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: 1820662
Sex: M
Age: 29
State: TX

Vax Date: 09/09/2021
Onset Date: 09/09/2021
Rec V Date: 10/27/2021
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: 1820663
Sex: F
Age: 24
State: TX

Vax Date: 09/09/2021
Onset Date: 09/09/2021
Rec V Date: 10/27/2021
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: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1820664
Sex: F
Age: 32
State: TX

Vax Date: 09/03/2021
Onset Date: 09/03/2021
Rec V Date: 10/27/2021
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: 1820665
Sex: F
Age: 48
State: NJ

Vax Date: 10/26/2021
Onset Date: 10/26/2021
Rec V Date: 10/27/2021
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: Site: Itching at Injection Site-Mild, Systemic: Allergic: Itch Generalized-Mild

Other Meds:

Current Illness:

ID: 1820666
Sex: F
Age: 39
State: PA

Vax Date: 10/25/2021
Onset Date: 10/26/2021
Rec V Date: 10/27/2021
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: Penicillin

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

Symptoms: kidney pain- not like a UTI, pain in lower abdomen that wraps around back when urinating swollen right eye- woke up swollen from a nap on 10/26 at 5:30pm and remained swollen throughout the evening/night and was still swollen on 10/27/21 once awake at 5:45am.

Other Meds: Welbutrin, HUM vitamins

Current Illness: sinus infection

ID: 1820667
Sex: M
Age: 57
State: IN

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 10/27/2021
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: Penicillin

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

Symptoms: I had horrible joint pain beginning that evening. So bad that I could not sleep. My hands, hips, and feet were the worst. The pain has subsided somewhat over time, but is very bad certain days. It really bothers me in that it has suddenly changed my daily activity, lifestyle and comfort level. My hope was this would go away, but it is approaching 11 months with little change. I also wish to denote that I received my booster a few days ago. I received the Pfizer and had nearly no reaction to it. I only had mild discomfort at the injection site...

Other Meds: Vimpat Viibryd Trazadone

Current Illness: None

ID: 1820668
Sex: F
Age: 39
State: PA

Vax Date: 10/17/2021
Onset Date: 10/17/2021
Rec V Date: 10/27/2021
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: fevers, nausea, achy, right side of face swollen, bilateral eyes swollen, rash on left arm, swollen left arm, headache flushed

Other Meds: Tylenol Motrin Benadryl

Current Illness: none

ID: 1820669
Sex: F
Age: 36
State: IL

Vax Date: 07/30/2021
Onset Date: 07/30/2021
Rec V Date: 10/27/2021
Hospital:

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

Lab Data:

Allergies: N/a

Symptom List: Pharyngeal swelling

Symptoms: About two hours after vaccine, severe dry mouth continued for about 12 hours. At exactly 12 hours after vaccine, muscle aches, fatigue, chills, nausea all lasted for about 3 days. First menstrual cycle after vaccine, which occurred in august, was extremely heavy. It lasted about 10 days and was almost uncontrollable, accompanied by anemia. This is absolutely not normal while being on a well managed birth control regimen. September cycle was also heavier and longer, but not as bad.

Other Meds: Multivitamin, probiotic, birth control (Chryselle 28)

Current Illness: N/a

ID: 1820670
Sex: F
Age: 67
State:

Vax Date: 04/15/2021
Onset Date: 10/26/2021
Rec V Date: 10/27/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Admitted to Hospital on Date of Adverse Event [recorded in VAERS] for treatment of Covid-19 Positive following completion of Covid Vaccine Series

Other Meds:

Current Illness:

ID: 1820671
Sex: M
Age: 60
State: IN

Vax Date: 10/25/2021
Onset Date: 10/26/2021
Rec V Date: 10/27/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Nausea, headaches, sore arm

Other Meds: Lisinopril, novalig, seboxin, metatropal, amlodopine, busprone, atovastin

Current Illness: None

ID: 1820672
Sex: F
Age: 62
State: GA

Vax Date: 07/26/2021
Onset Date: 08/27/2021
Rec V Date: 10/27/2021
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: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: Pain and swelling in left arm. Pain in joints, Pain in every joint has persisted for months. Left elbow swollen to 2 inches. The swelling in the elbow still exist.

Other Meds:

Current Illness:

ID: 1820673
Sex: F
Age: 73
State:

Vax Date: 04/07/2021
Onset Date: 10/26/2021
Rec V Date: 10/27/2021
Hospital: Y

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: Admitted to Hospital on Date of Adverse Event [recorded in VAERS] for treatment of Covid-19 Positive following completion of Covid Vaccine Series.

Other Meds:

Current Illness:

ID: 1820674
Sex: M
Age: 36
State: OH

Vax Date: 10/20/2021
Onset Date: 10/20/2021
Rec V Date: 10/27/2021
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: N/A

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

Symptoms: Starting about 2PM 20oct, I started to feel extremely fatigued. I was falling asleep sitting down. Through out the remainder of the work day, I struggled to stay awake. Toward the end of the evening, 8PM or so, I developed a headache so I went to bed. I woke up at 530AM on the 21st with an extreme headache. I couldn't open my eyes longer than a few seconds, the room seemed to be moving in and out as if I was zooming in and out on a camera, and I was nauseous. I called off work and went back to sleep. I woke up at 930am and the headache intensity had subsided. I was still tired but got up and started moving around. The headache gradually went away throughout the day and but the morning of the 22nd, was gone.

Other Meds: N/A

Current Illness: N/A

ID: 1820675
Sex: M
Age: 39
State: TN

Vax Date: 10/08/2021
Onset Date: 10/10/2021
Rec V Date: 10/27/2021
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: Severe stiffness and muscle aches in back and neck

Other Meds:

Current Illness:

ID: 1820676
Sex: F
Age: 45
State: VA

Vax Date: 03/20/2021
Onset Date: 03/22/2021
Rec V Date: 10/27/2021
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: Corn, gluten, dairy, beef

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

Symptoms: Tinnitus. Symptoms started at night of the 2nd or 3rd day after the shot. The buzzing was so loud it made it hard to sleep. The buzzing continues throughout the day but it seems less loud possibly because of other sounds. It?s worse at night when it?s more silent. For over 3 weeks they were constant after which I had another dose and they started again. About 4-5 weeks after the second dose the ringing/buzzing lessens in volume and frequency, until now when I get it about 3 days a week, especially noticeable when I?m in silence/ away from noise whether at night or not. The buzzing is a great deal less than it was up into June/July of this year, but it is still there.

Other Meds: Thyroid medication

Current Illness:

ID: 1820677
Sex: F
Age: 46
State: OH

Vax Date: 08/14/2021
Onset Date: 08/15/2021
Rec V Date: 10/27/2021
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: Penicillin

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

Symptoms: Severe swelling in armpit on injection side

Other Meds: None

Current Illness: None

ID: 1820678
Sex: F
Age: 65
State: OH

Vax Date: 10/22/2021
Onset Date: 10/22/2021
Rec V Date: 10/27/2021
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: none

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

Symptoms: Pharmacist accidently gave me the Pfizer vaccine booster instead of the Moderna. My first two shots were Moderna. No adverse effects to date.

Other Meds: none

Current Illness: none

ID: 1820679
Sex: F
Age: 54
State: MD

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 10/27/2021
Hospital:

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

Lab Data: none

Allergies: none

Symptom List: Ear pain, Hypoaesthesia

Symptoms: typical fever chills, body aches for 48 hours. Couldn't get out of bed. Then just felt like I was in a fog for 3 weeks. Hard to explain, but just didn't feel "right". Hard to focus, didn't have the energy like I usually have. Normally I am active and healthy. I feel fine now.

Other Meds: doxycycline, losartan

Current Illness: none

ID: 1820680
Sex: F
Age: 35
State: KY

Vax Date: 10/10/2021
Onset Date: 10/10/2021
Rec V Date: 10/27/2021
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: Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Allergic: Rash Generalized-Medium

Other Meds:

Current Illness:

ID: 1820681
Sex: F
Age: 24
State: NJ

Vax Date: 10/14/2021
Onset Date: 10/14/2021
Rec V Date: 10/27/2021
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: Error: Wrong Dose of Vaccine - Too Low-

Other Meds:

Current Illness:

ID: 1820682
Sex: M
Age: 51
State: NJ

Vax Date: 10/14/2021
Onset Date: 10/14/2021
Rec V Date: 10/27/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Error: Wrong Dose of Vaccine - Too Low-

Other Meds:

Current Illness:

ID: 1820684
Sex: M
Age: 19
State: NJ

Vax Date: 10/16/2021
Onset Date: 10/16/2021
Rec V Date: 10/27/2021
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: 1820685
Sex: M
Age: 48
State: TX

Vax Date: 10/25/2021
Onset Date: 10/25/2021
Rec V Date: 10/27/2021
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: Error: Wrong Vaccine Formulation (ex. different manufact. initial and booster)-

Other Meds:

Current Illness:

ID: 1820686
Sex: F
Age: 69
State: OH

Vax Date: 10/23/2021
Onset Date: 10/25/2021
Rec V Date: 10/27/2021
Hospital:

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

Lab Data: None

Allergies: Sulfa Glimpazide

Symptom List: Injection site pain, Pain

Symptoms: Pain, redness, swelling, heat towards arm pit

Other Meds: Metformin Trulicity Tresiba Vit C Omeprazale Vit B12

Current Illness: None

ID: 1820687
Sex: M
Age: 52
State: TX

Vax Date: 09/06/2021
Onset Date: 09/06/2021
Rec V Date: 10/27/2021
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: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1820879
Sex: F
Age: 14
State: CA

Vax Date: 10/26/2021
Onset Date: 10/26/2021
Rec V Date: 10/27/2021
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: Systemic: Nausea-Mild, Systemic: Vomiting-Medium

Other Meds:

Current Illness:

ID: 1820880
Sex: F
Age: 37
State: MA

Vax Date: 10/02/2021
Onset Date: 10/03/2021
Rec V Date: 10/27/2021
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: Did not seek medical attention except for a PCR COVID test, which came back negative on 10/5/21

Allergies: N/A

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Chest pain intermittent for two days Shortness of breath continuous for about a week Fatigue for about a week Fever of 100-102 for 3 days Muscle/body aches for 3 days Headache for 4 days

Other Meds: Levothyroxine Calcitriol Atorvastatin Losartan Metformin Jardiance Humalog Lantus Calcium and vit D

Current Illness: Stomach bug week prior - Pcr test came back negative

ID: 1820881
Sex: M
Age: 37
State: VA

Vax Date: 09/28/2021
Onset Date: 10/12/2021
Rec V Date: 10/27/2021
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: Site: Swelling at Injection Site-Mild, Systemic: Bleeding from penis for 3 to 4 days 2 weeks after vaccine-Medium, Additional Details: Patient said that he was bleeding from his penis for 3 to 4 days and he says that it has to be from the covid vaccine even though was 2 weeks after the vaccine. He will follow up with provider to check whats the reason for the bleeding from the penis. He wanted me to report this anyways because he is almost sure it was the vaccine.

Other Meds:

Current Illness:

ID: 1820882
Sex: F
Age: 53
State: IN

Vax Date: 10/25/2021
Onset Date: 10/25/2021
Rec V Date: 10/27/2021
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. I called my family doctor, he said to put ice on it and take ibuprofen. Which I did.

Allergies: Penicillin, melons

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

Symptoms: First night I was up all night from the pain in my arm. I also had neck pain, and the base of my neck was swollen. Day two was the worse of the swelling and pain. I believe it is swollen lymphs nodes in my neck. I took my temperature on day two, it was 98.8. However I was tired and cold chills,, all day on day two and slept for 2 or 3 hours. Today is day three and I feel pretty normal. The swelling has gone down but still there and tender to the touch. No fever or cold chills..

Other Meds: ALLEGRA

Current Illness: None

ID: 1820883
Sex: F
Age: 68
State: TX

Vax Date: 09/07/2021
Onset Date: 09/07/2021
Rec V Date: 10/27/2021
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: 1820884
Sex: F
Age: 67
State: FL

Vax Date: 03/27/2021
Onset Date: 10/26/2021
Rec V Date: 10/27/2021
Hospital: Y

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

Lab Data: COVID-19 PCR test performed on 10/26/2021 and was positive.

Allergies:

Symptom List: Injection site pain

Symptoms: Patient presented with worsening SOB x 14 days. Patient also has productive cough, body aches, generalized, weakness fatigue and multiple episodes of non-bloody diarrhea.

Other Meds:

Current Illness:

ID: 1820885
Sex: F
Age: 32
State: AZ

Vax Date: 10/24/2021
Onset Date: 10/25/2021
Rec V Date: 10/27/2021
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 induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Systemic: Headache-Medium, Systemic: Numbness (specify: facial area, extremities)-Medium, Additional Details: pt reported that day after first dose experienced "worst migraine shes ever had" along with numbness in her fingers. reported that it went away within 24 hours

Other Meds:

Current Illness:

ID: 1820886
Sex: F
Age: 74
State:

Vax Date: 03/13/2021
Onset Date: 10/24/2021
Rec V Date: 10/27/2021
Hospital: Y

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: Admitted to Hospital on Date of Adverse Event [recorded in VAERS] for treatment of Covid-19 Positive following completion of Covid Vaccine Series

Other Meds:

Current Illness:

ID: 1820887
Sex: M
Age: 24
State: CA

Vax Date: 10/26/2021
Onset Date: 10/26/2021
Rec V Date: 10/27/2021
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: Error: Wrong Dose of Vaccine - Too Low-

Other Meds:

Current Illness:

ID: 1820888
Sex: M
Age: 50
State: TX

Vax Date: 09/09/2021
Onset Date: 09/09/2021
Rec V Date: 10/27/2021
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: 1820889
Sex: F
Age: 36
State: FL

Vax Date: 10/24/2021
Onset Date: 10/25/2021
Rec V Date: 10/27/2021
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: Penicillin and Ceclor

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

Symptoms: Red and hot rash at injection site. Muscle ache, Mild headache, Extreme fatigue, and Breakthrough bleeding.

Other Meds: simvastatin, Birth Control, vitamin C

Current Illness: N/A

ID: 1820890
Sex: F
Age: 36
State: TN

Vax Date: 10/26/2021
Onset Date: 10/27/2021
Rec V Date: 10/27/2021
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 per pt report

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

Symptoms: pt called office at 820am on 8/27/21 and stated around 12am she had fainted falling off her front porch and hitting her head

Other Meds: none per pt report

Current Illness: none

ID: 1820891
Sex: F
Age: 29
State: KS

Vax Date: 09/24/2021
Onset Date: 09/25/2021
Rec V Date: 10/27/2021
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: no

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Felt feverish the morning following the shot (about 24 hours later). Just really cold and could not get warm. Decided to take my temperature expecting a high one and it read 94.8. Thought maybe something was wrong with my thermometer and decided to try another one I had in the house. Read 95.0. Temperature stayed super low for about 4 hours (from about 0800 to 1200) and then finally went above 96 again. By that evening it was 97.8 which is pretty normal for me. I also had a swollen/puffy armpit on the right side (shot side) of my body for 10 days following the vaccine.

Other Meds: Birth control

Current Illness: none

ID: 1820892
Sex: F
Age: 65
State: NY

Vax Date: 08/12/2021
Onset Date: 09/10/2021
Rec V Date: 10/27/2021
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: Sulfur

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

Symptoms: Ringing in ears tinnitus

Other Meds: Methenamine hippurate I gm Betamethasone dipropionate lotion for scalp Vitamin c 250 daily B-12 1000mcg daily Fiber tabs daily Magnesium citrate 250 daily Florastor probiotic daily BudEsonide 80/4.5 mcg inhaler as needed

Current Illness: Lupus

ID: 1820893
Sex: F
Age: 49
State: TX

Vax Date: 09/03/2021
Onset Date: 09/03/2021
Rec V Date: 10/27/2021
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: 1820894
Sex: F
Age: 85
State: GA

Vax Date: 10/22/2021
Onset Date: 10/22/2021
Rec V Date: 10/27/2021
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: NKDA

Symptom List: Pain in extremity

Symptoms: Moderna Booster Dose 0.25ml given in L deltoid however the patient was here for FLU- NOT COVID-19 vaccine. The patient already received Pfizer x 3- last booster on 9/30/2021. An additional dose was received which was a medication error, no S/S of adverse effects or event as of Friday 10/22 or Monday 10/25.

Other Meds: coreg, claritin, diclofenac, eliquis, fluticasone, MV, setraline, synthroid, and valsartan

Current Illness: HTN, Hypothyroidism, Anxiety, Depression, A fib 9/23/2021 OV

ID: 1820895
Sex: M
Age: 33
State: MD

Vax Date: 10/26/2021
Onset Date: 10/26/2021
Rec V Date: 10/27/2021
Hospital:

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

Lab Data: None yet

Allergies: Allergies to Bee?s, and unknown drug administered during SLAP Repair Surgery in 2012

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

Symptoms: Tingling Skin: Within 1 hour, persisted for several hours, then subsided into clammy skin Headache: Within 1 hour, persisting to now Body soreness: Within 6 hours, persisting to now Dizziness: Within 6 hours, persisting to now Clammy Skin: 6 hours after, persisting to now Chest Pain: Morning After Difficulty breathing: Morning After Fainting: Morning After

Other Meds: N/A

Current Illness: N/A

ID: 1820896
Sex: F
Age: 33
State: NE

Vax Date: 10/24/2021
Onset Date: 10/24/2021
Rec V Date: 10/27/2021
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: Keflex Amoxicillin

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

Symptoms: Very large lymphoid in left armpit and extreme pain in left armpit and left arm.

Other Meds: Zovia 1/35 Synthroid 100 mcg

Current Illness: None.

ID: 1820898
Sex: F
Age: 70
State: PA

Vax Date: 10/24/2021
Onset Date: 10/24/2021
Rec V Date: 10/27/2021
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

Allergies: adhesive, iodine

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

Symptoms: vomiting for 8 hours, starting at 6 am on 10/27/21, headache, arm and shoulder pain

Other Meds: benazepril 40mg, rosuvastatin 10mg

Current Illness: none

ID: 1820899
Sex: F
Age: 45
State: NJ

Vax Date: 10/14/2021
Onset Date: 10/14/2021
Rec V Date: 10/27/2021
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: Wrong Dose of Vaccine - Too Low-

Other Meds:

Current Illness:

ID: 1820900
Sex: F
Age: 68
State: GA

Vax Date: 10/13/2021
Onset Date: 10/23/2021
Rec V Date: 10/27/2021
Hospital: Y

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

Lab Data: CTA

Allergies: Bentyl Ceclor Cipro Darvocet A500 Demerol Lipitor Magnesium Percocet 10/325 Ritalin azithromycin diclofenac iodine penicillin simvastatin sulfa drugs

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Pulmonary embolism with symptoms developing within several days of vaccination with third dose/booster of MRNA vaccine, unclear whether moderna or pfizer

Other Meds: Aleve 220 mg oral capsule, 440 mg= 2 cap, Oral, Once ALPRAZolam, Oral aspirin Breo Ellipta 100 mcg-25 mcg/inh inhalation powder, 1 puffs, Inhalation, Daily carBAMazepine 300 mg oral capsule, extended release, 300 mg, Oral, Daily Cymbal

Current Illness: Myasthenia gravis discoid lupus trigeminal neuralgia

ID: 1820901
Sex: F
Age: 50
State: NJ

Vax Date: 10/14/2021
Onset Date: 10/14/2021
Rec V Date: 10/27/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Error: Wrong Dose of Vaccine - Too Low-

Other Meds:

Current Illness:

ID: 1820902
Sex: M
Age: 69
State: TN

Vax Date: 09/28/2021
Onset Date: 09/29/2021
Rec V Date: 10/27/2021
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: audiogram 10 26/2021

Allergies: pen

Symptom List: Injection site swelling, Limb discomfort

Symptoms: tinnitus ongoing significant

Other Meds: zoloft

Current Illness:

ID: 1820903
Sex: F
Age: 92
State: IN

Vax Date: 09/11/2021
Onset Date: 09/11/2021
Rec V Date: 10/27/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Site: Pain at Injection Site-Severe

Other Meds:

Current Illness:

ID: 1820904
Sex: F
Age: 23
State: GA

Vax Date: 08/06/2021
Onset Date: 08/06/2021
Rec V Date: 10/27/2021
Hospital:

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

Lab Data: none

Allergies: none

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

Symptoms: numbness of left side of face, involuntary twitching/jerking movements of the whole body.

Other Meds: none

Current Illness: none

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am