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: 1801310
Sex: F
Age: 28
State: CA

Vax Date: 10/16/2021
Onset Date: 10/17/2021
Rec V Date: 10/20/2021
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: Penicillin, Citrus

Symptom List: Dysphagia, Epiglottitis

Symptoms: Fever, chills, achy body for about 18 hours. It has effected my period, causing it to be late, and have different symptoms that my usual regular period. My period is lighter, and almost having no symptoms at all. I am not pregnant.

Other Meds: Tylenol

Current Illness: None

ID: 1801311
Sex: F
Age: 35
State: AR

Vax Date: 10/19/2021
Onset Date: 10/20/2021
Rec V Date: 10/20/2021
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: Cipro and Sulfa.

Symptom List: Anxiety, Dyspnoea

Symptoms: First and second doses were received while pregnant. I was not pregnant when I received the booster. Sore arm, low grade fever, chills, full body aches, fatigue, head feels like is going to explode, and face feels partially numb. No treatments or outcomes as of right now.

Other Meds: Prenatal, DHA, Probiotics, Garlic, Magnesium.

Current Illness: None.

ID: 1801312
Sex: M
Age: 41
State:

Vax Date: 04/02/2021
Onset Date: 10/18/2021
Rec V Date: 10/20/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Symptoms and positive covid test

Other Meds:

Current Illness:

ID: 1801313
Sex: F
Age: 32
State: IN

Vax Date: 10/18/2021
Onset Date: 10/18/2021
Rec V Date: 10/20/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Temp reaching 103.4 Headache Nausea Vomiting Muscle aches Joint pain Cough

Other Meds:

Current Illness:

ID: 1801314
Sex: M
Age: 73
State: UT

Vax Date: 09/28/2021
Onset Date: 09/28/2021
Rec V Date: 10/20/2021
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 erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Vaccine error - Vaccine was administered past its beyond use date. The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.

Other Meds:

Current Illness:

ID: 1801315
Sex: F
Age: 53
State: NE

Vax Date: 10/12/2021
Onset Date: 10/14/2021
Rec V Date: 10/20/2021
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: Site: Bruising at Injection Site-Medium, Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Allergic: Itch Generalized-Medium, Additional Details: Patient has a mark on arm; is worried that it will scar. She began noticing itching 2 days after dose. Has been intching and painful since then

Other Meds:

Current Illness:

ID: 1801316
Sex: F
Age: 63
State: FL

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

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Systemic: Headache-Mild, Systemic: Nausea-Mild, Systemic: Tinnitus-Medium, Additional Details: COVID "toes"

Other Meds:

Current Illness:

ID: 1801317
Sex: M
Age: 84
State: MI

Vax Date: 04/05/2021
Onset Date: 10/09/2021
Rec V Date: 10/20/2021
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: NKA

Symptom List: Pharyngeal swelling

Symptoms: Hospitalized 10/9/2021; COVID-19 positive 10/9/2021; fully vaccinated HISTORY OF PRESENT ILLNESS: Pt is a 84 y.o. male with a history of chronic systolic CHF with EF 35%, hypertension, severe AS s/p TAVR, atrial flutter s/p cardioversion on Eliquis, type 2 DM, hyperlipidemia, CKD stage 3, hypothyroidism, and gout who presents with fever, altered mental status, and generalized weakness. The patient is oriented to self, current month, and location at the time of admission but is unable to provide history. He does admit to cough with green sputum production on ROS questioning otherwise denies complaints. History obtained from his daughter, via phone conversation at the time of admission. He and his wife live with their daughter. The patient was in his usual state of health on Thursday 10/7 and drove himself to his PCP for a checkup. Later that evening, he was more weak and family began to notice that he was confused. Symptoms continued to progress, to the point where he was barely able to stand and required extensive assistance from family. He has not been eating much due to decreased appetite. He was feeling cold but no documented fevers. He was fully vaccinated against COVID with Pfizer vaccination April 2021 and everyone in their house is also vaccinated. He was brought to the emergency department for evaluation. COVID positive. Urinalysis consistent with infection. Chest x-ray showing left lower lobe and right upper lobe opacities concerning for pneumonia. He was given Tylenol and Zosyn. Hospitalists were asked to admit to medical facility for further care. Unfortunately, CT head had not yet resulted at the time of admission call. CT head revealing a large pituitary mass, recommending MRI and MRA for further evaluation. Diffuse cortical atrophy with chronic small-vessel ischemic disease. CHIEF COMPLAINT: Sepsis (HCC), ASSESSMENT/PLAN: Sepsis due to UTI, CAP Acute respiratory failure with hypoxia - presenting with fever, generalized weakness, altered mental status - UA consistent with infection - CXR- right upper and left lower lobe opacities concerning for pneumonia - s/p Zosyn in ED - will start ceftriaxone, doxycycline (avoid azithro due to digoxin) - follow-up blood and urine cultures - wean supplemental oxygen as able - PT/OT COVID 19 - fully vaccinated with Pfizer April 2021 - CXR as above - given lobar infiltrates, presentation felt more related to bacterial pneumonia at this time - check procal - hold off on decadron for now; could add if fails to improve - start remdesivir 10/14/2021 note: CHIEF COMPLAINT: Sepsis (HCC) ASSESSMENT / PLAN: Sepsis 2/2 aspiration pneumonia Ecoli UTI -continue rocephin (day 5/7), will d/c flagyl given no empyema or loculated pl effusion to suggest anaerobic source -dysphagia diet ordered, Mechanical soft, Nectar thick liquids Pituitary mass -likely pituitary macroadenoma -no signs/sx of increase ICP -if develops worsening HA/Visual changse, reach out to Neurosurgery -NSx referral placed for outpt follow-up -Endocrine labs overall reassuring COVID-19 infection -not felt to be cause of his septic picture given procalcitonin and active aspiration -fully vaccinated with Pfizer April 2021 -no decadron or remdesivir indicated 10/15/2021 note: PT/OT recommending SAR, referrals placed to Covid accepting SAR's, no beds available at this time and likely through the week. Plan: Anticipating d/c to SAR when Covid SAR bed is available. 10/19/2021 note: CHIEF COMPLAINT: Sepsis (HCC) ASSESSMENT / PLAN: Colonic pseudo-obstruction, Ileus ? Cirrhosis Aspiration PNA, COVID-19 (positive on 10/9/21) Sepsis on admission Ecoli UTI CHF, EF of 35% Severe AS s/p TAVR A flutter - on eliquis Pituitary mass -likely pituitary macroadenoma DM, CKD - CT AP w/ IVC 10/17 with findings suspicious for ileus. No obstructing mass or SBO. Marked gaseous and fluid-filled distention of the colon notably involving the cecum and transverse colon. - KUB today with continued gaseous distention of colon, slightly decreased today (12 > 10.4 cm) - Pt's abdomen remains soft, distended, non-tender. Covid-19 infection Not felt to be cause of septic process given normal procalcitonin and active aspiration Fully vaccinated by April 2021 (Pfizer) No decadron or remdesivir indicated Dispo: Prolonged stay noted, unclear timing of discharge given persistent encephalopathy / delirium

Other Meds: allopurinol (ZYLOPRIM) 300 MG tablet apixaban (ELIQUIS) 5 MG tablet atorvastatin (LIPITOR) 10 MG tablet carvedilol (COREG) 3.125 MG tablet digoxin (LANOXIN) 125 MCG tablet ferrous sulfate 325 (65 Fe) MG tablet furosemide (LASIX) 40 MG table

Current Illness:

ID: 1801318
Sex: F
Age: 57
State: TN

Vax Date: 04/15/2021
Onset Date: 10/13/2021
Rec V Date: 10/20/2021
Hospital: Y

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

Lab Data: Chest x ray: fine alveloar opacities ; CRP 3.4, LDH 304, D-dimer 0.51

Allergies: ACE Inhibitors

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Hospitalized for 3 days. Admitted with right-sided abdominal pain, and tested positive for COVID on admission. Reported nausea, decreased appetite, cough and headache. Hypoxic. Given Supplemental oxygen, albuterol inhaler prn, Vit C, D and Zinc. Remdesivir and decadron. Acute renal failure limit nephrotoxic drugs

Other Meds: Unknown

Current Illness: Unknown

ID: 1801319
Sex: F
Age: 58
State: CA

Vax Date: 04/16/2021
Onset Date: 04/16/2021
Rec V Date: 10/20/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: I had "heavy" vaginal bleeding approximately 6 hours after my 1st Moderna vaccine. I was 58 at the time of vaccine and had NOT had any vaginal bleeding for 5 months prior. 2 months after 2nd Moderna vaccine I now have constant moderate pain in both my hands. I consider myself to be in good health up until these vaccines.

Other Meds: None

Current Illness: None

ID: 1801320
Sex: F
Age: 38
State: NV

Vax Date: 08/08/2021
Onset Date: 09/16/2021
Rec V Date: 10/20/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: I have had an IUD for several years and have not had a period (bleeding). Ever since the vaccine, I am bleeding HUGE amounts during my period.

Other Meds: None

Current Illness: Non

ID: 1801321
Sex: M
Age: 74
State: VA

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 10/20/2021
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:

Symptom List: Rash, Urticaria

Symptoms: Error: Wrong Vaccine Formulation (ex. different manufact. initial and booster)-

Other Meds:

Current Illness:

ID: 1801322
Sex: M
Age: 20
State: TX

Vax Date: 10/15/2021
Onset Date: 10/17/2021
Rec V Date: 10/20/2021
Hospital: Y

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

Lab Data: Cardiac MRI- Signs of myocarditis Elevated troponin 0.2-0.77 Elevated BNP - 749 ECHO- with normal cardiac function

Allergies: none

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

Symptoms: Patient was admitted fir chest pain and found to clinically as well as supported by Cardiac MRI have signs of myocarditis vs myopericarditis. Patient remained stable and did not require ICu admission, pressors, or emergent intervention. he was treated with NSAIDS and Colchicine and discharged with cardiac follow up and activity restriction to 1A activities.

Other Meds: None

Current Illness: none

ID: 1801323
Sex: F
Age: 71
State: GA

Vax Date: 09/29/2021
Onset Date: 09/29/2021
Rec V Date: 10/20/2021
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: Dairy

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

Symptoms: Patient says she experienced tingling in her lips immediately after receiving vaccination. Her lips became slightly swollen and dry. She developed "fever blisters" that were painful and remained for approximately 7 days. She discussed the reaction with her general practitioner who advised her to go ahead with the second dose.

Other Meds:

Current Illness:

ID: 1801324
Sex: F
Age: 36
State: NM

Vax Date: 10/18/2021
Onset Date: 10/18/2021
Rec V Date: 10/20/2021
Hospital:

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

Lab Data: Epi pen given at time of throat closure Paramedics called and took vitals - advised by paramedic who did vitals that all the hospital would do is monitor me and give me Benadryl. Due to his explanation, chose to go home and take Benadryl at home with family.

Allergies: Penicillin, sulfa drugs, bees, ant venom, metals

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

Symptoms: Started with pain up to the base of the neck, then travelled down the forearm and fingers became ice cold. Later blurry vision and extreme exhaustion hit to a point it was hard to keep my eyes open, lips started to swell with red dots on them, then throat started to swell where it was hard to breathe.

Other Meds: Lamictal Modafinal Multivitamin (ritual for women)

Current Illness: Seasonal Allergies

ID: 1801325
Sex: F
Age: 27
State: PA

Vax Date: 09/30/2021
Onset Date: 09/30/2021
Rec V Date: 10/20/2021
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: On 10/6/21 a CT scan was performed, and blood results showed that I had developed appendicitis.

Allergies: Seasonal allergies

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

Symptoms: On 9/30/21 in the late evening I was getting severe pain at injection site, and headache. The next morning on 10/1/21 I had flu like symptoms. Fever, body aches, chills, headache. On 10/6/21 I had sever pain in my abdomen.

Other Meds: Prenatal vitamin, fenugreek

Current Illness: N/A

ID: 1801326
Sex: M
Age: 76
State: OK

Vax Date: 09/09/2021
Onset Date: 10/20/2021
Rec V Date: 10/20/2021
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: residual pain at injection site upon arm movement

Other Meds:

Current Illness:

ID: 1801327
Sex: F
Age: 44
State: TX

Vax Date: 09/30/2021
Onset Date: 09/30/2021
Rec V Date: 10/20/2021
Hospital:

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

Lab Data: chest xray covid test

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Fever, Chills, Fatigue, Headache, chest tightness, trouble breathing, cough, ears stopped up saw a dr on monday 10/4/2021 and had a chest xray and recvd steroids and inhaler there saw my asthma dr friday 10/8/2021 recvd antibiot and more inhaler still sick with cough today 10/20/2021

Other Meds:

Current Illness:

ID: 1801328
Sex: U
Age: 71
State: UT

Vax Date: 09/28/2021
Onset Date: 09/28/2021
Rec V Date: 10/20/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Vaccine error - Vaccine was administered past its beyond use date. The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.

Other Meds:

Current Illness:

ID: 1801329
Sex: M
Age: 67
State: FL

Vax Date: 09/29/2021
Onset Date: 10/12/2021
Rec V Date: 10/20/2021
Hospital:

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

Lab Data:

Allergies: latex, meperidine

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

Symptoms: received the vaccine beyond the use date.

Other Meds:

Current Illness:

ID: 1801330
Sex: F
Age: 57
State:

Vax Date: 09/28/2021
Onset Date: 09/28/2021
Rec V Date: 10/20/2021
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:

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

Symptoms: Within an hour severe burning in my nose, and down my throat. Currently 22 days after first dose I have burning in my nose, can't sneeze, which occurred within couple hours of getting the shot, , constant head pressure and headache. Feel half dizzy all day too. I also have super hypersensitivity to smells now. I almost throw up with how strong everyday odors are. My nose feels burning and plugged with constant head pressure, smell everything way too much and can't sneeze. These symptoms are still with me and occurred within a hour of my first dose :(

Other Meds:

Current Illness:

ID: 1801331
Sex: U
Age: 34
State: UT

Vax Date: 09/21/2021
Onset Date: 09/21/2021
Rec V Date: 10/20/2021
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: Unevaluable event

Symptoms: Vaccine error - Vaccine was administered past its beyond use date. The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.

Other Meds:

Current Illness:

ID: 1801332
Sex: M
Age: 63
State: CA

Vax Date: 05/30/2021
Onset Date: 06/02/2021
Rec V Date: 10/20/2021
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: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: Very annoying tinnitus. Had a small amount before the but greatly increased after the vaccine and has still not abated. It has been 4 months of suffering now and I am afraid to get the second shot.

Other Meds: None

Current Illness: None

ID: 1801333
Sex: M
Age: 20
State: UT

Vax Date: 09/21/2021
Onset Date: 09/21/2021
Rec V Date: 10/20/2021
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: Vaccine error - Vaccine was administered past its beyond use date. The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.

Other Meds:

Current Illness:

ID: 1801334
Sex: M
Age: 74
State: UT

Vax Date: 09/28/2021
Onset Date: 09/28/2021
Rec V Date: 10/20/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Vaccine error - Vaccine was administered past its beyond use date. The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.

Other Meds:

Current Illness:

ID: 1801335
Sex: F
Age: 49
State: VA

Vax Date: 04/21/2021
Onset Date: 05/01/2021
Rec V Date: 10/20/2021
Hospital:

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

Lab Data: N/A - have not sought treatment because I do not consider this to be significant enough to warrant imposing upon an already over medical facility. I just feel it's important to share, since I am aware many other women are reporting changes to their menses.

Allergies: Prefer not to respond due to privacy concerns. Nothing that would impact my hormone levels.

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

Symptoms: Ever since, I have had significant changes to my menses. They are much less predictable, both in duration, heaviness, and regularity. Although they seem to happen much more frequently, they are not as heavy as usual and also I no longer have the kind of significant PMS symptoms and menstrual pain I have had my entire life. I don't consider this a bad thing, however, especially because I'm not intending to have any more children.

Other Meds: Prefer not to respond due to privacy concerns. Nothing that would impact my hormone levels.

Current Illness: Long COVID: 1) respiratory issues, including feeling of congestion and fluid in lungs, with non-productive cough, which is non-responsive to albuterol inhaler. Gets worse with ingestion of gluten and dairy. Also, significant fatigue, and occasional joint pain and swelling, and body pain and stiffness. All exacerbated by exposure to gluten and dairy. Both these items brought symptoms on considerably worse. I contracted SARS-CoV-2 from an employee in late May 2020. These problems developed and never went away, even despite the vaccine...although I have learned to change my diet, since I noticed that ingestion of dairy and gluten exacerbate the symptoms and cause the days-long flare ups to last much longer and occur much more frequently.

ID: 1801336
Sex: F
Age: 55
State: MO

Vax Date: 10/15/2021
Onset Date: 10/16/2021
Rec V Date: 10/20/2021
Hospital:

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

Lab Data: NONE

Allergies: NONE

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Around 9pm on day of the shot I noticed injection site was sore and I was having some chills which progressively got worse as the next evening approached which then was accompanied with fatigue, body aches, and low grade fever which all had pretty much subsided by Monday morning (10/18/21). I did notice on Monday that the injection site was red and very warm as if there was fever present and still sore to the touch. Although I have felt fine since the 18th, the injection site is still the same if not a tad bit of increase in redness and warm which is now 1:53pm 10/20.

Other Meds: NONE

Current Illness: NONE

ID: 1801338
Sex: U
Age: 46
State: UT

Vax Date: 09/22/2021
Onset Date: 09/22/2021
Rec V Date: 10/20/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Vaccine error - Vaccine was administered past its beyond use date. The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.

Other Meds:

Current Illness:

ID: 1801339
Sex: F
Age: 42
State: NJ

Vax Date: 10/15/2021
Onset Date: 10/15/2021
Rec V Date: 10/20/2021
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: sulfa, quinolones (moxifloxacin/avelox), diltiazem, amlodipine, latex, gluten, bees

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

Symptoms: Itchy/scratchy throat, "weird" tongue sensation, dizziness only on 10/15/21 Rash on abdomen noted later on 10/15/21 and mostly resolved as of 10/20/21. Pt self-treated- used rubbing alcohol on abdominal rash

Other Meds: spironolactone, Vit D3, Vit C, Vit B12 sometimes

Current Illness: no

ID: 1801340
Sex: M
Age: 18
State: UT

Vax Date: 09/22/2021
Onset Date: 09/22/2021
Rec V Date: 10/20/2021
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: Vaccine error - Vaccine was administered past its beyond use date. The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.

Other Meds:

Current Illness:

ID: 1801341
Sex: M
Age: 68
State: UT

Vax Date: 09/28/2021
Onset Date: 09/28/2021
Rec V Date: 10/20/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: Vaccine error - Vaccine was administered past its beyond use date. The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.

Other Meds:

Current Illness:

ID: 1801342
Sex: F
Age: 60
State: MN

Vax Date: 10/18/2021
Onset Date: 10/19/2021
Rec V Date: 10/20/2021
Hospital:

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

Lab Data:

Allergies: bleach, aloe vera, apples, aspirin, cat dander, diphenhydramine, duste mite, erythromycin, perfumes, seasonal allergies (pollen)

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

Symptoms: leg weakness, ambulation impacted-required her husband to help her get to the bathroom d/t extreme weakness in her legs for 2 days, heart racing, feeling unwell

Other Meds: no rx's listed on med list, doterra supplements

Current Illness:

ID: 1801343
Sex: F
Age: 34
State: UT

Vax Date: 09/22/2021
Onset Date: 09/22/2021
Rec V Date: 10/20/2021
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: Vaccine error - Vaccine was administered past its beyond use date. The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.

Other Meds:

Current Illness:

ID: 1801344
Sex: M
Age: 48
State: IN

Vax Date: 10/06/2021
Onset Date: 10/07/2021
Rec V Date: 10/20/2021
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: Sulfa, Sulfer

Symptom List: Tremor

Symptoms: Severe headache, achy and chills. Large lump and swelling on the injection site for 7 days

Other Meds: None

Current Illness: None

ID: 1801345
Sex: F
Age: 51
State: VA

Vax Date: 10/19/2021
Onset Date: 10/19/2021
Rec V Date: 10/20/2021
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 - I took Diphenhydramine HCl, 2 tablets 25mg, I have took take 2 more this evening.

Allergies: None

Symptom List: Erythema, Pruritus

Symptoms: My face broke out in hives

Other Meds: Anti-Viral Valacyclovir HCL 500 mg Wixela Inhub

Current Illness: Asthma

ID: 1801346
Sex: M
Age: 51
State:

Vax Date: 09/22/2021
Onset Date: 09/23/2021
Rec V Date: 10/20/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Soreness of arm, severe leg pain, leg swelling No treatment Resolved in 24 hours

Other Meds:

Current Illness:

ID: 1801347
Sex: F
Age: 63
State: UT

Vax Date: 09/22/2021
Onset Date: 09/22/2021
Rec V Date: 10/20/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Vaccine error - Vaccine was administered past its beyond use date. The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.

Other Meds:

Current Illness:

ID: 1801348
Sex: F
Age: 80
State: OH

Vax Date: 10/18/2021
Onset Date: 10/19/2021
Rec V Date: 10/20/2021
Hospital:

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

Lab Data: PCR + 10/19/2021 CXR 10/19: right pleural effusion, patchy bilat airspace disease- likely fluid overload from missed HD

Allergies: pravastatin

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: breakthrough covid + on RA, admission for recurrent falls/weakness

Other Meds: APAP, allopurinol, calcium carbonate, hydroxyzine, synthroid, metoprolol, phenytoin, suvorexant, MVI

Current Illness: ESRD

ID: 1801349
Sex: M
Age: 36
State: KS

Vax Date: 09/23/2021
Onset Date: 10/07/2021
Rec V Date: 10/20/2021
Hospital:

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

Lab Data: I went to the hospital on 10/10/2021 because the rash and pain on my right torso had gotten so bad. The doctor at the hospital determined it was Shingles, and told me they've seen "a ton of people coming in who just got fully vaccinated from covid coming in with shingles".

Allergies: None

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

Symptoms: Two weeks after my second dose of Pfizer covid vaccine, I got a horrible case of Shingles.

Other Meds: Rosuvastatin Ezetimibe

Current Illness: None

ID: 1801350
Sex: M
Age: 31
State: CA

Vax Date: 09/08/2021
Onset Date: 09/08/2021
Rec V Date: 10/20/2021
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: CT Brain Non-Con with initial concern for stroke / CVA but MRI brain with normal results and prior concern attributed to artifact. Plan for repeat MRI brain with FIESTA sequence to evaluate cranial nerves.

Allergies: Bactrim (Sulfamethoxazole-trimethroprim)

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

Symptoms: Pt reporting right facial paresthesia (decreased sensation, tingling) within 1 hour of vaccination, extending from right temporal region to below right jawline. Approx. 12 hours later he experienced subjective fevers / chills, headaches, diaphoresis, right-sided pain extending from neck down spine and to right knee. A majority of symptoms resolved, but he has had ongoing decreased sensation since that time and intermittent tingling sensation. Neurology evaluation reported concern for partial cranial nerve VII palsy.

Other Meds: None

Current Illness: None

ID: 1801351
Sex: M
Age: 18
State: UT

Vax Date: 09/22/2021
Onset Date: 09/22/2021
Rec V Date: 10/20/2021
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: Pain in extremity

Symptoms: Vaccine error - Vaccine was administered past its beyond use date. The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.

Other Meds:

Current Illness:

ID: 1801352
Sex: F
Age: 56
State:

Vax Date: 10/07/2021
Onset Date: 10/12/2021
Rec V Date: 10/20/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: received the vaccine beyond the use date.

Other Meds:

Current Illness:

ID: 1801353
Sex: F
Age: 22
State: CA

Vax Date: 10/19/2021
Onset Date: 10/19/2021
Rec V Date: 10/20/2021
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: Site: Itching at Injection Site-Medium, Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Allergic: Itch Generalized-Medium, Additional Details: itchy on her arms and back - at first she said her throat felt itchy too - took benadryl but felt better

Other Meds:

Current Illness:

ID: 1801354
Sex: F
Age: 68
State: UT

Vax Date: 09/22/2021
Onset Date: 09/22/2021
Rec V Date: 10/20/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Vaccine error - Vaccine was administered past its beyond use date. The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.

Other Meds:

Current Illness:

ID: 1801356
Sex: F
Age: 73
State: AZ

Vax Date: 10/14/2021
Onset Date: 10/18/2021
Rec V Date: 10/20/2021
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: Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Numbness (specify: facial area, extremities)-Severe, Systemic: Tingling (specify: facial area, extemities)-Severe, Systemic: Unable to Sleep-Medium, Systemic: Weakness-Severe

Other Meds:

Current Illness:

Date Died: 10/05/2021

ID: 1801359
Sex: M
Age: 72
State: KY

Vax Date: 03/21/2021
Onset Date: 10/05/2021
Rec V Date: 10/20/2021
Hospital:

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

Lab Data: 09/23/2021

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Patient breakthrough infection and deceased.

Other Meds: Immune suppressants and chronic daily antibiotics.

Current Illness:

ID: 1801360
Sex: F
Age: 51
State: NY

Vax Date: 10/18/2021
Onset Date: 10/19/2021
Rec V Date: 10/20/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Site: Pain at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Lymph Node Swelling-Medium

Other Meds:

Current Illness:

ID: 1801361
Sex: M
Age: 17
State: UT

Vax Date: 09/22/2021
Onset Date: 09/22/2021
Rec V Date: 10/20/2021
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: Vaccine error - Vaccine was administered past its beyond use date. The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.

Other Meds:

Current Illness:

Date Died: 10/19/2021

ID: 1801362
Sex: F
Age: 76
State: MN

Vax Date: 03/24/2021
Onset Date: 10/19/2021
Rec V Date: 10/20/2021
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: Vaccine dose 1 3/3/2021 Lot # EN6198 Pt died from anoxic brain injury 10/19/2021

Other Meds:

Current Illness:

ID: 1801363
Sex: F
Age: 39
State: MN

Vax Date: 01/12/2021
Onset Date: 10/15/2021
Rec V Date: 10/20/2021
Hospital:

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

Lab Data: Covid-19 PCR - positive on 10/19/21

Allergies:

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

Symptoms: symptoms of covid-19 started on 10/15/21

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am