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: 1655905
Sex: F
Age: 13
State: MN

Vax Date: 08/20/2021
Onset Date: 08/20/2021
Rec V Date: 08/30/2021
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: Amoxicillin

Symptom List: Dysphagia, Epiglottitis

Symptoms: Patient reported significant left arm pain in the injection site. She has increased pain with moving her arm. Patient evaluated by, Pediatric NP on 8/27/21. Reports pain 1/2 inch below shoulder.

Other Meds: None

Current Illness: None

ID: 1655906
Sex: M
Age: 53
State: IL

Vax Date: 08/11/2021
Onset Date: 08/11/2021
Rec V Date: 08/30/2021
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: None

Symptom List: Anxiety, Dyspnoea

Symptoms: From 10 PM first night through the following 48 hours: body aches, headache, low grade fever, general fatigue. After 72 hours: excessive sweating, especially at night - along with random hot flashes.

Other Meds: None

Current Illness: None

ID: 1655907
Sex: M
Age: 45
State: TX

Vax Date: 04/07/2021
Onset Date: 04/25/2021
Rec V Date: 08/30/2021
Hospital: Y

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: no

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

Symptoms: having a dry mouth, attitude started to change, tiredness, having breathing problems, went to the hospital passed out in coma for 24 days and died 3 times.

Other Meds: metformin, gliclazide

Current Illness: diabetic

Date Died: 08/28/2021

ID: 1655908
Sex: M
Age: 75
State: FL

Vax Date: 08/27/2021
Onset Date: 08/28/2021
Rec V Date: 08/30/2021
Hospital:

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

Lab Data:

Allergies: none know

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Patient came to the ED in cardiac arrest day after vaccine, patient expired.

Other Meds: not available

Current Illness: unknown

ID: 1655909
Sex: F
Age: 45
State: WA

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 08/30/2021
Hospital:

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

Lab Data: Was in the hospital due to the effects. They did work ups on me, like labs, etc.

Allergies:

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

Symptoms: Servere diarrhea, servere dizziness, weak, pain in my tummy,

Other Meds: Levthroxcine

Current Illness:

ID: 1655910
Sex: F
Age: 28
State: FL

Vax Date: 12/30/2020
Onset Date: 03/01/2021
Rec V Date: 08/30/2021
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: 07/29/21 - Left limited breast ultrasound 07/26/21 - Physical with doctor including EKG and Lab work (Results in bloodwork were all normal, lymph nodes on scan showed in normal range)

Allergies: Cefzil

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

Symptoms: Second dose was on 01/25/21 - two months following I had felt lateral left breast pain, followed by a pulsating sensation in my left axilla, on and off for the past 5 months. breast pain has gone away but there is still pain and on and off pulsating of the axilla.

Other Meds: Lexapro 20mg, Valtrex 1G, Microgestin 1.5,

Current Illness: N/A

ID: 1655911
Sex: F
Age: 16
State: PA

Vax Date: 08/30/2021
Onset Date: 08/30/2021
Rec V Date: 08/30/2021
Hospital:

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

Lab Data: unknown

Allergies: none

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Pt was very nervous to receive vaccine, she was teary eyed and anxious. Her father was present. She sat while receiving the vaccine. I had her count to 10 and then gave the vaccine. She then said she felt dizzy and passed out for a few seconds. I held her shoulders so that she remained in the chair. Once she was steady I had a technician get her an orange juice and I had her dad keep an eye on her while I quickly grabbed her an ice pack. I sat with her for 15 minutes along with her parent and observed her feeling better, The patient and father both said this is a typical reaction to vaccines for her.

Other Meds: unknown

Current Illness: no

ID: 1655912
Sex: F
Age: 69
State: IL

Vax Date: 02/25/2021
Onset Date: 04/03/2021
Rec V Date: 08/30/2021
Hospital: Y

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

Lab Data: a scope of the stomach blood work

Allergies: Penicillin, morphine, artificial sweeteners

Symptom List: Pharyngeal swelling

Symptoms: Severe pain in my stomach. I experienced bloating, vomiting's and diarreha. That lead me to go to the hospital, which I spent 4 days. They had me on medication to stop the pain. I was diagnosis with gastritis.

Other Meds: Yes, daily medications

Current Illness: No

ID: 1655913
Sex: F
Age: 75
State: NJ

Vax Date: 08/25/2021
Onset Date: 08/25/2021
Rec V Date: 08/30/2021
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: Iodine

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Soreness at injection sight, chills, throat was swollen and sore

Other Meds: None

Current Illness: Arthritis Atrial fibrillation

ID: 1655914
Sex: F
Age: 60
State: GA

Vax Date: 08/17/2021
Onset Date: 08/23/2021
Rec V Date: 08/30/2021
Hospital:

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

Lab Data: Negative Covid test on 8/24

Allergies: Penicillin, tramadol, Z Pack

Symptom List: Diarrhoea, Nasal congestion

Symptoms: 13 days after vaccine still feeling fatigue, chills at times, Headache at times. diarrhea this am. Day 6 same symptoms plus brain fog at times didn't feel like thinking clearly, Day 7 8/24 experienced unusually multiple nightmares, 8/27 injection site became tender and warm when it had not been since 8/20, 8/28 injection site itching, 8/30 injection site no tenderness, warmth or itching,

Other Meds: ASA, Plavix, Coreg, Albuterol inhaler

Current Illness: none

ID: 1655915
Sex: F
Age: 29
State:

Vax Date: 06/23/2021
Onset Date: 07/14/2021
Rec V Date: 08/30/2021
Hospital: Y

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

Lab Data: Cleared of stroke activity July 14, 2021 Mri normal July 15,2021 Eeg cleared seizure activity July 15,2021

Allergies:

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

Symptoms: Weakness in left side of body, loss of mobility and reflexes. Seizure like tremors lasted 4 days

Other Meds: Ashwagahnda

Current Illness: None

ID: 1655916
Sex: F
Age: 22
State: ID

Vax Date: 08/26/2021
Onset Date: 08/26/2021
Rec V Date: 08/30/2021
Hospital:

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

Lab Data: N/A

Allergies: N/A

Symptom List: Rash, Urticaria

Symptoms: I received my 2nd dose of Moderna on 08/26/21 at 10:40 am. By 7:00 pm on 08/26/21 I had intense body aches, fever, headache, racing heart rate, back spasms, chills, and pain on injection site in my right arm. On 08/27/21 (I had to call into work) I had a fever, chills, headache, and body aches and nausea. On 08/28/21 I had a headache, and body aches. On 08/29/21 I had a mild headache, and no other symptoms.

Other Meds: N/A

Current Illness: N/A

ID: 1655917
Sex: F
Age: 22
State: VA

Vax Date: 03/15/2021
Onset Date: 03/29/2021
Rec V Date: 08/30/2021
Hospital:

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

Lab Data: I'm scheduled to have a Pulmonary Test in September.

Allergies: None.

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

Symptoms: About a week or 2 after the second shot I started having shortness of breath every day and tightness in my chest. It feels like a big person has been sitting on my chest. I'm exhausted any time it has been like this. Some days my back has hurt from trying so hard to breathe. I don't have asthma or underlying health problems that I'm aware of. This has been going on consistently since the second shot back in March.

Other Meds: Birth Control

Current Illness: None.

ID: 1655918
Sex: M
Age: 36
State: UT

Vax Date: 07/30/2021
Onset Date: 08/11/2021
Rec V Date: 08/30/2021
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:

Allergies: None

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

Symptoms: Swollen, red, hot to touch and extremely painful entire left arm 13-18 days after injection.

Other Meds: Ibuprofen for pain

Current Illness: None

ID: 1655919
Sex: F
Age: 46
State: TX

Vax Date: 03/25/2021
Onset Date: 08/26/2021
Rec V Date: 08/30/2021
Hospital:

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

Lab Data: N/A

Allergies: N/A

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

Symptoms: Pt. states that after receiving both doses of Phizer 03/25/2021, tested Positive for Covid-19 08/26/2021 ,

Other Meds: Solifenacinsuccinate 10mg, Valacyvoler 1g, Vitamin D, Clonidine .2mg Patch, Hydrochlorothiazide 12.5mg, Metoprolol 50mg, Denazetril 10mg, Nifeditine 60mg

Current Illness: N/A

ID: 1655920
Sex: M
Age: 14
State: MI

Vax Date: 08/28/2021
Onset Date: 08/28/2021
Rec V Date: 08/30/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: The patient got the Moderna vaccine and it's not fully authorized for his age group, patient mother was contacted and is aware that the vaccine wasn't fully authorized for the patient age group. The patient is feeling fine today and informed us they had minor soreness that lasted for 2 days after the injection

Other Meds: None that we are aware off

Current Illness: None

ID: 1655921
Sex: M
Age: 64
State: NM

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

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

Lab Data: none

Allergies: none

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

Symptoms: Fever/chills myalgias sore arm

Other Meds:

Current Illness: none

ID: 1655922
Sex: F
Age: 65
State: NY

Vax Date: 02/23/2021
Onset Date: 08/27/2021
Rec V Date: 08/30/2021
Hospital: Y

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

Lab Data: Yes, everything came back negative

Allergies: No

Symptom List: Ear pain, Hypoaesthesia

Symptoms: I developed a parodic abscess and was admitted to the hospital and put on a bunch of different antibiotics. They did a procedure to try and drain the abscess. I am still on antibiotics for another week. I will follow up with my doctor.

Other Meds: Yes, Lipitor

Current Illness: No

ID: 1655923
Sex: M
Age: 67
State: KY

Vax Date: 07/28/2021
Onset Date: 08/16/2021
Rec V Date: 08/30/2021
Hospital: Y

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

Lab Data: DIAGNOSED WITH ARDS ABNORMAL CXR AND POSITIVE PCR FOR COVID-19

Allergies: UNKNOWN

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: PRESENTED TO ER WITH RUNNY NOSE, COUGH, SHORTNESS OF BREATH AND LOSS OF TASTE AND SMELL. HE WAS ADMITTED TO THE MEDICAL CENTER ON 8/16/2021 WITH COVID-19, VIRAL PNEUMONIA AND RESPIRATORY FAILURE. HE CLAIMS TO HAVE HAD THE J&J VACCINE ON 7/28/21, BUT THERE IS NO RECORD OF IT. HE HAD CONTACT WITH HIS CHILDREN WHO ARE ALL COVID-19 POSITIVE

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1655924
Sex: M
Age: 22
State: MI

Vax Date: 05/04/2021
Onset Date: 08/29/2021
Rec V Date: 08/30/2021
Hospital:

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

Lab Data: Per patient, at home COVID testing using test kit around 8/15/21 (unsure exact date) and positive PCR test on 8/29/2021.

Allergies:

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

Symptoms: Patient presented to the hospital for unrelated reasons and was tested for COVID on 8/29/21 which resulted positive. He reported he was positive 2 weeks ago with an at home test. Upon further investigation, his siblings in the house were COVID+ at the time and he had headache and loss of taste/smell so he used an at home test kit.

Other Meds:

Current Illness:

Date Died: 08/29/2021

ID: 1655925
Sex: M
Age: 53
State: FL

Vax Date: 08/27/2021
Onset Date: 08/29/2021
Rec V Date: 08/30/2021
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: none

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

Symptoms: patient came to the ED in cardiac arrest, patient expired

Other Meds: crestor, prozac, nefazondone, lopressor

Current Illness: unknown

ID: 1655926
Sex: F
Age: 24
State: IL

Vax Date: 01/14/2021
Onset Date: 01/17/2021
Rec V Date: 08/30/2021
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: Unevaluable event

Symptoms: Left arm feels numb about 3 days after the 3rd dose of HPV and last for a night before the symptom resolved. No medication or treatment involved. Strong vertigo and nausea when head laying flat or when standing up and walking around. Symptoms are similar to BPPV but not confirmed. Symptoms started about 4-5 days after the 3rd dose of HPV and continued for 2-3 days before the symptoms resolved. No medication or treatment involved.

Other Meds: Ibuprofen for menstrual cramps

Current Illness: none

ID: 1655927
Sex: F
Age: 54
State: TX

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

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

Lab Data: None

Allergies: None

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

Symptoms: After about an hour I started to feel pressure on the left side of my neck up to my left jaw. My left arm was swollen and my blood pressure was at 135/85, my BP is usually 110-60 or lower. I had taken it before the vaccine and it was 97/63. I still feel pressure, stiffness on my neck, this after almost 24 hrs.

Other Meds: Synthroid and Vitamin C

Current Illness: None

ID: 1655928
Sex: M
Age: 51
State: KY

Vax Date: 04/15/2021
Onset Date: 08/14/2021
Rec V Date: 08/30/2021
Hospital: Y

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

Lab Data:

Allergies: Bee's, Wasps

Symptom List: Injection site pain, Pain

Symptoms: patient vaccinated for COVID (4/15 and 3/12), admitted 8/14, tested positive for COVID 8/14/2021. discharged 8/28 to home Pt was diagnosed with COVID-19 on 07/22. This is just to report that the pt got the vaccine. Date of COVID-19 test 07/22 Date of admission: 08/14 Admitted for cough and SOA due to COVID and bacterial PNA- started on abx and dexamethasone History Of Present Illness Patient is a 51 y.o. male with a PMH of HTN and small lymphocytic lymphoma. He was diagnosed with Covid on July 22. (Previously vaccinated with moderna 3/13, 4/15) His symptoms started two days prior on July 20 with with nasal and sinus congestion. He states he finished quarantine on 8/1 and seemed to be symptom free, then on 8/8 he started to feel fatigued and developed fever/chills, SOA with talking or exertion and a dry cough. He had a telehealth appointment with his oncologist on 8/10 due to not feeling well enough to make his appointment in person and was advised to be monitor his symptoms and present for further care if he did not improve. Since the fevers did not improve he presented to the local ED on 8/11. There they did a CXR and diagnosed him with pneumonia. They started him on cefdinir and azithromycin PO. He also contact his ID physician who advised him to have a CT chest done for further evaluation. He states the CT was completed on 8/12 and the provider who completed the exam started him on oral steroids due to findings of bilateral pneumonia. He had two days of steroids and did not have any doses this morning. He did take his abx this morning. Currently he continues to endorses the above symptoms and reports that he has had fevers on a daily basis since the 8th, up to 102.9. He states the fever breaks with tylenol but then comes back. His cough is non-productive. He denies rashes, HA, URI symptoms, wheezing, pleuritic pain or chest pain, abdominal pain, N/V or constipation. He does report some diarrhea with the abx. He states he has not had his chemo medications since he started feeling so sick. Patient is a 51 y.o. male with a PMH of HTN and small lymphocytic lymphoma. He was diagnosed with Covid on July 22 after onset of congestion July 20 and symptoms largely resolved by 8/1 when he completed his quarantine. Then on 8/8 he developed fatigue, fever, chills, SOA and a dry cough. He went to his local ED on 8/11 and was diagnosed with pneumonia and sent out with azithromycin and cefdinir. He had a Chest CT done the following day 8/12 at the recommendation of his ID physician. The CT showed bilateral pneumonia so he was also given steroids. He presents today due to continued fevers up to 102.9 and lack of symptomatic improvement. On presentation, his RR is elevated at 27 and oxygen saturation is stable at 96%. He is otherwise afebrile and hemodynamically stable. Initial labwork notable for normal WBC, mild normocytic anemia, elevated inflammatory markers (ferritin 1961, LDH 351, CRP 87.6), CMP with mild hyponatremia, hypokalemia (K 3.5), lactate, BNP and troponin WNL. VBG without acidosis or alkalosis. Chest x-ray was obtained showing bilateral infiltrates with possible right upper lobe consolidation. EKG shows sinus rhythm with PVC, no visualized ST elevation/depression. Blood cultures were obtained and empiric abx started with cefepime and vancomycin. Covid-19 infection with concern for co-existing bacterial pneumonia -Covid + 7/22, sx of congestion resolved by 8/1, new onset of cough, fever, chills, SOA, starting 8/8, dx with CAP at outside ED 8/11, started on azithromycin and cefdinir, reportedly had CT done 8/12 showing bilateral pneumonia and started on steroids -afebrile, RR elevated, oxygen stable on RA. Exam with rales most prominent in the left upper lobe consistent with infiltrate noted on 8/5 PET. Inflammatory markers elevated as above. -X-ray 8/14 personally visualized. Report notes ?Bilateral patchy airspace disease, with right upper lobe consolidation. Atypical infectious etiology should be considered. Follow-up to radiographic resolution is recommended.? -follows with ID outpatient, Dr. who advised admission for infectious work-up and treatment -Covid and respp pending, not meeting criteria for remdesivir Plan: -obtain ambulatory saturation and procalcitonin -ID aware of patient, will consult formally in am, appreciate continued recs -obtain records and CT report in am -follow blood cultures -fungal serology, Abs and beta glucan ordered -urine legionella, strep and histo pending -continue empiric abx with vancomycin and cefepime -continue azithromycin, final dose of z-pack tomorrow morning -continue dex 6m daily PO -initiate supplemental oxygen as needed to maintain saturation >92% -symptoamtic management with benzonatate pearls for dry cough Small lymphocytic lymphoma -follow with oncology, on chemotherapy with obinutuzumab, per chart review last seen 8/10 -PET/CT 8/5 showed slight decrease lesions suggestive of response to treatment. Interval development of multiple hypermetabolic left lower lobe pulmonary opacities also noted and likely representing inflammatory or infectious process in the acute setting. -chemo infusion planned for 8/11 cancelled due to acute illness, will consider resuming once illness resolves Plan: -oncology aware of admission, will consult formally in am -continue to hold chemotherapy in setting of acute infection Hypokalemia -potassium 3.5 -replace 40meq PO -continue to monitor and replace as needed Morbid obesity - BMI 41.05, complicates all aspects of care Review of Systems Constitutional: Positive for chills and fever. Negative for unexpected weight change. HENT: Negative for congestion, rhinorrhea, sinus pressure, sinus pain, sore throat and trouble swallowing. Eyes: Negative for visual disturbance. Respiratory: Positive for cough and shortness of breath. Negative for wheezing. Cardiovascular: Negative for chest pain and leg swelling. Gastrointestinal: Positive for diarrhea (following abx). Negative for abdominal pain, blood in stool, constipation, nausea and vomiting. Genitourinary: Negative for difficulty urinating and dysuria. Musculoskeletal: Negative for joint swelling. Skin: Negative for rash and wound. Neurological: Negative for dizziness, weakness, light-headedness, numbness and headaches. Hematological: Does not bruise/bleed easily. Psychiatric/Behavioral: Negative for confusion. Hospitalization Admit Date/Time: 8/14/2021 1:24 PM Discharge Date: 8/28/2021 Referring provider name and address: No referring provider defined for this encounter. Chief Concern, Brief History of Present Illness, and Hospital Course Patient is a 51 y.o. male who was admitted on 8/14 with a breakthrough COVID-19 infection despite Moderna vaccination. He required high flow nasal cannula and ICU care. He completed a course of dexamethasone (including escalation to ARDS dosing) and remdesivir. He also received treatment for hospital-acquired pneumonia. He has now improved, and has been weaned to room air. Acute hypoxic respiratory failure, due to severe COVID-19 pneumonia in an immunocompromised host S/p Moderna vaccination in 3-4/2021 S/p dexamethasone and remdesivir here Completed ARDS dosing of dexamethasone on 8/28 Now on room air Hospital acquired pneumonia Infectious workup was negative S/p vancomycin and cefepime

Other Meds: vitamin E, Vitamin D-2, Vitamin A, zinc gluconate, azithromycin, cefdinir, predisone

Current Illness:

ID: 1655929
Sex: F
Age: 14
State: SC

Vax Date: 08/29/2021
Onset Date: 08/29/2021
Rec V Date: 08/30/2021
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: no known allergies

Symptom List: Injection site pain, Menorrhagia

Symptoms: Patient started feeling light headed after vaccine was administered. Patient then fainted a couple of times, coming to about 30 seconds after fainting. Patient also experienced nausea, blurred vision, ears tingling, throat dry, sweating/chills, shaking, and cold skin. Patient laid back in chair and drank plenty of fluids while we monitored her. We eventually called EMS to come check her out and her vitals were all good. Patient's mother was going to call pediatrician and take her to see them or go to urgent care. Patient was able to walk out and felt better when leaving.

Other Meds: No medications that we were aware of patient taking.

Current Illness: none

ID: 1655930
Sex: M
Age: 11
State: MN

Vax Date: 08/25/2021
Onset Date: 08/25/2021
Rec V Date: 08/30/2021
Hospital:

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

Lab Data: n/a

Allergies: NONE

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

Symptoms: The guardian filling out the vaccine consent form with a date of birth of not exact to meet the criteria for the Pfizer Covid19 immunization. The form was signed by the mother. I tried to reach the mom of the patient on 08/27/2021 to confirm the date of birth. I left a message to call me back at the pharmacy. I was able to reach the mom on 08/30/2021. Mom informed me that the wrong date of birth was on the form and that she must have mistakenly put it in for a sibling of the patient. The actual date of birth is exact. There were no reported adverse effects of the vaccine. I also informed the mom that under current guidelines that I was not able to provide the second shot to the patient since he did not meet the age requirements.

Other Meds: unknown

Current Illness:

ID: 1655931
Sex: F
Age: 90
State: WI

Vax Date: 03/08/2021
Onset Date: 07/23/2021
Rec V Date: 08/30/2021
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: chest xray showed right lower lobe infiltrate, daily CMP, daily CBC, CRP, Procalcitonin, D-dimer, INR, blood gas, lactic acid, blood culture

Allergies: Penicillin, adhesive, diclofenac, sulfa, vioxx, proparacaine,

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Dry cough, body aches, chills, decreased PO intake, worsening fatigue. Exposed to unvaccinated family and tested positive for COVID on 7/23. New hypoxia reported on admission (six days of symptoms). Completed two doses of remdesivir (discontinued due to reports of bradycardia) and four doses of dexamethasone during admission.

Other Meds: Alprazolam, Symbicort, vitamin B12, fentanyl patch, gabapentin

Current Illness: Bilateral lower extremity edema

ID: 1655932
Sex: F
Age: 22
State: NY

Vax Date: 08/29/2021
Onset Date: 08/30/2021
Rec V Date: 08/30/2021
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: Fainting, dizziness, nausea, minor chest pain sporadically

Other Meds: None

Current Illness: None

ID: 1655933
Sex: F
Age: 57
State: WA

Vax Date: 04/02/2021
Onset Date: 04/30/2021
Rec V Date: 08/30/2021
Hospital:

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

Lab Data: None

Allergies: None known

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

Symptoms: Hives onset on 4/30 all over (scalp to upper legs). Outbreak of hives has continued since then, sometimes painful with bruising. Had one course of steroids and taking daily antihistamine.

Other Meds: Aspirin-81 mg once daily Amlodipine 5 mg once daily hydrocholorothiazide 12.5 mg once daily

Current Illness: None

ID: 1655934
Sex: M
Age: 78
State: MI

Vax Date: 02/05/2021
Onset Date: 08/14/2021
Rec V Date: 08/30/2021
Hospital: Y

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

Lab Data: SARS-CoV-2 (COVID-19) by NAA, Micro detected on 8/28/21 CT chest shows:Diffuse bilateral groundglass opacity concerning for infectious/inflammatory process including atypical pneumonia such as Covid 19.

Allergies:

Symptom List: Nausea

Symptoms: Patient developed symptoms of covid around 8/14 including shortness of breath and cough, then presented to Emergency Center on 8/28 where he tested positive for COVID-19 despite being previously vaccinated. He is currently on high-flow oxygen 15L ( as of 8/30/21)

Other Meds:

Current Illness:

ID: 1655935
Sex: F
Age: 75
State:

Vax Date: 01/18/2021
Onset Date: 08/29/2021
Rec V Date: 08/30/2021
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: -this is a 75-year-old female with past medical history of hypertension, hyperlipidemia, epilepsy, depression, cholelithiasis, dementia, resident of assisted living facility, hospice care patient, obesity. She came to the hospital with a chief complaint of altered mental status. Based on the report obtained from the staff at the assisted living facility the patient's functional status has been declining over the last several days. Usually, the patient was able to walk with the help of assistance. Patient was reported to be more altered as compared to the usual baseline. She is under hospice care due to advanced dementia. Tested positive on 8/29/2021. This is a 75-year-old female with past medical history of hypertension, hyperlipidemia, epilepsy, depression, cholelithiasis, dementia, resident of assisted living facility, hospice care patient, obesity. She came to the hospital with a chief complaint of altered mental status. Based on the report obtained from the staff at the assisted living facility the patient's functional status has been declining over the last several days. Usually, the patient was able to walk with the help of assistance. Patient was reported to be more altered as compared to the usual baseline. She is under hospice care with Vitas due to advanced dementia. She was living with daughter 2 months ago. Moved to ALF and had a fall. then had covid so was in isolation. Unsteady on feet. Recent hospice with Vitas at ALF due to worsening dementia. She was not eating much. Patient was diagnosed with COVID infection on August 7.

Other Meds: nystatin

Current Illness:

ID: 1655936
Sex: F
Age: 70
State: KY

Vax Date: 02/25/2021
Onset Date: 08/24/2021
Rec V Date: 08/30/2021
Hospital:

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

Lab Data:

Allergies: UNKNOWN

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

Symptoms: POSITIVE COVID

Other Meds: UNKNOWN

Current Illness: OSTEOARTHRITIS

ID: 1655937
Sex: M
Age: 90
State: MT

Vax Date: 02/18/2021
Onset Date: 08/24/2021
Rec V Date: 08/30/2021
Hospital: Y

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

Lab Data: Ordered Test: SARS-CoV-2 (COVID-19) RNA [Presence] in Respiratory specimen by NAA with probe detection Ordered Test Codes: 94500-6 (LN LOINC)/ Status: Final Accession Number: F2021-015551 Specimen Source: Anterior Nasal (AN) Swab Specimen Site: Specimen Collection Date/Time: 2021-08-20 12:00:00.0

Allergies: No known drug allergies

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

Symptoms: Case completed 2 dose Pfizer vaccine series on 2/18/21, and was admitted to hospital on 8/24/21 for Respiratory failure related to Covid diagnosis.

Other Meds: 1. Albuterol 90 mcg 2 puffs inhaled q.2 hour p.r.n. wheezing. 2. Symbicort 160/4.5 mcg 2 puffs inhaled b.i.d. 3. Furosemide 20 mg p.o. daily. 4. Spiriva 18 mcg inhaled daily.

Current Illness: 1. COPD with chronic hypoxic respiratory failure requiring 2-3 liters of oxygen at baseline. 2. Former smoker. 3. Hard of hearing. 4. Prostate cancer, in remission.

ID: 1655938
Sex: F
Age: 40
State: MO

Vax Date: 08/27/2021
Onset Date: 08/27/2021
Rec V Date: 08/30/2021
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: Morphine and something in the contrast dye used for CT scans.

Symptom List: Tremor

Symptoms: Dizziness/vertigo beginning within an hour of the injection and still happening.

Other Meds: Acetaminophen, ibuprofen, albuterol inhaler + ampules, levothyroxine

Current Illness: None

ID: 1655939
Sex: F
Age: 13
State: FL

Vax Date: 08/08/2021
Onset Date: 08/10/2021
Rec V Date: 08/30/2021
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 as of you.

Allergies: Gabapintin Wheat and milk

Symptom List: Erythema, Pruritus

Symptoms: Zoey began being nauseous and vomiting on August 10. We have taken her to the PCP 2 times for the vomiting and the gastroenterologist. She vomits each day 2-7 times, has lost 12 pounds in 20 days, headaches and dehydration. There is currently no official diagnosis and the treatments are on going.

Other Meds: None

Current Illness: None

ID: 1655940
Sex: M
Age: 79
State:

Vax Date: 03/29/2021
Onset Date: 08/27/2021
Rec V Date: 08/30/2021
Hospital: Y

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

Lab Data:

Allergies: Contrast dye, penicillin

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

Symptoms: -he came to the hospital with a chief complaint of altered mental status. That happened today while he was having his dialysis at the dialysis center. This was reported by the staff at the dialysis center. Patient's daughter was called by the dialysis center staff reporting that the patient was confused. This was not his baseline. Due to altered mental status he was sent to the hospital by ambulance for further evaluation and treatment. According to the patient's daughter who provided me entire history on the phone the patient has these episodes of altered mental status every time he has urinary tract infection. He has history of multiple urinary tract infection. Tested positive on 8/27/2021. He came to the hospital with a chief complaint of altered mental status. That happened today while he was having his dialysis at the dialysis center. This was reported by the staff at the dialysis center. Patient's daughter was called by the dialysis center staff reporting that the patient was confused. This was not his baseline. Due to altered mental status he was sent to the hospital by ambulance for further evaluation and treatment. According to the patient's daughter who provided me entire history on the phone the patient has these episodes of altered mental status every time he has urinary tract infection. He has history of multiple urinary tract infection in the past. History taking was extremely limited from the patient due to metabolic encephalopathy. Most of the history was obtained from the previous medical records in the patient's daughter on the phone. Apart from altered mental status no other symptoms were reported.

Other Meds:

Current Illness:

ID: 1655941
Sex: F
Age: 34
State: TX

Vax Date: 07/18/2021
Onset Date: 07/18/2021
Rec V Date: 08/30/2021
Hospital:

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

Lab Data: appointment for neruo9/21/2021

Allergies: no

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

Symptoms: on July 18th had vaccination and had 3 days of chills and fever and left arm hurting . chills and fever went away ,but whole left side is in pain. migraines and chest pains increased. Shortness of breath and memory loss. Went to ER 8/5/2021 and saw PCP on the same day .

Other Meds: Tylenol

Current Illness: no

ID: 1655942
Sex: M
Age: 69
State: MN

Vax Date: 03/10/2021
Onset Date: 08/28/2021
Rec V Date: 08/30/2021
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: Coronavirus 2 PCR Detect, V symptomatic POSITIVE

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Transferred from outside ED after a witnessed fall down 8 steps

Other Meds:

Current Illness:

ID: 1655943
Sex: M
Age: 26
State: FL

Vax Date: 07/23/2021
Onset Date: 07/23/2021
Rec V Date: 08/30/2021
Hospital:

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

Lab Data: 24-Jul-2021: Outpatient emergency care performed urinalysis, EKG, blood work with a focus on troponin levels, and COVID-19 test, and provided IV saline solution and 650 mg Tylenol. Urinalysis: Normal. EKG: Sinus tachycardia. Blood work: Overall normal. Neutrophil levels elevated. Troponin normal. COVID-19 PCR Test: NEGATIVE. 5-Aug-2021: Blood work tests completed: ESR, CBC, WBC, BMP, CRP, and eGFR. Results normal. WBC displayed slightly decreased lymphocytes and slightly elevated monocytes. 6-Aug-2021: CT scan of abdominal/pelvis performed with barium solution and IV contrast (Isovue-370, 80.00 cc). CT results showed no significant abnormalities detected. 23-Aug-2021: Outpatient emergency care performed EKG, heart monitor, orthostatic blood pressure checks, and blood work with a focus on troponin. EKG: Normal Blood pressure: Normal Blood work: Overall normal. Troponin normal. Heart monitor: Normal 25-Aug-2021: EKG performed at primary care visit. EKG displayed occasional PAC, but considered benign and asymptomatic. QT/QTc was normal.

Allergies: Amoxicillin

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

Symptoms: 23-Jul-2021: Vaccine administered on upper left arm at 3:00 PM. No allergic reaction. At around 4-6 pm, I felt some sort of mild temperature sensation in the forearms, especially on the left arm. Sensations went away after urinating. At 11:00 PM, I went to bed and shortly after started to have a low-grade fever (100.4 F) accompanied with elevated heart rate (110-120 bpm), headache, and body aches with emphasis at certain locations throughout the night: legs, chest, upper abdominal, arms, lower back. I was able to get up and move around as needed. Took 500 mg Tylenol and lots of water. At 5:00 AM, I walked over to my neighbors apartment and spent the night there in case of any emergency. I hardly slept that night due to the pain. 24-Jul-2021: Symptoms persisted overnight into the next morning, but fever had lessened slightly to about 99.9 F. I became concerned when I still was feeling a high heart rate accompanied with aches near my chest. At 8:30 AM, I went to an outpatient emergency care to checked for any serious issues. Staff performed urinalysis, EKG, blood work w/ a focus on troponin levels, and PCR COVID-19 test, and provided IV saline solution and 650 mg Tylenol. Results came back normal besides an elevated level of neutrophils due to immune response. PCR COVID-19 test showed NEGATIVE. During my visit, aches were lessening, especially the chest/upper abdominal aches. I was discharged at around 2:00 PM and proceeded to get food. Later that night, I experienced dull pain and discomfort in my head and arms and my hands were cold indicating an immune response. I took 200 mg Advil to help alleviate symptoms, but it was an ineffective low-dose. Symptoms subsided sometime in a few hours, but I hardly slept that night too. 25-Jul-2021: Continued to take 500 mg Tylenol and plenty of fluids. Immune response continued to persist at the evening/night time and then eventually subside. Felt nausea and loss of appetite. 26-Jul-2021: Visited urgent care at 7:00 AM and described symptoms to PA. PA checked vitals, which showed normal, and stated that it sounded like a normal vaccine reaction. I later visited a primary care doctor at 4:00 PM. He saw vitals were normal and asked if my symptoms were worsening. I stated that I felt they were slightly getting better, and the doctor noted everything as a normal vaccine reaction. In the evening/nighttime I experienced an immune response again with difficulty in eating. 27-Jul-2021 ? 3-Aug-2021: Difficulties in eating and triggered immune responses persisted. I started taking 30 mg Zinc, 1000 mg Vitamin C, and 5000 IU Vitamin D3 since 7/30/2021. Severity of immune response symptoms are lessening over time and becoming less frequent. Sleep is gradually improving. 4-Aug-2021: Experienced immune response, especially with tender and warm aches in the upper abdominal sometime after consuming a milkshake in the evening. Upper abdominal aches and pain persisted throughout the night with some heartburn. Took Tums which provided mild relief. 5-Aug-2021: Strong loss of appetite resulting in very minimal food consumption with long periods of fasting. Visited primary care doctor and had blood work completed (CBC, WBC, ESR, CRP, and EFGR). Blood work showed normal results with the exception of slightly elevated monocytes and slightly lowered lymphocytes outside of respective reference range. 6-Aug-2021: Visited gastrointestinal (GI) doctor and described symptoms. GI doctor palpated abdominal area, which elicited only discomfort and not pain. He prescribed 40 mg Pepcid. He ordered CT scan of abdominal/pelvic at my request. CT scan was performed with barium solution and IV contrast (Isovue-370, 80.00 cc). CT results showed no significant abnormalities detected. Noticed a slight increase in appetite and lessened severity in immune response. 8-Aug-2021-9-Aug-2021: Slight appetite continued, but small meals were consumed. Mild chest tightness occurred during the evening, especially after moving around at a quickened pace. Diastolic blood pressure was elevated after movement (85-95), but subsided to normal ranges (75-80) when achieving rest. Breathing felt mostly normal. Mostly felt tired and some sort of slight heaviness in the chest. Started taking 40 mg Pepcid. 10-Aug-2021-11-Aug-2021: Mild fatigue and aches in the upper abdominal and chest during the morning. No difficulties in working and moving equipment in hot temperatures. Felt more fatigue and muscle aches the next day. 16-Aug-2021-20-Aug-2021: Took methylprednisolone (4 mg dose pack) 24 mg on first day and had painful hot flashes overnight, primarily on the upper body. Discontinued medication, but still experienced burning nerve pain that diminished with time. 23-Aug-2021-24-Aug-2021: Noticeable return in appetite. Felt like I was back to my usual health prior to vaccination. Experienced heart palpitations with periods of bradycardia (35-40 BPM RHR) mostly in the evening; however, likely related to Sertraline (Zoloft) 25mg that I started on 20-Aug-2021. Visited outpatient emergency care at doctor's recommendation. Outpatient emergency care performed EKG, heart monitor, orthostatic blood pressure checks, and blood work with a focus on troponin. Results came back normal. 25-Aug-2021: Visited primary care doctor and had EKG performed. EKG displayed occasional PAC, but considered benign and asymptomatic. 30-Aug-2021: Fully recovered from any vaccine side effects.

Other Meds: None

Current Illness: None

ID: 1655944
Sex: F
Age: 54
State: NC

Vax Date: 08/26/2021
Onset Date: 08/26/2021
Rec V Date: 08/30/2021
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: nka

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

Symptoms: About 3 hours after getting vaccine, patient started having swelling in corner of left eye. She went to ER & it was noted that left side of face was drooping some, and tongue was pulling to left side as well. She chose not to be admitted to ER, and instead went home & took some Benadryl. Woke up with similar problem next morning, continues to get a little better each day, even today 8/30/2021. Not completely recovered, but doing better

Other Meds: on Gleevec for cancer

Current Illness:

ID: 1655945
Sex: F
Age: 67
State: NY

Vax Date: 02/23/2021
Onset Date: 06/18/2021
Rec V Date: 08/30/2021
Hospital:

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

Lab Data: The biopsy, ultrasound, MRI, Monogram

Allergies: Dye; copper; nickel

Symptom List: Pain in extremity

Symptoms: Left breast had a suspicious growth on ultrasound, had a biopsy in July result benign Adenmyoepithelioma.

Other Meds: Plaquenil; Sildenafil; aspirin; turmeric; Vitamin B 12 complex; Vitamin D; Letrozole eye drop; Tylenol

Current Illness: High blood pressure; Light breast mastectomy's; Diverticular

ID: 1655946
Sex: F
Age: 83
State:

Vax Date: 02/05/2021
Onset Date: 08/29/2021
Rec V Date: 08/30/2021
Hospital: Y

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: Brought to the emergency department from the facility, after patient was found to be very lethargic, acutely altered, and diarrhea. On admission patient was found to have sirs criteria (+) with leukocytosis and lactic acidosis (2.7). Elevated troponin (82) which is above her baseline; EKG shows no ST segment changes or any T-wave inversions. Found to have AKI on admission (creatinine 1.67; baseline creatinine and 0.76). Hemodynamically stable on admission; saturating well on room air; found to have hyperkalemia and hypernatremia (161). CT of the brain showed no acute infarct or hemorrhage. Chest x-ray with No cardiopulmonary disease identified. In the emergency ICU physician was COVID Tested positive on 8/29/2021. 83-year-old female past medical history: dementia; advance, hypertension, history of CVA; hyperlipidemia, diabetes mellitus; type 2, depression; anxiety, chronic GERD, left bundle-branch block, lives at assisted living facility for the last 9 years, son is POA; -(+) COVID-19 2 weeks ago. Brought to the emergency department from the facility after patient was found to be very lethargic, acutely altered, and diarrhea. On admission patient was found to have sirs criteria (+) with leukocytosis and lactic acidosis (2.7). Elevated troponin (82) which is above her baseline; EKG shows no ST segment changes or any T-wave inversions. Found to have AKI on admission (creatinine 1.67; baseline creatinine and 0.76). Hemodynamically stable on admission; saturating well on room air; found to have hyperkalemia and hypernatremia (161). CT of the brain showed no acute infarct or hemorrhage. Chest x-ray with No cardiopulmonary disease identified. In the emergency ICU physician was consulted who recommended to manage on PCU floor due to institutional limitations in the setting of COVID-19.

Other Meds: miconazole topical

Current Illness:

ID: 1655947
Sex: M
Age: 14
State: IN

Vax Date: 08/28/2021
Onset Date: 08/30/2021
Rec V Date: 08/30/2021
Hospital:

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

Lab Data:

Allergies: None that I know of.

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

Symptoms: Swollen eye lids, hives, stomach pain and headache.

Other Meds: Famotidine 40 MG once daily since 8/24/21

Current Illness: Had a rash on his back the day after his 1st vaccine on 8/2.

ID: 1655948
Sex: F
Age: 82
State:

Vax Date: 02/18/2021
Onset Date: 08/27/2021
Rec V Date: 08/30/2021
Hospital: Y

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

Lab Data:

Allergies: penicillin

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

Symptoms: This is a 82-year-old female with past medical history of hypertension, advanced dementia, anxiety, depression, glaucoma, severe protein energy malnutrition, pre diabetes, resident of assisted living facility. She came to the hospital with a chief complaint of progressive worsening altered mental status since this morning. According to the staff from the assisted living facility the patient was unresponsive and not acting like her usual self. Usually the patient is aware regarding her surroundings and can behave accordingly. This morning the patient was completely not responding to the verbal stimuli so the nursing staff was concerned and sent her to the hospital via ambulance. Tested positive on 8/27/2021. This is a 82-year-old female with past medical history of hypertension, advanced dementia, anxiety, depression, glaucoma, severe protein energy malnutrition, pre diabetes, resident of assisted living facility. She came to the hospital with a chief complaint of progressive worsening altered mental status since this morning. According to the staff from the assisted living facility the patient was unresponsive and not acting like her usual self. Usually the patient is aware regarding her surroundings and can behave accordingly. This morning the patient was completely not responding to the verbal stimuli so the nursing staff was concerned and sent her to the hospital via ambulance. The patient has been in the isolation unit in the assisted living facility due to COVID-19 positive status for the last 2 weeks. She has been vaccinated with 2 doses of Pfizer. The patient has not been reported to be having any other symptoms otherwise apart from diarrhea from the nursing home staff. History taking was not possible from the patient due to metabolic encephalopathy. Most of the history was obtained from the patient's daughter on the phone and the emergency room provider and previous medical records.

Other Meds:

Current Illness:

ID: 1655949
Sex: F
Age: 77
State: TN

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 08/30/2021
Hospital:

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

Lab Data: Hearing test,

Allergies: seasonal allergies

Symptom List: Vomiting

Symptoms: Woke up right before midnight with roaring in my ears and kept me awake for several hours, I did called VAERS no report taken. After 2nd dose, I developed tinnitus. I didn't do anything after. I figured it would go away. I went on a trip that was at higher elevation the where I live and experienced hearing loss in the left ear. When I got back home I called my primary doctor and scheduled an appt and she referred me to audiology. The audiologist gave me a hearing test and that in point time we decided not to do anything. That it could go away. It has not gone away so I am going back. I still have ringing in my ears and hearing loss, as well as a dull earache. I also have developed an ulcer in the left side of my mouth. I went to the dentist and he gave me an antibiotic and the pain would not go away and it got worse. I ended up developing bone spurs which dentist had to remove.

Other Meds: Calcium 600mg 2x daily; Omeprazole 20mg daily; Pravastatin 20mg daily; Vitamin d3 2000 IUs daily; Losartan 100mg daily; Low dose Aspirin 80mg daily; Loratadine 10mg daily; Labetalol 100mg 2x daily; Garlic tabs 1000mg daily; Zinc 50mg daily

Current Illness: parasite infection in stomach- went on trip at a resort ate raw oysters. was diagnosed with a was given medication and it cleared up.

ID: 1655950
Sex: M
Age: 86
State:

Vax Date: 04/11/2021
Onset Date: 08/26/2021
Rec V Date: 08/30/2021
Hospital: Y

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

Lab Data:

Allergies: DIGOXIN,ENTRESTO, PENICILLIN

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: 86-year-old male past medical history: -cirrhosis liver; decompensated; (outpatient paracentesis) -CHF -coronary artery disease -mitral valve ring -hypertension -atrial fibrillation; paroxysmal (warfarin) -chronic anticoagulation (Coumadin) -echocardiogram; 02/03/2021: LVEF: 50%; severe tricuspid regurg; -received a Johnson & Johnson vaccine in February Presents to the hospital with cough, difficulty breathing. Onset roughly 2 weeks ago. Reports that he was diagnosed with COVID-19. States that everyone in his household was tested (+) for COVID-19. Recently had wife passed away from COVID-19. On admission patient was found to be atrial fibrillation with RVR (122). Hemodynamically stable. Met sirs criteria infectious source (tachycardia; tachypnea; (+) COVID-19). ABG showed no hypoxia. Patient was started on 2 L. as he was struggling using accessory muscles for breathing. Identified mild anemia; elevated troponin (40); EKG showed no ST segment changes or T-wave inversions; atrial fibrillation identified. Chest x-ray showed elevation of right hemidiaphragm. Streaky right basilar opacities. Additionally, patient reports that he gets outpatient paracentesis roughly every 2 months. It has been 2 months since his last paracentesis.

Other Meds:

Current Illness:

ID: 1655951
Sex: M
Age: 16
State: OH

Vax Date: 07/20/2021
Onset Date: 07/20/2021
Rec V Date: 08/30/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Within an hour of 1st dose he threw up. From that point on his gag reflex has been extremely sensitive and he often throws up or feels too nauseous to eat much. He has received the complete 2 shot series. 1st dose on 7/20/2021 , 2nd dose on 08/10/21 These symptoms have been consistent for over a month since the first dose. He has never had these symptoms historically until after the first dose.

Other Meds: vitamin c and cod liver oil

Current Illness:

ID: 1655952
Sex: M
Age: 32
State: WA

Vax Date: 08/23/2021
Onset Date: 08/26/2021
Rec V Date: 08/30/2021
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: 1. Right upper lobe and right lower lobe subsegmental pulmonary thromboemboli. 2. Superior segment left lower lobe 7 mm pulmonary nodule. Recommend: 6 month follow-up CT scan of the chest to document stability of the pulmonary nodule. Electronically Signed: 8/29/2021 2:11 PM Diagnostic Imaging Narrative EXAM DESCRIPTION: CT ANGIO CHEST W CONTRAST COMPLETED DATE: 8/29/2021 1:47 PM COMPARISON: None available. CLINICAL INFORMATION: PE suspected, intermediate prob, positive D-dimer TECHNIQUE: After the administration of 100 cc of Isovue-370, contrast enhanced CT angiography of the chest is performed with sagittal and coronal reconstructions. FINDINGS: 1. A 7 mm posterior segment left lower lobe pulmonary nodule is demonstrated. The lungs are otherwise clear. 2. The base of the neck and axilla structures are normal. 3. Right upper lobe and right lower lobe subsegmental pulmonary thromboemboli are demonstrated. The hilar and mediastinal structures are otherwise intact. 4. There is diffuse pancreatic atrophy. Diffuse fatty infiltration of the liver seen. The visible upper abdominal organs are otherwise intact. 5. The bony structures are intact. 08/29/2021 Component Your Value Standard Range Flag Na 141 mmol/L 136 - 145 mmol/L K 3.1 mmol/L 3.5 - 5.1 mmol/L L Cl 103 mmol/L 98 - 107 mmol/L CO2 29 mmol/L 21 - 31 mmol/L Anion Gap 12 mmol/L 5 - 20 mmol/L Glucose 90 mg/dL 74 - 109 mg/dL BUN 12 mg/dL 7 - 25 mg/dL Creatinine 1.29 mg/dL 0.7 - 1.3 mg/dL BUN/Creatinine Ratio 9 Calcium 9.9 mg/dL 8.6 - 10.3 mg/dL Protein, Total 7.7 g/dL 6.0 - 8.3 g/dL Albumin 4.8 g/dL 4.2 - 5.5 g/dL Globulin 2.9 g/dL 1.3 - 4.9 g/dL A/G Ratio 1.7 1.0 - 2.4 BILIRUBIN, TOTAL 0.6 mg/dL 0.3 - 1.0 mg/dL ALK PHOS 53 U/L 34 - 104 U/L AST 15 U/L 13 - 39 U/L ALT 18 U/L 7 - 52 U/L Estimated GFR >60 mL/min/1.73m2 >60 mL/min/1.73m2 Component Your Value Standard Range Flag DDIMER 657 ng/mL 0 - 400 ng/mL HH CRITICAL RESULT CALLED TO: READ BACK BY RN 1328 08/29/2021 Testing performed at Medical Center General Information Ordered by DO Collected on 08/29/2021 12:38 PM (Blood) Resulted on 08/29/2021 1:25 PM Result Status: Final result

Allergies: Hazelnuts

Symptom List: Injection site swelling, Limb discomfort

Symptoms: I was vaccinated on Monday August 23, started having shortness of breath midday on Thursday, heart palpitations midday on Friday, and midday Sunday I went to the ER for chest pains, dizziness, nausea, and shortness of breath. Chest xrays came back clean, EKG was normal, bloodwork was normal except for low potassium (3.1) and DDIMER at 657. Doctor ordered a CT scan which showed two small clots in my right lung. Diagnosed with accute pulmonary embolism with unspecified cause. Sent home after 3 hours with Apixaban 5mg (two pills twice daily for the first week) and told to follow up with PCP and Hematology clinic within 10 days.

Other Meds: Bupropion 300 mg

Current Illness: N/A

ID: 1655953
Sex: M
Age: 68
State: FL

Vax Date: 08/17/2021
Onset Date: 08/25/2021
Rec V Date: 08/30/2021
Hospital:

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

Lab Data: Slit lamp exam

Allergies: None

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

Symptoms: Meibomian gland dysfunction everted lid, conjunctivochalasis indeterminate chemosis 2+ both eyes

Other Meds: Doxazosin, tranzodone, montelukast, losartin

Current Illness: None

ID: 1655954
Sex: F
Age: 37
State: MI

Vax Date: 08/09/2021
Onset Date: 08/11/2021
Rec V Date: 08/30/2021
Hospital:

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

Lab Data: None

Allergies: None

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

Symptoms: Loss of taste and smell

Other Meds: Vitamin C Zinc

Current Illness: None

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am