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: 1592047
Sex: F
Age: 67
State: PA

Vax Date: 05/01/2021
Onset Date: 05/15/2021
Rec V Date: 08/20/2021
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: Nickle

Symptom List: Dysphagia, Epiglottitis

Symptoms: After the first vaccine patient stated that she started slowing down in your actives. Two weeks after the second vaccine patient went to see PCP.T hey said she was having allergies and got a prescription for steroid. Went back and got o2 level checks. O2 is very low and now she is on oxygen.

Other Meds: Supplements Aspirin Inhaler

Current Illness:

ID: 1592049
Sex: F
Age: 17
State: TX

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 08/20/2021
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: Unknown

Symptom List: Anxiety, Dyspnoea

Symptoms: 17 year old female inadvertently administered 1st dose of Moderna Covid 19 Vaccine to a person under the age of 18.

Other Meds: Unknown

Current Illness: Unknown

ID: 1592050
Sex: M
Age: 60
State: WA

Vax Date: 05/01/2021
Onset Date: 06/29/2021
Rec V Date: 08/20/2021
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: None

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

Symptoms: My blood pressure had increased to 176 / 102 about 6-8 weeks after Covid-19 Pfizer shot number 2. I am runner and injured my knee out on a run. My physio therapist had me warming up my knee on a exercise bike, before standing exercises to strengthen my leg muscles. She noticed me begin to pass out, and immediately stopped PT treatment and sat me down and took my BP (176/102). This high BP was extraordinary for me (because I am runner). My BP prior to Pfizer shot 2 was 134 / 89 taken when I donated my blood (which I do 3 or 4 times per year).

Other Meds: None

Current Illness: None

ID: 1592051
Sex: M
Age: 15
State: TX

Vax Date: 08/15/2021
Onset Date: 08/15/2021
Rec V Date: 08/20/2021
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: Heart pain that comes and goes. Has been happening everyday sense given the shot.

Other Meds: None

Current Illness: None

ID: 1592052
Sex: F
Age: 71
State: WA

Vax Date: 08/19/2021
Onset Date: 08/19/2021
Rec V Date: 08/20/2021
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

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

Symptoms: chest pain-resolved within 2 minutes

Other Meds: isosorbide,metoprolol,lisinopril,prevastatin,diltiazem,clopidegrel,asa,zyrec

Current Illness:

ID: 1592054
Sex: M
Age: 21
State: CO

Vax Date: 08/20/2021
Onset Date: 08/20/2021
Rec V Date: 08/20/2021
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: Patient had an event of syncope while waiting in IMZ chair post COVID moderna dose #1. Caught patient before patient fell, protected his head and neck area and slowly lowered him to ground and elevated his legs on chair. Store management was notified and observed. Gave patient an instant cold compress. Told patient to wait in chair and observed patient for roughly 20 additional minutes. patient stated he was ok and he faints with blood draws and IMZ sometimes and that he is ok. Patient and friend left.

Other Meds:

Current Illness:

ID: 1592055
Sex: F
Age: 24
State: TX

Vax Date: 08/20/2021
Onset Date: 08/20/2021
Rec V Date: 08/20/2021
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: Patient communicated feeling drowsy with blurred vision. Reported at 11 am. Prior to administering vaccine, the facility of vaccine site operations temperature at 76-77 degrees. Fan's were provided by facility for airflow after reporting patient's symptoms.

Other Meds: None

Current Illness: None

ID: 1592056
Sex: F
Age: 59
State: NV

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 08/20/2021
Hospital:

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

Lab Data:

Allergies: Fentanyl; codeine; Demerol; Methotrexate; Arava

Symptom List: Pharyngeal swelling

Symptoms: Within 2 hours, I became nauseous; I had a lot of nausea. I had three times of vomiting; loss of appetite; chills and a very sore throat; very swollen glands and chest pain. They were so severe I doubled over. I made an appt with - myocarditis and pericarditis. I was sent to get a heart Catherization - femoral artery - right side that week. At a medical center. It showed no blockages but helped to diagnose me. I am on medications for this now. Midodrine and I'm also getting a med but they have to determine what it will be: I have a lot of doctors and they are trying to decided how to proceed. Hospital did one part of it and the saliva collections was mailed to me for this test: Amalodyis genetic thing I have been tested for this and results have not come back yet. They would be me on something else besides Humira if I test positive but if I don't they may put me on Humira. I also am on Salt tablets because I dehydrate easily. Naproxen - I take once a day and that is 500 mg. Can't do much. in the day I am in bed by 07:00 pm. I have a lot of fatigue. They symptoms are definitely interfering with my life. I get occasional nausea and I get occasional chest pain when I exert myself. I get breathless when I am lying down. I have been to ER twice - For the chest pain and feeling like I am going to pass out - it's hard to describe - it feels like my body is electrical and I get breathless and I can't feel my body. I get dissociation and I had that symptoms immediately after both vaccines and lasted a whole wee after both vaccines: the feeling of not being in reality. I want to get the Booster. Note: I had chest pains with the Arava when I was on that Feb. and then I got off of it on March 16th - because the side affects were so severe. I had a terrible pain in my back. And neck pain. And then the COVID vaccines - severe muscle aches and very fatigued. I couldn't do anything I was on the sofa. And then those symptoms subsided. But the fatigue ahs continued. It's hard to tell. A week after my vaccines (both) when my initial side affects were gone - I had complete relief from my autoimmune symptoms - it almost like it had rebooted my body. I had no pain. At all! No fatigue and my joints and my hands - they visibly had reduced swelling. I had a liaison on vaccine that had started to fade away. It felt like I had gotten a treatment for my autoimmune disease of some sort because my symptoms for that window of time after each vaccine (COVID PFIZER) were alleviated.

Other Meds: Prednisone - 5 mg; Vit D 5000 a day; Multi-Vitamin; Propalis - made from bees - anti-viral; NAC Acetyl - immune support; Folic Acid; Hydrocodone - 4 times a day; Salagen - for Shogran's syndrome; Zanadine - PRN; Klonopin - three times a w

Current Illness: no

ID: 1592057
Sex: M
Age: 64
State: CA

Vax Date: 07/28/2021
Onset Date: 08/15/2021
Rec V Date: 08/20/2021
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: nka

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Reason for Hospital Admission (Admitting Diagnosis): AHRF 2/2 COVID; 64 Y male with history of HTN, subclinical hypothyroidism, pre DM, and COVID + (5 days ago) who presents to the ED w/ AHRF 2/2 COVID PNA. Please see hospital course below by problem: 1. AHRF 2/2 COVID PNA, Recent dx COVID 5 days ago. Febrile on admission 100.9F. CRP, D-dimer elevated. Symptoms of cough and body aches started 8/7 and tested positive on 8/11 and 8/15 on admission. On 2L NC at present. Received 4mg PO Decadron x 1. Consider PE given elevated D-dimer and COVID, however breathing comfortably on 2L NC and HR 80s. No signs of fluid overload on exam to suggest HF. CXR w/ bilateral insterstitial opacities. Less likely ACS given EKG changes more consistent w/ LVH when compared to prior and Troponin 0.02. No urinary sxs and no abdominal pain. No focal deficits on neuro exam. Breathing on 1L NC comfortably. Inflammatory markers trending down. S/p Remdesavir 5 doses. -Continue Decadron and Pepcid for 5 more days until 8/25 -Self isolate until 9/3 (20 days) -COVID kit provided to patient w/ home O2 monitor -Home O2 delivered -F/u PCP via telephone or following self isolation. 2. Atrial Fibrillation - New Patient with intermittent atrial fibrillation seen on telemetry. On 8/18 a.m., patient went into atrial fibrillation with RVR (HR 115-160s) S/p PRN Metop and Dilt. H/o stroke per family. Rate controlled and sinus rhythm on day of discharge. -Continue Metop 25 mg PO BID -Continue Pradaxa BID -E-consult placed for outpt TTE; 3. Gram Positive Rod Bacteremia; 8/15 blood cx w/ 1/2 GNR. No speciation as yet. Unclear source. No abdominal pain and clean UA. Started on Ceftriaxone ovn. Discussed w/ ID. CT abd/pel w/o acute intraabdominal pathology. Patchy bilateral lobe densities. Per lab, report of blood cx w/ GNR is actually Gram positive rods (Bacillus sp, not Anthracis). Likely contaminant. No further abx. 4. Hyponatremia - Resolved; Na 130. Likely 2/2 poor PO intake in the setting of acute illness w/ fatigue and body aches at home. Cr WNL. 1L Isolyte x 1. 5. HTN; SBP 178 on admit, SBP 140s on DC. -Add 5mg Amlodipine for HTN-Continue PTA Losartan; 6. Pre DM; Last A1C 5.9. BG 195. -Monitor BG

Other Meds: Outpatient Home Medications, Taking? HYDROcodone-Acetaminophen (NORCO) 5-325 mg Oral Tab Takes Occasionally; Sig: Take 1 tablet by mouth every 3 hours as needed for moderate pain. Take 2 tablets every 4 hours as needed for severe pain. Do n

Current Illness: None

ID: 1592058
Sex: M
Age: 75
State: NY

Vax Date: 07/23/2021
Onset Date: 07/24/2021
Rec V Date: 08/20/2021
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:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: patient happened to came back to pharmacy when his wife was getting second dose of moderna and when asked why he was not getting his second dose he said that he had developed a blood clot in his eye 10 hours after getting the vaccination and that he was not getting the second dose until he saw his eye doctor about it - not sure if it was related to vaccine or not

Other Meds:

Current Illness:

ID: 1592059
Sex: M
Age: 67
State: WI

Vax Date: 02/01/2021
Onset Date: 05/01/2021
Rec V Date: 08/20/2021
Hospital:

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

Lab Data:

Allergies: Morphine & Chlorthalidone

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

Symptoms: Bilateral Tinnitus - 2 week Duration

Other Meds: Omega 3 1G, Edarbi 80mg, Vit D3 200 IU, Baby Aspirin 81mg, Centrum Silver, Lipitor 40mg, Bystolic 20mg, Clonazepam 0.5mg, Zolpidem 10mg, Eplerenone 25mg, & Pantoprazole 40mg.

Current Illness:

ID: 1592060
Sex: F
Age: 76
State: NM

Vax Date: 01/01/2021
Onset Date: 01/01/2021
Rec V Date: 08/20/2021
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: Codeine, Statins

Symptom List: Rash, Urticaria

Symptoms: The second day after I got the first shot I had atrial fibrillation so I called the doctor. They told me to take magnesium and one of my medications and it should be fine and it went away in about half an hour. I have a heart problem and I get a fib all the time.

Other Meds: Eliquis 5 mg, Carvedilol 6.25 mg, Lisinopril .25 mg, aspirin 81 mg, B complex 50 mg, CoQ10 , vitamin D, fish oil

Current Illness: None

ID: 1592062
Sex: M
Age: 56
State: NY

Vax Date: 04/26/2021
Onset Date: 04/29/2021
Rec V Date: 08/20/2021
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: I had flu like symptoms, chills, headache. The big issue though is that I have had tinnitus (a slight ringing / high pitched buzz) in my ears since my second dose of the Moderna vaccine. It has been almost 4 months and the ringing persists.

Other Meds: Bupoprion

Current Illness:

ID: 1592063
Sex: M
Age: 62
State:

Vax Date: 08/08/2021
Onset Date: 08/10/2021
Rec V Date: 08/20/2021
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: Intense joint and muscle pain lasting 6 days.

Other Meds: none

Current Illness: none

ID: 1592064
Sex: M
Age: 26
State: MI

Vax Date: 08/20/2021
Onset Date: 08/20/2021
Rec V Date: 08/20/2021
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: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: After receiving the vaccine patient c/o feeling "lightheaded". Patient was diaphoretic and warm to touch. 5pm BP 96/70 P 86 SpO2 97% Patient assisted to lying position, given water, juice, graham crackers. At 5:25pm patient c/o feeling better, no more lightheadedness, stated ready to leave. Repeat BP 100/70. No medications administered.

Other Meds: Estradiol

Current Illness: None

ID: 1592065
Sex: F
Age: 28
State: IL

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 08/20/2021
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: a type of antibiotic (I can't remember the name) seasonal allergies dust mold pollen wheat gluten

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

Symptoms: About 5 minutes after the vaccine, my heart started feeling like it was pounding out of my chest. I looked at my exercise watch and my heart rate jumped all the way to about 145-150. It was pounding hard. I did some deep breathing and thought I was fine. They had me stay around for about 30 minutes. 15 minutes in, I started feeling poorly. I started having a tight chest and my throat kind of hurt. It felt very tight. I kind of just sat around for 10 more minutes. My blood sugar got up to the 300s. I then left and went to work and I realized something wasn't completely right. I was walking around at work and my heart rate was still jumping up to 150. About 6 or 7 hours later, I remember feeling extremely fatigued like someone just drained everything out of me. I felt out of it and a little dizzy. When I got home, I remember sitting on the couch and I was just feeling really sick. My whole body hurt. My heart rate was still up. My blood sugar dipped drastically around 40 points. It kept dropping. When I was home, I got a horrible migraine. That's when I felt something weird going on in my face. I didn't fully recognize it. I started having complete shivers and strong fatigue. The fatigue was so bad that I was passing out. I kept falling asleep. I had body aches and shivers, but no fever. I took some Tylenol and went to bed. I didn't get much sleep because I was waking up every other hour with my heart racing. It would be in the 130s. My body just felt completely drained. It was very painful. I realized something weird was going on with the left side of my face. It was pins and needles. I was getting a headache that started on my left side. I felt kind of numbness. I took the next day off work. On Friday, I woke up and my whole left side of my face still felt completely numb. I looked in the mirror and it was a little droopy. I felt like I was constantly frowning on one side of my face. On Saturday or Sunday, I felt like someone was jabbing a pencil in my temple on the left side of my face. It was completely painful to the point that I dropped down in pain. I couldn't really speak. I felt like I was speaking gibberish. It only lasted for a minute. I called my telehealth dr. He said I should be fine but that he doesn't really know anything. He didn't think it was that bad. That was concerning to me. I told myself that maybe it will get better. A week later, the facial pain was still there. I was still getting temple pain. It was coming on and off. I decided to call my 2nd doctor and they stated that they thought it was a mild case of bells palsy. I thought that it would kind of go away. However, now, 6 months later, I still have it. It is constant. The pain comes and goes. I constantly feel one side that feels heavier than the other. The left side of my face feels heavier than the right side. I realized that if I had high pain or anything, it would start on my left side and be worse on my left side. It has something to do with the nerves on the left side of my face. I told my doctor about it. My asthma and my allergies also got worse. I had to go on a prescription inhaler. I still sometimes get that tight feeling in my chest. The left side of my face is still numb and heavy. Every once in awhile I get that severe pins and needles pain. Every once in a while it feels like I'm frowning on that side of my face. I went to see my PCP a couple months afterwards. He prescribed me some allergy medicine and my inhaler. I'm thinking about seeing a neurologist.

Other Meds: Insulin - 1xday birth control - Aprea motrin - as needed

Current Illness:

ID: 1592066
Sex: F
Age: 31
State: FL

Vax Date: 02/04/2021
Onset Date: 05/01/2021
Rec V Date: 08/20/2021
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: clindamycin, tree nuts, and dairy

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

Symptoms: Irregular heartbeats and heart palpitations started around early May and have continued randomly. There are times I wake up in the middle of the night with a fast heartbeat or feeling like my heart skipped a beat.

Other Meds: None

Current Illness: None

ID: 1592067
Sex: M
Age: 17
State: TX

Vax Date: 07/27/2021
Onset Date: 07/27/2021
Rec V Date: 08/20/2021
Hospital:

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

Lab Data:

Allergies: Unknown

Symptom List: Ear pain, Hypoaesthesia

Symptoms: 17 year old male inadvertently given moderna Covid 19 vaccine 2nd dose after receiving Pfizer for 1st dose.

Other Meds: Unknown

Current Illness: Unknown

ID: 1592068
Sex: F
Age: 16
State: IN

Vax Date: 07/21/2021
Onset Date: 07/31/2021
Rec V Date: 08/20/2021
Hospital:

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

Lab Data:

Allergies: No just beestings

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: So far she started having severe abdominal pain and we went to the doctor and they did an x-ray and they said she had severe constipation. And after he got her colon emptied she was still having pain so he referred her to an OBYN to see if there is a cyst on her ovary. We went to the ER last night because her pain was where she couldn't handle it anymore and they doctor they will do an ultrasound scan of her gallbladder because they think it could be inflamed. Her murphy's sign test came out positive.

Other Meds: No

Current Illness: no

ID: 1592069
Sex: F
Age: 51
State: MN

Vax Date: 08/20/2021
Onset Date: 08/20/2021
Rec V Date: 08/20/2021
Hospital:

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

Lab Data:

Allergies: nka

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

Symptoms: Vasovagal Syncope - Per patient was feeling a little dizzy after the 15 minute wait time. Stepped outside and it was hot and humid and walked a few steps and thought she was going to faint. Got to the car and fainted. Husband was with her and came in to get help. Nurse helped her in via wheel chair brought her to a room and observed her. Took approximately 60 minutes before she felt better to leave. She also stated she had not eaten anything yet in the day. Nurse gave her some apple juice while under observation.

Other Meds: unknown

Current Illness: none

ID: 1592070
Sex: F
Age: 38
State: OR

Vax Date: 08/19/2021
Onset Date: 08/20/2021
Rec V Date: 08/20/2021
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, and sulfa

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

Symptoms: About 20 minutes after my tongue and throat started to feel numb and as i was driving home my hand started to hurt and developed a weird rash on my right hand only.

Other Meds: Atenolol 25mg x1 daily

Current Illness:

ID: 1592071
Sex: F
Age: 73
State: TX

Vax Date: 08/20/2021
Onset Date: 08/20/2021
Rec V Date: 08/20/2021
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: Patient communicated feeling drowsy with faint chest pains intervals. Reported at 11 am. Prior to administering vaccine, the facility of vaccine site operations temperature at 76-77 degrees. Fan's were provided by facility for airflow after reporting patient's symptoms.

Other Meds: None

Current Illness: None

ID: 1592072
Sex: F
Age: 47
State:

Vax Date: 08/17/2021
Onset Date: 08/17/2021
Rec V Date: 08/20/2021
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: Pt w/ hx of allergy to naproxen (swelling in the face).

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

Symptoms: "Pt w/ hx of allergy to naproxen (swelling in the face). PMH significant for HTN, hx of DTV of RUE, breast cancer, depression, obesity, pre-diabetes. Current Medications: atenolol 25mg PO Daily exemestane 25mg PO Daily gabapentin 300mg PO TID HCTZ 12.5mg PO QAM Omeprazole 20mg PO QAM 30mins before breakfast Vitamin B6 50mg PO BID with meals Simethicone 250mg PO TID PRN gassiness venlafaxine 24hr cap 75mg PO daily 10min post vaccination, pt c/o numbness of the mouth/lips and nose on the left side. Vitals: @10:30 BP 99/61, HR 66, RR 20, SpO2 97% on RA -- > @10:45 93/60, 67, 18, 97% on RA -- > @11:00 99/59, 62, 18, 98% on RA. Pt's symptoms resolved. Pt stable and released from the vaccination site."

Other Meds: Current Medications: atenolol 25mg PO Daily exemestane 25mg PO Daily gabapentin 300mg PO TID HCTZ 12.5mg PO QAM Omeprazole 20mg PO QAM 30mins before breakfast Vitamin B6 50mg PO BID with meals Simethicone 250mg PO TID PRN gassiness venlafax

Current Illness:

ID: 1592073
Sex: F
Age: 29
State: CA

Vax Date: 08/20/2021
Onset Date: 08/20/2021
Rec V Date: 08/20/2021
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: Patient came in 8/20/21 to get her first dose of Moderna vaccine. Consent form was verified and screening questions were asked. Patient was waiting the required 15 minutes post vaccination and within 5-7 minutes of the post vaccination wait time, patient stated that she was feeling light headed and was going to faint. The pharmacy staff alerted store management and called for medical attention. After stating that she wasn't feeling well, the patient laid down on the floor and fainted for few seconds (5-10 seconds), brief convulsions observed. The patient was alert within a few seconds, able to talk to the pharmacist/ answer questions. The patient called family members while waiting for medical attention to arrive. The patient was continuously being fanned, given an ice-pack and water. The emergency services arrived within 10 minutes as well as the family members. EMS checked patient's vitals and all vitals were within range. The patient went with emergency services to get a complete check up at the hospital.

Other Meds: None

Current Illness: None

ID: 1592074
Sex: F
Age: 35
State: CA

Vax Date: 04/09/2021
Onset Date: 05/05/2021
Rec V Date: 08/20/2021
Hospital:

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

Lab Data:

Allergies: IVP Dye

Symptom List: Injection site pain, Menorrhagia

Symptoms: gastrointestinal pain/discomfort, lower back pain, urinary incontinence, pressure in stomach area, constipation, diarrhea, abnormal stool. All symptoms occurred off and on every day for weeks beginning 5/5/21

Other Meds: Buspirone, Albuterol, Lorazepam, Dulera, multi-vitamin gummies, elderberry gummies, Fexofenadine

Current Illness:

ID: 1592075
Sex: F
Age: 17
State: CA

Vax Date: 08/19/2021
Onset Date: 08/19/2021
Rec V Date: 08/20/2021
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: Fever reaching 103.1 by 3:00 am 8/20/21. Symptoms began around 6:00 pm on the day of the vaccine (8/19/2021) and by 11:00 pm she had all of the following symptoms: chills, cold arms and hands but forehead was very warm, face very pale, hands and arms very pale and blotchy, extreme fatigue, weakness, feeling faint, trouble standing without assistance, trouble hearing/sounds were muffled, headache, muscle ache/soreness, stomach pain, nausea, loss of appetite, sleeping more than usual, swelling on left arm at location of vaccine injection, sore and painful to touch.

Other Meds: None

Current Illness: None

ID: 1592076
Sex: M
Age: 55
State: WA

Vax Date: 05/11/2021
Onset Date: 06/08/2021
Rec V Date: 08/20/2021
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 known allergies

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Burning sensation in feet 1 week after second dose of Moderna vaccine. As of 8/20/21, has pins and needles sensation in fingers, along with burning sensation in feet and pins and needles sensation in toes

Other Meds: amlodipine

Current Illness: Hypertension, low HDL cholesterol

ID: 1592077
Sex: F
Age: 14
State: TX

Vax Date: 08/17/2021
Onset Date: 08/17/2021
Rec V Date: 08/20/2021
Hospital:

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

Lab Data:

Allergies: Unknown

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: 14 year old female received Pfizer covid 19 vaccine for 1st dose and was inadvertently administered Moderna for 2nd.

Other Meds: Unknown

Current Illness: Unknown

Date Died: 06/17/2021

ID: 1592078
Sex: M
Age: 48
State: NJ

Vax Date: 06/12/2021
Onset Date: 06/17/2021
Rec V Date: 08/20/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: HX: Prior to event pt reported weakness for 5 days post vaccine. On 06/17 c/o chest pain throughout the day. Pt experienced syncopal episode on EMS arrival at home. Afib- Asystole- Cardiac Arrest. Shocked and cowated, transport - ed. Tarry black stool on arrival to ED. Cardiac arrest in ED, CPR initiated- ACLS algorithm followed. Lab h/h 2.8/10.4, APTT 5635, PT 17.5, INR 1.4, BNP POCT 308, LACTIC ACID 20.00 /Patient died at 8:00 pm 06/21/21. ME accepted the case.

Other Meds:

Current Illness:

ID: 1592079
Sex: F
Age: 53
State: LA

Vax Date: 08/12/2021
Onset Date: 08/16/2021
Rec V Date: 08/20/2021
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: Chest pain, having to take deep breaths starting approximately 8/16. As week went on it continued and increased. Crushing feeling, pain, especially in evenings. Worse with laying on back. Fatigue. Today is 8/20/21. Persist.

Other Meds: Vitamin d, vitamin c, heliocare with nictinamide(b3)

Current Illness: Sinus congestion and hayfever 1- 2 weeks prior. Clear at vaccination date.

ID: 1592080
Sex: F
Age: 56
State: CA

Vax Date: 07/30/2021
Onset Date: 08/06/2021
Rec V Date: 08/20/2021
Hospital:

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

Lab Data:

Allergies: Gluten allergy (Celiac)

Symptom List: Injection site pain

Symptoms: Red swollen itchy bumps, similar to a flea or mosquito bite. Appears on torso, neck, back, legs and arms.

Other Meds: Meloxicam, Flexeril, Tylenol, Advil

Current Illness: Lupus (Connective Tissue Disease)

ID: 1592082
Sex: F
Age: 58
State: IL

Vax Date: 05/22/2021
Onset Date: 05/22/2021
Rec V Date: 08/20/2021
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: 8 Hours after the Moderna Vaccine, 2nd dose, I began to experience chills and fever. Fever range between 102.0 and 103.0 degrees. A short time after the fever began I began to experience full body muscle pain and cramps, especially on my back, shoulders, and neck. Cramps and pain were severe, I needed to have ice packs applied to try and alleviate the pain. I also began to experience an excruciating severe headache. A few hours after the muscle pain and headache I began having nausea and vomiting. The entire reaction - severe headache, muscle pain and cramps, and nausea and vomiting lasted 40 hours. I went to bed 7pm Saturday evening May 22, the day I received the vaccine (at 11:00am) and was not able to leave bed (except to be sick in the bathroom) until late Sunday morning May 24th. I've had a history of migraine headaches (prior to age 51). I would say the headache I experienced after my 2nd Moderna vaccine was as severe as migraines that I had to go to the ER for, or even more severe. I felt as if my head was going to explode. I had ice packs around my head and body to try and relieve the headache and muscle pain. I took Advil and that did not help ease any of the symptoms. My family became concerned and encouraged that if I wasn't feeling better by mid day on Sunday May 24th that I should seek medical care. The symptoms subsided late morning on May 24th and I did not seek out medical care. I was exhausted for several days after the event.

Other Meds: One a day multivitamin OTC Tretinoin cream (for face) Prescription

Current Illness: None

ID: 1592083
Sex: F
Age: 74
State: MO

Vax Date: 03/22/2021
Onset Date: 08/14/2021
Rec V Date: 08/20/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Unknown

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

Symptoms: On 8/14/2021, case was hospitalized. Released 8/19/21. Symptoms: Fever, cough, sore throat, runny nose, congestion, poor appetite, nausea, vomiting, diarrhea, chest pain, wheezing, fatigue, muscle aches, chills.

Other Meds: Unknown

Current Illness: Unknown

ID: 1592084
Sex: F
Age: 17
State: IL

Vax Date: 08/20/2021
Onset Date: 08/20/2021
Rec V Date: 08/20/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: PATIENT FELT DIZZY AND HOT - NEAR FAINTING

Other Meds:

Current Illness:

ID: 1592085
Sex: M
Age: 72
State: TX

Vax Date: 02/13/2021
Onset Date: 02/20/2021
Rec V Date: 08/20/2021
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: nylon

Symptom List: Erythema, Pruritus

Symptoms: Hospitalized 7 days post last dose lungs with fluid, shortness of breath, heart cardiac overload

Other Meds: metoprolol xl 25mg daily, asa81mg,daviamin b12 1000mg daily,ily, jannuvia 100, daily, crestor40mg bedtime, co-enzyme Q 200mg daily, loratadine 10mg daily, zinc 50mg daily, calcitriol 0.25 micro grams daily, lantus solo star 10 as entresto,

Current Illness: cardiac disease, clear cell renal ca with mets

ID: 1592086
Sex: M
Age: 12
State: TX

Vax Date: 08/17/2021
Onset Date: 08/17/2021
Rec V Date: 08/20/2021
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: Unknown

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

Symptoms: 12 year old male received Pfizer Covid 19 vaccine for 1st dose and was inadvertently administered Moderna for 2nd dose.

Other Meds: Unknown

Current Illness: Unknown

ID: 1592087
Sex: F
Age: 15
State: TX

Vax Date: 08/19/2021
Onset Date: 08/19/2021
Rec V Date: 08/20/2021
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: n/a

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

Symptoms: Patient was unsure of vaccine dose number. Immtrac2 was checked. However, only dose 1 of 2 was listed. Issue was discovered on return from offsite clinic. Vaccine administered on 8/19/2021 was actually a 3rd dose. Patient had received a second dose of Pfizer vaccine on 8/4/2021.

Other Meds: n/a

Current Illness: n/a

ID: 1592088
Sex: F
Age: 25
State: AL

Vax Date: 08/20/2021
Onset Date: 08/20/2021
Rec V Date: 08/20/2021
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: Asthenia, Chills, Headache, Myalgia

Symptoms: Pt received first dose and within minutes stated she had a burning sensation from the site of injection up neck to her lower hairline. Pt did not have swelling/shortness of breath, etc. Pt was given Benadryl 25mg, water, crackers, and cool compress. Symptoms resolved within about 30 minutes.

Other Meds:

Current Illness: None listed

ID: 1592089
Sex: F
Age: 58
State: MO

Vax Date: 02/25/2021
Onset Date: 02/28/2021
Rec V Date: 08/20/2021
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: None

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

Symptoms: Left thumb tremors--several over the course of a couple of days; pins and needles feeling in right foot-moved up leg to knee--daily for about two weeks; felt shaky inside my body, like my insides were turning around-happened daily for about a week, then five to six times times over the next two weeks, waking me up on two occasions, both early morning; dizziness and unsteadiness, shaky hands and all over for about three weeks. Have not had any of these symptoms since mid-March. Reported to doctor by phone, as had just been in for physical and sinus infection follow up on February 12.

Other Meds: Levothyroxine 150mcg, amlodipine 5 mg, metoprolol 25 mg. fish oil 2000 mg, magnesium 400 mg 2xday, multivitamin

Current Illness: Autoimmune thyroiditis, sinus infection

ID: 1592090
Sex: F
Age: 47
State: TX

Vax Date: 08/19/2021
Onset Date: 08/20/2021
Rec V Date: 08/20/2021
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: All symptoms occurred at 8am the following day after the administration of the vaccine. Patient developed swelling in the lymph nodes and swelling under the arm. Patient also complained about body aches, high blood pressure (189/100), heart rate of 127, and a fever of 101.7F. Patient went to the ER and was prescribed a beta blocker. Patient feels fine now. Heart rate and blood pressure has normalized.

Other Meds:

Current Illness:

ID: 1592091
Sex: F
Age: 50
State: FL

Vax Date: 05/13/2021
Onset Date: 06/01/2021
Rec V Date: 08/20/2021
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, Sulfa, reaction to morphine and epinephrine

Symptom List: Pain in extremity

Symptoms: I experienced chest pain since the week of the vaccine intermittent chest pressure and pain. I developed joint pain and knee pain which I am receiving treatment, I am getting physical therapy. I also have been having other joint pain since then. My hands are really sore with aches and pain. I underwent x-rays and EKG. Today I am working with my physical therapist on the knee pain and hip pain. My hands and base of my fingers are really sore, some more than others.

Other Meds: None reported

Current Illness: None reported

ID: 1592092
Sex: F
Age: 34
State: WA

Vax Date: 03/21/2021
Onset Date: 03/01/2021
Rec V Date: 08/20/2021
Hospital:

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

Lab Data:

Allergies: No known allergies, but prior adverse reaction to an anti-psychotic med (prolactin increase).

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

Symptoms: Some time later in day (I don't remember how much later - maybe an hour more or less?????), I developed soreness in arm. My arm was sore for weeks! It's better now, but it took forever. I did message (via online portal my Primary Care provider, but didn't go in for an visit about it.

Other Meds: I think I was taking same meds as now (not sure on all the spellings): Topiramate, Sertraline, Aripiprazole, Levothyroxine (or generic), and one other med I forget the name of off the top of my head but it's for sleep cycle.

Current Illness:

ID: 1592093
Sex: F
Age: 45
State:

Vax Date: 01/26/2021
Onset Date: 02/25/2021
Rec V Date: 08/20/2021
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: Around five or six weeks after the vaccine, I started to get a sore throat, swollen lymph nodes, and fatigue. EBV was shown reactivated after a blood work test. Doctor said it was from an immune response from the vaccine.

Other Meds: Thyroid medications

Current Illness: None

ID: 1592094
Sex: F
Age: 42
State: TX

Vax Date: 08/19/2021
Onset Date: 08/20/2021
Rec V Date: 08/20/2021
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: Toradol

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

Symptoms: 100.5 fever, persistent headache, body aches

Other Meds: Amlodipine/valsartan

Current Illness: N/A

ID: 1592095
Sex: F
Age: 14
State: CA

Vax Date: 08/03/2021
Onset Date: 08/03/2021
Rec V Date: 08/20/2021
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: penicillin products

Symptom List: Vomiting

Symptoms: fainted & fell to the floor while waiting in the pharmacy "waiting area" post vaccine - within minutes of getting the dose. had to be taken by Ambulance to the ER where they did EKG testing, etc before releasing us to go home - we got home about 3 hours after the incident 1st took place

Other Meds: none

Current Illness: none

ID: 1592096
Sex: F
Age: 39
State: GA

Vax Date: 08/18/2021
Onset Date: 08/18/2021
Rec V Date: 08/20/2021
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: Cephalexins

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: I got my first vaccine around 7:30pm. Within five minutes I felt a wave of heat run down from my head to my feet. I was dizzy and waited about 25 minutes before leaving the pharmacy. About 10 -15 mins later my right forearm felt numb and the right side of my face started feeling like someone shot novicane in my gums and face. Along the right side of my face did I have a sudden numbed sensation extending from the tip of my chin, up my jawline to my ear and under my right eye as well as my right cheek and upper jaw gum line. It has been 46.5 hours since I received the vaccine and my face still feels numb. When I try to smile the right side feels tight and my smile is crooked.

Other Meds: Advil, vitamin D, fish oil, magnesium, biotin, spirnolactone, adderall, valtrex, tylenol

Current Illness: NONE

ID: 1592097
Sex: F
Age: 24
State: GA

Vax Date: 08/14/2021
Onset Date: 08/16/2021
Rec V Date: 08/20/2021
Hospital: Y

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: Chlorohexidine, Phenergan, Shrimp

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

Symptoms: After 48 hours post-vaccine, I developed pain in the left shoulder blade region. After an additional 24 hours (72 hours post-vaccine), the pain had spread to the chest area and so I took aspirin. After an additional hour, there was no relief and it felt like I was having a heart attack so I went to the emergency. I was admitted to the hospital and they found elevated troponin levels which indicated inflammation of my heart. Additional tests confirmed this. I was released after one day and prescribed NSAIDs to treat inflammation events. I am still experiencing issues with chest pain whenever I walk for more than five minutes or do normal household tasks.

Other Meds: Entyvio, Omeprazole, Aspirin

Current Illness: N/A

ID: 1592098
Sex: F
Age: 40
State:

Vax Date: 08/17/2021
Onset Date: 08/17/2021
Rec V Date: 08/20/2021
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: Pt w/ hx of allergies to seafood, sunscreen, and tetracycline.

Symptom List: Injection site swelling, Limb discomfort

Symptoms: "Pt w/ hx of allergies to seafood, sunscreen, and tetracycline. 35mins post vaccination, pt c/o dizziness and mild itchiness in the throat. Vitals: @12:35 BP 124/76, HR 60, RR 18, SpO2 97% on RA -- > @12:45 110/74, 64, 18, 97% on RA -- > @13: 05 129/82, 57, 97% on RA Pt was given 25mg PO Benadryl @12:50. Pt symptoms resolved. Pt stable and released from the vaccination site."

Other Meds:

Current Illness:

ID: 1592099
Sex: F
Age: 56
State: CA

Vax Date: 08/10/2021
Onset Date: 08/10/2021
Rec V Date: 08/20/2021
Hospital:

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

Lab Data:

Allergies: bactram, zithromax

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

Symptoms: patient reported tingling of lips about 1 hour after vaccine, on drive home. then swelling of lips and chest tightness on second day, along with fever and flu like symptoms for 2 to 3 days. pt submitted symptoms on VAERS herself and was recommended to get medical attention. she declined that recommendation. she stated she works in an Emergency room and used Benadryl for her symptoms. patient aslo reported fever blisters on lips and tiredness. patient is now doing fine, back to normal.

Other Meds: none

Current Illness:

ID: 1592100
Sex: F
Age: 73
State: AK

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 08/20/2021
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: Compazine; Tegratol; Catapres Patch 2

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

Symptoms: Felt really sick for a couple of days after the vaccine; my arm got extremely sore. I had chills. I just felt like my body had been bruised all over. No treatment. Most recent Symptoms - About four weeks ago, Friday before I got the cough medicine (8/2/2021) I thought I saw blood in my stool. My sinuses were draining, I started coughing and my eyes were watering. By Monday morning I was coughing and hacking like I had a really bad cold. All the mucus was clear. He gave me cough medicine - August 2nd (and that eased the cough and by Friday I was feeling better. Everything was okay - with stool and he did a swipe test (A swab on a card to test since I had seen blood in my stool).

Other Meds: Sinvastatin; Vit D3; Zrytec; Travatan - eye drops; Kapaveo - eye drops for allergies; Vit B12

Current Illness: no

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm