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: 1741251
Sex: F
Age: 76
State: MN

Vax Date: 03/18/2021
Onset Date: 09/27/2021
Rec V Date: 09/28/2021
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: Hospitalized with frequent falls also COVID positive in August which would have been reported as Temporary report number: 617410

Other Meds:

Current Illness:

ID: 1741252
Sex: M
Age: 48
State:

Vax Date: 09/27/2021
Onset Date: 09/27/2021
Rec V Date: 09/28/2021
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: Administration error mixed series mRNA vaccine Pfizer and Moderna.

Other Meds:

Current Illness:

ID: 1741253
Sex: M
Age: 72
State:

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 09/28/2021
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: none

Other Meds:

Current Illness:

ID: 1741254
Sex: F
Age: 86
State:

Vax Date: 09/27/2021
Onset Date:
Rec V Date: 09/28/2021
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: Administration error mixed series mRNA vaccine Pfizer and Moderna.

Other Meds:

Current Illness:

ID: 1741255
Sex: F
Age: 41
State: CA

Vax Date: 02/11/2021
Onset Date: 09/12/2021
Rec V Date: 09/28/2021
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: Hep B vaccine

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

Symptoms: Severe migraine after first and second dose of Modern COVID-19 vaccine. Increase in frequency in migraines following the Moderna vaccine. Pre-vaccine, frequency was 1 migraine approximately every 2-4 months and since the vaccine, frequency is 2-4 migraines per month.

Other Meds: None

Current Illness: Migraine following Dose 1

ID: 1741256
Sex: F
Age: 54
State:

Vax Date: 09/27/2021
Onset Date: 09/27/2021
Rec V Date: 09/28/2021
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: Administration error mixed series mRNA vaccine Pfizer and Moderna.

Other Meds:

Current Illness:

ID: 1741257
Sex: M
Age: 57
State:

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

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Administration error mixed series mRNA vaccine Pfizer and Moderna

Other Meds:

Current Illness:

ID: 1741258
Sex: F
Age: 76
State: MD

Vax Date: 09/21/2021
Onset Date: 09/22/2021
Rec V Date: 09/28/2021
Hospital:

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

Lab Data: now

Allergies: none

Symptom List: Pharyngeal swelling

Symptoms: Large red, hot, swollen, hot area on arm; on day 2 -5 moving down towards elbow on upper arm, same size and pain level, but not increasing in size

Other Meds: Atoravastin 40mg Hydrochlorothiazide 25 mg Sertraline 25 mg Nexium 25mg Amlodipine 5 mg

Current Illness: none

ID: 1741259
Sex: F
Age: 42
State: SC

Vax Date: 01/11/2021
Onset Date: 01/14/2021
Rec V Date: 09/28/2021
Hospital: Y

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

Lab Data: CT scan 1/29/21 brain mri 9/16/21 lab work 3/3/2021 lab work 9/14/2021

Allergies: no

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Within 2 days of the second shot I had significant leg weakness. Within 2 weeks of second shot, I started having right lower quadrant pain. A CT scan showed that my previously stable ovarian cyst was growing rapidly. The cyst measured 14 cm on Friday January 29th and measured 17cm on February 3rd when I had to have an open abdominal hysterectomy. I was out of work for 10 weeks for surgery and the first day I returned back to work my leg weakness returned with great severity. I was unable to continue working full time at the job I was at for 18 years. I had to go PRN and lost my insurance.I am now under the care of neurologist and starting infusions for multiple sclerosis. He has written me out work for 6 months due to my weakness and the infusions.

Other Meds: omeprazole, probiotics, melatonin

Current Illness: Multiple sclerosis, GERD

ID: 1741260
Sex: F
Age: 47
State:

Vax Date: 07/24/2021
Onset Date: 07/24/2021
Rec V Date: 09/28/2021
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: sulfa based

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Swelling and tightness of left arm - including hand and left side of neck. Still present after 8 weeks from initial injection.

Other Meds: none

Current Illness: none

ID: 1741261
Sex: F
Age: 54
State:

Vax Date: 09/27/2021
Onset Date: 09/27/2021
Rec V Date: 09/28/2021
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: Administration error mixed series mRNA vaccine Pfizer and Moderna.

Other Meds:

Current Illness:

ID: 1741262
Sex: M
Age: 58
State: MO

Vax Date: 08/03/2021
Onset Date: 08/17/2021
Rec V Date: 09/28/2021
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: None

Symptom List: Rash, Urticaria

Symptoms: Patient had received first Pfizer vaccine dose on 8/3/2021. Contracted and was hospitalized with COVID-19 on 8/17/2021 prior to receiving a second dose of the vaccine. Patient was ultimately intubated during hospitalization. Patient eventually extubated and has since been recently discharged from inpatient rehab to home on 9/25/2021.

Other Meds: None

Current Illness: None

ID: 1741263
Sex: M
Age: 69
State:

Vax Date: 09/27/2021
Onset Date: 09/27/2021
Rec V Date: 09/28/2021
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: Administration error mixed series mRNA vaccine Pfizer and Moderna

Other Meds:

Current Illness:

ID: 1741264
Sex: F
Age: 50
State: NC

Vax Date: 09/02/2021
Onset Date: 09/02/2021
Rec V Date: 09/28/2021
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: None at this time

Allergies: Allergic to sulfa drugs

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

Symptoms: Within the 15 minute waiting period after vaccination I experienced a dull pain from my shoulder to my neck. Later in the evening my arm started to get sore as I expected and assumed it was all related. However after about 3 days the sore arm wore off but my shoulder pain continued. The pain is in my joint, more to the front of my shoulder and aches often because it is in my right arm and I am dominant in that arm. I have trouble reaching up or moving my shoulder at times without feeling a "pinch" or "pop", and my shoulder feels fatigued, almost like dead weight. I kept thinking it would eventually get better but at 3 weeks now it has not. I spoke with my employee health nurse and was advised to see my primary care physician and file this report. In addition to the ongoing shoulder pain, I did experience a few days of heart fluttering and mild chest pain. I felt very anxious and could not sleep one night due to the feeling and had to call out from work.

Other Meds: Women's daily vitamin

Current Illness: None

ID: 1741265
Sex: F
Age: 53
State:

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

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

Lab Data:

Allergies:

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

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

Other Meds:

Current Illness:

ID: 1741266
Sex: F
Age: 67
State: NJ

Vax Date: 09/13/2021
Onset Date: 09/13/2021
Rec V Date: 09/28/2021
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: gluten, Reglan, Baclofen, sulfa drugs, sulfites, sulfates, Doxycycline, Flagyl, Cipro, Codeine, Cortisone ointments, Betamethasone, wool, lanolin, aloe, ducal temporary dental cement

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

Symptoms: 1. Extreme soreness at injection site, still slightly sore 2 weeks later 2. Severe, shooting, pains on left side of right knee making it difficult to walk. This pain comes and goes where I can't walk. It's 2 weeks and that spot on my right knee is still tender 3. nauseous 4. Severe headaches for 3 days 5. slight chills and sweats at night 6. Severe back pains for 3 days 7. Overall muscle and joint aches for 2 weeks 8. Sinus congestion and runny nose I took over the counter decongestants, Tylenol, used heating pads and ice packs, I emailed my physician and he said the symptoms should burn out in time

Other Meds: Vitamins C, D, Lutein, Calcium Citrate, Magnesium, fish oil, Refresh Optive Mega-3 eye drops Biotin

Current Illness: Celiac disease, ruptured tendon of left ring finger, Lyme

Date Died: 09/25/2021

ID: 1741267
Sex: M
Age: 18
State: NY

Vax Date: 08/26/2021
Onset Date: 09/25/2021
Rec V Date: 09/28/2021
Hospital:

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

Lab Data: Autopsy 9/27/2021

Allergies: Unknown

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

Symptoms: Patient died and preliminary autopsy revealed Massive pulmonary embolism

Other Meds: None

Current Illness: Bacterial Epiglottitis

ID: 1741268
Sex: M
Age: 22
State: PA

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 09/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: I got spasms within minutes of getting the injection, and ever since I can't lie down without getting spasms all over my body. Over the coming months I started getting a plethora of neurological symptoms (tingling, crawling sensations, flashing lights in vision, nausea, etc.), and was eventually diagnosed with RLS/WED, which as it turns out can affect your entire body. This doesn't explain the spasms, although it may be related. It affects my breathing. My brain has trouble processing moving scenes/screens (real/virtual) sometimes now, which affects my work.

Other Meds: Ibuprofen

Current Illness:

ID: 1741269
Sex: F
Age: 48
State: WA

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

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

Lab Data: None

Allergies: None

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: After 14 hours from my third Pfizer Covid Vaccine, I woke up with pain on my left chest area. I tried to stretch and use ice compression to see if it helps. It felt like a constant muscle spasm but when I breath in, it cause a sharp pain around my chest and radiate to my back shoulder blade. The injection site is welted red and very hard and warm to the touch.

Other Meds: Ibuprofen

Current Illness: None

ID: 1741270
Sex: F
Age: 49
State:

Vax Date: 09/27/2021
Onset Date: 09/27/2021
Rec V Date: 09/28/2021
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: Administration error mixed series mRNA vaccine Pfizer and Moderna.

Other Meds:

Current Illness:

ID: 1741271
Sex: M
Age: 90
State: MN

Vax Date: 03/29/2021
Onset Date: 09/27/2021
Rec V Date: 09/28/2021
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:

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

Symptoms: Hospitalization COVID pneumonia COVID positive. Remdesivir, and dexamethesone initiated

Other Meds:

Current Illness:

ID: 1741272
Sex: F
Age: 46
State: VA

Vax Date: 09/27/2021
Onset Date: 09/28/2021
Rec V Date: 09/28/2021
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: PCN, Sulfa, Emycin, Quinolones

Symptom List: Unevaluable event

Symptoms: About 16 hours post-injection, I have a large bump at the injection site with increasing redness over the course of the first 24 hours. The area is extremely sensitive and very warm. I also woke up with a huge migraine, bad nauseous, extreme tiredness, and muscle aches. I was not running a fever but felt extremely warm.

Other Meds: decline to answer

Current Illness: None

ID: 1741273
Sex: M
Age: 68
State: OR

Vax Date: 03/27/2021
Onset Date: 03/30/2021
Rec V Date: 09/28/2021
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: Basic Hearing Test - Some hearing loss Audiology Test - Some Hearing loss

Allergies: Tetanus, Sulphur, Bananas, and Raw Almonds

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

Symptoms: I experienced ringing in my ears a few days after receiving the 2nd dose of the vaccine. It becomes extremely loud whenever I go to bed or performing normal activities and have to create white noise to manage it. I went to see my PCP on 05/19/2021 and she referred me to a hearing specialist who diagnosed me with Tinnitus.

Other Meds: I took my normal medications: Hydrochlorothiazide, Lisinopril, Tamsulosin HCL, Atorvastatin, Metoprolol, Diazepam, Tylenol Extra Strength, Ester C, Viscata, Novolog, and Victoza.

Current Illness: No

ID: 1741274
Sex: F
Age: 78
State:

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

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

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

Other Meds:

Current Illness:

ID: 1741275
Sex: F
Age: 45
State: PA

Vax Date: 08/30/2021
Onset Date: 08/31/2021
Rec V Date: 09/28/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List: Injection site pain, Menorrhagia

Symptoms: Extreme Fatigue . Dizzy . Pain down neck to spine . Pain is constant

Other Meds: no

Current Illness: no

ID: 1741276
Sex: F
Age: 31
State: AK

Vax Date: 09/23/2021
Onset Date: 09/23/2021
Rec V Date: 09/28/2021
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: This employee developed tachycardia about 5 hours after receiving her 2nd dose of Moderna vaccine. Her resting heat rate was in the 130?s per her report. She also reports swelling in her L arm. Her resting heart rate returned to normal by the time she woke up this morning. She reports arm pain/swelling and chest pain this afternoon. She states her breathing is fine. She was directed to see a provider asap.

Other Meds:

Current Illness:

ID: 1741277
Sex: F
Age: 78
State: IL

Vax Date: 09/24/2021
Onset Date: 09/24/2021
Rec V Date: 09/28/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Chills and shaking until 2 am 9/25 Profuse diaphoresis(sweating)-woke up 9/25 soaking wet. I literally had to wring out my clothes. My bed was soaked. I lost 6 # overnight. Was almost incontinent twice. I never had a fever. I run low. When I got the shot I think I was low. Usually run in the 97 range. Temp never went above 98. t now 97.8. Sweating stopped 9/25 midday. Felt better each day. Feel normal again today 9/28 I have never experienced anything like this. I have good kidneys but concerned because your side effects online sheet does not mention this side effect.I am a retired nurse and just wanted to report this.

Other Meds: Novalog and Treshiba insulin, metrpolol,synthroid, Le xa pro, iron, lovastatin, Prilosec, vit D and CoQ 10, olemesartin. Took 4 -500 mg capsules Amoxicillin before dental work on Sept 21,2021. Not sure if this affected it.

Current Illness: None

ID: 1741278
Sex: M
Age: 72
State:

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 09/28/2021
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: none

Other Meds:

Current Illness:

ID: 1741279
Sex: M
Age: 61
State: TX

Vax Date: 05/28/2021
Onset Date: 06/21/2021
Rec V Date: 09/28/2021
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: Various Test Ran

Allergies: None

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

Symptoms: Was diagnosed on 06/21/2021 with Bells Palsy and it affected the right side of his face causing slurring of words, lost of taste and smell. Has been told by doctor that he may have Guillain-Barr? syndrome. No bowel movement.

Other Meds: Advil

Current Illness: None

ID: 1741280
Sex: M
Age: 71
State:

Vax Date: 09/27/2021
Onset Date: 09/27/2021
Rec V Date: 09/28/2021
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: Administration error mixed series mRNA vaccine Pfizer and Moderna.

Other Meds:

Current Illness:

ID: 1741281
Sex: M
Age: 68
State: WA

Vax Date: 03/20/2021
Onset Date: 04/02/2021
Rec V Date: 09/28/2021
Hospital:

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

Lab Data: I WENT TO A WALK IN CLINIC, HE SAID TO TAKE ALLERGY MEDICATION. MY SINUS ARE NOT AFFECTED

Allergies: NONE

Symptom List: Injection site pain

Symptoms: I DEVELOPED CHEST CONGESTION CHRONIC COUGHING NIGHT AND DAY. I COUGH UP FLEM ALL THE TIME. I KEEP THINKING IT WILL GET BETTER BUT HASN'T. HAS CONTINUED SINC LAST APRIL. I HAVE NEVER HAD THIS CONDITION BEFORE, I AM A LIFETIME NON SMOKER.

Other Meds: LOSARTAN 100MG OMEPRAZOLE 40MG ESCITALOPRAM 10MG

Current Illness: NONE

ID: 1741282
Sex: M
Age: 69
State:

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

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

Lab Data:

Allergies:

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

Symptoms: Administration error mixed series mRNA vaccine Pfizer and Moderna

Other Meds:

Current Illness:

ID: 1741283
Sex: M
Age: 77
State:

Vax Date: 09/27/2021
Onset Date: 09/27/2021
Rec V Date: 09/28/2021
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: Administration error mixed series mRNA vaccine Pfizer and Moderna.

Other Meds:

Current Illness:

ID: 1741284
Sex: M
Age: 24
State: TX

Vax Date: 09/28/2021
Onset Date: 09/28/2021
Rec V Date: 09/28/2021
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: Patient with sudden onset of heart racing and flush skin. It lasted 3-5 minutes. BP 122/84, P-76, R 18. Patient denies any SOB or difficulty breathing. He states, "I think it anxiety." Advised patient to remain in facility an additional 15 minutes after symptoms subsided.

Other Meds: none

Current Illness: none

ID: 1741286
Sex: F
Age: 41
State: CA

Vax Date: 09/27/2021
Onset Date: 09/27/2021
Rec V Date: 09/28/2021
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: Neosporin

Symptom List: Erythema, Pruritus

Symptoms: 8/10 Headache, pain 7/10 and stiffness in back and neck, swollen lymph nodes on neck, periods of dizziness and nausea. Extremely sore arm 10/10, unable to lift.

Other Meds: Vitamin D supplement Probiotics

Current Illness: None

ID: 1741287
Sex: M
Age: 72
State:

Vax Date: 09/27/2021
Onset Date: 09/27/2021
Rec V Date: 09/28/2021
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:

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

Symptoms: Administration error mixed series mRNA vaccine Pfizer and Moderna

Other Meds:

Current Illness:

ID: 1741288
Sex: F
Age: 75
State:

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

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

Lab Data:

Allergies:

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

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

Other Meds:

Current Illness:

ID: 1741289
Sex: F
Age: 82
State: MN

Vax Date: 03/04/2021
Onset Date: 09/25/2021
Rec V Date: 09/28/2021
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: Asthenia, Chills, Headache, Myalgia

Symptoms: Hospitalization 9/11 symptom onset covid positive. COVID 19 pneumonia with hypoxic respiratory failure.

Other Meds:

Current Illness:

ID: 1741290
Sex: F
Age: 39
State: UT

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

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

Lab Data: n/a

Allergies: n/a

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

Symptoms: Body ache, Chills, headache, slight fever, nausea

Other Meds: amivog

Current Illness: n/a

ID: 1741291
Sex: F
Age: 45
State: CA

Vax Date: 09/24/2021
Onset Date: 09/26/2021
Rec V Date: 09/28/2021
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: nka

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

Symptoms: Patient got the Pfizer vaccine on 9/24/21 and starts to have numbness and tingling on right face on 9/26/21. Patient is advised to call her doctor.

Other Meds: Trelegy, Ventolin

Current Illness: n/a

ID: 1741292
Sex: F
Age: 38
State: FL

Vax Date: 09/21/2021
Onset Date: 09/21/2021
Rec V Date: 09/28/2021
Hospital:

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

Lab Data: Not applicable No complaint of adverse event

Allergies:

Symptom List: Pain in extremity

Symptoms: Janssen given 8/10/21 Pfizer given 9/21/21

Other Meds:

Current Illness:

ID: 1741293
Sex: F
Age: 51
State: CA

Vax Date: 09/14/2021
Onset Date: 09/25/2021
Rec V Date: 09/28/2021
Hospital:

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

Lab Data: 09/26/2021-tested positive for SARS-cov-2 from pcr swab taken anterior nares. Barcode

Allergies: None

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

Symptoms: Received Tdap vaccination on the same day approximately 4 hours before COVID vaccine on the opposite arm. Experienced soreness and muscle aches radiating from injection location for three days. Slight rash on arms and sore hips on and off over next two weeks. Tested negative for COVID using PCR test 6 days after vaccination. 12 days after vaccination, tested positive for COVID. Started experiencing headache on day 10 and muscles ached all over body. Peak of body aches experienced on day 13. No congestion, no cough, no sneezing, no runny nose, no sore throat, no loss of smell or taste, no difficulty breathing, no heavy chest.

Other Meds: None

Current Illness: None

ID: 1741294
Sex: M
Age: 66
State:

Vax Date: 09/27/2021
Onset Date:
Rec V Date: 09/28/2021
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: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

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

Other Meds:

Current Illness:

ID: 1741295
Sex: M
Age: 77
State:

Vax Date: 09/27/2021
Onset Date: 09/27/2021
Rec V Date: 09/28/2021
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: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: Administration error mixed series mRNA vaccine Pfizer and Moderna

Other Meds:

Current Illness:

ID: 1741296
Sex: F
Age: 31
State:

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 09/28/2021
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: Previously known allergies: Ceclor (Rash)

Symptom List: Vomiting

Symptoms: Pt reported hives w/ facial swelling ~4hrs post vaccination. Pt took benadryl. Pt reported the reaction on 9/22 when the patient presented for her 2nd dose. Pt was administered Janssen on 9/22 due to allergy. No further information available to this writer.

Other Meds: Unknown

Current Illness:

ID: 1741297
Sex: F
Age: 33
State: MA

Vax Date: 07/27/2021
Onset Date:
Rec V Date: 09/28/2021
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: Haloperidol Lactate

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: No adverse events occurred. This Moderna COVID-19 vaccine was administered as an incorrect dose to patient who thought they were due for their 2nd dose of Moderna as she forgot receiving a 1st dose back in January; the dose was given prior to RN realizing the series was completed. Patient was informed of this administration error at the time of vaccination and reported no side effects the following day or at any subsequent clinic visits.

Other Meds: Norgestimate-ethinyl estradioL, INVEGA SUSTENNA

Current Illness:

ID: 1741298
Sex: F
Age: 64
State: KY

Vax Date: 03/24/2021
Onset Date: 04/13/2021
Rec V Date: 09/28/2021
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: normal routine blood test- diminished kidney function. labs sonogram in August 11, 2021- kidney possible could be a little small without knowing patients height or weight/ inconclusive

Allergies: latex morphine terbinafine

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

Symptoms: On April 13, 2021, I had a routine annual, my kidney function was diminished based on a normal routine blood test at office. Increase my water intake and come back in a couple of weeks and have the test done again. I went on vacation from 04/18/2021- 04/24/2021 and got a tick bite. I sought medical care on 04/26/2021. They put me on antibiotics- doxycycline hyclate 150 mg bd/ morning and night for 10 days. After taking the antibiotics, they wanted me to wait two weeks before having my blood drawn again. I had blood drawn again the week of May 16-23, it was a follow up visit with my PCP and my kidney function had diminished even more. I had an appointment with the kidney specialist in June 28, 2021, he diagnosed me with Chronic kidney disease stage 3 G3A/A3. They sent me to outpatient to get a sonogram on August 11, 2021. I have a follow up appointment with the nephrologist, Doctor, the kidney specialist on January 6, 2022.

Other Meds: clopidogrel 75mg od metoprolol succ ER 100 mg od Irbesartan 300 mg od budesonide ec 3 mg od Aspirin 81 mg od All above AM lovastatin 10 mg od fish oil 1200 mg od melatonin 10 mg od at night trazodone 50 mg at night alprazolam .5 mg at nigh

Current Illness: no

ID: 1741299
Sex: F
Age: 58
State: NC

Vax Date: 09/13/2021
Onset Date: 09/14/2021
Rec V Date: 09/28/2021
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: None

Allergies: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Muscle aches whole body, headaches, a 101-degree fever, fatigue, weakness and extreme fatigue

Other Meds: NP Thyroid, Vit D, Energy Multiplex and Megaspore Probiotic

Current Illness: None

ID: 1741300
Sex: F
Age: 17
State: KS

Vax Date: 09/28/2021
Onset Date: 09/28/2021
Rec V Date: 09/28/2021
Hospital:

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

Lab Data:

Allergies: n/a

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

Symptoms: Patient fainted shortly after being vaccinated and then had a seizure which lasted a few seconds. We called 911. While waiting for EMS, we kept patient seated and upright. Her mother made sure she stayed awake and was talking. Patient felt overheated and nauseous, and vomited into a trash bin we provided. We fanned her and also brought a plug-in fan to help cool her. When the EMS team arrived, they checked her vitals and stayed with her for about 10 minutes. After about an hour from the time patient got vaccinated, patient and her mother left.

Other Meds: n/a

Current Illness: n/a

Date Died: 09/19/2021

ID: 1741301
Sex: F
Age: 78
State: MO

Vax Date: 08/30/2021
Onset Date: 09/07/2021
Rec V Date: 09/28/2021
Hospital: Y

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

Lab Data:

Allergies: propoxyphene - drowsiness

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

Symptoms: Patient received first dose of COVID-19 vaccine on 8/30/2021. Patient was then hospitalized on 9/7/2021 with COVID-19 symptoms. Patient was a no code/no intubation at admission. Patient ultimately progressed to high flow oxygen and was made compassionate care and passed away on 9/19/2021.

Other Meds: Alprazolam, atorvastatin, olmesartan, clonidine, I-CAPS oral multivitamin, metroprolol tartrate, amlodipine, calcium-vitamin D, ferrous sulfate, torsemide, meloxicam, hydrocodone-acetaminophen, potassium chloride, lansoprazole, escitalopram

Current Illness: None

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am