VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 11/12/2021
** VAERS DATABASE Last updated: November 12, 2021**
PLEASE CHECK BACK SOON
Download the files above while you wait.







Manufacturers

Total Manufacturer
199,106MODERNA
36,710JANSSEN
5,381PFIZER\BIONTECH
2,555GLAXOSMITHKLINE BIOLOGICALS
1,469UNKNOWN MANUFACTURER
897MERCK & CO. INC.
627SEQIRUS, INC.
112DYNAVAX TECHNOLOGIES CORPORATION
91SANOFI PASTEUR
75NOVARTIS VACCINES AND DIAGNOSTICS
40EMERGENT BIOSOLUTIONS
14PAXVAX
12TEVA PHARMACEUTICALS
12PROTEIN SCIENCES CORPORATION
9PFIZER\WYETH
4BERNA BIOTECH, LTD.
4SMITHKLINE BEECHAM
3INTERCELL AG
1MEDIMMUNE VACCINES, INC.
1CSL LIMITED

COVID19 Lot Number

VAX LOT Total
2S9CL7,949
7,473
2,547
1,506
1,187
1,051
1,049
s0294561,043
866
IMM209861
816
UT7065MA766
657
579
U62828AA563
557
538
U6737AA516
515
S034636506
4F472471
458
P100253275449
444
276563436
429
418
4BH32414
MENVEO404
PP9L5362
UJ446AA337
319
306
290
271
49TM3270
R1B252M253
4F472179
933622147
C5763AA144
CW3116134
3Y7NL126
UNK114
113
ARBA141A105
104
103
96
300057A90
79
1F4EB73
R1B743M62
56
UJ090AA55
51
UH894AB46
45
UNK44
UNK42
42
EJ168638
Unknown36
35
34
32
32
26
el128424
24
A115A22
22
EN620222
21
UNK20
20
19
Z127A19
19
17
JEV18K95E15
12
111798PI12
10
A739088
No batch number8
3333324181078
6
6
TAR356
5
5
U6935AA5
UNK5
4
unknown4
3
2
55RB72
2
2
2
2
2
U7124AA2
JEV18A68E2
2
ABYB05BA1
1
1
1
1
AMVA436A1
1
1
TJ3521
A130A; VIS give1
1
U7140BB1
1
1
SP UP016AA1
1
1808P08802/ESV01
037K20A300,947
EL1284288,578
57,766
1,432

Incidents per State

State Total
82,750
CA62,821
FL38,209
TX36,512
NY34,921
PA23,646
IN23,622
IL20,597
MI19,590
OH19,426
NJ18,413
NC16,769
GA15,932
WA15,351
VA15,234
MA14,876
AZ14,206
MN12,940
MD12,656
CO11,908
WI11,425
MO10,240
TN9,685
OR8,768
KY8,437
CT8,300
SC6,700
OK6,293
AL5,692
LA5,025
IA4,825
KS4,821
UT4,637
NV4,374
NM3,967
AR3,807
ME3,161
NH3,096
NE2,918
MS2,859
ID2,785
WV2,469
HI2,459
PR2,417
MT2,414
RI2,076
DE1,868
AK1,830
VT1,734
DC1,715
ND1,388
SD1,269
WY866
GU118
VI69
AS47
MP29
MH8
XB6
FM4
QM3
XV2
XL1

ID: 1628813
Sex: F
Age: 32
State: MN

Vax Date: 03/23/2021
Onset Date: 08/06/2021
Rec V Date: 08/24/2021
Hospital:

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

Lab Data: Varicella zoster PCR test swabbed on 8/13/21 had a positive result

Allergies: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: Came down with shingles months after vaccine. Felt very fatigued and weak starting 7/30/21. Noticed itchy rash starting 8/6/21. More itching than pain. Very swollen lymph node in underarm. Went to clinic a week later

Other Meds: Postnatal multivitamin, vitamin D

Current Illness: None

ID: 1628814
Sex: F
Age: 30
State: NY

Vax Date: 08/23/2021
Onset Date: 08/23/2021
Rec V Date: 08/24/2021
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: Denies

Symptom List: Anxiety, Dyspnoea

Symptoms: Client came out, sat in chair in clinic, Client stated she was fine. Staff, noted that she was unsteady in chair and went to get her water before leaving Client fell to her left, hit back of her head (heard by staff loud noise). Staff called to NP. Staff took Client's mask off and 2 staff members assisted her into a chair, very unsteady. Was given a cool pack and water. Client stated that she did eat prior getting a vaccine. NP stated she was pale in color. Gave her a drink of water. Staff assisted her in getting into the clinic and was shaky. Staff offered her a w/c, but Client declined. Client was unsteady and two RNs assisted her to lay on a clinic table. She ate half of a Kind bar and drink some water. Education provided to clinic room staff re: call at soon as symptoms appear to call medical staff (RN or NP) to assess client. Client stated "I am fine," multiple times. Has an anxiety history. Her fiancee was contacted and came to pick her up. Directions to eat and drink. Had N/V and headache and agreed to seek medical attention if continues/worsens. TC yesterday, 8/23, at 1454 and left a msg to return call via Staff. Client returned staff's call and stated that she is feeling a little better and ate a grilled cheese. Continued to feel off balance every time she stands. Staff directed to seek further physician evaluation and verbalized that she will. Today, 08/24, at 0802, writer followed up with Client again. Client reports that she was advised to go to the ED per her PCP and multiple tests/scans were conducted while at the hospital and everything came back negative. Client informed writer that she feels better this morning.

Other Meds: Denies

Current Illness: Denies

ID: 1628815
Sex: M
Age: 54
State: MS

Vax Date: 08/24/2021
Onset Date: 08/24/2021
Rec V Date: 08/24/2021
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:

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

Symptoms: No adverse event occurred, but there was an administration error. This was the patient's second dose, and Moderna was supposed to be administered. The patient was given Pfizer by mistake.

Other Meds:

Current Illness:

ID: 1628816
Sex: F
Age: 34
State: PA

Vax Date: 05/19/2021
Onset Date: 06/30/2021
Rec V Date: 08/24/2021
Hospital:

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

Lab Data: Head Ct scan, blood work, EKG

Allergies: Sofia; quinolones; bee stings

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: I was diagnosed as Vertigo. I was dizzy. I could not walk straight. When my eye were open it felt like the room was spinning. I went to ER. They did head Ct scan, blood work, and EKG. They wanted to rule out a stroke.

Other Meds: Gabapin

Current Illness:

ID: 1628817
Sex: F
Age: 32
State: OH

Vax Date: 07/28/2021
Onset Date: 08/17/2021
Rec V Date: 08/24/2021
Hospital: Y

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

Lab Data: 8/24/21 COVID-19 rapid - positive Chest X-ray - no acute process

Allergies: penicillins

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

Symptoms: On approximately 8/17/21, after exposure to ill family members, the patient began to experience cold/flu symptoms including headache, congestion, and cough. Patient also experienced loss of taste and smell. On 8/23/21, the patient started to feel short of breath. On presentation to ED, the patient has an O2 sat of 90% and was started on 2L nasal canula with improvement to 95%. Patient BMI is 78.9. Patient was started on dexamethasone and a heparin drip (for subtherapeutic INR on 1.3). Patient will be admitted to the hospital.

Other Meds: furosemide, warfarin, apple cider vinegar

Current Illness:

ID: 1628818
Sex: M
Age: 44
State: OH

Vax Date: 04/01/2021
Onset Date: 04/22/2021
Rec V Date: 08/24/2021
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: None. The muscle spasms seemed to resolve about three weeks after the second dose and the trouble falling asleep is minor and occurs only about once every two weeks.

Allergies: Allergy to all grasses tested in allergy test. , Hatchimodo's disease.

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

Symptoms: A couple days after the first vaccine injection and persisting until about three weeks after the second injection, I started getting strange spasms that did not involve the entire muscle groups. It was as if a strand of the muscle was spasming and this was odd because I usually only ever get muscle spasms in my legs after a hard workout. The spasms started in my left pectoral muscle adjacent to the vaccine injection site in my shoulder. Later they started in my left thigh, then my right thigh followed by my right pectoral muscle and finally in the muscles over my left and right should blades. The spasms would persists for about 30 to 45 minutes then disappear several times a day and never in unison. I did not seek medical advice because other than keeping me awake at night, the spasms did not bother me too much and I wanted to give them time to resolve and they did. During this time I experienced trouble falling asleep and this persists mildly to this day but maybe once every couple weeks. In the time when my muscles would spasm the symptom I'm about to describe was happening nightly and when I tried to take naps. As I was falling off to sleep I start getting points of itching here and there on my body. Maybe three to six places. I scratch then continue to drift off until I'm jolted awake. Its not too severe, my mind becomes more alert I relax again and drift off to sleep. Again, this has mostly resolved but happens about once every couple of weeks still and sometimes I just get the itching without jolting awake.

Other Meds: *All doses daily. Levithyroxin 171.43 micrograms daily. Hyoscyamine 750 micrograms daily Vitamin D3 10,000 IU daily Calcium 666 mg, Magnesium 266 mg, Zinc 10 mg., 1,000 mg milk thistle, 2,000mg Resveratrol, 1,000 Valerian Root, 1,200 mg fi

Current Illness: Irritable bowel syndrome, Hatchimodo's disease.

ID: 1628819
Sex: F
Age: 80
State: WA

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 08/24/2021
Hospital:

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

Lab Data: EKG - Feb. 23, 2021; heart monitor April 14-26, 2021; echocardiogram, April 28, 2021. No adverse findings.

Allergies: Cortisone

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Sixteen hours after vaccination, I was awakened with heart palpitations, which I had never had. They lasted about one minute. Two weeks later, at the same time, they happened again. This continued, usually two weeks apart, always in the morning around 6:30, but a couple of times just a week apart, until the last one on May 11, 2021. I had my second shot of Pfizer on March 4. My doctor referred me to a cardiologist, but nothing irregular showed in the heart monitor I had taped over my heart (except palpitations one time which I forgot to press the button on the monitor), the EKG or echocardiogram. I am worried about what might happen if I take the third shot, which I want to do.

Other Meds: Losartan, Levothyroxin, Stool softener, Multi-vitamin, Calcium, Vit D-3, Biotin, Vit. B12, Glucosamine, Probiotic Premarin vaginal cream

Current Illness: None

ID: 1628820
Sex: F
Age:
State: UT

Vax Date: 08/20/2021
Onset Date: 08/22/2021
Rec V Date: 08/24/2021
Hospital:

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

Lab Data: EKG and several blood tests.

Allergies: None

Symptom List: Pharyngeal swelling

Symptoms: Large splotchy itchy painful rash on arm that keeps getting bigger despite taking Benidril.. It is below the injection site and is not connected to the rash that developed around the injection site. I have also been experiencing palpitations on and off over the last couple of days. I went to the ER and all the tests were normal.

Other Meds: Prenatal

Current Illness: 6 weeks post partum

ID: 1628821
Sex: F
Age: 42
State: AL

Vax Date: 08/23/2021
Onset Date: 08/23/2021
Rec V Date: 08/24/2021
Hospital:

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

Lab Data:

Allergies: Augmentin, zophran, toroidal

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Heart beating hard, normal heart rate, just felt it was beating hard.(4 hrs after receiving shot). 16 hours after receiving 2nd vaccine shot: Fatigue Severe headache Fever Body aches Sore arm (left arm received vaccine in). Nausea Loss of appetite

Other Meds:

Current Illness:

ID: 1628822
Sex: F
Age: 81
State: NV

Vax Date: 08/16/2021
Onset Date: 08/18/2021
Rec V Date: 08/24/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: contacted pharmacist and was told to draw a ring around it and that if it grows go to the ER. was told it could be Covid Arm

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: On the 3rd day notice a lump the size of a hard boiled egg. Itched and was red .

Other Meds: inhaled steroid

Current Illness: no

ID: 1628823
Sex: F
Age: 96
State: HI

Vax Date: 02/01/2021
Onset Date: 08/16/2021
Rec V Date: 08/24/2021
Hospital:

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

Lab Data: covid test, positive

Allergies: Keflex [cephalexin] High Other Throat swelling Codeine Phosphate Not Specified Other Some mild abd discomfort Lipitor [atorvastatin Calcium] Not Specified Other uncertain Losartan Potassium Not Specified Other Insomnia Diff urinating Phenobarbital Not Specified Rash Trazodone Hydrochloride Low

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

Symptoms: patient vaccinated and developed covid infection

Other Meds: alendronate, metoprolol 25 mg, pravastatin, xarelto, levothyroxine, lasix

Current Illness: none

Date Died: 08/10/2021

ID: 1628824
Sex: M
Age: 65
State: TX

Vax Date: 04/01/2021
Onset Date: 07/22/2021
Rec V Date: 08/24/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies: Tizanidine (bradycardia)

Symptom List: Rash, Urticaria

Symptoms: Pfizer BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 3/6/2021 and 4/1/2021. Patient was diagnosed with COVID-19 infection on 07/16 and has been having intermittent fevers, fatigue, cough and was evaluated at Hospital on 7/16, 7/18, and 7/22. Patient was discharged from the emergency room as he was nontoxic appearing, he was readmitted on 7/22 with hypoxia saturating 83% on 6 L, evidence of COVID pneumonia on CT. Patient quickly escalated from nasal cannula to requiring high-flow oxygen and on 07/24 was also intubated. Required norepinephrine for hemodynamic support. Completed remdesivir course and 9 days of Dexamethasone. Had worsening oxygenation and family decided to withdraw support and provide comfort care. He expired on 8/10/2021.

Other Meds: Aspirin 81 mg QD, Atorvastatin 5 mg QD, Cyanocobalamin 500 mcg, QD, Levothyroxine 100 mcg QD, Lisinopril 40 mg QD, Pantoprazole 40 mg QD, Miralax 17 grams QD, Furosemide 40 mg QD, Potassium Chloride 20 mEq QD, Benzonatate (200 mg).

Current Illness:

ID: 1628825
Sex: M
Age: 16
State: CA

Vax Date: 08/24/2021
Onset Date: 08/24/2021
Rec V Date: 08/24/2021
Hospital:

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

Lab Data: N/A

Allergies: Allergic to Ibuprofen

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

Symptoms: Patient is 16 years of age and was given the Moderna vaccine in error. No adverse reaction.

Other Meds: None

Current Illness: None

ID: 1628826
Sex: M
Age: 78
State: CA

Vax Date: 02/14/2021
Onset Date: 07/16/2021
Rec V Date: 08/24/2021
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: Blood work

Allergies:

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

Symptoms: Five months after the second dose of the vaccine I experienced very low blood pressure and very low blood sugar. I had had a Colonoscopy prior to the episode, and I had lost some weight. My blood pressure and Diabetes medications have been adjusted. I am still very fatigued and tired after six weeks, and I am scheduled to see a Cardiologist again. I had seen him a month before. My A1C was very low but it has improved since then. My weight has stabilized. I am scheduled to have a Nuclear Stress Test in September of 2021.

Other Meds: Allopurinol; amlodipine besylate; carvedilol; edarbyclor; Jardiance; metformin; Motegrity; Prevadent 5000 toothpaste; Crestor; Insulin Flex Touch; Vascepa; Vesicare; Victoza; baby aspirin; magnesium

Current Illness:

ID: 1628827
Sex: F
Age: 33
State: CO

Vax Date: 08/18/2021
Onset Date: 08/18/2021
Rec V Date: 08/24/2021
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: Mild pericardial effusions and pulmonary effusions on 8/18

Allergies: None

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

Symptoms: Patient developed fluid overload in her heart and lungs that evening, as well as severe range blood pressures. Was diagnosed with preeclampsia with severe features

Other Meds: Ibuprofen, prenatal vitamin

Current Illness: 1 week postpartum from a normal, uncomplicated vaginal delivery

ID: 1628828
Sex: F
Age: 27
State: MO

Vax Date: 08/19/2021
Onset Date: 08/19/2021
Rec V Date: 08/24/2021
Hospital:

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

Lab Data: NA

Allergies: NO

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

Symptoms: Patient got her first vaccine on 8/05/2021 and it was not a minimum of 21 days between the 2 vaccines. Patient stayed for 30 minutes and also called patient that evening and no reaction or adverse effects.

Other Meds: NO

Current Illness: NO

ID: 1628829
Sex: F
Age: 61
State: IL

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 08/24/2021
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: penicillan, zoloft, pamelor, ace inhibitors, adhesives

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

Symptoms: severe joint and muscle pain lasting for months. significant fatigue. brain fog. elevated heart rate

Other Meds: losartan , aspirin , amlodepine

Current Illness: none

ID: 1628830
Sex: F
Age: 34
State: HI

Vax Date: 04/21/2021
Onset Date: 05/01/2021
Rec V Date: 08/24/2021
Hospital: Y

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

Lab Data: Blood pressure measurements Metabolic profile 24 urine test positive for protein in urine NST

Allergies: Sulpha drugs

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Gestational hypertension in third trimester developing into severe preeclampsia, blood pressure climbed in the weeks before delivery and reached max of approximately 180/110 First pregnancy Baby was breech, delivered by c-section one day short of 37 weeks, birth weight 6 lb 0.05 oz Baby with very minor hypospadias and hydrocele in testicle, otherwise healthy

Other Meds: Prenatal vitamins

Current Illness: N/A

ID: 1628831
Sex: F
Age: 17
State: NH

Vax Date: 08/24/2021
Onset Date: 08/24/2021
Rec V Date: 08/24/2021
Hospital:

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

Lab Data:

Allergies: None on vaccination consent form

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: After about 6 minutes of receiving second does of Pfizer, she complained of nausea, being lightheaded, dizzy, and had a headache. She also was cool and clammy. Patient nervous about getting second vaccine. After ask her some questions we found out she had not eaten. Gave her some Gatorade and a snack and she started feeling better. She left facility at about 10:45. After lunch her mother was called and she is doing good.

Other Meds: unknown

Current Illness: unknown

ID: 1628832
Sex: M
Age: 18
State: TX

Vax Date: 08/24/2021
Onset Date: 08/24/2021
Rec V Date: 08/24/2021
Hospital:

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

Lab Data:

Allergies: latex

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

Symptoms: Patient states felt dizziness and nauseous about 1 hour after getting 2nd vaccination.

Other Meds: n/a

Current Illness: n/a

ID: 1628833
Sex: M
Age: 53
State: NM

Vax Date: 08/19/2021
Onset Date: 08/19/2021
Rec V Date: 08/24/2021
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: Unknown

Allergies: None

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

Symptoms: This individual received COVID-19 vaccine JANSSEN twice - first on July 2, 2021, and second on August 19, 2021.

Other Meds: None

Current Illness: None

ID: 1628834
Sex: M
Age: 32
State: SC

Vax Date: 07/16/2021
Onset Date: 07/20/2021
Rec V Date: 08/24/2021
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: On the 16th of July 2021 around 6:28pm patient was given the 1st dose of Moderna Vaccine. Patient stated that he started to have a massive ache on his nape on the 20th around 10am. July 23rd-25 he started to have chest pains also he noticed that his right foot started to swell and continuously did so. On the 26th of July his left foot started to swell. He went to Urgent Care on the 9th of August since he cannot function normally anymore at that time. He was seen but was not given any medication to help with his complaints instead he had been referred to nurse practitioner of the same company to do some laboratory tests. He had been seen on the 13th labs were ordered and no medication was given until she had the laboratory results on the 19th of August where he was given a Ciprofloxacin and a Lasix. He is now getting second opinion starting today August 24th.

Other Meds: none

Current Illness: none

ID: 1628835
Sex: F
Age: 39
State: CA

Vax Date: 08/19/2021
Onset Date: 08/19/2021
Rec V Date: 08/24/2021
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: LAB RESULTS PENDING.

Allergies: NKDA.

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

Symptoms: DIZZINESS, HEADACHE, VISION BLURRING.

Other Meds: NONE.

Current Illness: DYSURIA DAY OF VACCINE.

ID: 1628836
Sex: F
Age: 17
State: CA

Vax Date: 08/10/2021
Onset Date: 08/17/2021
Rec V Date: 08/24/2021
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: not known

Symptom List: Injection site pain, Pain

Symptoms: sore arm first and second day. exactly one week later i vomited early tuesday morning my dinner and since then i?ve felt nauseous and an off feeling in my stomach. I?ve also been having chest pain.

Other Meds: none

Current Illness: Costochondritis

ID: 1628837
Sex: M
Age: 23
State: FL

Vax Date: 08/23/2021
Onset Date: 08/24/2021
Rec V Date: 08/24/2021
Hospital:

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

Lab Data: None

Allergies: None

Symptom List: Injection site pain, Menorrhagia

Symptoms: Moderate to severe fever (reaching at least 100.4 degrees F) debilitating headache resulting in inability to drive or perform basic motor functions well

Other Meds: None

Current Illness: None

ID: 1628838
Sex: F
Age: 35
State: OK

Vax Date: 08/23/2021
Onset Date: 08/24/2021
Rec V Date: 08/24/2021
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: sulfa

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

Symptoms: Moderna COVID-19 Vaccine EUA: unable to lift my right arm above head. swelling and stiff muscle near injection site. muscle pain in areas near injection site (shoulder, upper back, chest, arm)

Other Meds:

Current Illness: hypertension and anemia

ID: 1628839
Sex: F
Age: 38
State: VA

Vax Date: 08/24/2021
Onset Date: 08/24/2021
Rec V Date: 08/24/2021
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: blue dye

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: became lightheaded feel a little off, dizziness, jaw starting to lock and hurt, started dry heaving, feeling of anxiety, has no taste

Other Meds: multi vit, biotin

Current Illness: no

ID: 1628840
Sex: M
Age: 41
State: TX

Vax Date: 08/24/2021
Onset Date: 08/24/2021
Rec V Date: 08/24/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Past out and appeared to may have had mild seizure with eyes rolled back and perspiration. Patient was unconscious for approximately 30sec-1min.

Other Meds: Patient received COVID Pfizer vaccine 1st dose. During 15 minute period post vaccination, patient remained seated and started feeling lightheaded. He came over to the consultation window to let us know approximately 5 minutes after seated.

Current Illness: None. He did report after gaining consciousness that he had COVID 4 months ago in April.

ID: 1628841
Sex: F
Age: 37
State: CO

Vax Date: 02/01/2021
Onset Date: 08/09/2021
Rec V Date: 08/24/2021
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: My bloodwork showed severe preeclampsia.

Allergies: Tree nuts, insects

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

Symptoms: I developed severe preeclampsia at the time of delivery. Baby was born at 39 weeks and 2 days. She was 6#8oz. This was my second pregnancy and I had no prior history of preeclampsia with my first pregnancy. my first was born on his due date. In this pregnancy, my blood pressure began going up in the last few days before she was born and after her birth it turned into severe preeclampsia.

Other Meds: Zofran, unisom/b6

Current Illness: None

ID: 1628842
Sex: M
Age: 66
State: SC

Vax Date: 03/23/2021
Onset Date: 06/03/2021
Rec V Date: 08/24/2021
Hospital: Y

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

Lab Data: EKG, enzymes, etc. to rule out heart attack.

Allergies: Shellfish, feathers, dust, smoke

Symptom List: Nausea

Symptoms: Increasing pain in neck and shoulders (beginning with left shoulder and spreading to right shoulder) and significant pressure in chest area, similar to pain experienced with pericarditis after heart attack in November 2020. I had been off of several heart meds for several months, but after the pericarditis event in June, Dr. prescribed that I resume Colchicine for inflammation related to pericarditis. I continue to take Colchicine, and will do so until my next appointment with him in February. I have not had any further symptoms such as those described above.

Other Meds: Daily (UNO): Aspirin 81, Brilinta 90 (x2), Budesonide 32 (NPR), Budesonide-Formoterol, Bupropion XL, Cyanocobalamin, Ergocalciferol, Famotidine, Humalog, Jardiance, L-Methylfolate, Lutein 10/Zeaxanthin 5, Magnesium Oxide, Methylphenidate, M

Current Illness:

ID: 1628843
Sex: M
Age: 43
State: NV

Vax Date: 08/23/2021
Onset Date: 08/23/2021
Rec V Date: 08/24/2021
Hospital:

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

Lab Data: NONE REQUIRED

Allergies: NO KNOWN ALLERGY

Symptom List: Injection site pain

Symptoms: ON 08/23/2021, PATIENT REQUESTED JANSSEN COVID-19 VACCINE. PATIENT WILLINGLY FILLED OUT CONSENT FORM AND SIGNED AND DATED, THEN PROCEEDED TO WAIT UNTIL ADMINISTERING STAFF PREPARED VACCINATION FOR PATIENT. PATIENT ASKED IF WE "PLUNGED" THE VACCINE WHILE ADMINISTERING VIA INTRAMUSCULAR ROUTE. ADMINISTERING TECHNICIAN EXPLAINED THE TECHNIQUE THAT WAS TAUGHT DURING COMPANY CERTIFICATION TRAINING VIDEO THROUGH STATE UNIVERSITY AND SKILLS CHECK, BEING THE Z-TRACK METHOD, AND DEMONSTRATED TECHNIQUE BEFORE ADMINISTERING TO ENSURE PATIENT WAS COMFORTABLE AND INFORMED. ADMINISTERING TECHNICIAN ASKED IF PATIENT WAS COMFORTABLE PROCEEDING, WHICH THE PATIENT SAID "YES". ADMINISTERING TECHNICIAN PROCEEDED TO VACCINATE AND APPLY BANDAID (PATIENT DID NOT BLEED DURING OR AFTER ADMINISTRATION). PATIENT THEN WAS ADVISED TO WAIT IN THE WAITING AREA AFTER VACCINATION FOR 15 MINUTES OF MONITORING AS ADVISED BY THE CDC. UPON LEAVING, PATIENT WAVED GOODBYE AND SAID HE "FELT FINE" AND PROCEEDED TO LEAVE THE PHARMACY AREA. WHILE WALKING TO THE FRONT DOOR, PATIENT STOPPED THE FRONT STORE STAFF AND ASKED IF PHARMACY WAS AFFILIATED COMPANY AND FURTHER ASKED FOR OUR CORPORATE PHONE NUMBER. THE FRONT STORE STAFF PROCEEDED TO GIVE PATIENT THE COMPANY PHONE NUMBER AS REQUESTED. NO FURTHER CONTACT WAS MADE TO THE PHARMACY STAFF AFTER THE PATIENT LEFT THE PHARMACY ON 08/23/2021. NO ERROR WAS MADE BY PHARMACY STAFF, HOWEVER, DOCUMENTATION WAS REQUESTED BY CORPORATION ON OUR BEHALF.

Other Meds: NO KNOWN

Current Illness: NO KNOWN ILLNESS

ID: 1628844
Sex: M
Age: 64
State: LA

Vax Date: 08/19/2021
Onset Date: 08/19/2021
Rec V Date: 08/24/2021
Hospital: Y

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

Lab Data: Pt stated that he was diagnosed with myocarditis as a result of the vaccine per the Dr. Pt was admitted on Thurs, 8/19 and discharged on Sat, 8/21. Symptoms did persist so he returned to hospital on Sun, 8/22 and was discharged on Mon, 8/23 with a recommendation to follow up with Cardiologist.

Allergies: NKA

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

Symptoms: Patient reported chest pain and tightness the same day that he received the vaccine. I asked if he had experienced this before and he said yes but it had been a while since he experienced it. I instructed him to seek medical care if symptoms persist. Patient called back over weekend and stated that he had been hospitalized over the weekend and was then discharged. He was diagnosed with myocarditis.

Other Meds: Metoprolol, Ranexa, Ofloxacin eye drop, Valacyclovir, Atorvastatin, Voltaren gel, Eliquis

Current Illness: unknown

ID: 1628845
Sex: F
Age: 78
State: TX

Vax Date: 02/11/2021
Onset Date: 08/07/2021
Rec V Date: 08/24/2021
Hospital:

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

Lab Data: (2/13/2021) Blood work and x-rays (all clear). (08/07/2021) just a physical.

Allergies: Codeine

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

Symptoms: (02/13/2021) Both Leg motor failure (weak legs, maybe fatigue) and syncope, treated with saline for dehydration. (08/07/2021) Unusually harsh coughing and sneezing, nasal stuffiness, and was advised to drink fluids.

Other Meds: D3; magnesium; Puritan's Pride Complete One; omega 3 fish oil; rosuvastatin; zinc

Current Illness: None

ID: 1628846
Sex: F
Age: 21
State: NY

Vax Date: 08/24/2021
Onset Date: 08/24/2021
Rec V Date: 08/24/2021
Hospital:

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

Lab Data: No testing by pharmacist

Allergies: NKA

Symptom List: Tremor

Symptoms: Patient felt hot,sweaty and like she may faint

Other Meds: unknown

Current Illness: none

ID: 1628847
Sex: F
Age: 41
State: WA

Vax Date: 08/03/2021
Onset Date: 08/03/2021
Rec V Date: 08/24/2021
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: Patient has nerve pain from elbow down to wrist, can't hold a pot, started ever since she got the vaccine. She feels like a nerve got hit when she got the vaccine. She returned for her second dose 4 weeks later and reported that the symptoms hadn't gotten any better and she was still having pain at that time.

Other Meds:

Current Illness:

ID: 1628848
Sex: F
Age: 29
State: LA

Vax Date: 04/08/2021
Onset Date: 07/21/2021
Rec V Date: 08/24/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Pityriasis Rosea, ongoing after 6 weeks since start and still growing. Not itchy. No current treatment.

Other Meds:

Current Illness:

ID: 1628849
Sex: F
Age: 63
State: KY

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 08/24/2021
Hospital:

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

Lab Data: Dexcom meter I wear shows my A1c and the doctor just downloads my data.

Allergies: Shellfish; seasonal allergies

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

Symptoms: On 02/18/2021, I started noticing, my blood sugar went extremely elevated, It fluctuated 260ish for a month and it was not coming down. Prior to the vaccination my A1c was about 6.3. I had very controlled blood sugars. I also had a high fever of 102 for about 2 day. I had to change my medication went to see the doctor around the end of March. I was doing really well on the medication prior to the vaccine. The new medication, Ozempic was added on to the medication I was already taking which was Glumetza. The new medication I am taking is helping, I was having extreme abdominal pain with the new medication, so many side effects that I don't know if I can continue taking it. It is unknown if I have recovered from the AE's because if they took me off the Ozempic, I don't know what my blood sugars would do.

Other Meds: Zetia; Crestor; liothyronine; Synthroid; lisinopril; Glumetza; magnesium; B vitamin; co-Q- 10; vitamin D; zinc; NAC

Current Illness: No

ID: 1628850
Sex: F
Age: 37
State: NJ

Vax Date: 05/01/2021
Onset Date: 08/10/2021
Rec V Date: 08/24/2021
Hospital:

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

Lab Data: 8/21/2021 PCR + for Covid

Allergies: none known

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Client fully vaccinated with Moderna vaccine for Covid in May and June, 2021. Client became symptomatic on 8/10 (nasal congestion, cough, headache, loss of taste and smell). Client tested PCR positive for Covid on 8/21. Client had been in on vacation when symptoms started and did not get tested until she came home. Client's husband also was vaccinated and tested positive with symptoms starting on 8/16. Reported as breakthrough Covid case in fully vaccinated person.

Other Meds: none known

Current Illness: none known

ID: 1628851
Sex: M
Age: 27
State: CA

Vax Date: 08/24/2021
Onset Date: 08/24/2021
Rec V Date: 08/24/2021
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:

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

Symptoms: 1430- patient reported feeling lightheaded, patient appeared pale and diaphoretic, NP and EMS radioed at this time. Assisted patient to floor with lower extremities elevated with assistance of another RN. Vital signs monitored, provided alcohol pads to smell, patient states its helped him the past, states he has had similar episodes in the past with injections, blood draws, vaccines. Patient observed for approximately 20 minutes, provided water and Gatorade, reports he felt better. Cleared by NP, patient ambulated without complaints to car with girlfriend. Vital Signs: 1434- 97% 69 130/81 symptoms improving as per patient 1436- 99% 74 1438- 98% 71 128/85 1443- 99% 75 133/90 patient assisted to sitting position, tolerated well 1445-98% 86 138/82 1450- 124/82 patient sitting in chair 1454- patient cleared by NP.

Other Meds: none

Current Illness: denies

ID: 1628852
Sex: F
Age: 33
State: PA

Vax Date: 02/09/2021
Onset Date: 02/12/1921
Rec V Date: 08/24/2021
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: At the doctor, they ran blood work and an EKG, but this was a few days later (on a Tuesday) after the symptoms.

Allergies: Sulfa, Bactrim, erythromycin

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

Symptoms: Tachycardia (checked on my night shift and at home frequently Saturday night into Sunday.) Bpm = 105 throughout random checks. Fatigue Heart flutters

Other Meds: Levothyroxine 100 mcg Mirena IUD

Current Illness: None

ID: 1628853
Sex: M
Age: 61
State: HI

Vax Date: 03/16/2021
Onset Date: 05/06/2021
Rec V Date: 08/24/2021
Hospital:

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

Lab Data: Imaging of retina

Allergies: None

Symptom List: Pain in extremity

Symptoms: Blockage in vein in left retina. Burst vessel and bleeding on corner of field of vision.

Other Meds: None

Current Illness: None

ID: 1628854
Sex: M
Age: 65
State: FL

Vax Date: 08/11/2021
Onset Date: 08/15/2021
Rec V Date: 08/24/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Patient stated that his arm was black and blue red lines inside the black and blue and sore.

Other Meds:

Current Illness:

ID: 1628855
Sex: M
Age: 65
State: MO

Vax Date: 08/15/2021
Onset Date: 08/15/2021
Rec V Date: 08/24/2021
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: Pharmacist was giving Moderna Covid-19 Shots. Pt came in to get Shingrix shot. Prepared shot to give and inadvertently gave third dose of Covid-19 shot. Second shot of Covid-19 given on 3/3/21. Pt was about to leave then pharmacist noticed mistake. Apologized to patient, then proceeded to give Shingrix in other arm. Pt was ok with mistake and on follow-up no adverse reactions. Going forward pharmacist will use different color needle tips as to not make future mistake while giving out Covid-19 vaccinations and other vaccinations at same time.

Other Meds:

Current Illness:

ID: 1628856
Sex: M
Age: 65
State: GA

Vax Date: 08/20/2021
Onset Date: 08/22/2021
Rec V Date: 08/24/2021
Hospital:

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

Lab Data: yes

Allergies: etromycine

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

Symptoms: severe headache, fever of 101.2, shaking from the chills, sluggish, nurse came to take blood and when she was taking the blood he had blood clots

Other Meds: multi vit, gabapin, cymbalta, norvasc, protunic, oxycodone, zofran, ativan, fentanyl patch, sipro, vit c, testosterone injections and b12 injections, benadryl

Current Illness: no

ID: 1628857
Sex: M
Age: 49
State: NC

Vax Date: 02/15/2021
Onset Date: 08/01/2021
Rec V Date: 08/24/2021
Hospital:

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

Lab Data: none

Allergies: none

Symptom List: Vomiting

Symptoms: Significant increase in tinnitus symptoms over the last several months. I have had to increase the amount of "white noise" (masking) in order to sleep.

Other Meds: albuterol, citalopram, omeprazole, cetirizine, vitamin d

Current Illness: none

ID: 1628858
Sex: F
Age: 62
State: UT

Vax Date: 03/22/2021
Onset Date: 04/01/2021
Rec V Date: 08/24/2021
Hospital:

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

Lab Data: X-rays, considerable arthritis in my shoulder. MRI, considerable arthritis in my shoulder.

Allergies: Penicillin; Percocet

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: After I got the shot I looked in my arm and I did not see much redness, but I could see something purple starting to appear. The next day it got more purple and more purple and more purple, until I got a big bruise on the top part of my arm. Higher than where my bicep is. On 04/01/2021 I woke up and my arm was very stiff and I thought it was weird. Through the day it started becoming stiff and hurting. The next day it was worse. The following day I could barely raise my arm. I could not raise it to the front or to the side. I waited a few days and started to do some research. I read about frozen shoulder, which you can get from a vaccination that is injected too high and it goes into the bursa and creates. I decided to see my PCP. I told him about the research I did and the vaccine I had. He said he was not sure about that and he blew me off. Eventually I ended up at my orthopedic surgeon's office and he diagnosed me with frozen shoulder, and he said this sometimes happens with vaccines. He sent me to physical therapy and we did a cortisone shot. My pain went away. I started going to physical therapy and I was able to regain all the use of my arm. I looked into my physical therapy appointments and insurance, and they said I could not take any more. I stopped going to physical therapy and stopped doing my exercises. Then I had and accident and I ran my car into a tree and flew off 10 ft. I injured my shoulder even more. Now I can barely use it. I have been back to seeing my orthopedist. He thinks that my accident caused more damage. They did x-rays, MRI, which showed considerable arthritis in my shoulder but the doctor did not think that could cause that and he diagnosed me with frozen shoulder. I am not having any more vaccines in my life.

Other Meds: Gabapentin; levothyroxine; pantoprazole; spironolactone; sertraline; bupropion; Mirapex; norco; Belsomra

Current Illness: None

ID: 1628859
Sex: M
Age: 28
State: CA

Vax Date: 06/01/2021
Onset Date: 06/03/2021
Rec V Date: 08/24/2021
Hospital:

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

Lab Data: None yet but will do them later in the year

Allergies: Wheat

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

Symptoms: Felt the sensation of my body/heart going into mild shock. Like a panic attack without the psychological component . Have had similar panic attacks frequently since then.

Other Meds:

Current Illness:

ID: 1628860
Sex: F
Age: 60
State: TN

Vax Date: 07/27/2021
Onset Date: 07/27/2021
Rec V Date: 08/24/2021
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: I did visit the ER days later and labs were performed at this time I don't know what the results were.

Allergies: Shrimp; lobster.

Symptom List: Injection site swelling, Limb discomfort

Symptoms: After receiving the vaccination I experienced warmth on the left side of body.

Other Meds: No medications; over the counter medications, dietary supplements or herbal remedies at the time of vaccination.

Current Illness: No illnesses at the time of vaccination and up to one month prior.

ID: 1628861
Sex: F
Age: 22
State: NH

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 08/24/2021
Hospital:

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

Lab Data:

Allergies: NKA

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

Symptoms: Low platelets ever since vaccination administered. My most recent being 79,000

Other Meds: Nothing

Current Illness: None

ID: 1628862
Sex: M
Age: 55
State: CT

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

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

Lab Data: Went to ER and they did CAT scan to rule out stroke. Final diagnosis was Bell's palsy.

Allergies: None

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

Symptoms: 1.5 day after vaccine my mouth didn't open then by 2nd day couldn't blink my eyes, and sharp pain in heck.

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am