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: 1656613
Sex: M
Age: 16
State: WA

Vax Date: 02/20/2021
Onset Date: 02/20/2021
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:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Came through during community vaccine clinic- this was #2 for this person- he and his father who was present after the first vaccine were spoken to after the first one was given too soon. The father stated he is older than his legal birthdate, he was adopted in and there were discrepancies regarding how old he actually was. After the first COVID vaccine the father was informed his son should not get the second vaccine until after he turned 18.

Other Meds:

Current Illness:

ID: 1656614
Sex: F
Age: 52
State: CA

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: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data: None yet

Allergies: NKA

Symptom List: Anxiety, Dyspnoea

Symptoms: intense headache and general malaise followed by a fever of 101.6. Chills and rash over torso and neck. Rash persists 48 hours later.

Other Meds: Protandim Nrf1 and Nrf2

Current Illness: None

ID: 1656615
Sex: F
Age: 65
State: CA

Vax Date: 08/01/2021
Onset Date: 08/04/2021
Rec V Date: 08/30/2021
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: none

Allergies: Cipro

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

Symptoms: Numbness and tingling in left foot after four days. Numbness and tingling spread to right foot after a week, then to both hands. Saw Dr on August 20 and received a Kenalog injection. Symptoms began subsiding within 3 days and are gone except for periodic numbness in left foot that remains today. Both Dr. and I have concerns about a stronger reaction with a second dose, so I do not plan to schedule that dose until there is better research on patients with existing chronic immune activation.

Other Meds: Synthroid; Cytomel; Bi-est; Testosterone; Progesterone; Zyrtec; Benadryl (only as needed for immune activation response of urticaria and pruritus); Multi-vitamin; Fish Oil; Zinc/Copper; Vit 5; Co-Q 10; Glucosamine

Current Illness: Immune activation response for over 6 years including urticaria and pruritus.

ID: 1656616
Sex: M
Age: 51
State: MT

Vax Date: 08/01/2021
Onset Date: 08/27/2021
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: None yet

Allergies: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: High pitch ringing in both ears. Never stops.

Other Meds: Multi vitamin Fish oil pill Glucosamine

Current Illness: None

ID: 1656617
Sex: F
Age: 41
State: OR

Vax Date: 01/17/2021
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: No

Allergies: Plastic allergy- petroleum distillates; propylene glycol; opioids (I have no test on that)

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

Symptoms: A couple of hours after 1st dose of Moderna, I had a headache and felt tired. The next day, on Monday, 01/18/2021, I still had a very bad headache, and I checked my blood pressure and it 170/90 it was about 01:00 PM. I noticed my lymph nodes started swelling up in my arms pits and it started getting worse. Since BP is a feature of my allergies. I checked my BP after I noticed I had swollen lymph nodes under my armpits. The headache was persistent for a couple of weeks. The lymph nodes never went down they just got worse. I usually manage my allergic reaction on my own, so I didn't see a doctor for the 1st dose of Moderna. Before the Moderna, dose 1, I felt pretty healthy. After the vaccination my health has just kept declining.

Other Meds: Allegra; metoprolol beta blocker; losartan; metformin; Claritin

Current Illness: No

ID: 1656618
Sex: F
Age: 61
State: NM

Vax Date: 06/03/2021
Onset Date: 06/10/2021
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:

Allergies: None

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

Symptoms: one week after the shot on 6/3/10, the patient noticed a pain above her ear then a blank spot, dead center in her left eye. She saw an eye doctor on 8/28 and they found a blind spot and clot where it hemorrhaged; bruising on both arm

Other Meds: Prilosec

Current Illness:

ID: 1656619
Sex: F
Age: 38
State: CA

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

Lab Data:

Allergies: no

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: None stated.

Other Meds: a black spot came in my hand and feel dizzy and i feel choose

Current Illness: i feel dizzy

ID: 1656775
Sex: F
Age: 23
State: NY

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

Lab Data:

Allergies: None

Symptom List: Pharyngeal swelling

Symptoms: Patient had a seizure within 15 minutes of vaccination. Ambulance came and took patient to hospital.

Other Meds: None

Current Illness: None

ID: 1656776
Sex: F
Age: 68
State: NY

Vax Date: 02/13/2021
Onset Date: 02/14/2021
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: allergies to some nuts, shellfish. seasonal allergies to grass and tree pollen

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: fine after the shot, went home and developed headache, general feeling of achiness and fatigue which worsened over the next four days. Was really too sick to do anything. Headache was the worst symptom which got worse as the days went on. After recovering initially, the headache came back off and on with no particular association with anything else, although I have no way of knowing if it was vaccine related. Headache became so bad on Friday July 30 that I suspected possible breakthrough covid, although a test the next day (the three day test) was negative. At that point saw an ENT who was not sure of the cause of the headache and treated for sinus infection.

Other Meds: hydrochlorothiazide

Current Illness: chronic sore throat and injury to neck causing pain and stiffness in shoulder and neck

ID: 1656777
Sex: F
Age: 28
State: GA

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

Lab Data:

Allergies: Cortisol steroids, yeast, bactrium provera

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Fever 102.3, massive headache that made Tylenol ineffective. Vomiting, nausea and itching all over the body with no visible rash

Other Meds: Lexapro, trazodone, vitamin c and zinc, vitamin d

Current Illness: None

ID: 1656778
Sex: F
Age: 67
State: GA

Vax Date: 02/24/2021
Onset Date: 03/01/2021
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: biosy on one knot

Allergies: Pencillin

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

Symptoms: 5 days after each of my Pzifer shots, a large syst type knot appeared on inner left arm below elbow.

Other Meds: Metformin - diabetes Avostatin - chlorestrol

Current Illness: Knee joint pain Allegry to weather - sinus headaches

ID: 1656779
Sex: F
Age: 28
State: OR

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: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: The pharmacist administered 1 mL instead of 0.5 mL on accident. The pharmacy receives the Pfizer shot syringes (1 mL) and the Moderna syringes (3mL). The pharmacy received new syringe products for 5mL and the labeling and color looked nearly identical to the 3mL syringe. Unfortunately, in a chaotically busy retail pharmacy, where patients want their vaccines and medications quickly. I was trying to be quick and administered the vaccine in a 5 mL syringe. The graduations in the 5 mL syringe are by 1 mL, so 1,2,3,4,5 mL. Each mL increases in increments of 0.2 mL, so 0.2, 0.4, 0.6, 0.8 and 1 mL. In the usual syringe, the first bold graduation is 0.5 mL (for the 3mL syringe). In the 5mL syringe, the first bold graduation is 1mL. I have been administering covid vaccines since February 2021. By habit, I drew up the vaccine to the first bold mark, but regretfully, this was 1mL instead of 0.5mL. My pharmacy manager and I are working on eliminating all syringes that are not suitable for measuring volume for the covid vaccine. We receive Pfizer and Moderna shot supplies via a large box that is automatically sent from corporate/CDC (to my knowledge). My pharmacy manager and I are both confused on why we would be sent vaccine supplies that are not suitable for covid vaccinations to begin with. It is almost like they are trying to create a situation for a pharmacist to measure an incorrect dose. Although it is ultimately my fault, I was placed in a hazardous situation, both with the work environment (due to short staffing and unrealistic expectations) and with the incorrect syringe supplies.

Other Meds:

Current Illness:

ID: 1656780
Sex: F
Age: 29
State: CA

Vax Date: 08/04/2021
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: Rapid Test for COVID 26th, at Pharmacy

Allergies: No

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

Symptoms: I kind of started feeling like I was having some allergies and a stuffy nose, but it wasn't that bad. That was starting on the 21st maybe. On the 25th, I woke up and I couldn't really breathe nose was completely clogged; postnasal drip was a lot (really bad) and making my throat sore. The 26th, I woke up feeling even worse. I had a rapid test done at Pharmacy and it came back positive for COVID. Doctor call recommended OTC cold medicine that doesn't contain decongestant, so I have been taking daytime and nighttime Robitussin. I completely lost sense of taste and smell. I do have a heavy chest and the congestion is making it kind of hard to breathe. Pregnancy history: I have been pregnant twice before had one miscarriage and one abortion. Estimated date of delivery for this pregnancy is November 5, 2021.

Other Meds: Prenatal Vitamins

Current Illness: No

ID: 1656781
Sex: F
Age: 32
State: NJ

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

Lab Data: none

Allergies: none reported

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

Symptoms: After 1st dose, patient's boyfriend reported patient wasn't feeling well and was feeling nauseous. In the next minute or two, patient threw up on floor - mostly clear fluids. Patient was conscious and verbally responsive - she reported no unusual diet/intake of food prior, no excessive movement i.e. nothing out of ordinary prior to vaccine. Patient felt a bit nervous prior to vaccine & reports being nervous around needles in general, although no reaction to vaccine reported. Patient's vitals were measured - temp was normal, BP was normal & pulse was normal as well. Technician had ice pack around patient neck & head & water was provided as well. Patient reported feeling better after throwing up & patient was put under observation with technician for another couple of minutes & upon reporting that she felt okay and had a guardian with her, she was released & provided copy of VAER.

Other Meds: lexapro, birth control

Current Illness: none reported

ID: 1656782
Sex: M
Age: 71
State: CA

Vax Date: 03/17/2021
Onset Date: 03/20/2021
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: None

Allergies: None

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

Symptoms: Weakness and constant pain at left arm injection site. Massaging the injection site doesn't relieve the symptoms.

Other Meds: Atorvastatin, Vitamin D

Current Illness: None

ID: 1656783
Sex: M
Age: 61
State: KY

Vax Date: 08/19/2021
Onset Date: 08/20/2021
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: don't know

Allergies: All oral antibiotics

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

Symptoms: Received vaccine on the 19th of August. On the 20th of August 25 hours later had a stroke. Flown to Medical Center. Left side was left useless. Can't move arm or leg. Can't see out of left eye.

Other Meds: Pravastatin 40 mg Citalopram 40 mg Pradaxa 150 mg Diltiazem 180 mg

Current Illness: n/a

ID: 1656784
Sex: F
Age: 39
State: GA

Vax Date: 02/16/2021
Onset Date: 02/16/2021
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: Just a physical (no labs or tests)

Allergies: NKA

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

Symptoms: Major throbbing pain in Left Arm at time of vaccine, next day whole body ached and skin sensitive, Swelling and pain at shot site by 3rd day and went to ER. Cortisone OTC and also took Acetaminophen w/codeine, Ongoing but waning.

Other Meds: Lexapro

Current Illness: None

ID: 1656786
Sex: F
Age: 85
State: AZ

Vax Date: 02/19/2021
Onset Date: 07/01/2021
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: Echo Cardiogram; heart monitor

Allergies: Latex

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Patient with no prior indication of heart irregularity developed V. Arrythmia and Afib.

Other Meds: AREDS2; D3; B12; Iron; Prolia

Current Illness: Non exudative AMD

ID: 1656787
Sex: F
Age: 64
State: OK

Vax Date: 02/09/2021
Onset Date: 03/01/2021
Rec V Date: 08/30/2021
Hospital:

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

Lab Data: MRI of brain to determine if brain tumor present

Allergies: NKA

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Tinnitus with hearing loss in left ear

Other Meds: Lisinopril, armour thyroid, lexapro, K2D3, multivitamin, IG26, B complex, Omega 3/6, magnesium/selenium/zinc compound,CoQ10,

Current Illness: none

ID: 1656788
Sex: M
Age: 88
State: CA

Vax Date: 02/18/2021
Onset Date: 03/09/2021
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: He had all necessary tests including MRIs, etc. This would have been during the week of March 9-15, 2021.

Allergies: None

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

Symptoms: Woke in night and seemed to be confused and disoriented then had a seizure. Called ambulance and was taken to Hospital where they said he had had a small vascular stroke and two seizures. Was in Hospital for one week and skilled nursing for two weeks because he tested positive to Covid and had to be quarantined. He isn't quite the same now as the new medication and whole ordeal took its toll on him considering his age.

Other Meds: Statin 20 MG once a day......Low dose aspirin once a day.....vitamin and calcium

Current Illness: None

ID: 1656789
Sex: F
Age: 69
State: FL

Vax Date: 01/11/2021
Onset Date: 01/12/2021
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: See Item 18.

Allergies: Sulfa, tetracycline, benzoyl peroxide.

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

Symptoms: I developed a runny nose similar to seasonal allergies on the evening of 01/12/21. The next day my nose continued to run even after taking a Zyrtec, and by early afternoon I felt like I couldn?t take a deep breath. I?m an RN, so auscultated my lungs and thought I could detect wheezing. I went to an Urgent Care clinic and they sent me via ambulance to Hospital. I received a chest x-ray, labs, and an ultrasound of my left calf because it felt tight. I had a left knee arthroscopy on 01/07/21 and my knee and lower leg had some edema. (I was on ASA, 81 mg BID to prevent post op blood clots. I forgot to mention this and Zyrtec under medications above.) All tests and scans were within normal limits. I received two albuterol breathing treatments via nebulizer and was discharged with an albuterol inhaler.

Other Meds: Multivitamin, Vitamins B, C, D, K, ginger, turmeric, glucosamine chondroitin, fish oil.

Current Illness: Left knee arthroscopy 01/07/21.

ID: 1656790
Sex: M
Age: 60
State: UT

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:

Allergies: None

Symptom List: Unevaluable event

Symptoms: Patient called on 8/30/21 to let us know that after his shot on 8/25/21, his calf started hurting. Then today, the patient could not walk because of the pain in his lower leg. According to the patient the pain had just continued to increase until he couldn't walk. When the patient called Pharmacy he was instructed to go to an Urgent Care, ER, or Primary Care Physician. He went to the Urgent Care where he was seen by a Doctor C. and they found a blood clot in his calf. He was prescribed Eliquis for the blood clot on 8/30/21. I reached out to the Urgent Care and was left on hold for 10+ minutes.

Other Meds: Testosterone Cypionate 200 mg/mL Injection

Current Illness: None

ID: 1656791
Sex: M
Age: 42
State: AR

Vax Date: 02/23/2021
Onset Date: 07/08/2021
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: Blood work- high in antibodies, Covid rapid test- negative

Allergies: Sulfa drugs

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

Symptoms: In late July, we traveled, and I got sick. I had cold like symptoms. Came home and I went to urgent care. Got a Covid rapid test and it was not positive. They gave me antibiotics. I could not shake what I had. I went to my regular doctor, and they did blood work, and it came back really high in antibodies. They thought my Covid test might have been positive, but we still don't know. After getting the steroids it cleared everything up and I have not had any symptoms since then.

Other Meds: Imipramine; QVAR

Current Illness: None

ID: 1656792
Sex: F
Age: 41
State: WI

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

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

Lab Data: None

Allergies: Sulfa meds and barley

Symptom List: Injection site pain, Pain

Symptoms: Breakthrough bleeding. This started 27 hours after the vaccine and at the time of submission continues. Menstrual Cramping is also occurring I haven?t had breakthrough bleeding in 20 years. This is not normal for me. I have not reported this to my doctor at this time.

Other Meds: Multi vitamin, vitamin d, calcium, fish oil and claratin

Current Illness: None

ID: 1656793
Sex: F
Age: 64
State: AZ

Vax Date: 05/12/2021
Onset Date: 05/12/2021
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:

Allergies: penicillins

Symptom List: Injection site pain, Menorrhagia

Symptoms: All the gain I had gotten with my Chronic Fatique Symptoms disappeared, I was and am back to muscle cramps, sore joints, loss of memory and unable to remember words in conversation ( brain fog) , headaches,as well as increased fatigue. I have not been to my doctor, but continue with treatment previously prescribed by my doctor 2 years ago, but without improvement so far,

Other Meds: choline 180mg,tumeric forte 117mg, beet root and juice powder, boswellia extract 500mg, vit A 300mcg, vit D 40mcg, magnesium lactate 210mg, Calcium lactate 250mg with magnesium 50mg.

Current Illness: Chronic Fatique Syndrome

ID: 1656794
Sex: F
Age: 73
State: KS

Vax Date: 02/22/2021
Onset Date: 08/12/2021
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: COVID test 8/24/2021

Allergies: Lisinopril; grass/pollens - seasonal allergies

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

Symptoms: Slight sore throat and that is all I ever had. It lasted 10 days. I didn't take anything for it. I had a health visit with nurse at doctor's office. I took a COVID test August 24th and it came back negative.

Other Meds: Tylenol; Ibuprofen; Simvastatin; Wellbutrin; Amlodipine; Losartan; Multi Vitamin; Vitamin D; Calcium supplement

Current Illness: No

ID: 1656796
Sex: F
Age: 44
State: FL

Vax Date: 08/28/2021
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:

Allergies: Nka

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Body aches Headache Fatigue Weak voice

Other Meds: Birth control

Current Illness: None

ID: 1656797
Sex: M
Age: 32
State: FL

Vax Date: 08/17/2021
Onset Date: 08/19/2021
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: NO

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Been having very bad leg pain in both legs entire legs, pain is so bad it hurts to walk at times, heavy numbness, heavy fatigue, left arm numbness. Blurred vision has been horrible, having dizzy spells, hands have had heavy fatigue pains

Other Meds: NO

Current Illness: NO

ID: 1656798
Sex: F
Age: 25
State: CA

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

Allergies: n/a

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

Symptoms: Heartrate decreased.

Other Meds: n/a

Current Illness: n/a

ID: 1656799
Sex: F
Age: 45
State: IL

Vax Date: 05/17/2021
Onset Date: 05/18/2021
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: RA

Lab Data: None

Allergies: Yes

Symptom List: Nausea

Symptoms: I am constantly sick with either vomiting and diarrhea, or severe congestion, cough, fevers, chills and body aches. I am unbelievably exhausted since the vaccine and have fallen asleep driving. I've battled migraines and fibromyalgia for most of my life, however it was never constant. Since the vaccine I have a migraine almost daily, and every joint in my body aches constantly

Other Meds: Cymbalta, Xanax, trazadone

Current Illness: No

ID: 1656800
Sex: M
Age: 13
State: WI

Vax Date: 08/25/2021
Onset Date: 08/27/2021
Rec V Date: 08/30/2021
Hospital: Y

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

Lab Data: CBC and CMP on 8/28/2021 Neck and Chest MRI on 8/28/2021

Allergies: None

Symptom List: Injection site pain

Symptoms: Severe lymphadenopathy cervical with difficulty breathing and pain. Necrotic lymph node with inflammation spreading into the deep neck spaces and mediastinum

Other Meds: None

Current Illness: None

ID: 1656801
Sex: M
Age: 53
State: NJ

Vax Date: 07/20/2021
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: IM
Vax Site: LA

Lab Data:

Allergies: none known

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

Symptoms: None stated.

Other Meds: none known

Current Illness: none known

ID: 1656802
Sex: F
Age: 42
State: FL

Vax Date: 08/19/2021
Onset Date: 08/20/2021
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: RA

Lab Data:

Allergies: Penicillin, Morphine, and Dapsone

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

Symptoms: *08/19/2021 FIRST SHOT: Immediately felt dizzy. *08/20/2021- Chest tightening and shortness of breath, which went away the next day. Thingling on left arm and little finger. Thingling on both legs, and pooping a bit more than normal. * 08/21/2021-Morning syncope/unconscious. It came with really bad cold sweat and pooping. Completely weak the entire day and could not get off bed. I felt like i was drunk. *08/24/2021-still had thingling on both legs, left arm and left little finger.

Other Meds: Levothyroxine 137

Current Illness: NO

ID: 1656803
Sex: F
Age: 42
State: FL

Vax Date: 08/19/2021
Onset Date: 08/20/2021
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: Penicillin, Morphine, and Dapsone

Symptom List: Tremor

Symptoms: *08/19/2021 FIRST SHOT: Immediately felt dizzy. *08/20/2021- Chest tightening and shortness of breath, which went away the next day. Thingling on left arm and little finger. Thingling on both legs, and pooping a bit more than normal. * 08/21/2021-Morning syncope/unconscious. It came with really bad cold sweat and pooping. Completely weak the entire day and could not get off bed. I felt like i was drunk. *08/24/2021-still had thingling on both legs, left arm and left little finger.

Other Meds: Levothyroxine 137

Current Illness: NO

ID: 1656804
Sex: M
Age: 26
State:

Vax Date: 08/23/2021
Onset Date: 08/23/2021
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: penicillin (heart palpitations)

Symptom List: Erythema, Pruritus

Symptoms: racing & pounding heart - started within 30min after injection, lasted about 5 days (24/7). Was not severe. Was able to perform normal daily activities. No treatment was administered, just watched & waited.

Other Meds: n/a

Current Illness: n/a

ID: 1656805
Sex: M
Age: 35
State: NY

Vax Date: 08/13/2021
Onset Date: 08/14/2021
Rec V Date: 08/30/2021
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: Emergency room - ultrasound (neck down past elbow) Blood work a week after vaccine.

Allergies: None

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

Symptoms: Vomiting until nothing was left in body 6 times. Sweating, body aches, sore neck, extreme headache. Felt really hot (103 temp.). Sensitive to sound and light. Had to be in dark and quiet. Swollen left arm with a lump 36 hours after vaccine.

Other Meds: None

Current Illness: None

ID: 1656806
Sex: F
Age: 64
State: CA

Vax Date: 07/01/2021
Onset Date: 07/01/2021
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:

Allergies: none

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

Symptoms: Client informed vaccinator of itching on back 3 hrs after receiving vaccine that has been intermittent until today. Client denied any shortness of breath or hives. Per client has been using Hydrocortisone cream as needed.

Other Meds: blood pressure medication, client unable to recall name

Current Illness:

ID: 1656808
Sex: F
Age: 18
State: CO

Vax Date: 02/07/2021
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:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Employee tested positive for COVID after PCR test given on 8/27/2021. Test was given after employee had a runny nose.

Other Meds:

Current Illness:

ID: 1656809
Sex: F
Age: 53
State: ME

Vax Date: 08/20/2021
Onset Date: 08/22/2021
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: CT Scan Blood work

Allergies: Patient stated that she can provide a list

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

Symptoms: patient stated that Sunday she had back pain. Monday she walked to the car and was gasping for air. Friday she went to the hospital. Patient was having server adnominal pain and bloody stool. Patient was diagnosed with Keralites with bleeding, She has huge adnominal hernia, and her bowels are inflamed.

Other Meds: patient stated that she can provide a list of medication

Current Illness:

ID: 1656810
Sex: F
Age: 70
State: MN

Vax Date: 08/25/2021
Onset Date: 08/25/2021
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: no known drug allergy

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

Symptoms: Patient received flu shot on 8/25/21. On 8/29/21 she came to the pharmacy to report that she had an adverse reaction several hours after the injection. She said she had extreme shakes, described as seizure like but not as severe. She also had nausea/vomiting. These symptoms went away by the next day. Patient said she did not go to the hospital or a doctor but just went to bed.

Other Meds: unknown

Current Illness: none

ID: 1656811
Sex: F
Age: 35
State: CA

Vax Date: 08/09/2021
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: 8/25/2021 ER took X-rays and EKG Was in the ER from 5pm to 10ish pm Steroids were given to me - and still am having side effects

Allergies: N/a

Symptom List: Pain in extremity

Symptoms: Sudden hearing loss in the right ear V?rtigo Dizzy Nauseous Ended up in the ER Chest X-rays and EkG were performed

Other Meds: None

Current Illness: None

ID: 1656812
Sex: F
Age: 56
State: CA

Vax Date: 07/02/2021
Onset Date: 07/02/2021
Rec V Date: 08/30/2021
Hospital:

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

Lab Data:

Allergies: multi vitamins, dalotin, Demerol

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

Symptoms: Lips swell , tong Swell, gums were numb . patient was given EpiPen on site

Other Meds:

Current Illness: no

ID: 1656813
Sex: F
Age: 69
State: FL

Vax Date: 02/09/2021
Onset Date: 02/11/2021
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: Received influenza and covid tests. Both were negative.

Allergies: Sulfa, tetracycline, benzoyl peroxide.

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

Symptoms: On 01/11/21 in the mid afternoon I developed a runny nose and then later felt like I couldn?t take a deep breath. I used albuterol inhaler, two puffs but after a few minutes did not improve. Went to an Urgent Care clinic and explained what had happened after the first vaccine. I received 60 mg oral prednisone and an albuterol breathing treatment via nebulizer.

Other Meds: Multivitamin, Vitamins B, C, D, K, ginger, turmeric, glucosamine chondroitin, fish oil, Zyrtec.

Current Illness: None.

ID: 1656814
Sex: F
Age: 14
State: NV

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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: NONE

Allergies: None

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

Symptoms: Off-label use administered to a 14yo Moderna is 18yo No adverse effects per patient and grandmother

Other Meds: None

Current Illness: None

ID: 1656815
Sex: F
Age: 41
State: OR

Vax Date: 02/20/2021
Onset Date: 02/21/2021
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: CT scans of my chest, ultrasound of my neck a mass on my para thyroid, a 28 mm mass, about 1 in./para thyroid is normal. Ultra sound, Holter 48 hours monitor normal, multiple blood panels normal, tested for heavy results-normal, multiple chest x-rays normal, they did find nodes, 2mm benign nodes thyroid test normal, 2 urine test 1 week ago/1 month ago screen me for an adrenal tumor normal, liver test normal, kidney test normal

Allergies: Plastic allergy - petroleum distillates; propylene glycol; opioids (I have no test on that)

Symptom List: Vomiting

Symptoms: On the next day after my vaccine, 02/21/2021, I started having more issues with my lymph nodes, they were already swollen from the 1st dose of Moderna. My lymph nodes started aching and they felt hot. At 09:00 AM I had a bad headache, and I took so ibuprofen. By noon I had to walk a little way, like a block, and I noticed I was having trouble breathing. By 04:00 PM when I came home from work, I had muscle fatigue and weakness. I was tired enough that I took a nap. By the morning of 02/22/2021, @ 9:00 AM, I started having severe gastrointestinal pain, I had diarrhea, I had gut pain. I treated that with ibuprofen, 2 bd. I had no fever. By nighttime on 02/22/2021, I was having joint pain, I had insomnia that night, I slept for like an hour that night. I took the next 2 days off of work. I had muscle pain and weakness, painful lymph nodes, severe joint pain, headache, gastrointestinal distress, abdominal cramping, fatigue and insomnia. Those symptoms lasted through 02/26/2021. I also had high blood pressure it was 170/90 and high blood sugars. Most of these symptoms lasted for like 6 weeks. Only the insomnia went away, and I was able to sleep. On 04/27/2021 - I went to see my doctor, my BP was still high, she asked me to track my blood pressure, my BP was 200/100 on awakening. She tweaked my medication, she raised my Losartan, from 50 mg to 100 mg. I started having tachycardia when I would stand. And bradycardia when I would lay down. Para thyroid is functioning correctly but there is 1 inch mass pressing on my vagus nerve, that controls autonomic function. So, I'm experiencing suppress autonomic function: low oxygen, persistent heart palpitations, tachycardia, and bradycardia, I have been bed ridden since June 20, 2021 The swelling of the lymph nodes were still present in my ultrasound and mammogram a month ago.

Other Meds: Allegra; metoprolol beta blocker; losartan; metformin; Claritin

Current Illness: Side effects of Moderna dose 1 - swollen lymph nodes; high blood pressure, it was down to 150/80, but it never went back to normal

ID: 1656816
Sex: F
Age: 19
State: CA

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

Lab Data: BLOOD PRESSURE AND SUGAR WAS ASSESSED BY PARAMEDICS

Allergies: NONE

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: PATIENT PASSED OUT AFTER RECIEVING VACCINE AND PARAMEDICS ARRIVED TO ASSIST WITH HER.

Other Meds: UNKNOWN

Current Illness: NONE

ID: 1656818
Sex: F
Age: 25
State: NY

Vax Date: 08/30/2021
Onset Date: 08/30/2021
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:

Allergies:

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

Symptoms: Patient came into the pharmacy for a COVID-19 vaccine. Error was made and an empty syringe was used which resulted in air being administered into the patients arm. Patient was immediately notified and the correct vaccine was administered.

Other Meds:

Current Illness:

ID: 1656819
Sex: M
Age:
State: WA

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: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: none

Allergies: none

Symptom List: Injection site swelling, Limb discomfort

Symptoms: pfizer vaccine was accidently given one week too early. Patient got first vaccine on 8/15/21 and should have received second vaccine on 9/5/21 but received the second dose on 8/15/21. Spoke to patient on 8/29/21 and 8/30/21. Patient did not report and adverse symptoms.

Other Meds: not known

Current Illness: not known

ID: 1656820
Sex: F
Age: 43
State:

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: RA

Lab Data: Ongoing tests waiting for results.

Allergies: Aspirin and Ibuprofen

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

Symptoms: I experienced tingling and burning in left arm along with muscle soreness and stiffness.Also, had head-ache, tingling and cool sensation in brain, irregular heart beat, lightheaded, extreme fatigue for 2-3 days. Also, 4 hours after the shot had slight heaviness and pressure in chest and lungs and I had to sleep elevated. On the second day in the morning had chest pain off and on,fatigue and muscle soreness in left arm. On the third day experienced fatigue, chest pain off and on and pain in the right abdomen/ovary.

Other Meds: Tylenol 500mg, Women's multivitamin

Current Illness: n/a

ID: 1656821
Sex: F
Age: 25
State: NJ

Vax Date: 07/28/2021
Onset Date: 07/31/2021
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; too scared to find out.

Allergies: None

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

Symptoms: 2 minutes after vaccination my whole body got extremely hot and I started sweating profusely from head to toe. I felt light headed and lost my sight, I only saw completely black. My blood pressure became extremely low. After 10 minutes it subsided, they gave me gatorade and it helped. I had eaten a full meal before vaccination. 3 days later, I've experienced chest pain and heart palpitations as well as shortness of breath after working out, with no history of any kind of asthma or anything like that.

Other Meds: vitamin c, vitamin b12, coq10, l-glutathione

Current Illness: None

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am