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: 1737567
Sex: F
Age: 56
State: NE

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 09/27/2021
Hospital:

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

Lab Data: Covid negative-rapid test 9/22/21

Allergies: none

Symptom List: Dysphagia, Epiglottitis

Symptoms: High fever, body aches, headaches, chills, loss of appetite for 4 days. Have been experiencing same symptoms since injection. Unable to move left arm in certain positions; sores on legs that do not heal. Continued aches, fever, chills, fatigue, loss of appetite off/on since injection.

Other Meds: NP thyroid, baby aspirin, multi-vitamin, Vit D3, Omega 3, calcium

Current Illness: none

ID: 1737568
Sex: F
Age: 12
State: WA

Vax Date: 09/11/2021
Onset Date: 09/13/2021
Rec V Date: 09/27/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Anxiety, Dyspnoea

Symptoms: Pain in vulva area that began within 48 hours of vaccine. Urgent Care visit with urine test and swab tests for infection, disease with negative results. Ulcers on Labia were identified and urgent appointment scheduled with OBGYN within 24 hours. Appointment with OBGYN confirmed ulcers on labia with no clear etiology (no changes in person hygiene, no sexual activity, etc). Ulcers were checked again about two weeks later and are close to healed at this point.

Other Meds: Concerta, Guanfacine

Current Illness: none

ID: 1737569
Sex: F
Age: 33
State: AZ

Vax Date: 03/25/2021
Onset Date: 08/06/2021
Rec V Date: 09/27/2021
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: at home Ellume Covid positive, chest X-ray, PCR negative

Allergies: neomycin,

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

Symptoms: I had sinus congestion and moved into my throat and lungs and had a lot of coughing and was very fatigued.

Other Meds:

Current Illness:

ID: 1737570
Sex: F
Age: 51
State: CA

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 09/27/2021
Hospital:

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

Lab Data: Colonoscopy and endoscopy

Allergies: PCN, Sulpha

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Severe Irritable bowel symptoms lasting longer than a month, diarrhea and abdominal cramping. Extreme fatigue.

Other Meds: Pro-air

Current Illness:

ID: 1737572
Sex: M
Age: 12
State: CA

Vax Date: 08/25/2021
Onset Date: 09/07/2021
Rec V Date: 09/27/2021
Hospital: Y

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

Lab Data: Troponin 0.35 (downtrended) CRP 179 ESR 34

Allergies: NKDA

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

Symptoms: Patient presented to us with 3 day history of worsening chest pain, SOB, slight rash on hands/chest/legs, and abdominal pain and diarrhea. Was found to have elevated troponins to 0.35 and a\ which showed appendicitis. Patient was found to be hypotensive and did require a brief period of Norepinephrine, but quickly was able to de-escalate off vasoactive support. He was discharged home.

Other Meds: None

Current Illness: None

ID: 1737573
Sex: M
Age: 39
State: MO

Vax Date: 09/12/2021
Onset Date: 09/12/2021
Rec V Date: 09/27/2021
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: Unknown

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

Symptoms: patient was here for a flu shot and was given the COVID (moderna) shot by mistake. Patient didn't have any rxn at the time but did go to an urgent care later in the week. Outcome is unknown

Other Meds: Unknown

Current Illness: Unknown

ID: 1737575
Sex: M
Age: 13
State: SD

Vax Date: 07/28/2021
Onset Date: 08/01/2021
Rec V Date: 09/27/2021
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. He was referred to neurology

Allergies: none

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: He developed a tic shortly after having received the 1st COVID vaccine. Mother can not give an exact date, only that it started about 1 month prior to our visit on 9/3/21. The tic consists of his sharply turning his head to the left. It is random, but never happens when his head is laying or propped on something. It occurs only when his head is not against any obstacle. He says that he notices when he is doing the movement. He was seen in another clinic 2 days prior to our visit and they planned on referring him to neurology. PT thought the movement started after he shot a gun. It didn't hit him, but it backfired hard and he was not wearing any ear plugs at the time.

Other Meds: Unknown

Current Illness: None recorded in his chart

ID: 1737576
Sex: M
Age: 41
State: AZ

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 09/27/2021
Hospital:

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

Lab Data:

Allergies: seasonal allergies

Symptom List: Pharyngeal swelling

Symptoms: patient reports getting vaccine and when arrived at home noted throat swelling and difficulty breathing. had to sleep a certain way to keep airway open. sought care in ED and at PCP office and unable to determine cause of symptoms. patient states he has not been the same since COVID vaccine and was hesitant to get second dose. was not told by health care providers that covid vaccine was contraindicated or that he has a severe allergic reaction. patient decided on 9/1/21 to get second dose of Moderna Vaccine and no allergic reaction noted during observation.

Other Meds:

Current Illness:

ID: 1737577
Sex: M
Age: 58
State: VT

Vax Date: 04/01/2021
Onset Date: 04/03/2021
Rec V Date: 09/27/2021
Hospital:

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

Lab Data: Xrays on hands and shoulders have shown no arthritis etc. Testing for Rhuematiod arthritis in hands were also negative.

Allergies: None

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: April 3rd... Woke up thinking I had broken my left thumb.. severe pain in my thumb. April 4th... Woke up with no range of motion and sharp pain in my left shoulder. My Physician describes as frozen shoulder. April 9th... Severe Pain creeps into my right hand, accompanied by a loss of function. April 15th... By mid April the loss of range motion and Sharp pain is also in my Right Shoulder. Again my physician describes as frozen shoulder. All 4 of these Body Parts have been limited in functionality since April on, All have short periods where they cycle through highs and lows but on no day since have any been at the Pre-april State. For Self Preservation I stopped using my hands in June as simple usage triggers worseing loss of functionality and increased pain. Shoulders have essentially been frozen without relief since early april. For Reference. Covid Vaccine injections on April 1st and April 21st. Conditions in my hands and shoulders have persisted through the current date of Sept 27th 2021 with no abatement or relief in sight.

Other Meds: Mirtazapine 30 mg Simvastin 40 mg Soolantra cream 1% Metronidazole 1%

Current Illness: None

ID: 1737578
Sex: F
Age: 78
State: MO

Vax Date: 03/15/2021
Onset Date: 09/26/2021
Rec V Date: 09/27/2021
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: no

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Injection site knot from march 15th still painful and red hot and swollen down to elbow

Other Meds: Zyrtec .Tylenol, biotin, calcium ,centrum silver. Iron Omega

Current Illness:

ID: 1737579
Sex: F
Age: 66
State:

Vax Date: 08/01/2021
Onset Date: 08/01/2021
Rec V Date: 09/27/2021
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: covid arm, developed very itchy and burning rash, lasted more than 6 weeks

Other Meds:

Current Illness:

ID: 1737580
Sex: M
Age: 59
State: WI

Vax Date: 01/30/2021
Onset Date: 02/14/2021
Rec V Date: 09/27/2021
Hospital:

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

Lab Data: Eko cardio gram, EKG

Allergies: No

Symptom List: Rash, Urticaria

Symptoms: After two weeks I have heart complications

Other Meds: No

Current Illness: No

ID: 1737581
Sex: M
Age: 80
State: WI

Vax Date: 03/17/2021
Onset Date: 09/22/2021
Rec V Date: 09/27/2021
Hospital: Y

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

Lab Data: Covid positive per PCR 8/11/2021.

Allergies: Hydrochlorothiazide Other Caused gout; Cyclobenzaprine Dry mouth; Prevacid [Lansoprazole ] Other (See Comments; Increased lower GI pain and issues with bowel movement; Cephalexin Monohydrate Ras

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

Symptoms: Client vaccinated for Covid 19 Moderna - February and March 2021. Admitted to hospital 8/22/2021 with worsening Covid symptoms - fever, SOB, encephalopathy, hypoxia - required 5-6L O2. On IV steroids. Monoclonal antibodies given 8/17/2021. Decadron, Lovenox. Again admitted to hospital 8/31/2021 with Covid 19 pneumonia, already on telemetry health, prednisone, doxycycline. Submitter does not have access to full medical record on this case.

Other Meds: Unknown

Current Illness: Unknown

ID: 1737582
Sex: F
Age: 33
State: IN

Vax Date: 09/01/2021
Onset Date: 09/25/2021
Rec V Date: 09/27/2021
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: Penicillin

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

Symptoms: Cold chills, stuffy nose, cough dizziness, tiredness, diarrhea,

Other Meds: None

Current Illness: None

Date Died: 04/15/2021

ID: 1737583
Sex: M
Age: 48
State: WA

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 09/27/2021
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

Allergies: None

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

Symptoms: Vomiting, diarrhea, fatigue, DEATH

Other Meds: None

Current Illness: None

ID: 1737584
Sex: M
Age: 36
State: GA

Vax Date: 09/24/2021
Onset Date: 09/25/2021
Rec V Date: 09/27/2021
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: Saturday morning was incredibly fatigued, running 100 degree fever, constant headache. Ibuprofen helped but only marginally. As of Monday sept 27 fever has not receded without administering 600mg ibuprofen every 4 hrs. Throat is incredibly sore and beginning of ear infection in right ear. I was totally healthy before the shot.

Other Meds: Oral Lamisil 250mg once daily

Current Illness:

ID: 1737585
Sex: F
Age: 21
State: GA

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

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

Lab Data: None listed on visit encounter provided by patient

Allergies: NKA

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

Symptoms: Patient states began to develop the following symptoms 1-2 hours after vaccine administration on 9/23: "heat & tingling sensation in left arm, chills, headaches, and "out of focus" vision. Went to Urgent Care the evening of 9/25 with continued symptoms and red raised rash that was spreading on left arm. States told FNP she felt like her breathing was rapid and felt like a "small weight" was on her chest.

Other Meds: Denies

Current Illness: None

ID: 1737586
Sex: M
Age: 57
State: OR

Vax Date: 12/26/2020
Onset Date: 12/31/2020
Rec V Date: 09/27/2021
Hospital:

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

Lab Data: - EMG/NCS - 6/7/21 - MRI cervical spine - 6/8/21 - MRI cervical spine with/without contrast - 6/28/21 - MRI cervical spine with/without contrast - 9/1/21 - NMO/aquaporin 4 Ab - 9/2/21 - MRI brain and thoracic spine with/without contrast - 9/26/21

Allergies: None

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Intractable hiccups, nausea and vomiting (now diagnosed as area postrema syndrome) started on 12/31/20 at 5 pm, improved by 1/16/21. After receiving dose 2 of vaccine on 1/18/21, hiccups/nausea and vomiting redeveloped within 5h. In May, started to develop numbness, mild weakness and intermittent pain of left shoulder/arm/hand. Found to have transverse myelitis by MRI in June '21. Found to be anti-Aquaporin 4 antibody positive last week and therefore diagnosed with neuromyelitis optica spectrum disorder on 9/27/21.

Other Meds: ASA 81 mg po qd, sotalol 80 mg po bid, vitamin D 2000 IU po qd, atorvastatin 80 mg po qd

Current Illness: None

ID: 1737587
Sex: F
Age: 57
State: NY

Vax Date: 09/25/2021
Onset Date: 09/25/2021
Rec V Date: 09/27/2021
Hospital:

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

Lab Data: none

Allergies: Flomax, Taxol, Anastrozole , Alcohol,

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Five minutes after the vaccine I had a numbness from my arm that received the vaccine ( right arm ) , numbness traveled up to my brain, def in right ear ( still no hearing ) , stiff neck, stomach nausea , body aches, chills, fever, tingling in my right hand, weak and dizzy. Still having these issues currently and gets worse at night. Been taking Tylenol every four hours. I called doctor to inform her and never called back as of yet. I didn't go to my primary Dr. because I was hoping these adverse effects would go away. It' now two days after the vaccine and still feeling very sick.

Other Meds: Pantoprazole 40mg, Letrozole 2.5mg

Current Illness: Acid refux

ID: 1737588
Sex: F
Age: 69
State: MS

Vax Date: 09/22/2021
Onset Date: 09/23/2021
Rec V Date: 09/27/2021
Hospital:

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

Lab Data: none

Allergies:

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

Symptoms: arm was swollen and red and fevered, and itchy; patient claimed to have memory lose and chills over 48 hours after receiving vaccination

Other Meds:

Current Illness:

ID: 1737589
Sex: F
Age: 16
State: CO

Vax Date: 09/01/2021
Onset Date: 09/01/2021
Rec V Date: 09/27/2021
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: none

Allergies: NKA

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

Symptoms: No adverse event at all, but patient was 16 and the age limit of 18 for Moderna was not caught during registration and giving of the vaccine. patient received Moderna when should have received Pfizer.

Other Meds: none

Current Illness: none

ID: 1737590
Sex: M
Age: 26
State: CA

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

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

Lab Data: EKG and troponin

Allergies: none

Symptom List: Unevaluable event

Symptoms: Chest pain. Elevated troponin. Likely myocarditis

Other Meds: none

Current Illness: none

ID: 1737591
Sex: F
Age: 19
State: CT

Vax Date: 04/16/2021
Onset Date: 04/16/2021
Rec V Date: 09/27/2021
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: echocardiogram, normal heart structure 5/4/21 eeg (36 hours), no epileptic activity found 5/8/21 Brain CT scan, normal, around 4/30/21 Brain MRI, normal, around 5/6/21 EKG's throughout 4/26/21-now. sometimes abnormal. sometimes borderline abnormal. sometimes normal. PVCs and short PR interval 30 day heart monitor 8/3/21-9/2/21. sinus tachycardia, PVCs, PACs, SVT, etc Tilt Table Test 8/20/21. Came back positive for POTS (postural orthostatic tachycardia syndrome) Lumbar Puncture 7/2/21. 4 oligoclonal bands in CSF and serum were found. borderline high intracranial pressure autoimmune encephalitis panel 9/16/21. antibodies negative but still not ruled out.

Allergies: dust mites

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

Symptoms: day of vaccine (4/16/21): extreme dizziness 4/20/21: extremely cold and blue hands and feet 4/26/21: numbness/tingling in face, hands, and legs 4/28/21: heart palpitations that ended up being frequent PVCs, PACs, SVT. Also dysautonomia... HR increases AT LEAST 30 BPM upon standing 4/29/21: very bad and unbearable headaches accompanied by vomiting 5/2/21: seizures started Around this time, symptoms of psychosis also started Was admitted to the hospital 4 times starting 5/3/21 up until this date 9/27/21 Symptoms have not gone away, if anything they are now worse. Most recently, I am now experiencing terrible body aches, memory problems, and neck pain. Those are somewhat new symptoms

Other Meds: Syeda birth control abilify albuterol inhaler (as needed)

Current Illness: asthma

ID: 1737592
Sex: F
Age: 66
State: CA

Vax Date: 08/24/2021
Onset Date: 08/25/2021
Rec V Date: 09/27/2021
Hospital:

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

Lab Data: Lab and X-ray just recently ordered (results pending)

Allergies: Penicillin

Symptom List: Injection site pain, Pain

Symptoms: Very soon after vaccine dose, patient began having unrelenting headaches. Causes awakening in early AM. Work-Up in progress; Note: Patient has strong family history of clotting disorder

Other Meds: Albuterol Inhaler, Adderall

Current Illness: None

ID: 1737593
Sex: F
Age: 34
State: SD

Vax Date: 06/25/2021
Onset Date: 06/25/2021
Rec V Date: 09/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: I first started to have after the first and second vaccine, I had menstrual bleeding that was abnormal. I had more fatigue than normal. I did have a site reaction where the injection was given. It was a big circle, warm, itchy, and lasted 3-4 days. It came back on day 9 and went away again. I had vertigo and dizziness the first 48 hours. I had flu like symptoms. I have a long-term lymph node issue. They have been swollen and inflamed. I have them in my arm, clavicle area, both breast, neck, and the groin area. They have going on since June 25th. It has also been accompanied with fatigue and feeling unwell.

Other Meds:

Current Illness:

ID: 1737594
Sex: F
Age: 32
State: CA

Vax Date: 09/17/2021
Onset Date: 09/17/2021
Rec V Date: 09/27/2021
Hospital:

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

Lab Data: None

Allergies: none

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

Symptoms: On day of shot she developed a quarter-sized red ring around vaccine site that was slightly painful. Next day 9/18/21, it was a 2" diameter ring that was raised and hot for 4 days. It was itchy and she took OTC Benadryl. Beginning on 9/26/21 she got a red rash on both arms with small red bumps that are itchy. She has an appointment with her physician, on 9/28/21. She continues to take Benadryl for the itching.

Other Meds: unknown

Current Illness: none

ID: 1737595
Sex: M
Age: 49
State: CA

Vax Date: 08/26/2021
Onset Date: 08/29/2021
Rec V Date: 09/27/2021
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: None

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Twitching randomly all over body

Other Meds: Propecia

Current Illness: None

ID: 1737596
Sex: F
Age: 54
State: CA

Vax Date: 09/17/2021
Onset Date: 09/17/2021
Rec V Date: 09/27/2021
Hospital:

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

Lab Data:

Allergies: Shellfish

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Inner ear itchy, redness in arms and neck, took another 50 Ml of Benadryl.. day later my left leg outer thigh is numb and is still numb to date

Other Meds: Benadryl

Current Illness: None

ID: 1737597
Sex: F
Age: 52
State: IN

Vax Date: 09/07/2021
Onset Date: 09/14/2021
Rec V Date: 09/27/2021
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: Watermelon

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

Symptoms: Subtle onset of tightening of jaw muscles, unable to meet back teeth to chew, tenderness of lower jaw muscles and parotid glands

Other Meds: None

Current Illness: None

ID: 1737599
Sex: M
Age: 57
State: CA

Vax Date: 04/09/2021
Onset Date: 09/14/2021
Rec V Date: 09/27/2021
Hospital: Y

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

Lab Data: +covid pcr

Allergies: NKDA

Symptom List: Nausea

Symptoms: Covid hospitalization

Other Meds: Pepcid, losartan,

Current Illness: cervical radiculopathy, HTN, GERD,high chol

ID: 1737600
Sex: M
Age: 18
State: CA

Vax Date: 08/30/2021
Onset Date: 08/30/2021
Rec V Date: 09/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: Almost immediately after the injection he started feeling throat tightness, cough, shortness of breath

Other Meds:

Current Illness:

ID: 1737601
Sex: M
Age: 52
State: CA

Vax Date: 09/27/2021
Onset Date: 09/27/2021
Rec V Date: 09/27/2021
Hospital:

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

Lab Data: n/a

Allergies: n/a

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

Symptoms: Medical staff did not dilute Pfizer vaccine properly and inadvertently gave patient larger dose. Patient has no symptoms at this time.

Other Meds: n/a

Current Illness: n/a

ID: 1737602
Sex: M
Age: 29
State: TX

Vax Date: 09/26/2021
Onset Date: 09/27/2021
Rec V Date: 09/27/2021
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: n/a

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

Symptoms: pt developed arm numbing for a few hours, went to hospital and got checked. everything was fine. numbing got better in a few hours

Other Meds: n/a

Current Illness: n/a

ID: 1737603
Sex: F
Age: 71
State: NJ

Vax Date: 09/23/2021
Onset Date: 09/24/2021
Rec V Date: 09/27/2021
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

Allergies: none

Symptom List: Tremor

Symptoms: Left cheek swollen a lot and still swollen but less.

Other Meds: Hydroychloroquine - 200 MG - 1 tablet Montelukast - 10 MG - 1 tablet Calcium - 600 MG - 1 tablet

Current Illness: Rheumatoid arthritis Osteoarthritis in right hip Asthma High blood pressure High Cholesterol Slight Fatty liver Mild sleep apnea Mild peripheral artery disease Acid reflux

ID: 1737604
Sex: F
Age: 29
State: NC

Vax Date: 09/17/2021
Onset Date: 09/17/2021
Rec V Date: 09/27/2021
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: mango

Symptom List: Erythema, Pruritus

Symptoms: After the vaccine, right away I fainted. I felt a rush through my body and my eyes rolled back and my body was shaking. I did not stay asleep for long and came back within seconds. I layed on the ground and was shaking for 10-15 minutes. This was all happening in the vaccination area. A nurse came and took my blood pressure and gave me orange juice and snack and a jacket since I felt very cold. They also checked my vitals. I was there for about 45 minutes and I was feeling better and allowed to go home. I am still getting panic attacks. Its the same feeling I am getting when I fainted. I feel a rush through my body and I start to hyperventilate and trouble breathing followed by shaking and feeling cold. This has happened 4 times since getting the vaccine. I also had a headache, fever, sore throat and cough. My extremities in my feet muscle feels like its twitching. My arm is still sore from the vaccine. I do have an appt coming up with my PCP. My symptoms do seem to be improving (coughing and fever and my last panic was on 9/23/2021).

Other Meds: none

Current Illness: none

ID: 1737605
Sex: M
Age: 59
State: WY

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 09/27/2021
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: MRI July 17th, CBC everything seemed to be normal the 1st week of September

Allergies: Gluten intolerant; celiac disease; wheat/gluten

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

Symptoms: I had a severe headache especially in the back of the eyes; nauseated; body aches, lower back pain; felt like a truck ran over me. They lasted about 18-19 hours after initial start. The recent health event, I have been fighting lower back pain since end of May and have been going to PT, started that the end of July and went got an MRI (had that the 17th or so of July), stuff going on in my lower back with diagnosis of Spinal Stenosis. Continued PT and went off a lot of anti-inflammatories (Meloxicam is when I got on that August 15 or 16, and previous to that was taking ibuprofen) went to ice/heat and taking ibuprofen as needed and that was September 15th. It seemed to help to get off of those as far as helping the GERDS symptoms. I had gotten really bad GERDS and nausea and so they told me to get off of those. My symptoms have improved but I still have the lower back pain. My anxiety also had gone up, it's seems to have gone up.

Other Meds: Nexium; Zopoldan; Lipitor; multivitamin; vit D3; zinc

Current Illness: No

ID: 1737606
Sex: F
Age: 49
State: CA

Vax Date: 09/22/2021
Onset Date: 09/23/2021
Rec V Date: 09/27/2021
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

Allergies: Penicillin

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

Symptoms: Hot like high fever,huge big knot at injection site, very sore ,after injection blood ran down my arm then it was taped with cotton ball and bandaid when I got back home cotton ball was full of blood I changed it only to continue to bleed

Other Meds: Na

Current Illness: NA

ID: 1737607
Sex: M
Age: 57
State: MA

Vax Date: 05/15/2021
Onset Date: 05/15/2021
Rec V Date: 09/27/2021
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 to date

Allergies: None

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Saturday 1st Night - Flu like symptoms left arm pain at injection - Good all day Sunday 2nd Night Flu like symptoms left arm pain at injection - Good all day Monday 3rd Night Flu like symptoms left arm pain at injection - Good all day Tuesday 4th Night Flu like symptoms left arm pain at injection - Good all day Wednesday am - woke up with rash / Itchy hives - 4:30 am - took Benadryl- 6:15 am rash/ hives became worse and went to ER and requested observation. 8-9 am rash and hives subsided. Now - September 27th Headaches- Eyes hurt- shortness of breath and left arm pain persists Healthy male - 58 years - runs marathons- crossfit and endurance sports - I become winded walking up one flight of steps Left arm gives out when lifting and increases pain

Other Meds: None

Current Illness: None

ID: 1737608
Sex: F
Age: 76
State: CA

Vax Date: 09/17/2021
Onset Date: 09/26/2021
Rec V Date: 09/27/2021
Hospital:

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

Lab Data: unknown

Allergies: unknown

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

Symptoms: Patien's son called pharmacy saying his mom had stroke on 9/26/2021, 9 days after she received her 2nd Pfizer dose on 9/17/2021

Other Meds: unknown

Current Illness: unknown

ID: 1737609
Sex: M
Age: 71
State: CA

Vax Date: 09/27/2021
Onset Date: 09/27/2021
Rec V Date: 09/27/2021
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: n/a

Allergies: n/a

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

Symptoms: Medical staff did not dilute Pfizer vaccine properly and inadvertently gave patient larger dose of vaccine.

Other Meds: n/a

Current Illness: n/a

ID: 1737610
Sex: M
Age: 57
State: CA

Vax Date: 05/09/2021
Onset Date: 05/10/2021
Rec V Date: 09/27/2021
Hospital:

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

Lab Data: Asked doctor and was told to report to VAERS

Allergies: None

Symptom List: Pain in extremity

Symptoms: Next Day stiff lower neck left side. Painful to rotate head to left. Has been sore ever since vaccination. Otherwise no other reaction to shot.

Other Meds: None

Current Illness: None

ID: 1737611
Sex: F
Age: 58
State: TX

Vax Date: 09/21/2021
Onset Date: 09/22/2021
Rec V Date: 09/27/2021
Hospital:

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

Lab Data: none

Allergies: none

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

Symptoms: Fever 102 9/22/21; Fever 100 for the next 4 days 9/23 to 9/26; 5 days total with fever; Rash around forearm at the injection site. Chills, headache, body aches fatigue

Other Meds: Sudafed; Doxepin 10 MG nightly; Lunesta 3 MG nightly

Current Illness: none

ID: 1737612
Sex: F
Age: 61
State: MD

Vax Date: 09/13/2021
Onset Date: 09/13/2021
Rec V Date: 09/27/2021
Hospital:

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

Lab Data: No test were conducted

Allergies: No Allergies to medication

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

Symptoms: I was nauseated 10 minutes after taking the vaccine, I went home had a headache; had a headache for 1 week. The second day I had severe sweats, rings of sweat under arm pits, around neck, and back. Sweating through out the day and night. It's 9/27/2021, I'm still sweating excessively. Still experiencing occasional nausea. I reached out to Dr. of the VA; I also shared a picture of the excessive sweating. I have not been treated for this, I stop what I'm doing a lay down until the nausea goes away. I take tylenol; for the headaches. I take extra showers for the excessive sweating.

Other Meds: None

Current Illness: No other illness

ID: 1737613
Sex: M
Age: 96
State: CA

Vax Date: 09/27/2021
Onset Date: 09/27/2021
Rec V Date: 09/27/2021
Hospital:

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

Lab Data: n/a

Allergies: n/a

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

Symptoms: Medical staff did not dilute Pfizer vaccine properly and inadvertently gave patient larger dose of vaccine.

Other Meds: n/a

Current Illness: n/a

Date Died: 03/05/2021

ID: 1737614
Sex: F
Age: 82
State: KS

Vax Date: 01/31/2021
Onset Date: 02/01/2021
Rec V Date: 09/27/2021
Hospital: Y

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

Lab Data: Do not have any records of testing

Allergies: None known

Symptom List: Vomiting

Symptoms: First dose January 10, 2021. Second dose January 31,2021. Awakened early February 1 and admitted to ICU where she remained until death March 5, 2021

Other Meds: Estrogen and Blood pressure

Current Illness: Bronchitis

ID: 1737615
Sex: M
Age: 39
State: CA

Vax Date: 07/31/2021
Onset Date: 08/01/2021
Rec V Date: 09/27/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: I started 48 hours after receving the first dose, it started with some pain in my left feet, and from then the pain went through all the leg, the next day the same effect but in the right leg, continuing the pain in the left leg, also a lot of pain in aboth arms, and fingers. Pain increase a lot in the night, mostly muscular pain, but also like circulatory pain. One day I woke up and I have a pain in one finger of my right hand, as if I broke the finger, pain in the finger dissapear through the day. Also one night I have an extreme pain in both arms.

Other Meds: None

Current Illness: None

ID: 1737616
Sex: F
Age: 57
State: WY

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 09/27/2021
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: Sore arm, fatigue, fever and headache.

Other Meds: Resubistatin

Current Illness:

ID: 1737618
Sex: F
Age: 70
State: CA

Vax Date: 09/27/2021
Onset Date: 09/27/2021
Rec V Date: 09/27/2021
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: n/a

Allergies: n/a

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Medical staff did not dilute Pfizer vaccine properly and inadvertently gave patient larger dose of vaccine. No symptoms.

Other Meds: n/a

Current Illness: n/a

ID: 1737619
Sex: F
Age: 27
State: SD

Vax Date: 09/15/2021
Onset Date: 09/15/2021
Rec V Date: 09/27/2021
Hospital:

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

Lab Data:

Allergies: Shellfish Red food coloring Iodine

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

Symptoms: 1 hour after IM injection, patient developed head to toe hives that resolved with oral benadryl

Other Meds: Benadryl taken 1 hour after vaccination

Current Illness: unknown

ID: 1737620
Sex: M
Age: 55
State: CA

Vax Date: 09/27/2021
Onset Date: 09/27/2021
Rec V Date: 09/27/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Administration error mixed series mRNA vaccine Pfizer and Moderna.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am