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: 1814079
Sex: F
Age: 48
State:

Vax Date: 09/07/2021
Onset Date: 09/07/2021
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:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Vaccine administered days after BUD established by manufacturer in refridgerator

Other Meds:

Current Illness:

ID: 1814080
Sex: F
Age: 21
State:

Vax Date: 09/08/2021
Onset Date: 09/08/2021
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:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Vaccine administered days after BUD established by manufacturer in refridgerator.

Other Meds:

Current Illness:

ID: 1814082
Sex: F
Age: 18
State:

Vax Date: 09/10/2021
Onset Date: 09/10/2021
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: Vaccine administered days after BUD established by manufacturer in refridgerator

Other Meds:

Current Illness:

ID: 1814083
Sex: F
Age: 59
State: MO

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: unknown
Dose Series: UNK
Vax Route:
Vax Site:

Lab Data: None

Allergies: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Severe itching and hives started 5 hours after vaccine, subsided in 2 hours, then restarted after 17 hours of vaccination with more severe itch and whole body rash, making it necessary to take antihistaminics

Other Meds: Multivitamins

Current Illness: None

ID: 1814084
Sex: M
Age: 48
State:

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

Symptoms: Vaccine administered days after BUD established by manufacturer in refridgerator

Other Meds:

Current Illness:

ID: 1814085
Sex: F
Age: 61
State: GA

Vax Date: 10/23/2021
Onset Date: 10/23/2021
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: None

Allergies: Cephalexin and Penicillin

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

Symptoms: Patient was given injection and asked to wait for 30 minutes due to allergy to penicillin. Patient has lots of other allergies so patient waited. Vaccine was given at 3:30p around 3:43pm patient said her throat felt a little funny. Patient was given water and asked if she felt she was having allergic reaction an she stated no. She said it just felt like she had a lump in her throat. After drinking water patient said that it wasn't getting worse and she could still swallow and breathe. I offered to inject with EpiPen and follow allergic reaction protocol and call 911 if she though she was having an anaphylaxis reaction, however patient declined. She said she was going to just go home and take a Benadryl. Patient had more water and waited for the full 30 minutes. Patient said she was fine her throat just felt sore a potentially a little swollen. I offered multiple times to call 911, but patient said she was fine. When she left patient said she felt better. Patient called next day 10/24/21 and said she felt very under the weather with fever and chills. She said her throat felt better but still a little sore. She said she had to take Benadryl a couple of times, but throat swelling never worsened. I advised patient to follow up with doctor and if any reaction started worsening to call 911.

Other Meds: Meloxicam, Meclizine, Linzess, Furosemide, Valsartan, zolpidem

Current Illness: None

ID: 1814086
Sex: F
Age: 45
State: FL

Vax Date: 09/17/2021
Onset Date: 09/18/2021
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: Pyrexia, White blood cell count decreased

Symptoms: Next day after the second shot 9-18-21 got mild fever, dody aches and heavy pain coming from my lower back. Sunday the 19th of September fever went away but the the heavy pain from my lower back remains. The pain started to go beyond my lower back to lower abdonal area and hips acompanined with fatige. Whitin a week a redness on my face and sort of rash started to developed on my torso as well. Pain start to spread from my neck, arms, back, hips and thighs. Also pain on my skin when it is touched. I visited Walking urgent care and I was prescribed with prednisone for 2 weeks on the 8th of October. The prednisone apparently started to work but once finished with medication the sympots on my skin worsen and body pain, fatige and tireness remains today.

Other Meds: None

Current Illness: None

ID: 1814087
Sex: F
Age: 50
State: WA

Vax Date: 04/08/2021
Onset Date: 04/09/2021
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: Blood work tested due to how the poorly I was feeling still months after the vaccine.

Allergies: cashews, cinnimon, other allergies unknown

Symptom List: Pharyngeal swelling

Symptoms: Starting the following day I felt ill. I got chills about 30 hours after the shot. I felt very tired and sick for the next three day. After that things got a little better but I still felt very run down and tired. I went to my doctor and he ran some blood work. I saw the doctor in June of 2021 but couldn't get the blood work done till July of 2021. The blood work came back with a platelet level fo 126. I have never tested low before. My prior count on a blood plannel 9 month prior to this test was at 170, with in the normal range. I am feeling much better now. I have been focusing on good food and walking and my platelet level came back at 146 in Sept 2021. I am not feeling as tired all the time, like I did.

Other Meds: None

Current Illness: None

ID: 1814088
Sex: F
Age: 24
State:

Vax Date: 09/13/2021
Onset Date: 09/13/2021
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:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Vaccine administered days after BUD established by manufacturer in refridgerator

Other Meds:

Current Illness:

ID: 1814089
Sex: F
Age: 33
State: MN

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: Codine zofram

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Fever of 101.2 Vomiting Cold body aches Headache

Other Meds:

Current Illness: Chronic diarrhea

ID: 1814090
Sex: F
Age: 30
State: FL

Vax Date: 08/08/2021
Onset Date: 08/13/2021
Rec V Date: 10/24/2021
Hospital:

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

Lab Data: At ER--chest xray and EKG--unsure of results but assuming they were normal Holter Monitor ordered by primary care doctor- (worn Sept. 1 and returned Sept. 4) results--extra heartbeat

Allergies: none

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

Symptoms: Heart pounds slowly or has fluttering feeling, pulse rate drops, shortness of breath. Went to ER because symptoms were getting worse and was diagnosed with bradycardia. Followed up with primary care physician and was ordered a Holter monitor. Doctor saw extra heartbeats and has referred me to a cardiologist as a precaution. The heart pounding, fluttering, slower pulse, and occasional shortness of breath are still occurring to this date. Some days I do not notice it and think it has gone away, but it returns a few days later. On those days it may occur anywhere from 5 times a day to more times than I can keep track of.

Other Meds: Nature Made Prenatal Vitamin

Current Illness: none

ID: 1814091
Sex: M
Age: 50
State: CO

Vax Date: 04/10/2021
Onset Date: 04/10/2021
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:

Allergies: none

Symptom List: Rash, Urticaria

Symptoms: Pulse over 100 BPM for at least 6 hours, stabbing chest pains, fever, chills, severe joint pain. I could feel my heart beat throughout entire body, I am extremely cardio fit and routinely get my pulse to 185+, but this felt very wrong at 100 BPM. Very deep pounding. Most symptoms resolved in 24 hr. Pulse returned to normal, but did not feel right with exercise for about 6 weeks.

Other Meds: none

Current Illness: none

ID: 1814092
Sex: F
Age: 31
State:

Vax Date: 09/13/2021
Onset Date: 09/13/2021
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:

Allergies:

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

Symptoms: Vaccine administered days after BUD established by manufacturer in refridgerator

Other Meds:

Current Illness:

ID: 1814093
Sex: F
Age: 39
State:

Vax Date: 09/14/2021
Onset Date: 09/14/2021
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:

Allergies:

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

Symptoms: Vaccine administered days after BUD established by manufacturer in refridgerator

Other Meds:

Current Illness:

ID: 1814094
Sex: M
Age: 28
State:

Vax Date: 09/14/2021
Onset Date: 09/14/2021
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:

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

Symptoms: Vaccine administered days after BUD established by manufacturer in refridgerator

Other Meds:

Current Illness:

ID: 1814095
Sex: M
Age: 73
State: FL

Vax Date: 10/10/2021
Onset Date: 10/10/2021
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: none

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

Symptoms: Patient received a second dose of Fluad on 10/10/21. He received his first dose on 08/19/2021. Patient has had no side effects.

Other Meds: oxycodone/apap 5/325 latanoprost 0.005% opth solution ipratropium 0.06% nasal spray

Current Illness: none

ID: 1814096
Sex: M
Age: 73
State: FL

Vax Date: 10/19/2021
Onset Date: 10/19/2021
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: NON REPORTED

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

Symptoms: PATIENTS WIFE REPORTED ON 10/24/2021 IN AFTERNNON ASFTER 2PM THAT SINCE HER HUSBAND HAD SHOT HE FELT A BIT TIRED HOWEVER HE ALSO HAD A INCREASED HEART RATE HOWEVER HE DOES HAVE A PACEMAKER FOR 2 YEARS, THIS IS HIS 3RD DOSE HE DIDNT REPORT ANY SIDE EFFECT ON SCREENING BEFORE VACCINATION PER RECORDS AND VAR. WIFE SAID HIS HEART WAS BEATING FATSTER SHE DID NOT TELL WHAT THE HEART RATE WAS BUT HAD PUT A CALL INTO DR ON THURS-FRID10/21 AND 10/22 BUT DR DIDNT RESPOND SHE DIDNT WANT TO TAKE HIM TO HOSPITAL BECAUSE SHE TOUGH IT WASNT GOING TO BE A GOOD EXPERIENCE AS THEY WERE NEW TO NEIGHBOURHOOD, I EXPLAINED THE ONLY WAY THAT A DR COULD EXAMINE PATIENT IS IN PERSON AND THAT NW HOSPITAL OR CORAL SPRIS MEDICAL WERE BEST CHOICES TO GO ESPECIALLY IF THERE WAS SHORTNESS OF BREATH, SHE SAID THERE WAS BNO SHORTNESS OF BREATH AND HE WAS ABLE TO DO ACTIVITIES OF DAILY LIVING, THE FIRST DAY HE FELT TIRED JUST THE OTHER DAYS HIS HERAT RATE WAS UP. I RECCOMMENEDED AGAIN THAT SHE PAGE DR AND SHE TAKE HUSBAND TO ER IF SHE DIDNT GET A RESPONSE, SHE FELT RELUCTANT I SUGGESTED AGIAN ITS THE BEST WAY TO EVALUATE PATIENT AND ONLY WAY.

Other Meds:

Current Illness: PATIENT HAS HAD A PACEMAKER FOR 2 YEARS 08/22/2021 HAD A VERY BAD COUGH

ID: 1814097
Sex: F
Age: 55
State: OK

Vax Date: 09/12/2021
Onset Date: 09/14/2021
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: N/A

Symptom List: Ear pain, Hypoaesthesia

Symptoms: About 36-40 hours after getting the shot I could feel it breakup and go through my arm. I never experienced any symptoms @ the injection site but for about 10 days I felt miserable. I had high fevers severe flu like symptoms including body aches headaches muscle spasms and occasionally vomiting.

Other Meds: N/A

Current Illness: N/A

ID: 1814098
Sex: F
Age: 34
State:

Vax Date: 09/14/2021
Onset Date: 09/14/2021
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: Vaccine administered days after BUD established by manufacturer in refridgerator

Other Meds:

Current Illness:

ID: 1814099
Sex: M
Age: 18
State:

Vax Date: 09/14/2021
Onset Date: 09/14/2021
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:

Allergies:

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

Symptoms: Vaccine administered days after BUD established by manufacturer in refrigerator.

Other Meds:

Current Illness:

ID: 1814100
Sex: U
Age:
State: NC

Vax Date:
Onset Date:
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: None

Allergies:

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

Symptoms: Swelling of lymph nodes in left armpit with sharp pain in lowe inner bicep area with pain radiating from arm pit to sharp pain in bicep.

Other Meds:

Current Illness:

ID: 1814101
Sex: F
Age: 43
State: GA

Vax Date: 05/30/2021
Onset Date: 05/30/2021
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: NA

Allergies: Pork, eggs, pet dander, and environmental factors

Symptom List: Unevaluable event

Symptoms: Migraine and extreme fatigue

Other Meds: NA

Current Illness: NA

ID: 1814102
Sex: F
Age: 40
State:

Vax Date: 09/15/2021
Onset Date: 09/15/2021
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:

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

Symptoms: Vaccine administered days after BUD established by manufacturer in refridgerator

Other Meds:

Current Illness:

ID: 1814103
Sex: F
Age: 81
State: NJ

Vax Date: 10/19/2021
Onset Date: 10/20/2021
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: Trying to contact doctor, he is not in on Monday.

Allergies: NKA

Symptom List: Injection site pain, Pain

Symptoms: Congestion, fatigue, overall tiredness, feeling worse five days after receiving the COVID 19 J&J vaccine.

Other Meds:

Current Illness:

ID: 1814104
Sex: M
Age: 30
State:

Vax Date: 09/15/2021
Onset Date: 09/15/2021
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:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Vaccine administered days after BUD established by manufacturer in refridgerator

Other Meds:

Current Illness:

ID: 1814105
Sex: F
Age: 46
State: PA

Vax Date: 08/06/2021
Onset Date: 08/08/2021
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: None

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

Symptoms: Ringing in ears. Got the vaccine on 8/6/21 and the ringing started on 8/8/21. I am still hearing the ringing constantly in my ears and it it now 10/24/21. The ringing has never gone away and has stayed constant since 8/8/21.

Other Meds: None

Current Illness: None

ID: 1814106
Sex: M
Age: 74
State: KS

Vax Date: 10/01/2021
Onset Date: 10/09/2021
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: EKG , blood test , ct scan 10/09/2021

Allergies: None

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Chest pain with pulse rate vacillating between 60 - 160 rapidly back and forth

Other Meds: K2/d3

Current Illness: None

ID: 1814107
Sex: M
Age: 26
State:

Vax Date: 09/16/2021
Onset Date: 09/16/2021
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:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Vaccine administered days after BUD established by manufacturer in refridgerator

Other Meds:

Current Illness:

ID: 1814108
Sex: M
Age: 33
State: GA

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

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

Symptoms: when I woke up the next day my skin was itching and I had red hives on my arks legs and scalp. it still persist, doctor appointment scheduled to seek treatment.

Other Meds: none

Current Illness: none

ID: 1814109
Sex: M
Age: 30
State:

Vax Date: 09/17/2021
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: RA

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: Vaccine administered days after BUD established by manufacturer in refrigerator.

Other Meds:

Current Illness:

ID: 1814110
Sex: F
Age: 37
State: AZ

Vax Date: 07/13/2021
Onset Date: 10/24/2021
Rec V Date: 10/24/2021
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: None

Symptom List: Injection site pain

Symptoms: Pt hospitalized with covid pneumonia and hypoxia on 10/24/21

Other Meds: semaglutide, levothyroxine

Current Illness: None

ID: 1814111
Sex: M
Age: 59
State: WV

Vax Date: 09/23/2021
Onset Date: 10/11/2021
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: ct, ekg ,blood work .

Allergies: none

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

Symptoms: Started having pains in chest two weeks after the shot . Thought it was indigestion. The pain kept getting worse went from chest to his back as well. Called primary care physician was told to go directly to the er this was on the 18th of October . Was checked for a heart attack , has a ct and eg . Had blood work taken. was found to have three blood clots in my lung. Two in the bottom lobe and one on the top . Was given a shot of levinox was to to check back with his primary care dr . Went to primary care Thursday 21st of October. She checked everything and the only thing that caused the blood clots was the J&J shot , Was told he was very lucky he could have died , Am now gonna be on blood thinner for the rest of life,

Other Meds: arbuteral

Current Illness: none

ID: 1814112
Sex: M
Age: 21
State:

Vax Date: 09/17/2021
Onset Date: 09/17/2021
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: Vaccine administered days after BUD established by manufacturer in refridgerator

Other Meds:

Current Illness:

ID: 1814113
Sex: F
Age: 62
State:

Vax Date: 09/17/2021
Onset Date: 09/17/2021
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: Tremor

Symptoms: Vaccine administered days after BUD established by manufacturer in refrigerator.

Other Meds:

Current Illness:

ID: 1814114
Sex: M
Age: 58
State: KY

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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: N/A

Symptom List: Erythema, Pruritus

Symptoms: Metallic taste, fatigue, chills, swollen eyes.

Other Meds: N/A

Current Illness: N/A

ID: 1814116
Sex: F
Age: 63
State: OH

Vax Date: 01/07/2021
Onset Date: 01/07/2021
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: None, I am a medical professional, I work there, we all had side effects, no one in charge really cared.

Allergies: pcn, keflex, iodine

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

Symptoms: After first shot sick on couch for 3 days, lethargy, fever, aches, pains, headache, same symptoms as when i had covid August 28, 2020. Very much like flu symptoms, Called medical facility left messages, no one ever called me back. After second shot same symptoms for 1.5 days, less severe. For months after had left sided facial numbness from cheek up to eye, numbness and twitching. Also terrible pains in arms like a hot poker down inside middle of arms down into thumbs, both at the same time. Lasted for a good six months, has subsided now. Large golf ball size lump on right clavicle, lymph node enlargement, that lasted for at least a few weeks.

Other Meds: synthroid, duloxetine,vitamin C, . D3

Current Illness: none

ID: 1814117
Sex: M
Age: 60
State: VA

Vax Date: 09/29/2021
Onset Date: 10/06/2021
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: Unknown

Allergies: None

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

Symptoms: Customer reported that his arm was sore and swollen one week after receiving the second dose of Moderna vaccine. He mentioned that he took Benadryl on 10/23/21 along with ibuprofen which before, he only took ibuprofen. After taking both Benadryl and ibuprofen, he was able to raise his right arm. I advised him to seek medical attention for his arm as soon as possible and continue with Benadryl and ibuprofen.

Other Meds: Unknown

Current Illness: None

ID: 1814118
Sex: F
Age: 55
State: IN

Vax Date: 10/17/2021
Onset Date: 10/18/2021
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: I have seek urgent care evaluation as described above

Allergies: penicillin

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Started with left eye tearing and irritation. By Thursday let as if my outer corner of my eye was "plugged" or there was something foreign stuck . Symptoms progress to numbness from the corner of eye radiating to eye brow and down to my jaw. It was painful chewing/eating. Pain radiated on and off to my ear .I have seen MD at urgent care , MD lifted my eyelid examined them. I had eye drops installed and eye examined .Eye was free from any objects and scratch. I was told nothing was wrong with my eye. I was told my symptoms may be due to trigeminal neuralgia and additional diagnosis to considers temporal arteritis. My symptoms are still present with exception of eye tearing , eye fills much better, I still have facial numbness, last night had some additional right side numbness as well that resolved.

Other Meds: synthroid 50 mcg vit C 500mg zyrtec10 mg calcium 400mg vit D50 mcg zinc 50 mg vit B12 5000mcg

Current Illness: veracious venis

ID: 1814119
Sex: M
Age: 28
State:

Vax Date: 09/20/2021
Onset Date: 09/20/2021
Rec V Date: 10/24/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Vaccine administered days after BUD established by manufacturer in refridgerator

Other Meds:

Current Illness:

ID: 1814120
Sex: M
Age: 37
State:

Vax Date: 09/20/2021
Onset Date: 09/20/2021
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: Vaccine administered days after BUD established by manufacturer in refrigerator.

Other Meds:

Current Illness:

ID: 1814121
Sex: M
Age: 41
State: KY

Vax Date: 09/01/2021
Onset Date: 09/21/2021
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: None

Symptom List: Pain in extremity

Symptoms: Persistent and severe and worsening tinnitus that has not resolved, dental pain, neck pain, fatigue.

Other Meds: None

Current Illness: None

ID: 1814122
Sex: M
Age: 43
State:

Vax Date: 09/21/2021
Onset Date: 09/21/2021
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: Vaccine administered days after BUD established by manufacturer in refrigerator.

Other Meds:

Current Illness:

ID: 1814124
Sex: M
Age: 50
State:

Vax Date: 09/22/2021
Onset Date: 09/22/2021
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: Vaccine administered days after BUD established by manufacturer in refridgerator

Other Meds:

Current Illness:

ID: 1814125
Sex: F
Age: 19
State:

Vax Date: 09/23/2021
Onset Date: 09/23/2021
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: Vaccine administered days after B.U.D established by manufacturer in refridgerator

Other Meds:

Current Illness:

ID: 1814126
Sex: F
Age: 72
State: SC

Vax Date: 08/28/2021
Onset Date: 10/19/2021
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:

Allergies:

Symptom List: Vomiting

Symptoms: Patient received 2 doses of the fluAD. 1st dose: 8-28-2021 and 2nd dose: 10-19-2021

Other Meds:

Current Illness:

ID: 1814127
Sex: F
Age: 49
State:

Vax Date: 09/23/2021
Onset Date: 09/23/2021
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: Vaccine administered days after BUD established by manufacturer in refrigerator.

Other Meds:

Current Illness:

ID: 1814128
Sex: F
Age: 59
State: IN

Vax Date: 10/22/2021
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: RA

Lab Data: None.

Allergies: Penicillin, Erthroymycin, Metformin, Phenergan, Prozac, Decadron Bee, Wasp, Hornet Stings Celery

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

Symptoms: Flu-like Symptoms-- Severe body aches, extreme fatigue, lack of appetite.

Other Meds: Hydrocort, Fludrocort, Levothyroxine, Liothyronine, Januvia, Jardiance, Glimepiride, Topiramate, Atorvastatin, Citalopram, CoQ10.

Current Illness: None

ID: 1814129
Sex: M
Age: 58
State:

Vax Date: 09/23/2021
Onset Date: 09/23/2021
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: Vaccine administered days after BUD established by manufacturer in refridgerator

Other Meds:

Current Illness:

ID: 1814130
Sex: F
Age: 42
State: CA

Vax Date: 10/13/2021
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: RA

Lab Data:

Allergies: No

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

Symptoms: I have not had my period since receiving my first shot on 09/22/2021. After receiving my second shot I felt very fatigued and began having lucid dreams which have not gone away.

Other Meds: Zoloft

Current Illness: No

ID: 1814132
Sex: F
Age: 52
State: KY

Vax Date: 09/11/2021
Onset Date: 09/11/2021
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:

Allergies: STATIN ALLERGY/INTOLERANCE

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

Symptoms: Patient may have in error received a dose beyond recommended beyond use date (time) of 6 hours, and received a over diluted old vaccine product that had doses left to be used but not recommended to be used based of manufacturer recommendations.

Other Meds: CLINDAMYCIN, PROBIOTIC

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am