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**
PLEASE CHECK BACK SOON
Download the files above while you wait.







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: 1813814
Sex: M
Age: 27
State: FL

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

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

Lab Data: Emergency room visit. No blood work taken, only a physical exam.

Allergies: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: The night of the day I received the shoot, I noticed a redness to my face along with a burning sensation. The next day (Oct 23) the redness had extended to my arms and the burning had intensified spreading to my ears. I went to the emergency room where the doctor concluded it was a reaction to the vaccine. He was going to administer a steroid but decided not to, wanting to avoid anymore "adverse reactions". Today (Oct 24) I woke with the rash (or hives) spreading to the rest of my body.

Other Meds: None

Current Illness: None

ID: 1813816
Sex: F
Age: 47
State: NC

Vax Date: 09/14/2021
Onset Date: 09/22/2021
Rec V Date: 10/24/2021
Hospital:

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

Lab Data: Chest Xray, EKG, D-Dimer Blood tests

Allergies: N/A

Symptom List: Anxiety, Dyspnoea

Symptoms: Shortness of breath, dizziness, chest tightness, unable to walk a flight of stairs, metalic/burned taste roof of mouth and top of tongue. Elefant sitting on chest. Someone chocking me. At times elevated blood pressure and pulse.

Other Meds: Turmeric Vitamin D

Current Illness: Migraines

ID: 1813817
Sex: M
Age: 45
State: ND

Vax Date: 10/03/2021
Onset Date: 10/04/2021
Rec V Date: 10/24/2021
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: Altered perception of temperature. No fever but increased feeling of warmth that persisted more than 3 weeks. Possible increase of metabolism. Not confirmed but measurable weight loss.

Other Meds:

Current Illness:

ID: 1813818
Sex: M
Age: 39
State: WA

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

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Couldn't breathe, nurse said i looked gray and i was sweating. Felt like i was going to throw up. They moved me to an area to monitor me longer., gave me food and water. . I still didn't feel good and they were holding down a 12- year-old girl who didn't want it. So they were busy with her so i went and sat in my car for a while and went home some 4:15.pm. My wife has a medical background and has a pulse and oxygen thing and stuff still. When i came home i immediately laid down. I don't know how long after but i woke to my wife shaking me. Mr pulse was 44 and blood oxygen was 88. She wanted to call 911. I refused. This morning my oxygen is 92. Still monitoring for rashes.

Other Meds:

Current Illness: Was sick but tested negative .

ID: 1813819
Sex: F
Age: 45
State: MN

Vax Date: 05/13/2021
Onset Date: 05/13/2021
Rec V Date: 10/24/2021
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: Iodine

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

Symptoms: Persistent migraine for 6 days, on-going visible change of appearance (color) and texture of skin around injection site that continues to persist even after 6 months

Other Meds: None

Current Illness: None

ID: 1813820
Sex: F
Age: 92
State: NV

Vax Date: 10/22/2021
Onset Date: 10/22/2021
Rec V Date: 10/24/2021
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: Unknown

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

Symptoms: The patient was given a 4th dose of Pfizer.

Other Meds: Unknown

Current Illness: Unknown

ID: 1813821
Sex: M
Age: 30
State:

Vax Date: 10/21/2021
Onset Date: 10/22/2021
Rec V Date: 10/24/2021
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: cardiac catheterization 10/23 ECHO 10/23

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: troponin elevation, chest pain, shortness of breath

Other Meds:

Current Illness:

ID: 1813822
Sex: M
Age: 39
State: SC

Vax Date: 04/16/2021
Onset Date: 09/06/2021
Rec V Date: 10/24/2021
Hospital:

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

Lab Data: PCR test on 9/7/2021

Allergies: Remicade, humira

Symptom List: Pharyngeal swelling

Symptoms: I got a breakthrough case of COVID 19

Other Meds: Pentasa, cimzia, colestipal

Current Illness:

ID: 1813823
Sex: F
Age: 58
State: CO

Vax Date: 03/24/2021
Onset Date: 04/04/2021
Rec V Date: 10/24/2021
Hospital:

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

Lab Data: MRI - 6/28/2021 - showed Parsonage Turner

Allergies: sulfa

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Sudden, unexplained, severe pain in left shoulder on Sunday night, 4/4/2021. This lasted several days to a week. Oral steroids helped with the pain. (Steroids prescribed for possible pinched nerve.) Then, I had unexplained, severe weakness in certain movements from shoulder. Doctors thought it was frozen shoulder, but after 8 weeks of PT, I had full range of motion with my arm overhead, but still had severe weakness in other movements, similar to rotator cuff tear injuries. There was no event to cause a RCT. An MRI on 6/28/21 showed: Parsonage Turner Syndrome (PTS) with supraspinatus and infraspinatus muscles impacted. I am seeing Dr., Physiatrist for this and am doing PT. Prognosis is that this could take 2 years or more to regain my normal strength, and may not gain it to 100%! Also - I had mild Thyroid Eye Disease prior to the vaccine. Around the same time the PTS started (week of 4/4/21), my TED symptoms worsened. Before that date, I had very mild bulging of one eye and an eyelid that would flare up a bit. Around the first week of April (10 days after the vaccine), my vision became impaired. At first, this was only at night. It was difficult to focus and I experienced some double vision. Was unable to read. This has worsened a bit more during the last few months, where this sometimes happens during the day as well as at night.

Other Meds: methimazole and omeprazole

Current Illness: Grave's Disease. And resulting from the Grave's: hyperthyroid and GERD-like symptoms.

ID: 1813825
Sex: F
Age: 73
State: AZ

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

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Cold. Dizzy Nauseated

Other Meds: Lovastatin Metroprolol

Current Illness: None

ID: 1813826
Sex: F
Age: 57
State: NJ

Vax Date: 10/06/2021
Onset Date: 10/10/2021
Rec V Date: 10/24/2021
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: None

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

Symptoms: Tingling and numbness in pinkie and ring finger left arm. Jerking left arm. As of 10 24 2021- tingling in rt leg. Heart palpitations

Other Meds: Multi vitamin

Current Illness: None

ID: 1813827
Sex: F
Age: 65
State: CT

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

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

Lab Data: None so far

Allergies: sensitivity to milk products sensitivity to latex

Symptom List: Rash, Urticaria

Symptoms: Rapid heart beat (>100 bpm), fever, chills, headache, exhaustion, muscle aches occurred during the entire day 10/24/2021 so far

Other Meds: Olmesartan Medoxomil HCTZ 20-12.5 mg 1x daily Pantoprazole Sod DR 40 1X daily Clonazepam .5 mg at bedtime Multivitamin 1X daily Vitamin D3 50 mcg 2000 iu 1X daily

Current Illness: None

ID: 1813828
Sex: M
Age: 52
State: OR

Vax Date: 10/19/2021
Onset Date: 10/19/2021
Rec V Date: 10/24/2021
Hospital:

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

Lab Data: None.

Allergies: None

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

Symptoms: Fever of 100 to 101.3 lasted about 26 hours. Achiness and tiredness corresponded with fever and took one day off of work. Headaches off and on have occurred periodically the entire time, including still on 10/23 and10/24. Headaches have been mild but uncomfortable and noticeable. Still a bit more tired than normal also.

Other Meds: Received shingrix vial kit and fluarix quad 21-22 at same time. Also a daily multivitamin/mineral pill from Costco over the counter.

Current Illness: None

ID: 1813829
Sex: M
Age: 21
State: TN

Vax Date: 10/16/2021
Onset Date: 10/21/2021
Rec V Date: 10/24/2021
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: At 0300 on Oct 21, 2021 I was rushed to hospital, they preformed an EKG once I arrived and it revealed I had a prolonged QT interval and a severely oscillating heart rate. They put me on guilds and gave me some magnesium to stabilize my heart rate then released me at 0815 the same morning.

Allergies:

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

Symptoms: 4 days after my vaccine, I was heading home when my left arm and left leg began to feel a slight tingly, I began to get light headed and naucious as well as having very deep breaths. Then I started to feel pressure in my chest. As the night persisted the pressure got worse and my breathing continued to get more shallow and deep.

Other Meds:

Current Illness:

ID: 1813830
Sex: F
Age: 63
State: DE

Vax Date: 10/20/2021
Onset Date: 10/20/2021
Rec V Date: 10/24/2021
Hospital:

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

Lab Data: None

Allergies: None

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

Symptoms: Approx 4 hours after shot had hot flashes and mild dizziness for about half an hour. Sat down for 15 min & it subsided. 2 hours later started to feel extremely fatigued & pain in left arm. Flu like symptoms & arm pain through the night & next morning. Morning of day after shot also had lower back pain on left side. Back & arm pain continued intermittently through the 2nd day. Took extra strength Tylenol. 3rd day had minor fatigue, diminished arm pain, worse back pain. Pain in arm & back worsened at night & unable to find comfortable sleeping position. Used spray muscle reliever. Morning of 4th day had minor back pain. Used heating pad a few times & pain is now mostly gone. Flu like symptoms also gone.

Other Meds: Indapamide, multi vitamin, D3, Tumeric

Current Illness:

ID: 1813831
Sex: F
Age: 32
State: SC

Vax Date: 10/22/2021
Onset Date: 10/22/2021
Rec V Date: 10/24/2021
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 yet

Allergies: Red food coloring #5 and yellow #5

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

Symptoms: Burning sensation on forearm accompanied by a red area of skin. Nothing helps the feeling

Other Meds: Prenatal vitamins-organic

Current Illness: None

ID: 1813832
Sex: M
Age: 64
State: IA

Vax Date: 10/04/2021
Onset Date: 10/04/2021
Rec V Date: 10/24/2021
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: No adverse event noted. Vaccine given outside of EUA

Other Meds:

Current Illness:

ID: 1813833
Sex: F
Age: 64
State: IA

Vax Date: 10/04/2021
Onset Date: 10/04/2021
Rec V Date: 10/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: No adverse reaction noted. Vaccine given outside of EUA

Other Meds:

Current Illness:

ID: 1813834
Sex: M
Age: 25
State: NJ

Vax Date: 10/16/2021
Onset Date: 10/16/2021
Rec V Date: 10/24/2021
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: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1813835
Sex: M
Age: 66
State: KS

Vax Date: 10/01/2021
Onset Date: 10/24/2021
Rec V Date: 10/24/2021
Hospital:

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

Lab Data: None yet

Allergies: Statins Iodine PCN

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

Symptoms: Swollen and very stiff rt arm multiple days

Other Meds: Lisinipril20 mg Rosuvastatin 20 mg Alpagan p glaucoma day drops Latanaprost-glaucoma night drops

Current Illness: None

ID: 1813836
Sex: F
Age: 44
State: WI

Vax Date: 10/14/2021
Onset Date: 10/14/2021
Rec V Date: 10/24/2021
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: Increased antihistamine use Increased asthma medication use

Allergies: Carbamazepine Cephalexin Sulfa Ibuprofen Tramadol

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

Symptoms: -got a giant lump (like half baseball) at injection arm, It was hot for days. - extremely itchy (generalized and injection site) - face and ears were flushed and warm and tingly/burning yesterday -flared asthma symptoms, increased dyspnea symptoms persisting over days - facial/ ear tingling - generalized rashing, itching and flushing

Other Meds: Current Outpatient Medications on File Prior to Visit Medication Sig Dispense Refill ? aspirin, chewable, 81 mg oral tablet Take 81 mg by mouth every day. ? budesonide (PULMICORT) 0.25 mg/2 mL inhalation nebulizer suspension Take 2 mL (0.

Current Illness: Asthma Inhalant allergies Headaches

ID: 1813837
Sex: M
Age: 35
State: CT

Vax Date: 10/16/2021
Onset Date: 10/16/2021
Rec V Date: 10/24/2021
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: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1813838
Sex: F
Age: 44
State: TX

Vax Date: 10/21/2021
Onset Date: 10/23/2021
Rec V Date: 10/24/2021
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: Swollen lymph node in injection arm continues in day 3 following injection, headache, fatigue

Other Meds: None

Current Illness: None

ID: 1813839
Sex: F
Age: 62
State: CT

Vax Date: 10/17/2021
Onset Date: 10/17/2021
Rec V Date: 10/24/2021
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: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

Date Died: 09/14/2021

ID: 1813840
Sex: M
Age: 58
State: VA

Vax Date: 08/24/2021
Onset Date: 08/31/2021
Rec V Date: 10/24/2021
Hospital:

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

Lab Data:

Allergies: sulfa

Symptom List: Injection site pain, Menorrhagia

Symptoms: Increasing weakness, diarrhea, urinary incontinence - tried antidiarrheal, fluid boluses, offered hospitalization (refused)

Other Meds: Aubagio 14 mg tablet take 1 tablet by oral route every day Vitamin D3 100 mcg (4,000 unit) capsule Take 2 capsule daily loperamide 2 mg tablet take 2 tablet by oral route after 1st loose stool and 1 tablet (2 mg) after each next bowel mo

Current Illness:

ID: 1813841
Sex: F
Age: 59
State: CT

Vax Date: 10/17/2021
Onset Date: 10/17/2021
Rec V Date: 10/24/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1813842
Sex: M
Age: 50
State: FL

Vax Date: 05/27/2021
Onset Date: 05/28/2021
Rec V Date: 10/24/2021
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: At home care only.

Allergies: CT Contrast

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Fever began to rise within 18 hours and spiked to 103.8 and stayed within .5 of that level for approximately 24 hours. Acetaminophen was not effective in reducing fever and ibuprofen was not able to be used due to other meds. Patient previously had COVID in October 2020 and had fully recovered within one week of diagnosis of COVID. Fever during COVID symptoms peaked at 101.5 and all other symptoms were mild and complete abated by October 20.

Other Meds: Repatha, Isosorbide Mononitrate; metoprolol tartrate; clopidogrel; rosuvastatin; aspirin; prilosec; nasacort; losartan; Men's One-A-Day multi-vitamin

Current Illness: None

ID: 1813843
Sex: F
Age: 63
State: UT

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

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

Lab Data: None

Allergies: None

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Sudden onset of excruciating sharp, stabbing pain in left chest, radiating pain to upper left shoulder and base of head, pain when taking deep breath. These symptoms started 3.5 hours after getting booster shot. I took 800 mg Advil shortly after pain started. Within 1.5 hours the pain was gone so I did not go to the Emergency Room.

Other Meds: D3 1000IU, Fish Oil 1400mg/980 Omega -3, Melatonin 3mg,Vitamin C 1000mg, Magnesium m400mg

Current Illness: None

ID: 1813844
Sex: M
Age: 52
State: CT

Vax Date: 10/17/2021
Onset Date: 10/17/2021
Rec V Date: 10/24/2021
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: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1813845
Sex: F
Age: 42
State: TX

Vax Date: 07/01/2021
Onset Date: 07/04/2021
Rec V Date: 10/24/2021
Hospital:

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

Lab Data: 7/4/2021: 2 EKG, first abnormal, 2nd normal. urinalysis. Bilirubin=small, ketones=80 mg/dL, Protein=Trace, Blood=small. 7/8/2021: metabolic panel: glucose 135 mg/dL, anion gap 8.4 mmol/L, ck 197 U/L. cbc MON% 8.3, RDW 16.8%

Allergies: none

Symptom List: Nausea

Symptoms: First ER visit: Sudden rapid heart rate on 7/4, ekg vent rate at 123 when checked at facility. Slowed itself over the course of 1.5 hours at facility. Second ER visit: Bad GI pain in specific areas one on right and one on left abdomin. Difficulty walking, laying, sitting etc unable to sleep due to abdominal pain, loss of appetite, mild dehydration. Became more intermittent over 2 weeks, after a month became mild and intermittent but still present at 4 months after vaccination.

Other Meds: vit D3 4000 IU/day, b12 2500 mcg/week

Current Illness: none

ID: 1813846
Sex: M
Age: 37
State: CT

Vax Date: 10/18/2021
Onset Date: 10/18/2021
Rec V Date: 10/24/2021
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: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1813847
Sex: M
Age: 36
State: NY

Vax Date: 04/01/2021
Onset Date: 09/17/2021
Rec V Date: 10/24/2021
Hospital:

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

Lab Data: MRI Cat scan EEG

Allergies: None

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

Symptoms: Grand maul seizure on September 17 2021. Lasted 16 minutes. Memory loss, repeat myself and can?t remember the names of specific items. Left Shoulder dislocation during violent seizure resulting in muscle and joint damage. currently taking 1500mg of Keppra daily.

Other Meds: Warfarin Lisinipril Maltoporal

Current Illness: None

ID: 1813848
Sex: F
Age: 56
State: MA

Vax Date: 10/23/2021
Onset Date: 10/23/2021
Rec V Date: 10/24/2021
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: Site: Bruising at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Additional Details: Pt said the injection site has a little blister there and it broke and little swelling and also a little brusing at the site. And also when pt is waiting for the 15minutes she felt tingling in her throat.

Other Meds:

Current Illness:

ID: 1813849
Sex: M
Age: 26
State: MI

Vax Date: 10/20/2021
Onset Date: 10/21/2021
Rec V Date: 10/24/2021
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: Penicillin

Symptom List: Tremor

Symptoms: Sore joints, sore throat, fever, mucus buildup

Other Meds: None

Current Illness: None

ID: 1813850
Sex: F
Age: 54
State: CT

Vax Date: 10/17/2021
Onset Date: 10/17/2021
Rec V Date: 10/24/2021
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: Erythema, Pruritus

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1813851
Sex: M
Age: 39
State: CT

Vax Date: 10/17/2021
Onset Date: 10/17/2021
Rec V Date: 10/24/2021
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: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

Date Died: 08/03/2021

ID: 1813852
Sex: M
Age: 94
State: NY

Vax Date: 07/07/2021
Onset Date: 08/03/2021
Rec V Date: 10/24/2021
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Cardiopulmonary Arrest/ Cardiac Death/Myocardial Rupture

Other Meds: Valsartan, Amlodipine Besylate, Atorvastotin

Current Illness: Hypertension, Dementia

ID: 1813853
Sex: F
Age: 24
State: CT

Vax Date: 10/17/2021
Onset Date: 10/17/2021
Rec V Date: 10/24/2021
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: Asthenia, Chills, Headache, Myalgia

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1813854
Sex: F
Age: 26
State:

Vax Date: 10/01/2021
Onset Date: 10/02/2021
Rec V Date: 10/24/2021
Hospital:

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

Lab Data:

Allergies: No known allergies

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

Symptoms: 1st shot: hives across the body lasted for over a week and began the day after the dose was received 2nd shot: dizziness 10 minutes after the injection followed by headache, fatigue, chills, and muscle aches across the body Treatment: contacted doctor to confirm appropriate treatment of hives

Other Meds: Levothyroxine Birth control Lexapro

Current Illness: None

ID: 1813855
Sex: M
Age: 24
State: CT

Vax Date: 10/17/2021
Onset Date: 10/17/2021
Rec V Date: 10/24/2021
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: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1813856
Sex: M
Age: 29
State: CT

Vax Date: 10/17/2021
Onset Date: 10/17/2021
Rec V Date: 10/24/2021
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: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1813857
Sex: F
Age: 28
State: CT

Vax Date: 10/17/2021
Onset Date: 10/17/2021
Rec V Date: 10/24/2021
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: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1813858
Sex: F
Age: 47
State:

Vax Date: 10/22/2021
Onset Date: 10/23/2021
Rec V Date: 10/24/2021
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: Around 09am on the 23 of October I woke up feeling pain all over my body fever with 99 degrees temperature. I was shivering and disoriented. Later in the evening I felt very nauseous and almost fainted. I quickly lay down it went away. The next day I felt 60% better but I couldn?t focus.

Other Meds:

Current Illness:

ID: 1813859
Sex: F
Age: 41
State: NY

Vax Date: 10/16/2021
Onset Date: 10/16/2021
Rec V Date: 10/24/2021
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: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1813860
Sex: M
Age: 31
State: NY

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

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

Lab Data: n/a

Allergies: n/a

Symptom List: Vomiting

Symptoms: Patient received 2nd dose of Pfizer and as he is seated waiting for his 15 minutes patient became lethargic and started fainting. Patient also experienced sweating, perspiration, shaking and vomiting. Ambulance was called and was taken to the hospital .

Other Meds: n/a

Current Illness: n/a

ID: 1813861
Sex: F
Age: 22
State: CT

Vax Date: 10/16/2021
Onset Date: 10/16/2021
Rec V Date: 10/24/2021
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: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1813862
Sex: M
Age: 55
State: IL

Vax Date: 09/17/2021
Onset Date: 09/24/2021
Rec V Date: 10/24/2021
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: 10/13 - ok - Comprehensive metabolic rate - CBC with diff - CT scan - ECG - 10/16 - OK - CRP - Sedimentation rate - Vit B12 - PSA - Vit D - Lipid Panel - 10/17 - OK - D-dimer 10/19 - OK - Troponin - CBC with differential

Allergies: None

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

Symptoms: 9/17 ? Second Dose Symptoms 9/18-19 ( Day1-2) ? General malaise ( Fever 100, muscle ache , flu like symptoms 9/19- 9/23 (Day 3-6) ? no symptoms 9/24 (Day 7) ? Rash appears on SYMMETRICAL shoulder front side and around neck line . Rash is small ~1 inch white areas with redness around. 9/25 (Day 8) ? initial rash gone , new rash appears under armpits down side of upper trunk 9/26 ( Day 9) ? Second rash gone , but new rash appears back in all previous areas ( shoulder /neck) 9/27 (Day 10) ? Rashes gone 9/28 ( Day 11) ? First symptoms of tingling in legs 9/29 ( Day 12- current ) - Daily symptoms that move around with following mainly ( most come and go within 2-3 hours ) Many times calf muscle tightening calf elastic band effect sensation thigh weakness felt when stepping down stairs lip slight numbness feel sometimes restricted breath hand tingling , slight numbness One time face numbness ( could not move eyes left right ) Both arms shoulder to hand numbness ? went to ER on 10/3 ? concern about a medical emergency related to heart . No specific chest pain , but out of breath.. By time seen , numbness receded . Doctor was not able to see full symptoms. Did GBS test for weakness ? no issue No other tests done. Overall symptoms continue daily ? VERY DISCONCERTING AS TO LONG TERM EFFECT AND PROGRESION TO GBS 10/6 ( Day 19) ? weakness in legs lasted about a day. Still could walk up/down but can feel some lack od stamina . Continues with numbness in lips , throat , eyelids . 10/7 (Day 20) ? some weakness in lower arm , some tingling , light numbness . General fatigue of body. 10/9 ( Day 21) ? continues with general legs and arms weakness and tingling. Walked morning about 1 mile. Had some facial numbness went away. Afternoon had a .5 mile walk , came back and had thigh numbness and cramps. 10/10 (22) - morning muscle cramps had some difficulty walking but legs got normal after. All day fine minimal weakness through some errands , went for walk for 20 minutes in evening and flare up happened. Right foot sole became numb (no feel for scratch). Both legs numbness increased. Took a Tylenol. 1 hour later , normal feeling returned to foot but thighs still cramped at bedtime. 10/11 (23)- overnight flare up. Numbness in right foot gone but numbness in left foot started. Tingling on legs and arms. Numbness in arms overnight. Morning woke and started shaking off numbness. Numbness in left foot gone by early afternoon only. Cramps in legs continues. 10/12 (24) - numbness in different areas- left lower leg, head , heavy eyelids. Took an ibuprofen. 10/13 - left side of head down to throat area full throbbing numbness went to ER. Concerned about Bells Palsy. By the time saw doctor it went away. That night had convulsions woke up as muscles were spasming. CT scan of brain OK , EKG ok , blood tests OK. 10/14 - relatively ok day 10/15 - 10/16 - skin became sensitive feels almost like I have a sunburn. Everything is warmer then normal (water feels hot) cool breeze feels like menthol cool. 10/17 -Burning skin symptoms continue. Left leg seems to have a A small drag of the foot. Went to ER for concerning symptoms. D-Dimer test OK. Referred to Neurologist but appointment is not immediate. 10/18- got a small feeling around waist like a slight tingling. Not sure if this is like MS hug. 10/19- got severe stomach cramping , ring around waist also there all day. Stomach became hard , went to ER All bloods OK , but had to leave before diagnosis since it improved. Waited for 9 hrs there. 10/20- started feeling burning on feet , had numbness on and off. 10/21- numbness moving up calfs , motor not affected. 10/22- numbness also above knees. Wavers in and out. Motor still ok. Toe wiggling not affected but numbness on bottom of feet sometimes tingling feels like stepping on pebbles. 10/23- numbness in both legs continues , getting numbness on forehead a bit of headache. 10/24 - numbness of skin on both legs above knees continues. Motor weakness in and out but symptoms seem to progress.

Other Meds: No prescriptions Daily multivitamin

Current Illness: None

ID: 1813863
Sex: F
Age: 22
State: GA

Vax Date: 10/16/2021
Onset Date: 10/16/2021
Rec V Date: 10/24/2021
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: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1813864
Sex: F
Age: 32
State: PA

Vax Date: 09/26/2021
Onset Date: 09/26/2021
Rec V Date: 10/24/2021
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 known

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

Symptoms: The patient stated that after the vaccine and on and off for the last 4 weeks she has had an uncomfortable ache in the bicep area of her arm. It does not hurt to the touch and she can perform her normal activities. She had the normal site pain at the injection site but that resovled after a few days but the ache continues in the bicep area. She said it doesn't hurt all the time, it comes and goes and she can usually work through it. She received her second injection on 10/24/21 and said she now has the same feeling again in her bicep area. The patient stated it was not severe enough to contact her physician.

Other Meds: Adderall 10mg

Current Illness:

ID: 1813865
Sex: F
Age: 33
State: NY

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

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

Lab Data: Blood work and urine sample all normal; Also conducted an abdominal and vaginal ultrasound where placenta appeared very close to the cervix. Baby?s vitals were fine.

Allergies: None

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

Symptoms: Vaginal bleeding at 19 weeks and 0 days pregnant (estimated due date 03/20/2022). 2nd pregnancy and 1 previous birth (full-term at 39 weeks, 8 pounds 3 ounces on 06/20/2020). Bright red with medium flow along with cramping at 8 AM. Called OB and was sent to ER to be evaluated. Bleeding stopped and I was discharged with no active threat. Placenta looked very close to cervix in emergency room ultrasound (which they thought was the cause of the bleeding). Instructed to follow-up with a detailed ultrasound this week and my OB, pelvic rest and light activity only. No history of vaginal bleeding in this pregnancy or 1st pregnancy. No complications in this pregnancy or prior pregnancy.

Other Meds: Prenatal vitamin

Current Illness: None at the time, stomach flu 3 weeks before

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am