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: 1775531
Sex: F
Age: 41
State: NC

Vax Date: 04/01/2021
Onset Date: 04/28/2021
Rec V Date: 10/10/2021
Hospital:

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

Lab Data: CT Scan was done on 4/28/2021 to see if there were blood clots.

Allergies: imuran, pentasa, vancomycin, hybicleanse

Symptom List: Dysphagia, Epiglottitis

Symptoms: I got blood clots in my neck and in both lungs and a nodule on my left lung.

Other Meds: Vit D, B 12, phenergan, compazine, imitrex, percocet, estrodial, imodium, stelara

Current Illness:

ID: 1775532
Sex: M
Age: 41
State: IN

Vax Date: 10/08/2021
Onset Date: 10/08/2021
Rec V Date: 10/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Anxiety, Dyspnoea

Symptoms: Stiff neck with pain, headache, sinus pain, eye pain,

Other Meds: None

Current Illness: None

ID: 1775533
Sex: F
Age: 54
State: AZ

Vax Date: 10/07/2021
Onset Date: 10/09/2021
Rec V Date: 10/10/2021
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: none

Allergies: none known

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

Symptoms: 10/8 - achey, chills, fever. 10/9 - rash on right side of face 10/10 - under eye swelling and dark red

Other Meds: Armor Thyroid, Vitamin D3, Magnesium

Current Illness: none

ID: 1775534
Sex: F
Age: 71
State: NJ

Vax Date: 03/07/2021
Onset Date: 10/05/2021
Rec V Date: 10/10/2021
Hospital:

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

Lab Data: Rapid + test for Covid on 108/2021

Allergies: none known

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Client was vaccinated with Pfizer vaccines for Covid on 3/7 and 3/29, 2021. Symptoms started 10/5 - continuous coughing. Had monoclonal antibody infusion at Hospital on 10/9 with symptom improvement 24 hrs. later. Reported as a case of breakthrough Covid in a fully vaccinated person.

Other Meds: none known

Current Illness: none known

ID: 1775535
Sex: F
Age: 38
State: IN

Vax Date: 10/08/2021
Onset Date: 10/09/2021
Rec V Date: 10/10/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

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

Symptoms: Fever, body aches, edematous lymph nodes, malaise, fatigue , edema and fever a injection site

Other Meds: None

Current Illness: None

ID: 1775536
Sex: M
Age: 44
State: AR

Vax Date: 08/16/2021
Onset Date: 08/19/2021
Rec V Date: 10/10/2021
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: MRI of the Brain ordered on 9/22/2021, however, MRI were denied some time after request.

Allergies: Celebrex, Effexor, Gabapentin

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

Symptoms: Patient reports receiving the first Moderna vaccination on 8/16/2021 and experiencing sudden intense headache, nausea, blurry vision, and vertigo within a few minutes of receiving the injection. Patient went on to develop a localized rash to her neck. Patient reports symptoms improving after several days, but becoming even more intense after her second Moderna injection on September 16th. Patient reports that her symptoms have not improved since the second Moderna vaccination, and she states now she has developed severe photophobia requiring sunglasses to be worn even indoors. A rash to her neck that appears to be in the later stages of healing is noted to her neck.

Other Meds: Hydropmorphone and Prednisone (post covid vaccination). Regular medications include: Botox injections, Topamax, Hydrocodone, Phenergan, stradiol, Amitryptyline, Lexapro, Xanax, and Tramadol.

Current Illness: No acute illness

ID: 1775537
Sex: F
Age: 71
State: RI

Vax Date: 10/10/2021
Onset Date: 10/10/2021
Rec V Date: 10/10/2021
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: NKA

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Patient had swelling and bruising immediately after vaccination. A cold compress was applied and patient was observed. After 20 minutes, the swelling had reduced. Patient was called an hour after vaccination and she stated that she did not have any pain, the swelling had reduced, and there was no progression of symptoms.

Other Meds: Rosuvastatin, Amlodipine, Januvia, HCTZ, Metformin, Calcium, Hydralazine, Metoprolol, Doxazosin

Current Illness:

ID: 1775538
Sex: M
Age: 88
State:

Vax Date: 04/14/2021
Onset Date: 10/08/2021
Rec V Date: 10/10/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: 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: 1775539
Sex: F
Age: 46
State:

Vax Date: 10/06/2021
Onset Date: 10/08/2021
Rec V Date: 10/10/2021
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, latex, coconut, stevia

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: 10/08/2021 around 9:30 pm started to experience pain in the heart, felt like someone was poking my heart with a needle and it was gone immediately. Happened every few minutes for 15 minutes or so, then would abate, pick back up again after various intervals. This went on until 10/09/2021 at 3:00am. Experienced this needle through heart on and off until 2:00 pm. Started back up again about 6:30 pm until about 10:00 pm. On 10/10/2021, experienced once instance after 10:30 am. It is 11:30 am as of this writing.

Other Meds: Turmeric Curcumin 1500mg once a day

Current Illness:

ID: 1775540
Sex: F
Age: 55
State: TX

Vax Date: 02/26/2021
Onset Date: 02/28/2021
Rec V Date: 10/10/2021
Hospital:

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

Lab Data: Ultrasound and Mammography were negative. No F/U needed.

Allergies: NKA

Symptom List: Diarrhoea, Nasal congestion

Symptoms: My left underarm was so painful I had to take off work on Monday the 29th. I called doctor's office and they got me in for a follow up. Doctor made a referral for an ultrsound however, when I called the place I go to, she specifically said that I had to wait six weeks to get the ultrasound due to many people describing the same symptoms and for me to wait. The entire arm pit was literally on fire. I thought I was going through labor all over again in my underarm. Even till this day, I sometimes feel a twinge of pain in the underarm. Warm heat seems to help.

Other Meds: Tylenol / Xanax 0.50 / Aspirin / Vitamins: B12, D, Iron, Calcium, Woman's One-A-Day

Current Illness: None

ID: 1775541
Sex: M
Age: 23
State: MN

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

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

Lab Data: None as of now.

Allergies: I am allergic to different fruits and vegetables when they are completely raw. Carrots Cucumber Pineapple Kiwi All melons including watermelon Cinnamon I'm also allergic to most chapsticks

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

Symptoms: About an hour after my flu shot, my face started to feel itchy. When I was home, my face started to get puffy. Mainly my cheeky and under my eyes. Still itchy, and at this point my face was hiving out. I went to bed, woke up today Sunday October 10th with a fever and hives on my face and chest.

Other Meds: No.

Current Illness: No.

ID: 1775542
Sex: F
Age: 45
State: AZ

Vax Date: 08/15/2021
Onset Date: 08/20/2021
Rec V Date: 10/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Rash, Urticaria

Symptoms: Uncontrollable muscle spasms, right side of body.

Other Meds: Armor thyroid, levothyroxine

Current Illness: None

ID: 1775543
Sex: F
Age: 59
State:

Vax Date: 07/29/2021
Onset Date: 10/08/2021
Rec V Date: 10/10/2021
Hospital: Y

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

Lab Data:

Allergies:

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

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: 1775544
Sex: F
Age: 24
State: MS

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Sulfanomide

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

Symptoms: The patient stated they felt the vaccine go into the arm. Later that day/night the patient said she experienced extreme nausea and abdominal discomfort and needed promethazine and ondansetron.

Other Meds: Famtodine 40mg Ensyke

Current Illness:

ID: 1775545
Sex: F
Age: 36
State: IL

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

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

Symptoms: Swollen lymph nodes in armpit area of same arm vaccination was administered causing soreness and tenderness.

Other Meds: None

Current Illness: None

ID: 1775546
Sex: M
Age: 52
State: TX

Vax Date: 04/20/2021
Onset Date: 10/08/2021
Rec V Date: 10/10/2021
Hospital:

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

Lab Data: EKG, CT, MRI 10/8/21

Allergies: None

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

Symptoms: Bell?s palsy diagnosis Treatment: prednisone and acyclovir

Other Meds: Atorvastatin 10mg qd

Current Illness: None

ID: 1775548
Sex: F
Age: 50
State: NY

Vax Date: 09/19/2021
Onset Date: 10/10/2021
Rec V Date: 10/10/2021
Hospital:

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

Lab Data: Received Pfizer dose on 09/19/21 and she came back for 2nd Pfizer dose on 10/10/21. Due to insurance reject discover that she received J&J on 03/24/21.

Allergies: N/A

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

Symptoms: N/A

Other Meds: N/A

Current Illness: Patient told us that she didn't received any COVID shot and we provide 1st dose of Pfizer shot on 09/19/2021. She came for 2nd dose on 10/10/2021. We discovered that she received J&J on 03/24/2021 due to insurance reject.

ID: 1775549
Sex: F
Age: 39
State: MA

Vax Date: 08/24/2021
Onset Date: 09/09/2021
Rec V Date: 10/10/2021
Hospital:

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

Lab Data: none

Allergies: ciprofloxin

Symptom List: Ear pain, Hypoaesthesia

Symptoms: About two weeks after being vaccinated I starting having, and continue to have, frequent menstrual spotting. My mood has been adversely affected. I am depressed, with no motivation and diminished sex drive. This is very unlike me and has negatively impacted my mental health and relationship with my husband.

Other Meds: probiotic melatonin, l-theanine, magnesium (brand Natural Calm, for sleep aid)

Current Illness: none

ID: 1775550
Sex: F
Age: 75
State: SC

Vax Date: 03/03/2021
Onset Date: 04/19/2021
Rec V Date: 10/10/2021
Hospital:

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

Lab Data: No other tests.

Allergies: Penicillin

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Had EKG at hospital on 19 April in preparation for upcoming surgery. Had a major dizzy spell once getting up from the EKG. Dizzy spell lasted all day. Had another big dizzy spell on the 25th of April. Went to Doctor about Dizzy spells and she thought it was vertigo and prescribed Meclizine 25 mg to be taken by mouth 3 times daily as needed. Also contacted Dr office and nurse navigator who was handling the surgery about dizzy spells. They didn't think it would be a problem to go ahead with surgery.

Other Meds: One A Day Women's over 50+ vitamins; PreserVision Eye Vitamin & Mineral Supplement; Trunature Advanced Digestive Probiotic

Current Illness: None

ID: 1775552
Sex: M
Age: 12
State: NY

Vax Date: 10/08/2021
Onset Date: 10/09/2021
Rec V Date: 10/10/2021
Hospital:

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

Lab Data: None

Allergies: None

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

Symptoms: Redness and swollen, painful arm on the below shot site

Other Meds: None

Current Illness: None

ID: 1775554
Sex: F
Age: 67
State: MO

Vax Date: 10/04/2021
Onset Date: 10/05/2021
Rec V Date: 10/10/2021
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:

Allergies: sulfa

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

Symptoms: Expected sore arm started about 6pm day of injection 10-4. Brief episode of chills at 4:00 am 10-5. Fatigue & very sore arm during day 10-5, but went to work. About 7pm on 10-5, painful swelling under right arm noticed. Swelling spread to encompass right breast tissue by 10-7; large area still painful. Pain mostly controlled with Tylenol q 6 hrs. I have not seen my doctor yet. Tomorrow will be one week since injection. I would expect to see some resolution starting within the week. If not, I will make an appt.

Other Meds: Multi-vitamin women over 50; ca-mg-zc vitamin; Ultram 50 mg; vit D 1000 iu

Current Illness: none

ID: 1775555
Sex: M
Age: 30
State: MO

Vax Date: 10/01/2021
Onset Date: 10/02/2021
Rec V Date: 10/10/2021
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: Unevaluable event

Symptoms: Migraine lasting over a week, nonstop. No history of migraine.

Other Meds: none

Current Illness: none

ID: 1775556
Sex: F
Age: 93
State: AL

Vax Date: 10/10/2021
Onset Date: 10/10/2021
Rec V Date: 10/10/2021
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: no known allergies

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

Symptoms: Patient said that she felt a sharp pain in her back and could not move. I called 911 and by the time they arrived she was feeling better. The EMTs later released her to go home. An hour later we called to follow up and she said she was doing fine

Other Meds:

Current Illness:

ID: 1775557
Sex: M
Age: 16
State: KY

Vax Date: 09/17/2021
Onset Date: 09/18/2021
Rec V Date: 10/10/2021
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: Sixteen hours after receiving his second Pfizer COVID19 vaccination on 9/17/21 (first was given three weeks prior on 8/25/21 with no issues save brief arm soreness), parents state he began having fevers >100.4F, Tm 102.5F, treated with acetaminophen/ibuprofen as soon as they approached 102F. Also had headaches with fevers, intermittent myalgias and heart palpitations. Was seen at doctor's office on 9/22/21 where troponin, CRP, CBC, CMP, ESR, C3, C4, urinalysis and total complement were normal/negative. Seen in ED on 9/25/21 where a COVID-19/Flu/RSV NP PCR was negative. Repeat CBC, CMP, CRP, ESR, urinalysis were normal/negative. EKG was normal. EBV serology showed past infection. Blood culture no growth final. On 9/28/21 the patient had a normal echocardiogram (and has had a second echo and second EKG that were also normal). He was fitted for a Holter monitor and at the time of this writing by report from parent there were no abnormal reports from the cardiac monitoring service. He was seen in Pediatric Infectious Diseases on 9/28/21 (along with Pediatric Rheumatology), and again on 9/29/21 and 10/5/21. Throughout the workup period his physical exam was reassuring and negative for red flags. Labs were repeated: CRP X2, troponin X 2, CMP, CBC, ESR were again all normal. A respiratory pathogen panel was negative (including COVID-19). Antibody for SARS-CoV-2 nucleocapsid was negative. At the second visit, it was discovered that temperatures were being taken via forehead thermometer. Family was counseled to switch to an oral thermometer. Afterwards, except for one temperature to 100.6F on 9/29/21, there were no further temperatures 100.4F or above. In conclusion, it is unclear if true fevers were present, and for how long, after the second COVID-19 Pfizer vaccination on 9/17/21. At maximum, temperatures were possibly present from 9/18/21 until 9/29/21, 11 days after vaccine (although taken via forehead thermometer). Labs and imaging did not indicate a myo/pericarditis picture. So far, at the time of this writing, there were no unusual findings from a Holter monitor. Currently he is not having fevers, and except for the intermittent palpitations and transient nausea/abdominal pain with the palpitations, he is not having any other symptoms.

Other Meds:

Current Illness:

ID: 1775558
Sex: M
Age: 59
State: SC

Vax Date: 10/08/2021
Onset Date: 10/08/2021
Rec V Date: 10/10/2021
Hospital:

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

Lab Data: None

Allergies: No known medical allergies

Symptom List: Injection site pain, Menorrhagia

Symptoms: 9:00 pm (7 hours after injection): shot triggered an extreme migraine headache; far worse than those experienced normally. Major symptoms lasted 36 hours. Lingering injection site soreness remains to date. (10/10/10 1:30 pm)

Other Meds: None

Current Illness: None

ID: 1775559
Sex: F
Age: 64
State:

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

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

Symptoms: Patient deleveloped rash on neck a day after getting booster dose. Pt did not have any reaction to previous dose

Other Meds:

Current Illness:

ID: 1775560
Sex: F
Age: 32
State: AZ

Vax Date: 09/27/2021
Onset Date: 09/27/2021
Rec V Date: 10/10/2021
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: NO

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: I had experience some tightness in my throat with the first dose. But after taking benadryl the symptom went away within 24hrs. I had the same experience with my second dose in addition to tingling of my lips and tongue. The symtoms started about 30 mins after the vaccine. Just like with my first dose I took some benadryl in the event that I was having an allergic reaction. The feeling of tightness went away the same day. However, the tingling of lips and tongue still persist. I continued to take benadyl for 5 days to see if symtoms would go away, it did not help, tingling still continues.

Other Meds: NO

Current Illness: NO

ID: 1775561
Sex: F
Age: 72
State: MD

Vax Date: 03/28/2021
Onset Date: 09/01/2021
Rec V Date: 10/10/2021
Hospital:

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

Lab Data: multiple blood tests 9/8/21 CT scan neck 9/8/21 CT scan thorax 9/17/21 ultrasound thyroid 9/17/21 thyroid biopsy 10/4/21

Allergies: penicillin macrodantin poison ivy mangoskin

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: enlarged lymph node on right neck

Other Meds: multivitamin

Current Illness: N/A

ID: 1775562
Sex: M
Age: 25
State: NY

Vax Date: 09/26/2021
Onset Date: 09/27/2021
Rec V Date: 10/10/2021
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: No

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

Symptoms: On the third day, my left side of my face became paralyzed, although it happened, but I still have involuntary movements and loss of strength in both arms, I still can't grasp things, I can't push myself, both arms hurt, half a month has passed since I was vaccinated. and I can't force myself to get vaccinated this vaccine garbage was fine a few months before I received blood tests from the whole body and it was fine and this garbage has left me badly they are rubbish And so I have to go to work because nobody gives me anything, they are irresponsible, you do the vaccines and you want me to go to the hospital spending my money, they are rubbish

Other Meds: No

Current Illness: No

ID: 1775563
Sex: F
Age: 32
State:

Vax Date: 09/01/2021
Onset Date: 09/01/2021
Rec V Date: 10/10/2021
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: Irregular, very heavy and long period a week after receiving my shot. I take birth control regularly and have always had consistent and normal periods, lasting less than a week. This has been the worst one of my life and is still very heavy with bad cramps, 12 days after onset.

Other Meds: Adderall, Ocella, Zyrtec

Current Illness:

ID: 1775564
Sex: F
Age: 81
State:

Vax Date: 05/24/2021
Onset Date: 10/07/2021
Rec V Date: 10/10/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Injection site pain

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: 1775565
Sex: M
Age: 55
State: IL

Vax Date: 10/08/2021
Onset Date: 10/09/2021
Rec V Date: 10/10/2021
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: Temp swings. 99-95. Slight fever. Muscle aches

Other Meds:

Current Illness:

ID: 1775566
Sex: F
Age: 70
State: PA

Vax Date: 10/06/2021
Onset Date: 10/08/2021
Rec V Date: 10/10/2021
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: contrast dye snails cats

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

Symptoms: rash at injection site, grew to back and trunk hot, somewhat itchy

Other Meds: lisinipril pork thyroid

Current Illness: none

ID: 1775567
Sex: F
Age: 14
State: MD

Vax Date: 09/16/2021
Onset Date: 10/08/2021
Rec V Date: 10/10/2021
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 reported by patient

Symptom List: Tremor

Symptoms: After receiving second dose of pfizer covid vaccine, patient's mother reported that patient developed right eye twitching. This persisted until ~October 8th, at which point she began having right sided facial weakness and paralysis. This progressed over the next 48 hours prior to presentation to right sided facial paralysis. At time of presentation, patient had bell's palsy involving the forehead. Has also had dry eyes. Otherwise, patient did not have any systemic symptoms such as fever, vomiting, diarrhea, malaise, cough, congestion, or headache. No history of cold sores, hospital admissions, chronic medical conditions, or daily medication use. On exam, no other crania nerve, motor, or sensory deficit besides the pure motor deficit typical of bells palsy. Patient was given prescription for steroid course with taper, per standard of care treatment for bell's palsy. Also given prescription for artificial tears for dry eyes. Received first dose of steroids in ED, as well as some saline drops, and was discharged to home.

Other Meds: none reported by patient

Current Illness: none at time of evaluation

ID: 1775568
Sex: F
Age: 38
State: IL

Vax Date: 10/04/2021
Onset Date: 10/06/2021
Rec V Date: 10/10/2021
Hospital:

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

Lab Data: No tests, I did not seek treatment

Allergies: Penicillin, dust

Symptom List: Erythema, Pruritus

Symptoms: Two days after receiving my shot I started to get pain in my arm. Almost felt like when you have arthritis and it?s going to rain out and your bones are bothering you. The pain started to get worse and worse very quickly. To the point I had to take Tylenol. Then the next morning, my armpit was extremely swollen and hurt to the touch. Hurt to even put deodorant on. And the pain in my arm continued. It was extremely uncomfortable and the swelling and pain went on till yesterday, Saturday October 9th. Which was 5 days after my covid vaccine. Today, October 10th is the first day I do not have any swelling or pain. Four other co-workers of mine had the exact same reaction but just never reported it. Theirs started on day 2 as well. However mine lasted 2 days longer than theirs did and I was in more pain than theirs. However I am a smoker so that could be the reason. Tylenol is what I took for pain every day.

Other Meds:

Current Illness:

ID: 1775569
Sex: F
Age: 70
State: SC

Vax Date: 03/04/2021
Onset Date: 03/13/2021
Rec V Date: 10/10/2021
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: None

Allergies: Biaxin, hives

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

Symptoms: I awakened with sever itch from head to toe. There was no rash, no hives, went on for hours. I the morning after shower my injection site which had not been any issue at all was bright red, hot and a little swollen. Perfect 4 in. diameter circle. Called the Pharmasist that gave injection and he said to take an antihistamin and "DO NOT GET THE 2nd DOSE because we still don't know enough about this vaccine." No further concerns at this time. Within 24 hr. the red circle had dissipated and within a couple of hours the itch was gone.

Other Meds: HCTZ 12.5 mg Biotin, Vit C, D, K2, B12, CoQ10, Zinc, Quercetin, MSM, Mag. Citrate, Collagen Peptides, Multivitamin

Current Illness: No

ID: 1775570
Sex: F
Age: 80
State:

Vax Date: 03/04/2021
Onset Date: 10/06/2021
Rec V Date: 10/10/2021
Hospital: Y

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

Lab Data:

Allergies:

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

Symptoms: 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: 1775571
Sex: F
Age: 45
State: OK

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

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

Lab Data: The patient refused medical intervention

Allergies: Sulfa, Hydroxyzine HCL, Amoxicillin, Chlorpheniramine, and Coconut

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Initially had flushing and shortness of breath. Had an immediate chest pain in the center of chest a little below the breast bone. The flushing and shortness of breath only lasted a minute or two but the chest pain remained strong for 20 minutes. The patient also complained of a numbness in hand of injection arm after 10 minutes. We gave her a bottle of water and checked her blood pressure. Her BP was 138/90 and pulse of 85. Patient did not want to go to hospital to be checked. After 30 minutes the chest pain was resolved.

Other Meds:

Current Illness:

ID: 1775572
Sex: M
Age: 51
State: IN

Vax Date: 10/07/2021
Onset Date: 10/08/2021
Rec V Date: 10/10/2021
Hospital:

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

Lab Data: None at this time

Allergies: None

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

Symptoms: Getting hot then cold, migraine headache, bodyaches and pains, at times unable to keep food down, nausea, weakness, dizziness, I sometimes don?t focus, where the injection site is it is red and it is going down my arm, shaking at times, trouble concentrating or thinking.

Other Meds: Prozac, Clonopin,,metoprolol

Current Illness: None

ID: 1775574
Sex: F
Age: 61
State: CA

Vax Date: 10/08/2021
Onset Date: 10/10/2021
Rec V Date: 10/10/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: warm tender red arm sensitive to touch at injection site. Seek relief with antihistamine and ibuprofen and if not resolved by monday please call md

Other Meds:

Current Illness:

Date Died: 09/25/2021

ID: 1775575
Sex: F
Age: 89
State: NJ

Vax Date: 09/16/2021
Onset Date: 09/17/2021
Rec V Date: 10/10/2021
Hospital: Y

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

Lab Data: Cat scan MRI Normal Blood work normal

Allergies: no

Symptom List: Pain in extremity

Symptoms: Day 1: lethery and weak Day 2: Flulike symtoms and no appetite Day 3: Vomiting, weaker, by evening could not stand up, lost ability to move left arm or leg up. Was taken to emergency room admitted to Hospital Day 4: Able to talk cat scan and MRI show no Neurological issue Legs is spastic and eyes open and close rapidly Day 3: Can mot sit upright ,Growing weaker Start antibiotics Day 4: Still cannot eat, Speaks last words, Low blood pressure and fever Day 5: High blood pressure and low blood pressure @nd Cat scan and MRI show nothing Start antibiotics Day 6 :start steriods, blood work normal Day 7: Eyes still track fighting for life Day 8: Dies

Other Meds: Calcium 600 Vitamin D3 Cholestoff B12 Preser Vision Amlodipine Tab 2.5 mg

Current Illness: no

ID: 1775576
Sex: F
Age: 31
State: PR

Vax Date: 10/07/2021
Onset Date: 10/08/2021
Rec V Date: 10/10/2021
Hospital:

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

Lab Data: N/A

Allergies: No

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

Symptoms: I have a ball (nodule) in my left arm and it is swollen. It hurts a lot.

Other Meds: Panadol

Current Illness: No

ID: 1775577
Sex: F
Age: 31
State: NC

Vax Date: 10/09/2021
Onset Date: 10/09/2021
Rec V Date: 10/10/2021
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: Systemic: Chest Tightness / Heaviness / Pain-Medium, Systemic: Headache-Medium, Systemic: Nausea-Medium

Other Meds:

Current Illness:

ID: 1775578
Sex: F
Age: 32
State: NC

Vax Date: 09/22/2021
Onset Date: 09/28/2021
Rec V Date: 10/10/2021
Hospital:

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

Lab Data: Waiting to be seen by doctor

Allergies: None

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

Symptoms: Spiked blood pressure, loss of appetite, severe anxiety attacks, tingling sensation in head

Other Meds: None

Current Illness: None

ID: 1775579
Sex: F
Age: 31
State: CA

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

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

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: Systemic: Dizziness / Lightheadness-Mild

Other Meds:

Current Illness:

ID: 1775580
Sex: M
Age: 83
State: CA

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

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Error: Wrong Route

Other Meds:

Current Illness:

ID: 1775581
Sex: M
Age: 60
State:

Vax Date: 03/20/2021
Onset Date: 10/07/2021
Rec V Date: 10/10/2021
Hospital: Y

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

Lab Data:

Allergies:

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

Symptoms: 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: 1775582
Sex: F
Age: 38
State: NC

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

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

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe

Other Meds:

Current Illness:

ID: 1775583
Sex: F
Age: 60
State: TX

Vax Date: 10/06/2021
Onset Date: 10/07/2021
Rec V Date: 10/10/2021
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: Fever 102.5, for 1 day...then 99.8 for 1 day...very achy joints and tired. I took Ibuprofen. Was better after a couple of days

Other Meds: zoloft, prilosec, lipitor, vitamin d, claritin, furosimide

Current Illness:

ID: 1775584
Sex: F
Age: 59
State: VA

Vax Date: 10/09/2021
Onset Date: 10/09/2021
Rec V Date: 10/10/2021
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: Site: Itching at Injection Site-Medium, Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Allergic: Itch Generalized-Medium, Systemic: Dizziness / Lightheadness-Mild

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am