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: 1546528
Sex: F
Age: 45
State: NV

Vax Date: 08/06/2021
Onset Date: 08/06/2021
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: LA

Lab Data:

Allergies: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: Heart started fluttering and continued through the night. Called primary doctor and was told to urgent care. Urgent care sent me to ER. Fluttering. Irregular heartbeat and chest pressure has continued. Waiting for appointment with cardiologist

Other Meds: Magnesium Multivitamin Vitamin D Melinton

Current Illness: None

ID: 1546529
Sex: F
Age: 62
State: FL

Vax Date: 05/15/2021
Onset Date: 05/18/2021
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: Pyridium, sulfa drugs, gluten sensitivity

Symptom List: Anxiety, Dyspnoea

Symptoms: Atrial Fibrilation recorded several times on holter monitor, chest pain, unusual palpitations, irregular pulse. First afib recorded on 5/18/2021. Post menopausal vaginal bleeding for 5 days several weeks after vaccine. These signs and symptoms were not recognized as adverse events to the vaccine until today because I had been having chest pain since having Covid 19 in November 2020. However, I had not had irregular rhythm until after the vaccine. After reading a Moderna Vaccine fact sheet describing myocarditis with irregular rhythm as a reaction to the vaccine, and reading an article about women of all ages reporting female reproductive abnormalities including post menopausal vaginal bleeding, I made the connection.

Other Meds: Armour Thyroid, estradiol, progesterone, protonix, aspirin, DHEA, Vitamin D3, Vitamin C, Zinc, B12

Current Illness: Post Covid syndrome: chest pain, shortness of breath with exertion.

ID: 1546530
Sex: M
Age: 57
State: TX

Vax Date: 08/11/2021
Onset Date: 08/11/2021
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: NKA

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

Symptoms: After first dose restless legs, insomnia and testicular pain and sensitivity. After 2nd dose, severe tinnitus, returned testicular pain and sensitivity, migraines worse

Other Meds: Fisinopril Prozac Eliquis

Current Illness: None

ID: 1546532
Sex: F
Age: 29
State: MO

Vax Date: 08/11/2021
Onset Date: 08/11/2021
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: no known

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: 10 minutes after injection patient reported feeling dizzy/lightheaded, a sensation like her ears needed to pop, fingers tingling, abdominal pain and nausea. She denied any problems breathing or feeling of swollen tongue/lips/throat. Rph checked on her, gave her some water and offered to call EMS. Pt wanted to wait 10-15 mins and reassess. Rph checked back in on patient in waiting room and she was feeling better. Pt sat in waiting room for about 30 additional minutes then stated she felt much better before she left. She stated the nausea and lightheadedness had subsided. She did still have the ear pressure and some tingling in fingers but felt considerably better. Her husband was with her and she felt comfortable going home. Rph called her about 1.5 hours later and she stated her symptoms continued to improve and she was feeling much better.

Other Meds: no known

Current Illness: no known

ID: 1546533
Sex: F
Age: 34
State: WV

Vax Date: 04/10/2021
Onset Date: 05/01/2021
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: Bactrim

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

Symptoms: Since getting the Covid Vaccine, I have had uncontrollable panic attacks. Medication has not helped, therapy has not helped, meditation has not helped. They are so bad that I had to quit nursing school and my job. I can not even leave the house without having a panic attack. This includes grocery shopping, picking my children up off the bus, going out to eat, going to church, even visiting my parents. I have experienced panic attacks before, but they were never this bad, never this frequent and medication always helped curb them. Before the vaccine, I would experience maybe one panic attack every 6 months and could easily walk them off or take medication to curb them. Now, they occur almost every day, I cannot leave the house, no amount of medication has helped, I can not even concentrate and they have become extremely scary. This started approximately 2 weeks after my 2nd covid vaccine.

Other Meds: Zoloft

Current Illness: Depression Anxiety Disorder

ID: 1546534
Sex: F
Age: 65
State: WA

Vax Date: 04/18/2021
Onset Date: 04/18/2021
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: ABOUT 3 HOURS AFTER THE SHOT, I HAD A HARD TIME WALKING, I HAD PAIN IN MY SURGICAL SITE OF LOWER BACK L3L4L5. FELT VERY UNSTABE WALKING AND STARTED WEARING MY BACK BRACE AGAIN, I HAVE HAD AN MRI IN JULY AND IM GOING TO THE BACK SURGEON ON AUGUST 12TH 2021. THE PAIN IS SO INTENSE IN MY BACK AND DOWN MY LEFT LEG, IT FEELS LIKE A KNIFE STABBING ME, I TAKE 3 -800 MG TABLETS 3 TIMES A DAY, WITH HEAT CREAM OR HEATING PAD. THE ONLY TIME IT DOES NOT HURT IS WHEN I LAY DOWN ON MY BACK. dose ALSO TAKE OXYCODENE WHEN IT GETS SO BAD I CANT SLEEP.

Other Meds: IBUPROFEN, WELLBUTRON, ESRADIOL, VIT C VIT D3, CALCIUM MAGNESIUM, PROBIOTICS ZINC, ALL REDS NUTRITION DRINK

Current Illness:

ID: 1546535
Sex: F
Age: 38
State: TX

Vax Date: 07/02/2021
Onset Date: 07/05/2021
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: None

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Days later after the first dose my arms started to hurt and lasted over night and woken up with hands swollen a few days later my legs started to feel restless, weak, tingly, anxious and they were hurting bad. It last over two weeks

Other Meds: None

Current Illness: Hypothyroid and Sjogren?s antibodies

ID: 1546536
Sex: M
Age: 37
State: CA

Vax Date: 05/12/2021
Onset Date: 05/31/2021
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: none

Symptom List: Pharyngeal swelling

Symptoms: After his first dose of moderna on 4/14/21, had fevers, chills, nausea one day after vaccination. After his second dose, on 5/12/21, again had similar symptoms. But about 2-3 weeks after the second dose, he started having difficulty breathing and cough and was admitted into hospital 8/6/21 for congestive heart failure and found to have new onset cardiomyopathy with EF of 10% of uncertain etiology. Had cardiac catheterization with no signs of coronary artery disease and pt has no history of recreational drug use and not significant alcohol use or family history of heart disease.

Other Meds: none

Current Illness: none

ID: 1546537
Sex: F
Age: 59
State: NY

Vax Date: 07/01/2021
Onset Date: 07/03/2021
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: Shellfish

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Vertigo, severe dizziness, severe headache, could not keep balance. Primary doctor told me to go to the Emergency room. Meclizine was given. It brought herpes all over my mouth that I did not have - that happened the day after the shot. Valtrex was given. My eyes were seeing black spots, I went to the ophthalmologist, I have vitreous detachment and continue to have the spots in front of my eyes. I went to the same doctor 6 months prior and my eyes were fine.

Other Meds: Advil

Current Illness: none

ID: 1546538
Sex: F
Age: 62
State: MD

Vax Date: 02/10/2021
Onset Date: 02/10/2021
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: latex, flu vaccine

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Right arm pain, numbness, tingling, down the arm, numbness of fingers and hand, limited range of motion

Other Meds: AdvilPM

Current Illness: none known

ID: 1546539
Sex: F
Age: 16
State: TN

Vax Date: 08/04/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: nkda

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

Symptoms: The same day as her vaccine (8/4), she began to develop shortness of breath which progressively worsened over the weekend. Diagnosed on 8/9 with bilateral pulmonary emboli.

Other Meds: Zoloft, ferrous sulfate, OCP

Current Illness: none

ID: 1546540
Sex: F
Age: 39
State: VA

Vax Date: 08/07/2021
Onset Date: 08/07/2021
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: Flu shot, metal allergy except yellow gold

Symptom List: Rash, Urticaria

Symptoms: 8/7/21 I noticed rashes and hives around injection site that went away the same day. 8/7/21 7p.m. I experienced strong headache and arm pain. Headache went away the same evening but severe arm pain started and lasted until the late evening on 8/9/21. 8/8/21 and 8/9/21 I was having nausea off and on that went away. I though previously described side effects are fairly common and did not raise any alarms but my next symptom got me little worried so I decided to write the report. 8/9/21 in the evening I felt knife like stabbing pain between my breast towards left breast (3 times for a second ) that went away. Next day I had little discomfort between breast day but today I feel ok. Please let me know if I should pay a visit to cardiologist since they are warned me in the waiver about potential heart problems. Thank you.

Other Meds: Vitamin C and Magnesium , Vitamin D from time to time.

Current Illness: N/a

ID: 1546541
Sex: F
Age: 40
State: NY

Vax Date: 07/22/2021
Onset Date: 08/03/2021
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: Shellfish, Bactrim, tetracycline, amoxicillin, sulfa drugs, laytex

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

Symptoms: I got my period on 7/20 and was vaccinated on 7/22. On August 2nd, less than two weeks after the first day of my last period I started bleeding heavily. That lasted about 4 days. However, I have not stopped bleeding completely as of today8/11/21.. I have been like clockwork with my cycle since I was 17. Unless I was pregnant, I have not missed a period or had a cycle shorter than 23 days. Once I got my period back after having a baby, it was never erratic, ever. It always went straight back. I have so many questions and think it?s completely unfair to not mention this would happen , and to not give me any explanation at to why. As far as I know I?ve completely messed up my hormones. Also, around the same time I started bleeding vaginally I developed 7 bruises on my left leg. 4 on my left foot, one on my left ankle and two on my left calf. I have no recollection of hurting myself. Also, I never bruise. I was also foggy for about 3 weeks, but that?s the least often side adverse side effects.

Other Meds: Wellbutrin 350 and Lexapro 5 mg

Current Illness: None

ID: 1546542
Sex: F
Age: 15
State: CA

Vax Date: 08/07/2021
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: mold

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

Symptoms: Second day after vaccination patient started complainin of left hand burning sensation to skin and sensitivity, today, day 4 s/p vaccine she is complaining of entire arm soreness, burning, and sensitivity. Her skin is very sensitive to cold, water, and touch.

Other Meds: Melatonin, multivitamins, vitamin d

Current Illness: none.

ID: 1546543
Sex: F
Age: 54
State: CA

Vax Date: 04/17/2021
Onset Date: 04/20/2021
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: NA

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

Symptoms: Constant Tinnitus

Other Meds: Armour Thyroid, Estrodial, Sertraline, Metformin, Progesterone, Buproprion, Daily vitamin, Goli supplements

Current Illness: NA

ID: 1546697
Sex: F
Age: 44
State: CA

Vax Date: 03/18/2021
Onset Date: 04/05/2021
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: I have an unusually heavy period following the first dose. On day 3, the entire lining of my uterus came off in one whole chunk, causing very heavy bleeding. This never happened before or after.

Other Meds: None

Current Illness: None

ID: 1546698
Sex: F
Age: 38
State: WA

Vax Date: 08/01/2021
Onset Date: 08/08/2021
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: none

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

Symptoms: Normally I always have regular menstrual cycles (26-28 days). For the first time in my life, I had my period only after 20 days, which started one week after the vaccine.

Other Meds: multivitamin

Current Illness: none

ID: 1546699
Sex: F
Age: 14
State: CO

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: no

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Patient returned for 2nd COVID shot after softball practice. She was slightly apprehensive and scared to receive her dosage. Moments after receiving her vaccine she seemed to gaze off and her head fell forward and then back. Her eyes remained opened with her head tilted back but she was unresponsive for 15 seconds. She was attentive and responsive after this time. She started to sweat on her arms and forehead and above her mouth. We gave her water to drink immediately and a cold compress. It was difficult to discern if the patient experienced a seizure or was merely semi conscience. Her head shivered very slightly. She has dark eyes so it was difficult to see if her pupils were pinpoint as this occurred, but when alertness was restored her pupils were dilated. Patient was taken to hospital/urgent care

Other Meds: no

Current Illness: none

ID: 1546700
Sex: M
Age: 41
State: WA

Vax Date: 08/01/2021
Onset Date: 08/03/2021
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: Second night after the vaccination, I woke up to use the restroom. I passed out and found myself laying on the floor, not sure how long has passed. Something like this never happened before.

Other Meds: multivitamin

Current Illness: none

ID: 1546701
Sex: F
Age: 65
State: FL

Vax Date: 03/05/2021
Onset Date: 03/11/2021
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: mold

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

Symptoms: 24 hours after getting the shot, the normal side effects of feeling unwell, the side effects ended the following day. Six days after the shot , I suffered from extreme vertigo to the point that I could not walk without assistance and felt almost paralyzed . While lying in bed the dizziness got more intense but subsided about 6 hours later. It was one of the scariest things that I have been through.

Other Meds: calcium, vitamin D, vitamin B12

Current Illness: none

ID: 1546702
Sex: M
Age: 71
State: CA

Vax Date: 08/02/2021
Onset Date: 08/02/2021
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:

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

Symptoms: Patient states that he felt super sick and lightheaded "(could not complete a thought)" for a couple hours after the shot. He also felt very spaced out and "drugged" He called me today to report that he still felt mild lightheadedness and spaciness even after 10 days.

Other Meds:

Current Illness: Patient stated that he had been in a car accident weeks before.

ID: 1546703
Sex: F
Age: 29
State: TX

Vax Date: 07/15/2021
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: None

Symptom List: Unevaluable event

Symptoms: Tingling, numbness on both arms would change to fingers, legs, toes. Like an electric shock that would come and go. Muscle weakness. Legs would give out under me. Would seem worse when not moving.

Other Meds: None

Current Illness: None

ID: 1546704
Sex: M
Age: 19
State: CA

Vax Date: 08/11/2021
Onset Date: 08/11/2021
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:

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

Symptoms: patient received the first dose of pfizer covid vaccine and fainted about 15 minutes after receiving the vaccine. patient quickly regained conscious after about 10-15 seconds. patient also felt lightheaded. pharmacist had patient lie down. soon after patient felt fine. patient states this happens often with needle work

Other Meds:

Current Illness:

ID: 1546705
Sex: M
Age: 59
State: MN

Vax Date: 05/15/2021
Onset Date: 05/17/2021
Rec V Date: 08/11/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List: Injection site pain, Pain

Symptoms: Blacked out driving

Other Meds: None

Current Illness: None

ID: 1546706
Sex: M
Age: 35
State: FL

Vax Date: 07/29/2021
Onset Date: 07/31/2021
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: None

Symptom List: Injection site pain, Menorrhagia

Symptoms: Extreme tinnitus developed 48 hours after first shot. ENT doctor prescribing prednisone.

Other Meds: None

Current Illness: None

ID: 1546707
Sex: M
Age: 56
State: VA

Vax Date: 05/01/2021
Onset Date: 06/01/2021
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: None

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

Symptoms: I am continuing to have rashes develop all over my skin. Wherever I run or scratch my skin, it quickly turns red and becomes raised. Then it slowly goes away within 20-30 minutes. But the condition remains comtant. The rashes are slightly irritating, not very painful or itchy. However, I am certain this is a result of the vaccine. I?ve never had anything remotely like this before. It?s continuing now for three months after the second shot.

Other Meds: Propecia

Current Illness: Nine

ID: 1546708
Sex: F
Age: 52
State: IA

Vax Date: 07/09/2021
Onset Date: 07/14/2021
Rec V Date: 08/12/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: (I am Covid pneumonia recovered from March this year. I also had the monoclonal antibody IV injection.) Five days after my first shot, I began to have severe body-wide aches, joint pain, headaches, neck stiffness, fatigue, brain fog initially. Then two weeks later, developed neuropathy bilaterally in feet ascending to knees with leg weakness. Also, have neuropathy in my hands and occasionally in the back. When I turn my head left or right all the way, if I can, I become dizzy.

Other Meds:

Current Illness:

ID: 1546709
Sex: M
Age: 27
State: CA

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

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

Lab Data:

Allergies: N/A

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Determined after immunization that patient received first mRNA vaccine from Moderna on 07/06/2021 then second mRNA vaccine from Pfizer.

Other Meds: N/A

Current Illness: N/A

ID: 1546710
Sex: M
Age: 19
State: VT

Vax Date: 08/10/2021
Onset Date: 08/10/2021
Rec V Date: 08/12/2021
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 that I know of

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

Symptoms: Fainting a while after the shot (20 minutes), receiving a few minor injuries but hospitalized to get tests done to determine if I need more care or not

Other Meds: CBD taken daily to reduce anxiety

Current Illness: None

ID: 1546711
Sex: F
Age: 42
State: OK

Vax Date: 12/18/2020
Onset Date: 12/24/2020
Rec V Date: 08/12/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Nausea

Symptoms: Menstrual period came 1 week early and was heavier than usual. Same thing happened after 2nd vaccine in 1/2021. Subsequent to that menstrual cycle has been highly irregular (more frequent and heavier lasting 7-10 days when previously had all been 27-29 day cycles with 5-7 day periods). STARTING in May, pt had 2 periods, one 14 day cycle followed by 6 days of no bleeding and then an 8 day cycle. Had a cycle in June and since July 9 has not stopped bleeding at all.

Other Meds: None

Current Illness: None

ID: 1546712
Sex: F
Age: 42
State: MN

Vax Date: 08/10/2021
Onset Date: 08/10/2021
Rec V Date: 08/12/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: Fever, Body Aches , headache

Other Meds:

Current Illness:

ID: 1546715
Sex: F
Age: 66
State: WA

Vax Date: 02/19/2021
Onset Date: 03/25/2021
Rec V Date: 08/12/2021
Hospital:

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

Lab Data:

Allergies: Hydroxychloroquine, Leflunomide, Magnesium Acid Citrate

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

Symptoms: On 3/25/21 I began feeling achy. By 3/27/21 I was having an arthritis flare. 3/29/21 started short course prednisone per MD. On 4/7/21 I was no better so she started me on a Medrol DosePack. Felt some better after that but not back to normal. By 5/13/21 I was worse again and she started me on another short course of Prednisone. I was somewhat better but still not back to feeling good. On 6/9/21 I saw doctor or my quarterly visit. She started me on a different biologic called Simponi. I have had 2 doses and am feeling much better. Still having some joint pain, but better every week.

Other Meds: Levothyroxine, Enbrel, Atorvastatin, Famotidine, Acyclovir, Fluticasone, Vitamin D, Omega-3, Loratadine, CoQ10, Metamucil

Current Illness: None

ID: 1546716
Sex: F
Age: 24
State: CA

Vax Date: 03/05/2021
Onset Date: 03/26/2021
Rec V Date: 08/12/2021
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: N/A

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

Symptoms: A month after having both doses of the Covid Vaccine (Pfizer) I started having irregular menstruation, menstruation lasting 2 weeks and then getting menstruation every 2 weeks as well. I only get 2 weeks in between my period of not having menstruation. It has been happening for 4 months as of today. Before I had my period for 7 days monthly. Today, I had hormonal blood test and will schedule a pelvic ultrasound.

Other Meds: N/A

Current Illness: N/A

ID: 1546717
Sex: F
Age: 27
State: WA

Vax Date: 08/05/2021
Onset Date: 08/05/2021
Rec V Date: 08/12/2021
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: Eggs, tdap, flu, nuts, soaps, make up, detergent, Lotions, dairy

Symptom List: Tremor

Symptoms: Arms is on fire, red, swelling, feeds like I'm carrying around 30lbs on my arm, shoulder and chest, tired, nauseous, head is pounding, tingling/ pins and needles in hand, arm, abdominal, leg and foot that is still present 1 week after the shot. Random Sharpe stabbing in side of head

Other Meds: Prednisone, ibuprofen, benadryl

Current Illness: None

ID: 1546718
Sex: F
Age: 32
State:

Vax Date: 08/07/2021
Onset Date: 08/10/2021
Rec V Date: 08/12/2021
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: Extreme uterus cramping outside of normal mensuration period Fatigue

Other Meds: IUD

Current Illness: None

ID: 1546719
Sex: M
Age: 36
State: DC

Vax Date: 04/08/2021
Onset Date: 04/10/2021
Rec V Date: 08/12/2021
Hospital:

Vax Type: UNK
Manufacturer: UNKNOWN MANUFACTURER
Vax Name: VACCINE NOT SPECIFIED (NO BRAND NAME)
Lot:
Dose Series: UNK
Vax Route: SYR
Vax Site: UN

Lab Data:

Allergies:

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

Symptoms: Two powerful migraine attacks in days immediately after taking the vaccine. Most importantly, after that, I've been left with a lingering issue in my brain/head. It's a sort of permanent headache, comparable to dizziness (though without imbalance/vertigo) that never goes away. Four months and counting. My neurologist attributes it to the vaccine. I'll still have occasional migraine attacks, but the main issue is this sort of second layer of headache that never goes away

Other Meds:

Current Illness:

ID: 1546720
Sex: F
Age: 52
State: VA

Vax Date: 01/24/2021
Onset Date: 01/24/2021
Rec V Date: 08/12/2021
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: As soon as the shot was given, the nurse said "you are going to want to ice that". Driving home about 30 minutes later, I was unable to lift the arm to hold the steering wheel. I took a photo with the band-aid on since I was excited for the shot. You can see exactly where the shot had been given. For 2 days, I could not lift the arm. I started stretching exercises. After 2 months, I had some mobility back. After 4 months I could lift my arm above my head for the first time. Then I stopped improving. I am a teacher so I waited until the school year was over. I saw my primary doctor on 6/17/21. She prescribed a topical (Diclofenac Sodium 1%) for 2 weeks. It did not improve. I saw an orthopedist on 7/29/21. He took xrays. I was diagnosed with a frozen shoulder as a result of the vaccine being given in the back of my shoulder joint. I had my 1st physical therapy appointment on 8/4/21 where my range of motion was 135 degrees arm extended, 45 degrees arm bent towards rear and 55 degrees arm bent towards the front. I was given 6 exercises to do. My 2nd appointment with the physical therapist was 8/11/21 where I practiced my 6 exercises and was given 2 more. Some range of motion has returned. Physical therapy is scheduled for at least 2 more weeks.

Other Meds: Vitamin D, Euthyrox .137

Current Illness: None

ID: 1546721
Sex: F
Age: 41
State: NC

Vax Date: 07/13/2021
Onset Date: 07/15/2021
Rec V Date: 08/12/2021
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: I lost my breath constantly for 2 days. I got up from my bed and walked 4 feet to my closet and was completely out of breath. I could not breathe in deeply because my chest hurt so badly. If I got excited in any manner I lost all breath, turned beet red, and begin to sweat profusely. Each episode lasted about 5 minutes, I had to sit down in front of fresh air and be completely still until my breath came back. I could not go out anywhere because as soon as I began walking I would lose breath immediately and begin to sweat profusely. I am now fearful to get my 2nd shot because the 2nd dose is more intense. If I experienced this on the first dose then will I wind up on a ventilator on the 2nd dose?

Other Meds: N/A

Current Illness: No

ID: 1546722
Sex: F
Age: 65
State: CA

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 08/12/2021
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: Sulfa, Statins, Glipsides, seasonal allergies

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

Symptoms: Itching started in late evening of March 3, the day of shot. The next day rash was on back, feet, arms, hands, and legs, with intense itching and raised bumps and blisters. Went to Urgent Care was told it was shingles and given Mometasone Furote crream. Used cream but found no relief. On March 31 called Medical Doctor, he recommended a Dermatologist. On April 1, 2021 I saw the Dermatologist for first time and was told it was a Covid rash, caused by the shot I had taken. At this time the rash was over most of my body with my feet and back being the worst. I was given Betamethasone Valer Ointment for itching and pain. On April 22, 2021, two biopsies were performed on back. Medication was changed to Triamcinolone Cream for itching and pain. Rash was still spreading and none of the medicines were helping with the pain or itching. On May 6, 2021 lab results confirmed Lichen Planus. Medicines were not helping with the itching. The steroid creams seemed to cause more itching and spreading. On July 4th, 2021 I woke up to no itching or pain. There is lots of scaring from large patches of the rash.

Other Meds: Metformin, Enalapril, Levothyroxin, Vitamin D3, Fluticasone, B-12

Current Illness: None

ID: 1546723
Sex: F
Age: 23
State: CA

Vax Date: 05/06/2021
Onset Date: 06/13/2021
Rec V Date: 08/12/2021
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: major increase in tinnitus volume

Other Meds:

Current Illness:

ID: 1546725
Sex: F
Age: 41
State: GU

Vax Date: 08/10/2021
Onset Date: 08/10/2021
Rec V Date: 08/12/2021
Hospital:

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

Lab Data:

Allergies: Gluten, pineapple

Symptom List: Pain in extremity

Symptoms: 6-7hours after receiving the moderna Covid shot #1, I felt tingling and numbness down left arm. It progressed to my left shoulder and neck. My face went completely numb. Later the evening my whole left side of the body was tingling and numb. I am now three days later and the numbness is still in my face and random patches (left forearm and left shoulder and neck). Went to dr appt today to report and follow up with them.

Other Meds: Vitamin c, vitamin d, magnesium and zinc

Current Illness:

ID: 1546726
Sex: F
Age: 37
State: MI

Vax Date: 02/12/2021
Onset Date: 02/01/2021
Rec V Date: 08/12/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: My menstrual cycle has been off since receiving the vaccine. I skipped my first period post vaccine and then have had inconsistent cycles and very heavy flow.

Other Meds:

Current Illness:

ID: 1546727
Sex: F
Age: 32
State: AZ

Vax Date: 12/01/2020
Onset Date: 12/01/2020
Rec V Date: 08/12/2021
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: Amoxicillin

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

Symptoms: I never got my period after recieving the first dose- and I was regular

Other Meds: Yes ambien,tizanadine, gabapentin

Current Illness: No. Period since vaccine

ID: 1546728
Sex: F
Age: 34
State: CA

Vax Date: 03/23/2021
Onset Date: 03/24/2021
Rec V Date: 08/12/2021
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: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: I woke up on 3/24/2021 with swollen/puffy and tingling lips, numb face, tingling in the hands and feet. I called the advice nurse and zyrtec was recommened. Later that day, doctor suggested I take zyrtec and tylenol. 5 months later, I am still experiencing face numb on occasion and tingling in the hands, feet, and lips.

Other Meds: None

Current Illness: None

ID: 1546729
Sex: F
Age: 37
State: PA

Vax Date: 08/09/2021
Onset Date: 08/09/2021
Rec V Date: 08/12/2021
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: Bactrim Zyvox

Symptom List: Vomiting

Symptoms: Wide spread hives over body

Other Meds: Nuvigil Vitamin D Vitamin b 12 Synthroid Zyrtec

Current Illness: None

ID: 1547052
Sex: F
Age: 35
State: CA

Vax Date: 08/10/2021
Onset Date: 08/10/2021
Rec V Date: 08/12/2021
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: Gluten

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Around 9:00 p.m. the day of my shot, I developed severe tingling throughout the body. An hour later I suffered from severe chills and shaking until 3:00 a.m. or so. This was accompanied by an extreme headache in the back of my skull. Several times during the night, I felt as if I would vomit. I was unable to sleep due to the pain in my head and constant shaking. A fever of 102 lasted until about 3:00 p.m. today, which is the day after the vaccination. I've also been extremely woozy all day, not really able to eat what's the feeling of vomiting continues. I was able to get out of bed for about an hour but laid down immediately to sleep two or three hours more in the middle of the day.

Other Meds: None

Current Illness: Tested positive for covid March 4th, 2021.

ID: 1547053
Sex: F
Age: 36
State: CA

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

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

Symptoms: Joint pain. Aches. Treated with extra strength tylenol with no help. No aches noted morning of August 10, gradual progression of joint pain starting around 11am. Continued onto 8/13/2021.

Other Meds: Oral contraceptives, multivitamins, glucosamine

Current Illness: None

ID: 1547071
Sex: F
Age: 75
State: FL

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 08/12/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Swelling at injection site; Redness at injection site; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE ERYTHEMA (Redness at injection site) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 032L20A) for COVID-19 vaccination. No reported medical history. Concomitant products included LEVOTHYROXINE, QUINAPRIL and OMEPRAZOLE for an unknown indication. On 21-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 21-Jan-2021, the patient experienced VACCINATION SITE ERYTHEMA (Redness at injection site). The patient was treated with DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE]) at an unspecified dose and frequency. On 25-Jan-2021, VACCINATION SITE ERYTHEMA (Redness at injection site) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. This case was linked to US-MODERNATX, INC.-MOD-2021-023628 (Patient Link).

Other Meds: LEVOTHYROXINE; QUINAPRIL; OMEPRAZOLE

Current Illness:

ID: 1547072
Sex: F
Age: 73
State: MT

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 08/12/2021
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: Sore throat; eyes were burning; Slight fever; fever blisters on her lips; Very tired; Slept most of the day; Sore arm; deep bruise on her arm; This spontaneous case was reported by a consumer and describes the occurrence of FATIGUE (Very tired), SOMNOLENCE (Slept most of the day), EYE IRRITATION (eyes were burning), PYREXIA (Slight fever) and ORAL HERPES (fever blisters on her lips) in a 73-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 031M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 15-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 15-Feb-2021, the patient experienced VACCINATION SITE PAIN (Sore arm) and CONTUSION (deep bruise on her arm). On 16-Feb-2021, the patient experienced FATIGUE (Very tired) and SOMNOLENCE (Slept most of the day). On 17-Feb-2021, the patient experienced EYE IRRITATION (eyes were burning), PYREXIA (Slight fever) and ORAL HERPES (fever blisters on her lips). On 18-Feb-2021, the patient experienced OROPHARYNGEAL PAIN (Sore throat). The patient was treated with PARACETAMOL (TYLENOL) at an unspecified dose and frequency; CELECOXIB (CELEBREX) at an unspecified dose and frequency and OXYCODONE HYDROCHLORIDE, OXYCODONE TEREPHTHALATE, PARACETAMOL (PERCOCET [OXYCODONE HYDROCHLORIDE;OXYCODONE TEREPHTHALATE;PARACETAMOL]) at an unspecified dose and frequency. At the time of the report, FATIGUE (Very tired), SOMNOLENCE (Slept most of the day), EYE IRRITATION (eyes were burning), PYREXIA (Slight fever), ORAL HERPES (fever blisters on her lips), OROPHARYNGEAL PAIN (Sore throat), VACCINATION SITE PAIN (Sore arm) and CONTUSION (deep bruise on her arm) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Treatment medications include were 2 antidepressants, several medications for her bowels, thyroid medicine, nerve pain medicine. stomach pills. The patient's medical history was not provided.

Other Meds:

Current Illness:

ID: 1547073
Sex: F
Age: 75
State: FL

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 08/12/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Head Hurts; Body is Hot; Arm is Red; Arm is Swollen; Feels Horrible; trouble breathing; This spontaneous case was reported by a consumer and describes the occurrence of DYSPNOEA (trouble breathing), HEAD DISCOMFORT (Head Hurts), DRY SKIN (Body is Hot), ERYTHEMA (Arm is Red) and PERIPHERAL SWELLING (Arm is Swollen) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 015M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 22-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 22-Feb-2021, the patient experienced DYSPNOEA (trouble breathing). On 23-Feb-2021, the patient experienced HEAD DISCOMFORT (Head Hurts), DRY SKIN (Body is Hot), ERYTHEMA (Arm is Red), PERIPHERAL SWELLING (Arm is Swollen) and FEELING ABNORMAL (Feels Horrible). The patient was treated with CAFFEINE, PARACETAMOL (EXCEDRIN ASPIRIN FREE) at an unspecified dose and frequency. On 23-Feb-2021, DYSPNOEA (trouble breathing) had resolved. At the time of the report, HEAD DISCOMFORT (Head Hurts), DRY SKIN (Body is Hot), ERYTHEMA (Arm is Red), PERIPHERAL SWELLING (Arm is Swollen) and FEELING ABNORMAL (Feels Horrible) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. The patient's medical history was not provided. No relevant concomitant medications were reported.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm