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: 1817897
Sex: M
Age: 19
State: CA

Vax Date: 08/23/2021
Onset Date: 08/23/2021
Rec V Date: 10/26/2021
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: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1817898
Sex: M
Age: 61
State: FL

Vax Date: 10/25/2021
Onset Date: 10/25/2021
Rec V Date: 10/26/2021
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: In the waiting area, after pt got their shot they started appearing woozy and sweating. Pt said their pressure felt low and ice packs and water were given, as well as alcohol under the nose. Pt breathing appeared normal, and their blood pressure was normal. Pt feet were elevated and he was laid down on the floor. Pt took some time to recover and returned to a seated position. The pt later decided to leave, however they still felt woozy and still not fully capable of walking. Pt took some more time to recover. Later the pt was able to leave and appeared awake, alert and oriented as they did previous to the vaccination. Pt was accompanied by their wife.

Other Meds:

Current Illness:

ID: 1817899
Sex: M
Age: 51
State: CA

Vax Date: 08/24/2021
Onset Date: 08/24/2021
Rec V Date: 10/26/2021
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: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1817900
Sex: M
Age: 38
State: KY

Vax Date: 04/07/2021
Onset Date: 09/13/2021
Rec V Date: 10/26/2021
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: Tested Positive for Covid

Other Meds:

Current Illness:

ID: 1817901
Sex: M
Age: 39
State: CA

Vax Date: 08/24/2021
Onset Date: 08/24/2021
Rec V Date: 10/26/2021
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: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1817903
Sex: M
Age: 32
State: CA

Vax Date: 08/24/2021
Onset Date: 08/24/2021
Rec V Date: 10/26/2021
Hospital:

Vax Type: FLUC4
Manufacturer: SEQIRUS, INC.
Vax Name: INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)
Lot: 276563
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1817904
Sex: F
Age: 33
State: WI

Vax Date: 03/11/2021
Onset Date: 10/25/2021
Rec V Date: 10/26/2021
Hospital:

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

Lab Data: Positive COVID-19 NAAT test on 10/25/2021

Allergies: amoxicillin

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Positive COVID-19 NAAT test on 10/25/2021

Other Meds: Low-Ogesterel, loratadine, Flonase

Current Illness: none

ID: 1817905
Sex: F
Age: 57
State: NJ

Vax Date: 10/18/2021
Onset Date: 10/18/2021
Rec V Date: 10/26/2021
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: Pharyngeal swelling

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1817906
Sex: M
Age: 44
State: NY

Vax Date: 10/12/2021
Onset Date: 10/12/2021
Rec V Date: 10/26/2021
Hospital:

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

Lab Data: EKG stable 14 Oct 21

Allergies: Amox/sulfa

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Headache immediately upon vaccination, which lasted x4 days. Treated with Excedrin Migraine. Fever, chills, sweating 8 hrs post vaccination. Syncopal episode with loss of breathing 48 hrs laters, accompanied by sweating and chills. Attended to by ambulance. Arm pain at injection site x6 days. General malaise x3 days.

Other Meds: Amlodipine-Benazapril 40/10; Carvedilo 20, x2; Allopurinol 300

Current Illness: none

ID: 1817907
Sex: F
Age: 75
State: ME

Vax Date: 10/25/2021
Onset Date: 10/25/2021
Rec V Date: 10/26/2021
Hospital:

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

Lab Data: NONE

Allergies: ACTONEL, CITRIC ACID SOLUTION, CITRUS, EVISTA, LEXAPRO, ZITHROMAX, ZOLOFT, PFIZER-BIONTECH COVID 19 VACC

Symptom List: Diarrhoea, Nasal congestion

Symptoms: METALLIC TASTE, NUMBNESS & TINGLING ON LIPS AND TONGUE

Other Meds: COMBIGAN, DORZOLAMIDE, LISINOPRIL, LUMIGAN, MULTIVITAMINS, OMEPRAZOLE, VENLAFAXINE, VITAMIN D3

Current Illness: NONE

ID: 1817908
Sex: F
Age: 52
State: TX

Vax Date: 08/18/2021
Onset Date: 08/19/2021
Rec V Date: 10/26/2021
Hospital:

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

Lab Data: 8/30/2021 EKG, Lung exam, Covid test, MRI.

Allergies: None.

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

Symptoms: Muscle spasms and pain. Difficulty breathing. No treatment.

Other Meds: Vitamin B-12, Vitamin D.

Current Illness: None.

ID: 1817909
Sex: F
Age: 70
State: CA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 10/26/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1817910
Sex: F
Age: 80
State: CO

Vax Date: 10/20/2021
Onset Date: 10/22/2021
Rec V Date: 10/26/2021
Hospital: Y

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

Lab Data: Basic Metabolic Panel, CBC No Auto Diff, Procalcitonin, Lactate Whole Blood, ECG 12-Lead, Troponin I, XR Chest Single View , NT-PROBNP, Respiratory Viral Panel

Allergies: None

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

Symptoms: The patient developed symptoms of pneumonia 2 days after receiving shot and was admitted to the hospital for pneumonia 3 days following the shot.

Other Meds: Amlodipine, Atorvastatin, losartan, clopidogrel, levothyroxine, vitamine b-12, vitamin d3

Current Illness: None

ID: 1817911
Sex: F
Age: 31
State:

Vax Date: 10/05/2021
Onset Date: 10/05/2021
Rec V Date: 10/26/2021
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: Patient reported feeling an involuntary need to sit down immediately upon standing about 12-hours after receiving her first dose of the Pfizer COVID-19 vaccine on 10/05/2021. Patient denied feeling dizzy or faint, denied actual syncope or any sort of loss of consciousness. She said she simply felt the need to sit down after standing. She felt that she recovered by the next morning. This was reported after her second dose of the COVID19 vaccine was administered, despite being screened for symptoms prior.

Other Meds:

Current Illness:

ID: 1817912
Sex: M
Age: 13
State: MO

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

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

Symptoms: Wrong vaccine given to patient.

Other Meds: Multivitamin, Sertraline, Iron

Current Illness: none

ID: 1817913
Sex: M
Age: 75
State: CA

Vax Date: 09/25/2021
Onset Date: 09/25/2021
Rec V Date: 10/26/2021
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1817914
Sex: M
Age: 62
State: NC

Vax Date: 03/04/2021
Onset Date: 03/12/2021
Rec V Date: 10/26/2021
Hospital:

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

Lab Data: Sonogram of right leg 4/01/2021

Allergies: Codeine, Tramadol

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

Symptoms: Pain in right leg . Saw physician and doppler studies of right leg showed DVT

Other Meds: Flomax,Pepcid,metformin,crestor,zetia,benicar,norvasc,Vit D

Current Illness: none

ID: 1817915
Sex: M
Age: 35
State: CO

Vax Date: 10/23/2021
Onset Date: 10/25/2021
Rec V Date: 10/26/2021
Hospital:

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

Lab Data: None yet.

Allergies: None

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Painful axillary adenopathy, with associated soft tissue swelling. From the mid-axillary line down, there is a tennis-ball size swelling that is painful and worsening.

Other Meds: Colchicine Allopurinol

Current Illness: None

ID: 1817918
Sex: F
Age: 74
State: CA

Vax Date: 09/25/2021
Onset Date: 09/25/2021
Rec V Date: 10/26/2021
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: 1817919
Sex: F
Age: 38
State: KY

Vax Date: 01/28/2021
Onset Date: 09/09/2021
Rec V Date: 10/26/2021
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: Tested Positive for Covid

Other Meds:

Current Illness:

ID: 1817920
Sex: M
Age: 54
State: OH

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 10/26/2021
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: per Patient: 2 months after injury x-ray; 6 months after injury MRI that showed no nerve damage

Allergies: erythromycin

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

Symptoms: Patient stated that he vocalized to the vaccinator at the time of injection "I felt that. I really felt that". Patient states that he had immediate pain with no swelling or redness. Patient stated 2 months after injury he told his doctor of the injury during a visit and the recurring pain. Dr. ordered x-ray and Patient started physical therapy. Patient stated that 6 months after claimed injury that he had a MRI of shoulder and that it showed no nerve damage. As of 10/25/21, Patient states that he is still having pain and was referred to a shoulder specialist by his doctor.

Other Meds: unknown

Current Illness: unknown

ID: 1817922
Sex: F
Age: 63
State: MD

Vax Date: 04/12/2021
Onset Date: 04/22/2021
Rec V Date: 10/26/2021
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: Dairy, gluten, eggs, chocolate, onions, garlic, tomatoes. Duloxetine, Levimir insulin, fentanyl, other synthetic opiods, Aspirin- bleeding

Symptom List: Unevaluable event

Symptoms: On 4/22/21 she developed moderately pruritic rash with petechial hemorrhage covering the forearm of the vaccinated arm. The erruption lasted 2 weeks, then gradually faded.

Other Meds: Augmetin ER one twice a day Kdur 20mg twice a day Tirosint 88 mcg daily B12 injections

Current Illness: None.

ID: 1817923
Sex: M
Age: 39
State: FL

Vax Date: 10/21/2021
Onset Date: 10/22/2021
Rec V Date: 10/26/2021
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: Maculopapolar rash - head to feet distribution. May or may not be related to the vaccine, as patient started two other medications within three weeks of rash onset.

Other Meds: Metformin started 3 weeks ago, Farxisa started 3 days prior to vaccine

Current Illness:

ID: 1817924
Sex: F
Age: 72
State: MI

Vax Date: 04/29/2021
Onset Date: 10/23/2021
Rec V Date: 10/26/2021
Hospital: Y

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: emergency department due to shortness of breath, hypoxia. Patient states his symptoms have been progressively worsening over the last 3-4 days

Other Meds:

Current Illness:

ID: 1817925
Sex: F
Age: 28
State: FL

Vax Date: 10/23/2021
Onset Date: 10/24/2021
Rec V Date: 10/26/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain, Menorrhagia

Symptoms: Chills and shaking from around 12:15 AM - 4 AM, sweating, feeling feverish, horrible headache from around 4 AM - 7 AM, feeling feverish, sweating, headache remainder of day (7AM - 9 PM)

Other Meds: Synthroid, Prenatal tablet

Current Illness: None

ID: 1817926
Sex: F
Age: 31
State: OK

Vax Date: 10/12/2021
Onset Date: 10/12/2021
Rec V Date: 10/26/2021
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: All my joints hurt severely. It started after I received the vaccine and has progressively gotten worse. I keep waiting for it to get better, since I read that side effects can take up to two weeks to go away, but I feel worse today than ever. I have never had joint pain like this before. It's in every joint. My ankles swole up that same day and have still not gone down. My feet, ankles, and knees are the worst but I didn't start having extreme pain in my back, elbows, and hands until 5 days after the vaccine. It's as if it's rising. I also had a fever of 104 the night I received the vaccine. I read that is normal. I do not have health insurance and can not afford to see a doctor. I have also felt very tired since receiving the vaccine. I am usually full of energy but can not get my energy back. I have been drinking plenty of water.

Other Meds: None

Current Illness: Cold, tested negative for COVID 8 days prior

ID: 1817927
Sex: M
Age: 86
State: TN

Vax Date: 10/25/2021
Onset Date: 10/25/2021
Rec V Date: 10/26/2021
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: Error: Wrong Vaccine Formulation (ex. different manufact. initial and booster)-

Other Meds:

Current Illness:

ID: 1817928
Sex: F
Age: 70
State: OH

Vax Date: 10/23/2021
Onset Date: 10/23/2021
Rec V Date: 10/26/2021
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: Aleve

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Body aches, fatigue, headache within 7 hours with complete resolution 7 hours after onset.

Other Meds: Losartan

Current Illness: N/A

ID: 1817929
Sex: F
Age: 70
State: FL

Vax Date: 10/23/2021
Onset Date: 10/24/2021
Rec V Date: 10/26/2021
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: sulphur

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

Symptoms: Total loss of bladder control for a period of about 30 hours.

Other Meds: blood pressure -vitamins-high cholestrol

Current Illness: none

ID: 1817930
Sex: F
Age: 24
State: NJ

Vax Date: 10/18/2021
Onset Date: 10/18/2021
Rec V Date: 10/26/2021
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: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1817931
Sex: F
Age: 45
State: MD

Vax Date: 05/17/2021
Onset Date: 06/23/2021
Rec V Date: 10/26/2021
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: After the first and then second shot no periods (very stable in general) for 2 months and then they started with heavy bleeding and kept going for four weeks (vs usual 6 days with just 2-3 heavy days).

Other Meds:

Current Illness:

ID: 1817932
Sex: F
Age: 50
State: WI

Vax Date: 10/25/2021
Onset Date: 10/25/2021
Rec V Date: 10/26/2021
Hospital:

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

Lab Data: Blood sugar: 115 completed on 10/25/21

Allergies: Aspirin, Reglan

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

Symptoms: Had weakness, fatigue, sleepiness and external mouth tightness (like she had "chapped lips") for 5-10 minutes after the vaccine. Denies throat tightness.

Other Meds: ? ketorolac (TORADOL) 10 MG tablet ? albuterol 108 (90 Base) MCG/ACT inhaler ? omeprazole 20 MG tablet ? ondansetron (Zofran ODT) 4 MG disintegrating tablet ? ipratropium (ATROVENT) 0.06 % nasal spray ? hydroCORTisone (ANUSOL-HC) 2.5 %

Current Illness: headache, right knee pain

ID: 1817933
Sex: F
Age: 39
State: NJ

Vax Date: 10/16/2021
Onset Date: 10/16/2021
Rec V Date: 10/26/2021
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: Error: Improper Storage (temperature).

Other Meds:

Current Illness:

ID: 1817934
Sex: F
Age: 66
State: GA

Vax Date: 10/16/2021
Onset Date: 10/18/2021
Rec V Date: 10/26/2021
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: None

Symptom List: Tremor

Symptoms: Extreme pain in shoulder joint. Lasted 6 days.

Other Meds: Gabapentin levothyroxine

Current Illness: Liver cancer

ID: 1817935
Sex: F
Age: 77
State: MI

Vax Date: 02/22/2021
Onset Date: 10/25/2021
Rec V Date: 10/26/2021
Hospital: Y

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

Lab Data: COVID+ test on 10/25/21

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: COVID vaccine breakthrough case

Other Meds:

Current Illness:

ID: 1817936
Sex: M
Age: 37
State: NJ

Vax Date: 10/16/2021
Onset Date: 10/16/2021
Rec V Date: 10/26/2021
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:

ID: 1817937
Sex: M
Age: 84
State: MN

Vax Date: 01/19/2021
Onset Date: 10/23/2021
Rec V Date: 10/26/2021
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: POSITIVE COVID TEST 10/24/21

Allergies:

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

Symptoms: FALL, WEAKNESS, FEVER

Other Meds: amLODIPine (NORVASC) 2.5 mg oral tablet aspirin 81 mg oral chewable tablet atorvastatin (LIPITOR) 40 mg oral tablet lisinopril (PRINIVIL) 20 mg oral tablet Potassium Chloride 10 mEq oral extended release tablet

Current Illness: URINARY RETENTION

ID: 1817938
Sex: F
Age: 42
State: TX

Vax Date: 03/18/2021
Onset Date: 03/31/2021
Rec V Date: 10/26/2021
Hospital:

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

Lab Data: EKG - April 26, 2021 Cardiac Monitor - April 26- May 5, 2021 EKG - June 3, 2021 Nuclear Stress Test - June 18, 2021

Allergies: Ceclor

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Heart palpatations began within two weeks of the 2nd dose of the pfizer covid vaccine. Palpatations occured several times a day, causing a shortness of breath each time. In the beginning the palpatations were mild, but by mid-April they became stronger and more frequent. Primary physician performed an EKG 4/26/21 and a week with a cardiac monitor. The diagnosis was premature ventricular contractions. Primary physician referred me out to a cardiologist. In early June he cardiologist also performed and EKG and in mid-June a nuclear stress test. The diagnosis was the same - premature ventricular contractions. No further testing or treatments given. As of October 2021 (7 months after the 2nd dose of the covid vaccine) the PVCs persist. They are not as frequent or as forceful, but occur several times a day. Shortness of breath is still present with and without the PVCs occuring.

Other Meds: Lisinopril 10mg

Current Illness: None

ID: 1817940
Sex: F
Age: 34
State: OR

Vax Date: 10/22/2021
Onset Date: 10/22/2021
Rec V Date: 10/26/2021
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: Employee stated her arm started to itch later the same day she got the immunization and then by the two days the itching had spread all over her upper and lower torso. She took Benadryl at home but it was not helping with the itching.

Other Meds:

Current Illness:

ID: 1817941
Sex: F
Age: 76
State: KY

Vax Date: 03/10/2021
Onset Date: 08/29/2021
Rec V Date: 10/26/2021
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: Tested Positive for Covid

Other Meds:

Current Illness:

ID: 1817942
Sex: F
Age: 29
State: NJ

Vax Date: 10/16/2021
Onset Date: 10/16/2021
Rec V Date: 10/26/2021
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: 1817943
Sex: F
Age: 77
State: MI

Vax Date: 03/20/2021
Onset Date: 10/25/2021
Rec V Date: 10/26/2021
Hospital: Y

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

Lab Data: COVID+ test on 10/25/2021

Allergies:

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

Symptoms: COVID vaccine breakthrough case

Other Meds:

Current Illness:

ID: 1817944
Sex: F
Age: 40
State: IL

Vax Date: 04/14/2021
Onset Date: 04/23/2021
Rec V Date: 10/26/2021
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: dairy and gluten

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

Symptoms: Menses started a week early after first covid vaccine. Since vaccination her menses have been abnormally extremely painful. Since vaccination her cycles have gotten shorter. Prior to vaccination she had a predictable 25 day menstrual cycle . She said since vaccine starting with the cycle immediately following her cycle shortened to 21 days and more painful. She also has a day or two of spotting before her period starts that she did not have prior to getting the vaccine. To this day at her annual exam her periods are starting to get longer than 21 days but are not back to normal yet.

Other Meds: Amour thyroid

Current Illness: none

ID: 1817945
Sex: U
Age:
State:

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

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

Lab Data: na

Allergies:

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

Symptoms: neck stiff and sore within 10 minutes, knees stiff and sore within 30 minutes. still having stiff sore joints that pain increases with activity

Other Meds:

Current Illness:

ID: 1817946
Sex: M
Age: 41
State: NJ

Vax Date: 10/15/2021
Onset Date: 10/15/2021
Rec V Date: 10/26/2021
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: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1817947
Sex: F
Age: 34
State: NJ

Vax Date: 10/16/2021
Onset Date: 10/16/2021
Rec V Date: 10/26/2021
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: 1817948
Sex: M
Age: 22
State: OH

Vax Date: 04/23/2021
Onset Date: 06/01/2021
Rec V Date: 10/26/2021
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: mouth xray - June 2021 bite mark analysis - Sept 2021 bite test - October 26 2021 xray - October 26 2021 - PT may still be growing, possibly causing the TMJ Covid test - July 2021 - negative

Allergies: n/a

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

Symptoms: So back in June 2021 I had some pain where the TMJ is located so I saw my PCP who is located out of oh god I forget his office name. He told me to see my dentist so I did that last month, in September 2021. I am now getting a night guard and a TMJ specialist and I did. The specialist's concern is that it is a bite issue, due to continued growth and my teeth have shifted out of treatment. Just today (10/26/2021) they shaved down the teeth a little bit to make the bite a little better. The cause of the TMJ is completely unknown at this time. Also back in July I had some bacterial infection, but I work at a summer camp so who knows about that - It felt like pneumonia. It was hard to breath, I could not go to work and the medic on site at work checked me out. The day of rest did not fix it and my mother who is an RN said it was probably an infection of some kind. I got Z-pac and that seemed to clear it up within a few days.

Other Meds: Synthroid

Current Illness: n/a

ID: 1817949
Sex: M
Age: 66
State: SC

Vax Date: 10/25/2021
Onset Date: 10/26/2021
Rec V Date: 10/26/2021
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: After booster had chills fever and general aches and pains

Other Meds:

Current Illness:

ID: 1817950
Sex: M
Age: 63
State: NC

Vax Date: 04/14/2021
Onset Date: 04/28/2021
Rec V Date: 10/26/2021
Hospital:

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

Lab Data: 05/20/2021 3 CAT Scans- Fluid surrounding lungs; Went away after 8 weeks; 05/20/2021 Heart Stress test- Normal.

Allergies: None

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

Symptoms: 04/14/2021- Shortness of breathe, back pain, abdominal pain.

Other Meds: None

Current Illness: None

ID: 1817951
Sex: F
Age: 48
State: MI

Vax Date: 10/25/2021
Onset Date: 10/26/2021
Rec V Date: 10/26/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Fever, Vomiting, Fainted day after Received. Chills.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am