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: 1184916
Sex: F
Age: 67
State: FL

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data: none

Allergies: ampicillin

Symptom List: Dysphagia, Epiglottitis

Symptoms: Fever, Chills, Nausea. Fever spiked late night and had delusions. Tried to walk, legs collapsed. Onset of symptoms were 10.5 hours after shot, so went to bed. Woke feeling nauseated, bed linens drenched with sweat. Had a family member (sister in law who is a nurse) come to the house in the morning. Took Tylenol and an anti-nausea medication around 10am. Slept another 10 hours straight. Fever did not break until 7am this morning (43 hours after inoculation). Thought to report my reaction as I have not heard of others my age having the same.

Other Meds: none

Current Illness: none

ID: 1184917
Sex: M
Age:
State: NC

Vax Date: 03/19/2021
Onset Date: 03/27/2021
Rec V Date: 04/09/2021
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: Penicillin

Symptom List: Anxiety, Dyspnoea

Symptoms: Rash in two places on right arm near injection site and on right foot.

Other Meds:

Current Illness:

ID: 1184918
Sex: F
Age: 36
State: IN

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 04/09/2021
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: nka

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

Symptoms: pt says she lost her sense of taste, had chills, nausea for 12 hours. She had fatigue for 24 hours. Had a headache for 36 hours. pt says all of her symptoms have subsided.

Other Meds: Zyrtec, fluvoxamine,

Current Illness:

ID: 1184919
Sex: F
Age: 30
State: IL

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

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

Lab Data:

Allergies: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Four hours after vaccine administration , patient started to experience arm soreness, shortness or breath, dizziness, facial numbness, and anxiousness. Patient is to have eaten an estimated 500 calories since 6am in the morning. After providing food, water, Gatorade and ice pack she improved.

Other Meds: None

Current Illness: None

ID: 1184920
Sex: F
Age: 17
State: MI

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: No

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

Symptoms: Patient was given the 1st dose of the Moderna Vaccine before her 18th birthday. There were no reported symptoms or side effects when the patient left the clinic. The Chief Medical Officer, was notified of the adverse event.

Other Meds: N/A

Current Illness: No

ID: 1184921
Sex: F
Age: 57
State: CA

Vax Date: 03/31/2021
Onset Date: 04/08/2021
Rec V Date: 04/09/2021
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: Delayed skin reaction. large pruritic erythematous patch surrounding vaccine site on day #9 after first vaccination. seen on Day #10.

Other Meds:

Current Illness:

ID: 1184922
Sex: F
Age: 56
State: OH

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/09/2021
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: allergy to shellfish

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Patient complained of throat swelling at 10:25am after receiving the first dose of the Pfizer vaccine in the right deltoid at 10:01am. Patient was treated by paramedics with Epinephrine and had no improvement, then received 50 mg of Benadryl IV and was transported to Medical Center. Patient has a history of an allergy to shellfish.

Other Meds: unknown

Current Illness: unknown

ID: 1184923
Sex: F
Age: 82
State: NJ

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data: none

Allergies: percet

Symptom List: Pharyngeal swelling

Symptoms: severe rash on wrist inter thigh and pubic area

Other Meds: Blood pressure and thyroid meds

Current Illness: none

ID: 1184924
Sex: M
Age: 30
State: OH

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/09/2021
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: na

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: pt was faint, light headed and clammy; we got him to the floor, raised feet and gave ice pack, he laid there for about 5 minutes until he felt better, we then monitored him for another 15 minutes

Other Meds: na

Current Illness: na

ID: 1184925
Sex: F
Age: 33
State: NC

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 04/09/2021
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: Penacillin

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Felt fatigue and low fever 12 hours after shot. Felt ok the next morning, and then low fever and fatigue again 24 hours after the injection. Arm sore at injection site for a week. Fever and most symptoms (other than sore arm) gone within 48 hours.

Other Meds: Allergy meds: Zyrtec and Flonase. Daily prenatal vitamins

Current Illness: none

ID: 1184926
Sex: M
Age: 43
State: CA

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data: none

Allergies: none

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

Symptoms: Chills/Rigors for ~2+ hours starting before bed. ~1:30 am had high fever (102.2) and lack of mental clarity. Took 1g tylenol for fever which broke in the early morning. Also had severe headache during this time. Day 2 after the vaccine, lack of mental clarity and mental "fog" all day.

Other Meds: none

Current Illness: none

ID: 1184927
Sex: F
Age: 59
State: IL

Vax Date: 03/11/2021
Onset Date: 03/29/2021
Rec V Date: 04/09/2021
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: None

Symptom List: Rash, Urticaria

Symptoms: Patient reports 10-day history of generalized hives with itching. She had taken Benadryl and allergy spray at home without improvement of symptoms. 8 days ago she was seen in urgent care and prescribed prednisone and Benadryl and Pepcid. She reports at that time symptoms resolved. 5 days ago the symptoms returned with associated facial swelling and lower lip swelling. She can went to urgent care while in another state and was given epinephrine as well as other IV medications and discharged home with Benadryl and Pepcid. She reports since that time her symptoms have never gone away. She returned last night from another state and woke up today again with facial swelling and presents at hospital. Patient was admitted.

Other Meds:

Current Illness:

ID: 1184928
Sex: F
Age: 25
State: OK

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

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

Lab Data: None

Allergies: None

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

Symptoms: Janssen COVID-19 Vaccine EUA 4/8/21 @ 3pm - extreme fatigue 4/8/21 @ 9pm - extreme fatigue and full body muscle soreness and pain 4/9/21 @ 3am - extreme fatigue, extreme full body muscle pain, and fever with chills 4/9/21 @ 7:30am - extreme fatigue, extreme left arm pain, full body fatigue, extreme migraine, fever with chills and nausea 4/9/21 @ 10:30am - fatigue, extreme left arm pain, migraine, chills, diarrhea, nausea and body aches

Other Meds: Metformin Adderall Prenatal

Current Illness: Nausea for 5 days before

ID: 1184929
Sex: F
Age: 75
State: CT

Vax Date: 01/22/2021
Onset Date: 02/09/2021
Rec V Date: 04/09/2021
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: 1/27/21 - MRI w/o contrast, 2/3/21-epidural steroid injection in cervical-neck pain gone next day, 3/10/21-STAT X-ray and MRI w/o contrast of thoracic back, 3/12/21., another MRI with contrast of thoracic back, 3/15/21-epidural steroid injection in thoracic area by Dr, 4/6/21-second steroid epidural in same thoracic area. I am still in miserable pain three days post this injection. I did not connect that this pain could have been caused by the first Covid vaccine until recently, and I do not know if there is a connection, but I felt compelled to report what I have been experiencing..

Allergies: Toradol

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

Symptoms: Severe upper shoulder into upper neck pain. Epidural relieved pain by next day. Then, severe thoracic pain with movement. First epidural did not work, received second epidural on4/6/21. No relief yet. All pain medication my PCP tried did not relieve any pain. Now I have very high blood pressure (once 202/103). My normal BP is 120 or 130/70. It is believed that the high BP is from the pain.

Other Meds: Duloxetine, Omeprazole, Simvastatin, Methimazole

Current Illness: none

ID: 1184930
Sex: M
Age: 19
State: WV

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

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

Lab Data: N/A

Allergies: N/A

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

Symptoms: Janssen COVID-19 Vaccine EUA. Last night I was very warm, had a terrible headache, felt tired/dissociated and my entire body ached. I went to bed around midnight and woke up at 5 with terrible chills, body aches and a headache and couldn't stop shaking and couldn't fall back asleep for about an hour. I woke up around 10 drenched in sweat and had a bad headache, body aches and a 101 fever. I took ibuprofen last night, around 8 this morning at 5 and this morning at 10 and felt slight symptom relief but still have a fever.

Other Meds: Allegra, Montelukast

Current Illness: N/A

ID: 1184931
Sex: F
Age: 60
State: NH

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data: Unknown, as patient was brought to the emergency department.

Allergies: Propulsid, Iodine, latex, bee stings, steroids, tomatoes, shellfish, oral contrast, gatorade, amocicillin, avelox, baclofen, elmiron, erythromycin, hydrocodone, acetaminophen, mucinex, naratriptan, nasonex, oxycontin, prednisone, rizatriptan benzoate, sumatriptan, tetracycline, tramadol, zanaflex, influenza vaccine, higher dose penicillins.

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

Symptoms: Patient complained of feeling a dry mouth and blurry vision. She felt that this was a sign of an allergic reaction. EPI pen was administered and patient was brought to the emergency room.

Other Meds: Zyrtec, Vit D3, Tolteridine Tartrate ER, Synthroid, Nexium, Lisinopril, Hydrixizine, HCTZ, gabapentin, fluoxetidine, fluconazole, fentanyl patch, estradiol, ergocalciferol, diazapam, advair discus, flonase.

Current Illness: None

ID: 1184932
Sex: M
Age: 28
State: NJ

Vax Date: 03/22/2021
Onset Date: 03/23/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data: None

Allergies: None

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

Symptoms: HD received report of a vaccine recipient experiencing significant side effects after receiving Janssen vaccine. Health department spoke with patient on 4/9/2021 at 11:20AM. Patient reported generalized body aches starting on 3/22/2021 at 11:00PM. On 3/23/2021 at 12:00AM patient reported emesis that resolved after 30 minutes, chills, and a fever. Tmax, measured orally by patient, was 106F on 3/23/2021 at 2:00AM. Patient's wife called the Emergency Department, who advised patient to take tylenol and advil and to come into emergency department if temperature did not start coming down. Oral temperature by 3AM was 104F and was 100F by 8AM on 3/23/2021. Patient reported that all side effects resolved by 3/24/2021.

Other Meds: Dietary supplements: whey protein and creatine

Current Illness: None

ID: 1184933
Sex: F
Age: 41
State: NC

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: 101 fever; chills;aches menstruation started day after fever subsided, 2 weeks early

Other Meds:

Current Illness:

ID: 1184934
Sex: F
Age: 39
State: WI

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: Beta-lactam antibiotics

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Patient was sitting in the waiting area after receiving vaccine and complained of feeling swelling in her throat. Patient was escorted to the urgent care department, and was given epinephrine 0.3 mg. After being observed for a couple hours, developed no further symptoms and was able to discharge.

Other Meds:

Current Illness:

ID: 1184935
Sex: F
Age: 55
State: AZ

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

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

Lab Data: not yet

Allergies: PEG Polysorbate 80

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

Symptoms: sagging, flacid left eye and cheek. slight paralysis in left leg about an hour then symptoms went away

Other Meds: n/a

Current Illness: none

ID: 1184936
Sex: M
Age: 30
State: NY

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/09/2021
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: High Fever (103 F), Headache, Chills, Body Pain. Fever went away after 1 day but other symptoms lasting over 5 days

Other Meds: Fish Oil and Vitamin D-3 supplements

Current Illness:

ID: 1184937
Sex: M
Age: 7
State: VA

Vax Date: 03/24/2021
Onset Date: 04/05/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Unevaluable event

Symptoms: Monday 4/5 Pruritis over face and torso and arms. Tues 4/6 at 5:00pm--Obvious development of Mild vesicular rash on cheeks, forehead, neck and 1-2 vesicles scattered on torso and thighs, behind knees and forearms.. Headache and fatigue, mild stomachache and diarrhea. Warm shower with hypoallergenic soap (on suspicion of hay fever or poison ivy rash, though no poison ivy was seen in the area where he was playing in our yard). Cool air dried and applied topical Caladryl before bed (8pm). Wednesday 4/7 - Worsening pruritus and rash. No fever, active and happy affect. Encouraged not to scratch to spread. Another warm shower. Refused caladryl after shower. By 6pm, most vesicles have burst and pruritus largely stopped. Thurs 4/8 Rash spreading in 1-2 vesicles in other locations. Facial rash abating, drying. Called PCP and he recommended keeping pt. out of school until the rash dried, since rash can occur up to 1 month after vaccination. Fri 4/9 Facial rash abating, drying. Called Health Dept to notify, left a message about the event.

Other Meds: 1)Adderall XR 5mg/day 2)Children's multivitamin 3)Travacor (Amino Acids: 5-HTP L-theanine Taurine Vitamin/Minerals: Folate Magnesium Vitamin B6 Vitamin B12 Vitamin C Selenium Zinc

Current Illness: occasional headache or stomachache from Adderall side effects

ID: 1184938
Sex: M
Age: 46
State: AZ

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/09/2021
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: Flushed and Tachycardic

Other Meds:

Current Illness:

ID: 1184939
Sex: M
Age: 74
State: TN

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 04/09/2021
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: Done during hospital stay

Allergies: none

Symptom List: Injection site pain, Pain

Symptoms: Patient taken to hospital for chest pain, underwent cardiac cath procedure with stent.

Other Meds: allopurinol, ASA, atorvastatin, carvedilol, furosemide, hydrocodone, lisinopril, methylphenidate, omeprazole, tamsulosisn

Current Illness: normal health for patient

ID: 1184940
Sex: F
Age: 44
State: AR

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: Ibuprofen

Symptom List: Injection site pain, Menorrhagia

Symptoms: Blood blister in mouth the day after vaccination. It popped that night while I was sleeping. No or very little pain.

Other Meds: Celebrex, Metformin XR, Klonopin, Buspar, Baby Asprin, Nexium, Pepcid, Lisinopril, Metroprolol, Ozempic, Super B Vitamin, D Vitamin, Viactiv

Current Illness:

ID: 1184941
Sex: F
Age: 59
State: NY

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data: n/a

Allergies: mild allergies to cats, seasonal pollen

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

Symptoms: very sore arm, fatigue

Other Meds: calcium, OTC general vitamin for women 50+, Vitamin D, Zyrtec

Current Illness: none

ID: 1184942
Sex: M
Age: 50
State: AR

Vax Date: 04/01/2021
Onset Date: 04/04/2021
Rec V Date: 04/09/2021
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: strep culture - negative - 4/4/201

Allergies: no

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Severe sore throat - sharp pain; viral in nature of unknown origin. Nurse Practitioner at the Urgent Care - April 4th- said it looked like a stress reaction possibly to the vaccine - ant-viral was prescribed. The anti-viral resolved the symptoms.

Other Meds: Multi-Vitamin - daily

Current Illness: no

ID: 1184943
Sex: F
Age: 56
State: MD

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data: Went for COVID antibodies labs on April 9th.

Allergies: Percocet, Morphne, Dalaudid, Gabapentine

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Severe arm pain within a couple hours after shot then difficulty breathing/chest pains within 8 hours after shot which subsided after a few hours, headache started next day and has been on going sine the vaccine, rash developed a few days later and broke out in hives, which subsided after a couple days. Arm pain worsened and pain went up into left shoulder and side of neck by day 10 and has persisted and has now traveled to my left ear and shooting pains into my head. Took Advil and muscle relaxer as prescribed by family physician.

Other Meds: Hydroxychloroquine, Vitamin D, Calcium tablet, Folic Acid, and a Probiotic

Current Illness: None

ID: 1184944
Sex: F
Age: 51
State:

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/09/2021
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: #1 BP 146/90 P 77 Pox 100% #2 BP 146/84 P78

Allergies:

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

Symptoms: Pt reports that she started feeling fussy in the head and her left arm started tingling. Pt also reported an odd taste in her mouth. Pt reports that she has had a busy morning seeing her chiropractor and having a massage and has not drank any water for hours. Pt was given water to drink and symptoms resolved.

Other Meds:

Current Illness:

ID: 1184945
Sex: F
Age: 23
State:

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

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

Lab Data:

Allergies: Dexamethasone

Symptom List: Nausea

Symptoms: Swelling in the arm where the vaccine was placed and warmth in it, fever up to 101.3 F, general pain (all over the body), diarrhea, sore throat, burning eyes, cold.

Other Meds: None

Current Illness: None

ID: 1184946
Sex: F
Age: 41
State: NC

Vax Date: 03/18/2021
Onset Date: 04/07/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Injection site pain

Symptoms: migraine that lasted more than five hours, accompanied by confusion, and extreme lethargy. Lethargy, feeling faint, chills, and weakness continued for over 24 hours. Extreme fatigue and mental fogginess still persistent, impeding all day-to-day activities.

Other Meds: levothyroxine, trazodone, amitiriptyline, armour thyroid

Current Illness: none

ID: 1184947
Sex: F
Age: 26
State: CA

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: N/A

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

Symptoms: Janssen COVID-19 Vaccine EUA - 102 Fever - Chills - Aches - Headache - Bloody Nose - Pain in legs and back

Other Meds: N/A

Current Illness: N/A

ID: 1184948
Sex: F
Age: 67
State: OH

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/09/2021
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: Patient received first dose of Moderna COVID19 vaccine on 03/10/2021. On 04/07/2021, 4 weeks later, the patient received the Pfizer-BioNTech COVID19 vaccine for her second dose. Patient did have any side effects noted and did not take any medications for the event.

Other Meds: Levothyroxine, metoprolol tartrate, atorvastatin, clopidogrel, albuterol HFA

Current Illness:

ID: 1184949
Sex: F
Age: 31
State: WY

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

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

Lab Data: N/A

Allergies: CHERRIES, LATEX, DILAUDID, GENTAMYCIN, AUGMENTIN, DOXYCYCLINE

Symptom List: Tremor

Symptoms: The patient had complaint of "itching throat", denies shortness of breath. Vitals obtained at 1530. BP=118/68, P=89, O2=98%, R=18. Patient provided with 50 mg Benadryl per her request. Vital taken at 1550=BP=108/66, P=83, O2=98% The patient stayed until 1630 waiting for ride due to fatigue from Benadryl. Was able to walk out on her own.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1184950
Sex: F
Age: 38
State: IL

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

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

Lab Data: n/a

Allergies: no none allergies

Symptom List: Erythema, Pruritus

Symptoms: 8 minutes after shot in Left Deltoid, pt developed scratchy throat, dry cough, dry cough got worse after 2 minutes and pt reported throat felt funny, appeared pale and states throat felt really strange. Epi 0.3ml was given due to complaint of throat tightness, scratchy throat, and dry cough; classic signs of anaphylaxis. Pt also received 50 mg Benadryl IM. After Epi pt reported throat tightness improved. Pt was then transferred to ER for observation after EPI.

Other Meds: unknown

Current Illness: unknown

ID: 1184951
Sex: F
Age: 48
State: OH

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/09/2021
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: None

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

Symptoms: Weakness in arm. Pain at injection site, headache. Nausea, fatigue

Other Meds: Cymbalta 30 mg Mobic 15 mg Tylenol 1000 mg

Current Illness: None

ID: 1184952
Sex: F
Age: 43
State: MA

Vax Date: 04/07/2021
Onset Date: 04/09/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Lower back pain Abdominal pain

Other Meds: None

Current Illness: None

ID: 1184953
Sex: F
Age: 39
State: TX

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data: none, eater weekend with my kids. I was not going to sacrifice that. I'd rather suffer.

Allergies: none

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: I was sick for 6 day straight, flue like symptoms. fever for 3 days diarrhea for 5 days on my 3rd day nausea to the point of fainting and didn't know if i was going to throw up or more diarrhea. My body wouldn't allow me to do either for hours until the evening when I got fever and diarrhea again. Body aches and headaches for 5 days. chills like i was freezing in the evenings. it was absolutely horrible!

Other Meds: none

Current Illness: none

ID: 1184954
Sex: F
Age: 48
State: OR

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 04/09/2021
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: penicillin

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

Symptoms: I had the usual flu symptoms and then about 12 hours after the second shot I was up in the night to find an Advil and two minutes later I fainted. This was not a result of getting up too fast. In the subsequent two weeks, I have had two episodes of feeling weak at the knees, like it is happening again. I had never fainted before this.

Other Meds: none

Current Illness: none

ID: 1184955
Sex: F
Age: 55
State:

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/09/2021
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: Extreme fatigue for 30 hours, followed by hives/rash down the arm below the injection site, still present 3 days later,

Other Meds:

Current Illness:

ID: 1184956
Sex: F
Age: 50
State: CA

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/09/2021
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: The morning after the vaccine, I experienced diarrhea. I don't think it was from anything I ate the night or day before. There were no stomach cramps or issues prior, just the sudden urge to expel. There are no lingering effects or discomforts. No discomforts at all.

Other Meds: Magnesium, Glucosamine, multi-vitamin, low-dose aspirin, D3, B12, Wellbutrin, Folic Acid.

Current Illness: None

ID: 1184957
Sex: M
Age: 31
State: IN

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

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

Lab Data:

Allergies: None

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

Symptoms: "Moderna COVID-19 Vaccine About 45 minutes after my shot, my left arm started hurting, basically going down from the injection site to my elbow. AT 1:30 am - 4/9/2021 (14 hours after shot), I awoke out of my sleep and was freezing. I got up and layer up on clothing and drank some water. From 1:30 am - 5:45 am- 4/9/2021, I was wide awake, but tired , yawning, freezing, and had a temp of 99.9. My mouth got very dry and I was drink just a little water, but found myself having to run to the restroom once an hours. My temp slowly got down to 99.2 by 5:30am. During this time, I was also nauseous from shaking so much from being cold. I slept for another 15 minutes and then was wide awake from 6:10 am- 7:30 and then fell asleep till 9:30am. As of 12:00pm, - 4-9-2021 I have slept maybe 4 hrs, I have a headache, my arm is throbbing and I am tired. I also feel like I have a bunch of mucus in my throat (but that could be from allergies).

Other Meds: None

Current Illness: None

ID: 1184958
Sex: F
Age: 16
State: CA

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

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

Lab Data: None

Allergies: Unknown

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

Symptoms: Underaged,16 y/o F vaccinated with J&J. No reported adverse reactions during 15- min observation period.

Other Meds: Unknown

Current Illness: Unknown

ID: 1184959
Sex: M
Age: 57
State: CA

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/09/2021
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 (alleged), but never remember having a reaction, and/or may have outgrown it

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

Symptoms: brief hint of dizziness about 4 hours after shot. 12 hours later (this writing) : dizziness, nausea, headache, body aches, fatigue ? all mild, but don?t feel like doing anything today.

Other Meds: none

Current Illness: none

ID: 1184960
Sex: M
Age: 33
State: TX

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 04/09/2021
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: N/A

Symptom List: Vomiting

Symptoms: Lost some mobility, dexterity, and responsiveness in the fingers of my right arm (injected arm) loss of mobility, dexterity, etc. is ongoing. I'm right handed, but my left hand is now way more responsive and articulate than my right.

Other Meds: Loratadine Tablets, Antihistamine, 10mg

Current Illness: N/A

ID: 1184961
Sex: F
Age: 58
State: MD

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/09/2021
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: Arm pain-started within 8 hours of injection, worst at 24 hours after injection, subsided rapidly Chills - started 24 hours after injection, lasted for 4 hours Fatigue - started 24 hours after injection, lasted for 6 hours

Other Meds:

Current Illness:

ID: 1184962
Sex: F
Age: 38
State: TX

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 04/09/2021
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: nkda

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

Symptoms: 11:45am 38 yr old female c/o being light headed and had a metallic taste in her mouth. Vitals signs where taken 138/98 Hr 88 RR 16 patient will be observed for 30 mins. nurse will continue to monitor patients condition. 12:20pm patient stated that she felt better after drinking water. Vital signs Bp 136/97 Hr 79 RR 16 Nurse instructed patient that if she starts to experience any allergic reaction to seek medical attention.

Other Meds: none

Current Illness: none

ID: 1184963
Sex: M
Age: 65
State: CA

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 04/09/2021
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: MRI and all showed normal....but we have gone to emergency twice with worsening symptoms and they do not know what to do. Another two friends have the same symptoms.

Allergies: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Dissiness, nausea, headache, preassure in head, extreme tenetus, feel as if I am spinning, unsteady on my feet (could fall), tingling of all left side of my body, mostly in joints, sleuring speech, brain not connecting to mouth...slow.

Other Meds: None

Current Illness: None

ID: 1184964
Sex: F
Age: 56
State: NY

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data: none so far

Allergies: none

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

Symptoms: Typical soreness at injection site, but also 3 instances of brief sharp stinging sensation. First on my rib, I pulled up my shirt thinking an insect sting. An hour or two later same sensation on my right ankle bone and thirds same day on my left shoulder blade. Very sharp strange and startling sensation. I didn't think to report it until today when a co-worker of mine, who had is first shot yesterday described same side effect. He described it like electrical shocks. I thought it should be included in the records.

Other Meds: none

Current Illness: none

ID: 1184965
Sex: F
Age: 50
State:

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/09/2021
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: Itchiness

Other Meds: Folic acid Dilaudid Hydroxyurea

Current Illness: Itchiness

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am