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: 1662242
Sex: F
Age: 60
State: IL

Vax Date: 02/15/2021
Onset Date: 05/26/2021
Rec V Date: 09/01/2021
Hospital: Y

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

Lab Data: Too many to list, copies can be obtained from hospitals from 5-26-21 until present. more testing scheduled for September 20, 2021

Allergies: NKA

Symptom List: Dysphagia, Epiglottitis

Symptoms: Chest pain and shortness of breath started 5/26/2021, ER visit with a diagnosis of pericarditis. Admitted overnight with testing, sent home with colchicine medication. Symptoms worsening at home over the next few days. ER visit again on June 3, 2021, and sent from hospital to another hospital ICU by ambulance with pericardial effusion. Procedure to drain fluids on 6/4/2021 and remained in ICU for 2 days. ER visit again on 6/22/2021 with continuing chest discomfort. Medication increased. Many Echocardiograms done during this month.

Other Meds: Pantoprazole, escitalopram, bisoprolol, vitamin b12, vitamin b-6, Claritin

Current Illness: no

ID: 1662243
Sex: F
Age: 60
State: OH

Vax Date: 04/02/2021
Onset Date: 05/01/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data: TSJ. free T3, free T4

Allergies: Naproxen, Wellbutrin, Effexor

Symptom List: Anxiety, Dyspnoea

Symptoms: Developed tremor, rapid heart rate, nervousness, breathlessness, and fatigue. Had thyroid lab values checked 3-4 weeks later and was hyperthyroid after being normal. Lowered medication and retested 8 weeks later and labs were much better though not completely back to normal. Symptoms have mostly resolved.

Other Meds: Atenolol, Compounded T3/T4, Zoloft, Progesterone, Estradiol, Excedrin

Current Illness:

ID: 1662244
Sex: M
Age: 19
State:

Vax Date: 03/27/2021
Onset Date: 04/09/2021
Rec V Date: 09/01/2021
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: None

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

Symptoms: Type 1 diabetes and DKA

Other Meds: None

Current Illness: Prediabetes mild

ID: 1662245
Sex: M
Age: 54
State: ND

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Vaccine deemed expired after vaccine was administered.

Other Meds:

Current Illness:

ID: 1662246
Sex: F
Age: 19
State: MN

Vax Date: 08/25/2021
Onset Date: 08/25/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data:

Allergies: NA

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

Symptoms: Within an hour after receiving the vaccine pt began a severe headache which has not subsided 8 days later. Ibuprofen and a nap can temporarily (no more than 2-3 hours) reduce the impact of the headache. This has caused missed events. In creasing water intake is not helping.

Other Meds: Birth control

Current Illness: NA

ID: 1662247
Sex: F
Age: 47
State: PA

Vax Date: 08/06/2021
Onset Date: 08/13/2021
Rec V Date: 09/01/2021
Hospital: Y

Vax Type: FLUC4
Manufacturer: SEQIRUS, INC.
Vax Name: INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)
Lot: 276563
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data: Various Test Ran

Allergies: Toradol; Haldol; DHE; Imitrex

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

Symptoms: Soreness at injection site, arm became swollen, golf ball size knot underneath arm, exhaustion, pain, consistent sweating, hot then cold, heaviness behind throat, chest pains

Other Meds: Vitamin D3 1000units (2 tablets 3 times daily); Eliquis 5mg (one tablet twice daily); Thride Shape 35grams (1 package daily)

Current Illness: None

ID: 1662248
Sex: F
Age: 55
State: PA

Vax Date: 03/16/2021
Onset Date: 08/13/2021
Rec V Date: 09/01/2021
Hospital: Y

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

Lab Data: 08/25/21 1819 Respiratory virus detection panel Collected: 08/25/21 1713 | Final result | Specimen: Swab from Nasopharynx Adenovirus Not Detected Mycoplasma pneumoniae Not Detected Chlamydophila pneumoniae Not Detected Parainfluenza Not Detected COVID-19 SARS-CoV-2 Overall Result DetectedCritical Enterovirus/Rhinovirus Not Detected Coronavirus Not Detected Respiratory Syncytial Virus Not Detected Influenza A Not Detected Bordetella pertussis Not Detected Influenza B Not Detected Bordetella parapertussis Not Detected Metapneumovirus Not Detected 08/24/21 1729 POCT COVID-19 PCR Collected: 08/24/21 1728 | Final result | Specimen: Swab from Nares POC COVID-19 PCR DetectedAbnormal Lot # 1000277276 Point of Care COVID-19 PCR Testing Method Cepheid Lot Expiration Date 07/12/2022 Procedure Component Value Ref Range Date/Time CT angiogram chest pulmonary embolism with and without contrast Resulted: 08/30/21 0804 Order Status: Completed Updated: 08/30/21 0804 Narrative: CTA CHEST PULMONARY EMBOLISM W WO CONTRAST IMPRESSION: 1. No pulmonary embolism identified. 2. Emphysematous change. 3. Mild peripheral groundglass opacity in the lower lungs, potentially related to the patient's COVID 19. END OF IMPRESSION: INDICATION: Worsening oxygen requirement, COVID positive. Assess for pulmonary artery embolism. TECHNIQUE: Enhanced helical CT scan of the chest was performed from the lung apices to below the diaphragm. 2 mm axial reconstruction with MPR coronal, oblique and sagittal images were created. 3D shaded surface images also created on a separate workstation and permanently stored. Images were obtained without and with contrast. CONTRAST: 80mL of IOHEXOL 350 MG IODINE/ML INTRAVENOUS SOLUTION administered INTRAVENOUS. Quality of contrast opacification was adequate. COMPARISON: 4/14/2020. FINDINGS: No filling defects are identified in the pulmonary arteries. There is mild calcified plaque in the aorta and coronary arteries. There is moderate emphysematous change. Prior noted borderline mildly prominent lymph nodes are stable. Mild peripheral groundglass opacity is potentially related to the patient's COVID 19. No pleural effusion nor pneumothorax is present. No lung mass is detected. The airways are preserved. The patient is status post gastric surgery. There is a small hiatal hernia. No acute finding is identified in the upper abdomen. There is mild degenerative change in the spine. This report was created using Voice Recognition software. Thank you for allowing us to participate in the care of your patient. X-ray chest 2 views Resulted: 08/25/21 1318 Order Status: Completed Updated: 08/25/21 1319 Narrative: XR CHEST 2 VW IMPRESSION: Stable chest. No acute cardiopulmonary abnormalities are identified. END OF IMPRESSION: INDICATION: COVID+ yesterday, states feeling dehydrated , +N/V covid. TECHNIQUE: PA and lateral projections of the chest are acquired. COMPARISON: Chest x-ray 7/28/2021. FINDINGS: The cardiac contour is stable. The pulmonary vessels appear normal.

Allergies: CodeineHives / Urticaria, Shortness of breath / Dyspnea, Throat Swelling

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: HA, body aches, sore throat, coughing ED to Hosp-Admission Discharged 8/25/2021 - 8/27/2021 (2 days) Hospital Presenting Problem/History of Present Illness/Reason for Admission Shortness of breath COVID-19 Hospital Course Patient is an 55 y.o. female with PMH of CAD, HLD, gastric bypass, COPD, emphysema who presents with nausea and vomiting and shortness of breath. Patient was well until 8/24 when she noticed that her nausea and vomiting worsen. She also noticed associated shortness of breath which has progressively worsened in the last 2 days. Patient has associated headaches, cough which she describes as dry. Patient is vaccinated with the Pfizer vaccine x2. Patient has obstructive sleep apnea and is not compliant on her CPAP machine because she feels like she has been smothered. She uses 2L O2 at night when he goes to sleep. Patient admitted to family medicine service. Her COVID test was positive. She was started on remdesevir and decadron. CT chest revealed COVID pneumonia without PE. Her nausea and vomiting improved overnight. Patient had a rest and exercise oximetry test which revealed that she did not have an oxygen requirement at rest or with exercise. Patient was discharged home on remote patient monitoring and VNA home health aide. Her remdesevir was discontinued and she was sent home on 8 more days of decadron for her COVID pneumonia. Patient discharged home in stable condition.

Other Meds: acetaminophen 500 mg oral tablet albuterol 2.5 mg /3 mL (0.083 %) nebulizer solution albuterol HFA (PROVENTIL;VENTOLIN) 90 mcg/actuation inhaler amoxicillin (AMOXIL) 500 mg tablet atorvastatin (LIPITOR) 80 mg tablet budesonide (PULMICO

Current Illness:

ID: 1662249
Sex: F
Age: 38
State: FL

Vax Date: 08/24/2021
Onset Date: 08/28/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data: None other than visual observation.

Allergies: none.

Symptom List: Pharyngeal swelling

Symptoms: Swollen Lower Lip with numbness around edges of lip - Patient has never had lip filler injections. Rash of red raised bumps throughout chest, stomach, and back that itch. General itchiness throughout body. Patient tried treating with Benadryl, but that did not help. Dermatologist prescribed topical steroid cream. If that does not work, doctor will prescribe oral steroid or injection.

Other Meds: Vyvance

Current Illness: none.

ID: 1662250
Sex: F
Age: 41
State:

Vax Date: 01/01/2021
Onset Date: 08/27/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data: PCR NP swab on 8/30/21 at Hospital

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Pt is fully vaccinated with Pfizer as of 1/2021. Pt reports covid symptom onset of congestion, cough, sore throat, runny nose and headache starting 8/27/21. Tested covid positive with PCR NP swab on 8/30/21.

Other Meds:

Current Illness:

ID: 1662251
Sex: F
Age: 32
State: IL

Vax Date: 08/04/2021
Onset Date: 08/04/2021
Rec V Date: 09/01/2021
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: N/A

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Less than 12 hrs after receiving the vaccine I shed my uterine wall. Discharging large clumps of tissue at a time.

Other Meds: Seasonique

Current Illness: None

ID: 1662252
Sex: F
Age: 29
State: AL

Vax Date: 07/20/2021
Onset Date: 07/20/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data: EKG- fine with tachycardia Elevated CRP

Allergies: None

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

Symptoms: After receiving the vaccine experienced some tingling in the hand (felt due to increased typing). Later the tingling progressed up the right arm and began feeling ?super? short of breath, feeling she couldn?t breathe. Checked oximeter: HR 172 and O2 sat fine (98-99%). Took a cold bath to bring down HR, HR did improve 122. Symptoms continued to 2- 3am as afraid if should fall asleep. Next morning felt ?usual? side effects of vaccine- fever, aches, and tiredness. Five days later began to have new onset headaches, episodes (~ 3-4) of chest pain and feeling extremely tired (sleepy). Appointment with Cardiologist: EKG- fine, with persistent tachycardia (not sure if historical or new) initiated atenolol (B-blocker). Placed on heart monitor for two weeks, and scheduled follow-up (results pending). Lab findings include elevated CRP- advised to schedule ECHO to check for pericarditis. ~ 1 and ? weeks ago had a dizzy/ fainting spell in the shower and plans to discuss with physician during office visit next week.

Other Meds: None

Current Illness: None

Date Died: 08/30/2021

ID: 1662253
Sex: M
Age: 57
State: NC

Vax Date: 04/27/2021
Onset Date: 08/21/2021
Rec V Date: 09/01/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Hospitalization/death due to COVID-19 Reported per Pfizer COVID-19 Vaccine EUA

Other Meds: Tacrolimus, Mycophenolate, chronic prednisone

Current Illness:

ID: 1662254
Sex: F
Age: 43
State: NY

Vax Date: 08/31/2021
Onset Date: 09/01/2021
Rec V Date: 09/01/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Headache, sore arm, neck, tailbone, both knees pain, left back foot, middle of right foot, right calf, and left side of my teeth, and jaw hurt, both hands, and chest hurts.

Other Meds: Vitamin B12, Black seed oil, Vitamin C, Calcium, Collagen, Vitamin D, Chelated iron, Chelated Magnesium.

Current Illness: Asthma, Chondromalaccia Patella Femoral at Left knee, deviated tailbone, & bulging disc.

ID: 1662255
Sex: M
Age: 40
State: ND

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 09/01/2021
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:

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

Symptoms: Vaccine deemed expired after administered.

Other Meds:

Current Illness:

ID: 1662257
Sex: F
Age: 47
State: FL

Vax Date: 08/09/2021
Onset Date: 08/12/2021
Rec V Date: 09/01/2021
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: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: Since my first vaccine, neck pain and every time look down neck pops. I feel like there is a pulling cord on my cervical area. Also when sleeping, I try to turn around on the bed. It is painful on neck and cervical area.

Other Meds: None

Current Illness:

ID: 1662258
Sex: F
Age: 69
State: OH

Vax Date: 07/23/2021
Onset Date: 07/24/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data: I have had bloodwork done once with family doctor. Have had two urine labs. Have had a CT scan of urinary tract.

Allergies: Bactrim, macrobid, morphine, vicoden

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

Symptoms: Have been to the doctor 3 times plus one trip to urgent care since receiving vaccine Extreme exhaustion-ongoing Blister rashes on body- shot of steroids by doctor Severe head and nasal congestion for a little over two weeks Blood in urine- urgent care, doctor and CT scan, treated with antibiotics. Have an appt with urologist next week for continuing pain I am still and have been exhausted everyday since receiving this vaccine

Other Meds: Prednisone synthroid gabapentin losartan glucosamine flaxseed oil

Current Illness: None

ID: 1662259
Sex: F
Age: 53
State: SC

Vax Date: 05/31/2021
Onset Date: 08/01/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data: CT Normal, X-ray normal

Allergies: I am allergic to Flagyl; Protonic; seafood.

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

Symptoms: One day in August I went to the ER for shortness of breath. They gave me an albuterol treatment and an inhaler.

Other Meds: I was taking Potassium; Alprazolam; Amlodipine; Torsemide; Esomeprazole.

Current Illness: None

ID: 1662260
Sex: F
Age: 75
State: PA

Vax Date: 03/19/2021
Onset Date: 08/22/2021
Rec V Date: 09/01/2021
Hospital: Y

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

Lab Data: 08/26/21 1334 COVID-19 (SARS CoV-2,RNA Molecular Amplification) Collected: 08/25/21 0832 | Final result | Specimen: Swab from Nasopharynx COVID-19 SARS-CoV-2 Overall Result DetectedCritical Narrative: XR CHEST 2 VW IMPRESSION: No acute cardiac pulmonary process. END OF IMPRESSION: INDICATION: Cough. TECHNIQUE: Two views of the chest were performed. COMPARISON: Chest x-ray 4/16/2012 FINDINGS: There is no acute pulmonary, parenchymal, or vascular process suspected. The cardiac size and configuration are unremarkable. No hilar or mediastinal abnormality is suspected. No active pleural process is identified . Osseous structures demonstrate bilateral shoulder prostheses. This report was created using Voice Recognition software. Thank you for allowing us to participate in the care of your patient.

Allergies: OxytocinHives / Urticaria, Welts TramadolOther (document details in comments) CodeineOther (document details in comments) Naproxen SodiumOther (document details in comments)

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Bronchopneumonia, Cough. SOB, FEVER, ABD PAIN, NAUSEA, VOMITING AND DIARRHEA ED to Hosp-Admission Current 8/27/2021 - present (5 days) Hospital Acute respiratory failure with hypoxia (CMS/HCC Patient presents with ? Shortness of Breath is an 75 y.o. female. HPI: Patient is a 75-year-old female with a history of morbid obesity/hypertension/OSA who presents to the ER with complaints of worsening shortness of breath. History goes that patient was well until approximately 6 days ago when she began feeling ill. At the time she was experiencing cough, shortness of breath, as well as dyspnea on exertion with reduced exercise tolerance. She was evaluated at the urgent care on 8/25 where plain chest x-ray was performed which showed no evidence of infiltrate. She was started on azithromycin and COVID-19 test was ordered. Recommendations was made for her to get OTC medications for symptom relief. She was called on 8/27 and informed that she had COVID-19. During all this her symptoms did not get any better with progressively worsening symptoms with body aches and pains, progressively worsening shortness of breath, cough, and fatigue. Due to worsening symptoms 911 call was made prior to arrival to the ER. EMTs found patient to to be dyspneic with pulse ox reading of 80% on room air requiring supportive oxygen of up to 6 L/min prior to transport. She was transported to the ER where she was started on noninvasive mechanical ventilation. Upon arrival she was tachypneic, with visible work of breathing. She was afebrile. Her labs were nonacute on hematology, chemistries showed magnesium of 1.6, BNP of 101, with elevated AST of 69. Her UA showed hazy urine, positive for leukocyte esterase and nitrites, she also has proteinuria with hematuria pyuria and bacteriuria. Plain chest imaging showed chronic lung changes. Patient is being admitted for further management. Of note patient lives with her son who was recently hospitalized with COVID-19 pneumonia. Review of Systems Constitutional: Positive for activity change, appetite change and fatigue. HENT: Positive for congestion, postnasal drip and rhinorrhea. Eyes: Negative. Respiratory: Positive for cough and shortness of breath. Cardiovascular: Negative. Gastrointestinal: Positive for diarrhea and nausea. Endocrine: Negative. Genitourinary: Negative. Musculoskeletal: Negative. Skin: Negative. Allergic/Immunologic: Negative. Neurological: Positive for dizziness, weakness, light-headedness and headaches. Hematological: Negative. Psychiatric/Behavioral: Negative.

Other Meds: allopurinoL (ZYLOPRIM) 300 mg tablet azithromycin (ZITHROMAX) 250 mg tablet b complex vitamins capsule celecoxib (CeleBREX) 200 mg capsule cholecalciferol, vitamin D3, 25 mcg (1,000 unit) capsule dilTIAZem CD (CARDIZEM CD) 240 mg 24 hr

Current Illness:

ID: 1662261
Sex: F
Age: 52
State: MA

Vax Date: 04/25/2021
Onset Date: 05/27/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data: Saw eye doctor couldn't identify any specific cause

Allergies: Pennicillin

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Localized pain, significant and sudden strong redness in right eye and behind eye, with regular spasms, lasted about a week, acute for maybe 4 days

Other Meds: multi vitamins, fish oil various supplements, no medications

Current Illness: none

ID: 1662263
Sex: F
Age: 38
State: ND

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data:

Allergies: NKA

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

Symptoms: Vaccine deemed expired after vaccine was administered.

Other Meds:

Current Illness:

ID: 1662264
Sex: M
Age: 47
State: VA

Vax Date: 08/17/2021
Onset Date: 08/19/2021
Rec V Date: 09/01/2021
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: no

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

Symptoms: next day after being vaccinated, I had pain all over my body with joint pain. 2 days after getting the vaccine, i had to go to urgent care as i developped a rash on my right shoulder in the front and back. I was told it is Shingles and prescribed Valtrex. I still feel the shingles today and rashes are almost all gone.

Other Meds: vitamin C, D and E

Current Illness: no

ID: 1662265
Sex: M
Age: 51
State: TX

Vax Date: 04/23/2021
Onset Date: 05/14/2021
Rec V Date: 09/01/2021
Hospital: Y

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

Lab Data: Constant ekg readings during hospital stay, as well as LEXISAN stress test. Stress Test came back with moderate ischemia.

Allergies: none

Symptom List: Unevaluable event

Symptoms: New onset atrial fibrillation, began at approximately 1:45pm of the 14th of May 2021, Was first seen by a nurse who called EMTs to transport to emergency hospital. Was admitted to hospital critical care room at approximately 7pm same day. Remained in Afib until approximately 3:30am on the 15th. Treatment included a course of eliquis at 10 mg, along with IV administration of Cardizem (unsure of dosage.)

Other Meds: none

Current Illness: none

ID: 1662266
Sex: M
Age: 53
State: NM

Vax Date: 04/16/2021
Onset Date: 04/17/2021
Rec V Date: 09/01/2021
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: Swelling and dark circles under eyes (similar to a black eye).

Other Meds: None

Current Illness: None

ID: 1662267
Sex: F
Age: 62
State: FL

Vax Date: 08/30/2021
Onset Date: 08/31/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain, Pain

Symptoms: 1) 1st vax 8/9/2021. Approximately 18 hours later developed severe migraine-like headache which last approximately 24 hours and slowly dissipated. 2) 2nd vax 8/30/20201. Approximately 12 hours later developed severe migraine-like headache with light sensitivity. Approximately 24 hours after vax, joint pain in wrists and ankles. Additionally, hive-like rash on back and wrists. Taking acetaminophen.

Other Meds: None

Current Illness: None

ID: 1662268
Sex: F
Age: 33
State: NY

Vax Date: 08/31/2021
Onset Date: 08/31/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data:

Allergies: n/a

Symptom List: Injection site pain, Menorrhagia

Symptoms: I had a sore arm within moments of receiving the shot. Later in the night I got chills and fever. Now I have a cough, nausea and feel like I have COVID again.

Other Meds: n/a

Current Illness: n/a

ID: 1662269
Sex: F
Age: 32
State: SC

Vax Date: 08/28/2021
Onset Date: 08/31/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data: None

Allergies: Penicillin, sulfa, ceftriaxone

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

Symptoms: Menstrual Cramping on 8/31, followed by breakthrough bleeding in the middle of my OCP pack on 9/01. Ongoing. Continuing OCP and finishing the pack per OB. No history of breakthrough bleeding during OCPs in the past.

Other Meds: OCP Birth Control

Current Illness: None

ID: 1662270
Sex: F
Age: 23
State: FL

Vax Date: 08/30/2021
Onset Date: 08/31/2021
Rec V Date: 09/01/2021
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: NKDA

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Swollen lymph node in axillary area of the left side of the body. Significantly visible. Tender to the touch. Sore. Started ~12 hours after vaccine. Still swollen and tender 24-48 hours after. No other major symptoms to report.

Other Meds: Multivitamin

Current Illness: None

ID: 1662271
Sex: M
Age: 38
State: MO

Vax Date: 01/12/2021
Onset Date: 03/24/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data: None

Allergies: None

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: My 2nd dose of the Pfizer vaccine was administered on February 2nd, 2021. By mid March, I began to notice bizarre depigmented patches of skin first appeared on the dorsum of my hands. Never before in my life have I had any skin-related issues, or have I seen anything like this. I scheduled a dermatologist appointment within just a few weeks but was not able to be seen until May 6th. He confirmed the diagnosis of vitiligo. I was later seen by Dr. who also confirmed the diagnosis, and the disease is worsening and has now spread to my forearms, lower legs, and face. She commented that due to the timing of the vaccine administration just 6 weeks prior, that I should submit a VAERS report as it is extremely abnormal to be diagnosed with vitiligo this late in life, and with the timing of the vaccine it makes sense that it could be related.

Other Meds: Lisinopril, Chlorthalidone

Current Illness: None

ID: 1662272
Sex: M
Age: 55
State: NC

Vax Date: 01/26/2021
Onset Date: 08/22/2021
Rec V Date: 09/01/2021
Hospital: Y

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

Lab Data: COVID19 PCR positive with cycle threshold of 24.5 on 8/22/2021

Allergies:

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

Symptoms: Hospitalization due to COVID-19 Reported per Moderna COVID-19 Vaccine EUA

Other Meds: Repatha

Current Illness:

ID: 1662273
Sex: F
Age: 80
State: MI

Vax Date: 02/25/2021
Onset Date: 02/27/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data: Blood test for RA, Gout (negative) CRP (109) Ultra Sound (no blood clots) x-rays

Allergies: none

Symptom List: Nausea

Symptoms: Extreme arthritis flare. Pain, tingling , burning. So severe I was unable to sleep

Other Meds: enalapril maleate 10 mg Aleve, Tylenol, multi-vitamin, turmeric, vitamin D, Folic Acid

Current Illness: Osteoarthritis. Severe flare up occurred mid-February Had mostly returned to normal by vaccine date.

ID: 1662274
Sex: F
Age: 55
State:

Vax Date: 01/20/2021
Onset Date: 08/30/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: Tested COVID POSITIVE 8/30/21

Other Meds:

Current Illness:

ID: 1662276
Sex: F
Age: 59
State: KY

Vax Date: 08/26/2021
Onset Date: 08/26/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data: Labs drawn in ER on 8/28 CT scan of head, CXR

Allergies: No known allergies

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

Symptoms: 8/26, Generalized itching, hives, knots in face and neck, skin burning 8/27 Continued itching, headache, tinnitus 8/28 Syncope, weakness, headache, dizziness, loss of balance, tinnitus, joint pain As of today's date 9/1, continued tinnitus, joint pain, weakness, headache

Other Meds: Metoprolol HCTZ Losartan Sertraline Diclofenac Glucosamine chondroitin Benadryl prn Melatonin prn Tylenol prn

Current Illness: Left hip injury from fall April 17

ID: 1662277
Sex: M
Age: 63
State: FL

Vax Date: 08/18/2021
Onset Date: 08/20/2021
Rec V Date: 09/01/2021
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: None.

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

Symptoms: Body aches, chills, slight headache. Takes Ibuprofen.

Other Meds:

Current Illness:

ID: 1662278
Sex: M
Age: 28
State:

Vax Date: 08/31/2021
Onset Date: 08/31/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: Anxiety

Other Meds:

Current Illness:

ID: 1662280
Sex: F
Age: 53
State: SC

Vax Date: 08/30/2021
Onset Date: 08/31/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Erythema, Pruritus

Symptoms: Chills, fever, fatigue and sore arm

Other Meds: Metphormin Armour Thyroid

Current Illness: Diabetes High blood pressure High Cholesterol

ID: 1662281
Sex: F
Age: 40
State: IL

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

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

Lab Data:

Allergies: Infliximab, regelin, mussels

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

Symptoms: Fatigue- Started 6 hours post-vaccine, subsided 24 hours post-vaccine Headache- Started 6 hours post-vaccine, subsided 36 hours post-vaccine Injection site pain- Started 12 hours post-vaccine, still ongoing Severe muscle pain- Started 12 hours post-vaccine, subsided 36 hours post-vaccine Severe joint pain, including spinal pain- Started 12 hours post-vaccine, subsided 36 hours post-vaccine Lymphadenopathy- Started 18 hours post-vaccine, left underarm, swollen to baseball size and painful to touch and movement. Still ongoing

Other Meds: Adalimumab, cholestyramine, allegra, lexapro, D3, B-12

Current Illness:

ID: 1662282
Sex: F
Age: 59
State:

Vax Date: 08/18/2021
Onset Date: 08/20/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data: It was diagnosed by my family doctor as shingles. I have never had it before, also had a single shot of shingles vaccine about 4 years ago.

Allergies: Slight dairy allergy

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

Symptoms: On day two of receiving shot number 2, my whole body became very achy, as well as a slight headache. I felt very sore, achy and tired for a full day. The next afternoon I discovered a red , inflamed patch of shingles on right side of my chest. Then,on August 31, 2021, I again had severe aches, pains across my chest , shoulders, into my muscles and joints for 2 days now.

Other Meds: Only multivitamins

Current Illness: None

ID: 1662284
Sex: M
Age: 85
State: PA

Vax Date: 04/12/2021
Onset Date: 08/24/2021
Rec V Date: 09/01/2021
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: 08/29/21 1452; Respiratory virus detection panel; Collected: 08/29/21 1354 | Final result | Specimen: Swab from Nasopharynx; Adenovirus Not Detected; Mycoplasma pneumoniae Not Detected; Chlamydophila pneumoniae Not Detected; Parainfluenza Not Detected; COVID-19 SARS-CoV-2 Overall Result Detected Critical; Enterovirus/Rhinovirus Not Detected; Coronavirus Not Detected; Respiratory Syncytial Virus Not Detected; Influenza A Not Detected; Bordetella pertussis Not Detected; Influenza B Not Detected; Bordetella parapertussis Not Detected; Metapneumovirus Not Detected; Procedure Component Value Ref Range Date/Time; CT angiogram chest pulmonary embolism with and without contrast [3300476698] (Abnormal) Resulted: 08/31/21 2249 Order Status: Completed Updated: 08/31/21 2250; Narrative: PROCEDURE INFORMATION: Exam: CTA Chest Without And With Contrast; Exam date and time: 8/31/2021 9:38 PM; Age: 85 years old; Clinical indication: Shortness of breath; Prior surgery; Surgery type: Cardiac; surgery, unsure type; Additional info: Acute change in respiratory status of covid positive patient; TECHNIQUE: Imaging protocol: Computed tomographic angiography of the chest without and with contrast. 3D rendering (Not supervised by radiologist): MIP and/or 3D reconstructed images were created by the technologist. Radiation optimization: All CT scans at this facility use at least one of these dose optimization techniques: automated exposure control; mA and/or kV adjustment per patient size (includes targeted exams where dose is matched to clinical indication); or iterative reconstruction. Contrast material: OMNIPAQUE; Contrast volume: 100 ml; Contrast route: INTRAVENOUS (IV); COMPARISON: DX XR CHEST 1 VW 8/29/2021 1:35 PM; FINDINGS: CT ANGIOGRAM: The main, right, and left pulmonary arteries and their visualized branches show normal enhancement. Atherosclerotic disease of the aorta without aortic aneurysm. LUNGS/PLEURA: Extensive confluent airspace opacities predominantly in the subpleural lungs bilaterally. Trace LEFT pleural effusions/thickening. MEDIASTINUM: Cardiomegaly without pericardial effusion. Severe coronary arterial atherosclerotic calcification with evidence of CABG. Mild to moderately enlarged mediastinal/hilar lymph nodes. OTHER STRUCTURES: Osteopenia with chronic degenerative changes in the visualized spine and shoulder joint(s). IMPRESSION: 1. No evidence of acute pulmonary thromboembolism. 2. Extensive MULTIFOCAL PNEUMONIA consistent with COVID-19 INFECTION. 3. Other nonemergent/incidental findings as described. X-ray chest 1 view, Portable [3300219940] Resulted: 08/29/21 1428; Order Status: Completed Updated: 08/29/21 1428; Narrative: XR CHEST 1 VW; IMPRESSION: 1. No acute cardiopulmonary abnormality. 2. Chronic and postoperative changes of the chest. 3. No significant change from 3/20/2010 END OF IMPRESSION: INDICATION: Suspected sepsis Suspected sepsis.TECHNIQUE: Portable view(s) of the chest are provided. COMPARISON: 3/20/2010; FINDINGS: EKG leads overlie the chest. The patient is status post median sternoto

Allergies: HydrocodoneNausea And Vomiting, Nausea Only; Hydrocodone Hcl

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: ED to Hosp-Admission; 8/29/2021 - present (3 days); Hospital Sepsis due to COVID-19; Patient presents with Cough, Diarrhea; Patient is a 85 y.o. male with PMH listed who presents from home complaining of feeling ill since Tuesday 8/24. He states that his worst symptom has been severe fatigue. Also admits to nausea/poor appetite, loss of taste and smell, diarrhea, and dry cough. No CP, not particularly SOB. He has not vomited, but he's wanted to. The only elevated temp that he knows of was on Friday, 100.3F. He was found to be hypoxic in the ER. Heart is racing. Plan: Admit to IMCU for continuing care of sepsis due to COVID-19. Respiratory symptoms are fairly mild, but he is hypoxic. Start Decadron and remdesivir, titrate O2 as needed. Given that he has been vaccinated, should not progress to ICU-level care. Need for IMCU at this point is primarily due to elevated HR and mild elevation of trop/lactate. Cont to trend these levels. Check procalc to rule out a bacterial co-infection. Cardizem gtt for Afib/RVR, continue IV fluids for another day (likely a little dehydrated due to diarrhea). Hold home BP meds and Lasix. Diet as tolerated, antiemetics as needed.

Other Meds: aspirin (ECOTRIN LOW STRENGTH) 81 mg tablet; furosemide (LASIX) 20 mg tablet; levothyroxine (SYNTHROID) 25 mcg tablet; lisinopriL (ZESTRIL) 5 mg tablet; metoprolol succinate XL (TOPROL-XL) 25 mg 24 hr tablet; nitroglycerin (NITROSTAT) 0.4 m

Current Illness:

ID: 1662285
Sex: F
Age: 58
State: NJ

Vax Date: 08/19/2021
Onset Date: 08/19/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data:

Allergies: Tinidazole

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

Symptoms: Neuromuscular symptoms (poor balance, difficulty walking, tremors) increased within hour after shot. Took Tylenol and vitamin C per pharmacist instruction. Rested. By 4 hours later, took another Tylenol for stiff neck, headache, closed sinuses, injection site pain. By next morning (8/20/2021), symptoms remained with addition of fever, body aches, cold sweats, slight chest pain, inappetence. Fever broke on 8/21/2021, but took the whole day to recoup. Noticed on 8/22/2021 arm still hurts, raised red rash, itchy, hot. Took a couple of days to go away, but neuromuscular problems remain heightened.

Other Meds: Propranolol 80mg four times daily Estradiol10mcg insert 2x week Pantoprazole 40mg daily AM Famotidine 40mg daily PM Calcium Carbonate 500mg, twice a day Vitamin D3 1000iu daily Zinc 10mg daily Krill oil 1000mg daily B-Complex time releas

Current Illness: autoimmune related neuromuscular disease - CIDP , osteopenia and tachycardia

ID: 1662286
Sex: F
Age: 54
State: GA

Vax Date: 03/23/2021
Onset Date: 04/16/2021
Rec V Date: 09/01/2021
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: Aug 3,2021- lab work done at hospital

Allergies: codiene Sulfa prednisone penicillin

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

Symptoms: Pain and numbness of the left arm, Pressure under the left eye. Random tremors. tremors last about 15 mins. Blurry vision

Other Meds: Flovent Pepcid sucralafate

Current Illness: none

ID: 1662287
Sex: M
Age: 89
State: MI

Vax Date: 03/19/2021
Onset Date: 04/09/2021
Rec V Date: 09/01/2021
Hospital: Y

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

Lab Data: Positive (unspecified) lab test

Allergies:

Symptom List: Pain in extremity

Symptoms: Pt hospitalized and diagnosed with COVID-19 infection

Other Meds:

Current Illness:

ID: 1662288
Sex: F
Age: 58
State: AR

Vax Date: 02/22/2021
Onset Date: 06/15/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

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

Symptoms: My arm wasn't even really sore. I felt tired for about 24 hours. I have developed high blood pressure which I have never had problems within the past. I went in for cataract surgery and my blood pressure was extremely high. They said it was stroke level. I have been placed on some medicine for high blood pressure.

Other Meds: Ibuprofen; Tylenol PM

Current Illness:

ID: 1662290
Sex: F
Age: 61
State: NJ

Vax Date: 05/05/2021
Onset Date: 05/07/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data: Diagnostic Mamogram with ultrasound July 1st, 2021 The report stated no evidence of cancer.

Allergies: Penicillin, sulfa

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

Symptoms: My right nipple started to become very tender where I could not have any clothing touching it. Then it started to get crusty and red.

Other Meds: Zyrtec, baby aspirin, Viibryd, Vit C, Vit D, Losartan/Hydrochlorothiazide, NAC, Nervagesic

Current Illness: Back and Neck Pain Premature Atrial Contractions High Blood Pressure

ID: 1662291
Sex: F
Age: 38
State:

Vax Date: 12/23/2020
Onset Date: 08/27/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: EE HAD COVID-19 PFIZER VACCINE Dose 1 date: 12/23/2020 Dose 2 date: 01/13/2021. TESTED POSITIVE TO COVID 8/30/21

Other Meds:

Current Illness:

ID: 1662292
Sex: M
Age: 66
State: NC

Vax Date: 02/14/2021
Onset Date: 08/23/2021
Rec V Date: 09/01/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: Hospitalization due to COVID-19 Reported per Pfizer COVID-19 Vaccine EUA

Other Meds: Xeljanz

Current Illness:

ID: 1662293
Sex: F
Age: 58
State: PA

Vax Date: 05/01/2021
Onset Date: 05/03/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data: None

Allergies: No

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Severe vertigo-1week Right eye twitch-1 month Diffuse numbness and tingling remains to date

Other Meds: Multi-vitamin Baby aspirin Caltrate Premarin cream

Current Illness: No

ID: 1662294
Sex: M
Age: 14
State: GA

Vax Date: 08/28/2021
Onset Date: 08/29/2021
Rec V Date: 09/01/2021
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: No tests. I called the pediatrician and she said if he has pains again to take him to Hospital.

Allergies: No

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

Symptoms: Chest pains started around 6:45pm while my son was doing his homework. He said he laid on the floor in his bedroom for awhile till he has called to walk the dog. He came downstairs and mentioned he was having chest pains. He said he didn't tell me because he didn't want to bother me. I had him stay near me the rest of the evening. He said laying on his stomach on the floor felt best. He eventually moved to the couch and sat upright leaning forward since that is what I read that he should do. After a few hours, he said the pains where subsiding. In the morning, he said he had no pain and hasn't had the pains since.

Other Meds: No

Current Illness: Runny nose

ID: 1662295
Sex: F
Age: 49
State: ND

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 09/01/2021
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: n/a

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Vaccine deemed expired after vaccine was administered.

Other Meds:

Current Illness:

ID: 1662297
Sex: M
Age: 24
State: MO

Vax Date: 08/27/2021
Onset Date: 08/29/2021
Rec V Date: 09/01/2021
Hospital: Y

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

Lab Data: Troponin - 8/30 0931 = 0.891, 8/30 1230 = 1.123, 8/30 1531 = 1.932, 8/31 0352 = 3.363 Echo 8/30 - no noted abnormalities Cardiac cath 8/31 - no angiographic abnormalities

Allergies: No known allergies

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

Symptoms: Following 2nd dose of COVID vaccine on 8/27, patient had low-grade fever, body aches, chills, and fatigue. Starting 8/30 in the morning, he began having burning chest pain, described as being like he "just ran a long time in cold weather". He came to the hospital and was noted to have elevated troponins (8/30 0931 = 0.891, 8/30 1230 = 1.123, 8/30 1531 = 1.932, 8/31 0352 = 3.363). An echo was also completed and was unremarkable. He was admitted to the hospital with suspected myocarditis. Further cardiac workup was done and patient had a cardiac cath on 8/31 which showed normal coronary angiography.

Other Meds: None

Current Illness: None

ID: 1662298
Sex: F
Age: 59
State: MI

Vax Date: 08/24/2021
Onset Date: 08/24/2021
Rec V Date: 09/01/2021
Hospital:

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

Lab Data: No

Allergies: Yes

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

Symptoms: Within a couple hours I started breaking out in a rash that turned into hives and throat was closing. All my joints are swollen, headache, pain in my chest, nausea, muscles ache, can't hardly walk, short winded. That doesn't go away. I can't function and very fatigued.

Other Meds: No

Current Illness: No

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am