambulance on 9/15/2021 and was seen in the ER. They determined that my lymph nodes in my abdomen were inflamed. The next day I went back to the ER but at a different hospital and they hospitalized me because my liver enzymes went very elevated and were concerned about liver failure. I was in the hospital for 6 days.

Other Meds: Synthroid; Metoclopramide; Amitriptyline; Qtern; Vitamin D;Dexilant; Tizanidine; Montelukast; Librax; Medical Marijuana; Cranberry Supplement; Calcium

Current Illness: none

ID: 1726473
Sex: F
Age: 40
State: NJ

Vax Date: 08/24/2021
Onset Date: 09/08/2021
Rec V Date: 09/23/2021
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: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: Period after COVID vaccine was very light and then passed large blot clot. This has never happened before and I have regular periods.

Other Meds: Cymbalta Buspar Viberzi

Current Illness:

ID: 1726474
Sex: F
Age: 50
State: VA

Vax Date: 09/08/2021
Onset Date: 09/09/2021
Rec V Date: 09/23/2021
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: Sulfa drugs, morphene

Symptom List: Rash, Urticaria

Symptoms: body aches for 2 days. Extreme depression for 2 weeks, joint pain still going on as of today 9/23/21

Other Meds: lexapro, atorvastatin, vitamin D, vyvanse.

Current Illness: Covid-dec 2020

ID: 1726475
Sex: M
Age: 12
State: GA

Vax Date: 07/18/2021
Onset Date: 07/18/2021
Rec V Date: 09/23/2021
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: 1726476
Sex: F
Age: 72
State: MI

Vax Date: 03/10/2021
Onset Date: 09/07/2021
Rec V Date: 09/23/2021
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: Emergency room visit, COVID positive with symptoms. Fully vaccinated March 2021. Received Regeneron antibodies in ED.

Other Meds:

Current Illness:

ID: 1726477
Sex: M
Age: 65
State: TX

Vax Date: 08/27/2021
Onset Date: 08/28/2021
Rec V Date: 09/23/2021
Hospital:

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

Lab Data: None. I no longer trust the medical profession after this episode.

Allergies: None

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

Symptoms: Symptoms of myocarditis. Tight chest, felt pulse irregularities, new pronounced lack of stamina during any exercise, tire very easily.

Other Meds: None

Current Illness: None

ID: 1726479
Sex: M
Age: 14
State: GA

Vax Date: 07/18/2021
Onset Date: 07/18/2021
Rec V Date: 09/23/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1726480
Sex: F
Age: 66
State:

Vax Date: 04/26/2021
Onset Date: 09/04/2021
Rec V Date: 09/23/2021
Hospital: Y

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: Patient was admitted to the hospital for COVID-19 symptoms and was treated with typical COVID medications. Patient discharged to home

Other Meds:

Current Illness:

ID: 1726481
Sex: F
Age: 28
State: KS

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

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

Lab Data:

Allergies: N/a

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Bleeding from vagina after already having my period this month. Light bleeding after using the bathroom. Not normal for me. I usually have my period for 3 days and it's very regular

Other Meds: N/a

Current Illness: N/a

Date Died: 08/26/2021

ID: 1726482
Sex: M
Age: 76
State: GA

Vax Date: 02/18/2021
Onset Date: 08/17/2021
Rec V Date: 09/23/2021
Hospital: Y

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: Patient fully vaccinated and hospitalized and eventually died due to Covid related causes.

Other Meds:

Current Illness:

ID: 1726483
Sex: M
Age: 34
State: GA

Vax Date: 07/24/2021
Onset Date: 07/24/2021
Rec V Date: 09/23/2021
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: 1726484
Sex: M
Age: 52
State: WI

Vax Date: 05/20/2021
Onset Date: 08/30/2021
Rec V Date: 09/23/2021
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:

Allergies: No known Allergies

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

Symptoms: Pt received both doses of the Moderna COVID-19 vaccine (on 4/22/2021 and 5/20/2021). Pt tested positive for COVID 19 on 8/30/2021, subsequently had 4 ED visits for COVID follow up, before being admitted to Hospital on 9/15/2021. "Patient is a 52 y.o. male with history remarkable for multiple sclerosis, history of tobacco use, depression, ADD and vitamin D deficiency admitted 9/15/2021 with COVID-19 infection. This has caused arthralgias, loss of taste and smell, nausea, significant weight loss more recently 5% weight loss, worsening weakness and intermittent loose stool. He at times has felt short of breath but has had no respiratory failure with hypoxia and required no )2 while inpatient saturating between 97-98%. He is a vaccinated, immunocompromised individual with his MS treatments who first tested positive on August 30, and first felt symptoms August 28." Discharged 9/18/2021

Other Meds: cholecalciferol, duloxetine, multivitamin, ocrelizumab

Current Illness:

ID: 1726485
Sex: M
Age: 38
State: IN

Vax Date: 09/20/2021
Onset Date: 09/20/2021
Rec V Date: 09/23/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Unevaluable event

Symptoms: After the first shot my arm was pretty sore. That was to be expected. After the second shot my arm was VERY sore. It hurt all the way down to my wrist. I was trying not to even use it. That started about 4hrs after the vaccination. I went to sleep early(I slept about 14hrs)and I woke up feeling drained. Had no energy whatsoever, and my arm was still hurting. Imy whole body ached and I just didn?t feel good. Around 2pm that day(the day after the second shot) I felt like I was running a small fever. I took my temp and it was 99.7. I took some ibuprofen and started feeling better. Today is the 2nd day after the shot and I feel much better. Arm is still a little tender, but I feel better everywhere else.

Other Meds: Lisinopril, Fish Oil, Prilosec

Current Illness: None

ID: 1726486
Sex: M
Age: 74
State:

Vax Date: 03/10/2021
Onset Date: 09/04/2021
Rec V Date: 09/23/2021
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:

Allergies:

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

Symptoms: Patient was admitted to the hospital with COVID symptoms and was treated with typical COVID medications. Patient was discharged home with hospice.

Other Meds:

Current Illness:

ID: 1726487
Sex: F
Age: 64
State: VA

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 09/23/2021
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: Codeine

Symptom List: Injection site pain, Pain

Symptoms: I experienced severe headaches.

Other Meds: Yes

Current Illness:

ID: 1726488
Sex: F
Age: 19
State: NC

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

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

Lab Data: Pt was advised to go to ER for eval and treatment per PCP on 9/23/21.

Allergies: NKDA

Symptom List: Injection site pain, Menorrhagia

Symptoms: Pt c/o elevated heart rate, chest heaviness, and SOB that did not resolve. She states that it started around 7pm the evening that she received the vaccine (this was her 2nd dose and did not have any reaction to the first).

Other Meds: OCP- Lo Loestrin FE

Current Illness: none

ID: 1726489
Sex: M
Age: 70
State: GA

Vax Date: 07/24/2021
Onset Date: 07/24/2021
Rec V Date: 09/23/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

Date Died: 09/10/2021

ID: 1726490
Sex: M
Age: 77
State: MI

Vax Date: 03/13/2021
Onset Date: 09/09/2021
Rec V Date: 09/23/2021
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:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: COVID positive, admitted 9/9 for worsening hypoxia, deceased 9/10 while admitted. Fully vaccinated March 2021.

Other Meds:

Current Illness:

Date Died:

ID: 1726491
Sex: F
Age: 94
State:

Vax Date: 03/23/2021
Onset Date: 09/06/2021
Rec V Date: 09/23/2021
Hospital: Y

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 was admitted to the hospital with COVID symptoms and was treated with typical COVID medications. Patient expired while in the hospital.

Other Meds:

Current Illness:

ID: 1726492
Sex: F
Age: 33
State: NY

Vax Date: 08/28/2021
Onset Date: 09/17/2021
Rec V Date: 09/23/2021
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: Kiwi, Pineapple, Blue cheese, Prednisone, Bupropion, Citrus fruits

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

Symptoms: So basically I'm like very bad at telling stories, I got the vaccine and I was originally told not to because I have a lot of allergies and sensitivities. I got the vaccine and started walking to like the holing area and I felt weird. I sat down and was feeling weird, I started coughing and clearing my throat. My friend was with me and kept an eye on me. SO Basically I am in this place, people are looking at me and my eye are watering and my nose was running and I was super thirsty but it was minor, nothing crazy. They called me up to check on me and told me to stay hydrated and let me go. I got in the car, and it started getting really bad. I got really watery eyes and runny nose and my throat hurt. I went back to my friend's house and she gave me some Benadryl. The reaction calmed down and then after a few hours my throat got itchy and tight, so I took Benadryl 2-3 times through the day. I kept waking up in the middle of the night. I also was having my menstrual cycle and I was mid cycle and it just like stopped, which is weird. I had three days left of my period and it just stopped like I said. SO that was another weird symptom. The next day, the 29th, my arm hurt more than before; I had fatigue and a headache and all my joints just like hurt really bad. Day 3, my arm was still sore, sore throat, fatigue, Covid arm. So the stiffness and joint pain never really went away, I still have that today. Basically, one of these days, I woke up and I had a super stiff neck - it was so so so so bad to where it was locked in place. I was looking to my left and down, I could not go to work and I tried muscle relaxers and pain killers and nothing helped. I had to go to the DR and they gave me a neck brace which I wore for two days. I went to a Chiropractor and her taped my neck and it slowly went away at the end of the week. Also, I have this injection site nodule that is like not going away.

Other Meds: N/a

Current Illness: n/a

ID: 1726493
Sex: M
Age: 17
State: GA

Vax Date: 07/24/2021
Onset Date: 07/24/2021
Rec V Date: 09/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1726494
Sex: F
Age: 66
State: TN

Vax Date: 03/20/2021
Onset Date: 08/24/2021
Rec V Date: 09/23/2021
Hospital:

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

Lab Data: COVID test

Allergies: Doxycycline

Symptom List: Injection site pain

Symptoms: Diagnosed with COVID 19 virus after being fully vaccinated. I had to get the antibiotic infusion.

Other Meds: Xhance nasal spray; Restasis eye drops; Osphena; eye vitamins; calcium; docusate sodium; Valtrex; losartan; Pepcid; Protonix; Remeron; Lamictal; Cymbalta; Lipitor; HCTZ; potassium daily; Spiriva inhaler; Symbicort inhaler; Fasenra; Prolia

Current Illness: No

ID: 1726495
Sex: M
Age: 50
State: KS

Vax Date: 03/24/2021
Onset Date: 06/01/2021
Rec V Date: 09/23/2021
Hospital:

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

Lab Data: CBC (Includes Diff/Plt)**LC5009*; CMP Comp Metabolic Panel**LC322000*; Iron and TIBC**LC001321*; T4Free and TSH**LC224576*; Urinalysis complete(w/micro)**LC003772*; Vitamin D, 25-Hydroxy**LC081950$$*; Ferritin**LC004598*; Vitamin B12 and Folate**LC000810*; Rheumatoid Profi le w URIC ACID**LC327745*; Creatine Kinase,Total**LC001362*. " I did fairly extensive lab work on him, and all of his blood work looks very good."

Allergies: mussels

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

Symptoms: I also received a second shot of Moderna, LOT 007C21A, at the Pharmacy on April 24, 2021. Same route and location. Around the beginning of June 2021, I began to experience signifi cant fatigue, including tiredness and heavy limbs. These symptoms peaked in late June and I decided to see my physician, who ordered blood work to investigate potential causes. These tests did not show any explanation for my symptoms. Dr. offered additional testing, but I declined it as I had begun to improve. However, this fatigue continues on a lesser and more intermittent basis than I was experiencing earlier this year. I want to stress that I am not expressing either an expert or lay opinion that my symptoms are caused by the two doses of vaccine I received. I don't know whether they are or aren't. They are correlated. I participated, reported these symptoms, and received a follow-up call encouraging me to provide you with this data, so I am.

Other Meds: Vitamin D; Zyrtec

Current Illness: None, but I assume you would want to know the potentially relevant fact that I tested positive for COVID-19 at the end of November, 2020.

ID: 1726496
Sex: M
Age: 22
State: GA

Vax Date: 07/30/2021
Onset Date: 07/30/2021
Rec V Date: 09/23/2021
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: 1726497
Sex: F
Age: 84
State: MD

Vax Date: 03/01/2021
Onset Date: 09/05/2021
Rec V Date: 09/23/2021
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: 2 CT scans, MRI, EKG and lab work done on 9/10/21 and 9/11/21

Allergies: None

Symptom List: Tremor

Symptoms: Patient suffered a mini stroke on 9/5/21. Slurred speech, pain in arm, drooping face. Vocalized the event to family on 9/9/21 and then went to the ER and was admitted to the hospital on 9/9/21. Hospital diagnosed patient with a pulmonary blood clot, some clotting in the carotid and atrial fibrillation. Patient was released from the hospital on 9/12/21 with a blood thinner and cholesterol medicine. Cholesterol levels are normal, however. Patient ordered to follow up with PCP and cardiologist within one week, the pulmonologist within 3 weeks and the neurologist within 2 months.

Other Meds: Tylenol 325mg, Norvasc 5mg, Aspirin 81mg, Calcium 600+D 600-400mg unit tabs, Toprol XL 25mg, Paxil 10mg

Current Illness: None

ID: 1726498
Sex: F
Age: 46
State: GA

Vax Date: 09/10/2021
Onset Date: 09/19/2021
Rec V Date: 09/23/2021
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: Tests performed in ER: CT Scan of head, MRI of head, blood work, neuro tests. Tests performed at ENT: audio, physical examination of ears.

Allergies: Codeine

Symptom List: Erythema, Pruritus

Symptoms: Severe vertigo, migraines, nausea, body pain. Started on 9/19/2021 is still ongoing. Given zofran, anti-vert, valium for a week. Unable to drive or handle machinery.

Other Meds: Lo-Loestrin Fe, vitamin D, women's probiotic

Current Illness: none

ID: 1726499
Sex: F
Age: 51
State: NY

Vax Date: 09/04/2021
Onset Date: 09/11/2021
Rec V Date: 09/23/2021
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: U/A, CBC, CMP done on 09/07/2021. Large amt of blood in U/A, High Creatinine level 1.46, BUN of 24.5

Allergies: Sulfa

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

Symptoms: I started urinating rust colored urine 8 hrs after receiving my second covid vaccine. I also had fevers of 101, sweats, body aches, lethargy, nausea. Also a week after getting 2nd covid vaccine had severe menstrual bleeding.

Other Meds: none

Current Illness: none

ID: 1726500
Sex: F
Age: 75
State:

Vax Date: 03/26/2021
Onset Date: 09/06/2021
Rec V Date: 09/23/2021
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:

Allergies:

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

Symptoms: Patient was admitted to the hospital with COVID symptoms and was treated with typical COVID medications. Patient was discharged.

Other Meds:

Current Illness:

ID: 1726501
Sex: M
Age: 36
State: GA

Vax Date: 07/30/2021
Onset Date: 07/30/2021
Rec V Date: 09/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1726502
Sex: M
Age: 59
State: VA

Vax Date: 03/31/2021
Onset Date: 04/08/2021
Rec V Date: 09/23/2021
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: Severe Tinnitus

Other Meds:

Current Illness:

Date Died: 08/24/2021

ID: 1726503
Sex: M
Age: 57
State:

Vax Date: 07/09/2021
Onset Date: 07/10/2021
Rec V Date: 09/23/2021
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: None

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

Symptoms: Patient started having severe headache and fever the day after the shot. Followed by difficulty breathing. Went to ER for chest and heart scans. Heart scan was normal, lungs show some fluid buildup. Patient worsened requiring oxygen 24 hrs a day, around the clock home care for 3 weeks until being hospitalized. While in hospital patient was intubated, patient died 10 days later from heart failure, and thrombosis

Other Meds: Vitamin B12, Vitamin D

Current Illness: None

ID: 1726504
Sex: M
Age: 45
State: TX

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 09/23/2021
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: When I received my vaccine doses, the injection site felt very cold and icy. This may be normal, and while that initial icy feeling has diminished, *it has not totally gone away in subsequent months.* Now, nearly 6 months later, I still have a constant, dull muscular pain and tenderness at the injection site, not unlike a muscle bruise, and if I rub or lightly massage the injection site, the icy feeling deep in the muscle returns and lingers for approximately ten minutes before subsiding back to a dull ache. The sensation is not unlike of topical "Icy-Hot" muscle relievers deep in my arm's muscular tissue at the injection site. It is definitely not psychosomatic and has persisted since I received the vaccine, and continues now.

Other Meds: Ibuprofen

Current Illness: None

ID: 1726505
Sex: F
Age: 62
State: UT

Vax Date: 09/03/2021
Onset Date: 09/03/2021
Rec V Date: 09/23/2021
Hospital:

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

Lab Data: Lost part of high pitch hearing

Allergies:

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

Symptoms: Right ear pain and fatigue.

Other Meds: Eliquis

Current Illness:

ID: 1726506
Sex: F
Age: 93
State:

Vax Date: 03/04/2021
Onset Date: 09/10/2021
Rec V Date: 09/23/2021
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:

Allergies:

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

Symptoms: Patient was admitted to the hospital with COVID symptoms and was treated with typical COVID medications. Patient discharged home.

Other Meds:

Current Illness:

ID: 1726507
Sex: F
Age: 70
State: GA

Vax Date: 03/31/2021
Onset Date: 09/04/2021
Rec V Date: 09/23/2021
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:

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

Symptoms: Patient fully vaccinated and hospitalized due to Covid related symptoms. She developed symptoms on 09/04/2021 and is still symptomatic. major symptom was shortness of breath. She was admitted to the hospital on 09/04/2021 and released on 09/05/2021 when her oxygen levels improved.

Other Meds:

Current Illness:

ID: 1726508
Sex: F
Age: 24
State: GA

Vax Date: 07/30/2021
Onset Date: 07/30/2021
Rec V Date: 09/23/2021
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: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1726509
Sex: F
Age: 77
State:

Vax Date: 03/30/2021
Onset Date: 09/13/2021
Rec V Date: 09/23/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Patient was admitted to the hospital with COVID symptoms and was treated with typical COVID medications. Patient remains in hospital.

Other Meds:

Current Illness:

ID: 1726510
Sex: F
Age: 65
State: FL

Vax Date: 01/30/2021
Onset Date: 09/01/2021
Rec V Date: 09/23/2021
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: Ecocardiogram

Allergies: Codeine

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

Symptoms: Pericardial effusion

Other Meds: Multi vitamin, D- 3,

Current Illness: None

ID: 1726511
Sex: M
Age: 15
State: GA

Vax Date: 07/30/2021
Onset Date: 07/30/2021
Rec V Date: 09/23/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1726512
Sex: M
Age: 52
State: NC

Vax Date: 04/01/2021
Onset Date: 05/01/2021
Rec V Date: 09/23/2021
Hospital:

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

Lab Data: 2 and a half weeks after the vaccines booster shot I had chest pains and was diagnosed with pericarditis.

Allergies: NONE

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

Symptoms: I contracted Pericarditis as a result of vaccine. My Cardiologist had other patients to contract the same thing as a result of the Moderna vaccine.

Other Meds: ENTRESTO, COVEG, B-12 VITAMINES

Current Illness: NONE

ID: 1726513
Sex: F
Age: 66
State: FL

Vax Date: 03/20/2021
Onset Date: 03/23/2021
Rec V Date: 09/23/2021
Hospital:

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

Lab Data: Multiple phone calls and visit to pulmonoligist and primary care doctor.

Allergies: codeine, iodine, latex

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

Symptoms: Extreme trouble breathing, extreme fatigue, heart palpitations, tachycardia over two months. Put on high doses of prednisone. Still have problems with breathing on exertion of lifting or going up stairs.

Other Meds: ventolin methimazole albuterol intal

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am