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: 1653839
Sex: F
Age: 34
State: OK

Vax Date: 08/28/2021
Onset Date: 08/28/2021
Rec V Date: 08/29/2021
Hospital:

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

Lab Data:

Allergies: none listed

Symptom List: Dysphagia, Epiglottitis

Symptoms: ABOUT 5 -7 MINUTES POST SHOT PT APPEARED TO SEIZE AND PASSED OUT, SEIZING LASTED ABOUT 20 SEC PT WAS UNRESPONSIVE FOR ABOUT 10 SECONDS, PT CAME TOO AND WAS VERY CONFUSED, DIAPHORETIC, NASUEAS. CALLED 911 THEY ARRIVED WITHIN 10 MINS. UNAWARE OF WHAT HAPPENED ONCE EMS TOOK OVER

Other Meds: unknown

Current Illness: none listed

ID: 1653840
Sex: F
Age: 47
State: NY

Vax Date: 08/27/2021
Onset Date: 08/28/2021
Rec V Date: 08/29/2021
Hospital:

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

Lab Data: None

Allergies: I?m allergic to sulfa medications and food?s allergies is to grape leaves highly allergic to grape leaves and lactose intolerance

Symptom List: Anxiety, Dyspnoea

Symptoms: Has made me very unusually tired my arm hurts a lot and is a little swollen at the puncture site I been getting hot and cold flashes which I?ve never gotten before insomnia I wake up from it gottA turn the AC on I get cold and it?s low I get freezing cold and when it?s off like 20-30 minutes later then it back in that?s the whole night since the vaccine. I also been waking up with Charlie horses in my legs it hurts so bad I jump out of bed and gotta walk around that never happen to me before the vaccine also my throat hurts and my neck hurts a lot and it?s very soar and i feel sluggish I can?t concentrate or think quickly like I usually would. The headache is nonstop and at times feels like a migraine Nothing I take helps I just lay down and try to rest this has been like this for 2 days so far and I also have a bad backache I did have surgery on my spine called spine infusion the back of my neck but i don?t think it has any affect on that but idk that?s why I?m telling u all!!

Other Meds: Methadone 75mg

Current Illness: N/A

ID: 1653841
Sex: M
Age: 56
State: IN

Vax Date: 08/26/2021
Onset Date: 08/26/2021
Rec V Date: 08/29/2021
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: Larger than normal dose administered. Patient monitored for 30 minutes post administration. called that evening for checkup and 24 hours post. patient reported feeling good. Swollen at the injection site and tired

Other Meds:

Current Illness:

ID: 1653842
Sex: F
Age:
State: FL

Vax Date: 08/28/2021
Onset Date: 08/29/2021
Rec V Date: 08/29/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Swollen lips

Other Meds: None

Current Illness: None

ID: 1653843
Sex: M
Age: 50
State: AR

Vax Date: 02/01/2021
Onset Date: 07/27/2021
Rec V Date: 08/29/2021
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: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Tingling in arm. Numbness and pins and needles sensation in left hand.

Other Meds: None

Current Illness: Nne

ID: 1653844
Sex: F
Age: 45
State: KY

Vax Date: 08/15/2021
Onset Date: 08/21/2021
Rec V Date: 08/29/2021
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: non

Allergies: None

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

Symptoms: Headaches & migraines daily since the 6th day post 1st Pfizer covid vaccine

Other Meds: Meloxicam, Amitriptyline, Zyrtec, Metoprolol

Current Illness: None

ID: 1653845
Sex: M
Age: 26
State: TX

Vax Date: 08/29/2021
Onset Date: 08/29/2021
Rec V Date: 08/29/2021
Hospital:

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

Lab Data: BP: 124/72 O2 Sat: 99% Resp: 20/min Pulse; 64

Allergies: Penicillin

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Patient felt discomfort and swelling on lower left pectoral muscle. Patient recovered.

Other Meds: Vitamin D

Current Illness: None

ID: 1653846
Sex: F
Age: 58
State: OH

Vax Date: 08/27/2021
Onset Date: 08/29/2021
Rec V Date: 08/29/2021
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: none

Symptom List: Pharyngeal swelling

Symptoms: Patient got out of shower and noticed rash on her abdomen. Rash was not itchy and patient felt fine otherwise.

Other Meds: sucralfate 1g taken 4 times daily

Current Illness: none

ID: 1653847
Sex: F
Age: 48
State: WA

Vax Date: 08/20/2021
Onset Date: 08/26/2021
Rec V Date: 08/29/2021
Hospital:

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

Lab Data: Now Covid-19 test 8/27/21 - negative

Allergies: None

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: I started getting a headache six days after receiving the vaccine. The headache worsened, and I began having joint pain and full body muscle aches. On the sixth night and seventh day I had a temperature of 100.9. I took a covid test on the seventh day which had a negative result. On the eighth day I began having sinus pressure. Today is the tenth day and I continue to have all symptoms, although the joint and muscle pain has diminished some.

Other Meds: Bupropion, Progesterone, daily multivitamin, Vitamin D, Vitamin B12

Current Illness: None

ID: 1653848
Sex: F
Age: 45
State: PA

Vax Date: 07/30/2021
Onset Date: 07/31/2021
Rec V Date: 08/29/2021
Hospital:

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

Lab Data: 8/2/21 - XR Chest 1 VW, Frontal ECG 12-Lead Platelet Estimate D-dimer, quantitative Basic Metabolic Panel CBC & differential, automated Troponin T Gen 5 Stat RBC Morphology SARS COV-2 & Influenza A/B

Allergies: Sulfa, Epinephrine, Naproxen, Antibiotics, Latex, Wood, Nitrous oxide, Curry, Peanuts/nuts, Bee's wax, Chlorine, Gold, Wool, Aloe, Shea butter, Mints, Salt, Hormones, Soy, Fish, Crabs, Onions, Peppers, Seeds, Avocados, Strawberries, Peaches, Apricots, Papaya, Banana, Kiwi fruit, Mangoes, Grapes, Hibiscus, Artificial/low calorie sweeteners, Helium

Symptom List: Diarrhoea, Nasal congestion

Symptoms: 7/30- 1st jab! 7/31- RA flare-ups in both hands (all digits) & @ the site of previous injuries: R torn rotator cuff, hips, knees, wrists, ribs, neck; Site of injection is warm & swollen; Overall warmth; No concept of time; Malaise; Strange taste in mouth/smell; Face/tongue numbness; Eyes are sensitive to light; Heart feels floppy. 8/1- *new symptoms only* Glands swollen in neck affecting tinnitus & breathing; Thyroid bit feels attacked; Chest feels heavier; Pressure at the base of skull; Chills/sweating. +Soreness & overall warmth at site reduced. 8/2- ER for tests. 8/3- *Profuse sweating; Vision foggy; R shoulder fatigue; Pins & needles in R hand; Difficulty breathing w/exertion. +Face not numb; Bad flavor reduced; Headache intermittent; Heart feels less floppy; Throat is mostly open; More energy. 8/7- Feeling more normal than not; Urine is warm. 8/8- Unexplained retching; Woozy; No food allowed. 8/9- *Intense pains in intestines (most intense where my appendix used to be); Confined to bed; No food allowed. 8/10-*Retching returns. 8/12- Food/drinks are SPICY! 8/15- Huge, painful belly bloating from gas build up from any food. Belly is hot to the touch upper R quadrant (gall bladder). 8/16- Numbness in L hand (4th & 5th digit) up to mid forearm. 8/18- Muscle tightness in back & RA flare-up in hands has returned. +Belly heat has diminished. 8/19- *Vibrating, tingling senation from feet to hips (after cleaning the turtle tank for an hour) which eventually spread all over my body; Numbness in face (jaw); Lack of coordination of left hand (fingers/thumb); Bursts of rapid heart rate, but not an increase in blood pressure; Panic!; Distress! I feel weak, tired, & disinclined to eat. I try to force myself to eat at least 1 "meal" a day. 8/20-8/21- Pooping nothing but bile

Other Meds: 100mg Acetaminophen, 162mg Aspirin, 25mg Diphenhydramine HCL, 600mg Calcium, Multivitamin (Women's), 125mg Levothyroxine

Current Illness: Grave's disease.

ID: 1653849
Sex: F
Age: 57
State: NM

Vax Date: 04/18/2021
Onset Date: 04/19/2021
Rec V Date: 08/29/2021
Hospital: Y

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

Lab Data:

Allergies: Codeine

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

Symptoms: Initial reaction was normal, slight fever, body aches, arm soreness, fatigue. By later the next day, extreme fatigue, vomiting for 30 hours, unable to take in food or liquid. Transported by ambulance to Hospital 4/21/2021 diagnosed with diabetic ketoacidosis, dehydration, and slightly elevated troponin levels. Hospitalized overnight. Took nearly 3 weeks to feel normal. 2 weeks before I could eat an actual meal.

Other Meds: Basaglar, Novolog, Carvedilol, Niaspan, Zetia, Atorvastatin, low dose Aspirin

Current Illness: None

ID: 1653850
Sex: F
Age: 67
State: NJ

Vax Date: 02/08/2021
Onset Date: 03/08/2021
Rec V Date: 08/29/2021
Hospital:

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

Lab Data: MRI test of head is normal/kidney tests normal

Allergies: clindamycin/augmentin

Symptom List: Rash, Urticaria

Symptoms: 4 weeks after given 2nd injection (March 8,2021) both ears "clogged up" at same time and extreme sinus pressure and hearing loss. Saw ear specialist (march 23,2021), hearing test confirmed hearing loss possibly due to a "virus', took steroid pills for 6 days ,2 steroid injections in right ear(4/13/21 and 4/23/21). "Slight improvement" in hearing loss. Recommended hearing aid if wanted. Both ears still clogged. Saw another ear specialist-said possibly due to a "virus" and recommended getting hearing aid. Also taking a decongestant nose spray to relieve sinus and head pressure. To this day, symptoms have remained the same

Other Meds: diovan/prevacid/lipitor/busbar/viitamins/baby aspirin

Current Illness: none

ID: 1653851
Sex: F
Age: 47
State:

Vax Date: 08/19/2021
Onset Date: 08/19/2021
Rec V Date: 08/29/2021
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: Pain in leg, parasthesia, neuropathy starting approximately one hour after injection. Health care provider recommended ER/urgent care for possible blot clots. Neuropathy symptoms ongoing to date.

Other Meds:

Current Illness:

ID: 1653852
Sex: M
Age: 27
State: WA

Vax Date: 07/27/2021
Onset Date: 08/09/2021
Rec V Date: 08/29/2021
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: CT head with CTA of neck to evaluate for stroke at providence in medical center along with standard lab profiles, all negative. Done on 8/9/21

Allergies: None known

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

Symptoms: Developed symptoms of Unilateral facial paralysis within 2 weeks of vaccination. Was evaluated in the ED, treated with anti-virals and steroids and the symptoms have resolved as of 8/28/21

Other Meds: Citalopram, Lisinopril

Current Illness: None

ID: 1653853
Sex: F
Age: 56
State: NC

Vax Date: 08/27/2021
Onset Date: 08/28/2021
Rec V Date: 08/29/2021
Hospital:

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

Lab Data: NMone

Allergies: Iodine; Percocet; all PCN; levaquinn; omnicef; bactrum TMP DS; doxycycline; ceclor

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

Symptoms: Massive headache on top of head starting 1200 on Saturday 08/28/2021; Advil and Tylenol made it bearable round the clock; 08/29/2021 Sunday morning woke up with eyes swollen and face; by 1100 face was red and itchy; Urgent care closed due to COVID; Fastmed not taking anyone; went to online clinc; took Benadryl and Steriods per care. Breathing not affected; but face red swollen and itchy. Affected cheeks; eyelids; nose for swelling and redness.

Other Meds: Synthroid; Cytomel; Miralax; Trulance; Vitamin D and Vitamin C

Current Illness: None

ID: 1653854
Sex: F
Age: 62
State: IN

Vax Date: 08/27/2021
Onset Date: 08/27/2021
Rec V Date: 08/29/2021
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: Gluten sensitive, allergies to sesame, fish, sweet potatoes Allergies to most antibiotics, epi, sulfa

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

Symptoms: Extreme fatigue, loss of appetite, body aches and pains beyond the norm for me, mild headache, sore arm

Other Meds: Prevacid, Zofran, Clonazapam, Extra Strength Tylenol, Botox, Emgality, Vitamin D supplement (1000 units).

Current Illness: Psoriatic Arthritis, Chronic Migraine, Irritable Bowel, GERD, Fibromyalgia

ID: 1653855
Sex: F
Age: 45
State: PA

Vax Date: 08/22/2021
Onset Date: 08/23/2021
Rec V Date: 08/29/2021
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: 8/24/21 - XR Chest 1 FW, frontal Urinalysis Basic metabolic panel - infusion center CBC differential, automated TSH with reflex to free T4 SARS COV-2 NAA Troponin T Gen 5 Stat Creatine Kinase Lipase Hepatic function panel CT head without contrast Phosphorus Magnesium Thyroxine {T4}, free Triiodothyronine {T3}, free Troponin T Gen 5 Stat ECG 12-lead TTE MRI brain without contrast 8/25 - Hemoglobin A1C CBC and differential automated Basic metabolic panel infusion center Phosphorus Magnesium

Allergies: Sulfa, Epinephrine, Naproxen, Antibiotics, Latex, Wood, Nitrous oxide, Curry, Peanuts/nuts, Bee's wax, Chlorine, Gold, Wool, Aloe, Shea butter, Mints, Salt, Hormones, Soy, Fish, Crabs, Onions, Peppers, Seeds, Avocados, Strawberries, Peaches, Apricots, Papaya, Banana, Kiwi fruit, Mangoes, Grapes, Hibiscus, Artificial/low calorie sweetener, Helium.

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

Symptoms: 8/22- Got my 2nd jab today! 8/23- Site of injection is warm & swollen; Restricted movement of the R shoulder; Glands swollen in neck affecting tinnitus & breathing ; R side of neck is visibly swollen & extremely firm to the touch; Numbeness in both hands (4th & 5th digits) has returned; RA flare-ups in both hands; Tip of tongue & roof of mouth behind front teeth are also numb; Urine is warm; Woozy; Vibrating, tingling senationall over ; Forcefully restarted my period ; Throat feels EXTREMELY scratchy, even when just breathing ; Very hungry & thirsty; A few moments of distress; Muscle tightness in back. 8/23p.m.- Went to the ER because of total body weakness, shallow breathing, and heart inneffectively pumping. Sat in a wheelchair unable to move for hours. Could barely speak (sometimes couldn,t speak at all) and, when I could, I could barely be heard. When I was seen, I couldn't lift my legs very well or pull them towards my nose. My right hand had barely any grip. I could only shuffle, not walk unsupported, with great effort. Pain in jaw and head. Feet numb and vibration sensation in both legs up to my hips/abdomen. EKG showed diminished electrical signal. Blood pressure was 100/85. (Normal BP is 140/90ish) Spent the night in the ER because no beds available to admit me. 8/24- Assigned to bed. Had MRI (no contrast) and CAT scan of my head. Brain looked okay. BP went up to 138, at it's best. Numbness in both feet. Loud vibrating up both of my legs. Other than that, my body doesn't notice if my legs are there or not. Neurologist came by and did some eval test with vibration, which I couldn't feel on my L side. No touch test all over to see if I had diminished feeling anywhere else. Said I had neuropathy without cause or treatment. Told to go to his office for a nerve conduction study (outpatient). Wore leg pillows to keep my BP elevated so I could sleep without waking up in a panic. Throat and chest feels the same as having a cold. Went home to shower and sleep. 8/25 1:30ish a.m.- Woke up soaked in sweat. Got up to pee and my feet numbness had mostly gone. Diarrhea. Still unsteady on my feet, but could shuffle on my own. Got cleaned up with a wash cloth, brushed my teeth, took off my soaked clothes, and ordered my breakfast. Nurse came to check vitals and not bring me my meds for 3hrs. No water. Offered to order me breakfast right before lunch. No other checks. I was horribly weak and sweating from an internal heat. Body temp was 98 degrees. Told me I was being discharged, even though I had been sleeping most of the morning and was so weak and out of it. They didn't care. I wasn't going to die and they needed the bed. Was out of there at 4pm. Slept when I got to the house. Could do nothing else. Too weak. Wasn't by choice. No stamina! Completely out of it. Out of focus vision. Pain behind eyes. 8/26- Got a call to file a report with the CDC. Body still falls asleep without my permission. I'm not tired, so no idea what's going on. No stamina, still! Injection site is itchy. Still not at work. Going to lose my job. I got the vaccine to keep my job, not lose it! :( Diminished sensation in my abdomen,R arm, and R hand. Lack of dexterity. (Typing all this L handed) R arm is still useless/unreliable. Legs feel like they aren't really connected all the way, so I walk stiff and stilted, unsteady-like. Stamina is barely improved. Only went upstairs twice today to potty. Still feels like I have a cold in my throat and chest. Coughing occasionally because of swollen glands in throat and slight heaviness in the center of my chest. Period took a day off. Lost sense of smell. 8/27- Period has returned (pink slime). Normal poop. Itching at site is worse. Still don't trust my R hand with any carry, lifting, or grasping. all-over sweating after a few mintes of any activity (Feel internally warm, too). Joint pain in fingers. R shoulder is sore. Still feel lethargic. Thoughts are a little clearer. Vision less blurry. Still spontatneously sleeping. I'm warm to the touch. Snotty. Coughing. Feels like I have a chest cold. No sense of smell. 8/28- Diarrhea; Muscle tightness; Mild headache; Spontaneous sleeping continues. +Less weak; Can now use both arms; R shoulder is less sore. Mild vibrating/tingling in both legs has returned. 8/29- Still feels like I have a chest cold; Spontaneous sleeping is still happening; Acid reflux (will take some Pepcid); Diarrhea continues; Limbs don't feel entirely connected/heavy/weak/can't always control (lack of dexterity); Unable to focus thoughts; I still have no idea what day it is (I check the date on my phone before I type this, that's all); Feeling more & more sad & hopeless; So weak; Muscles still tense; Still get feverish from time to time; Lots of gas (both ends); Fingers/hands get really cold sometimes. +Vibration in legs is weaker; Knuckles in less pain.

Other Meds: 100mg Acetaminophen, 162mg Aspirin, 25mg Diphenhydramine HCL, 600mg Calcium, Multivitamin (Centrum Women's), 125mcg Levothyroxine.

Current Illness: Grave's disease.

ID: 1653856
Sex: F
Age: 0
State: FL

Vax Date: 08/29/2021
Onset Date: 08/29/2021
Rec V Date: 08/29/2021
Hospital:

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

Lab Data: None

Allergies: baclofen, bactrim, betadine, codeine, dicyclomine, gabapentin, humira, hydrocodone, iodine dye, methotrexate, omeprazole, oxycodone-hcl, penicillin, polytrim, tramadol, zithromax, zofran

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Tingling tongue, itching thighs

Other Meds: Diltiazem and crestor

Current Illness: Allergy to pfizer COVID vaccine.

ID: 1653857
Sex: F
Age: 22
State: IL

Vax Date: 08/27/2021
Onset Date: 08/27/2021
Rec V Date: 08/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Pain near injection sight, muscular and joint paint throughout body especially on left side of body, headaches, fatigue

Other Meds:

Current Illness:

ID: 1653858
Sex: F
Age: 40
State: MD

Vax Date: 08/26/2021
Onset Date: 08/27/2021
Rec V Date: 08/29/2021
Hospital:

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

Lab Data: No tests

Allergies: None

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

Symptoms: Red swollen welt. Increasing in size

Other Meds: Green Juice Fish Oil Nooflow Allegra Tumeric

Current Illness: None

ID: 1653859
Sex: F
Age: 22
State: TN

Vax Date: 08/19/2021
Onset Date: 08/20/2021
Rec V Date: 08/29/2021
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: Candy Corn, Sauerkraut, Duladid pain medicine gives me a bad reaction

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

Symptoms: After the injection of Pfizer, I started getting dizzy and having headaches with nausea. I went to work and dealt with the sick feeling. When I went to bed that night it felt like my shot was leaking but when I wiped nothing was there. the next morning I took off the bandage and there was a blister and a red line on my arm right next to my injection site. I have documentation of what that looked like. I called my works employee health and the health department to report it. When I had covid back in february of 2021 I started having difficulty breathing. It would come and go over the past few months and was nothing super serious. I read that that will happen as a side effect of having covid. after I got my vaccine, I started having these breathing problems multiple times every day since my vaccine. I start feeling like my chest is tightening and then I can?t get enough air into my lungs and it feels like i?m underwater. I start feeling like i am going to pass out because I can?t breathe and then i get light headed and my ears will start ringing like i?m going to black out so i have to sit down and tilt my head back to open my airways. this has been happening every day since my vaccine and I need to know what tests I should do to see what?s causing this because it is effecting my ability to work. I have to stand at work and lift heavy items all day and I have been having extreme difficulty with doing those tasks at work

Other Meds: Apri Birth Control

Current Illness: N/A

ID: 1653860
Sex: F
Age: 46
State: TX

Vax Date: 08/27/2021
Onset Date: 08/27/2021
Rec V Date: 08/29/2021
Hospital:

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

Lab Data:

Allergies: Codeine; Phenergan

Symptom List: Unevaluable event

Symptoms: Fever Chills Body aches Joint pain

Other Meds: Synthroid 50mcgm; NP Thyroid 45mg; Finasteride; Spironolactone

Current Illness:

ID: 1653861
Sex: F
Age: 37
State: NJ

Vax Date: 02/22/2021
Onset Date: 08/27/2021
Rec V Date: 08/29/2021
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: PCR + for Covid on 8/27

Allergies: none known

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

Symptoms: Client received Moderna vaccines for Covid on 2/22 and 3/22/2021 at Valley Hospital, Ridgewood NJ. Client symptomatic with sore throat, headache, cough on 8/27 and tested positive with PCR on that date. Reported as a case of breakthrough Covid illness in a fully vaccinated person.

Other Meds: none known

Current Illness: none known

ID: 1653862
Sex: M
Age: 82
State: NC

Vax Date: 02/04/2021
Onset Date: 02/06/2021
Rec V Date: 08/29/2021
Hospital:

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

Lab Data: EKG Cardio version

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: Years back I had A-fib/flutter issues. In 2015 an Ablation solved the issue beautifully--no on going issues. On Feb 5, the day after receiving the 2nd shot, my heart began to jump around. Sometimes very slow beat, then very fast, the slow and so on back and forth. I got it under control by coughing forcefully, breathing slowly but mostly stopped the problem by elevating my heart rate doing simple exercises like marching slowly in place. Took about 4 hours to stop. The rest of the day was fine and the next day an occasional flop flop. Electro physiologist wonders if the reaction pushed me back into steady A-Fib. A cardio version was done successfully on 8/6/21.

Other Meds: Warfarin 3mg; Toprol 50mg; Atorvastin10mg; Irbesartan 150mg; Aspirin 81m; Fish Oil 1200mg: Nexium 20mg; Multi Vat.

Current Illness: none

ID: 1653863
Sex: M
Age: 41
State: MI

Vax Date: 08/27/2021
Onset Date: 08/28/2021
Rec V Date: 08/29/2021
Hospital:

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

Lab Data: None yet, purchase an at home instant Covid test to make sure I was not actually infected with Covid. I have not yet had medical treatment for this condition

Allergies: Penicillin & Sulpha Drugs

Symptom List: Injection site pain, Menorrhagia

Symptoms: The following day 8.28.21 I began to feel very weak, developed a bad headache all day, felt like I could not wake up and extremely fatigued. I laid in bed or couch all day long as ai felt weak and light headed. On 8.29.21 I was feeling better when I woke up at 7am. Right around 1030am I began to have this sudden urge of anxiousness and numbness down my left side of chest and arm and felt funny inside, almost like I wanted to burst out of my skin. Then About 15 minutes later I started puking violently. Now I am back in bed and exhausted

Other Meds: 10mg x2 Methadone for chronic pain, 600mg x2 Gabapentin for nerve damage, 5mg x1 prednisone for pain, 150mg bupropion x1 for continued smoking cessation (quit smoking 10.2020), OTC magnesium, OTC proteolytic enzymes and 40mg Nexium. Renf

Current Illness: No illness

ID: 1653864
Sex: F
Age: 72
State: MI

Vax Date: 08/27/2021
Onset Date: 08/28/2021
Rec V Date: 08/29/2021
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: Mone

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

Symptoms: Extreme discomfort in middle upper back and neck which seemed to wrap around to front of chest and caused anxious breathing.

Other Meds: Estring low dose estrogen Fluorometholone eye drops temporary Restasis dry eye med

Current Illness: None

ID: 1653865
Sex: M
Age: 49
State: TX

Vax Date: 08/29/2021
Onset Date: 08/29/2021
Rec V Date: 08/29/2021
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: NKDA

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: At 10:11am, VS 129/98, Apical HR for 1 full minute-102, R-18, 97%-O2 stat, Pt stated, "he feels flushed, feels very nervous, didn't take hypertension medication this morning, had 2 burritos for breakfast." At 10:30am, Pt stated, "he felt better " Will cont to monitor til 10:45am. At 10:45am, listened to apical HR for 1 full minute-92, O2 stat-98%, Pt stated, 'he feels good and is fine. Cleared for dismissal.

Other Meds: Amlodipine 10mg QD (But patient didn't take it this medication)

Current Illness: No

ID: 1653866
Sex: M
Age: 50
State: WI

Vax Date: 08/04/2021
Onset Date: 08/05/2021
Rec V Date: 08/29/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Rapid heartbeat 110+ BPM for 30minutes occured 8/5 at 3am and 8/6 at 6am. Continued rapid heartbeat 80-100 BPM and high blood pressure.

Other Meds: none

Current Illness: none

ID: 1653867
Sex: M
Age: 74
State: TX

Vax Date: 02/27/2021
Onset Date: 02/28/2021
Rec V Date: 08/29/2021
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: Multiple. Please request via email.

Allergies: None

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

Symptoms: Severe chills, body aches, headache, weakness, fatigue for 8 days, onset 2/28/21. Blood clot (DVT), pulmonary embolism, ER and hospitalization 6/30 - 7/1/21.

Other Meds: Losartan, simvastatin, omeprazole, metoprolol, vitamins

Current Illness: None

ID: 1653868
Sex: F
Age: 60
State: NY

Vax Date: 01/06/2021
Onset Date: 02/03/2021
Rec V Date: 08/29/2021
Hospital:

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

Lab Data: Blood tests, eeg, sono of neck, ear exam up coming mri

Allergies: Iodine sensitive

Symptom List: Nausea

Symptoms: Eye area swollen and Vertigo that will not go away with medication

Other Meds: Spironolactone Amphetamine salts

Current Illness: None

ID: 1653869
Sex: F
Age: 80
State:

Vax Date: 03/11/2021
Onset Date:
Rec V Date: 08/29/2021
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: Extensive deep venous thrombosis, with occlusive thrombus throughout the entire deep venous drainage of the left lower extremity. Superficial thrombosis involving the superior greater saphenous vein in the thigh as well as of the profunda. Required ileofemoral thrombectomy.

Other Meds:

Current Illness:

ID: 1653870
Sex: M
Age: 27
State:

Vax Date: 08/08/2021
Onset Date: 08/09/2021
Rec V Date: 08/29/2021
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: Persistent arthralgia

Other Meds:

Current Illness:

ID: 1653871
Sex: F
Age: 49
State: IN

Vax Date: 08/27/2021
Onset Date: 08/28/2021
Rec V Date: 08/29/2021
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: Sulfa

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

Symptoms: Headache Nausea Vomiting

Other Meds: Sinthroid Cytomel Metoprolol Wellbutrin Cymbala Singulair

Current Illness: None

ID: 1653872
Sex: F
Age: 39
State: CA

Vax Date: 07/26/2021
Onset Date: 07/26/2021
Rec V Date: 08/29/2021
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 data. The medical clinic is overwhelmed and told me to follow up next week. I caught an un-identifiable upper respiratory infection in training early February 2020. My mate had pneumonia right before I became ill, so I suspect I had early COVID-19. Later, my husband caught COVID-19 in March 2021, but I did not. This supports my hypothesis that I already had been exposed.

Allergies: N/A

Symptom List: Tremor

Symptoms: Duty-affecting body aches and pains, headache, nausea for two days after first shot, three days after second. Persistent low-grade nausea/sour stomach, headache, and aches following second shot until now.

Other Meds: Prenatals, Omega-3s, D, allergy meds

Current Illness:

ID: 1653873
Sex: F
Age: 38
State:

Vax Date: 08/12/2021
Onset Date: 08/26/2021
Rec V Date: 08/29/2021
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: Dizziness two weeks after second dose

Other Meds: Lisinopril Cabergoline

Current Illness: No

ID: 1653874
Sex: F
Age: 35
State: MA

Vax Date: 08/24/2021
Onset Date: 08/24/2021
Rec V Date: 08/29/2021
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: None

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

Symptoms: Confusion, disorientation- onset approx 2-3 hrs after vaccine, lasted between 9-16 hours. (Went to bed and seemed better the next day) Diarrhea- onset day after vaccine, lasted approx 4-5 days Loss of appetite- onset approx 4 hrs after vaccine, has continued through day 5 post vaccine Stuffy nose- onset 3 days post vaccine Extreme Fatigue- onset approx 6 hrs post vaccine, has continued through day 5

Other Meds: Birth control- drospirenone

Current Illness: None

ID: 1653875
Sex: F
Age: 57
State: PA

Vax Date: 08/25/2021
Onset Date: 08/26/2021
Rec V Date: 08/29/2021
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: NKA

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

Symptoms: Nigh terrors - constant vivid nighmares, waking up drenched in sweat, high pulse and terrified. Started on night of 8/26/21 and each night has intensified. I also have excessive daytime fatigue due to not sleeping well. TX = 8/28/21 at 9:00pm did a Teledoc visit and Dr. suggested I go to the ER if persisted. I am choosing to wait and call my family doctor first thing tomorrow.

Other Meds: Bystolic 5mg daily Famotidine 20mg twice daily Pantoprazole 40 mg daily Vitamin D 5K daily Probiotic daily

Current Illness: None

ID: 1653876
Sex: F
Age: 60
State: PR

Vax Date: 06/10/2021
Onset Date: 06/01/2021
Rec V Date: 08/29/2021
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: N/A

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: A lot of muscular pain.

Other Meds: Vitamin C, Collagen, Transfer factor, Vitamin D, Ashwagandha, papaya enzyme, probiotics, marshmallow.

Current Illness: A lot of muscular pain

ID: 1653877
Sex: M
Age: 44
State: NJ

Vax Date: 03/29/2021
Onset Date: 08/29/2021
Rec V Date: 08/29/2021
Hospital:

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

Lab Data: Rapid test + for Covid 8/27/2021

Allergies: none known

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

Symptoms: Client was vaccinated with Moderna vaccine for Covid on 3/29 and 4/20 at Hospital. Symptomatic with runny nose, fever x 2 days, headache, and loss of taste/smell starting on 8/26. Tested rapid positive for Covid 8/27. Reported as a case of breakthrough Covid in a fully vaccinated person.

Other Meds: none known

Current Illness: none known

ID: 1653878
Sex: F
Age: 58
State: MN

Vax Date: 12/20/2020
Onset Date: 01/10/2021
Rec V Date: 08/29/2021
Hospital: Y

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: PLA2R 145 Albumin 1.9 Protein/Creatinine ration 13.7 Total cholesterol 402 Kidney biopsy membranous nephropathy

Allergies: none

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

Symptoms: Slight arm soreness after first vaccine dose. Fatigue, loss of appetite, diarrhea started the evening after the second dose on 1/10/21. Symptons varied in intesity over next few weeks. Facial and other edema and 20 lb weight gain noted 1/28/21. BP 230's/120's at doctors office. ER then ICU. Kidney biopsy. Auto immune (PLA2R) membranous nephropathy diagnosed.

Other Meds: adult multivitamin, calcium with vitamin d, fish oil, zyrtec, glucosamine

Current Illness: none

ID: 1653879
Sex: F
Age: 59
State: WI

Vax Date: 08/27/2021
Onset Date: 08/28/2021
Rec V Date: 08/29/2021
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: Severe nausea, not able to drink any fluids, Headache, excessive tiredness, pain and swelling at injection site, shivering and sweating, pain in joints and muscle aches,

Other Meds: Famotidine Tylenol

Current Illness:

ID: 1653880
Sex: F
Age: 69
State: WA

Vax Date: 02/20/2021
Onset Date: 03/01/2021
Rec V Date: 08/29/2021
Hospital:

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

Lab Data: Blood tests 5/25/21 X-ray 6/15/21 MRI scheduled for 9/4/21

Allergies: Statins, Codeine

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

Symptoms: Over the course of several weeks following the vaccination, I have grown increasingly unable to walk normally. Beginning with my left hip and now progressing to my right, I have been struggling to function to walk and perform normal activities. I have difficulty standing after I have been sitting for a while. When I use the toilet, I can no longer stand up without pulling myself up using a bar on the wall. Fatigue I was already experiencing has increased. I had been very active using a treadmill to walk daily. As time has passed, I have had more and more difficulty walking on the treadmill at the level I was achieving before having the vaccination. I am unable to sleep well due to to pain and stiffness. I have tried Physical Therapy and have had x-rays to determine if there is underlying injury. I am currently scheduled for an MRI of my hip this coming week. As I told the person who contacted me, I am not sure it is related to the vaccine, but the problems have steadily grown in intensity over the course of the last few weeks.

Other Meds: amoxicillin 500 mg capsule 4 capsules before dental procedures atenoloL 50 mg tablet 1 tablet daily clopidogreL 75 mg tablet 1 tablet daily gabapentin 300 mg capsule 4 capsules before bed glimepiride 4 mg tablet 2 tablets daily with br

Current Illness: Deteriorating root canal from 20 year old procedure

ID: 1653881
Sex: M
Age: 14
State: MI

Vax Date: 08/12/2021
Onset Date: 08/15/2021
Rec V Date: 08/29/2021
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: nuts

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

Symptoms: 2-3 days after injection, started to have swollen lymph nodes around his ears bilaterally and initially thought it was a zit but is having purulent drainage from the preauricular area on the right side and cervical lymph nodes also are now enlarged.

Other Meds: zyrtec, albuterol

Current Illness:

ID: 1653882
Sex: M
Age: 14
State: WI

Vax Date: 08/27/2021
Onset Date: 08/28/2021
Rec V Date: 08/29/2021
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: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: Vaccine done at 7pm 8/27 Tingling in upper back from 8 am upon waking up. 6pm had change in vision, static in ears and swaying. I layed him down before he passed out.

Other Meds: None

Current Illness: None

ID: 1653883
Sex: F
Age: 56
State: NY

Vax Date: 02/01/2021
Onset Date: 08/01/2021
Rec V Date: 08/29/2021
Hospital:

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

Lab Data:

Allergies: Tetracycline

Symptom List: Vomiting

Symptoms: Severe asthma episode lasting more than one week

Other Meds: Synjardy Crestor Quinapril Amlodipine

Current Illness: None

ID: 1653884
Sex: M
Age: 18
State: MI

Vax Date: 08/29/2021
Onset Date: 08/29/2021
Rec V Date: 08/29/2021
Hospital:

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

Lab Data: N/a

Allergies: N/a

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Patient fainted after recieving vaccine on 8/29/2021. Reaction started about 5 seconds after withdrawl of needle from arm. Patients mother was in the room and made us aware of situation prior to giving vaccination. Patient was able to respond briefly to questions, regained color in face after lying on floor for 5 minutes. Patient remained breathing the entire time, fan pointed at patient, wet wash cloth on neck helped as well , no vomiting occured.

Other Meds: N/a

Current Illness: N/a

ID: 1653885
Sex: F
Age: 54
State: NC

Vax Date: 07/29/2021
Onset Date: 07/29/2021
Rec V Date: 08/29/2021
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: TSH July 9 was 2.6 TSH Aug 10 was 1.5 TSH Aug 14 was 2.3

Allergies: levaquin Tequin Epinephrine

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

Symptoms: About an hour after I got it I felt an odd shock all over my body, then a cold and hot flushing sensation all over. I was jittery the rest of the day. Five days later I had more of the cold shot flushes and realized they were adrenaline surges, accompanied by severe anxiety. It has progressively worsened and I am having loose stools, a 10 lb weight loss, and have been increasingly unable to work (I am a Public Health RN). I am having symptoms of POTS syndrome. I wish I had never taken the vaccine. This is absolutely horrible. My heart pounds when I get up and move about. My BP and heart rate are fluctuating wildly. I am nauseated. Having flushing. Went to the ER because my arms and legs were tingling so badly and the adrenaline surges.

Other Meds: Levothyroxine, singular, allegra, buspar, atenolol, magnesium, Vitamin D, vitamin B12,

Current Illness: none.

ID: 1653886
Sex: F
Age: 35
State: NJ

Vax Date: 07/25/2021
Onset Date: 08/05/2021
Rec V Date: 08/29/2021
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: Went to e.r. 8/7 they ran several tests and said i had a uti and my d-dimer was .92 ... I am currently going to a cardiologist and regular dr trying to figure out what is going on. I was a longhauler from April 2020 still slightly dizzy from when I was sick.

Allergies: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Dizzy, lightheaded, weak, dark veins, difficulty breathing and walking, chest pain, heart palpitations, flutter, frequent urination, fast heart rate.

Other Meds: No medication taken at the time

Current Illness: I was a long haulers from April 2020 ... Still dizzy slightly from when I was sick

ID: 1653887
Sex: F
Age: 37
State: ND

Vax Date: 08/27/2021
Onset Date: 08/27/2021
Rec V Date: 08/29/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Heart palpations, headache, muscle/bone aches, muscle spasms, chills, fever, fatique- Tylenol taken around the clock- started prior to start of symptoms. Symptoms improved after 36 hours after injection, but still continue. Pregnant 26 5/7 weeks

Other Meds:

Current Illness:

ID: 1653888
Sex: M
Age: 82
State: WI

Vax Date: 02/01/2021
Onset Date: 08/27/2021
Rec V Date: 08/29/2021
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: 08/27/2021 COVID +

Allergies:

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

Symptoms: Admitted to hospital for COVID HISTORY OF PRESENT ILLNESS: Patient is a 83 y.o. male with PMH of HTN, CAD, CVA, IFG, h/o alcohol dependency with liver cirrhosis, rectal cancer s/p low anterior resection in 2011, bicytopenia and leukocytosis, recurrent blood in stool, urinary retention with suprapubic catheter in place who presents with increasing fatigue, weakness, presyncope and blood pooling in depends. Patient reports there has been quite a few family members recently d/w COVID-19. States he started feeling weak and fatigue since a week ago. He has also noticed a persistent dry cough around the same time. Around midnight, he feels as though he would pass out after going to the bathroom, which made press the life alert button. He also endorses dark tarry stools for past 3 days but has only noticed significant maroon blood pooling in depends since being in the ER. Appetite has been "so so", states he drinks mainly diet pepsi and eats microwavable meals. Occasionally his daughter in law would bring meals over to his house. Patient admits to chronic bilateral foot edema. Denies suprapubic pain or discharge from suprapubic catheter. Denies noticing blood or dark colored urine. Patient denies any recent fever, chills, sputum producing cough, headache, vision changes, nausea, vomiting, hematemesis, chest pain or pressure, palpitation, shortness of breath, wheezing, abdominal pain, weakness or numbness of the extremities. Patient has been taking NyQuil for symptoms. Otherwise denies current NSAID use, tobacco or alcohol use. Patient does have a h/o alcohol dependency in the past with CT imaging obtained in 2011 suggestive of liver cirrhosis. Of note, patient was seen by Hematology in May of 2021 for evaluation of by cytopenia and leukocytosis with plan for CT A/P to evaluate for hematochezia which was concerning for recurrent rectal cancer. However it seems patient has not obtain CT imaging or follow-up with Hematology since then. It was noted in Hematology note that if rectal cancer recurs, patient would want to forego systemic treatment or chemotherapy. However, when I talked to patient, he also reiterates the reason he did not get the CT scan was because he was not going to pursue treatment if cancer recurs. In the ED, vital signs 146/65, 72 bpm, 97.7F, 96% on RA. Positive orthostatic vitals. Work up significant for bicarb of 19, calcium 7.8, BUN 42, creatinine 1.87 with EGFR 33 (baseline creatinine 1.0). EtOH < 10. INR 1.5, PTT 45. Hemoglobin 6.5 (9.6 in May), WBC 35.3k, platelet 77k. ECG NSR with 1st degree AVB, w/o ST segment changes or TWI. CXR showed stable small b/l pleural effusions. Negative for influenza A/ B and RSV. Unfortunately COVID-19 PCR returned positive. BCx x2 obtained. Patient is receiving 2 units of pRBCs. Hematology was consulted in ER and recommended vitamin K and platelet transfusions. GI was also consulted. Of note, patient is on Plavix for secondary stroke prevention since CVA in 2009. EGD 08/02/2011 - for hematochezia and iron deficiency anemia No Barrett's esophagus Esophageal ring noted Hemorrhagic mucosa in the stomach antrum Normal duodenum Colonoscopy 08/02/2011- for hematochezia and iron deficiency anemia 3 cm ulcerated tumor which occupied 25 - 49% of the circumference of the rectum, 8 cm from the entry site. Pathology returned positive for invasive adenocarcinoma.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am