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: 1807767
Sex: M
Age: 62
State: KY

Vax Date: 05/04/2021
Onset Date: 10/21/2021
Rec V Date: 10/22/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Pfizer on 4/13 and 5/4. Positive on 10/21

Other Meds:

Current Illness:

ID: 1807768
Sex: F
Age: 46
State: DC

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 10/22/2021
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: Extended full body chills and convulsions, extended rapid heartbeat and pulse, full body muscular and joint pain, full body exhaustion

Other Meds: Solimo Adult Multivitamin Gummie, Solimo Vitamin D3 Gummie, Low Dose Aspirin, Ibuprofen

Current Illness: None

ID: 1807769
Sex: F
Age: 36
State: MA

Vax Date: 10/14/2021
Onset Date: 10/15/2021
Rec V Date: 10/22/2021
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: 10/15/2021 visited the Emergency Room - full eye exam and conclusion of ocular migraine

Allergies: Penicillin

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

Symptoms: Ocular migraine/migraine aura that sent me to the Emergency Room. No history of migraines or ocular migraine/migraine aura prior to this event.

Other Meds: Perhaps Zicam? I don't remember.

Current Illness: None

ID: 1807770
Sex: M
Age: 64
State: PA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 10/22/2021
Hospital:

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

Lab Data: No

Allergies: Penicillin, sulfa drugs

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Fever peaked next morning at 103. On 1/15, the fever was under 100. On 1/16 it was normal. I had lancinating left temple that lasted about 5-10 seconds or less. It was very frequent. It would occur every minute or so through the night for hours. The next day it occurred about 50 times. The say after, 1/16, I went done to a dozen times a day. By 1/18, it had resolved. I did not seek care at all, I just thought it was strange

Other Meds: No

Current Illness: 5 weeks of doxycycline (finished on Dec 7th)

ID: 1807771
Sex: F
Age: 60
State: CO

Vax Date: 08/09/2021
Onset Date: 09/04/2021
Rec V Date: 10/22/2021
Hospital:

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

Lab Data: None, I have not gone to doctor yet but will do so in NOV if the ringing continues. It rarely stops.

Allergies: NO

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

Symptoms: I have had a continuous ringing in my right ear since Sept 4th. It could be described as tinnitus but I never had this before in my life and it came on shortly after the second vax. I recently saw a report about others with this side effect so I am reporting it. I was not sick and had nothing that would set this off other than the second vax.

Other Meds: NO Meds, I am extremely healthy

Current Illness: No illness I am VERY HEALTHY. HAD Covid March 2020 with almost no symptoms.

ID: 1807772
Sex: M
Age: 58
State: PA

Vax Date: 10/21/2021
Onset Date: 10/21/2021
Rec V Date: 10/22/2021
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: none

Allergies: nkda

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

Symptoms: Twelve hours after injection sudden onset of Fever >101. Chills Myalgia Headache Symptoms persisting for at least 12 hours post onset

Other Meds: Synthroid

Current Illness: none

ID: 1807773
Sex: M
Age: 27
State: PA

Vax Date: 06/01/2021
Onset Date: 06/03/2021
Rec V Date: 10/22/2021
Hospital:

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

Lab Data: No tests were conducted.

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: A day or so after recovering from the expected flu-like soreness of the vaccine's 2nd dose, I was afflicted with full-body hives, originating on my extremities. After 24 hours, the hives had spread to roughly 70% of my body, and shifted constantly hour by hour to different sections of skin. Treatment was sought, and steroids prescribed (one shot, on-site, followed by a week of methylprednisolone tablets taken orally). Initial shot of steroids provided temporary alleviation, but side effects quickly returned until the oral regiment of steroids was started the next day. It took roughly 3 days to combat the worst of the hives.

Other Meds:

Current Illness:

ID: 1807774
Sex: M
Age: 77
State:

Vax Date: 03/24/2021
Onset Date: 10/16/2021
Rec V Date: 10/22/2021
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: 1807775
Sex: M
Age: 60
State: TX

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

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

Lab Data: Not reported to doctor.

Allergies: None

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: I woke up the next day after the vaccines with all-over muscle soreness at a mild level. I felt tired and run down at a mild to medium level. I had a low-grade headache. I took 500mg of Tylenol. I believe this is from the shingles vaccine as I get the flu vaccine every year with no problem.

Other Meds: Xarelto 10mg, SID Flu vaccine, Annual

Current Illness: None

ID: 1807776
Sex: F
Age: 44
State: IN

Vax Date: 08/27/2021
Onset Date: 08/29/2021
Rec V Date: 10/22/2021
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: Severe onset of vertigo/dizziness, required me to lay down for 3 hours until episode passed. Vertigo has persisted off and on since injection.

Other Meds: Effexor 75mg, vitamins B12, B6, D, C, magnesium

Current Illness: none

ID: 1807777
Sex: F
Age: 28
State: NY

Vax Date: 09/28/2021
Onset Date: 10/03/2021
Rec V Date: 10/22/2021
Hospital:

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

Lab Data: I took a blood test to measure my hormone levels and had a sonogram that confirmed the miscarriage.

Allergies:

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

Symptoms: I took a positive pregnancy test on 9/17/21. This was my first pregnancy. I received the Janseen Vaccine 9/28 against my better judgement. I was mandated by the mayor. I started bleeding heavily on 10/3. I reported to the doctor 10/4 the baby was measuring 5 weeks with no heart beat. This was a week behind what I originally thought. I believed I should have been 6 weeks based on my menstrual cycle. I continued bleeding and cramping the whole week. I returned to the doctor 10/12 and the doctor confirmed I had miscarried. The doctor said it?s possible the baby stopped growing at 5 weeks ( which is when I received the vaccine).

Other Meds: Prenatal Vitamin

Current Illness:

ID: 1807778
Sex: F
Age: 57
State: NY

Vax Date: 10/20/2021
Onset Date: 10/20/2021
Rec V Date: 10/22/2021
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: Approximately 45 minutes post vaccination patient complained of diarrhea, tightness in the throat, dizziness. On site assessment of clammy hands, no angioedema, hive or injection site reaction. Pateint has history of receiving flu shot with no reactions, last flu shot was 5 years ago. Patient demonstrated strong pulse and elevated blood pressure. No treatment administered, 911 was activated and patient transported to hospital. Outcome unknown at this time.

Other Meds:

Current Illness:

ID: 1807779
Sex: F
Age: 55
State: AL

Vax Date: 04/20/2021
Onset Date: 09/10/2021
Rec V Date: 10/22/2021
Hospital:

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

Lab Data: Covid 19 rapid- positive

Allergies: NK

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

Symptoms: My sister in-law is nurse, she has kept up on it, she told us to take super C with zinc, and vitamin D3, pepcid and a claritin, and Mucinex twice a day. They suggested we get a pulse oximeter and track to watch if we got below 93% to call. The nurse had us check in with her twice daily. My oxygen never got below 98%. We felt like we had a cold and really didn't think we had covid till we lost our taste and smell completely. I have a history having bronchitis so my PCP put me on antibiotic.

Other Meds: hormone pills night medroxyprogesterone 2.5 milligrams , Estradiol .5 mg , lorazepam .5 mg, multi vitamin

Current Illness: none

ID: 1807780
Sex: F
Age: 60
State: OH

Vax Date: 03/29/2021
Onset Date: 09/20/2021
Rec V Date: 10/22/2021
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: blood test on 18 Oct 2021 to rule out other issues.

Allergies: none

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

Symptoms: Tested positive for Covid on 20 September 2021. headaches, fever, loss of taste, smell. sore throat, cough, chest pains, lethargic, weakness, tiredness. diahrea, loss of bladder control. brain fog. loss of concentration.

Other Meds: none

Current Illness: none

ID: 1807781
Sex: F
Age: 37
State: CT

Vax Date: 10/12/2021
Onset Date: 10/18/2021
Rec V Date: 10/22/2021
Hospital:

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

Lab Data: xray, physical exam

Allergies: n/a

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

Symptoms: left shoulder bursitis

Other Meds: n/a

Current Illness: n/a

ID: 1807782
Sex: F
Age: 64
State: OH

Vax Date: 09/20/2021
Onset Date: 09/21/2021
Rec V Date: 10/22/2021
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: motrin, latex, adhesives

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

Symptoms: vomiting, dizziness, headache, muscle ache for 1 day after

Other Meds: methotrexate, folic acid, amatriptyline, sertraline

Current Illness: none

ID: 1807783
Sex: M
Age: 39
State:

Vax Date: 06/09/2021
Onset Date: 06/09/2021
Rec V Date: 10/22/2021
Hospital:

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

Lab Data: Ekg, blood work, chest xray, mri

Allergies: Aspirin, Excedrin IB, IB profen

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

Symptoms: Shoulder pain that radiated to chest pains and breathing difficulty

Other Meds: Albueterol

Current Illness: Recovery from Covid 19 and pneumonia from March 2021

ID: 1807784
Sex: F
Age: 33
State: NY

Vax Date: 10/14/2021
Onset Date: 10/14/2021
Rec V Date: 10/22/2021
Hospital:

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

Lab Data:

Allergies: Penicillin Flexeril Naproxen Codeine

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Red swollen itchy at injection site about the size of a baseball Hives on neck and arms ,better with benedryl, gone as of 10/20 Coughing with phlegm since the shot Swollen glands in neck , still swollen today and tender Exhaustion-still Chills, fever, shakes first 3 days after the shot Full body cramps and stomach pains- first 2 days

Other Meds: Birth control

Current Illness: None

ID: 1807785
Sex: M
Age: 31
State: MD

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

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

Lab Data:

Allergies: denies

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: 1 minute after administration of the vaccine the person became diaphoretic and complained of dizziness. His resp. rate was noted to be 22. BP checked @ 314p was 67/38, hr. 42. He was given water, then placed on the floor with his feet up. Spoke to my medical director Arsalan Sheikh who recommended calling 911. Informed pt. of same but he asked that they not be called. Called pts. wife and informed her of the situation. Rechecked BP @ 315, 70/39 hr. 42. After lying prone for 6 mins. he reported feeling much better BP 119/66 hr 52, oxygen sat. 95%. Please note the patient informed us upon entering for his shot that he didn't believe in it and was only getting it so that he could keep his job and appeared anxious.

Other Meds: denies

Current Illness: denies

ID: 1807786
Sex: F
Age: 65
State: RI

Vax Date: 10/19/2021
Onset Date: 10/20/2021
Rec V Date: 10/22/2021
Hospital:

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

Lab Data: I will not seek medical attention unless the lymph node lump worsens.

Allergies: penicillin and other antibiotics, morphine sulfate and most other opioids such as Vicodin, Tramadol, Demerol... Sensitive or possibly allergic to grapefruit, wheat, artificial scents, artificial sweeteners...

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

Symptoms: This was booster shot (3rd dose) . Injection immediately caused site pain. Next morning, fatigue that worsened through the day. Headache, and fever. Fever topped out around 102?. Then the exanthema started. 2nd day, exanthem worsened, fever reduced to 99, injection site pain extended to axilla. Third morning (today) exanthem is angry red rash, and armpit aches with a palpable lump. Fever continues slight, at 99. It's just a LOT worse reaction than after 2nd dose. And, anybody who gets viral exanthem should be able to sympathize: scary-looking rash, burning and tight feeling on skin, and it's guaranteed to start itching like hell as soon as it disappears.

Other Meds: losartan potassium, paroxetine HCl, vitamins

Current Illness: None

ID: 1807788
Sex: F
Age: 39
State: AZ

Vax Date: 10/19/2021
Onset Date: 10/19/2021
Rec V Date: 10/22/2021
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: Nickel

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

Symptoms: Of course, there was the pain in the arm. It began with the stinging feeling directly after the shot, then progressed into extreme tenderness by the end of the day, and then aching and shooting pain every time I moved or touched the arm, combined with a dead, cramping feeling, like the arm is rotting off of my body. That still continues, as I report this three days later. I got the shot on Tuesday afternoon, and I?m reporting on Friday morning. Fever, tiredness, and brain fog began the day after the shot and lasted two days. Pain the the lymph nodes in my throat have appeared off and on. (I?m reporting on the third day and currently have a sore throat.) The fever has gone away at this time. The symptom that worries me most, which started yesterday (two days after the shot) is extreme dizziness. I can?t walk, and my vision is double, unless I concentrate. I?m also worried about the uterine cramping. Last time I got the shot, I had a very heavy period the next week, so this time, I timed the shot for a few days after my period ended. But last night I started getting strong uterine cramps and pelvic / back pain anyway. No bleeding yet, but it feels like when I used to get bad PMS. But I?m not at that point in my cycle., so it couldn?t be PMS. It?s only day three after the shot, but I?ll go to urgent care if things don?t get better by next Monday.

Other Meds: Amino acid blend for mood: l-theanine, NAC, l-tyrosine, GABA Herbal blend for hormones: Chasteberry, DIM, calcium d glucarate, milk thistle

Current Illness: NA

ID: 1807789
Sex: M
Age: 21
State: PR

Vax Date: 08/20/2021
Onset Date: 08/20/2021
Rec V Date: 10/22/2021
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: Penicillin; Vaccines in general

Symptom List: Unevaluable event

Symptoms: 21year old male patient vaccinated with first dose PFIZER at 1:33pm. Staff helps patient by taking him to the area and at 1:36pm patient starts to feeling cold, sweaty an dizzy. Paramedic proceeds to take vitals BP 110/70, Sat 95, dex113. patient is stabilized at 1:45pm but he reports feeling bad, vitals are taken again BP 110/70, P95, Sat 98. Paramedic proceeds to call the ambulance (unit 1901) they arrived at 1:49pm with Paramedics. Patient was taken to the emergency room.

Other Meds: N/A

Current Illness: Arthritis; Sinusitis; Chronic Rhinitis

ID: 1807790
Sex: F
Age: 33
State: WI

Vax Date: 10/13/2021
Onset Date: 10/15/2021
Rec V Date: 10/22/2021
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: reglan

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

Symptoms: 24 hours after vaccination had headache, nausea, body aches and extreme fatigue. cleared up in about 24 hours. 48 hours after vaccination rash started on both arms, spread to trunk of body - including both thighs and groin area. arms intermittently itch and burn. always have bumps on skin - will intermittently "flare" and become red

Other Meds: zoloft, ambien, phentermine

Current Illness: COVID

ID: 1807791
Sex: F
Age: 53
State: TX

Vax Date: 01/28/2021
Onset Date: 03/03/2021
Rec V Date: 10/22/2021
Hospital:

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

Lab Data: Normal mammogram March 2021 Normal labs March 2021

Allergies: Sulfa

Symptom List: Injection site pain, Pain

Symptoms: Extreme bilateral breast pain Started within days of first injection worse after second first injection in right arm second in left arm Continue to have breast pain and rib costocondritis centrally and laterally Chronic discomfort relieved by otc meds or warm compresses

Other Meds: Synthroid Spironlactone

Current Illness: None

ID: 1807793
Sex: M
Age: 67
State: WV

Vax Date: 10/11/2021
Onset Date: 10/11/2021
Rec V Date: 10/22/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List: Injection site pain, Menorrhagia

Symptoms: PATIENT REPORTED ABOUT 2 HOURS AFTER RECEIVING VACCINATION A TINGLING SENSATION IN ARM THAT RADIATED DOWN THAT OCCURS INTERMITTENTLY. HE REPORTS THAT IT WAS MORE FREQUENT IN THE DAYS IMMEDIATELY AFTER THE SHOT & HAS NOW DECREASED IN FREQUENCY TO MAYBE ABOUT 4 TO 5 TIMES DAILY LASTING 2 MINUTES EACH TIME BUT HAS PLATEAUED. HE DOES NOT NOTICE ANYTHING THAT PRECIPITATES THE TINGLING SUCH AS PHYSICAL ACTIVITY, AS HE IS PHYSICIALLY ACTIVE MULTIPLE DAYS A WEEK. HE DOES NOT REPORT PAIN, JUST A WEIRD SENSATION. HE HAS HIS YEARLY APPOINTMENT WITH HIS PRIMARY CARE DOCTOR MONDAY NOVEMBER 1ST & WILL DISCUSS WITH HIS PROVIDER THEN AS IT IS NOT CAUSING HIM ANY SIGNIFICANT ISSUE.

Other Meds: OSTEO BI FLEX

Current Illness: -

ID: 1807794
Sex: F
Age: 55
State: MA

Vax Date: 04/16/2021
Onset Date: 04/01/2021
Rec V Date: 10/22/2021
Hospital:

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

Lab Data: Lung function test and diagnosed COPD Nothing showed in my bloodwork.

Allergies: Wellbutrin

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

Symptoms: Very dry cough before the vaccine with shortness of breath. After the vaccine just had pain in the arm, no other symptoms. I am a smoker. I went to a physical in aug2021 for my shortness of breath and after the 1st dose I felt like I had covid but it was negative but I felt that I did have covid because I had loss of taste.

Other Meds: Levoxyl,

Current Illness: Shortness of breath, dry cough constant

ID: 1807795
Sex: M
Age: 68
State: MN

Vax Date: 09/28/2021
Onset Date: 09/29/2021
Rec V Date: 10/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Patient recieved 3rd dose of Moderna without meeting guidelines for administration.

Other Meds:

Current Illness:

ID: 1807796
Sex: M
Age: 39
State: PA

Vax Date: 10/02/2021
Onset Date: 10/13/2021
Rec V Date: 10/22/2021
Hospital:

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

Lab Data: N/A

Allergies: Penicillin, bee stings, benadryl

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: pain and swelling in toes and fingertips. red rash on feet and palms. Sores, and rash on head, similar to Eczema or seborrheic Dermatitis on scalp. (Both of which I have never had occur before.)

Other Meds: None

Current Illness: None

ID: 1807797
Sex: F
Age: 50
State: MI

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 10/22/2021
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: Penicillin, MSG, adverse reactions to: beta blockers, verapamil, topomax, gabapentin, phenergen, buspirone, zoloft

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

Symptoms: Initially was flushed with tingling down my right side, then light headed and dizzy. Symptoms did not subside after the 15 minute waiting period so I was taken to the ED department. After a couple hours and fluids, symptoms subsided sufficiently that I was released. Since that time I have developed constant inflammation/tendonitis in both my hands, concentrated in my thumbs and first two fingers, constantly preventing me from closing my hands or performing routine tasks without sudden pain. The right hand middle finger joint locks as well.

Other Meds: Botox for Migraine

Current Illness: none

ID: 1807798
Sex: M
Age: 35
State: TN

Vax Date: 09/06/2021
Onset Date: 10/16/2021
Rec V Date: 10/22/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Nausea

Symptoms: Developed High BP and hypertension

Other Meds: testosterone

Current Illness: None

ID: 1807799
Sex: M
Age: 53
State:

Vax Date: 06/23/2021
Onset Date: 06/24/2021
Rec V Date: 10/22/2021
Hospital:

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

Lab Data: No test were conducted and no long term affects have been discovered.

Allergies: none

Symptom List: Injection site pain

Symptoms: Acute pain in left testicle. Doctor advised that it was a bacterial infection Epididymitis despite no other symptom and zero chance of STI and no known trauma. and prescribed an antibiotic and the pain subsided over the next five days.

Other Meds: Telmisartan 40mg

Current Illness: none

ID: 1807800
Sex: F
Age: 47
State: TX

Vax Date: 04/02/2021
Onset Date: 07/01/2021
Rec V Date: 10/22/2021
Hospital:

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

Lab Data:

Allergies: PCN, sulfa, amoxicillian, onions, garlic, latex, adhesives, and various pollens mold etc.

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

Symptoms: Intense menstrual cramps and heavier bleeding

Other Meds: Members mark version of zyrtec liquid for seasonal allergies

Current Illness: None

ID: 1807801
Sex: F
Age: 33
State: PA

Vax Date: 03/03/2021
Onset Date: 10/06/2021
Rec V Date: 10/22/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data: Blood tests, pelvic u/s. surgery for ectopic pregnancy

Allergies: None

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

Symptoms: Patient had Moderna Covid vaccine 3/3/21 and 3/31/21. Since then she had an ectopic pregnancy 10/6/21.

Other Meds: Prenatal vitamin

Current Illness:

ID: 1807802
Sex: F
Age: 28
State: MS

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 10/22/2021
Hospital:

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

Lab Data: Urine test

Allergies: No

Symptom List: Tremor

Symptoms: In the evening, I had body aches and my back was sore. I went to sleep and woke up the next morning with dark urine. I thought I was dehydrated so I drank lots of water, but it did not help. I had some abdominal pain as well. I went to my doctor who determined it was a UTI. I was given antibiotics and took those. Within 24 hours, it had resolved.

Other Meds: Prenatal

Current Illness: No

ID: 1807803
Sex: F
Age: 61
State: NC

Vax Date: 10/06/2021
Onset Date: 10/06/2021
Rec V Date: 10/22/2021
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: advair

Symptom List: Erythema, Pruritus

Symptoms: Severe joint pain starting about 8 hours after injection with no change in last 2 weeks. Every joint hurts starting at my neck and going all the way to my toes and fingers, Inflammation in all areas.

Other Meds: zyrtec, multi vitamin, vitamin d, colace, atrovastatin

Current Illness: seasonal allergies

ID: 1807804
Sex: F
Age: 42
State: IL

Vax Date: 10/11/2021
Onset Date: 10/11/2021
Rec V Date: 10/22/2021
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: Injection site swollen, red and warm. Had muscle aches for first few days.

Other Meds:

Current Illness:

ID: 1807805
Sex: M
Age: 66
State: KY

Vax Date: 04/16/2021
Onset Date: 09/29/2021
Rec V Date: 10/22/2021
Hospital:

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

Lab Data: COVID test

Allergies: No

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

Symptoms: Had a breakthrough of the COVID 19 virus after being fully vaccinated.

Other Meds: Daily prescription and multivitamins and Zyrtec

Current Illness: Sinus infection

ID: 1807807
Sex: M
Age: 72
State:

Vax Date: 06/03/2021
Onset Date: 10/17/2021
Rec V Date: 10/22/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: 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: 1807808
Sex: M
Age: 69
State: MI

Vax Date: 02/01/2021
Onset Date: 10/21/2021
Rec V Date: 10/22/2021
Hospital: Y

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

Lab Data:

Allergies:

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

Symptoms: positive covid test from assisted living

Other Meds:

Current Illness:

ID: 1807809
Sex: F
Age: 48
State: PR

Vax Date: 08/19/2021
Onset Date: 08/19/2021
Rec V Date: 10/22/2021
Hospital:

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

Lab Data: N/A

Allergies: N/A

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

Symptoms: 42 year old female patient was in observation are when she reported feeling dizzy. Vital signs were taken at 10:45 BP 130/50, P55, Sat 99. Patient was resting until someone came to pick her up. Patient looked anxious all the time while in observation area and refused to receive any help or transfer to a medical care institution.

Other Meds: N/A

Current Illness: N/A

ID: 1807810
Sex: F
Age: 61
State: TX

Vax Date: 04/20/2021
Onset Date: 05/20/2021
Rec V Date: 10/22/2021
Hospital:

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

Lab Data: EKG echocardiogram stress test calcium scoring heart monitor for 48 hours aortic scan - fine

Allergies: hay fever type allergies Aleve makes me depressed

Symptom List: Pain in extremity

Symptoms: A month after the vaccine, 05/20/2021- my arrhythmia from micro valve prolapse got significantly worse. I don't know if that is the vaccine or if that is just age, I just don't know. I went to my PCP, and he referred me to cardiologist.. It was in August, before I saw Dr. They put me through several heart related test. And now have me taking a Beta blocker, Metoprolol 25 mg od. The outcome was that my calcium score was only 16. My heart was strong. the heart monitor showed 23 pvc's a minute.

Other Meds: simvastatin 20 mg od multivitamins

Current Illness: I was having some joint pain

ID: 1807811
Sex: F
Age: 29
State: TN

Vax Date: 09/21/2021
Onset Date: 10/18/2021
Rec V Date: 10/22/2021
Hospital:

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

Lab Data: NONE REPORTED

Allergies: none reported

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

Symptoms: She said she has always been regular as a clock and she is now 4 days late. She has not been sick, stressed and has not lost or gained any weight.

Other Meds: PRENATAL VITAMIN, CALCIUM, VIT D

Current Illness: none reported

ID: 1807812
Sex: M
Age: 50
State: FL

Vax Date: 10/20/2021
Onset Date: 10/21/2021
Rec V Date: 10/22/2021
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: Morphine

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

Symptoms: Starting around 12:30 am 10-21-21 not able to sleep - delusional all day 10-21-21 - suddenly complaining of pain which has not been present for 2 months - inability to sleep night of 10-21-21 I spoke to the nurse practitioner for the facility yesterday as well as the administrator about his behavior which suddenly changed on 10/21/21

Other Meds: Quetiapine 100mg bedtime - Sertraline 100mg 1xday -Simvastatin 10mg at bedtime Tamsulosin 0.4mg 1xday Torsemiede 50mg 1xday Tramadol 50mg PRN every 4 hrs Carvedilor 3.125mg 2xday Eliquis 5mg 1 every 12 hours Famotidine 20mg 1xday Lactulo

Current Illness: 8-14-21 Covid positive - 5 IV's of Remdesivir Antiviral

ID: 1807813
Sex: F
Age: 70
State: PA

Vax Date: 04/16/2021
Onset Date: 09/02/2021
Rec V Date: 10/22/2021
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 test

Allergies:

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

Symptoms: After the vaccine I had no reaction at all but back in Sept my husband was negative on COVID but my grandson that lives with us and he complained of headache. My husband had cataract surgery and within 48 hours after the surgery we both had COVID. We don't know where we got it. And then I felt pressure in my chest, it got to a point that I could not walk, very fatigue, I had breathing symptom for 1 week, I could not walk more than 6 ft.

Other Meds: Super B Complex vitamin 50mg - daily D3 supplement 50mc 2000m unit - daily Duooxetone acldr 30mg -daily Etodoosc 400mg tablet - 2 daily as needed Foracid 1mg daily - 1 per day Hydroxychloroquine susy 200 mg - 2 per day. Maoodipine Besylate

Current Illness:

ID: 1807814
Sex: M
Age: 92
State: FL

Vax Date: 01/31/2021
Onset Date: 09/01/2021
Rec V Date: 10/22/2021
Hospital:

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

Lab Data: Antibody test

Allergies: None

Symptom List: Vomiting

Symptoms: Received both doses of the Pfizer Covid vaccine in January. By September, test reveled no antibodies. After 8 months, there should some evidence of antibodies (estimated 50%) and there were none.

Other Meds:

Current Illness: None

ID: 1807815
Sex: M
Age: 61
State: MO

Vax Date: 01/29/2021
Onset Date: 02/01/2021
Rec V Date: 10/22/2021
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: Demerol

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Pain and weakness in upper arm at site of shot. Restricted range of motion due to pain when arm is extended past certain range. This has been ongoing since first shot

Other Meds: Linsinopel,Sumatripan

Current Illness: none

ID: 1807816
Sex: F
Age: 44
State: NC

Vax Date: 04/16/2021
Onset Date: 09/15/2021
Rec V Date: 10/22/2021
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: Covid test

Allergies: No

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

Symptoms: Had a breakthrough of the COVID 19 virus after being fully vaccinated.

Other Meds: Cu bar, Montelukast, birth control

Current Illness: No

ID: 1807817
Sex: F
Age: 35
State: ME

Vax Date: 09/29/2021
Onset Date: 10/07/2021
Rec V Date: 10/22/2021
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: Apples

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Large rash area of injection site 5 inches in diameter. Red, raised bumpy. Painful, itchy and hot to touch. In 24 hours doubled in size. Pain down arm. Redness, swelling went away 1 week later. A day later numbness, tingling pain left side of face up into head and ear. Extremely painful to touch. Left side of throat, teeth upper and lower. 3 days later left leg be an bothering. Felt better 5 days later. Left side of face still uncomfortable, left eyelid feels heavy still.

Other Meds: Levothyroxine

Current Illness:

ID: 1807818
Sex: M
Age: 78
State: IL

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 10/22/2021
Hospital:

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

Lab Data:

Allergies: Tetanus Toxoid, absorbed.

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

Symptoms: Diarrhea, fatigue.

Other Meds:

Current Illness: IBS

ID: 1807819
Sex: M
Age: 73
State: FL

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

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

Lab Data: none

Allergies: none

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

Symptoms: Severe outbreak of skin blisters and rash. Extremely itch. Much worse than normal. Constant dizziness which is still present.

Other Meds: Eliquis 5mg

Current Illness: Heart failure afib

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am