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: 1641232
Sex: F
Age: 75
State: PA

Vax Date: 03/06/2021
Onset Date: 08/13/2021
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: 08/20/21 1535 COVID-19 (SARS CoV-2 Molecular Amplification) Collected: 08/20/21 1106 | Final result | Specimen: Swab COVID-19 SARS-CoV-2 Overall Result DetectedCritical 08/20/21 1535 COVID-19 PCR Collected: 08/20/21 1106 | Final result | Specimen: Swab

Allergies: Myrbetriq [Mirabegron]Dizziness / Lightheaded

Symptom List: Dysphagia, Epiglottitis

Symptoms: EXPOSURE headache, her ears are clogged, throat is sore, cough (no fever or sob)

Other Meds: amoxicillin (AMOXIL) 875 mg tablet atorvastatin (LIPITOR) 80 mg tablet benazepriL (LOTENSIN) 10 mg tablet (Expired) esomeprazole (NexIUM) 40 mg capsule glucagon, human recombinant, (glucagon) 1 mg kit insulin syringe-needle U-100 0.3 m

Current Illness:

Date Died: 08/22/2021

ID: 1641233
Sex: M
Age: 93
State: MI

Vax Date: 04/06/2021
Onset Date: 08/15/2021
Rec V Date: 08/27/2021
Hospital: Y

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

Lab Data: Tested positive upon admission 8/15/2021

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Weak and fell Exposed from caregiver who had recently tested positive

Other Meds: Calan, hytrin, seroquel, prilosec, claritin, humalog, lantus, robitussin, Vit. D albuterol, acetaminophen

Current Illness:

ID: 1641234
Sex: F
Age: 37
State: TX

Vax Date: 08/25/2021
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: Employee received the Pfizer vaccine dose #2 on 08/25 at a campus vaccine event. The injection was in the left upper arm in deltoid. Started have symptoms after vaccination (8/27): Sore and redness at injection site and warm to touch a little knot and body aches. has been taking ibuprofen and drinking fluids 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. Spoken with PCP and was told to monitor due to underlying medical history

Other Meds:

Current Illness:

ID: 1641235
Sex: M
Age: 61
State: ID

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

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

Lab Data:

Allergies: NKDA

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Pt admitted to ICU. Pt came to the ER after feeling tachycardic on 8/25/21 (one day after his vaccine). labs were abnormal, so pt was admitted to ICU on BiPaP to help treat his hypercapnic respiratory failure.

Other Meds:

Current Illness: HTN, hyperlipidemia

ID: 1641236
Sex: M
Age: 60
State: NC

Vax Date: 08/19/2021
Onset Date: 08/19/2021
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: Penicillin Codeine Sulfa Polysorbate 80

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

Symptoms: Patient stated that the same day she received flu like symptoms. She started having a pounding in her chest and she was breathing hard. Patient stated that she is still having severe fatigue. patient also stated that after she eats she experiences the chest pounding.

Other Meds: Prepizone Cipo

Current Illness: Sinusitis

ID: 1641237
Sex: M
Age: 76
State: FL

Vax Date: 03/09/2021
Onset Date: 07/23/2021
Rec V Date: 08/27/2021
Hospital: Y

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: Patient reported testing positive for COVID 07/28/2021 prior to admission and tested positive in-patient on 08/03/21.

Allergies: Lipitor, sulfonamides, tetracycline

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

Symptoms: 8/4/21: Admitted to Hospital due to weakness and frequent falls. Patient tested positive for COVID-19 1 week ago, his 1st symptoms began 2 days prior, which included some mild shortness of breath, on Friday the 30th the patient got a regeneron infusion for COVID. Patient stated after receiving infusion on Friday he spent most of the subsequent weekend in bed secondary to increased fatigue. Note: patient previously vaccinated with Pfizer COVID-19 vaccine on 2/16/21 and 3/9/2021. 8/5/21: discharged.

Other Meds: Duloxetine, ezetimibe, metformin, montelukast, pregabalin

Current Illness:

ID: 1641238
Sex: F
Age: 48
State: FL

Vax Date: 08/26/2021
Onset Date: 08/27/2021
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: None

Allergies: None

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Sore arm, pronounced body aches, extreme fatigue, severe headache, upper respiratory stuffiness, lungs ache with deep breaths, chills, slight fever. Literally feels like I have a bad case of the flu.

Other Meds: None

Current Illness: None

ID: 1641239
Sex: F
Age: 55
State: PA

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:
Dose Series: UNK
Vax Route: IM
Vax Site: LA

Lab Data: None

Allergies: Allergic to: Bactrim, Contrast Dye; Cephalosporins; Amitriptyline, seasonal allergies

Symptom List: Pharyngeal swelling

Symptoms: Metallic taste in mouth. This occurred very quickly after the shot was administered and is currently ongoing.

Other Meds: B12 supplement, ibuprofen as needed

Current Illness: None

ID: 1641240
Sex: F
Age: 53
State: MS

Vax Date: 08/04/2021
Onset Date: 08/06/2021
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: LA

Lab Data: Unknown

Allergies: Seafood, Pennicillin, Iodine

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Pt. states that after receiving the 1st dose of J&J 08/04/2021, started experiencing symptoms of severe confused 24hrs sleep, Covid symptoms (tested Negative) 08/09/2021. Still continuing experiencing symptoms. No known Primary visit.

Other Meds: N/A

Current Illness: N/A

ID: 1641241
Sex: M
Age: 59
State: MI

Vax Date: 02/19/2021
Onset Date: 08/05/2021
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:

Allergies: none

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Shingles

Other Meds: B-12, Benadryl, Fish Oil, Lisinopril, Multi Vitamin, Aleve

Current Illness: n/a

ID: 1641242
Sex: M
Age: 19
State: PA

Vax Date: 07/31/2021
Onset Date: 08/02/2021
Rec V Date: 08/27/2021
Hospital: Y

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

Lab Data: troponin levels Aug 3-6, 13,20 echocardiograms Aug 3, 4, 6, 27 ekgs Aug 3-6, 13, 20 cardiac MRI Aug 12

Allergies: none

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

Symptoms: chest pain, shortness of breath, elevated troponin levels, myocarditis on MRI

Other Meds: none

Current Illness: none

ID: 1641243
Sex: F
Age: 83
State: OH

Vax Date: 08/17/2021
Onset Date: 08/18/2021
Rec V Date: 08/27/2021
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: Cath done 8-23-21 with significant diffuse sclerosis including LAD, requiring 2 stents; troponin .3. Echo with MI and dysfunction at apex but EF 54%. COVID test negative 8-25-21. Normal CBC, procalcitonin level. BNP 1000. CT scan chest - interstitial pneumonitis.

Allergies: none

Symptom List: Rash, Urticaria

Symptoms: On the 18th (evening after shot) developed fatigue, chills, aches. The next day developed diarrhea and then started with chest pain during the night. Pain responded to nitrogylcerin x3 and tylenol. The chest pain increased over the next several days, including exertional chest pains and then became acutely severe on Sunday evening. Called 911 and admitted to the hospital for acute MI. During hospitalization was found to have persistent dyspnea and interstitial pneumonitis (not characteristic of MI) despite active treatment for CHF. Responded to IV prednisolone.

Other Meds: losartan, hydrochlorathiazide, norvasc, cardura, levothyroxine, MVI, calcium

Current Illness: otherwise well without symptoms

ID: 1641244
Sex: F
Age: 57
State: PA

Vax Date: 08/06/2021
Onset Date: 08/18/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Pt reported a lump the size of a quarter on the left side of her neck near the hairline, below her ear. Reporting occurred 12 days after vaccine; unclear when lump developed

Other Meds:

Current Illness:

ID: 1641245
Sex: F
Age: 51
State: VA

Vax Date: 02/24/2021
Onset Date: 05/03/2021
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: SYR
Vax Site: LA

Lab Data: (05/2021)Ultrasound, blood work, urine test

Allergies: Codeine; Morphine; Sulfa; Amoxicillin

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

Symptoms: (02/2021)Discomfort and pain up until (05/2021) Gallbladder and Kidney Stones, currently ongoing to determine with doctor if need surgery or not.

Other Meds: Omeprazole; Singulair; Synthroid; Symbicort; Spiriva; Zyrtec; Progesterone; Estradiol; Aleve; Young Living Super C; Young Living Super B; Young Living D; Young Agilease; Young living Ningxia

Current Illness: None

ID: 1641246
Sex: F
Age: 48
State: NC

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: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Restasis, succinylcholine Chloride, Xiidra, Gabapentin

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

Symptoms: Within 15 minutes of receiving a second Moderna vaccine patient reported itching of face, arms back and chest. Also experienced shortness of breath, increased heart rate and tingling in hands. Patient evaluated by EMS

Other Meds: Phenergan, Estrace, Amitriptyline, Propanolol, Miralax, Xanax, Prozac, Pepcid, Nasonex, Methylphenidate

Current Illness: Potts, Sjogren's Syndrome, Pseudocholinesterase deficiency

ID: 1641247
Sex: F
Age: 53
State: AL

Vax Date: 08/14/2021
Onset Date: 08/23/2021
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:

Allergies: None

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

Symptoms: Itchy near injection site. Mild fever at site. Skin tight at site and mild rash is developing. Does not hurt but is sensitive. Treated site with cortisone 10 OTC.

Other Meds: 1000mg fish oil Zyrtec Melatonin 10mg

Current Illness: None

ID: 1641248
Sex: F
Age: 40
State: CT

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

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

Lab Data: EKG / Cardiac telemetry 8/25/21 No lab work

Allergies: NKDA

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

Symptoms: 40 minutes after vaccine administration - throat began to close up , BP dropped , face flushed, diaphoretic Emergency response called , oxygen via nasal cannula administered , Epi Pen 0.3 mg given to Right thigh Taken to Hospital in - Additional solumedrol and Famotidine given as throat began to swell again around 1505 and 1530. Discharged on Prednisone and Epi pen - advised to follow up with allergist/PCP

Other Meds: Multivitamins

Current Illness: None

Date Died: 08/22/2021

ID: 1641249
Sex: M
Age: 51
State: FL

Vax Date: 07/28/2021
Onset Date: 08/12/2021
Rec V Date: 08/27/2021
Hospital: Y

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

Lab Data: Cxr: bilateral bronchopneumonia, covid test positive.

Allergies: Erythromycin

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Pt came to ER with difficulty breathing and cough onset 1 week ago. Patient admitted to ICU.

Other Meds:

Current Illness:

ID: 1641250
Sex: F
Age: 28
State: OR

Vax Date: 08/19/2021
Onset Date: 08/21/2021
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: CBC

Allergies: NONE

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: vaginal bleeding

Other Meds: NONE

Current Illness: NONE

ID: 1641251
Sex: M
Age: 38
State:

Vax Date: 08/19/2021
Onset Date: 08/19/2021
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:

Allergies: midazolam

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

Symptoms: throat tingling, flushing

Other Meds: unknown

Current Illness:

ID: 1641252
Sex: M
Age: 49
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: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: iodine, penicillin

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

Symptoms: After about 10 minutes after received the vaccine, patient experienced tunnel vision, feel like passing out, sweating, cold and chill. No shortness of breath or angioedema. Patient was alerted and oriented. We decided to go ahead and gave patient 1 dose of EpiPen + 1 dose of Benadryl and a bottle of water. After received EpiPen dose, patients reported to feel better, we asked patient to sit outside at the waiting area to continue monitoring. However, after about 10 minutes later, patient reported do not feel well, sweating on his palms and feel cold. At this point we decided to call 911 after asking the patient. Patient also called his wife to come and pick him up. While waiting for paramedic to arrive, I tested his blood sugar and his blood sugar is high (286mg/dl). Patient reported he is type 1 DM and has not have breakfast this morning. After paramedics arrived, they assisted him to go outside the store to wait for his wife

Other Meds:

Current Illness:

ID: 1641253
Sex: M
Age: 65
State: NC

Vax Date: 02/19/2021
Onset Date: 05/07/2021
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: LA

Lab Data: July 15, 2021 - CAT Scan - Radiology July 15, 2021 - Heart Scan - Medical Center July 15, 2021 - Scan for DVTs in both legs - Medical Center

Allergies: No allergies to medications or foods; seasonal allergies (grass, mold, trees)

Symptom List: Unevaluable event

Symptoms: In May of 2021 I started experience shortness of breath upon exertion (walking up one flight of stairs; walking up hills; bicycling) that was unusual. I have fairly extensive seasonal allergies and, thinking the shortness of breath was due to allergies, treated them with medicine prescribed by my doctor. In late May I developed a dry cough and, again, thought it was due to seasonal allergies. In early June I went to see Doctor B. when I couldn't get rid of the cough. He prescribed an inhaler (Albuterol Sulfate 90 mcg) and suggested that, if it did not help, I should see an ENT. In late June I met with Doctor M., an ENT, who prescribed Singluair 10 mg tablet, believing I was experiencing allergy-induced asthma. I was on the Singulair for 2 weeks, and then I started coughing up blood. Doctor B. ordered a CT scan for July 15th. The scan showed an extensive PE, and I was directed to the emergency room Medical Center that same day. I was treated at Medical Center first with Heparin drip and later with Eliquis. I was observed for 24 hours and then released. I have been put on Eliquis (5 mg 2X/day) and am told I will be on it for life.

Other Meds: Allegra 180 mg 1X/Day; Flonase 20 mcg 1X/Day; Centrum Silver Multivitamin 1X/Day

Current Illness: None

ID: 1641254
Sex: F
Age: 71
State: IN

Vax Date: 02/24/2021
Onset Date: 02/27/2021
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: LA

Lab Data: Cardiology Test Echocardiogram- good Stress Test- indicated possible heart attack

Allergies: Avelox; Biaxin; Ceclor; Cipro; Codeine; Darvocet; Hydrocodone; Lasix; Penicillin; Zantac; Marcaine; Lidoderm Patch; Sulfa; Palwin; Tetracycline; Trimethoprim; Cinobac

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

Symptoms: February 26th 2021, I was awakened in the morning from my sleep with tachycardia thus shortness of breathing. It lasted about 2 hours. I got up and moved around. I thought I might have to go to the hospital, but it slowed down. After that I noticed when I did exercises around my home, in the spring, I had a lot of shortness of breath. I would have to take frequent breaks to catch my breath. I had a fast heart rate and fast breathing while doing physical chores. My cardiologist referred me to a pulmonologist who I'm going to be seeing soon. My shortness of breath has gotten better in June, July, and August of 2021. I'm starting to feel how I did last year before vaccine.

Other Meds: Losartan 100mg, 1xday; Xanax 1mg, 1xday

Current Illness:

ID: 1641255
Sex: F
Age: 37
State: CA

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: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: none

Allergies: Penicillin, shellfish, Vicodin

Symptom List: Injection site pain, Pain

Symptoms: anaphylactic reaction started 15 minutes after the injection, with blotchy skin, throat irritation and cannot swallow own saliva. EpiPen administered immediately with improvement.

Other Meds: None

Current Illness: None

ID: 1641256
Sex: F
Age: 19
State: TX

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:
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data: None

Allergies: None, NKDA

Symptom List: Injection site pain, Menorrhagia

Symptoms: Patient received first dose of Pfizer vaccine at 10:35 am. At 10:47 am, patient felt dizzy and stated that she " didnt feel well". RN assessed patient, Vitals : BP 107/60, HR 84 Spo2: 100 %. Heart and lung sounds clear. RN gave 1 orange. 10:50 am, patient still feels dizzy, patient is pale in color. RN gave another orange. Patient is starting to present initial signs of syncope, patient is layed on the floor feet are put up on a chair. Vitals : BP 92/40, HR 56 SPO2 94%. Patient is sternal rubbed to wake up. RN gives ammonia inhalant to patient. Patient is in and out. RN calls 911. 11:05 paramedics arrived, vitals 90/50, Glucose check 73. Patient still feels dizzy. Patient is taken by ambulance

Other Meds: None

Current Illness: None

ID: 1641257
Sex: M
Age: 62
State: TX

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 08/27/2021
Hospital:

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

Lab Data:

Allergies: n/a

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

Symptoms: High fever (101+) for 2-3 days; body aches; lethargic; prolonged sleeping

Other Meds: Genvoya, gabapentin, protonix, allopurinol

Current Illness:

ID: 1641258
Sex: F
Age: 75
State: FL

Vax Date: 06/07/2021
Onset Date: 06/07/2021
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 reported to me yet....she was going to be referred for a sonogram if it did not resolve

Allergies: none reported

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Since the 2nd vaccine patient states she has had soreness and uncomfortableness in her left arm. She visited her doctor who put her on a medication to try to help but the doctor told her if it did not resolve she would have to send her to check for blood clots in her arm. She currently has not received the sonogram to check for the blood clots.

Other Meds: None known

Current Illness: none reported

ID: 1641259
Sex: F
Age: 62
State: FL

Vax Date: 03/02/2021
Onset Date: 08/08/2021
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: RA

Lab Data: SAR COV2 PCR Positive 8/8/2021

Allergies: No known allergies

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: 8/8/21: Patient arrived at the ER due to fevers and headaches. Patient tested positive for COVID on 8/8/21. Diagnosed with COVID-19 pneumonia, sepsis. 8/11/21: Patient on 3L of nasal cannula with significant cough 8/16/21: passed walk test, on room air; worsening renal function 8/23/21: worsening renal allograft function w/negative donor specific antibody 8/27/21: patient still admitted at the time of this form submission. NOTE: Patient received Moderna vaccine, first dose given on 2/2/2021 Lot # 031L20A and second dose given on 3/2/2021 Lot # 011A21A. Patient received Moderna vaccine, first dose given on 2/2/2021 Lot # 031L20A and second dose given on 3/2/2021 Lot # 011A21A.

Other Meds: Acetaminophen, Amlodipine

Current Illness:

ID: 1641260
Sex: F
Age: 36
State: FL

Vax Date: 01/18/2021
Onset Date: 08/22/2021
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: Covid test-positive.

Allergies: NKA

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

Symptoms: Pt went to ER with nasal drainage, headache, sinus congestion, facial pain. Onset 3 days ago.

Other Meds:

Current Illness:

ID: 1641261
Sex: F
Age: 76
State: CO

Vax Date: 02/10/2021
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: RA

Lab Data: Long COVID test that takes 24 hours. Quarantining . Extra medicine

Allergies: Penicillin; Phenobarbital; Atropine; Tetracycline

Symptom List: Nausea

Symptoms: Prior to 08/17/202 relative in the house had COVID exposer to COVID went in on 08/17/202 to have a test and it confirmed the positive COVID results. Quarantining til 08/31/2021. 08/17/2021 Urology removal of stent, UTI and Vaginal Infections.

Other Meds: Muti- Vitamin; Alendronate 70mg once a week; Levothyroxine 88mg once a day

Current Illness: No

ID: 1641262
Sex: F
Age: 60
State: GA

Vax Date: 04/19/2021
Onset Date: 08/22/2021
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: Patient had COVID-19. Patient is fully vaccinated. Patient was hospitalized and is due home after kidney function tests. Patient also had a booster shot on 8/21/2021.

Other Meds:

Current Illness:

ID: 1641263
Sex: M
Age: 77
State: MS

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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: N/A

Allergies: NKDA

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

Symptoms: Pt had no adverse reaction. Form being completed due to expired vaccine being given. Originally the vial was pulled from the freezer and placed in the refrigerator on the morning of 8/25/2021. Vial's seal was punctured at 8/25/2021 at 4:02pm and would expire at 4:02am and injection was given on 8/26/2021 at 1:11pm Vial was left in refrigerator after seal was punctured. Vial was only at room temperature for approx.. one minute while medication was being drawn up.

Other Meds: Allopurinol 300mg once daily, Coreg 12.5mg BID, Micardis 80mg once daily, Spiriva Inhaler once a day, Maxide 37.5-15mg once daily

Current Illness: N/A

ID: 1641264
Sex: F
Age: 59
State: MI

Vax Date: 01/07/2021
Onset Date: 08/26/2021
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: Incidental finding during non-COVID related hospitalization

Other Meds:

Current Illness:

ID: 1641265
Sex: F
Age: 52
State: PA

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

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

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: Shortly after second Pfizer dose, pt reported she felt a little warm with slight erythema

Other Meds:

Current Illness:

ID: 1641266
Sex: F
Age: 35
State: VA

Vax Date: 02/20/2021
Onset Date: 08/10/2021
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: CT scan and bloodwork 8/26/21- no blood clots, no pneumonia, COVID 19 test 8/26/21- negative COVID 19 test- 8/13/21- negative

Allergies: grass; dogs; mold

Symptom List: Erythema, Pruritus

Symptoms: Starting August 10 I became sick with COVID like symptoms. I started experiencing sob, chest pains, and cough. I went to the doctor on August 13, had a negative COVID test and was given a steroid injection and nebulizer treatment and inhaler and antibiotics. I was diagnosed with asthmatic bronchitis. None of that improved anything. On August 20 doctor called in more medication because I was still sick. On August 21-24 I started having low O2 levels. I ended up in the ER on 8/24, I was given a nebulizer treatment, and I was diagnosed with reactive airway disease and to follow up with a pulmonologist. I was sent home on 8/24 from the ER with steroids and cough medication. On 8/26 I was even worse so I went back to the ER, I was given a full respiratory panel and diagnosed with RSV. I was almost admitted because I could barely pass my walk test. I am still sick today.

Other Meds: Zyrtec; Lexapro; Flexural; Glucocorticoid; Ipratropium; Bromide

Current Illness: no

ID: 1641267
Sex: F
Age: 34
State: FL

Vax Date: 07/23/2021
Onset Date: 07/31/2021
Rec V Date: 08/27/2021
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: Na

Allergies: adhesives

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

Symptoms: Developed knot on arm near injection site. Was red, firm, swollen, sore, itchy and warm to touch. Very uncomfortable. Grew for 3 days, treated with cold compress. After 3 days knot went down and area was no longer firm or swollen but was still red, sore, itchy, and warm to touch. Treated with Tylenol, Ibuprofen, Benadryl, and cold compress. Remaining symptoms subsided 08/08/2021

Other Meds: Loratadine 10mg, Omeprazole 40mg, Triamterene-HCTZ 37.5-25mg, Dicyclomine 10mg 3x per day as needed, Bupropion HCL SR 150mg 2x per day, Zofran ODT 8mg 3x per day as needed, Nuva Ring

Current Illness: NA

ID: 1641268
Sex: F
Age: 53
State: MO

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 08/27/2021
Hospital:

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

Lab Data:

Allergies: Wheat; Sulfa; Hay fever; Trees

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

Symptoms: I have had a headache that I am unable to get rid of. The injection site reaction I had for a few days and then it resolved.

Other Meds: Singular; Multivitamin; Vitamin D; Glucosamine

Current Illness:

ID: 1641269
Sex: M
Age: 52
State: FL

Vax Date: 03/04/2021
Onset Date: 08/06/2021
Rec V Date: 08/27/2021
Hospital: Y

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

Lab Data: SARS CoV 2 PCR COVID-19 Positive on 8/6/2021

Allergies: No known allergies

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: 8/6/21: This is a 52 year old Dentist with no Past Medical History. He is Admitted to PCU for COVID19, Multifocal Community Pneumonia, Chest Pain, Positive D-Dimer, Elevated CPR Inflammatory, and Low-grade Fever. Patient has been sick with COVID for approximately 11 days. Has had low-grade fevers Note: Patient previously vaccinated with Moderna COVID-19 Vaccine: First Dose: 01/28/2021 Lot Number 028L20A and Second Dose: 03/04/2021 Lot Number 011J20A. 8/11/2021: patent discharged

Other Meds: Lisinopril, Vitamin C, Vitamin B Complex

Current Illness:

ID: 1641270
Sex: F
Age: 18
State: FL

Vax Date: 08/13/2021
Onset Date: 08/23/2021
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: Covid test-positive.

Allergies: NKA

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

Symptoms: Pt came to ER c/o nausea, fever, cough, fever started on 8/18/21.

Other Meds:

Current Illness:

ID: 1641271
Sex: F
Age: 51
State: MO

Vax Date: 02/26/2021
Onset Date: 02/26/2021
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: EKG- some damage in my heart Echocardiogram- I do not have the results Blood work- I do not have the results

Allergies: Eggs; flu shot; Keflex

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

Symptoms: After the first shot I started getting really hot and sweaty and I started shaking and I almost passed out. The EMT checked my heart and I had a rapid heartbeat. About 10 minutes it passed. After the second shot the same thing happened but it messed with the beating of my heart. There was an ER doctor there and he looked to my EKG and he saw some damage in my heart. He said it was probably because of the 2 heart attacks I have had in the past. Within 20 minutes he let me go but the next day I called my cardiologist and I went to see him. He told me the shot interfered with my heart beat and within a month it should go away, which it did. They had to put me back on a medication to help with my heartbeat.

Other Meds: Corgard; regular vitamin; vitamin C; Lisinopril; Gabapentin; Tylenol

Current Illness: None

ID: 1641272
Sex: M
Age: 21
State:

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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: Headache, nausea, vomiting, joint pain. All symptoms began between 7 and 12 hours after injection

Other Meds:

Current Illness:

ID: 1641273
Sex: F
Age: 38
State: TX

Vax Date: 05/22/2021
Onset Date: 07/22/2021
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: I had pain in my lower abdomen and lower back. I went to the doctor and had tests run. I had an abnormal pap smear come back and I am expected to go back on September 14 for further testing.

Other Meds: St. John's Wart, Women's multivitamin, evening primrose, baby aspirin, Tylenol, b-12, turmeric, fish oil

Current Illness: none

ID: 1641274
Sex: M
Age: 54
State: CA

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: NA

Allergies: NKDA

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

Symptoms: Patient received 0.5ml Pfizer instead of 0.3ml Pfizer for second dose of COVID19 vaccine series. (Pharmacy) and (Health Office) were contacted, Pharmacist and lead clinician instructed to do VAERS and incident report. Patient and wife were explained the situation that additional 0.2ml of the Pfizer vaccination was given ? they were willing to wait an extra 15 minutes post dose. After 30 minutes, patient felt fine. Both patient and wife are calm and understanding. Asked for a number they can contact should they need to reach someone in the next few days. Gave them phone number for an HCP, per instructions. They left the vaccination sire at 0953.

Other Meds: None

Current Illness: None

ID: 1641275
Sex: F
Age: 36
State: NY

Vax Date: 04/22/2021
Onset Date: 04/24/2021
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:

Allergies: mold, mildew, some adhesives

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

Symptoms: Complete loss of smell and taste followed by slight return with metallic taste and smell.

Other Meds: Zoloft, Adderall, Xanax, Levothyroxine, women's multivitamin

Current Illness: none

ID: 1641276
Sex: F
Age: 14
State: FL

Vax Date: 08/19/2021
Onset Date: 08/23/2021
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: Covid test-positive.

Allergies: NKA

Symptom List: Vomiting

Symptoms: Pt came to ER c/o headache, sore throat, fever, elevated HR, and chest pain. Symptoms started same day.

Other Meds:

Current Illness:

ID: 1641277
Sex: F
Age: 81
State:

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: 037K20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: itchy, swollen and red

Other Meds:

Current Illness:

ID: 1641278
Sex: F
Age: 89
State: MI

Vax Date: 02/18/2021
Onset Date: 08/25/2021
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: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: Incidental finding during non-COVID related hospitalization

Other Meds:

Current Illness:

ID: 1641279
Sex: F
Age: 39
State: IA

Vax Date: 01/16/2021
Onset Date: 08/17/2021
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: Xray (right arm)

Allergies: Lexapro; Terconazole; Adhesive; Latex

Symptom List: Injection site swelling, Limb discomfort

Symptoms: This is a continuation of worsening symptom. The day after 1/17 had swelling on right armpit caused my arm to numb. It was extremely painful my doctor prescribed me anti inflammatory 800 mg (Ibuprofen) for 8 hrs consistently. I had started Tylenol prior to that no relief. As of today the pain is till present I have been referred to a shoulder specialist. The doctor has diagnosed me with AC Arthritis and Bicep Tendonitis. He started me on a dose pack, physical therapy. I have a follow up on 9/3 the symptoms hasn't gotten any better will be performing CT scan.

Other Meds: No

Current Illness: No

ID: 1641280
Sex: F
Age: 16
State: CA

Vax Date: 07/19/2021
Onset Date: 07/20/2021
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: RA

Lab Data: MRIs of right thigh, knee, and distal LE venous doppler ultrasound of her right leg (GSV from ankle to thigh) all from 8/27/2021

Allergies: none

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

Symptoms: thrombophlebitis and thrombus of her right greater saph vein (superficial vein thrombus)

Other Meds: none

Current Illness: groin abscess/in grown hair

ID: 1641281
Sex: F
Age: 28
State:

Vax Date: 08/19/2021
Onset Date: 08/19/2021
Rec V Date: 08/27/2021
Hospital: Y

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

Lab Data:

Allergies:

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

Symptoms: I was asleep and woke up and could not breathe. I passed out and when the ambulance came, they took my blood pressure which was 68/39. Heart rate was in the 120?s. Had to be held in observation for 2 days to monitor my vitals.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am