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: 1573985
Sex: F
Age: 44
State: WI

Vax Date: 12/30/2020
Onset Date: 08/11/2021
Rec V Date: 08/16/2021
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: sulfa,erythromycin

Symptom List: Dysphagia, Epiglottitis

Symptoms: symptoms started 8/2/21 was tested negative for COVID but got progressively worse with symptoms. Nasal drainage, ear pain, headache, cough

Other Meds:

Current Illness:

ID: 1573986
Sex: F
Age: 65
State: WI

Vax Date: 08/10/2021
Onset Date: 08/11/2021
Rec V Date: 08/16/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: lisinopril

Symptom List: Anxiety, Dyspnoea

Symptoms: Developed fever (101.5), fatigue, headache, and dyspnea on exertion within a day of vaccination and symptoms continued until admission to hospital 4 days later

Other Meds: Tylenol, allopurinol, diclofenac gel, gabapentin, hydrocodone-APAP, ibuprofen, losartan-HCTZ, magnesium oxide, metoprolol succinate, multivitamin, rivaroxaban, rosuvastatin, vitamin D

Current Illness:

ID: 1573987
Sex: M
Age: 63
State: UT

Vax Date: 08/09/2021
Onset Date: 08/09/2021
Rec V Date: 08/16/2021
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: Patient reports felling sick and his throat starting to close off less than 2 minutes after vaccination on 8/9/2021. He reports feeling faint and his nose closing. On 8/10 a patient representative came to the pharmacy and reported that he was having sign of an allergic reaction still. This was the first time that the pharmacy was made known of the adverse event. Pt went to the ER on 8/10/2021. On 8/15/2021 I called patient to obtain more information to submit this form. At that time he said he was still feeling week, having a hard time sleeping, and feeling like his throat was not open all the way.

Other Meds: Lisinopril, calcium

Current Illness: na

ID: 1573988
Sex: F
Age: 66
State: VA

Vax Date: 02/02/2021
Onset Date: 02/04/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies: Cephalosporins

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: About 30 hours after 2nd vaccine, extreme joint, bone, muscular pain. At the same time, sensation of burning skin. Within 5 minutes of the pain, took 2 tylenol and shower, but shower was extremely excruciating burning. When tylenol kicked in, everything dissipated, very fatigued, extreme tiredness and heavy sleeping. Had an extreme itching since then, has been determined to be neurological (no redness, no heat) just a nerve sensation. Now on gabapentin, has reduced symptoms of itching, but the itching is still there, just less severe. Went to General Practitioner and Dermatologist, both said was neurological.

Other Meds: Progesterone Capsules 100 mg; Estradiol tablets; Cyclobenzaprine; Celebrex; Dexilant; Vitamin D3; Claritin; Biotin; Flovent Inhaler

Current Illness: N/A

ID: 1573990
Sex: F
Age: 51
State: NC

Vax Date: 03/10/2021
Onset Date: 03/11/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies: PCN, phenergan, percocet, lortab, shellfish, soy, legumes, bell peppers, lamb, potatoes, cauliflower, treenuts

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

Symptoms: Chills, fever (104), body ache Fever lowered to 102 with tylenol by 8am fever was below 100, body aches were minimal and chills were gone. Fatigue throughout following day 101.5 Fever returned around 6pm on 3/11 - lowered to below 100 with tylenol after night's rest, no symptoms from then on

Other Meds: Dupixent; claritin; HCTZ

Current Illness:

ID: 1573991
Sex: F
Age: 71
State: TN

Vax Date: 04/28/2021
Onset Date: 08/14/2021
Rec V Date: 08/16/2021
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: N/A

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

Symptoms: WEAKNESS, NAUSEA, DIARRHEA

Other Meds: FIORICET FOSAMAX ADDERALL BUSPAR CIPRO VITAMIN B-12 GABAPENTIN MIRTAZAPINE OMEPRAZOLE ZOFRAN OXYBUTYNIN PERCOCET PROMETHAZINE

Current Illness:

Date Died: 04/28/2021

ID: 1573992
Sex: M
Age: 40
State: IN

Vax Date: 03/16/2021
Onset Date: 04/28/2021
Rec V Date: 08/16/2021
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: Death

Other Meds: Unknown

Current Illness: Unknown

ID: 1573993
Sex: F
Age: 32
State: MS

Vax Date: 02/02/2021
Onset Date: 02/18/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies: Augmentin

Symptom List: Pharyngeal swelling

Symptoms: The first event, 18th, I had a very long menstrual period. It lasted over four days (and that has never happened to me before). 2/18/2021 - 3/6/2021 or 3/7/2021. My doctor had to put me on an addition birth control short-term to stop that period. I started taking that medication on March 4th - March 8th. The last two months ( I have been off birth control - I am having significantly more bleeding then before. But I am on blood thinner.). June 13th - I woke up with a pain in my lower calf muscle - it felt like it was about to cramp constantly. I elevated and iced and felt a little better. But went to work 14th and it progressively got worse. Went to Urgent Care, thought it could be a blood clot. I started Eliquis that day - 10 mg twice a day. Imaging on the 15th - and saw blood clot on Ultrasound- diagnosed with DVT. I saw Dr on the 17th. He checked in with me on the blood thinner - for a week I took 10 mg twice a week and a week later he tapered it to 5 mg twice a day and he did bloodwork. My follow up appt is tomorrow. Six months from the event - go back to bloodwork and he'll take me off the blood thinner and do tests to see if there is an underlying cause. If not, they'll take me off the blood thinner and just monitor it. I still get significant swelling and pain on a regular basis anytime I'm up and around on my leg too much. It swells up. I am having intermittent pain from time to time. They encouraged me to get off my birth control since there is risk from blood clots from that - so I did get off of that. My anxiety has been very significant since this event. I do have a history of anxiety in the past but it has very much increased. I use to be able to control my anxiety and it has now interfered with my personal and professional life.

Other Meds: Lisinopril; Nuvaring; Adderall; Emglality; Have had PRN medication for many years - Aquiphen and Fioricet

Current Illness: no

ID: 1573994
Sex: M
Age: 51
State: KY

Vax Date: 01/12/2021
Onset Date: 08/11/2021
Rec V Date: 08/16/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: COVID developed on 8/11/2021

Other Meds: Vitamin D 4000 iu daily

Current Illness:

ID: 1573995
Sex: M
Age: 56
State: GA

Vax Date: 02/08/2021
Onset Date: 08/10/2021
Rec V Date: 08/16/2021
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: No

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Contracted COVID-19.

Other Meds: Lexapro; laprbutro; trazadone; insulin

Current Illness: No

ID: 1573996
Sex: F
Age: 43
State: ID

Vax Date: 08/08/2021
Onset Date: 08/08/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies: Wellbutrin, Ambien

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

Symptoms: Symptoms: 8/08/2021 Sudden onset of chest pain, savior sharp pain localized to left upper chest that radiated to left shoulder blade. Pain was made worse by taking a breath in and when leaning forward. Rapid heat rate 100+. Treatment: 8/09/2021 Went to Urgent care and was tested for COVID-19, test came back negative, they did a EKG that came back with abnormal results (depressed ST segment). They then referred me to another emergency department due to the abnormal EKG results. While at ED the following tests were conducted - chest x-ray, EKG, and blood work.

Other Meds: None

Current Illness: None

ID: 1573997
Sex: M
Age: 17
State: VA

Vax Date: 08/13/2021
Onset Date: 08/14/2021
Rec V Date: 08/16/2021
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: None

Symptom List: Rash, Urticaria

Symptoms: Experienced hallucinations (no history) of his dead relative. He hallucinated once when he walked outside and then again later that day when he walked outside in the yard. By the time I was with him, I checked his temperature which was 100.4 degrees F and I continued to monitor him. He had no further hallucinations since, but he was quite scared and crying at the time.

Other Meds: None

Current Illness: None

ID: 1573998
Sex: F
Age: 25
State:

Vax Date: 08/12/2021
Onset Date: 08/12/2021
Rec V Date: 08/16/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Patient was monitored for 15 minutes post vaccination as proper protocol. Patient was also called the next day (13AUG2021) and Patient was doing well.

Other Meds:

Current Illness:

ID: 1573999
Sex: M
Age: 82
State: CA

Vax Date: 01/22/2021
Onset Date: 02/04/2021
Rec V Date: 08/16/2021
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: Ischemic stroke, two clots in left brain. Results: right hand weakness, right side of face sagging, slurred speech.

Other Meds: Telmisartan, hydrochlorothiazide, simvastatin, 81 mg aspirin

Current Illness: none

ID: 1574000
Sex: F
Age: 39
State: NY

Vax Date: 04/09/2021
Onset Date: 05/02/2021
Rec V Date: 08/16/2021
Hospital: Y

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

Lab Data:

Allergies: Penicillin

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

Symptoms: On 5/2/21 I started experiencing pain in my upper back when walking. 5/3/21 I noticed I was short of breath going up the stairs 5/4/21 My shortness of breath got worse, when walking from room to room. I went to urgent care which sent me to the hospital. After tests were run it was found that I had: Bilateral acute pulmonary emboli involving the main pulmonary arteries and extending to all main lobar, segmental and some segmental arteries. This was right at the 3 week mark of receiving my Johnson and Johnson Vaccine.

Other Meds: Prenatal Vitamins, Vitamin D, Vitamin C, Zinc, Tumeric

Current Illness: Sinus Infection 3/3/2021

Date Died: 08/12/2021

ID: 1574001
Sex: M
Age: 59
State: GA

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

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

Symptoms: On 8/12/21 at 8:30 p.m. resident noted in bed alert and responsive. Resident noted talking to nurse. At 9:10 p.m., resident noted to be unresponsive by staff. CPR initiated. 911 arrived at 9:27 p.m. and was unsuccessful. Pronouncement of death at 9:30 p.m. Medical examiner deemed resident death as natural causes

Other Meds: Amlodipine, gababentin, zinc, pantoprazole, metoclopramide, thiamine, metoprolol, voltaren, oxycodone, humalog, aspirin, ferrous sulfate, vitamin C, santyl, betadine, symbicort, doxazosin

Current Illness: diabetes, hypertension, BPH, dysphagia, sepsis, enterocolitis due to C. Diff, hyperlipidemia, PVD, Cerebral infarction

ID: 1574004
Sex: M
Age: 54
State: OH

Vax Date: 07/01/2021
Onset Date: 07/30/2021
Rec V Date: 08/16/2021
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:

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

Symptoms: After receiving the second dose of Moderna, pt started to experience Kidney pain, when to MD and was encouraged to increase fluids and if the pain persist to return to MD. Pt states he is fine and he is not experiencing any issues.

Other Meds:

Current Illness: None

ID: 1574006
Sex: F
Age: 13
State: VA

Vax Date: 06/26/2021
Onset Date: 06/27/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies: Gluten allergy , celiac disease

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Chest pain/pressure, spread to abdominal pain, back pain. Difficulty breathing. Achiness. Headache and has developed panic attacks and anxiety. hard time sleeping due to chest pain

Other Meds: Vitamin D

Current Illness: none

ID: 1574007
Sex: F
Age: 25
State: NC

Vax Date: 11/18/2020
Onset Date: 11/21/2020
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Patient received influenza immunization 18 Nov 2020. Approximately 3 days later she reports onset of pain starting in her R shoulder and radiating down arm into right hand. Pain has persisted since then. She reports edema in R hand, denies numbness or tingling of right arm/hand/fingers. OTC Motrin provides temporary pain relief, symptoms return w/in 30min. Patient is RHD. Of note, we have attempted to evaluate patient (MRI, PT, etc.) and get no response. Patient has also received 2 subsequent injections in the affected arm (Depo and HepB vaccine).

Other Meds:

Current Illness:

ID: 1574008
Sex: M
Age: 82
State:

Vax Date: 02/11/2021
Onset Date: 08/14/2021
Rec V Date: 08/16/2021
Hospital: Y

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: This is a 82-year-old male with past medical history of hypertension, hyperlipidemia, type 2 diabetes mellitus, COPD/emphysema with chronic hypoxic respiratory failure requiring 2 L oxygen via nasal cannua every night, obstructive sleep apnea on CPAP every night, paroxysmal atrial fibrillation not on chronic anticoagulation due to history of intracranial bleed in 2020 , sarcoidosis, resident of assisted facility. He has been having symptoms for the last 2 days with cough and shortness of breath. Major symptoms the cough without any significant expectoration. He denies any subjective fevers but does have some chills. Denies any loss of taste or smell. Denies any chest pain or palp 8/14/2021 tested positive This is a 82-year-old male with past medical history of hypertension, hyperlipidemia, type 2 diabetes mellitus, COPD/emphysema with chronic hypoxic respiratory failure requiring 2 L oxygen via nasal cannula every night, obstructive sleep apnea on CPAP every night, He has been having symptoms for the last 2 days with cough and shortness of breath. Major symptoms the cough without any significant expectoration. He denies any subjective fevers but does have some chills. Denies any loss of taste of smell. Denies any chest pain or palpitations. Denies any abdominal pain, nausea, vomiting, burning or panful urination, diarrhea. Patient reports that he has been vaccinated with Pfizer vaccine in March and April respectively.

Other Meds:

Current Illness:

ID: 1574009
Sex: F
Age: 97
State:

Vax Date: 02/23/2021
Onset Date: 08/14/2021
Rec V Date: 08/16/2021
Hospital: Y

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: this is a 97-year-old female with past medical history of hypertension, hyperlipidemia dementia, history of CVA, history of colon cancer status post resection currently under remission, DNR, resident of assisted living facility . She came to the hospital with a chief complaint of mechanical fall. Patient reported that she a collapsed on the floor and fell and since then she has been having significant pain in the back and the pelvic region for the last 1 day. History taking limited from the patient due to dementia. Called patient's daughter on the number listed on the face sheet. Most of the history was obtained from her. The patient lives in an assisted living facility and the staff reported that she collapsed and fell and was complaining of some pain so she was sent to the hospital for further evaluation and treatment. Patient herself denies any other symptoms otherwise apart from pelvic pain. 8/14/2021 tested positive

Other Meds:

Current Illness:

ID: 1574010
Sex: M
Age: 76
State:

Vax Date: 03/08/2021
Onset Date: 08/13/2021
Rec V Date: 08/16/2021
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: atorvastatin, lisinopril

Symptom List: Unevaluable event

Symptoms: -this is a 77-year-old male with past medical history of hypertension, hyperlipidemia, COPD/emphysema, chronic hypoxic respiratory failure with 3 L oxygen via nasal cannula at home, type 2 diabetes mellitus, Parkinson's disease, depression, paroxysmal atrial fibrillation not on chronic anticoagulation due to high risk of bleeding, coronary artery disease status post CABG and stent, severe aortic stenosis status post bovine aortic valve replacement in 2012, status post AICD, chronic systolic heart failure with last known ejection fraction of 20-25% in August 2021, BPH, depression, obesity. -he was recently discharged from the hospital after treatment for COVID-19 pneumonia and hypoxic respiratory failure. He received 3 days of IV dexamethasone. Was discharged on p.o. dexamethasone for 7 more days. He was discharged home with home health services and remote patient monitoring. He also had some urinary tract infection with metabolic encephalopathy. Was given Rocephin for 7 days. Neurology was consulted. Encephalopathy was improved. Recently ultrasound venous Doppler was negative for DVT and CT scan of the chest PE protocol was also negative for pulmonary embolism. 2D echo was done showing ejection fraction of 20-25% with elevated RVSP. High risk for bleeding so not on anticoagulation. Needed outpatient vascular surgery follow-up due to 70% stenosis of right ICA. He came back to the hospital with a chief complaint of chest pain. Reports significant generalized weakness and dizziness which is currently improving. The symptoms were going on for 1 day. Patient denies any other symptoms otherwise like fevers, chills, palpitations, abdominal pain, nausea, vomiting, burning or painful urination, diarrhea. He does have chronic cough since he got diagnosed with COVID-19 and also had before due to COPD/emphysema. 8/13/2021 tested positive

Other Meds:

Current Illness:

ID: 1574011
Sex: M
Age: 68
State: MI

Vax Date: 03/15/2021
Onset Date: 08/09/2021
Rec V Date: 08/16/2021
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: none known

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

Symptoms: breakthrough infection/hospitalization

Other Meds: numerous home medications

Current Illness: unknown

ID: 1574012
Sex: F
Age: 60
State: NE

Vax Date: 02/19/2021
Onset Date: 03/01/2021
Rec V Date: 08/16/2021
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: Vistaril, amlodipine

Symptom List: Injection site pain, Pain

Symptoms: Swollen lymph nodes under right arm and into right side of neck within a few days of vaccine. 2 weeks after 2nd vaccine - had episode of chest pain, severe diaphoresis, then severe weakness and inability to speak or move but still aware of surroundings. Lasted about 10-15 mins. Had fatigue and mental fog for at least 24 hrs after. Have had a total of 4 of these episodes with the last 2 including additional symptoms of muscle tightness in jaw and neck, difficulty swallowing. Have had multiple tests including cardiac work up. Cleared by cardiologist. Then started Neuro work up - EEG was abnormal so referred to Doctor. After last episode on 08/15 went to ER per Doctor to have Prolactin level drawn. Waiting on results that should confirm if these are new onset seizures. Being referred to an Epileptologist also for further testing

Other Meds: Pro-biotic, low dose ASA, Claritin, Vit D, Calcium, Biotin, B-Complex

Current Illness: None

ID: 1574013
Sex: F
Age: 43
State: MS

Vax Date: 08/16/2021
Onset Date: 08/16/2021
Rec V Date: 08/16/2021
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: Pt became tachycardia and htn 15 minutes after vaccine. Pt complained of numbness all over. Pt was placed on oxygen, Benadryl 25mg po, and Pepcid 10mg po. Heart rate came down to 90-110 at 15 min after reaction and 30 min after back up to 130s. Pt was sent to Emergency room for further eval.

Other Meds: Coreg; Elavil, Lisinopril-hctz, omeprazole

Current Illness: none

ID: 1574014
Sex: F
Age: 46
State:

Vax Date: 08/12/2021
Onset Date: 08/12/2021
Rec V Date: 08/16/2021
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: No

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

Symptoms: Headache, backpain, fever, joint and swelling in arm where the vaccine where inyected. Inflamation under the arm. Rash in the vaccinated arm. Tireness. Urge to drink water.

Other Meds: Tylenol Vitamin C 1000

Current Illness: Albinsm Psoriasis

ID: 1574015
Sex: F
Age: 35
State: IL

Vax Date: 03/23/2021
Onset Date: 07/20/2021
Rec V Date: 08/16/2021
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: Amoxicclyn

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: I was 27 weeks pregnant on July 20th 2021. I noticed the baby wasn't moving inside. I went to my doctors office to see Dr. and that when he determined that there was not heart beat we did a ultra sound to confirm.MY DAUGHTER DIDNT MAKE IT. I had to then go to Hospital to deliver my baby. The process started on July 20th 2021 and I delivered my STILLBORN daughter on Thursday July 22nd. MY due Date was OCTOBER 17TH. the baby weighed 2 pounds and was 15 inches long.

Other Meds: Prenatals

Current Illness:

ID: 1574016
Sex: F
Age: 40
State: NJ

Vax Date: 07/05/2021
Onset Date: 07/12/2021
Rec V Date: 08/16/2021
Hospital: Y

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

Lab Data:

Allergies: None known

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Progressive numbness and loss of feeling on right side of body; started with tingling on upper right arm near injection sight, spread to entire right arm, right back/shoulder, right leg and eventually up to face and neck. Decreased vision also observed on right side. Numbness also accompanied by periodic cold spells and observable difference in temperature on left and right side of body (e.g. when placing hands on someone else). Significant brain fog and stutter also accompanied symptoms. Additional symptoms including muscle spasms (in legs and chest) and night sweats also occur most nights. Over course of the month have varied in intensity but never disappeared.

Other Meds: N/A

Current Illness: N/A

ID: 1574017
Sex: F
Age: 58
State: GA

Vax Date: 07/27/2021
Onset Date: 08/03/2021
Rec V Date: 08/16/2021
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: green dye, steroid,

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

Symptoms: got Shingles after taking the vaccine

Other Meds: multi vit, vit c, vit e, vit d, zinc, melatonin, aspirin, mortran, lisinopril, indur, lipitor, busbar, co-reg, Norvasc, flexarell, oxycodone, glimepiride, metformin

Current Illness: on going back problems

ID: 1574018
Sex: F
Age: 75
State: MN

Vax Date: 03/19/2021
Onset Date: 08/14/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: pt experienced a fall from a horse, upon admission to the hospital she was tested for COVID and was positive

Other Meds:

Current Illness:

ID: 1574019
Sex: F
Age: 16
State: MN

Vax Date: 08/13/2021
Onset Date: 08/13/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain

Symptoms: This was an employee that requested J&J, it was not caught that she was under 18. Consents were all signed by parent

Other Meds: None

Current Illness: None

ID: 1574020
Sex: F
Age: 22
State: TN

Vax Date: 08/10/2021
Onset Date: 08/10/2021
Rec V Date: 08/16/2021
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: 22-year-old female presents to the ER with possible reaction to a Covid vaccine. Patient states that she received her Covid vaccine. Approximate 10 minutes later she states she started having tingling down her right arm where she got the vaccine. The staff report that patient went to get up and felt lightheaded and dizzy and nauseated and almost passed out. They state that they immediately brought her here to the ER. Currently here in the ER patient denies any problems swallowing or problems breathing. States she does not feel short of breath. Patient states she just feels really tired. She reports she has not ate today and has only had a couple sips of liquids. States she is been in her usual state health up until the incident today. Denies any cough congestion. Denies any chest pain shortness of breath. Denies any vomiting or diarrhea. Denies any headaches or visual changes or focal weaknesses of the extremities. Denies any itching currently or rash.

Other Meds: Buspirone 5mg PRN

Current Illness: None

ID: 1574021
Sex: F
Age: 44
State: TX

Vax Date: 08/13/2021
Onset Date: 08/16/2021
Rec V Date: 08/16/2021
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: Onset of acute dizziness and near syncope 8/16/21 requiring in clinic evaluation.

Other Meds: Atenolol 25mg, Levothyroxine 75mcg, Atorvastatin 20mg, Bupropion 150mg, Phentermine 37.5mg

Current Illness: New Rx for phentermine 8/9/21. Dose was not taken the time of the incident.

ID: 1574022
Sex: M
Age: 56
State: FL

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

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

Lab Data:

Allergies: None

Symptom List: Tremor

Symptoms: Chills, Body Aches, Sore throat, Headache, Piloerection and sore throat

Other Meds: Yes Metoprolol Tartrate 50 mg x 1 tablet, oral 07:00 AM MED Administered by LPN 08/16/2021 10:42 AM Warning: Hold for SBP < 100, HR < 65 Yes Gabapentin 100 mg x 1 capsule, oral 09:00 AM MED Administered by LPN 08/16/2021 10:42 AM Ye

Current Illness: F10.20 Alcohol use disorder, Severe I10 Essential (primary) hypertension F41.1 Generalized anxiety disorder M79.7 Fibromyalgia

ID: 1574023
Sex: F
Age: 63
State: MN

Vax Date: 01/01/2021
Onset Date: 08/07/2021
Rec V Date: 08/16/2021
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: breakthrough case of covid 19 after 2 doses of Pfizer Covid 19 vaccine more than 14 days prior to illness

Other Meds:

Current Illness:

ID: 1574024
Sex: M
Age: 18
State: RI

Vax Date: 05/20/2021
Onset Date: 08/10/2021
Rec V Date: 08/16/2021
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: n/a

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

Symptoms: My healthy active 18 yr old son can barely walk. Inflammation of both legs, incredible pain. Diagnosed with Myositis, 100% sure this is related to the vaccine. There was no reason for a healthy 18 yr old to be forced to get a vaccine that he did not need other than his college mandating it in order to play sports. Now he may not even be able to play. He has Covid one year ago and was fine - his immune system fought the infection as it was designed to.

Other Meds: n/a

Current Illness: n/a

Date Died: 08/14/2021

ID: 1574026
Sex: F
Age: 25
State: LA

Vax Date: 07/24/2021
Onset Date: 07/24/2021
Rec V Date: 08/16/2021
Hospital: Y

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

Lab Data:

Allergies: Latex

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

Symptoms: Pt developed acute TTP ~3 weeks post dose and subsequently passed away.

Other Meds: Albuterol, apixiban, furosemids, gabapentin, leuprolide, pantoprazole, ondansetron, prednisone, spironalactone, tadalafil, treprostinil.

Current Illness: Pulmonary hypertension, scleroderma, myopathy, nicm, fsgs.

ID: 1574027
Sex: F
Age: 41
State: CO

Vax Date: 07/13/2021
Onset Date: 08/10/2021
Rec V Date: 08/16/2021
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: True allergy to fish/shellfish; gluten intolerance; intolerance to night shade vegetables, chocolate, alcohol

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: At 4 am I awoke feeling poorly and had an alert from my watch that my heart rate was 140; I went to work (I am an ICU nurse) and felt fine until 08:30 when I felt heart palpitations, dizziness, light headedness, chest pain and pressure and I felt like I was going to pass out. I checked my pulse and it was 140. I asked my coworkers to put me on the monitor so they put me on pulse ox and checked my blood pressure. On pulse ox my oxygen saturation was 98%, my heart rate was 125 to 130 with some dropped beats that were non-perfusing. I was hypertensive at 160/90. This episode lasted about 10 minutes. After my heart rate normalized so did my blood pressure but I still felt lightheaded and dizzy and nauseated. After leaving work, I went to my doctors office. As I was being assessed by the nurse at 2:40 PM I felt another episode coming on. My heart rate was 150, I felt lightheaded and dizzy, nauseated, I felt like I was going to pass out, and I had chest pain and chest pressure. I had to lay back flat with my feet elevated so that I would not pass out. I was normotensive when the nurse checked my blood pressure. By the time the nurse got me on a 12 lead EKG, my heart rate has slowed down to 90 to 115, and appeared to be a sinus arrhythmia with increases in rate by 20 beats with any movement. For about 30 to 40 minutes I was unable to sit up because I still felt discomfort in my chest and I felt like I would pass out if I sat up. After I was able to move my heart was in a normal sinus rhythm and I was transferred to urgent care for further monitoring. In urgent care I had some blood sample sent including a CBC, BMP, D dimer, and troponin. The D dimer was normal and the troponin was negative. The BMP was normal, and the CBC was normal with the exception of A slight bump of my white blood cell count to 10.5, and a slightly elevated neutrophil count. I also received a chest x-ray which was normal. After I was discharged, I had another event at home with a heart rate of 100-115. This episode lasted about 30 minutes and I had to lie on my back with my feet elevated for the duration.

Other Meds: Beyond Balance MC-Bar1; Beyond Balance MC-Bab2; Beyond Balance MC-BB1; FormiPlus oral drops

Current Illness: Treatment for chronic lyme disease (symptoms of lyme x 10 years)

ID: 1574028
Sex: F
Age: 32
State: ME

Vax Date: 08/10/2021
Onset Date: 08/10/2021
Rec V Date: 08/16/2021
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: n/a

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

Symptoms: patient called us and we went through questionnaire. She never told us that she got the Pfizer vaccine back in May/2021. She requested the Janssen vaccine on 8/10 and it was administered. We only found out when we documented the vaccine in the program. I have made 3 calls to patient , I never got the phone call back.

Other Meds: n/a

Current Illness: n/a

ID: 1574029
Sex: M
Age: 18
State: FL

Vax Date: 08/08/2021
Onset Date: 08/08/2021
Rec V Date: 08/16/2021
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: None so far

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

Symptoms: Paleness, dizziness, weakness, shortness of breath for 20 minutes.

Other Meds: None

Current Illness: None

ID: 1574030
Sex: F
Age: 38
State: MD

Vax Date: 04/23/2021
Onset Date: 08/09/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: COVID positive after vaccination

Other Meds:

Current Illness:

ID: 1574031
Sex: M
Age: 71
State: MI

Vax Date: 02/06/2021
Onset Date: 02/10/2021
Rec V Date: 08/16/2021
Hospital: Y

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

Lab Data:

Allergies: Bactrim

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

Symptoms: I exp worsening of my Afib and started having breathing issues for the first time. This caused me to need a ablation on 6/21 received epicardial and the second part on 7/21 endocardial both performed at hospital. I was hospitalized at at the facility for 15 days. Since then my breathing issues now on Oxygen 24/7. The cardiologist did a Echocardiogram, Stress test results was normal. The doctor stated the worsening is not cause of any heart changes my ejection fraction from went to 50's to 40's.

Other Meds: Toprol, Amiodarone, Effexor, Tamsulosin

Current Illness: Changed medication to convert get out of Afib

ID: 1574032
Sex: F
Age: 18
State: TN

Vax Date: 08/13/2021
Onset Date: 08/13/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: a few minutes after shot while patient waiting in waiting room they started to faint/have a seizure and then urinated on themselves. she came back to consciousness soon after. called EMS to come check out patient and her vitals were fine. she did not go with EMS and left on her own with patient representative once cleared by EMS.

Other Meds:

Current Illness:

ID: 1574033
Sex: M
Age: 56
State: MI

Vax Date: 08/10/2021
Onset Date: 08/15/2021
Rec V Date: 08/16/2021
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: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: On day 5 following vaccination (8/15/21), patient began to develop an itchy rash on multiple areas of the body. On day 6 (8/16/21) rash was covering entire body from head to toes and patient was experiencing intense itching everywhere. He called the pharmacy for advice and to report this rash on 8/16/21 at 12:20pm and had already taken diphenhydramine. I recommended he try to get in to see his primary care, have a teledoc visit or go to urgent care. He was not having any swelling of the face, tongue, lips or throat and was not having difficulty breathing.

Other Meds:

Current Illness:

ID: 1574034
Sex: M
Age: 66
State: MD

Vax Date: 01/27/2021
Onset Date: 08/10/2021
Rec V Date: 08/16/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: COVID positive after vaccination

Other Meds:

Current Illness:

ID: 1574035
Sex: F
Age: 30
State: MN

Vax Date: 12/31/2020
Onset Date: 01/21/2021
Rec V Date: 08/16/2021
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: Enviornmental

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Tested positive for COVID-19 after receiving vaccination.

Other Meds: Multivitamin

Current Illness: N/A

ID: 1574036
Sex: F
Age: 70
State:

Vax Date: 08/14/2021
Onset Date: 08/15/2021
Rec V Date: 08/16/2021
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: Compazine.

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

Symptoms: Sore arm, numb sensation to thumb.

Other Meds: Gabapentin.

Current Illness: None.

ID: 1574037
Sex: F
Age: 70
State: TX

Vax Date: 02/11/2021
Onset Date: 02/19/2021
Rec V Date: 08/16/2021
Hospital: Y

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: compazine

Symptom List: Injection site swelling, Limb discomfort

Symptoms: I had no adverse event with the 1st dose of the Pfizer vaccine. On 2/11/2021, I received the 2nd dose vaccine. On 2/19/2021, I woke up with hypertension 220/115 and excruciating pain in right arm and went to the ER (Hospital). They did EKG, blood work and X-ray and everything came back normal. I was discharged with a referral to see my PCP to follow up. They did not treat me for my arm pain. Please note that I got my vaccine in my left arm and the pain is on the opposite side of my body. On 3/1/2021, I woke up with excruciating pain in my right arm. I went to the ER and they did a sonogram and did not find anything. I was prescribed Orphenadrine- a muscle relaxer. I did go see an orthopedic who did an x-ray but pain continued. At this time, I was starting to lose feeling in the 3 digits of my right hand (thumb, index, middle finger). I was prescribed a 6 day pack of steroid. It did help with pain in my arm but once I was off steroids, the pain came back. I was referred to a neck and spine specialist. I did go see neck and spine and they recommended physical therapist. I also went to see a rheumatologist who recommended me to do a nerve test. It was determined from the nerve test that I had carpal tunnel syndrome and decompressed peroneal nerve in my right knee. On 4/15/2021, I developed dropped foot in my right foot and I had no control of my right foot. I have neuropathy of the right side of my body and have no control of my right foot and right arm. I did see finally see a neurologist and he recommended me to be admitted to the hospital to run tests and be monitored (Hospital). I was admitted 4/20/2021 -4/27/2021 and had a bunch of tests done. I was finally diagnosed with poly neuropathy, mononeuritis multiplex and right drop foot. I was put on high doses of prednisone for treatment and I am currently on prednisone. Test performed when I was admitted: doppler test, MRI, x ray, bloodwork, bone marrow biopsy, muscle and nerve biopsy, From 2/12/2021 to April 2021 , I have seen 18 doctors related to adverse events to the vaccine. I am still suffering from the adverse event and have not fully recovered.

Other Meds: Clonidine; losartan; orphenadrine

Current Illness: none

ID: 1574038
Sex: F
Age: 43
State: MN

Vax Date: 01/01/2021
Onset Date: 08/12/2021
Rec V Date: 08/16/2021
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: breakthrough case of covid 19 after 2 doses of Pfizer covid 19 vaccine given over 14 days prior to illness

Other Meds:

Current Illness:

ID: 1574039
Sex: F
Age: 29
State: MD

Vax Date: 06/11/2021
Onset Date: 08/11/2021
Rec V Date: 08/16/2021
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: COVID positive after vaccination

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm