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: 1769274
Sex: F
Age: 56
State: CA

Vax Date: 10/05/2021
Onset Date: 10/05/2021
Rec V Date: 10/07/2021
Hospital:

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

Lab Data:

Allergies: Anaphylaxis to fish and beef. Tongue tingling with cow milk and eggs.

Symptom List: Dysphagia, Epiglottitis

Symptoms: The client reported feeling a "dull headache, dizziness, and lightheaded" to RN and EMT at 5:07PM. The client rated the headache pain at a 5 on a 10 point scale. The client denied any other s/s of anaphylaxis. Vitals obtained at 5:07PM were as follows: automatic BP 156/99, HR 78, O2 95%. The client stated she had eaten an egg and juice for breakfast, and a piece of pumpkin bread on her way to the vaccination site. The client drover herself to the vaccination site today. The client has a history of asthma controlled with an Albuterol inhaler for as needed, anemia controlled with iron supplements, and exzema controlled with Dupixent. RN responded to the client for additional assistance. Repeat vitals obtained at 5:14PM were as follows: automatic BP 161/98, O2 97%, and HR 82. The client reported a "mild little headache." RN inquired if the client was still feeling dizzy and the client replied, "It's okay." RN provided education regarding s/s of anaphylaxis and when to seek EMS. The client voiced understanding of this education. Repeat vitals obtained at 5:17PM were as follows: manual BP 148/98, HR 75, O2 96%. The client showed RN and RN a "red and itchy" spot on the front of her neck. The client described the spot as exzema and stated it had been present for 2-3 days. Repeat vitals obtained at 5:25PM were as follows: manual BP 148/86, HR 76, O2 95%. The client stated her headache was "okay" and rated the pain at a 5 on a 10 point scale. The client stated, "I feel like I can walk. I feel like I can drive okay." RN provided education regarding the client's blood pressure and recommended the client follow up with her primary care doctor regarding her blood pressure. The client voiced understanding of this education. Repeat vitals obtained at 5:32 PM were as follows: manual BP 150/86, HR 73, O2 99%. The client stated, "I feel okay, a little tiny headache." The client rated the headache at a 4-5 on a 10 point scale. The client denied any other s/s of anaphylaxis. Repeat vitals obtained at 5:40 PM were as follows: manual BP 150/86, HR 75, O2 97%. The client stood up unassisted and ambulated unassisted with a steady gait out of the vaccination site.

Other Meds: Albuterol inhaler, PRN, Dupixent, and iron supplements.

Current Illness: Unknown

ID: 1769275
Sex: F
Age: 31
State: AR

Vax Date: 10/01/2021
Onset Date: 10/02/2021
Rec V Date: 10/07/2021
Hospital:

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

Lab Data: N/A

Allergies: None

Symptom List: Anxiety, Dyspnoea

Symptoms: Woke up the day after getting my COVID booster shot with the symptoms of: fatigue, muscle aches, headache, congestion. Symptoms lasted between 12-24 hours.

Other Meds: Oral contraceptive pill

Current Illness: None

ID: 1769276
Sex: M
Age: 50
State: TN

Vax Date: 09/02/2021
Onset Date: 09/03/2021
Rec V Date: 10/07/2021
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: Physician office

Allergies: None

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

Symptoms: Chronic Diarrhea and worsening lymphedema in legs

Other Meds: Atorvastatin- 6 months been on it Xanax Effexor xr I have taken this medication for 18 years

Current Illness: None

ID: 1769277
Sex: F
Age: 39
State: GA

Vax Date: 10/06/2021
Onset Date: 10/07/2021
Rec V Date: 10/07/2021
Hospital:

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

Lab Data: N/a

Allergies: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Pain, redness and swelling at injection site; swollen lymph nodes under arm

Other Meds: BCP, Crestor

Current Illness: None

ID: 1769278
Sex: F
Age: 70
State: SC

Vax Date: 09/27/2021
Onset Date: 09/27/2021
Rec V Date: 10/07/2021
Hospital:

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

Lab Data: NONE

Allergies: NONE

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

Symptoms: PATIENT RECEIVED A PFIZER VACCINE AS BOOSTER WHEN HER FIRST TWO DOSES WERE MODERNA. PATIENT DID NOT HAVE ANY SIDE EFFECTS AT ALL THAT SHE REPORTED AND NO ADVERSE EFFECTS, JUST WRONG VACCINE ADMINISTERED.

Other Meds: LEVSIN, KLONOPIN, IMIPRAMINE, SUCRALFATE, HYDROCHLOROTHIAZIDE, FOLIC ACID, ATORVASTATIN,

Current Illness: NONE

ID: 1769279
Sex: F
Age: 36
State: LA

Vax Date: 10/05/2021
Onset Date: 10/05/2021
Rec V Date: 10/07/2021
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: The vaccine was given after the post-expiration date?no adverse reaction.

Other Meds:

Current Illness:

ID: 1769280
Sex: M
Age: 24
State: AZ

Vax Date: 10/07/2021
Onset Date: 10/07/2021
Rec V Date: 10/07/2021
Hospital:

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

Lab Data: N/A

Allergies: No known allergies

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: VERTIGO, DIZZINESS, BLURRY VISION, LIGHTHEADED, FELL DUE TO IMBALANCE. PT WAS WELL RESPOND AFTER HE FELL. PT HIT IS HEAD REAL HARD ON THE FLORE DUE TO IMBALANCE BUT NEVER LOST THE CONCIOUSNESS.

Other Meds: unknown

Current Illness: no know health condition

ID: 1769281
Sex: M
Age: 26
State: OH

Vax Date: 05/22/2021
Onset Date: 06/12/2021
Rec V Date: 10/07/2021
Hospital:

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

Lab Data:

Allergies: Aware of none.

Symptom List: Pharyngeal swelling

Symptoms: Migraines got worse and more consistent after 2nd dose.

Other Meds: Topiramate(100mg twice daily), Venlafaxine(150mg daily), Rizatriptine(10mg as needed) Nabumatone(500 mg as needed) VitaminD

Current Illness:

ID: 1769282
Sex: F
Age: 55
State: WV

Vax Date: 10/06/2021
Onset Date: 10/06/2021
Rec V Date: 10/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Nauseous, diarrhea, heart feels bad, breathing is difficult, headache, fever, body ache

Other Meds:

Current Illness:

ID: 1769283
Sex: F
Age: 67
State: WI

Vax Date: 02/21/2021
Onset Date: 02/22/2021
Rec V Date: 10/07/2021
Hospital:

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

Lab Data: chest x-rays and blood tests two

Allergies: erythromycin, iodine

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Chills, moderate to severe muscle pain, headache and low grade fever beginning the day following the second injection and lasting for 23 days. I remained at home and utilized the maximum prescribed doses of medication to treat my autonomic neuropathic pain including the maximum dose of Tramadol four times per day alternating with a total of 2000 mg of tylenol for the pain. Aslo utilized maximum prescribed doses of baclofen from 10 mg to 20 mg, amytriptyline from 25 mg to 50 mg, oxcarbazepine from 150 mg to 300 mg and lidocaine ointment from prn to twice daily. July 15th contracted shingles, July 31st developed cough, headache, and low grade fever. August 6th treated in ER for acute asthma. August 20th I was treated in urgent care when I developed acute non-recurrent maxillary sinusitis and a recurrence of shingles. My symptoms finally cleared on September 3rd. Aside from my autonomic neuropathy, I have never experienced long term symptoms of asthma or sinusitis.

Other Meds: baclofen, amytriptyline, oxcarbazepine, tramadol, hyoscamine,

Current Illness: asthma

ID: 1769285
Sex: M
Age: 60
State: FL

Vax Date: 07/19/2021
Onset Date: 07/25/2021
Rec V Date: 10/07/2021
Hospital: Y

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

Lab Data: * * *Final Report* * * DATE OF EXAM: Jul 30 2021 1:47PM WFC 0540 - CT CHEST W IVCON PE PROCEDURE REASON: PE suspected, high pretest prob

Allergies: None

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

Symptoms: CRITICAL TEST/RESULTS: Acuity: Critical Finding: Pulmonary embolus

Other Meds: None

Current Illness: None

ID: 1769286
Sex: M
Age: 81
State: MI

Vax Date: 09/30/2021
Onset Date: 10/01/2021
Rec V Date: 10/07/2021
Hospital:

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

Lab Data: N/A

Allergies: Levofloxacin

Symptom List: Rash, Urticaria

Symptoms: I experienced chills late at night. My teeth were chattering and I was shaking very hard. I felt cold and I was freezing. It lasted 8 hours. When I woke up, I was fine.

Other Meds: Glipizide Hydrochlothiside Januvia Metoprolol Simvastatin Tamsulosin Losartan Sulfa Salazine Aspirin Mira lax

Current Illness: None

ID: 1769287
Sex: M
Age: 47
State: LA

Vax Date: 10/05/2021
Onset Date: 10/05/2021
Rec V Date: 10/07/2021
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: The vaccine was given post-expiration date with no adverse reaction.

Other Meds:

Current Illness:

ID: 1769288
Sex: M
Age: 46
State: WI

Vax Date: 09/28/2021
Onset Date: 09/30/2021
Rec V Date: 10/07/2021
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: (11/1/2021) Battery of test and Renal ordered. No other test done or planned.

Allergies: NKA

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

Symptoms: (9/29/20210), Lab work done at Urgent Care, MRG dropped by 14 points. No other show of symptoms. Scheduled a appointment with Nephrologist on 10/01/2021. No treatment given other than diet and exercise.

Other Meds: Carvedilol; Lisinopril; Nifedipine; Atorvastatin; Finasteride; C gummies; Probiotic Tea Green tea

Current Illness: Stomach bug; Unknown kind caused Diarrhea.

ID: 1769289
Sex: F
Age: 49
State: MO

Vax Date: 10/04/2021
Onset Date: 10/05/2021
Rec V Date: 10/07/2021
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: At 8pm the evening of the vaccination, patient felt tired and achy. The next morning she felt flushed. Later on in the evening, the patient noticed that she had a swollen lymph node in her one of her armpits.

Other Meds:

Current Illness: none

ID: 1769290
Sex: F
Age: 65
State: CA

Vax Date: 10/06/2021
Onset Date: 10/07/2021
Rec V Date: 10/07/2021
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: Heparin

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

Symptoms: Headache, runny nose, sore arm and swelling/bump (injection site), dizziness, muscle aches, joint pain, chills, left eye pain on occasion, low grade fever 99.8? My head feels very heavy; too heavy for my shoulders to carry.

Other Meds: None

Current Illness: None

ID: 1769291
Sex: F
Age: 47
State: LA

Vax Date: 10/05/2021
Onset Date: 10/05/2021
Rec V Date: 10/07/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: The vaccine was given post-expiration date. no adverse reaction

Other Meds:

Current Illness:

ID: 1769292
Sex: F
Age: 74
State: WA

Vax Date: 09/24/2021
Onset Date: 09/27/2021
Rec V Date: 10/07/2021
Hospital:

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

Lab Data: Seen at primary care colleague's office; discussed vascular ultrasound but not completed.

Allergies: TMP-SMX

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Late local reaction with swelling, erythema, and pain around L wrist; also some swelling by deltoid; these symptoms began 3 days after vaccination and continued for 1 week

Other Meds: lisinopril

Current Illness: tinea pedis, vertigo

ID: 1769295
Sex: F
Age: 42
State: CA

Vax Date: 10/07/2021
Onset Date: 10/07/2021
Rec V Date: 10/07/2021
Hospital:

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

Lab Data:

Allergies: Aspirin, and azithromycin

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Patient reported feeling dizzy, lightheaded, migraine like headache, numbness on the left side of the mouth, and mental fog, 10 min after receiving the vaccine. BP 145/100. Monitored patient for another 10min. Patient reported that the symptoms subsided prior to leaving. Patient was taken home by spouse. Advised patient to report any other symptoms to primary health provider or report to ER if experienced any life-threatening symptoms.

Other Meds: Metoprolol, methimazole, and vitamins

Current Illness:

ID: 1769296
Sex: F
Age: 55
State: LA

Vax Date: 10/07/2021
Onset Date: 10/07/2021
Rec V Date: 10/07/2021
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: The vaccine was given post-expiration date. no adverse reaction

Other Meds:

Current Illness:

ID: 1769470
Sex: M
Age: 26
State: NC

Vax Date: 09/28/2021
Onset Date: 09/28/2021
Rec V Date: 10/07/2021
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:

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

Symptoms: STARTED ITCHING NOT LONG AFTER VACCINE GIVEN. HIVES NOTICED ABOUT 4 DAYS AFTER (POSSIBLY SOONER). RASH MOVED TO BACK, CHEST, SHOULDERS, BOTH ARMS, AND LEGS. CONTINUES TO HAVE ITCHING AND HIVES. RECOMMENDED SEEING PCP.

Other Meds:

Current Illness:

ID: 1769471
Sex: F
Age: 29
State: HI

Vax Date: 06/07/2021
Onset Date: 06/11/2021
Rec V Date: 10/07/2021
Hospital:

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

Lab Data: My naturopath detected a heart murmur, low blood pressure and inadequate heart rate pulses.

Allergies: n/a

Symptom List: Unevaluable event

Symptoms: Symptoms began 4 days after second Pfizer shot. +accelerated heart rate, chest pain, heart inflammation I have been experiencing this intermittently with a few bad episodes since June 11, 2021. So over four months now. Symptoms have improved but still happening sometimes.

Other Meds: n/a

Current Illness: n/a

ID: 1769472
Sex: M
Age: 17
State:

Vax Date: 10/06/2021
Onset Date: 10/07/2021
Rec V Date: 10/07/2021
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: Headache, joint pain, muscle pain, fever

Other Meds: Omega 3, lemon balm, magnesium, vitamin d

Current Illness:

ID: 1769473
Sex: M
Age: 67
State: OK

Vax Date: 09/15/2021
Onset Date: 10/04/2021
Rec V Date: 10/07/2021
Hospital:

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

Lab Data: Tested COVID negative 10/03

Allergies: Lisiopril

Symptom List: Injection site pain, Pain

Symptoms: Coughing congestion chest pains

Other Meds: Lupron

Current Illness:

ID: 1769474
Sex: F
Age: 33
State: FL

Vax Date: 09/01/2021
Onset Date: 09/03/2021
Rec V Date: 10/07/2021
Hospital: Y

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

Lab Data:

Allergies: Allergic to hydrocodone.

Symptom List: Injection site pain, Menorrhagia

Symptoms: 24 hours after my 2nd shot, I woke up to Hives on my body. My lips and eyelids began to swell, and so did my throat. We went to the ER and they sent me home with benadryl. The following day I woke up with an even worse rash from the top of my head, groin, all over my torso, and the bottom of my feet. It spread quickly and aggressively. I was admitted to the ER and as the rash spread to the inside of my mouth and face, they gave me my first Epi- Shot. It seemed to calm down, but about 20 minutes later it flared up again. I received another Epi- Shot. About an hour later, the same thing happened and I received my third Epi-Shot. I was admitted to the ICU for further monitoring. The rash continued to spread, and every four hours they were giving me steroid, and benadryl. Around 4am the first night I had another flare up and I received my fourth Epi- shot. The next day my rash was still spreading, and getting worse. I started to figure out that there was PEG in the moderna shot, and PEG in all the medications they were giving me. I began to refuse the medication and demanded they try something new. They gave me a different steroid, and a different antihistamine. Day 3 I began to stabilize, and they moved me to a regular room. I spent 2 days in a regular hospital room for further monitoring. I was released after day 5 on an insane regime of antihistamines, and steroids. Now I suffer from high blood pressure, and an allergy to PEG and Polyexythanol.

Other Meds: Aderol Vitamin C Vitamin D Elderberry Multivitamin

Current Illness: I was sick about a month prior with a cold.

ID: 1769475
Sex: F
Age: 75
State: CA

Vax Date: 09/25/2021
Onset Date: 09/25/2021
Rec V Date: 10/07/2021
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: pain at injection site, nerve pain, swelling

Other Meds:

Current Illness:

ID: 1769476
Sex: M
Age: 29
State:

Vax Date: 10/03/2021
Onset Date: 10/04/2021
Rec V Date: 10/07/2021
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: Sharp Pains in chest. Had chills and body aches that lasted Passed put after waking up from pain in chest

Other Meds: None

Current Illness: None

ID: 1769477
Sex: F
Age: 59
State: PA

Vax Date: 10/05/2021
Onset Date: 10/07/2021
Rec V Date: 10/07/2021
Hospital:

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

Lab Data: Read swelling at the injection site and around, very itchy

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Read swelling at the injection site and around, very itchy

Other Meds:

Current Illness: None

ID: 1769479
Sex: F
Age: 68
State: TX

Vax Date: 10/06/2021
Onset Date: 10/07/2021
Rec V Date: 10/07/2021
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: Lactose Intolerance

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

Symptoms: Fast heart beat - 10 minutes after vaccine (10/6/21) Sore and swollen arm (10/6/21) Vomiting and diarrhea, with loose, watery, mucus and bloody stools (10/7/21) Sore neck on right side, swollen lymph nodes (10/7/21)

Other Meds: aMILoride-hydrochlorothiazide (5-50 mg tablet) amLODIPine (10 mg tablet) Potassium Gluconate (550 mg) Low Dose Aspirin (81 mg)

Current Illness:

ID: 1769480
Sex: M
Age: 79
State: MD

Vax Date: 10/07/2021
Onset Date: 10/07/2021
Rec V Date: 10/07/2021
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: Pfizer dose was given after patient had gotten Moderna vaccination series. Moderna vaccine was given on 2/9/21 and 3/9. He did not have any adverse event at the time of vaccination. However, he was not indicated for a dose of Pfizer vaccination.

Other Meds:

Current Illness:

ID: 1769481
Sex: F
Age: 65
State: TX

Vax Date: 10/07/2021
Onset Date: 10/07/2021
Rec V Date: 10/07/2021
Hospital:

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

Lab Data: pending

Allergies: none listed

Symptom List: Injection site pain

Symptoms: patient returned to pharmacy in about an hour to an hour and a half with rash/hives she stated she called her Provider and they instructed her to take a benadryl and the patient has an appointment in the morining patient returned about 30 to 45 minutes later and we agreed she should go to a minor emergency center for the rash

Other Meds: not available

Current Illness: seasonal allergies

ID: 1769483
Sex: F
Age: 26
State: OH

Vax Date: 10/04/2021
Onset Date: 10/04/2021
Rec V Date: 10/07/2021
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: Swollen axillary lymph node in left arm, extending from axilla down side and back

Other Meds: Vyvanse 20mg once daily, citalopram 20mg once daily, drospirenone-EE 3-0.03mg once daily

Current Illness:

ID: 1769484
Sex: F
Age: 20
State: KS

Vax Date: 10/07/2021
Onset Date: 10/07/2021
Rec V Date: 10/07/2021
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: chest pain an hour after the vaccine that is still persisting and associated with sensation of radiating heat from the chest

Other Meds:

Current Illness:

ID: 1769485
Sex: F
Age: 38
State: OH

Vax Date: 09/15/2021
Onset Date: 09/30/2021
Rec V Date: 10/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: Her menstrual cycle is abnormal, heavier bleeding than usual, has been going on for 8 days which is also longer than normal for her cycle.

Other Meds:

Current Illness:

ID: 1769487
Sex: F
Age: 72
State: CA

Vax Date: 10/05/2021
Onset Date: 10/06/2021
Rec V Date: 10/07/2021
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 so far.

Allergies: None

Symptom List: Erythema, Pruritus

Symptoms: Large swelling in left armpit, lymph node. Size of an egg, and surrounding tissue swollen. Flu like symptoms, 2 days so far. This is different from previous 2 shots, where I had no problems.

Other Meds: Just usual vitamins, protein drink.

Current Illness: None

ID: 1769488
Sex: M
Age: 55
State: MD

Vax Date: 05/05/2021
Onset Date: 05/05/2021
Rec V Date: 10/07/2021
Hospital:

Vax Type: UNK
Manufacturer: UNKNOWN MANUFACTURER
Vax Name: VACCINE NOT SPECIFIED (NO BRAND NAME)
Lot:
Dose Series: UNK
Vax Route: SYR
Vax Site: UN

Lab Data:

Allergies: none

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

Symptoms: Rheumatoid arthritis ?

Other Meds: lisinopril 10 mg

Current Illness: none

ID: 1769489
Sex: F
Age: 39
State: TN

Vax Date: 10/07/2021
Onset Date: 10/07/2021
Rec V Date: 10/07/2021
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: Mild allergy to cherries and other pitted fruits No known drug allergies

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

Symptoms: Within 5 minutes of receiving my vaccine, I got a strong metallic taste in my mouth. My vaccine was less than an hour ago, but I still have the metallic taste.

Other Meds: Synthroid 50mcg daily; triamcinolone acetonide ointment on hands/feet; zinc gluconate lozenges PRN (used one lozenge two days ago and one lozenge today)

Current Illness: Skin infection on hands and feet (unsure if fungal infection/athlete?s foot or other dermatitis)

ID: 1769490
Sex: M
Age: 59
State: OR

Vax Date: 04/06/2021
Onset Date: 04/10/2021
Rec V Date: 10/07/2021
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: None

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: When starting the day on April 10th I noticed that I was having less muscle control of my left leg from the hip down. Then at around 11 am April 12th I started to take a few steps backwards and my left leg collapsed and I fell over backwards. My left leg hyper compressed then flung up and hyper extended. I was able to get up but the left hip,knee,& ankle started swelling and became very painful. The swelling & pain increased to where I couldn't walk with that leg so started using crutches which last for over a month, and was barley able to sleep because of the severe pain and being unable to find a comfortable position. I did start taking herbs just incase of a possible blood clot and using compression for swelling.

Other Meds: None

Current Illness: None

ID: 1769491
Sex: F
Age: 51
State:

Vax Date: 09/23/2021
Onset Date: 09/25/2021
Rec V Date: 10/07/2021
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: Tree nuts

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

Symptoms: Pox like rash Migraine Body aches

Other Meds: Humira Blood pressure med Levothyroxine

Current Illness:

ID: 1769492
Sex: F
Age: 43
State:

Vax Date: 06/24/2021
Onset Date: 07/03/2021
Rec V Date: 10/07/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: CT scan Blood work X-ray ECG

Allergies: Levofloxacin

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

Symptoms: Bilateral pulmonary emboli

Other Meds:

Current Illness:

ID: 1769493
Sex: M
Age: 78
State: LA

Vax Date: 10/01/2021
Onset Date: 10/01/2021
Rec V Date: 10/07/2021
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:

Symptom List: Pain in extremity

Symptoms: Pt described rash, redness and warmth to the area where he was vaccinated on last Fri. I advised pt to apply cold pack to area and to contact Dr to evaluate.

Other Meds:

Current Illness:

ID: 1769494
Sex: F
Age: 72
State: PA

Vax Date: 10/06/2021
Onset Date: 10/06/2021
Rec V Date: 10/07/2021
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: CODEINE

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

Symptoms: PATIENT CALLED @9:30AM 10/7 AND STATED THAT SHE HAD CHILLS AND WAS HOT AND COLD BUT NO FEVER @6PM ON 10/6, THE DATE SHE RECIEVED HER SHOT. SHE TOOK TYLENOL AND THEN AGAIN 4 HOURS LATER. SHE HAD A HEADACHE THIS MORNING AND TOOK TYLENOL AGAIN. CHECKED BACK IN WITH PATIENT AROUND 6PM AND SHE STATED HER SYMPTONS RESOLVED

Other Meds: PRAVASTATIN, DILTIAZEM

Current Illness: UNKNOWN

ID: 1769495
Sex: M
Age: 30
State: KS

Vax Date: 10/05/2021
Onset Date: 10/06/2021
Rec V Date: 10/07/2021
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: No known allergies

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

Symptoms: Migraine-type headache, lethargy, sore arm around injection site, behavioral irritability. All symptoms began about 18 hours after injection and lasted approximately 24 hours. No professional Treatment sought and PCP was not consulted as symptoms subsided. Patient pursued Bed rest and minimal activity.

Other Meds: Vyvanse Loratadine losarten/HCT Trazadone

Current Illness: None

ID: 1769496
Sex: F
Age: 63
State: WA

Vax Date: 10/07/2021
Onset Date: 10/07/2021
Rec V Date: 10/07/2021
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: Patient stated that she was allergic to Flu vaccine, Sulfa antibiotics and Morphine.

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

Symptoms: Patient received the Pfizer Covid 19 vaccine. She was hesitant to receive it because she said she had an adverse reaction to flu vaccine. She had an anaphylactic reaction in the past. She is also prone to allergic reactions to various antibiotics. She said she was only getting the vaccine because of the state mandate. She received her vaccine at around 1:20 pm and almost immediately had an allergic reaction. She said her throat was swelling up and she had a hard time breathing. Code white was called. Offered Epi-pen, but the patient already had one and she said she did not want to inject it because that would mean a trip to the hospital. Her husband was a paramedic and he had the epi-pen handy in case she stopped breathing. She insisted on benadryl. She was given 6 capsules of benadryl. Patient insisted on taking 6 capsules. She has had similar reactions and she said she always takes 6 capsules. After a few minutes, patient insisted on going home. She left with her husband.

Other Meds: N/A

Current Illness: N/A

ID: 1769497
Sex: F
Age: 54
State: MT

Vax Date: 09/30/2021
Onset Date: 10/03/2021
Rec V Date: 10/07/2021
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: NONE

Symptom List: Vomiting

Symptoms: HIVES STARTING ON MY FEET AND WORKING UP MY LEGS AND BACK

Other Meds: LIOTHYRONINE, SYNTHROID, VITAMIN D AND ZINC

Current Illness: CHEST COLD

ID: 1769498
Sex: M
Age: 39
State: GA

Vax Date: 09/22/2021
Onset Date: 09/23/2021
Rec V Date: 10/07/2021
Hospital:

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

Lab Data: Blood pressure was 146/81 and pulse was 94. EKG was normal per Urgent Care. No other tests or labs taken.

Allergies: None

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: 24 hours after receiving the first does of Pfizer I experienced a sharp stabbing pain in my heart. I felt about 7 to 8 more stabbing pains in my heart over the next 24 hours. Over the next few days there was a slight pressure on my heart that felt like someone was cupping my heart but was not painful. On the 6th day the pressure built up and it felt like my heart was being squeezed. I had chest tightness, chest pain, heart pain, upper back tightness, upper back pain, a few shooting pains in my jaw and left arm and slight neck tightness. It hurt more when lying down or leaning forward. I went to the Urgent Care on the 7th day. My blood pressure was slightly elevated at 146/81 and my pulse was 94. I was advised to take a over the counter painkiller such as Tylenol for possible inflammation. I have taken Tylenol that somewhat helps the pain and tightness. If I stop taking the Tylenol for 12 hours the heart pain and chest pain come back. Most of the pain and unusual feeling is in my upper left chest but sometimes I have an indescribable pain in the center of my chest. I have felt like I am about to have some sort of heart failure. I have fatigue and light headedness. It is day 15 and I still have chest and heart pain which greatly increases without Tylenol. I was referred to and have scheduled an appointment with a cardiologist on October 15th which I was told was the earliest I could be seen.

Other Meds: Buspirone HCL, Bupropion HCL, Finasteride

Current Illness: None

ID: 1769499
Sex: F
Age: 55
State: FL

Vax Date: 09/28/2021
Onset Date: 09/28/2021
Rec V Date: 10/07/2021
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: Macrolides, morphine, sulfa, reglan

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

Symptoms: Head crushing headache, body aches, low grade fever, nausea, exhaustion. Still have headaches and exhaustion

Other Meds: Minivelle patch, ibuprofen, complex b vitamin

Current Illness:

ID: 1769500
Sex: M
Age: 57
State: CT

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 10/07/2021
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: Colonoscopy, Endoscopy, Bloodwork 4-5 times checking all levels as well as LYME, Heavy Metals, Immune Suppressed Gut Motility, PT Scan of pelvis/chest/abdomen, X-ray of abdomen.

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Nausea the next day, exhaustion, constipation, weight loss of 15 lbs.

Other Meds: Lexapro - 10 mg.

Current Illness: Zero

ID: 1769501
Sex: F
Age: 35
State: AZ

Vax Date: 10/07/2021
Onset Date: 10/07/2021
Rec V Date: 10/07/2021
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: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: Patient received second vaccine outside the recommended window of 28-42 days from the first vaccine. 1st: 8/7/21 2nd: 10/7/21

Other Meds:

Current Illness:

ID: 1769502
Sex: F
Age: 62
State: TX

Vax Date: 10/06/2021
Onset Date: 10/06/2021
Rec V Date: 10/07/2021
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: Patient stated she got a swollen bump below (but not at) the injection site.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am