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: 1653889
Sex: M
Age: 71
State: NH

Vax Date: 03/19/2021
Onset Date: 04/07/2021
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: The blood test indicated the possible presence of Lyme disease. I was put on a 30 day regimen of doxycyclone antibiotic until the end of July. In the meantime, a second blood test indicated that I had 4 out of 10 markers for Lyme disease. A positive diagnosis required 5 out of 10 markers so Lyme disease was counter indicated. The antibiotic had no effect on my soreness and stiffness. A five day prednisone regimen was prescribed and the symptoms almost immediately went away. About a week later, stiffness and pain in my shoulders and legs has returned, albeit somewhat diminished from the amount of pain originally felt.

Allergies: none

Symptom List: Dysphagia, Epiglottitis

Symptoms: After about a week following my second shot, I began to feel pain and stiffness in my lower legs. I saw a doctor on April 14 and he diagnosed my condition as arthritis (which I never had before) He prescribed a ten day dose of Meloxicam. I took the Meloxicam for about five days and stopped. The pain and stiffness subsided for a week or so and then got worse over the next few weeks and spread to my shoulders and upper legs. I left and came where I saw another doctor He ordered a series of blood tests

Other Meds: Allipurinol, baby aspirin, atorvastatin, alopidine

Current Illness: chronic ITP. My platelet count at time of vaccination was 95,000

ID: 1653890
Sex: F
Age: 33
State: PA

Vax Date: 05/01/2021
Onset Date: 05/01/2021
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:

Allergies: Amoxicillin.

Symptom List: Anxiety, Dyspnoea

Symptoms: Increase in joint pain. Severe since vaccine.

Other Meds: Loryna and Dapsone.

Current Illness:

ID: 1653891
Sex: F
Age: 65
State: MA

Vax Date: 02/26/2021
Onset Date: 02/28/2021
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: February 28, 2021 ? Respiratory arrest in Emergency Department February 29, 2021 ? Multiple episodes of rapid Atrial Fibrulation with SWAT Team response. Episode up to 200 requiring multiple doses of Intravenous Cardizem (three episodes) and sublingual Nitroglycerine February 28, 2021 ? Immobilization of right foot using splint. March 1, 2021 ? Performance of Urinary Filtration, intermittent, less than six hours per day March 1, 2021 ? Insertion of Infusion device into Superior Vena Cava, Percutaneous approach March 1, 2021 ? Removal of Infusion device from upper vein, external approach March 1, 2021 ? Ultrasonography of right jugular veins, Guidance March 1, 2021 ? Respiritory Ventilation, 24-96 Consecutive Hours March 1, 2021 - Insertion of Infusion device into Right Internal Jugular Vein, Percutaneous approach. March 1, 2021 ? Insertion of Endotracheal Airway in Trachea, via natural or artificial opening. March 2, 2021 ? Reposition right tibia with external fixation device, Percutaneous approach March 7, 2021 ? Removal of external fixation device from right tibia, external approach March 7, 2021 ? Reposition of right tibia with external fixation device, open approach March 10, 2021 ? Assistance with Respiratory Ventilation, less than 24 consecutive hours, Continuous Positive Airway Pressure March 10, 2021 ? Transfusion of Nonautologous Red Blood Cells into peripheral vein, Percutaneous Approach March 11, 2021 ? Drainage of left Plural Cavity, Percutaneous Approach (Thoracentesis) March 12, 2021 ? Transferred to rehabilitation facility. Discharged March 23, 2021

Allergies: Prochlorperazine Anakinra Brimonidine Quinolones Flecainide Acebutolol Atenolol Menthol Contain Prod Prochlorperazine Edisylate

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

Symptoms: ? Adverse Event ?After first vaccination within hours experienced extreme fatigue, body aches, somnulence, slept for fourteen hours. At 11:00AM February 28, 2021 became disoriented and fell. Transported to the hospital where treated for respiratory arrest, cardiac dysrhythmia, renal failure requiring dialysis (chronic phlebotomy to check renal labs), and a fracture of the right tibia, fibia and ankle. Eight weeks later, after the second Moderna vaccine, experienced seven days N/V/D extreme fatigue. Continue to require Chronic phlebotomy to check renal status. o Outcome of the adverse event Admitted to hospital for thirteen (13) days followed by ten (10) days in rehabilitation facility. Continue follow-up with Physical Therapy Department for leg injury, follow-up with Vascular/Cardiology, Primary Care Physician, Endocrinology, Pulmonary

Other Meds: Alendronate 35mg Tablet (currently on hold) Atorvastatin 20mg Tablet ? One tablet daily Carvedilol 6.25mg Tablet ? One tablet BID Clobetasol 0.05% Ointment ? Apply to affected area twice daily Clopidrogel 75mg Tablet ? One tablet daily Cycl

Current Illness: None

ID: 1653892
Sex: F
Age: 42
State: OK

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: Covid arm, red rash, burning sensation

Other Meds: None

Current Illness: None

ID: 1653893
Sex: F
Age: 50
State: OH

Vax Date: 12/31/2020
Onset Date: 12/31/2020
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: Bloodwork done 5/6/21 all normal (BMP, Mg, CBC, TSH) EKG done: normal

Allergies: Cats

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

Symptoms: Palpitations started several hours (~6hrs) after injection, intermittent throughout the days, exacerbated by eating, persisted approximately 8months and now are very few and far between though still happening very rarely. Also developed significant tender axillary adenopathy that lasted approximately 4 weeks.

Other Meds: Zyrtec Singulair Symbicort Vitamin D Fish Oil

Current Illness: None

ID: 1653894
Sex: F
Age: 43
State: KY

Vax Date: 01/20/2021
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:

Allergies:

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

Symptoms: Patient tested positive for COVID 19 after being fully vaccinated. Moderna 1st dose: 12/23/2020 025J20A 2nd dose: 01/20/2021 030L20A

Other Meds:

Current Illness:

ID: 1653895
Sex: F
Age: 33
State: NJ

Vax Date: 03/05/2021
Onset Date: 08/23/2021
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: Positive Covid test - 8/23/2021

Allergies: N/a

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: First shot March 5th. Second shot April 1st. Diagnosed with Covid 8/23. Day 6 of experiencing severe symptoms. Full body aches (more intense then ever in my life), chills, hot flashes and sweating, pressure in chest, numbness is legs, feet and hands, fatigue, body weakness, eye pressure, head congestion, runny nose, coughing and loss of taste and smell.

Other Meds: Lo Loesteran (birth control) Zyrtec Phentermine

Current Illness: N/a

ID: 1653896
Sex: F
Age: 27
State: CA

Vax Date: 08/13/2021
Onset Date: 08/14/2021
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:

Allergies: N/A

Symptom List: Pharyngeal swelling

Symptoms: Chest pain beginning the day after injection; persistent for about 48 hours and now recurring every few days for a few hours at a time.

Other Meds: Gabapentin

Current Illness: N/A

ID: 1653897
Sex: F
Age: 70
State: CA

Vax Date: 08/05/2021
Onset Date: 08/07/2021
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: none

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Within 48 hours of vaccine, left arm was unusable. Pain, heat and severe arm muscle and shoulder pain. MY left arm was complete unusable and required constant OTC pain meds. This lasted for over 2 weeks. At 5 days after the shot, when visiting Dr., he suggested that the inflammation from the vaccine was affecting my shoulder as well as my arm. 10 days after the vaccination, I visited Dr.. She stated there was still a hard spot on my arm at the vaccination site. My arm was still unusable; I was unable to lift it and was in constant pain. After much research, I believe my injection was improperly given. Both Dr. and I realized I was experiencing SIRVA.

Other Meds: Omega 3, Tumeric (Curcumin), B-Complex

Current Illness: none

ID: 1653898
Sex: F
Age: 50
State: FL

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: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: none

Allergies: penicillin, meperidine

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Patient approached the consultation window approximately 30 minutes following her vaccination stating that her arm was tingling and numb. I asked questions to ensure that she was not having an allergic reaction and she was not experiencing any itching, swelling, shortness of breath, trouble breathing, or angioedema. I offered to call EMS and the patient declined. She also said she was having palpitations immediately following the vaccine but those had stopped. I directed her to contact her MD if the symptoms increased or persisted.

Other Meds: unknown

Current Illness: unknown

ID: 1653899
Sex: M
Age: 42
State: KS

Vax Date: 08/08/2021
Onset Date: 08/24/2021
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: Spoke to a teladoc doctor via video call 8/29/2021. He reviewed the images and descriptions I sent him, and he said without a doubt it is shingles. He told me that they are seeing lot of cases of shingles developing after the covid vaccines. Funny, that I couldn't find any reference to this when researching it. I still have shingles and now a lingering distrust in the system. This is why no one trust the vaccines. Shingles is not listed as a side effect! So, trying to follow the science, I am going to go get more opinions in case the guy I spoke to was a total conspiracy theorist. I just hope they can give me a reason not to be one now. My own mind and best guess is that the vaccine caused and inflammatory response in my immune system that triggered a dormant shingles virus. I have a very robust immune system, and never get sick. Perhaps that is what happened.

Allergies: none

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

Symptoms: Day of shot and following 2 days: Tingling in arm of injection site for about 15 minutes directly after vaccine, followed by slightly soar arm, and fleeting auto-immune response "cruddiness" the following day. Overall not bad though. Week after shot: Stomach issues and bad cramps one week after the vaccine. Three weeks after shot: Developed skin tenderness around my left rib cage and late area. Followed by a rash with with fluid filled blisters. Ribs are now very tender and skin is raw to the touch. "Diagnosis is SHINGLES!"

Other Meds: none

Current Illness: none

ID: 1653900
Sex: F
Age: 46
State: GA

Vax Date: 08/25/2021
Onset Date: 08/29/2021
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: APTT, CBC, Comprehensive Panel, D-Dimmer, Protime, and Traponin.

Allergies: None

Symptom List: Rash, Urticaria

Symptoms: Diagnosed at Emergency room with Costochondritis after having issues breathing and chest pain.

Other Meds: None

Current Illness: None

ID: 1653901
Sex: F
Age: 16
State: AR

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:

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

Symptoms: Approx. 5 min. after receiving the 2nd shot in the covid series became dizzy. Her head fell back, eyes rolled back, she began shaking as if having a seizure. She then passed out. Her head fell forward, she woke up. The RN on duty, had her lie down, put her feet up on a chair above her heart. After a few minutes she got up, was given water and a soda. Her arms and legs were shakey. She sat in the chair another 10 to 20 minutes then was allowed to leave. On the second day after the shot she was sore and a little weak.

Other Meds: Montelukast, Zyertec, Albutrol inhaler as needed

Current Illness:

ID: 1653902
Sex: F
Age: 30
State: PA

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: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data: PATIENT WAS TRANSPORTED TO HOSPITAL WHERE MORE TESTS WERE COMPLETED.

Allergies: N/A

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

Symptoms: PATIENT PASSED OUT ABOUT 15 MINUTES AFTER THE VACCINE WAS GIVEN. THIS WAS NOTICED BY A SIGNIFICANT OTHER WITH THE PATIENT. HE STATED THAT SHE WAS SHAKING FOR ABOUT 10 SECONDS. PATIENT REGAINED CONSCIOUSNESS ABOUT 20 SECONDS AFTER PASSING OUT. PATIENTS LIPS WERE BLUE WHEN SHE REGAINED CONSCIOUSNESS. PATIENT HAD NO SIGNS OF ANAPHYLAXIS SO NO EPINEPHRINE WAS USED.

Other Meds: N/A

Current Illness: N/A

ID: 1653903
Sex: F
Age: 50
State: MI

Vax Date: 05/12/2021
Onset Date: 05/12/2021
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: Pencillin, Cephalexin

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

Symptoms: After receiving the shot, experienced a sore arm that same night. This soreness increased the next day, and then subsided on the evening of the 2nd day. On the afternoon of the 2nd day (5/13) I began experiencing fatigue, stuffy nose, foggy brain, difficulty concentrating, unusual irrational fears. On Friday (5/14) I felt less tired but still foggy, with difficulty concentrating/thinking clearly, continuing irrational fears. I also began experiencing urinary incontinence (as though I had no bladder muscles). At approximately the same time my fingernails began to crack and peel; during subsequent week every one of them cracked and peeled. It took several weeks to gradually return to feeling normal again and for my nails to begin growing back.

Other Meds: None

Current Illness: None

ID: 1653904
Sex: F
Age: 37
State:

Vax Date: 08/21/2021
Onset Date: 08/29/2021
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: None

Allergies: None

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

Symptoms: Moderna COVID-19 Vaccine EUA Covid Arm- red itchy rash

Other Meds: Vitamin D

Current Illness: Psoriasis

ID: 1653905
Sex: F
Age: 52
State: AZ

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

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

Lab Data:

Allergies: None

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

Symptoms: Fever, chills, headache, body aches, vomiting (in the middle of night when the fever was higher).... Bad during the night....feeling slightly better in the morning (fever has subsided), but still very exhausted and slightly achy.

Other Meds: None

Current Illness: Unsure

ID: 1653906
Sex: F
Age: 46
State: MI

Vax Date: 06/04/2021
Onset Date: 06/18/2021
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: Chiropractic-ongoing Eye doctor massage therapy acupuncture-ongoing cryotherapy-ongoing

Allergies: none

Symptom List: Ear pain, Hypoaesthesia

Symptoms: I was a very healthy fit female, not overweight. I received the shot due to working in dental care. Shorty after I started having severe sciatica. I can't sleep at night it is so painful. I can't even sit on my couch or drive a car without having severe nerve pain. I thought it would go away, but it is not. It has been close to 3 months since my shot and there is no improvement. I also developed inflammation in my eyes right after the shot and had to see an eye doctor to treat that. It has made my nervous system flare up with inflammation and ruined my life.

Other Meds: garden of life multivitamin

Current Illness: none

ID: 1653907
Sex: F
Age: 84
State:

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: patient came in to pharmacy 2 days after shot administered. had redness and bruise at injection site. reported the evening of receiving the shot felt very ill and vomitted. advised patient to contact dr to report, could use cold pak, tylenol.

Other Meds:

Current Illness:

ID: 1653908
Sex: M
Age: 62
State: MN

Vax Date: 08/12/2021
Onset Date: 08/19/2021
Rec V Date: 08/29/2021
Hospital: Y

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

Lab Data: Lumbar puncture performed 8/28 showed albuminocytologic dissociation with a protein count of 217 and a white count of 18. Starting on IVIG therapy on 8/28.

Allergies: Shellfish allergy

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

Symptoms: Ascending paresthesias and paralysis; started one week after vaccination in back and legs and by the time of presentation had ascending up to abdomen and bilateral arms, now with facial weakness.

Other Meds: Vitamin D3, Flaxseed, Zinc, ketorolac

Current Illness: None

ID: 1653909
Sex: M
Age: 30
State: MA

Vax Date: 03/07/2021
Onset Date: 03/09/2021
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: March 7: Received Vaccine March 9: Noticed blood in urine March 10: See primary care about blood. Urinalysis, blood panel and urine culture performed. Presence of blood confirmed, no evidence of infection, kidney function good. Referred to a specialist. May 21: See urologist. Perform blood test panel including BUN/Creatinine, Urinalysis, Cytopathology. All resulting with normal values. Still microscopic amounts of blood present in urine. CT scan scheduled. June 7: CT scan (supposed allergic reaction occured after which is another story) Kidney normal with exception of: "Renal mass: Subcentimeter low attenuation cortical renal foci, too small to characterize. 1.1 cm right lateral lower pole calyceal diverticulum which fills with contrast on the delayed phase imaging." Was later informed this was likely nothing (see later visits). June 21: follow up appointment with urologist. Informed that the CT scan didn't reveal a cause of the blood. Given options for what the "small renal mass" is but not concerning. Schedule cystoscopy. Confirmed blood still in urine with lab test but only "moderate" amounts this time. July 16: See new urologis. Discuss previous tests. Nothing so far is of concern. Schedule cystoscopy. July 26: Cystoscopy performed. Cannot be completed due to scarring (hypospadias repair). Cytopathology performed. Cytopathology returned normal, assuming blood still present. Follow up scheduled for October.

Allergies: Peanuts, Neosporin, Singulair

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

Symptoms: Received the vaccine Sunday March 7th, had normal sick reaction the next day on Monday. Felt better by Tuesday but noticed dark colored urine which I correctly assumed was blood. Unsure if this was present the previous day or not. Immediately booked an appointment with my doctor for the next day given my history of having 1 kidney. There, they confirmed there was large amounts of blood in my urine. I had no pain. No evidence of UTI. Urine slowly became lighter over the next week or so, however microscopic amounts of blood still remained (confirmed via lab testing). As of now, August 29th, to my knowledge I am still urinating microscopic amounts of blood. Otherwise in good health.

Other Meds: Losartan 25mg

Current Illness:

ID: 1653910
Sex: F
Age: 44
State: NJ

Vax Date: 03/10/2021
Onset Date: 03/01/2021
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: Positive pregnancy tests, ultrasounds, blood tests, d&c to remove what was left of the pregnancy.

Allergies: N/a

Symptom List: Unevaluable event

Symptoms: A week after receiving the covid vaccine I ovulated a full week early and became unexpectedly pregnant on or about March 18, 2021. This pregnancy resulted in a miscarriage on April 29, 2021.

Other Meds: N/a

Current Illness: N/a

ID: 1653911
Sex: F
Age: 76
State: KY

Vax Date: 01/20/2021
Onset Date: 08/29/2021
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: LA

Lab Data:

Allergies: Aspartame And Phenylalanine High Anaphylaxis Sulfa Antibiotics High Anaphylaxis Codeine Sulfate Not Specified Other (See Comments) Cold symptoms Infliximab Not Specified Hives

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

Symptoms: Patient is immunocompromised secondary to rheumatoid arthritis treatment. Patient has received two doses of Moderna vaccine on 1/20/21 and 2/17/21 - patient presented to Emergency Department on 8/29/21 with a positive COVID-19 test result.

Other Meds: acetaminophen (TYLENOL) alendronate (FOSAMAX) Take by mouth Every 7 (Seven) Days. atenolol (TENORMIN) TAKE 1 TABLET BY MOUTH DAILY., Starting Thu 10/31/2019, Normal CALCIUM-VITAMIN D PO Take by mouth Daily. doxycycline (MONODO

Current Illness:

ID: 1653912
Sex: M
Age: 32
State:

Vax Date: 12/23/2020
Onset Date:
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:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 1653913
Sex: F
Age: 56
State: NC

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

Lab Data: None

Allergies: None listed

Symptom List: Injection site pain, Menorrhagia

Symptoms: Patient fainted 5 minutes after injection

Other Meds: none listed

Current Illness: None listed

ID: 1653914
Sex: F
Age:
State: NY

Vax Date:
Onset Date: 08/29/2021
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: Blood pressure check, no doctor visit yet

Allergies: None

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

Symptoms: Spike in blood pressure, pain in chest and feeling of heart inflammed

Other Meds: None

Current Illness: None

ID: 1653915
Sex: M
Age: 11
State: KY

Vax Date: 08/28/2021
Onset Date: 08/28/2021
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:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Error: Patient Too Young for Vaccine Administered-

Other Meds:

Current Illness:

ID: 1653916
Sex: M
Age: 10
State: KY

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Error: Patient Too Young for Vaccine Administered-

Other Meds:

Current Illness:

ID: 1653917
Sex: F
Age: 29
State: NJ

Vax Date: 08/26/2021
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: RA

Lab Data:

Allergies:

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

Symptoms: Site: Itching at Injection Site-Medium, Site: Redness at Injection Site-Medium, Systemic: Allergic: Itch Generalized-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Additional Details: A RASH WAS FORMED AT HOME THROUGHOUT UPPER BODY. PATIENT USED BENADRYL AND HYDROCORTISONE CREAM. ADVISED PATIENT TO SEE DOCTOR. PATIENT HAS NO TROUBLE IN BREATHING.

Other Meds:

Current Illness:

ID: 1653918
Sex: M
Age: 67
State: AR

Vax Date: 07/22/2021
Onset Date: 07/23/2021
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: None

Symptom List: Nausea

Symptoms: I had 8 days of severe body aches and weakness. I took Tylenol which gave some relief, but not complete relief.

Other Meds: Amlodepine besylate, losartan, omeprazole, zinc, D3, C, Fish oil, aspirin

Current Illness: None

ID: 1653919
Sex: F
Age: 51
State: CA

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: Site: Pain at Injection Site-Medium, Systemic: Abdominal Pain-Medium, Systemic: Body Aches Generalized-Medium, Systemic: Exhaustion / Lethargy-Severe, Error: Booster Given Too Early-, Additional Details: Pt came in to get a flu shot, but received a third dose of vaccine in error. Pt wasn't immunocomprimised nor due for their 3rd dose yet. The 3rd dose hasn't been approved yet at this time.

Other Meds:

Current Illness:

ID: 1653920
Sex: F
Age: 70
State: NY

Vax Date: 07/22/2021
Onset Date: 08/07/2021
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: Avapro Anti. Latex

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

Symptoms: I was told by my Neurology Dr. that my Bell's Palsy was caused by my COVID 19shot it is located on the right side of my face as of August 29,2021 I still have some effects of the Palsy .I was treated with Prednisone and Valacyclovir.

Other Meds: Nexium..Lisinopril..Rosuvastatin Womens multi Vit. Magnesuim Floragen 3 and Tylenol

Current Illness: none

ID: 1653921
Sex: F
Age: 15
State: IN

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: RA

Lab Data:

Allergies:

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

Symptoms: Systemic: Dizziness / Lightheadness-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Additional Details: all symptoms resolved after 20 minutes

Other Meds:

Current Illness:

ID: 1653922
Sex: F
Age: 51
State: NJ

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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: N/A

Allergies: N/A

Symptom List: Tremor

Symptoms: PATIENT CAME IN FOR A BOOSTER DOSE AND DURING THE ADMINISTRATION PROCESS, THE TECHNICIAN UPON INJECTING THE PATIENT, REALIZED THAT THE VACCINE WAS LEAKING OUT OF THE LUER LOK PORTION OF THE SYRINGE. WE DO NOT BELIEVE THAT THE PATIENT GOT THE ENTIRE DOSE OF THE VACCINE

Other Meds: N/A

Current Illness: N/A

ID: 1653923
Sex: F
Age: 30
State: VA

Vax Date: 03/23/2021
Onset Date: 04/13/2021
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: Erythema, Pruritus

Symptoms: Tested positive for coronavirus. Mild to moderate symptoms. Day 1- chest tightness, sore throat, light cough Day 2- sore throat, slight congestion Day 3- very congested, runny nose, neck pain Day 4- very congested, loss of taste and smell

Other Meds: Birth control

Current Illness: None

ID: 1653924
Sex: F
Age: 70
State: GA

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

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

Symptoms: Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Severe, Systemic: Patient has a knot at injection site-Severe, Additional Details: Patient had a knot at injection site as well as excessive bleeding. Patient is not on blood thinners. After 7 days, the knot still exist and there is slight pain, and redness

Other Meds:

Current Illness:

ID: 1653925
Sex: M
Age: 85
State: IN

Vax Date: 08/11/2021
Onset Date: 08/12/2021
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: Blood tests and urine tests taken to check for infection. No infection.

Allergies: none

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

Symptoms: Started running a fever as high as 102F the next day after first shot, with extreme fatigue. Had this same fever every day for 2 weeks. Fever would drop slightly with Tylenol or ibuprofen, but every day would rise again to 102F. Went to urgent care on August 20. Doctor prescribed stronger ibuprofen and said to continue to push fluids. After 2 weeks the fever has gone away, but still feeling fatigued.

Other Meds: none

Current Illness: none

ID: 1653926
Sex: M
Age: 64
State:

Vax Date: 07/30/2021
Onset Date: 08/28/2021
Rec V Date: 08/29/2021
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:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Patient concerned small subdural hematoma following unwitnessed fall is secondary to his Johnson & Johnson vaccine

Other Meds:

Current Illness:

ID: 1653927
Sex: F
Age: 46
State: SC

Vax Date: 08/21/2021
Onset Date: 08/24/2021
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: See above clinical report

Allergies: Sulfa

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

Symptoms: Began having tingling in peripheral extremities and brain fog 30 minutes after injection which subsided after an hour. Experienced exhaustion, mental fog, mild arm soreness first night which continued and increased with nausea through hospital visit on 8/23/2021. Began having chest pressure/discomfort and left arm numbness at noon on 8/23/2021 then headache began. Took my vitals at home as follows: 172/106, 142 bpm and afebrile 95% on room air. Took 324 aspirin and rested supine for 45 minutes and drank water- symptoms did not subside. Went to hospital after being evaluated by critical care nurse friend in my home as all symptoms were still present and vitals were still abnormal as they were prior to her arrival. EKG, troponin, dimer, chest X-ray performed. Cardiac enzymes were normal. 3L of fluids administered by EMS and hospital. After fluids ALL symptoms subsided and was discharged with CP diagnosis. I do not have medical history of HTN- BP is normally 120s/70s. My fluid intake and activity had not changed and had not been outside in heat. The only thing that was a change in my life was the Moderna shot on 8/21/2021.

Other Meds: Aspirin 81, quercetin 250, claritin 10, zinc 50, vitamin d 4000iu, vitamin c 500

Current Illness: None

ID: 1653928
Sex: F
Age: 55
State: CA

Vax Date: 07/07/2021
Onset Date: 07/07/2021
Rec V Date: 08/29/2021
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: None

Allergies: Fish, tree nuts (pecan, macadamia), benadryl

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

Symptoms: Swelling and redness at site, gradually increased in size to over 3", lasting 3 days. Arm was unable to be touched and itched for most of the 3 days. Eyes- unable to move eyes without pain, pain was worse in left eye and lasted 3 days. Right eye improved after 2 days. Pain was a stabbing pain.

Other Meds: Levothyroxin 150 mg, loratadine 10 mg, lo-ovral, Vitamin D-3 5000 IU, Centrum multi vitamin

Current Illness: None

ID: 1653929
Sex: M
Age: 15
State: GA

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

Lab Data: AMBULANCE WAS UNAVAILABLE TO TRANSFER PATIENT SO PATIENTS MOM TOOK HIM TO A FACILITY TO BE CHECKED OUT. NO UPDATES ON CONDITION

Allergies:

Symptom List: Pain in extremity

Symptoms: WITHIN SECONDS OF RECEIVING THE FIRST DOSE OF PFIZER VACCINE PATIENT APPEARED TO HAVE A SEIZURE. HE BLACKED OUT, BECAME PALE, SWEATY, HUNCHED OVER WITH TREMORS. IT ONLY LASTED A FEW SECONDS. WHEN PATIENT CAME TO, HE WASNT SURE WHAT HAPPENED TO HIM.

Other Meds:

Current Illness:

ID: 1653930
Sex: F
Age: 26
State: CT

Vax Date: 08/23/2021
Onset Date: 08/24/2021
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:

Allergies:

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

Symptoms: Systemic: Chest Tightness / Heaviness / Pain-Medium

Other Meds:

Current Illness:

ID: 1653931
Sex: M
Age: 53
State: CO

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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: None

Allergies: Erythromycin

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

Symptoms: Day of vaccination; Joint pain started about 6pm Quick onset of Extreme chills, uncontrollable teeth chattering, muscle spasms 10-10:15pm Excessive urination Midnight- 5am, got up hourly with need to urinate. Muscle and joint pain subsided by about 9am next morning (8/29). No medical treatment sought.

Other Meds: None

Current Illness: None

ID: 1653932
Sex: M
Age: 37
State: WA

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: N/A

Allergies: N/A

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

Symptoms: - Paralysis on the left side of the body. Paralysis ran from injection site on arm continuous to left foot. - Nerve pain in fingers of left hand, and nerve pain in toes of left foot. - Nausea in stomach. The pain is felt near my bellybutton, and feels as though there is pressure/pinching at the top of my stomach.

Other Meds: Vitamin K2, Vitamin D3

Current Illness: N/A

ID: 1653933
Sex: F
Age: 35
State: FL

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

Symptom List: Vomiting

Symptoms: RASH ON TORSO AND LEGS ROUGHLY 12 HOURS POST VACCINATION OF 1ST DOSE.

Other Meds:

Current Illness:

ID: 1653934
Sex: M
Age: 47
State: NJ

Vax Date: 04/02/2021
Onset Date: 08/26/2021
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: rapid test + for Covid 8/27/2021

Allergies: none known

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Client was vaccinated with Moderna vaccine in April 2021 (client not sure of dates but knows they were in beginning and end of April, perhaps 4/2 and 4/30/2021). Became symptomatic for Covid with sore throat and loss of taste/smell on 8/26. Tested rapid positive for Covid 8/27. Reported as breakthrough case of Covid in a fully vaccinated person.

Other Meds: none known

Current Illness: none known

ID: 1653935
Sex: F
Age: 12
State: NY

Vax Date: 08/03/2021
Onset Date: 08/06/2021
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: 8/9 we saw pediatrician who did herpes bloodwork to rule that out and the wound culture grew peptiniphilus asaccharolticus, which responded to antibiotics but never would have occurred if the ulcers were not present post vaccine administration/

Allergies:

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

Symptoms: One vaginal ulcer after shot 1, several days after shot 2, she developed fever then numerous painful aphthous looking ulcers that became infected requiring antibiotics. She had difficulty walking and urinating. I have researched and found an article with a 13 year old developing this after covid disease. She has psoriasis which is autoimmune.

Other Meds: Atropine eye drops Calcipotriene cream Fluticasone propionate ointment

Current Illness: One vaginal ulcer detected 2 days after initial covid vaccine 7/9/2021. Large ulcerations developed after 2nd dose that became infected with a strange bacteria.

ID: 1653936
Sex: F
Age: 57
State: GA

Vax Date: 08/24/2021
Onset Date: 08/25/2021
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: Going to primary tomorrow

Allergies: Flagyl

Symptom List: Injection site swelling, Limb discomfort

Symptoms: 17 hours after 2nd dose I began feeling all the flulike symptoms. Fever as high as 102 sweats aches pain blurry vision. Could not hardly move. Injection site itched. Sore throat headache breathing difficult. It is 5 days after the shot and I am still running a low grade fever chest heavy blurry vision and abdominal pain

Other Meds: 81 mg aspirin

Current Illness: None

ID: 1653937
Sex: F
Age: 38
State: CT

Vax Date: 04/28/2021
Onset Date: 05/28/2021
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: RA

Lab Data:

Allergies: None

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

Symptoms: Extreme fatigue,difficulty in breathing,dizziness

Other Meds: None

Current Illness: None

ID: 1653938
Sex: F
Age: 49
State: CA

Vax Date: 05/19/2021
Onset Date: 05/30/2021
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: RA

Lab Data:

Allergies: No

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

Symptoms: I haven't used my inhaler for asthma about 2 to almost 3 years and now I'm using my inhaler everyday a few times a day constantly having asthma attacks after my second dose of the vaccine

Other Meds: None

Current Illness: No

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am