VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
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Manufacturers

Total Manufacturer
187,133MODERNA
33,878JANSSEN
2,321PFIZER\BIONTECH
1,091GLAXOSMITHKLINE BIOLOGICALS
983UNKNOWN MANUFACTURER
363MERCK & CO. INC.
229SEQIRUS, INC.
45DYNAVAX TECHNOLOGIES CORPORATION
41NOVARTIS VACCINES AND DIAGNOSTICS
29SANOFI PASTEUR
18EMERGENT BIOSOLUTIONS
8PAXVAX
7TEVA PHARMACEUTICALS
4PFIZER\WYETH
3BERNA BIOTECH, LTD.
2SMITHKLINE BEECHAM
2INTERCELL AG
2PROTEIN SCIENCES CORPORATION
1CSL LIMITED

Incidents per State

State Total
77,548
AK1,869
AL5,581
AR3,688
AS47
AZ14,288
CA61,984
CO11,665
CT8,149
DC1,663
DE1,807
FL37,749
FM5
GA15,058
GU120
HI2,453
IA4,625
ID2,692
IL20,334
IN24,007
KS4,615
KY7,696
LA4,887
MA14,654
MD12,514
ME3,129
MH11
MI18,739
MN12,528
MO9,710
MP29
MS2,790
MT2,375
NC16,368
ND1,356
NE2,880
NH3,100
NJ17,634
NM3,916
NV4,239
NY34,355
OH19,081
OK6,195
OR8,636
PA23,083
PR2,370
QM2
RI2,088
SC6,411
SD1,212
TN9,131
TX35,174
UT4,273
VA14,937
VI64
VT1,676
WA14,909
WI11,259
WV2,388
WY861
XB5
XL1
XV2

ID: 1544985
Sex: F
Age: 41
State: NY

Vax Date: 06/25/2021
Onset Date: 07/21/2021
Rec V Date: 08/11/2021
Hospital: Y

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

Lab Data:

Allergies: Shellfish

Symptom List: Dysphagia, Epiglottitis

Symptoms: I was hospitalized because I suffered from numbness, slurred speech. I was admitted for 4 days. I was told it could have been a heart attack. The doctors say they don't know what cause me to have these symptoms. I was referred to a Neurologist.

Other Meds:

Current Illness:

Date Died: 07/09/2021

ID: 1544986
Sex: U
Age: 79
State:

Vax Date: 01/11/2021
Onset Date: 07/09/2021
Rec V Date: 08/11/2021
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: SUDDEN CARDIAC ARREST

Other Meds:

Current Illness:

ID: 1544987
Sex: M
Age: 53
State: NC

Vax Date: 07/27/2021
Onset Date: 07/28/2021
Rec V Date: 08/11/2021
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: Seafood

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

Symptoms: The RN administered 1mL of the Moderna vaccine as opposed to 0.5mL., from the office, contacted the patient to notify and follow up on how the patient was feeling. The patient self-reported feeling great today other than arm soreness. Patient reported on Wednesday (7/28) he experienced dizziness, fatigue and tender arm. Symptoms have all subsided as of Thursday (7/29). Further instructed patient to call our office if further assistance was needed. Office spoke with patient on the afternoon of 7/29. Self-reported some chest congestion and blurred vision. Will follow up with his PCP. Our office contact PCP office on the morning of 7/30 and relayed information to PCP's nurse.

Other Meds: Cholesterol Medication (pt could not remember name of med)

Current Illness: None reported

ID: 1544988
Sex: M
Age: 67
State: NY

Vax Date: 05/21/2021
Onset Date: 05/22/2021
Rec V Date: 08/11/2021
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: Extreme fatigue, brain fog, and headaches lasting four weeks. Stomach cramping and diarreha lasted an additional two weeks. Total of six weeks before symptoms subsided. I did not receive second dose. I spoke with my neurologist who recommended I nfile this report.

Other Meds: sumatriptan,testosterrone gel,bupropion

Current Illness: none

ID: 1544989
Sex: M
Age: 28
State: WI

Vax Date: 05/12/2021
Onset Date: 08/01/2021
Rec V Date: 08/11/2021
Hospital:

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

Lab Data:

Allergies: Penicillin - Hives

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

Symptoms: Patient contracted COVID-19 after being fully vaccinated

Other Meds: None

Current Illness: None

Date Died: 07/10/2021

ID: 1544990
Sex: U
Age: 59
State:

Vax Date: 02/22/2021
Onset Date: 07/10/2021
Rec V Date: 08/11/2021
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: MYOCARDIAL INFRACTION

Other Meds:

Current Illness:

Date Died: 07/17/2021

ID: 1544991
Sex: U
Age: 36
State:

Vax Date: 12/23/2020
Onset Date: 07/17/2021
Rec V Date: 08/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: SEPSIS

Other Meds:

Current Illness:

ID: 1544992
Sex: M
Age: 54
State: MI

Vax Date: 04/10/2021
Onset Date: 08/07/2021
Rec V Date: 08/11/2021
Hospital: Y

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

Lab Data:

Allergies: Celecoxib Gadolinium Derivatives Nsaids PCN Vancomycin

Symptom List: Pharyngeal swelling

Symptoms: Patient is a 55 y.o. male 2017 renal transplant CABG 2018, type 1 diabetes on insulin pump, peripheral arterial disease who presents today with fever, cough, diarrhea. Patient was vaccinated for COVID in March and April. Had been in his general state of health and had attended a wedding recently. He developed symptoms on 08/03 with with fever, worsening fatigue, nausea with poor oral intake and developed diarrhea several episodes per day. Also headaches, he had then developed a cough as well. Several other members of the wedding had also developed COVID like symptoms including his sister. With feeling worse he had then presented emergency department.

Other Meds: Lipitor Coreg Pletal Cleocin Catapres Plavix

Current Illness: None Known

ID: 1544993
Sex: F
Age: 31
State: WI

Vax Date: 04/30/2021
Onset Date: 07/15/2021
Rec V Date: 08/11/2021
Hospital:

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

Lab Data:

Allergies: Allergic to Codeine - Hives, rash, fever Sensitive to Amoxicillin - Upset stomach

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Normal menstrual cycle from vaccine dose until July 15, when bleeding started. I use a period tracker app and according to my app, this was day 19 of my cycle and I should have been ovulating on this day. I do not have any possibility of being pregnant, and symptoms were consistent with a 5 or 6 days-long period, which is normal for me. Was seen by Dr. on 8/26 and was advised to wait several more cycles to determine if there was an issue that needed further examination. As of August 11, my menstrual cycle since then has been normal, so far. Ovulation was predicted within +/- 1 day from app and symptoms during ovulation were typical for me. I am expecting my period to start in the next several days. My menstrual cycle is typically 31-35 days in length and since 2014 (when I started tracking), I have never had a menstrual cycle shorter than 28 days.

Other Meds: Famotidine 10mg 2x/day Multivitamin Omega 3 15bn Women's Care probiotic by Renew Life IntestiNew herbal supplement by Renew Life, 1 pill 2x a day Naproxen Sodium, 200mg, As needed Traditional Medicinals Raspberry Leaf tea - 3x a day, as

Current Illness: April 30th was 2nd does of Moderna. From 18-36 hours post vaccine I felt feverish (no fever), nauseated, and achy. Was resolved with rest, Tylenol.

ID: 1544994
Sex: F
Age: 55
State: MI

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 08/11/2021
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: Ace, Sulfa, and Techni's

Symptom List: Diarrhoea, Nasal congestion

Symptoms: On January 27th, 2021 , two minutes after the inject my heart rate and blood pressure increased and my face turned blood shot red and then I started to have a abdominal pain and tightness and nausea. They rushed me upstairs to the ER and gave me fluids and did a EKG and lab work. Lab work came back normal and they released me three hours later. A couple months had past and you developed a hives all over my body May 3, 2021. I contacted my Doctor and came in on the same day. My doctor thought it was a covid break through cases so they gave me a covid test and it came back negative. The Doctor prescribed me 5 days of prednisone and they also did blood work and the results came back that I had an elevated thyroid problem and something called ANA Titer and they came back positive with an autoimmune. On June 6, 2021, I had a liver biopsy, it was done to rule out autoimmune liver condition. After that I was referred to the Hospital on July 7, 2021, for results of biopsy which indicated liver inflammation with no autoimmune process. I went to the allergist on July 27, 2021, They tested for vaccine ingredients and I tested positive for polysorbate 80 allergy. I have to get blood work every 3 months for to check my liver for the next two years.

Other Meds: Diltiazem and Spironolactone

Current Illness: None

ID: 1544996
Sex: M
Age: 75
State:

Vax Date: 02/19/2021
Onset Date: 03/03/2021
Rec V Date: 08/11/2021
Hospital: Y

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: Patient hospitalized for complete AV block and bradycardia on 3/3/2021. Patient presented to the ED on 3/4/2021 for pacemaker failure and was subsequently hospitalized. these visits are within 6 weeks of receiving COVID vaccination.

Other Meds:

Current Illness:

ID: 1544997
Sex: F
Age: 36
State: TN

Vax Date: 06/07/2021
Onset Date: 06/12/2021
Rec V Date: 08/11/2021
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: Robaxin

Symptom List: Rash, Urticaria

Symptoms: Shingles

Other Meds: Calcium and Vitamin D3

Current Illness:

ID: 1544998
Sex: F
Age: 24
State:

Vax Date: 08/03/2021
Onset Date: 08/04/2021
Rec V Date: 08/11/2021
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: Effexor

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

Symptoms: Was given 3 needles on day of vaccine appointment. I was injected 3 times with vaccine and had to go to the hospital within 48 hours with SEVERE symptoms including, Arm and leg paralysis , numbness to right and left side of body, Vomiting's, nausea, migraine , loss of consciences over 10 times within 48 hours of being given the vaccine. vision loss and difficulty breathing. severe dehydration. was treated in hospital with IV Fluids and medication. Discharged 10 hours later.

Other Meds: Seroquel 125mg Propranolol 20 mg

Current Illness: none

ID: 1544999
Sex: M
Age: 15
State: OK

Vax Date: 08/09/2021
Onset Date: 08/09/2021
Rec V Date: 08/11/2021
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: None

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

Symptoms: Patient was given a Moderna vaccine dose. Patient is only 15 years of age and the dose is approved for 18 and older. The patient has had no adverse events.

Other Meds: None

Current Illness: None

ID: 1545000
Sex: F
Age: 41
State: NY

Vax Date: 12/01/2020
Onset Date: 03/01/2021
Rec V Date: 08/11/2021
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: Sensitive to caffeine and pseudoephedrine

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

Symptoms: In March I had my period and then continued bleeding on most days through today's date of Aug. 10, 2021. Not much bleeding, but enough that I need to wear protection and change it during the day. In May 2021 I noticed a large lump on my right breast. It was a complicated Cyst. I had a diagnostic ultrasound and mammogram done. I also have 2 swollen lymph nodes noticed in my left breast. In July 2021, I began to feel very fatigued. Fatigue appears to be better now. on most days.

Other Meds: Sertraline HCL 100 mg Multi-vitamin

Current Illness: N/A

ID: 1545001
Sex: F
Age: 29
State: LA

Vax Date: 08/04/2021
Onset Date: 08/04/2021
Rec V Date: 08/11/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Fever from 5 pm until 12 noon the following day, body aches, chills, fatigue

Other Meds: Vitamins

Current Illness: None

ID: 1545002
Sex: F
Age: 24
State: WI

Vax Date: 04/08/2021
Onset Date: 07/25/2021
Rec V Date: 08/11/2021
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: escitalopram

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

Symptoms: immediately after second shot: soreness, sinus inflammation, headache 3 months later, might be related: dizziness, headaches, nausea

Other Meds: duloxetine, iron supplement, vit. c supplement

Current Illness: None

ID: 1545003
Sex: F
Age: 39
State: GA

Vax Date: 08/11/2021
Onset Date: 08/11/2021
Rec V Date: 08/11/2021
Hospital:

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

Lab Data:

Allergies: Lisinopril

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Mixed series, incorrect second dose given, first dose was Pfizer

Other Meds:

Current Illness:

ID: 1545004
Sex: M
Age: 62
State: TX

Vax Date: 02/12/2021
Onset Date: 02/16/2021
Rec V Date: 08/11/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: 02/16/2021 started feeling bad, had no taste, no smell, high fever, very fatigued, chills, headache, hard time breathing. I went to the DR on 02/19/2021 tested positive for Covid. Was given prednisone and some other medication I cannot remember the name of it. After about 5 days of meds, I did start to feel better.

Other Meds: I was taking BP meds and Gabapentin

Current Illness: none

ID: 1545005
Sex: M
Age: 49
State: FL

Vax Date: 06/01/2021
Onset Date: 06/01/2021
Rec V Date: 08/11/2021
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: Patient received vaccine and was driving to observation where he went over curb and hit the back of fort pos. loc approximately one minute. Responsive to sternal rub. No airbags deployed. Restrained driver, and no damage to vehicle. He was driving approximately 5MPH when he regained consciousness AOx3, strong pulse, respiratory even and unlabored, diaphoretic, lightheaded. 911 was called at 1207. Patient refused EMS and police on scene. Three staff members inside Fort that was hit. No injuries reported. Patient vomiting in AC and being observed. Patient did not want EMS being called again. Friend came and picked him up at 1420. Patient checked out with weakness, dizziness, respiratory even unlabored, 2+ pulse, skin pink, warm, and dry. Patient still did not want to be assessed by EMS again and wanted to go home.

Other Meds:

Current Illness:

ID: 1545006
Sex: F
Age: 63
State: NC

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 08/11/2021
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: Penicillin, Shell fish, and Latex.

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

Symptoms: I got my shot on 2/12/21, I woke up on 2/13/21 and I had severe pain on my left arm, it was difficult to lift and move my arm because it is very weak. It is also very painful to touch. Friends kept telling me the pain is going to go away, this is how the vaccination feels but it never went away, so I waited to go to the doctor. I can not remember when I went to Urgent Care, but the doctor told me the pain would go away, but it never did. I still have pain, its not as sever as it was, but I still have pain to this day. I am still very limited with what I can do on my left side.

Other Meds: Synthroid 100mcg QD, Ropinirole 2mg QD, Gabapentin 100mg QD, Bupropion 300mg QD.

Current Illness: None

ID: 1545007
Sex: F
Age: 79
State: NY

Vax Date: 03/04/2021
Onset Date: 03/06/2021
Rec V Date: 08/11/2021
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: I had severe pain in my upper body in my arms, my hands, my shoulders. I could not reach in cabinets to get anything. I could not lift milk or even pour a bowl of cereal. I could put no weight on my arms at night in bed. I felt completely disabled. The pain was very painful. I could play the piano and drive the car. Also, my arms hurt to get dressed and reaching behind my shoulder. I have had professional physical therapy for my arms, my chest, and my abdominal muscles.

Other Meds: Calcium

Current Illness:

ID: 1545008
Sex: M
Age: 71
State: MI

Vax Date: 02/25/2021
Onset Date: 08/06/2021
Rec V Date: 08/11/2021
Hospital: Y

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: NKA

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

Symptoms: On arrival to the emergency department, patient was hypoxic to 78% on room air. Other vital signs are within normal limits. He required 3 L nasal cannula to maintain O2 sats 93%. CMP and complete blood count were unremarkable. DR frontal and lateral chest x-ray showed faint patchy opacity at the bilateral lung base representing scattered infiltrates versus atelectasis. He was given albuterol and dexamethasone 6 mg. Admitted to hospital medicine for acute hypoxic respiratory failure secondary to COVID-19 pneumonia. "

Other Meds: Norvasc Lipitor Advair Aspirin

Current Illness: None Known

ID: 1545009
Sex: M
Age: 17
State: CT

Vax Date: 08/10/2021
Onset Date: 08/10/2021
Rec V Date: 08/11/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain, Pain

Symptoms: Discovered after the fact that the person was under the age of 18 yrs. Observed as per protocol and no issues. Hot wash held after clinic to determine what went wrong and protocols already in place tightened.

Other Meds: None

Current Illness: No

ID: 1545010
Sex: M
Age: 11
State: WI

Vax Date: 10/04/2016
Onset Date: 10/18/2016
Rec V Date: 08/11/2021
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: Autoimmune response- alopecia and hypothyroidism

Other Meds:

Current Illness:

Date Died: 07/30/2021

ID: 1545011
Sex: F
Age: 43
State: VA

Vax Date: 07/30/2021
Onset Date: 07/30/2021
Rec V Date: 08/11/2021
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: NKDA

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

Symptoms: Death less than 24 hr after receipt of Pfizer #1 covid vaccine: 43 yo reportedly received her first Pfizer covid vaccine on 7/2302021. Her agent received a call from Staff to inform her of this sudden death. She was reportedly found on her couch deceased on Friday evening, 30 JUL 2021 and law enforcement had her transferred to a Funeral Home pending determination on Autopsy and Family wishes. Presumed cause of death is Heart Failure with Autopsy pending for etiology of Dilated Cardiomyopathy and death. Patient had 1.5 yr hx of dyspnea on exertion, intermittent chest pain at rest, and palpitations. She was evaluated here for a LBBB and long QT in 2018. Echo at the time was normal and she was cleared. BP: 118/72; HR: 71; RR: 16; T: 98.6 ?F (37 ?C); HT: 66 in (167.64 cm); WT: 155 lbs (70.31 kg); SpO2: 98%; BMI: 25.02; BSA: 1.795 square meters; Tobacco Use: Yes; What type of tobacco product?: menthol; Amount of tobacco product used per day: 2 per day;

Other Meds: Sacubitril/Valsartan 24-26mg Carvedilol 3.125 mg Valcyclovir Z Medications: Sacubitril/Valsartan 24-26mg Carvedilol 3.125 mg Valcyclovir Zoloft 50mg Adderall 20mg XR Adderall 10mg IR. PMH: 2021 depression on Zoloft, 2009 ADHD on Adderall

Current Illness: none reported

ID: 1545012
Sex: M
Age: 67
State: NJ

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 08/11/2021
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: No Allergies to Meds.

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Tinnitus (Constant day and night) Doctor trying LIPO FLAVONOID for two months starting 08-05-2021 I had seen primary doctor on 05-18-2021 for ringing in the ears. She referred me to ENT doctor. First appt available with ENT was 08-05-2021.

Other Meds: CARVEDILOL CR CAP 10MG 1 a Day EZETIMIBE TAB 10MG 1 a Day @ Night ROSUVASTATIN TAB 40MG 1 a Day @ Night RAMIPRIL CAP 2.5MG 1 a Day ESOMEPRAZOL MAG DR CAP 40MG 1 a Day MONTELUKAST TAB 10MG 1 a Day RANOLAZINE ER TAB 500MG 2 a Day PREDNISOLON

Current Illness: Hip Surgery on 03-02-2021 No illnesses or symptoms for months before or from surgery till the first dose of the vaccine

ID: 1545013
Sex: M
Age: 15
State:

Vax Date: 08/04/2021
Onset Date: 08/05/2021
Rec V Date: 08/11/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: The next day after the shot he was covered in hives - chest, stomach and back. It took 4 days for them to go away

Other Meds: None

Current Illness: None

ID: 1545014
Sex: M
Age: 32
State: TN

Vax Date: 08/07/2021
Onset Date: 08/09/2021
Rec V Date: 08/11/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Severe headache. Swelling at injection site. Fever. Joint aches. Fatigue. Inability to concentrate. Dizziness. Triggered migraine headache with visual and auditory aura.

Other Meds: Topirimate, nortriptylin, carvidilol.

Current Illness: None

ID: 1545016
Sex: F
Age: 31
State: DC

Vax Date: 05/21/2021
Onset Date: 05/21/2021
Rec V Date: 08/11/2021
Hospital:

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

Lab Data:

Allergies: No known allergies

Symptom List: Nausea

Symptoms: None, vaccine administration was not recommended due to pregnancy, patient was 7 wks pregnant; EDD 01/04/2022

Other Meds: Prenatal vitamins

Current Illness: none

ID: 1545017
Sex: M
Age: 38
State: WI

Vax Date: 06/01/2021
Onset Date: 06/30/2021
Rec V Date: 08/11/2021
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: Injection site pain

Symptoms: Immediately after shot I had an allergic reaction. Sweating, hot, extremely light headed. After 30 min it had subsided and I was able to drive myself home. 4 Days later I started having weird muscle spasm and a warm sense in both of my calves. This progressed to some tingling and other different sensations. I saw a Dr to check for clot and they didn?t think that was it. Ran some tests and sent me home. This has now progressed to my left arm being week. The feeling in my calves is now in my face. Especially in my cheeks and around my eyes. Sometime causing vision issues. I am running a low grade fever on and off. I am fatigue all of the time. Dizziness is also with me a good part of the day. I have a. MRI scheduled as well as an appt with neurologist to further investigate.

Other Meds: N/a

Current Illness: N/A

ID: 1545018
Sex: M
Age: 44
State: CA

Vax Date: 01/26/2021
Onset Date: 01/30/2021
Rec V Date: 08/11/2021
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: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: 103 degree fever, chills, headache, muscle fatigue, nausea, brain fog, sleeplessness. Symptoms persistent for 4 days.

Other Meds: Multivitamin, fish oil, Vitamin B6 & 12

Current Illness: None

ID: 1545019
Sex: F
Age: 56
State: IA

Vax Date: 08/05/2021
Onset Date: 08/05/2021
Rec V Date: 08/11/2021
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: NKDA

Symptom List: Chills, Dizziness, Nausea, Pain, Tachycardia

Symptoms: No adverse events occurred. Patient received a 3rd dose of COVID-19 per doctor's request. A prescription was written.

Other Meds:

Current Illness: No illness present.

ID: 1545020
Sex: F
Age: 66
State: NC

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 08/11/2021
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: Codine

Symptom List: Tremor

Symptoms: Immediately my left arm became sore. The soreness never left. Movement of my left arm is still painful after all this time. Sleeping it wakes me up if I move it wrong. Got a steroid shot and was told the person giving the shot had adm. It wrong and now I am left with some syndrome. I need more shots but use Tylenol. It takes it but pain us always present. I am scared to go to the doctor of fear of getting covid so I suffer through it. Strength is limited now in left arm.

Other Meds: Went to orthopedic doctor got a steroid shot and extra strength Tylenol. . She said I had a syndrome associated with the vaccine being administered wrong. Now my left arm is in pain all the time something I have to live with. 1/19/21 to pre

Current Illness: None

ID: 1545021
Sex: F
Age: 27
State: AL

Vax Date: 08/03/2021
Onset Date: 08/03/2021
Rec V Date: 08/11/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Erythema, Pruritus

Symptoms: Shortness of breath and chest pain. The shortness of breath resolved fairly quickly, but the chest pain is still ongoing.

Other Meds: Birth Control

Current Illness: none

ID: 1545022
Sex: F
Age: 55
State: KY

Vax Date: 02/05/2021
Onset Date: 05/08/2021
Rec V Date: 08/11/2021
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: Dust; pollens; dog fur and cat fur; some trees and grasses; mold

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

Symptoms: May 8th, I felt like I had either a bad cold or the flu. I had to take work off. I was very fatigued. I had a fever of 101. (I haven't had a fever in years.) The fever lasted the whole day, less than 24 hours, and I spent the whole day in bed. I was exhausted. The fever was 99.9 after that for awhile. I was a little achy, feverish and very fatigued. Really did not feel well. I probably had a stuffy nose, too, as I took a little bit of Benadryl. I may have taken a little taken a little Tylenol. I had a bad headache, too, which is unusual for me. These symptoms went on for a few days. Immediate, after the vaccine: I spent the day in bed not feeling well. I felt very fatigued and not very well. Two days after the vaccine, I had a terrible headache. I never get headaches. The headache lasted about 6 hours. I think I took a Tylenol and stayed in bed both of those days.

Other Meds: None

Current Illness: No but I had COVID within 30 days before the first dose of the vaccine (COVID)

ID: 1545023
Sex: F
Age: 74
State: MI

Vax Date: 03/13/2021
Onset Date: 08/05/2021
Rec V Date: 08/11/2021
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: Codiene Losartan Opioid

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

Symptoms: On arrival to the emergency department, patient was febrile to 39.5, heart rate 90s, respiration 20, blood pressure 168/89 and SpO2 88% on room air which improved to 94% on 2 L nasal cannula. Labs remarkable for WBC 15000, lactic 1.0. NT proBNP 291 and creatinine 1.62. Chest x-ray showed right infrahilar mixed interstitial opacity suspicious for pneumonia. EKG demonstrated left bundle branch block. Urinalysis was grossly positive for infection but contaminated with many squamous cells. She was given Rocephin, azithromycin and Decadron. COVID-19 PCR was positive.

Other Meds: Xarelto Symbicort

Current Illness: None known

ID: 1545024
Sex: F
Age: 29
State: NC

Vax Date: 08/10/2021
Onset Date: 08/10/2021
Rec V Date: 08/11/2021
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: Augmenton

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Immediate symptoms displayed such as immediate site injection pain and heavy bleeding at vaccine site. Pain and heaviness in left arm also reported. Additional symptoms began approximately 45 minutes after vaccine injection, including sharp shooting pains in face, from right side of the nose to the top of the head, brain fog, fatigue, salty post nasal drip, and memory challenges displayed, i.e. losing items, difficulty driving, and finding items. Note that these symptoms were displayed nearly immediately after injection. These symptoms were not present prior to receiving the vaccine. Symptoms continued into the following day (Aug 11th), brain fog, neurological shooting/sharp pain in face from bridge of nose to top of head, brain fog, and fatigue. Additional neurological symptoms noted, such as tingling and numbness in extremities. Pain in arm also reported, cannot lift arm past shoulder.

Other Meds: Adderal XR 20 mg

Current Illness: None

ID: 1545025
Sex: M
Age: 39
State: CA

Vax Date: 07/22/2021
Onset Date: 07/22/2021
Rec V Date: 08/11/2021
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: Diruceph

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

Symptoms: The day of my vaccine, during my 30 minute window, I felt a surge of what felt like an adrenaline and like I was going to pass out. That went away and the rest of the day was fine. Day 2: Elevated resting heart rate around 10-20 bmp higher than usual, also had tingling in arms, hands, and feet. Went to urgent care they ran labs, liver levels were elevated as well as blood pressure. Have had 2 severe panic attacks that have wakened me up from my sleep, thought I was having a heart attack. Called 911, they checked vitals and did ECG, everything came back normal. I?ve also have had a looming feeling of impending doom and dread that comes and goes out of nowhere; I?ve never had this before and it?s the most terrifying thing ever. My appetite has been significantly lower to non-existent. The first 48 hours after receiving the shot I was insatiably hungry, which is also unusual, but as the weeks have gone one I have had little to no appetite. At times I feel as though I?m in a fog; brain fog, and slightly spacey. This is intermittent. I?ve also had some chest pressure, not really pains, and some heart palpitations. Haven?t had shortness of breath or fatigue thank god! Lastly, and the most strange adverse reaction is I haven?t been able to get an erection. I used to have regular morning erections, but that?s been non-existent since I got the shot.

Other Meds: Ativan and temazepam

Current Illness: None

ID: 1545026
Sex: F
Age: 55
State: PA

Vax Date: 05/08/2021
Onset Date: 05/08/2021
Rec V Date: 08/11/2021
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: Shellfish , bee stings , PCN

Symptom List: Chills, Feeling cold, Feeling hot, Myalgia, Pain

Symptoms: Left facility 15 min after injection by the time I got home - The area between my nose and upper lip and lip swelled up and became numb . Over the next few days had small hives over trunk ,arms and legs I took 50 mg of Benadryl as soon as symptoms started and for approx 5 days . Also used ice to lip and hives The Benadryl controlled the symptoms . I had epi pens at home but did not use them - I also live 2 min from Hosp so I felt safe staying at home and monitoring symptoms . Never had any resp distress or difficulty swallowing .Not sure if this had anything to do with immunization or reaction but I had kidney stone that was diag 9 days after injection ( never had any kidney stones prior to ) did have fever with injection - maybe dehydration caused issue with stone

Other Meds: Armour thyroid , verapmil

Current Illness: None

ID: 1545027
Sex: M
Age: 43
State: PA

Vax Date: 05/11/2021
Onset Date: 07/23/2021
Rec V Date: 08/11/2021
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: Itchy red patches and bulls-eye circles on arms, torso, neck, back, hands

Other Meds: None

Current Illness: COVID-19

ID: 1545028
Sex: F
Age: 12
State: MN

Vax Date: 08/04/2021
Onset Date: 08/05/2021
Rec V Date: 08/11/2021
Hospital:

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

Lab Data:

Allergies: Penicillin; amoxicillin; oats; egg from chickens

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

Symptoms: About 12:20 she started to vomit for about 40 minutes straight. She would take a sip of water and throw it up. It got to the point where she was on all four and straining. She was shaking uncontrollably. She had a low grade fever of 99.7. I took her to the ER between 8-9 and they gave her an IV and Zofran.

Other Meds: ZYRTEC; baclofen; sertraline; guanfacine; folic acid; vitamin D; calcium; methotrexate injection; ORENCIA injection; hydroxychloroquine; Cromolyn; multivitamin

Current Illness:

ID: 1545029
Sex: M
Age: 51
State: VA

Vax Date: 05/01/2021
Onset Date: 07/28/2021
Rec V Date: 08/11/2021
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: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: My toes and fingers have had multiple bruises and swelling in the muscle tissue. Fatigue for several weeks after both shots

Other Meds: Clonazapan Pantoprazole

Current Illness: none

ID: 1545030
Sex: F
Age: 53
State: AL

Vax Date: 05/07/2021
Onset Date: 05/07/2021
Rec V Date: 08/11/2021
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: pennicillin, codeine, codone, tordal. flu shot

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

Symptoms: woke up with 104 degree fever, severe headache and weakness and very high blood pressure.. went to the ER . Had CT scan, fluids and x ray of hip. Given pain meds and sent home. Went tprimary doctor one month later for ongoing high blood pressure, stomach pain. Have since been put on 2 blood pressure medications! and had to have gall bladder removed. NEVER had either problem before. Now my vision is getting worse, stays blurry and double.. Have an appointment to see my nurse practitioner for THAT on 8-18th.

Other Meds: multi vitamin. zyrtec once a day

Current Illness: none

ID: 1545031
Sex: M
Age: 54
State: MN

Vax Date: 03/16/2021
Onset Date: 07/29/2021
Rec V Date: 08/11/2021
Hospital: Y

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: Dyspnea on exertion , cough,

Other Meds:

Current Illness:

ID: 1545032
Sex: M
Age: 21
State: OH

Vax Date: 08/02/2021
Onset Date: 08/09/2021
Rec V Date: 08/11/2021
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: NKDA

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: RASH ON TRUNK, NO HIVES, NO PUSTULES/NO WEEPING,

Other Meds: NONE

Current Illness: NONE REPORTED.

ID: 1545033
Sex: F
Age: 16
State: WI

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 08/11/2021
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: N/A

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

Symptoms: Vaccine given under the age of 18. No Medical adverse events. Vaccination error.

Other Meds: N/A

Current Illness: N/A

ID: 1545034
Sex: F
Age: 41
State: KY

Vax Date: 07/27/2021
Onset Date: 07/28/2021
Rec V Date: 08/11/2021
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: MORPHINE, BEES, DUST, POLLEN NOT SURE EXACTLY WHICH

Symptom List: Injection site swelling, Limb discomfort

Symptoms: WEDNESDAY EARLY AM RIGHT ARM FELT HEAVY. ARM FELT FROM THE SHOUDLER. JOINT PAIN STARTED FRIDAY 7/30/21 DULL ACHE AT THE BEGINING FROM VARIOUS JOINTS. 7/31/21 UNABLE TO GET OFF COUCH. 8/1/21 THRU TODAY THE JOINT PAIN RESOLVED. SHOULDER PAIN 8/1/21 TREATMENT FOR SHOULDER PAIN WAS IBUPROFEN. DID NOT TOUCH THE PAIN. TENS MACHINE WAS USED AS WELL TO TREAT THE SHOUDLER PAIN. PT ONLY GOT RELIEF WHILE THE TENS MACHINE WAS IN PLACE. 8/2/21 WENT TO CHIROPRACTOR. 8/4/21 WENT TO OFFICE BECAUSE PAIN CAUSED PT TO MISS WORK. PATIENT WAS GIVEN STERIOD SHOT AND INFLAMATION SHOT. SHE ALSO PRESCRIBED STERIOD DOSE PACK. 8/6/21 WENT BACK TO CHIROPRACTOR PT PUT IN TRACTION TO HELP GET MUSCLE RELIEF. PT HAD TO BEGIN USING PERCOCET 5/325 ON 8/6/21. PT HAS GOTTEN RELIEF BUT THE PAIN IS STILL THERE. 8/10/21 PT WENT BACK TO GOT X RAY AND LAB WORK. PT STARTED ON PREDNISONE FOR 9 DAY THERAPY. HAS BEEN REFERRED TO PHYSCIAL THERAPY, HAS APPOINTMENT FOR 8/12/2021 . ALSO HAS BEEN APPLYING HEATING PAD TO TRY TO GET RELIEF. PAIN IS CURRENTLY IN SHOULDER AND DOWN ARM. (8/1-CURRENT)

Other Meds: SERTRALINE, BENADRYL

Current Illness: NO

ID: 1545035
Sex: M
Age: 21
State: MI

Vax Date: 05/05/2021
Onset Date: 05/05/2021
Rec V Date: 08/11/2021
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: Gastroparysis Nervous system Panic attacks Blackouts Disassociation

Other Meds: Insulin Vyvance

Current Illness:

ID: 1545036
Sex: F
Age: 49
State: MD

Vax Date: 04/30/2021
Onset Date: 08/02/2021
Rec V Date: 08/11/2021
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: N/a

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

Symptoms: So I had a blood clot that happened around 8/3/2021, I was prescribed blood thinners - Lovanox and I am supposed to be on it for a course of maybe three months; and that is basically it.

Other Meds: Blood pressure medication - triamterene; CARAFATE; pantoprazole; B12; K2; D3; magnesium; iron; multivitamin; melatonin

Current Illness: N/a

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm