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: 1749341
Sex: F
Age: 42
State: MS

Vax Date: 09/11/2021
Onset Date: 09/16/2021
Rec V Date: 09/30/2021
Hospital:

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

Lab Data: MAMMOGRAM, ULTRASOUND, BIOPSY

Allergies: ADHESIVE TAPE

Symptom List: Dysphagia, Epiglottitis

Symptoms: PATIENT HAS LEFT SUPRACLAVICULAR LYMPH NODE SWELLING. LEFT AXILLARY LYMPH NODE SWELLING. AND TENDER LEFT BREAST.

Other Meds: DIOVAN HCT TRULICITY INJECTION INVOKAMET AMBIEN CELEXA

Current Illness: NONE

ID: 1749342
Sex: F
Age: 38
State: WV

Vax Date: 08/20/2021
Onset Date: 08/21/2021
Rec V Date: 09/30/2021
Hospital:

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

Lab Data: 9/29/21 CBC trop BNP chest X-ray BMP

Allergies: Vitamin D Prenatal vitamins

Symptom List: Anxiety, Dyspnoea

Symptoms: Tachycardia short of breath

Other Meds: None

Current Illness:

ID: 1749343
Sex: M
Age: 21
State: NC

Vax Date: 09/24/2021
Onset Date: 09/30/2021
Rec V Date: 09/30/2021
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: nkda

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

Symptoms: Shoulder soreness, fatigue, headache , treatment SIQ and tylenol

Other Meds: n/a

Current Illness: none

ID: 1749344
Sex: M
Age: 60
State: IN

Vax Date: 03/22/2021
Onset Date: 03/23/2021
Rec V Date: 09/30/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Left foot and leg numb

Other Meds: None

Current Illness: None

ID: 1749345
Sex: F
Age: 45
State: NC

Vax Date: 04/17/2021
Onset Date: 04/21/2021
Rec V Date: 09/30/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Irregular menstrual cycles with breakthough spotting.

Other Meds: Fluoxetine, Advil, Metoprolol

Current Illness: None

ID: 1749346
Sex: F
Age: 65
State: WI

Vax Date: 08/01/2021
Onset Date: 09/29/2021
Rec V Date: 09/30/2021
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: positive PCR test 9/29/2021

Allergies:

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

Symptoms: breakthrough infection

Other Meds: abatacept, cyclosporine, gabapentin, leflunomide, insulin, atenolol, lisinopril

Current Illness:

ID: 1749348
Sex: F
Age: 63
State: IN

Vax Date: 09/07/2021
Onset Date: 09/07/2021
Rec V Date: 09/30/2021
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: levaquin

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Severe headache chills fever 103 photophobia inabililty to walk for 8 hours due to severe weakness in legs. No ability to eat of drink x 12 hours . Unable to move out of fetal position x 8 hours . Severe numbness and tingling x 4 hours. Severe headache and photophobia contd x 72 hours . Cognition was limited x 72 hours. Unable to work x 5 days. Severe headache and brain fog contd x 2 weeks . Intermittent headaches still continued at this time.Ny head feels at times still like it is being hit with a ping pong paddle across the room .

Other Meds: velafaxene xr 150 restoril 30 mg hs

Current Illness: none

ID: 1749349
Sex: F
Age: 40
State:

Vax Date: 09/02/2021
Onset Date: 09/06/2021
Rec V Date: 09/30/2021
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: Pharyngeal swelling

Symptoms: Dry, itchy scalp and large amounts of hair loss beginning 4 days after 1st dose of Moderna COVID vaccine.

Other Meds:

Current Illness:

ID: 1749350
Sex: F
Age: 20
State: NY

Vax Date: 07/29/2021
Onset Date: 08/09/2021
Rec V Date: 09/30/2021
Hospital:

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

Lab Data: TSH, serum beta HCG, Prolactin levels on 9/29/21 all within normal range or negative

Allergies: NKDA

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Pt has never had a history of irregular menses. Periods have always been regular and she has been on the same birth control pill for years without issues. States that she had the vaccine on 7/29/21 and then had her menses on 8/9-8/14 and 8/20/8/28 and then on 8/18 when she was due. States that this pattern continued in a similar fashion in September.

Other Meds: Enskyce OCP 0.15-0.03 1 tab PO QD, been on this medication for years without issue

Current Illness: none

ID: 1749351
Sex: F
Age: 30
State: NY

Vax Date: 02/08/2021
Onset Date: 02/16/2021
Rec V Date: 09/30/2021
Hospital:

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

Lab Data: On February 16, 2021 an ultrasound was performed which diagnosed the fetal demise. A second ultrasound was preformed by another doctor (also on 2/16/2021) to confirm the fetal demise. A d&c procedure was performed on 2/23/2021.

Allergies: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: I was 14 weeks pregnant when I received the first dose of the moderna vaccine, on Feb 8, 2021. On February 16 I went for a routine checkup to my OBGYN and the baby was found without a heartbeat. The baby was measured to be 13 weeks 5 days or 13 weeks 6 days, however these are just estimates and are not necessarily exact. I have a history of carrying smaller babies, so it is possible that the baby's gestational age was greater than 13 weeks 5 or 6 days. My original estimated date of delivery was August 9, 2021.

Other Meds: Synthroid 175, Prenatal Vitamin, Vitamin D 2000 iu, Baby Aspirin 1.5/day

Current Illness: None

ID: 1749352
Sex: M
Age: 35
State: TX

Vax Date: 03/28/2021
Onset Date: 08/18/2021
Rec V Date: 09/30/2021
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: Tested positive for COVID-19 in August with flu-like symptoms including pain in upper sinuses, was not hospitalized. After infection, got sinus infection in lower sinuses (tested negative for COVID), and got antibiotics and that cleared symptoms, but now I have more snot that I suspect is a symptom of an infection somewhere. All the snot and infections could have been a combination of leftover COVID snot and seasonal allergies.

Other Meds:

Current Illness:

ID: 1749353
Sex: F
Age: 53
State: KY

Vax Date: 02/12/2021
Onset Date: 09/29/2021
Rec V Date: 09/30/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Pfizer on 1/22 and 2/12. Positive on 9/29

Other Meds:

Current Illness:

ID: 1749354
Sex: F
Age: 54
State: NY

Vax Date: 09/22/2021
Onset Date: 09/22/2021
Rec V Date: 09/30/2021
Hospital:

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

Lab Data: Blood test, eye exam, a request to get a brain MRI.

Allergies:

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

Symptoms: I had immediate blurry vision, light headed, A nurse gave me juice and it resolved with in seconds. Then happened again within 30 minutes. I was then fine. I went home and that night I had typical flu like symptoms. I basically slept one day and woke up 2nd day feeling better, I realized my vision was not normal it was blurry. I had new onset of distance astigmatism. I have seen optometrist, I am going to see a neurologist. I had a little bit of itchy on my opposite arm and inner thighs and in my back and it resolved. I also am having heart palpitations and fluttering that I feel mostly at night.

Other Meds:

Current Illness:

ID: 1749355
Sex: F
Age: 36
State: WI

Vax Date: 09/28/2021
Onset Date: 09/28/2021
Rec V Date: 09/30/2021
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

Allergies: none

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

Symptoms: EE stated 15 minutes after getting Flu vaccine at clinic she noted her face was flushed. Twenty minutes after vaccine flushing had developed down neck mid chest and mid forearm. She also developed puffiness under eyes and felt warm but took her temp and did not have a fever (97.2). EE did not have any itching or other symptoms. She stated she has no allergies and has never had an allergic reaction in the past. She took 25mg of Benadryl when she got home from work (4hrs after initial reaction to Flu vaccine). When she woke up today she has improvement of symptoms with some redness of her cheeks and left arm and neck. She took some Claritin as she had to go to work today and did not want to take Benadryl

Other Meds:

Current Illness:

ID: 1749357
Sex: F
Age: 65
State: MN

Vax Date: 09/30/2021
Onset Date: 09/30/2021
Rec V Date: 09/30/2021
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: No Known Allergies

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

Symptoms: Patient tested positive for COVID-19 after being fully vaccinated

Other Meds: Vitamin C, Losartan, Fish Oil, Zoloft, Zocor, Calcium with Vitamin D and Multivitamin

Current Illness:

ID: 1749358
Sex: M
Age: 82
State: KY

Vax Date: 04/17/2021
Onset Date: 09/29/2021
Rec V Date: 09/30/2021
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Pfizer on 3/20 and 4/17. Positive on 9/29

Other Meds:

Current Illness:

ID: 1749359
Sex: M
Age: 23
State: MN

Vax Date: 09/29/2021
Onset Date: 09/29/2021
Rec V Date: 09/30/2021
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 yet as I'm still recovering. I'll try to go to a doctor soon though

Allergies: Latex allergy

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

Symptoms: Around 7 pm I started feeling a bit nauseous and started having muscle aches. By 8pm I had begun having shaking chills and took my temperature which was 100.2. By 9pm the shaking chills had gotten worse to the point where I felt I couldn't get out of bed and was unable to hold my phone. Around 10pm I took some aspirin. The shaking and nausea began to improve until I fell asleep around 11pm. I then woke up feeling generally bad many times until this morning. This morning I woke up for good around 7am (an hour and a half ago). I'm still pretty achy and have a fever of 100.8 (I have no idea how high it may have gotten between 8pm and now, I had assumed it would be lower now since I feel much better).

Other Meds:

Current Illness: None

ID: 1749360
Sex: F
Age: 66
State: NY

Vax Date: 02/01/2021
Onset Date: 02/06/2021
Rec V Date: 09/30/2021
Hospital:

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

Lab Data: ED visit, blood tests, ultra sound

Allergies: na

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Woke up 4am Saturday with a large lump left side, back of head near hair line. Severe pain radiating from hair line to top of head. Could not touch without shocking pain. Went to ED, MD reported lump was the lymph node being the size of an avocado pit and was not sure the cause. Prescribed Augmentin, took w little change. After 10 days, Went to my GP and was put on regimine of Prednisone. Had an ultrasound and identified the lymph node was grossly enlarged and was pinching the occipital nerve on left side. After two Prednisone regimine's, was sent to a neurologist and then neuro surgeon. In late April, I Was given shots of cortisone in nerve and near lymph node. Pain has been diminishing since the Cortisone shots in April 2021, but still exhibit slight pain near lymph node. when touched.

Other Meds: Irbasartan, docusate sodium, miralax, multivit for women over 50 (generic)

Current Illness: none

ID: 1749361
Sex: F
Age: 60
State: NH

Vax Date: 03/08/2021
Onset Date: 03/15/2021
Rec V Date: 09/30/2021
Hospital:

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

Lab Data: CT Scan

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Draining in my mouth. Have been to many specialists including ENT, GI, Dentist and nobody can figure out why or where it is coming from. This all started very soon after my first dose of the vaccine. It tastes terrible and is burning my mouth.

Other Meds:

Current Illness:

ID: 1749362
Sex: F
Age: 55
State: TX

Vax Date: 03/25/2021
Onset Date: 09/09/2021
Rec V Date: 09/30/2021
Hospital:

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

Lab Data: COVID test- 09/09/2021 positive; COVID test- 09/23/2021 negative.

Allergies: Sudafed; venomous bite like spider or bee bite

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

Symptoms: 8 hours after the vaccine I had a low-grade temperature, chills, nausea, body aches, and fatigue. That lasted for 24 hours. Interestingly enough, my Covid symptoms started the same way my symptoms started after getting the vaccine. That lasted for 24 hours too. After that I started with a runny nose, low grade temperature for 4 days, watery eyes. Lost of taste and smell on day 7. Fatigue. Irritable stomach. Sneezing and congestion in my nose, sinuses, and ears. I got a COVID test on 09/09/2021 and it came back positive. I contacted my doctor as soon as I got the positive test result. I worked with my homeopathic doctor to take natural remedies for treating COVID. I tested again last week on 09/23/2021 and I tested negative. I still have stomach issues.

Other Meds: Magnesium

Current Illness: None

ID: 1749363
Sex: F
Age: 58
State: GA

Vax Date: 03/26/2021
Onset Date: 08/24/2021
Rec V Date: 09/30/2021
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: No

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

Symptoms: Severe rash reaction started at my chest and face and you felt like its on fire and it was bright red and it itched, like sting bite no blisters. Got a steroid shot and in pill form for issues in my breathing. Went to urgent care, they straight to the doctor 21AUG2021. It comes and goes till to date.

Other Meds: Atorvastatin;

Current Illness: No

ID: 1749364
Sex: M
Age: 20
State: NJ

Vax Date: 09/25/2021
Onset Date: 09/26/2021
Rec V Date: 09/30/2021
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, pollen.

Symptom List: Unevaluable event

Symptoms: On the day after vaccination, on September 26th, experienced a sore throat. On the 27th, experienced a runny nose and chest pain, as well as chills and fatigue.

Other Meds: None

Current Illness: None

ID: 1749365
Sex: F
Age: 24
State:

Vax Date: 08/06/2021
Onset Date: 08/06/2021
Rec V Date: 09/30/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Period came a week after my last period. Was brown and lasted two days longer than a normal one. I usually always have regular periods. After my normal cycle it has been 60 days since a regular period.

Other Meds: Plan B

Current Illness:

ID: 1749366
Sex: F
Age: 36
State: MN

Vax Date: 09/17/2021
Onset Date: 09/26/2021
Rec V Date: 09/30/2021
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: patient received vaccine on 09/17/21, reports that on 9/26/21 she developed numbness in the left arm, the arm in which she received the vaccine. She developed a rash on that arm on 9/28. She went to a clinic and was diagnosed with shingles

Other Meds:

Current Illness:

ID: 1749367
Sex: M
Age: 31
State: NY

Vax Date: 05/11/2021
Onset Date: 05/12/2021
Rec V Date: 09/30/2021
Hospital:

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

Lab Data: I have had two hearing tests two months apart that both showed a hearing loss of 45% in my right ear.

Allergies: Sesame seeds, nuts, crustaceans

Symptom List: Injection site pain, Menorrhagia

Symptoms: I received the Pfizer vaccine on 05/11/21. On 05/12/21 I heard a thumping in my right ear and had difficulty hearing. This hearing loss in my right ear continues to today. I have since been diagnosed with sensorineural hearing loss.

Other Meds: Albeuteral, citalopram

Current Illness:

ID: 1749368
Sex: F
Age: 75
State: NC

Vax Date: 09/28/2021
Onset Date: 09/29/2021
Rec V Date: 09/30/2021
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: Sublimaze Tygan Shellfish Melatonin

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

Symptoms: Turned stools green. Pain in abdomen.

Other Meds: Metoprolol 100mg (twice daily) Magnesium Complex (once daily) Eliquis 5 mg (twice daily) Turmeric (once daily) Calcium Citrate 600mg (once daily) Vitamin K2 (once daily) Folid Acid 400 mcg (once daily) Levothyrocin .05mg 9 (once daily) Vita

Current Illness: None

ID: 1749369
Sex: M
Age: 34
State: NE

Vax Date: 09/29/2021
Onset Date: 09/30/2021
Rec V Date: 09/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Woke up at 2 am with 102.5 degree fever. Fever persisting

Other Meds: Aspirin

Current Illness:

ID: 1749370
Sex: F
Age: 36
State: MN

Vax Date: 01/19/2021
Onset Date: 09/29/2021
Rec V Date: 09/30/2021
Hospital:

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

Lab Data: 9/28 SARS/COV-2, Naat, Positive

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Breakthrough COVID

Other Meds:

Current Illness:

ID: 1749371
Sex: M
Age: 68
State: MN

Vax Date: 02/11/2021
Onset Date: 09/26/2021
Rec V Date: 09/30/2021
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: Environmental

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

Symptoms: Patient tested positive for COVID-19 after being fully vaccinated

Other Meds: Vitamin E, Zetia, Multivitamin, Fish Oil, Vitamin D, ASA

Current Illness:

ID: 1749372
Sex: F
Age: 43
State: NJ

Vax Date: 09/24/2021
Onset Date: 09/25/2021
Rec V Date: 09/30/2021
Hospital:

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

Lab Data: Went to the doctor on 9/28 when the shingles rash appeared

Allergies:

Symptom List: Nausea

Symptoms: I came down with shingles

Other Meds: Florastor

Current Illness:

ID: 1749373
Sex: F
Age: 66
State: TN

Vax Date: 09/16/2021
Onset Date: 09/16/2021
Rec V Date: 09/30/2021
Hospital:

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

Lab Data: not applicable, ultrasound pending

Allergies: almond oil, peanut, cashew nuts, doxycycline, shingles vaccine, gluten, dyes, hydrocodone

Symptom List: Injection site pain

Symptoms: a couple hours after getting the vaccine the patient had swelling between the neck and right clavicle. The swelling grew to the size of an egg. No shortness of breath was experienced. The patient applied ice and took benadryl to manage the swelling. Ice would reduce the swelling a little but then it would return. By 9/30 the swelling is now the size of a pea and the patient has an ultrasound pending. peak swelling occured between 9/16-9/20.

Other Meds: patient took 1/2 of a benadryl to premedicate

Current Illness:

ID: 1749374
Sex: F
Age: 27
State: MN

Vax Date: 02/05/2021
Onset Date: 09/15/2021
Rec V Date: 09/30/2021
Hospital:

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

Lab Data: ABBOTT ID NOW COVID 19 results positive.

Allergies:

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

Symptoms: Health Care worker had break through COVID after exposure from significant other who had not received the COVID vaccine. Was asymptomatic but tested positive on 5/17/21 after being fully vaccinated.

Other Meds:

Current Illness:

ID: 1749375
Sex: F
Age: 30
State: PA

Vax Date: 05/24/2021
Onset Date: 07/20/2021
Rec V Date: 09/30/2021
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: Penicillin, Sulfa, Aspirin

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

Symptoms: Ever since receiving my second vaccine dose my menstrual period has completely changed. The first two periods following my vaccine I experiences spotting and dried blood during urination, which I have never experience before. After a few days of spotting and dried blood it was followed by extremely heavy bleeding for only 2 days and then my period ended. On my third period following my vaccination it was extremely heavy (bleeding through clothing in the night heavy, also never experienced before) and lasted several days. My period has always consistently been heavy on day 1 and 2, lighted on day 3 and tapered off on day 4 or 5. However ever since my vaccine it has been concerningly different.

Other Meds: Tylenol

Current Illness: N/A

ID: 1749376
Sex: F
Age: 53
State: NY

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

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

Lab Data: Na

Allergies: Penicillin and oxycodone

Symptom List: Tremor

Symptoms: Pain under arm of injection site (left) noticed upon waking up. Ibuprofen taken orally

Other Meds: Xyzal and airborne and vitamin D3

Current Illness: None

ID: 1749377
Sex: F
Age: 59
State: FL

Vax Date: 08/29/2021
Onset Date: 08/30/2021
Rec V Date: 09/30/2021
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: latex, amine preservative in lidocaine any caine

Symptom List: Erythema, Pruritus

Symptoms: Significant Neck and shoulder pain within 12 hours of injection Severe dizziness started on Monday which made it difficult to walk (similar to vertigo) for four long days Monday -Thursday. Brain felt heavy and sluggish through Thursday. Wednesday and Thursday had several bouts of severe diarrhea with severe dehydration. Had to drink regular gatorade for 48 hours to recover. Sore arm at injection site with swelling.

Other Meds: Singular 10 mg qd, Losartan 50 mg BID, folic acid bid, allegra 180mg

Current Illness: none

ID: 1749378
Sex: M
Age:
State: MN

Vax Date: 03/01/2021
Onset Date: 09/17/2021
Rec V Date: 09/30/2021
Hospital: Y

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: Coronavirus 2 PCR Detect, V symptomatic POSITIVE

Allergies: NKA

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

Symptoms: Chief Complaint: Shortness of breath Situation/Background: Patient with a history of COPD with COVID pneumonia that was discharge on 09/20 is in the clinic today d/t shortness of breath. Referring provider notes that patient was unsure of meds upon discharge and patient has not been taking his Lasix properly. Today, patient is short of breath

Other Meds:

Current Illness:

ID: 1749379
Sex: F
Age: 44
State: GA

Vax Date: 08/24/2021
Onset Date: 09/13/2021
Rec V Date: 09/30/2021
Hospital:

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

Lab Data: Pelvic ultrasound, CBC, Ct of abd

Allergies: None

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

Symptoms: Severe abd pain during menstrual cycle, passing blood clots, low H&H, severe dizziness and chst pains

Other Meds: Nexium, Ursodiol, desvenlafaxine, vitamin d 5,000

Current Illness: Liver disease, sarcoidosis

ID: 1749380
Sex: F
Age: 67
State: IA

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 09/30/2021
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: Asthenia, Chills, Headache, Myalgia

Symptoms: patient was given vaccine in an area not recommended for the vaccine( Right Gluteous Medius). This vaccine was given off site of the clinic reporting.

Other Meds: Synthroid, Avapro, Singulair, Advair Diskus, Flonase, Sertraline HCI, Fluoxetine

Current Illness: Sinusitis, Headache,

ID: 1749381
Sex: F
Age: 71
State: PA

Vax Date: 09/09/2021
Onset Date: 09/10/2021
Rec V Date: 09/30/2021
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: Patient stated after receiving her first dose of Pfizer she experienced eye pain/burning a day after the vaccine which lasted 2 days. She had eye surgery on both eyes 15 years ago and believes it wasn't due to the eye surgery. Patient has since recovered and didn't follow up with PCP

Other Meds:

Current Illness:

ID: 1749382
Sex: M
Age: 58
State: WV

Vax Date: 09/16/2021
Onset Date: 09/16/2021
Rec V Date: 09/30/2021
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: None

Allergies: Penicillin

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

Symptoms: Patient was given undiluted 0.3mL of Pfizer vaccine.

Other Meds: Sildenafil Citrate

Current Illness: None

ID: 1749383
Sex: F
Age: 46
State: TX

Vax Date: 09/29/2021
Onset Date: 09/30/2021
Rec V Date: 09/30/2021
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: Gluten and corn

Symptom List: Pain in extremity

Symptoms: Running a fever, dizzy and headache, slight itchy tightness in lungs

Other Meds: Multi vitamin and probiotics

Current Illness: No

ID: 1749384
Sex: F
Age: 61
State: TN

Vax Date: 09/27/2021
Onset Date: 09/28/2021
Rec V Date: 09/30/2021
Hospital:

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

Lab Data:

Allergies: Thimerosal

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

Symptoms: Hives on trunk including axilla, buttocks, abdomen, back. Still experiencing since 9/28/21

Other Meds: Multi vitamin, Vitamin D3

Current Illness: None

ID: 1749385
Sex: F
Age: 35
State: GA

Vax Date: 09/28/2021
Onset Date: 09/29/2021
Rec V Date: 09/30/2021
Hospital:

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

Lab Data: 9/29 ---Covid swab: Negative, Labs drawn: yes: unknown results, EKG: sinus tachycardia, CXR: normal

Allergies: NKDA or any others

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

Symptoms: Aprox 12 hours after vaccination onset of symptoms began. They included: fever (>101F), extreme muscle weakness throughout the entire body (to the point that I could not walk fully upright), muscle and joint pain, extreme drowsiness, severe headache (8/10 for pain), mild confusion, resting HR >100bpm (my resting HR is normally 50s-60s), SOB with ambulation, moderate, intermittent nausea, SpO2 remained >96% throughout. Around 1400-1500 9/29 I was able to make it to an urgent care where on arrival, and after just a slow walk from the car, my HR was 153bpm. They performed an EKG and recommended I go to the hospital. I managed to drive myself to the hospital where I was seen in ER. 1L of lactated ringers was given along with doses of Toradol, Zofran and Tylenol. Repeat temp checks were taken and temp was continuing to go down and I began feeling much better after the LR infusion.

Other Meds: Womens daily multivite, Osteobiflex with tumeric

Current Illness: N/A

ID: 1749386
Sex: F
Age: 76
State: TX

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 09/30/2021
Hospital:

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

Lab Data: ESR and CRP - significant elevation Temporal artery biopsy = positive for giant cell arteritis

Allergies: ampicillin

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

Symptoms: The patient had onset of temporal headache and vision loss shortly after her second vaccine dose. She was found on my exam to have ischemic optic neuropathy of her right eye Her symptoms were suspicious for giant cell arteritis, and she was started by me on prednisone 80mg, then sent for lab workup which revealed elevated ESR and CRP. She was then scheduled for temporal artery biopsy, which confirmed giant cell arteritis on pathology. She remains completely blind, with no light perception, in her right eye. Her left eye has remained unaffected, and steroid tapering plus immunosuppression with tocilizumab has been managed by rheumatologist.

Other Meds: lisionpril/HCTZ armour thyroid aspirin 81mg

Current Illness:

ID: 1749387
Sex: F
Age: 41
State: NC

Vax Date: 09/27/2021
Onset Date: 09/27/2021
Rec V Date: 09/30/2021
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: Sulpha

Symptom List: Vomiting

Symptoms: Within 25 min of receiving the shot my head began to feel tingly and felt like pins and needles going up my neck and head. I then began to feel very hot and turn red. After about 2 minutes I noticed that my body had broken out in hives. This lasted for about an hour.

Other Meds:

Current Illness:

ID: 1749388
Sex: F
Age: 40
State: MN

Vax Date: 01/06/2021
Onset Date: 09/22/2021
Rec V Date: 09/30/2021
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: No Known Allergies

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Patient tested positive for COVID-19 after being fully vaccinated

Other Meds: None

Current Illness: None

ID: 1749389
Sex: M
Age: 54
State: FL

Vax Date: 09/28/2021
Onset Date: 09/29/2021
Rec V Date: 09/30/2021
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: none

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

Symptoms: Developed fever up to 101.9 F the following day

Other Meds: Lipitor, Krill Oil, Vitamin D

Current Illness: none

ID: 1749390
Sex: F
Age: 23
State: RI

Vax Date: 09/29/2021
Onset Date: 09/30/2021
Rec V Date: 09/30/2021
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: severe body aches, swelling at injection site, exhaustion. began about 12 hours after shot was administered.

Other Meds: fluoxetine, buspirone, wellbutrin, daily multivitamin, birth control, allergy otc pill

Current Illness: none

ID: 1749391
Sex: M
Age: 86
State:

Vax Date: 02/25/2021
Onset Date: 09/27/2021
Rec V Date: 09/30/2021
Hospital: Y

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

Lab Data:

Allergies:

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

Symptoms: Admitted to Hospital on Date of Adverse Event [recorded in VAERS] for treatment of Covid-19 Positive following completion of Covid Vaccine Series

Other Meds:

Current Illness:

ID: 1749392
Sex: F
Age: 46
State: NJ

Vax Date: 04/21/2021
Onset Date: 05/05/2021
Rec V Date: 09/30/2021
Hospital:

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

Lab Data: "Allergic reaction". They had no answers.

Allergies: None

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

Symptoms: 13 days after the vaccine I woke in the middle of the night with swollen lips, then the swelling began to spread across my face, ears and throat. It was slowly spreading, by 5 AM I was having trouble swallowing and couldn't catch my breath. Hard time breathing. My husband took me to emergency room as it was getting scary and my throat was closing. I had done NOTHING different in those 13 days, not even eat a new food, no new topical treatments, nothing. I received my 2nd dose on 5/24- and within 36 hours I had the same swelling, but not as bad and only on the right side of my whole body. I did not go to ER, so I took Benadryl.

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am