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: 1666508
Sex: M
Age: 65
State: AK

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

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

Lab Data:

Allergies: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: Woke up 2 days after receiving the shot with a lump under my left armpit and extreme soreness. As of today, 3 days after receiving the shot and the swelling and lump under my left arm has increased as well as the soreness.

Other Meds: Centrum multivitamin

Current Illness: None

ID: 1666509
Sex: M
Age: 34
State: OR

Vax Date: 08/27/2021
Onset Date: 08/28/2021
Rec V Date: 09/02/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Anxiety, Dyspnoea

Symptoms: Fever, chills, cold sweats, body ache. Miserable for 24 hours. Arm hurts still 1 week later. Haven't been able to sleep in right a Side because arm is still so tender

Other Meds:

Current Illness:

ID: 1666510
Sex: F
Age: 44
State: OH

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 09/02/2021
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: Went to the doctor to report my side effects but dr agreed not in my best interest to get the covid booster.

Allergies: PENICILLIN, WALNUTS, ADHESIVES

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

Symptoms: First dose i had a reaction within 40mins. My face got extremely hot and red and blotchy and stayed like that for the day, 12hours or so. didnt think much of it, waited for the flu like symptoms everyone else complained getting. Never got that, just a red hot face. Second dose within 5 mins of getting the shot, my face got extremely hot again and red. No one was around the mass vaccination where i was sitting didnt think to ask anyone. But this time it lasted a good 48 hrs and my face stayed red well into the next day when it started to subside my cheeks now were prickling. Probably from being swollen. Afraid to get the Pfizer booster.

Other Meds: NO

Current Illness:

ID: 1666511
Sex: M
Age: 11
State: MN

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

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

Lab Data:

Allergies: None stated

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Patient entered DOB as 8/13/2009 at clinic on 9/1/2021. They alerted us the the birthdate in state registry was 10/13/2009. I then called the adult who gave consent for vaccination. I explained situation and asked when his DOB was. He stated 8/13/2009 was the correct DOB. I emailed this information to the authorities, who informed me this could not be correct as DOB 10/13/2009 came from vital records and requested that I complete VAERS. I have also canceled 2nd dose appointment on 9/22/2021 and requested guidance if I should update DOB in system as well.

Other Meds: None stated

Current Illness: None stated

ID: 1666512
Sex: F
Age: 63
State: MN

Vax Date: 03/19/2021
Onset Date: 09/02/2021
Rec V Date: 09/02/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Tested PCR positive for COVID 9/2/21 after being fully vaccinated.

Other Meds:

Current Illness:

ID: 1666513
Sex: F
Age: 21
State: WA

Vax Date: 09/01/2021
Onset Date: 09/01/2021
Rec V Date: 09/02/2021
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: Lung pain/ache on left side, heavy chest, burning sensation in the middle of the chest, shortness of breath, healthcare provider confirmed vitals were fine.

Other Meds: None.

Current Illness:

ID: 1666514
Sex: U
Age: 70
State: FL

Vax Date: 04/10/2021
Onset Date: 08/04/2021
Rec V Date: 09/02/2021
Hospital:

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

Lab Data: Chest xray shows ground glass opacities WBC 12.6

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Patient presented to ED and was admitted patient c/o cough daily and shortness of breath had been diagnosed with COVID 3 days prior o2 sat 96% had mild fever

Other Meds:

Current Illness:

ID: 1666515
Sex: F
Age: 49
State: TX

Vax Date: 08/16/2021
Onset Date: 08/20/2021
Rec V Date: 09/02/2021
Hospital:

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

Lab Data:

Allergies: Penicillin; Latex; Prozen

Symptom List: Pharyngeal swelling

Symptoms: She has had noses bleed and numbness her left side of her body from top to bottom. She can't feel anything on that side. She don't have taste or smell and have sharp shooting headache. She also has difficulty of breathing. An she is very fatigue. She can't get in to see her primary doctor until next month.

Other Meds: Klonopin; Hydroxyzine.

Current Illness: Eczema

ID: 1666516
Sex: F
Age: 36
State:

Vax Date: 04/30/2021
Onset Date: 09/02/2021
Rec V Date: 09/02/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: hospitalized, SARS-CoV-2 positive

Other Meds:

Current Illness:

ID: 1666517
Sex: F
Age: 40
State: OH

Vax Date: 07/11/2021
Onset Date: 07/20/2021
Rec V Date: 09/02/2021
Hospital:

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

Lab Data: 08/02/2021 - Bloodwork 09/01/2021 - Thyroid Ultrasound - enlarged hyper-vascular thyroid (Graves or subacute thyroiditis)

Allergies: n/a

Symptom List: Diarrhoea, Nasal congestion

Symptoms: I received my first Pfizer vaccine on 07/11/2021 and on 07/20/2021 I felt swelling in my neck. It felt a bit like swollen lymph nodes at first but then radiated on all sides of my neck. I've never really felt anything like it before - a tightness, scratchiness... and at times felt like my throat was sore and could feel a slight pressure/burning in my ears. The main feeling though was the neck pressure and sensitivity. Along with these physical symptoms, I felt highly anxious - even though I didn't really mentally feel anxious. My adrenaline seemed to be running really high. I went to the doctor on August 2nd and my practitioner felt the swollen neck and asked me to monitor - hoping the swelling would go down. She ordered blood tests - these came back without sounding alarms. Unfortunately, the swelling and discomfort in the neck persisted. My practitioner ordered an ultrasound which took place on September 1st. The results of the ultrasound showed an enlarged, hyper-vascular thyroid. She stated it was likely subacute thyroiditis (she mentioned Graves but said more likely the other). 7 1/2 weeks after my vaccination, my neck still bothers me but does seem to be bothering me less than in the beginning. I am not planning to get the second dose for fear of another inflammatory response like this.

Other Meds: n/a

Current Illness: n/a

ID: 1666518
Sex: F
Age: 73
State: KY

Vax Date: 03/02/2021
Onset Date: 08/10/2021
Rec V Date: 09/02/2021
Hospital:

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

Lab Data: None

Allergies: Reglan

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

Symptoms: Eczema on the top side of both elbows Triamcinolone 0.1% ointment?2 times a day for 2 weeks, then 1 time a day for 1 week I just started the treatment

Other Meds: Aspirin-81 mg, omeprezole-20 mg,AmLODIPine Besylate-5 mg, Metoprolol Succer-25 mg, pravastatin sodium-10 mg, lisinopril-20 mg, oxybutynin-10 mg, Moexipril-hydrochlorothiazide-15-26, vitamin D, calcium? Lutein, coq10, magnesium

Current Illness: None

ID: 1666519
Sex: M
Age: 70
State: LA

Vax Date: 08/06/2021
Onset Date: 08/10/2021
Rec V Date: 09/02/2021
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: #Acute metabolic encephalopathy: symptom onset was immediately after receiving COVID-19 vaccination, given associated fever and leukocytosis, encephalitis was considered initially, and LP was scheduled. MRI was negative. Patient remained afebrile and leukocytosis resolved without use of any antibiotics. Given rapid improvement, deferred LP. Per neurologist evaluation, adverse immune mediated inflammatory reaction to Covid vaccine was a possible etiology, recommended rehab transfer and outpatient follow-up once stable. #Acute debility / Generalized weakness: Patient presented with significant weakness which improved, but he is still significantly weaker overall compared to his baseline. PT/OT evaluated him and recommended post acute placement and intense therapy for him to return to baseline functional status. #Hypokalemia: He developed mild hypokalemia during the hospital course which was repleted and normalized #Mild Transaminitis: Mildly elevated on admission, which was likely reactive and resolved during stay

Allergies: Codeine

Symptom List: Rash, Urticaria

Symptoms: Patient is a 70-year-old male with past medical history of seizures, (on phenytoin) and PE, (on Xarelto) who was brought in by EMS with altered mental status and weakness. Patient was unable to give full history so obtained from patient's wife. PCP notes in epic reviewed and extensive workup as outpatient before coming to ED. As per wife: Patient received first dose of Pfizer vaccine on 8/6/21, followed by muscle tremors and had fever on 8/7 which resolved with Tylenol. Patient started vomiting on 8/7 which lasted for a full 24 hours. Wife brought patient to an urgent care; COVID and flu were both negative. Patient was sent home with Toradol for headaches and Zofran for nausea. On 8/10 patient ate breakfast, but started getting disoriented in the afternoon and went to clinic. He had a another negative Covid swab, had unremarkable blood work, had a normal CT of the head, saw the primary doctor and neurology who ruled out Guillain-Barre. They ordered head CT which was normal. After returning home from the clinic, he was unable to get out of car due to weakness and waxing and waning consciousness, and only able to recognize his wife, losing orientation to place (stated he was traveling abroad) and time. He needed assistance to walk to the front door and collapsed. Soon after she called EMS. Of note, patient is independent of ADLs at baseline. Recent 25lb weightloss over 10 weeks, on a strict keto diet.Patient admits to headache and weakness. Patient denies any fevers, chills, n&v, chest pain, SOB, cough, abdominal pain, issues with bowel movements, urinary symptoms, or numbness and tingling. He received a single dose of ampicillin, ceftriaxone, and vancomycin in the ED before he was admitted.

Other Meds: Xarelto, Dilantin, B12, Multivitamin with folic acid,

Current Illness:

ID: 1666520
Sex: F
Age: 35
State: TN

Vax Date: 08/24/2021
Onset Date: 08/24/2021
Rec V Date: 09/02/2021
Hospital:

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

Lab Data: Went to my doctor and had blood work, X-rays and awaiting my ultrasound of both my legs to be completed.

Allergies: None

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

Symptoms: 10 minutes after shot was administered, I had a very cold sensation in the middle of my chest and left arm tingling all the way down to my fingertips. Each day after I have had worsening symptoms of bilateral leg burning, tingling and left calf pain. Also extreme fatigue in both my legs after walking a few steps.

Other Meds: None

Current Illness: None

ID: 1666521
Sex: F
Age: 53
State: NJ

Vax Date: 06/03/2021
Onset Date: 06/18/2021
Rec V Date: 09/02/2021
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: ENT visit with hearing test 7/28/2021 Neurologist visit 7/28/2021 EEG 7/29/2021 MRI/MRA Brain 8/10/2021

Allergies: None

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

Symptoms: Constant dizziness, off balance (Vertigo), headaches and occasional short of breath. 9 weeks now

Other Meds: Losartin 100mg

Current Illness:

ID: 1666522
Sex: M
Age: 73
State: MI

Vax Date: 03/22/2021
Onset Date: 08/27/2021
Rec V Date: 09/02/2021
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:

Allergies:

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

Symptoms: Patient was hospitalized with acute hypoxemic respiratory failure due to COVID-19

Other Meds:

Current Illness:

ID: 1666523
Sex: F
Age: 61
State: CA

Vax Date: 08/26/2021
Onset Date: 08/26/2021
Rec V Date: 09/02/2021
Hospital:

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

Lab Data: No tests. Seen in urgent care the following Monday.

Allergies: Moderna and J&J vaccine

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

Symptoms: Six minutes in I felt flushing and heart pounding and some swelling in my throat. I had pre-medicated with benadryl so I took another one. The heart pounding eased in just a minute or two and also the flushing. I had had an allergic reaction to Moderna January 7th , so thought I was ok to just go home and take the same meds the ER had given me in January. I called my doctor's office the next day to get more prednisone.

Other Meds: Took pepcid and zyrtec night before.. Took benadryl 15 minutes before.

Current Illness: none

ID: 1666524
Sex: M
Age: 84
State: WI

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

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

Lab Data:

Allergies: No known allergies

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

Symptoms: Patient had a positive COVID test after being fully vaccinated

Other Meds: Acetaminophen 1000 TID Albuterol 180 mcg q4hr PRN for shortness of breath allopurinol 300mg daily amlodipine 5mg daily atorvastatin 10mg HS Mucinex DM 600mg/30mg q12 PRN for cough divalproex sodium 500mg BID donepezil 10mg HS erythromycin o

Current Illness:

ID: 1666525
Sex: F
Age: 55
State: FL

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

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Additional Details: described lip as tingling that felt like "spider walking across lip"

Other Meds:

Current Illness:

ID: 1666526
Sex: M
Age: 14
State: VA

Vax Date: 08/29/2021
Onset Date: 08/30/2021
Rec V Date: 09/02/2021
Hospital: Y

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

Lab Data: At the outside ER he did have one low BP reading of 90/61 but was otherwise normotensive. They did an EKG which showed diffuse ST segment elevation with a normal sinus rhythm. A chest X-ray was obtained without cardiomegaly. Troponin obtained which was 20.3 (normal 0-0.045). She had a CBC with a WBC of 12,8, Hgb 14.5, Plt 302 with no left shift. BMP was unremarkable with normal electrolytes. given the elevated troponin and abnormal EKG he was transferred to ER. In the ER an EKG was repeated which confirmed NSR with ST elevations consistent with pericarditis. A CRP and ESR were obtained which were elevated at 5.0/31 respectively. BNP obtained which was mildly elevated at 240. A troponin was repeated here and was 10.84 (reference range 00.40). an echocardiogram was performed in the ER and had normal function. RP2-PCR obtained and was negative. Given findings consistent with myocarditis, admitted for observation

Allergies: None

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Patient is a 14 year old male with a history of myocarditis in 2020 who presents as a transfer from medical center due to chest pain in setting of elevated troponin levels. He was in his normal state of health until two days prior to presentation when he began to have mid-sternal chest pain he described as aching. Pain waxes and wanes but never completely goes away. He has no increased work of breathing or desaturations but does state it feels like he has to take more effort to breathe. No reported improvement when leaning forward. Of note, he received his 2nd dose of Pfizer COVID-19 vaccination the day prior to chest pain beginning. He otherwise has had no fevers, no recent URI, GI illness or UTI. He has no dizziness, lightheadedness. Denies syncope or palpitations. He has a history of perimyocarditis of unclear etiology from 2020.

Other Meds: None

Current Illness: None

ID: 1666527
Sex: U
Age: 79
State: TN

Vax Date: 02/05/2021
Onset Date: 08/05/2021
Rec V Date: 09/02/2021
Hospital:

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

Lab Data: cro-162 lactic acid 2.4 tested COVID+ along with Influenza A WBC13.6 Chest Xray revealed ground glass opacities consistent with COVID PNA

Allergies:

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

Symptoms: hx of Hypertension, dyslipidemia, hypothyroid Sx onset 2 weeks ago. nonproductive cough, shortness of breath, nasal congestion, sweats, chills and fever of 101 patient was hypoxic with a po2 of 56 patient also had severe sepsis

Other Meds:

Current Illness:

ID: 1666528
Sex: F
Age: 43
State: IL

Vax Date: 08/31/2021
Onset Date: 08/31/2021
Rec V Date: 09/02/2021
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: none

Allergies: None

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

Symptoms: Fever hitting 100.1, chills, body aches, headache, left side of neck swollen lymph nodes, loss of appetite, very fatigue. I used tylenol 500 mg twice every 4-6 hours. Drank plenty of water and Orange Juice.

Other Meds: tylenol 500 (2, every 4 hours) Vitamin d3 5000 (once a day) Amlodipine Besylate 5mg (once a day)

Current Illness: I had the flu 1 week and 5 days prior

ID: 1666529
Sex: F
Age: 73
State: DE

Vax Date: 02/25/2021
Onset Date: 05/01/2021
Rec V Date: 09/02/2021
Hospital:

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

Lab Data: N/A

Allergies: Mesalamine; Cefotaxime

Symptom List: Unevaluable event

Symptoms: What happened was I got a very large stye on my right eyelid. It began probably around the 24th of May and I went to my PCD on the 28th of May 2021. My DR prescribed azithromycin for my eyelid and five days of azithromycin. It was swelling and itching in my eye. The DR also told me to use a cold compress on it. I went to my eye DR on the 4th of June 2021 as well. The eye DR prescribed eye drops which I was to use for ten days and then stop. I still occasionally use the ointment prescribed by my PCD.

Other Meds: Budesonide; Acidophilus; Calcium with D3; Claritin; Multivitamin; Omega 3; Tylenol Extra strength; Systane eye drops; Biofreeze with Lidocaine; Nystatin cream

Current Illness: N/A

ID: 1666530
Sex: M
Age: 22
State: FL

Vax Date: 08/31/2021
Onset Date: 08/31/2021
Rec V Date: 09/02/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Systemic: Fainting / Unresponsive-Medium

Other Meds:

Current Illness:

ID: 1666531
Sex: F
Age: 70
State:

Vax Date: 04/09/2021
Onset Date: 08/11/2021
Rec V Date: 09/02/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: female presents to the emergency department for evaluation of nausea, vomiting, and generalized weakness on 8/14/2021. She was diagnosed with Covid on August 11 with symptoms that began the day before. She required oxygen during her hospital stay (various levels of 2 - 4 L via nasal cannula). She received dexamethasone and remdesivir, She was discharged to home, off oxygen, on August 28, 2021.

Other Meds:

Current Illness:

ID: 1666532
Sex: M
Age: 58
State: TX

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

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

Lab Data: Echocardiogram, MRI of my heart, Cardiac stress test. Bloodwork and ejection fraction. They discovered I had multiple PVCs and ejection fraction was abnormal.

Allergies: I have allergies to latex and biaxin

Symptom List: Injection site pain, Menorrhagia

Symptoms: I felt like my body was skipping heart beats and went into see my Cardiologist and it had been first time I saw him in a year due to COVID. They did an Echocardiogram and discovered I was having multiple PVCs. My ejection fraction which had been 50-55% which was normal but when tested was suddenly 35%. At that point they started me on medication and it got rid of the PVCs but ejection fraction has not improved since last testing at end of July. My next Cardiologist appointment is in a few days. Also 12 hours after the vaccine I had severe body aches and fever that lasted about 36 hours.

Other Meds: Atorvastatin; Lovaza; Wellbutrin; Cialix; Pantoprazole; 81mg low dose Aspirin; Dulera 1 puff/daily; DHEA; Men's multivitamin 50+; Digestive enzyme; Probiotic

Current Illness: I have chronic allergies, I was sneezing and doing those things. I do not recall specifically having an illness

ID: 1666533
Sex: F
Age: 12
State: CA

Vax Date: 08/09/2021
Onset Date: 08/11/2021
Rec V Date: 09/02/2021
Hospital:

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

Lab Data: Clinical diagnosis only

Allergies: No know allergies

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

Symptoms: After the vaccine was given patient only had a sore arm. Then 2 days later, developed right facial weakness and clinically diagnosed with Right Bell's Palsy. Patient was given 5 day course of Prednisone. Symptoms slowly improved over the next 3 weeks. Was evaluated by Head and Neck Surgery on 8/31/2021 and symptoms had almost completely resolved. Per the exam note "On maximal effort there is minimal noticed weakness of the right orbicularis oris for complete eye closure. There is mildly decreased right oral commissure excursion with smiling, there is symmetric movement of the forehead and lower face." Patient did receive her second dose of COVID vaccine on 8/31/2021.

Other Meds: None

Current Illness: None

ID: 1666534
Sex: F
Age: 56
State: WA

Vax Date: 09/01/2021
Onset Date: 09/01/2021
Rec V Date: 09/02/2021
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: Septrin, erythromycin, pistachios, latex

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Within 30 minutes I experienced extreme anxiety. Extreme stress that made no sense at all. This lasted for about three hours before subsiding. It is hard to explain how upsetting this was. My brain was super stressed. I also experienced heavy legs with tingling in the feet and a brief period of dizziness. I was able to prevent a fall and this passed very quickly, within minutes.

Other Meds:

Current Illness:

ID: 1666535
Sex: F
Age: 43
State: PA

Vax Date: 08/25/2021
Onset Date: 08/28/2021
Rec V Date: 09/02/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Systemic: loss of taste/smell-Medium, Additional Details: Patient insists that the vaccine caused a loss in taste and smell. I explained that a symptom of COVID and not a reaction from vaccine. Advised patient to get tested, but she wanted reported as she does not believe could have gotten COVID. Explained again how symtoms may appear after exposure and vaccine not fully effective.

Other Meds:

Current Illness:

ID: 1666536
Sex: F
Age: 57
State: CA

Vax Date: 09/01/2021
Onset Date: 09/01/2021
Rec V Date: 09/02/2021
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: Denies

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

Symptoms: Client received 3rd dose of Moderna COVID vaccine @12:50 pm. At 1:15pm, client reports seeing dark rings/spots in left eye and hard to focus with that eye. Client moved over to zero-gravity chair to lie back, client "resting her eyes". Vital signs @ 1:15pm included a blood pressure of 195/105. Client denies any shortness of breath, trouble breathing, chest pain, no nausea. Client denies history of high blood pressure, reports Rheumatoid Arthritis and Depression. Continued to monitor vital signs, blood pressure 171/86, pulse 52 @1:23 pm. Client reports she is able to focus vision with left eye, not as blurry. Continued to observe, @1:40 pm client denies vision changes, reports she feels 100% better, blood pressure is 178/92. At 1:50 pm, client states she has no more symptoms, 100% better. Blood pressure at 2:00pm 158/80. Client leaves @ 2:08pm, will follow up with primary care provider.

Other Meds: Methotrexate, Pristiq, Famotidine, Folic Acid

Current Illness: Denies

ID: 1666537
Sex: F
Age: 42
State: MD

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

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

Lab Data: Chronic urticaria lab normal, except for thyroid

Allergies: Spring; grass; oak; dust

Symptom List: Nausea

Symptoms: I get these skin lesions annually, I got them again at the end of May. It got more intensified in severity by the first and second week of June. Started in my lower extremities and came up to my buttock area and thigh. After the buttock area the lesions started to come up on different parts of my body. At that time, it was significantly affecting my life. I was unable to sleep. I continued with my basic allergy medicine. I would occasionally take Benadryl. I started at that point on prednisone for a week and a half. The symptoms did not get better. I doubled up on my Zyrtec. When I was on prednisone, I started seeing typical hives lesions that come and go in about 15 minutes in a day or 2. Which are different to my typical lesions. I thought it might be a drug reaction, so I started to decrease my prednisone, but symptoms persisted. After that, the hives lesions started to decrease but they did not go away. I still have the lesions and Dermatographia. And I did not have these lesions prior to taking prednisone. Last year when I had these symptoms, they all resolved by middle June. For the week I took prednisone I experienced loss of appetite, increased depression and anxiety. After stopping taking prednisone those symptoms resolved. I went to see my dermatologist and she thinks these are the same lesions and it might be chronic urticaria. I did a chronic urticaria lab with my immunologist. Normal except for thyroid disease. My labs were borderline abnormal after taking prednisone. But they were normal after stopping prednisone at one point during these I was taking Zyrtec once a day. I experienced tachycardia when I took that high dose of Zyrtec and or Xyzal, but that resolved. My rash is ongoing but very mild now and not bothering with my daily life.

Other Meds: Zyrtec; Nasonex; magnesium; potassium; probiotic

Current Illness: None

ID: 1666538
Sex: M
Age: 23
State: CA

Vax Date: 09/02/2021
Onset Date: 09/02/2021
Rec V Date: 09/02/2021
Hospital:

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

Lab Data: None, observation only

Allergies: None

Symptom List: Injection site pain

Symptoms: patient reported being pale, sweaty, blurry vision, and ringing in the ears 5-10 minutes after receiving vaccine. Patient checked in to ER and was treated, monitored, and onserved for an hour and half without any futher adverse reactions noted

Other Meds: None

Current Illness: None

ID: 1666539
Sex: M
Age: 44
State: NY

Vax Date: 05/01/2021
Onset Date: 08/22/2021
Rec V Date: 09/02/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: severe eczema, skin inflammation, getting the vaccine makes it a lot worse. also caught a cold 4 months after getting the vaccine, and it was much more severe than usual even though the covid test came out negative - the cold came with a lot of fatigue and brain fog, never had this happen before.

Other Meds:

Current Illness:

ID: 1666540
Sex: M
Age: 42
State: NY

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

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

Lab Data:

Allergies:

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

Symptoms: Systemic: Abdominal Pain-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Systemic: Tinnitus-Medium, Additional Details: Patient said he immediately felt pain in his lower abdomen on each side after receiving the vaccine. He then began to feel dizzy and his ears were ringing. He began sweating and felt like he was going to pass out. BP was 92/77 and then went up to 104/83 after 2 minutes, which the patient said is closer to normal range for him. Sweating stopped and patient said he was feeling better. Patient left the store when feeling better.

Other Meds:

Current Illness:

ID: 1666541
Sex: F
Age: 51
State: WI

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

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

Lab Data: NA

Allergies: None reported.

Symptom List: Tremor

Symptoms: Client received their 2nd dose of Pfizer vaccine that was mixed on 9/1/21 @ 0906 and was given to client 20-25 minutes after 6 hour time expired 1506. Client felt fine at time of receiving vaccine. Today 9/2/21 @ 1013 writer spoke with client to report dose valid and not to be repeated. Client states feeling fine today, no concerns. Appreciative of conversations yesterday & today. No adverse reaction.

Other Meds: Unknown

Current Illness: None reported.

ID: 1666542
Sex: F
Age: 60
State: MI

Vax Date: 08/31/2021
Onset Date: 09/02/2021
Rec V Date: 09/02/2021
Hospital:

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

Lab Data: n/a

Allergies: Sulfa

Symptom List: Erythema, Pruritus

Symptoms: Red, painful, swollen, and "hard as a rock."

Other Meds: Atorvastatin, Calcium, Vitamin D, Vitamin B12, Metoprolol, Penicillin Potassium, Ropinirole, Zoloft, Tizanadine

Current Illness: none

ID: 1666543
Sex: M
Age: 15
State: PA

Vax Date: 08/31/2021
Onset Date: 08/31/2021
Rec V Date: 09/02/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Error: Wrong Dose of Vaccine - Too Low-

Other Meds:

Current Illness:

ID: 1666544
Sex: F
Age: 56
State: KY

Vax Date: 08/24/2021
Onset Date: 08/24/2021
Rec V Date: 09/02/2021
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: Flu Virus Vaccine: Anaphylaxis Penicillins: Hives, Shortness Of Breath Sulfa Antibiotics: Swelling Levaquin [Levofloxacin]: achey joints Latex: Rash

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

Symptoms: Tingling in arm

Other Meds: escitalopram (LEXAPRO) 10 MG tablet estradiol-norethindrone (MIMVEY) 1-0.5 MG ondansetron (ZOFRAN-ODT) 4 MG disintegrating tablet

Current Illness: none

ID: 1666545
Sex: F
Age: 61
State: IL

Vax Date: 01/13/2021
Onset Date: 01/15/2021
Rec V Date: 09/02/2021
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: Morphine, Thimerosal and beestings

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Shortly after receiving the COVID-19 vaccination, I began having a strange sensation of my tongue. It intensified after the 2nd shot. It felt like it was burnt on a hot beverage. To this day it has not gotten better.

Other Meds: Levothyroxine, Vitamin D

Current Illness:

ID: 1666546
Sex: F
Age: 44
State: NY

Vax Date: 04/15/2021
Onset Date: 05/01/2021
Rec V Date: 09/02/2021
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: no

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

Symptoms: My period came almost 10 days early. This happened after both my first and second shot. I have very regular periods and have not had anything like this ever before and not since.

Other Meds: synthroid

Current Illness: no

ID: 1666547
Sex: F
Age: 57
State: CA

Vax Date: 08/30/2021
Onset Date: 08/30/2021
Rec V Date: 09/02/2021
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: I have an appointment with my primary md tomorrow. ,

Allergies: Codeine

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

Symptoms: Severe headache 3 hours after injection. Also there is numbness on the bottom only of both feet. I still have the headache 3 days later with nausea at times because of the pain. Feet are also still numb. There was some body aches too that was only on the entire left side of my body.

Other Meds: None

Current Illness: None

ID: 1666548
Sex: M
Age: 15
State: FL

Vax Date: 09/02/2021
Onset Date: 09/02/2021
Rec V Date: 09/02/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Hypertension-Mild, Systemic: Shakiness-Mild

Other Meds:

Current Illness:

ID: 1666549
Sex: F
Age: 61
State: OK

Vax Date: 08/14/2021
Onset Date: 08/29/2021
Rec V Date: 09/02/2021
Hospital:

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

Lab Data: Bloodwork, CT Scan completed. Ultrasound scheduled.

Allergies: Codeine, morphine

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

Symptoms: Excruciating ovary pain 15 days after 2nd vaccine. Lasted several hrs. ER, waited 4 hrs but no ER beds available. Saw my doctor following day. CT scan results 2.4 cm dermoid mass on left ovary with possible torsion. Bloodwork done. Ultrasound scheduled 9-13/2021.

Other Meds: Paxil 37.5 1 per day

Current Illness: None

ID: 1666550
Sex: M
Age: 66
State: OR

Vax Date: 08/20/2021
Onset Date: 08/23/2021
Rec V Date: 09/02/2021
Hospital:

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

Lab Data: Multiple

Allergies: Ibuprofen, Aspirin

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

Symptoms: Acute Hepatitis, Liver enzymes 6X normal limit Vomiting

Other Meds: Multiple

Current Illness: Multiple

ID: 1666551
Sex: F
Age: 62
State: OH

Vax Date: 08/23/2021
Onset Date: 08/23/2021
Rec V Date: 09/02/2021
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: Work-up summary thus far for palpable purpura: OSH workup: HAV, HBV, HCV, HIV, CMV, COVID negative; VZV IgG+; IgM elevated (733) and IgA wnl (133); F-actin Ab elevated (36). 8/26 buccal bx at OSH showed ulcer with mixed inflammation, submucosal necrosis, and epithelial microabscess -dermatology consulted -8/29 skin bx tissue culture NGTD -ID work-up: 8/28 CMV, mononucleosis, and mycoplasma negative; 8/29 BCx NGTD -autoimmune work-up: 8/28 RF, C3, C4 wnl, proteinase 3 elevated (6.2), c-ANCA 1:40, cardiolipin Ab elevated (108), anti-smooth muscle Ab elevated (30), PT, INR, aPTT, PTT-LA, DRVVT all mildly elevated on lupus anticoagulant panel -coagulation work-up: 8/28 protein C activity, and PT/INR wnl -rheumatology consulted -8/30 ANA panel wnl, anti-mitochondrial Ab negative -8/30 elevated LDH (355) and haptoglobin (224) -8/31 venous doppler normal

Allergies: Protonix, latex (rash)

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

Symptoms: On the afternoon of the day of the second shot, palpable purpura began appearing on patient's thighs. Patient was taken to hospital. While there, similar lesions began appearing on the forearms. She was taken to the ICU, where she had a reaction to Protonix (swelling of the mouth and throat). She was transferred for further care, started on IV methylprednisolone due to concern for Sweet's syndrome. Skin biopsy stained positive for HSV and she was started on acyclovir.

Other Meds: hydralazine, metoprolol, amiloride, calcitriol,magnesium, Symbicort, albuterol

Current Illness:

ID: 1666552
Sex: F
Age: 17
State: WA

Vax Date: 09/02/2021
Onset Date: 09/02/2021
Rec V Date: 09/02/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: Error: Patient Too Young for Vaccine Administered-

Other Meds:

Current Illness:

ID: 1666553
Sex: F
Age: 45
State: TN

Vax Date: 02/01/2021
Onset Date: 02/21/2021
Rec V Date: 09/02/2021
Hospital:

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

Lab Data: Doctor appointment on 3/4/21 with (primary care physician) ER visit at 3/5/21 blood pressure spiking and heart racing. Doctor appointment on 3/15/21 Dr. for neurology MRI and Dye test on 3/23/21 Nerve test on 3/29/21 Doctor appointment with Dr. 4/8/21, instructed to wear heart monitor for 30 days. Echocardiogram on 4/23/21 Cardiac Scan on 5/21/21

Allergies: None

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: I began to experience high blood pressure, racing heart, skipped heart beats. Tightness in chest. Dizziness where I had to lay down unable to stand up.

Other Meds: Daily Vitamin

Current Illness: None

ID: 1666554
Sex: M
Age: 40
State: IN

Vax Date: 08/12/2021
Onset Date: 08/13/2021
Rec V Date: 09/02/2021
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: Severe sore throat next day, severe shoulder muscle pain

Other Meds:

Current Illness:

ID: 1666555
Sex: F
Age: 67
State: MD

Vax Date: 05/06/2021
Onset Date: 05/07/2021
Rec V Date: 09/02/2021
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:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Site: Pain at Injection Site-Severe, Systemic: pain in the arm lasting for several pain patient tried aspercream sleep and various pain med helps minor with the symptoms but pain is not going away-Severe, Systemic: Tinnitus-Mild

Other Meds:

Current Illness:

ID: 1666556
Sex: F
Age: 18
State: CA

Vax Date: 08/13/2021
Onset Date: 08/16/2021
Rec V Date: 09/02/2021
Hospital:

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

Lab Data: Elevated Ddimer Elevated troponin

Allergies: none

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

Symptoms: SVT, requiring adenosine for cardioversion. ER visit and overnight stay.

Other Meds: none

Current Illness: none

ID: 1666557
Sex: F
Age: 38
State: CA

Vax Date: 02/16/2021
Onset Date: 07/01/2021
Rec V Date: 09/02/2021
Hospital:

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

Lab Data: Blood work, Vaginal ultrasound

Allergies:

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

Symptoms: I experienced excessive heavy menstrual bleeding. I had to change my tampon continuously. I went through a box of 96 tampons in two days. When I went to the Emergency Room, I was told that I developed fibroids. I was recommended to see another doctor. There wasn't anything that the doctor could do for me at the time since the heaviness of my period eventually stopped. The excessive bleeding lasted for three days. I am still dealing with a lot of spotting and heavy periods.

Other Meds: Wellbutrin; Lisinopril

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am