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**
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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: 1641132
Sex: M
Age: 12
State: IL

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

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

Lab Data: None

Allergies: None known

Symptom List: Dysphagia, Epiglottitis

Symptoms: After administration of vaccine it was discovered that the dose given was expired. It had been drawn up into the syringe the previous day about 15 hours prior to being administered. The dose had been sitting in the syringe at room temperature for approximately 15 hours. I spoke to Mom about 16 hours after vaccine was administered and she reported some muscle soreness at the injection site but no other complaints or local/systemic reactions.

Other Meds: None known

Current Illness: No

ID: 1641133
Sex: F
Age: 34
State: CA

Vax Date: 08/26/2021
Onset Date: 08/26/2021
Rec V Date: 08/27/2021
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: Levaquin Penicillin

Symptom List: Anxiety, Dyspnoea

Symptoms: Hives, body rash, headache, throat tightness, itching I was giving Benadryl through IV and Tordol

Other Meds: None

Current Illness: None

ID: 1641134
Sex: M
Age: 53
State: TN

Vax Date: 08/27/2021
Onset Date: 08/27/2021
Rec V Date: 08/27/2021
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: Pt. reported a sharp, severe pain in right eye. Vitals taken and noted

Other Meds: Unknown

Current Illness:

ID: 1641135
Sex: M
Age: 17
State: PA

Vax Date: 03/22/2021
Onset Date: 03/22/2021
Rec V Date: 08/27/2021
Hospital:

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

Lab Data: n/a

Allergies: none known

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Moderna vax administered to 17yo

Other Meds: unknown

Current Illness: unknown

ID: 1641136
Sex: F
Age: 77
State: AZ

Vax Date: 02/18/2021
Onset Date: 03/01/2021
Rec V Date: 08/27/2021
Hospital:

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

Lab Data: CAT Scan MRI

Allergies: Alcohol (external and internal); Crestor; Oxycodone; Gold; Iodine; Dacitrian; adhesive tape

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

Symptoms: After receiving the vaccine I experienced fatigue. I fell asleep all the time. I started having more seizures. I became unbalanced while standing up which resulted to me falling a few times and I had to see a doctor for it. Seizures are getting better due to additional medication.

Other Meds: Seizure Medications; High blood pressure Medications

Current Illness:

ID: 1641137
Sex: F
Age: 45
State: FL

Vax Date: 03/01/2021
Onset Date: 08/20/2021
Rec V Date: 08/27/2021
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: covid test.

Allergies: NKA

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

Symptoms: Headache and weakness x 3 days.

Other Meds:

Current Illness:

ID: 1641138
Sex: M
Age: 73
State: PA

Vax Date: 03/02/2021
Onset Date: 08/16/2021
Rec V Date: 08/27/2021
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: 08/22/21 0932 Respiratory virus detection panel Collected: 08/22/21 0804 | Final result | Specimen: Swab from Nasopharynx Adenovirus Not Detected Mycoplasma pneumoniae Not Detected Chlamydophila pneumoniae Not Detected Parainfluenza Not Detected COVID-19 SARS-CoV-2 Overall Result Detected Critical Enterovirus/Rhinovirus Not Detected Coronavirus Not Detected Respiratory Syncytial Virus Not Detected Influenza A Not Detected Bordetella pertussis Not Detected Influenza B Not Detected Bordetella parapertussis Not Detected Metapneumovirus Not Detected 08/16/21 1811 COVID-19 (SARS CoV-2,RNA Molecular Amplification) Collected: 08/16/21 1345 | Final result | Specimen: Swab from Nares COVID-19 SARS-CoV-2 Overall Result DetectedCritical IMAGING: X-ray chest 1 view, Portable Result Date: 8/22/2021 XR CHEST 1 VW PORT IMPRESSION: Some cardiomegaly changes and low lung volumes and bilateral patchy interstitial alveolar lung infiltrates. Cannot exclude pneumonia changes versus CHF. END OF IMPRESSION: INDICATION: SOB. TECHNIQUE: Single AP projection of the chest is acquired. COMPARISON: Chest radiograph dated September 26, 2017. FINDINGS: Low lung volumes limit assessment. Cardiomegaly changes are noted. Diffuse interstitial alveolar patchy lung infiltrates are noted suspicious of COVID-19 infection or edema changes or other infectious etiology. This report was created using Voice Recognition software. Thank you for allowing us to participate in the care of your patient. Medical Decision Making/ Level of Risk: high Total time spent on review of chart, development of management plan, discussion with patient/family/other providers is greater than 35 minutes, with greater than 50% of this time spent in face-to-face interaction.

Allergies: Amiodarone

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Cough, Shortness of breath, Non-intractable vomiting with nausea, unspecified vomiting type. ED to Hospital Admission Current 8/22/2021 to present for 5 days. Pneumonia due to COVID-19 virus a Principal problem. Patient presents with Vomiting. History of Present Illness A 73 y.o. male who presented to the ED with chief complaint of nausea and vomiting and decreased po intake for 5 days. Patient reported there is tested positive for Covid on Tuesday. Patient symptoms are getting worse which made him come to the ER for further evaluation and treatment. He reports fever, chills, myalgias, and shortness of breath associated with nausea and vomiting. He denied chest pain and palpitations. Patient was vaccinated for Covid in March with Pfizer. Patient past medical history significant for hypertension uncontrolled diabetes mellitus coronary artery disease, hyperlipidemia atrial fibrillation, and CHF. Patient appears to be comfortable not in acute distress requiring 2 L of oxygen to keep saturations above 90. White count is 3.2 with a low lymphocytes, potassium is 3.3 chloride, 96 AST is mildly elevated to 53, BUN and creatinine are within normal limits. Chest x-ray is consistent with atypical pneumonia.

Other Meds: ZITHROMAX 250 mg PLAVIX 75 mg LASIX 20 mg APRESOLINE 10 mg LANTUS SOLOSTAR 100 unit/mL (3 mL) insulin pen TOPROL-XL 100 mg NOVOLOG FLEXPEN 100 unit/mL insulin pen BENICAR 5 mg PROTONIX 40 mg PRANDIN 0.5 mg CRESTOR 20 mg XARELTO

Current Illness:

ID: 1641139
Sex: F
Age: 57
State: NY

Vax Date: 06/11/2021
Onset Date: 06/12/2021
Rec V Date: 08/27/2021
Hospital:

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

Lab Data: blood work

Allergies: Allergic to penicillin.

Symptom List: Pharyngeal swelling

Symptoms: 6/12/2021 - worse than COVID-19, the left arm with injection very sore. Couldn't lift for about 3 days, very tired, in bed 3 days, dropped a lot of weight, nerve damage, right leg completely numb no feeling in her leg, couldn't walk, lost feeling in foot couldn't make it up the stairs, felt really bad, no temperature, hot and cold chills, panic attack, anxiety attack, headaches on and off. Taking Tylenol every four hours last 3-4 days, crying all the time.

Other Meds: High blood pressure medication 1 tablet once a day.

Current Illness: No

ID: 1641140
Sex: M
Age: 44
State: NV

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

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

Lab Data: None

Allergies: None

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: A few hours after I received the second dose of the Pfizer Corona Virus vaccine I experienced rapid heartbeat, faster than normal. I also was not able to sleep at all, I was awake. The next day there were minor body aches that went away after I took acetaminophen, but the rapid heartbeat did not stop. A week after I got the second dose I still have rapid heart beat, I feel a slight tension around my chest, but no pain, no heart pounding. I am concerned about doing physical activity, that it will cause heart damage or even a heart attack. I do not smoke, am not diabetic, don't drink alcohol, do not have health problems, am not overweight.

Other Meds: None

Current Illness: None

ID: 1641141
Sex: M
Age: 66
State: NC

Vax Date: 02/17/2021
Onset Date: 08/12/2021
Rec V Date: 08/27/2021
Hospital:

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

Lab Data: SARS-COV2, RT-PCR test positive with Walgreens via AEGIS Science Corp. reported 08/17/2021.

Allergies: Penicillin Sulfa

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Woke up with dry cough. Developed into runny nose, flushed feeling and slight fever. After 4 days had COVID test done. Test came back positive. Lost sense of taste and smell after 5 days. Same symptoms for about 10 days. Gradually got better. Had televisit with doctor. Mild symptoms so no treatment necessary. Taste and smell returning though still not completely.

Other Meds: Xarelto Metoprolol Metformin Irbesartan

Current Illness: None

ID: 1641142
Sex: F
Age: 41
State: MD

Vax Date: 02/22/2021
Onset Date: 07/23/2021
Rec V Date: 08/27/2021
Hospital:

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

Lab Data: Ultrasounds on July 2, July 24, Aug 6. Blood tests were also done on July 2 and July 24.

Allergies: Sulfa drugs

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

Symptoms: I experienced menstrual irregularity starting the day after my 2nd dose (which is very uncommon for me); those irregular cycles continued for ~2-3 months after my 2nd dose. Then, after a more normal cycle, I got pregnant (LMP May 13, 2021), had a confirmed intrauterine pregnancy with heartbeat seen on July 2, and then experienced a miscarriage at 10 weeks gestation. I started bleeding on July 23, 2021, went to an ER (was traveling at the time) on July 24 where an ultrasound showed loss of heartbeat and small for gestational age. I then miscarried the baby spontaneously the night of July 24/morning July 25. After traveling back home, I was seen for follow up by Doctor D. (University Hospital) on Aug 6 when I had an ultrasound that confirmed the miscarriage was complete.

Other Meds: Prescription: Nexium 40 mg po qd, Allegra 180 mg po qd, Valtrex 1 gram po bid, Nasonex 1 nasal spray daily each nostril, Astelin 1 nasal spray each nostril daily OTC vitamins: MVI, magnesium, flax seed oil, vit D

Current Illness: No acute illnesses

ID: 1641143
Sex: M
Age: 29
State: WI

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

Symptom List: Rash, Urticaria

Symptoms: patient was administered expired dose of vaccine.

Other Meds:

Current Illness:

ID: 1641144
Sex: M
Age: 51
State: FL

Vax Date: 08/13/2021
Onset Date: 08/13/2021
Rec V Date: 08/27/2021
Hospital:

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

Lab Data: None

Allergies: Penacillin, Levaquin, omxacillin, zoloft, others I don't remember.

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

Symptoms: My arm went dead and heart started racing before the needle came out of my arm. The guy said to sit there for 15 minutes. My right neck and back and right kidney felt inflamed a minute or so after shot. Face started getting tingly. Body started feeling heavy, went to sit in the chair from the table and couldn't really feel the floor. Sat down, my heart calmed down. Guy came back and asked how I was about 15 minutes later. I said my heart started racing and my arm went dead and neck and back got tight. I said my heartbeat seems to be better. He said I can go. Walking felt funny. I got to my car and just sat there for at least an hour. I may have been slightly disoriented but I don't really remember. I drove home, wasn't wise, felt weird driving. Kind of numb. I got home, thankfully. Sat down on the floor by the couch. Joints started to stiffen up. My hands felt funny. I took out my guitar to try and play and my hand wasn't really working. I persisted and about 15 minutes and it started coming back. Most of the side effects went away later that day I think, except for my neck and right side of my back and right kidney pain. It's two weeks today and my right kidney or right kidney area still feels tight

Other Meds: No

Current Illness: No

ID: 1641145
Sex: M
Age: 50
State: VT

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data: Medical released with diagnosis of Acute viral myocarditis. Released with a form that gave a

Allergies: Keppra

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

Symptoms: On 08/20/21 had physical....Dr. said I was in good health....was given the shingles and what she said was tetanus but turned out to be Tdap vaccine...felt sick few hours later, sluggish, fever went to 102.8 that night....throughout weekend was feeling sick at times, nausea, temps was fluctuating but was going as high as 101.9 at times . Mon 08/23/21 approximately 1:30pm ...fever above 101 , felt sick at house...sweating profusely, ...nausea....Wife called telenurse...advise to go to ER. After arriving at ER got progressively worse, placed on oxygen. Troponin number was elevating ...was transferred to Medical Center by ambulance. 08/23-08/25 was in cardiology. Several tests done. Diagnosed with Acute Viral Myocarditis.

Other Meds: None

Current Illness: None

ID: 1641146
Sex: M
Age: 75
State: ND

Vax Date: 02/23/2021
Onset Date: 08/25/2021
Rec V Date: 08/27/2021
Hospital: Y

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

Lab Data:

Allergies:

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

Symptoms: Covid invection despite vaccination

Other Meds:

Current Illness:

ID: 1641147
Sex: F
Age: 22
State: FL

Vax Date: 05/13/2021
Onset Date: 08/05/2021
Rec V Date: 08/27/2021
Hospital:

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

Lab Data: Covid test.

Allergies: Clonidine

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

Symptoms: Pt went to ER c/o nausea and vomiting onset just prior to arrival.

Other Meds:

Current Illness:

ID: 1641148
Sex: F
Age: 43
State: OH

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

Vax Type: DTAPHEPBIP
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: DTAP + HEPB + IPV (PEDIARIX)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies: none

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

Symptoms: Bloodshot left eye for four days before contacting the doctors office. Doctor diagnosed left eye as episcleritis and prescribed Ketorolac drops and Predinisolone drops 4x's daily for 14 days. Redness of the eye resolved within that timespan.

Other Meds: none

Current Illness: none

ID: 1641149
Sex: M
Age: 81
State: PA

Vax Date: 03/03/2021
Onset Date: 08/16/2021
Rec V Date: 08/27/2021
Hospital:

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

Lab Data: Updated Procedure 08/20/21 1046 COVID-19 EXTERNAL (NON WELLSPAN OR NON INTERFACED LAB) Collected: 08/16/21 1257 | Final result COVID-19 Overall Result External DetectedAbnormal

Allergies: NKA

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Acute nasopharyngiti

Other Meds: NONE

Current Illness:

ID: 1641150
Sex: M
Age: 44
State: MN

Vax Date: 04/23/2021
Onset Date: 05/01/2021
Rec V Date: 08/27/2021
Hospital:

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

Lab Data: Full blood draw test.

Allergies: None

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: After receiving my second dose of Moderna about 1-2 weeks after that I started noticing pains in my neck, and left shoulder. Pain spread to my other shoulder, hips, knees, and eventually elbows, wrists, and hands/fingers. Pain was so much that I had extreme pain getting dressed, getting out of bed, standing up from a chair, walking, using my hands for anything that required the use of muscles. When going in for my Dr appointment I had extremely high BP. Less than a year ago I had normal BP range and since then have even lost weight. Was figuring it is Vaccine Induced Polymyalgia Rheumatica. After blood work result came back it confirmed thoughts of Polymyalgia Rheumatica. Currently taking Prednisone to reduce inflammation.

Other Meds: None

Current Illness: None

ID: 1641151
Sex: F
Age: 40
State: NE

Vax Date: 04/08/2021
Onset Date: 04/16/2021
Rec V Date: 08/27/2021
Hospital:

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

Lab Data: MRI abdomen w/w/o contrast (74183) 07/07/2021 CT chest w/ and w/o contrast (71270) 07/25/2021 X-ray of Chest, AP/PA and Lateral views (71046) 04/22/2021 X-ray of Ribs, Unilateral, no cxr, left (71100) 06/24/2021

Allergies: Nitrofurantoin Sulpha Drugs Bactrim Bismuth Oxychloride in makeup

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

Symptoms: One week after receiving the Janssen Covid-19 I developed a crushing/squeezing/contracting sensation underneath my left lowest rib. The first night it hit, I could barely sleep as it felt like something was moving underneath my rib. It also felt like I had swallowed something and it was stuck underneath of my rib. The size of a walnut. I had never felt anything like this before. The next day the rib itself became very sensitive to touch. I went to my doctor who ordered an XRay, at first he thought it looked like I had a rib injury. Over the next 3 weeks I had to lie down after every time that I ate, because the contracting sensation was so intense. I tried to use NSAIDS to relieve the sensation but they didn't do anything to help. After several weeks of varying intensity of the contracting/squeezing sensations under my rib, it started to become more painful. The area affected seemed to have grown. It felt like something was stuck underneath my rib the size of my palm, and the radiating pain was much larger now. The sensation radiated across my left side and wrapped around to my upper back. I had a hard time wearing a bra. I went back to my doctor, who took more XRays that showed nothing. He believed it not to be serious, but at this time I was in a lot of pain, and worried. He ordered a CT Scan. It also came back with no additional findings. He recommended I see a spine and nerve specialist for an intercostal nerve injury. I went home and tried to endure the injury. I ended up going back after developing shortness of breath upon exertion. My primary doctor now order an MRI. The MRI did not show any further injuries, or concerns. I am no 4.5 months out and I have days were it is not as painful, but the contracting and squeezing sensation, I feel throughout the day, every day. The spine and nerve specialist said that I developed Intercostal Neuralgia from either an unknown cause, or for an anatomical issue with my rib. The thing is I never had any of this prior to the vaccine. I know in my heart that the vaccine cause damage to my nerve pathway that runs underneath the rib. I can only pray that this subsides, because even as I sit her typing this, I feel the contracting sensation underneath my ribs. It is awful!

Other Meds: NA

Current Illness: NA

ID: 1641152
Sex: M
Age: 48
State: MT

Vax Date: 08/17/2021
Onset Date: 08/19/2021
Rec V Date: 08/27/2021
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: In office examination (8/15 and 8/17), blood work (8/15).

Allergies: Penicillin, Lisinopril

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

Symptoms: Rib cage pain, particularly in sides, sternum and front of armpits. Bruising on chest/front of armpit on right side. Numbness/Pins and Needles/Weakness that comes and goes in arms, thighs and face from nose down through neck. Headache.

Other Meds: Losartan, Multivitamin

Current Illness: N/A

ID: 1641153
Sex: F
Age: 50
State: VA

Vax Date: 04/02/2021
Onset Date: 08/17/2021
Rec V Date: 08/27/2021
Hospital:

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

Lab Data: Physical exams only, no labs. One of four had x-rays taken.

Allergies: Aspirin

Symptom List: Unevaluable event

Symptoms: Myself and three (3) other ladies in my office got the J&J vaccine on the same date, at the same location on 4/2/21. All four of us, beginning roughly around 8/17 began having several shoulder/neck pains, with no one having done any injury. All of us continue to experience pain and have been to our respective doctors. Mine and one other's doctors diagnosed with inflamed muscles, possibly affecting nerves and prescribed anfi-inflammatory and muscle relaxer meds. One was told could be rotator cuff and nerves and referred to an Orthopedic. One reports nerve issues and referred to a Neurologist. In my case, medication not helping, nor is heat, ice, icy hot, or electronic pulse massager. Was told NOT to go get a message for a few weeks.

Other Meds: Lisinopril 5mg

Current Illness: None

ID: 1641154
Sex: M
Age: 46
State: MI

Vax Date: 08/23/2021
Onset Date: 08/23/2021
Rec V Date: 08/27/2021
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: none

Allergies: none

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

Symptoms: 5 days later itchy , burning rash developed. persisted . facial swelling . swelling persited for 2-3 weeks treated succesfully with steroids.

Other Meds: unknown

Current Illness: none

ID: 1641155
Sex: F
Age: 66
State: TN

Vax Date: 03/12/2021
Onset Date: 08/26/2021
Rec V Date: 08/27/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: positive covid test

Other Meds:

Current Illness:

ID: 1641156
Sex: F
Age: 72
State: WI

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

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: patient was administered expired vaccine.

Other Meds:

Current Illness:

ID: 1641157
Sex: F
Age: 67
State: PA

Vax Date: 03/03/2021
Onset Date: 08/16/2021
Rec V Date: 08/27/2021
Hospital:

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

Lab Data: Updated Procedure 08/17/21 1918 COVID-19 (SARS CoV-2,RNA Molecular Amplification) Collected: 08/16/21 1605 | Final result | Specimen: Swab from Nasopharynx COVID-19 SARS-CoV-2 Overall Result DetectedCritical 08/17/21 1918 COVID-19 PCR Collected: 08/16/21 1605 | Final result | Specimen: Swab from Nasopharynx

Allergies: Bee Venom Protein (Honey Bee)Shortness of breath / Dyspnea, Hives / Urticaria Sulfa (Sulfonamide Antibiotics)Anaphylaxis, Hives / Urticaria PenicillinHives / Urticaria CodeineNausea And Vomiting OtherItching

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

Symptoms: Dx Cough ? Headache ? Sore Throat ? Fatigue Upper respiratory tract infection, unspecified type Loss of taste

Other Meds: acyclovir (ZOVIRAX) 400 mg tablet albuterol HFA (PROVENTIL;VENTOLIN) 90 mcg/actuation inhaler anastrozole (ARIMIDEX) 1 mg chemo tablet ascorbic acid, vitamin C, (VITAMIN C) 500 mg tablet aspirin 81 mg tablet buPROPion XL (WELLBUTRIN XL

Current Illness:

ID: 1641158
Sex: F
Age: 63
State: FL

Vax Date: 02/27/2021
Onset Date: 08/20/2021
Rec V Date: 08/27/2021
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: CXR, covid test.

Allergies: NKA

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Pt came to ER c/o cough, congestion, headache, SOB, and fever x 4 days.

Other Meds:

Current Illness:

ID: 1641159
Sex: M
Age: 78
State: LA

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 08/27/2021
Hospital:

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

Lab Data: N/A

Allergies: N/A

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Pt.'s Neighbor states that after Pt. received the 2nd dose of Phizer 02/12/2021, started experiencing symptoms of immediate left arm pain continuing throughout the left side shoulder. No noted Primary visit. Can no longer lift or feel arm raised above the head.

Other Meds: Unknown

Current Illness: N/A

ID: 1641160
Sex: F
Age: 36
State: TX

Vax Date: 08/27/2021
Onset Date: 08/27/2021
Rec V Date: 08/27/2021
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: Employee received the Pfizer vaccine dose #1 on 08/27 at the campus vaccine event. The injection was in the right upper arm in deltoid. Started have symptoms after vaccination (8/27): Sore and redness at injection site and warm to touch, headache, sore throat,light head, dizziness . Has been off of work since 08/27. Advise to call back if symptoms worsen and get better if a follow up call, PCP follow up if needed. As well to put cold compress on site and take ibuprofen or Tylenol

Other Meds:

Current Illness:

ID: 1641161
Sex: F
Age: 62
State: FL

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 08/27/2021
Hospital:

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

Lab Data:

Allergies: Ampicillin, Biaxin, Levaquin

Symptom List: Nausea

Symptoms: Significant Pain when vaccine was administered in the arm. Later that day and for 2 days afterwards, could not lift arm above waist. Slowly after recovery from vaccine, could lift arm but never regained full use of arm and residual shoulder pain remained and got worse over time. On 6/11/2021 saw Orthopedic Shoulder Specialist who diagnosed me with shoulder bursitis and adhesive capsulitis. He gave me a steroid injection in my shoulder and prescribed physical therapy. To date I have had 28 physical therapy sessions and am not quite back to pre-Covid strength or range of motion.

Other Meds: Multi Vitamin, Vitamin C, Calcium, Vitamin D, Probiotic and Fish Oil

Current Illness: none

ID: 1641162
Sex: F
Age: 30
State: TN

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

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: positive covid test

Other Meds:

Current Illness:

Date Died: 08/18/2021

ID: 1641163
Sex: M
Age: 92
State: GA

Vax Date: 02/17/2021
Onset Date: 08/17/2021
Rec V Date: 08/27/2021
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: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Patient developed COVID-19 after being fully vaccinated. Patient visited the ER. Patient died.

Other Meds:

Current Illness:

ID: 1641164
Sex: M
Age: 35
State: TX

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

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

Lab Data:

Allergies:

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

Symptoms: Patient stated that on the second day after the vaccine he started experiencing flu like symptoms. Patient stated that every since he received the vaccine he has developed a dry cough that will not go away.

Other Meds:

Current Illness:

ID: 1641165
Sex: F
Age: 44
State: GA

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

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

Lab Data:

Allergies: None

Symptom List: Tremor

Symptoms: Metallic taste in my mouth/breath. I taste it more when I exhale.

Other Meds: None

Current Illness: None

ID: 1641166
Sex: F
Age: 55
State: IL

Vax Date: 01/11/2021
Onset Date: 01/25/2021
Rec V Date: 08/27/2021
Hospital:

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

Lab Data: CBC- immature white blood cell count is low thyroid function in the blood work- is out of whack, I just received the results, 08/26/2021/ I do not have any diagnosis as of yet

Allergies: no

Symptom List: Erythema, Pruritus

Symptoms: A few weeks after my 1st Dose of Moderna, I started having these heart palpitations. I had a normal post vaccine. I had immediate intense headaches for 3 days after the 1st dose. On 08/18/2021 I went to see my doctor regarding my heart palpitations and for digestive issues. My CBC blood works shows immature white blood cell count is low . My thyroid status is considered hyperthyroid as of now. My thyroid antibodies are abnormal. I might have Hashimoto disease, but I am just in the process of figuring this out. I do not have any diagnosis as of yet. I just received my blood work results yesterday, 08/26/2021. I do not know if these AEs are related to the vaccine, they just all occurred all at the same time.

Other Meds: allegra 180 mg od; melatonin 3mg od; menopaused remedy put out by whole foods; valerian

Current Illness: no

ID: 1641167
Sex: F
Age: 40
State: OR

Vax Date: 05/18/2021
Onset Date: 05/18/2021
Rec V Date: 08/27/2021
Hospital: Y

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: EKG; Direct infusion of potassium.

Allergies: I've been living on an elemental formula because I'm allergic to all food. I'm allergic to almost everything. Latex; Aspirin; Ibuprofen; Tylenol; Formamidine; Cimetidine; Keppra; Tetrytol; Hormonal Birth Control; Progesterone; Botox; Flu Shot; Tdap; Tetanus.

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

Symptoms: After 10 mins I felt a seizure coming on and my throat felt a little tight and I was kind of like clearing my throat and having trouble breathing and I was kind of in and out of consciousness and I had a seizure. The nurse that was there timed it at 60 seconds which is considered a breakthrough seizure because I barely have them anymore and they are controlled. When seizure stopped they checked on vital signs and I was shaking uncontrollably and they checked and I had high blood pressure and sugar despite the fact I don't eat food and so there wasn't really a reason for that. I was also very confused. They monitored my oxygen which was in normal and so they didn't give me anything for that. My face got red and swollen and I got hives and I took an emergency diazepam after seizure and emergency dose of Benadryl for face swelling. The paramedics came and took me to the hospital. They parked me in hallway and didn't do much in the ER and they diagnosed me with a seizure and hypokalemia because I guess my potassium was super dangerously low and so they gave me IV fluids and supplemental potassium and they just monitored me to make sure I wouldn't have any more seizures. They gave me more Benadryl as well. After ER visit I went home and on the 21st I ended up back in ER because I had another breakthrough seizure and potassium was still low and this one they ended up diagnosing me with adverse reaction to the COVID vaccine. I think the first ER visit they were relying on me for info but I was out of it. 2nd time I was little more clear with the medical staff and was able to tell them the story of what happened. They gave me fluids and direct infusion of potassium. The following week I ended up being hospitalized for 10 days because ever since I got vaccine my face was red and swollen and I had hives and it was on fire. It was really red and my mouth was swollen and I stopped being able to eat any foods at all. I couldn't take solid foods or formula. I was in hospital because I was basically starving to death because of all this inflammation in face, throat, tongue, and mouth. I lost about 20 pounds from the time I got the vaccine until I was discharged from the hospital. I still cannot eat any solid foods since getting the vaccine. That's a long-term effect so far. I have not been able to gain any weight either. My lips also swelled up huge as well. I heard people with lip injections have been getting swelled up but my lips swelled massively for a week or two. That has never happened before. Interestingly enough I did get the 2nd dose and didn't have many symptoms like my first dose. 1st ER visit was at emergency department; 2nd ER visit was at a different emergency and when I went to the first ER the doctor wanted to admit me but admitting doctor said no so I went out of network and went to ER at another location and they admitted me there.

Other Meds: Benadryl; Hydroxyzine; Ranitidine; Ketotifen; Diazepam, Vitamin D; Vitamin B12; Folate; Zinc; Xopenex; EpiPen.

Current Illness: None.

Date Died: 08/26/2021

ID: 1641168
Sex: M
Age: 82
State: TN

Vax Date: 01/22/2021
Onset Date: 08/24/2021
Rec V Date: 08/27/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: positive covid test

Other Meds:

Current Illness:

ID: 1641169
Sex: F
Age: 35
State: IA

Vax Date: 08/23/2021
Onset Date: 08/23/2021
Rec V Date: 08/27/2021
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: sulfa drugs (Rash)

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Went to pcp for check up. got adult Dt and penumonia shot. Right after on Monday 8/23/21 evening she got fatigue and fever. Tuesday 8/24/21 she felt like she did when she had Covid. Sweating, chills, fever, stiff neck, aching all over. Her left arm and hand were stiff and sore. She was very dizzy with brain zaps. The next day, her stomach felt better and she went back to work. 8/25/21 evening, her migraine came back, then this am 8/26/21 the redness on her left upper arm had spread and it's been getting worse. by the time she got to work it got worse and the pain got worse. she lasted half an hour at work. PCP asked her to come in. itching rash left upper arm.

Other Meds: albuterol 90 mcg/inh inhalation aerosol; amoxicillin-clavulanate 875 mg-125 mg oral tablet; desvenlafaxine 100 mg oral tablet, extended release, 100 mg= 1 tab(s); hydrOXYzine hydrochloride 25 mg oral tablet; metFORMIN 500 mg oral tablet; Mi

Current Illness: possible viral sinus infection or allergies

ID: 1641170
Sex: F
Age: 67
State: WI

Vax Date: 08/20/2021
Onset Date: 08/20/2021
Rec V Date: 08/27/2021
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: patient was administered expired vaccine,

Other Meds:

Current Illness:

ID: 1641171
Sex: F
Age: 68
State: CA

Vax Date: 08/05/2021
Onset Date: 08/10/2021
Rec V Date: 08/27/2021
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: pt claimed she got pneumonia after the vaccine and recovered after going to the doctors and taking her meds

Other Meds:

Current Illness:

ID: 1641172
Sex: F
Age: 44
State: LA

Vax Date: 01/25/2021
Onset Date: 01/28/2021
Rec V Date: 08/27/2021
Hospital:

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

Lab Data: Dr on 1-29-21 for palpitations, referred to cardiologist on 2-8-21 for echo, no finding reported. On 4-1-21, Dr for right temporal pressure and numbness, stat MRI ordered to rule out CVA or aneurysm, no significant finding. Scheduled eye apt and dental apt for 5-24 to rule out occipital caused for numbness, no findings. returned to Dr to rule out temporal arteritis and report new onset of ankle and leg pain that inhibited previous activity. Lab work drawn and results indicated low WBC, neutrophils and possible auto-immune disorder. I follow up in September to monitor labs. I did have labs drawn early February 21, with no reports of low WBC or neutrophils and had no other illnesses in between these apts that would trigger autoimmune disorders.

Allergies: NKA

Symptom List: Pain in extremity

Symptoms: Palpitations started around 1-28-21, right sided temple pain and numbness started around March 2021, pain in ankles and legs started around May 2021.

Other Meds: cetirizine 10mg. Xanax .5 half twice monthly as PRN, Advil PRN, Aleve PRN

Current Illness: none

ID: 1641173
Sex: M
Age: 54
State: WY

Vax Date: 08/24/2021
Onset Date: 08/26/2021
Rec V Date: 08/27/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Shortness of breath, weakness, headache

Other Meds: diabetes medication.

Current Illness: none

ID: 1641174
Sex: F
Age: 14
State:

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 08/27/2021
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: ? 1st dose Pfizer was on 04/28/21, 2nd 05/19/21, patient was only 14yrs old at the time. No adverse affects to report. Just reporting age at the time of their first dose.

Other Meds:

Current Illness:

ID: 1641175
Sex: M
Age: 13
State: FL

Vax Date: 08/21/2021
Onset Date: 08/23/2021
Rec V Date: 08/27/2021
Hospital: Y

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

Lab Data: Troponin 8/24 0618am : 0.77, 10:46am:2.09, 9:11pm: 4 8/25 554am: 7.93 8/26 739am: 4.01

Allergies: None

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

Symptoms: Presented to the ED due to midsternal dull ache in his chest. Two days prior, he had received his second Covid-19 vaccine dose. EKG was done which showed sinus tachycardia without ST elevation. Troponin was found to be elevated. Was given motrin, which improved chest pain. Consulted cardiology who recommended admission to hospital. Believed to be myocarditis secondary to covid vaccine. Upon admission, began trending troponin and obtained echo. Echo was read as normal. Troponin began doubling with each check, prompting a consult to cardiology. Cardiology recommended moving to once daily troponin checks, repeat EKG, and beginning aspirin. Repeat EKG was significant for ST elevation. GI was consulted for stress ulcer prophylaxis due to aspirin and recommended beginning protonix, and discontinuing prevacid. Another repeat EKG was ordered which was significant for ST elevation similar to last EKG. When troponin began downtrending, patient was assessed for discharge and discharged yesterday 8/26/2021.

Other Meds: lansoprazole

Current Illness: None

ID: 1641176
Sex: F
Age: 16
State: SC

Vax Date: 08/27/2021
Onset Date: 08/27/2021
Rec V Date: 08/27/2021
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 Known as of the date of this report.

Allergies: Unknown

Symptom List: Vomiting

Symptoms: Patient was vaccinated with a Moderna injection at 16 years of age. At the time of this VAERS being submitted, Moderna is only authorized for 18 years of age and older.

Other Meds: Unknown

Current Illness: Unknown

ID: 1641177
Sex: F
Age: 21
State: LA

Vax Date: 08/18/2021
Onset Date: 08/18/2021
Rec V Date: 08/27/2021
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: Sulfa drugs

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Stomache cramps, diarrhea, low grade fever, chills

Other Meds: APAP

Current Illness: None.

ID: 1641178
Sex: F
Age: 79
State: NC

Vax Date: 07/29/2021
Onset Date: 08/03/2021
Rec V Date: 08/27/2021
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

Allergies: Many meds, gluten

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

Symptoms: Rashes on left arm, not on shot site, Rashes on right leg and arm Increase in neuropathy and arthritis pain

Other Meds: Coq10, red yeast rice, omega 3, rala, turmeric, Digestive enzymes, b12,

Current Illness: None

ID: 1641179
Sex: F
Age: 47
State: WI

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

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

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: patient was administered expired vaccine

Other Meds:

Current Illness:

Date Died: 08/22/2021

ID: 1641180
Sex: M
Age: 66
State: FL

Vax Date: 08/02/2021
Onset Date: 08/15/2021
Rec V Date: 08/27/2021
Hospital: Y

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

Lab Data: 8/15/21: CXR, covid test- positive

Allergies: Novocain

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

Symptoms: Pt came to ER with difficulty breathing, came by EMS. Pt admitted to ICU.

Other Meds:

Current Illness:

ID: 1641181
Sex: F
Age: 49
State: IL

Vax Date: 08/24/2021
Onset Date: 08/26/2021
Rec V Date: 08/27/2021
Hospital:

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

Lab Data: None

Allergies: Macrobid

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

Symptoms: Joint pains, hands and knuckles are swollen, arthritis flair, feels bad

Other Meds: Effexor 150 mg (once daily)

Current Illness: None

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am