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: 1670214
Sex: F
Age: 38
State: FL

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

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

Lab Data: Ct scan scheduled for 09/08/21

Allergies: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: Nonstop headache that started within minutes of receiving the vaccine. It intensifies to causing nausea, trouble sleeping and sensitive to noise and light.

Other Meds: Daily vitamin

Current Illness: None

ID: 1670215
Sex: M
Age: 33
State:

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 09/03/2021
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:

Symptom List: Anxiety, Dyspnoea

Symptoms: Vaccine expired in fridge.

Other Meds:

Current Illness:

ID: 1670216
Sex: F
Age: 42
State:

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 09/03/2021
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:

Allergies:

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

Symptoms: Vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1670217
Sex: F
Age: 22
State: FL

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

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Did not have to wait 15 minutes after the shot, was told to leave right after. Felt faint while driving home and passed out while driving. Woke up shaking. Almost crashed and woke up on opposite side of the road by the grace of god was ok.

Other Meds:

Current Illness:

ID: 1670218
Sex: M
Age: 53
State:

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 09/03/2021
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: Vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1670219
Sex: F
Age: 45
State:

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 09/03/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1670220
Sex: F
Age: 61
State: WI

Vax Date: 08/16/2021
Onset Date: 08/22/2021
Rec V Date: 09/03/2021
Hospital:

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

Lab Data: Have not sought medical diagnosis or treatment yet. Hoping it will subside.

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Groin pain on right side. To touch feels like 2 small pebbles. Ongoing since week after 1st dose of vaccine.

Other Meds: Synthroid

Current Illness: Cold, fever, cough. Onset around 7/15. Duration about 7 days. Tested negative week after with antigen test. Again tested negative 2 weeks later with PCR. Got vaccine first dose on 8/15.

ID: 1670221
Sex: F
Age: 55
State:

Vax Date: 01/13/2021
Onset Date: 09/02/2021
Rec V Date: 09/03/2021
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: Pharyngeal swelling

Symptoms: PATIENT HAD COVID-19 VACCINE ON Dose 1 date: 01/13/2021, Dose 2 date: 02/04/2021, AND TESTED POSITIVE TO COVID-19 9/2/2021

Other Meds:

Current Illness:

ID: 1670222
Sex: F
Age: 69
State: ND

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 09/03/2021
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:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Patient's blood pressure raised to 150s over 80s beginning the day after the vaccine and continuing for 3 days.

Other Meds:

Current Illness:

ID: 1670223
Sex: F
Age: 62
State:

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 09/03/2021
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:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1670224
Sex: F
Age: 54
State: FL

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

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

Lab Data:

Allergies: allergic to Nasonex, Shell fish and pork.

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

Symptoms: Slight headache, flashed/red on the left side of my face, tenderness on my right arm, nauseous and every now an then a chill. Also my right arm is a little bit swollen and on my right side of my torso by my hip area it has been itching since I woke up.

Other Meds: none

Current Illness: none

ID: 1670225
Sex: F
Age: 53
State:

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 09/03/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1670226
Sex: F
Age: 71
State: MI

Vax Date: 03/08/2021
Onset Date: 08/25/2021
Rec V Date: 09/03/2021
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: Gabapentin Penicillins Rash Tizanidine

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

Symptoms: Hospitalized (admitted 8.28); COVID-19 exposure and symptoms 8.25.21; COVID-19 positive 8.28.21 (fully vaccinated) Currently still admitted to the hospital. CHIEF COMPLAINT COVID ASSESSMENT AND PLAN Covid pneumonia - patient presenting with cough, SOB, fevers, weakness for the last 3 days. Husband is also Covid positive. Fully vaccinated with Pfizer. - satting well on room air but did have episode of desaturation to 88%, recovered quickly - Covid positive 8/28 - CXR negative for acute process - started on decadron, continue - does not currently qualify for Remdesivir - prn cough meds - monitor on pulse ox Mechanical falls - notes she has had 3 mechanical falls in the last 3 days. Last fall was yesterday and she states they were from "getting tripped up" not really from weakness. Had to call sister to help with getting her off the floor. Denies hitting head and not on AC. - PT/OT eval Essential HTN - continue home Norvasc Crohn's disease - holing home Imuran and Humera with acute infection Epilepsy - continue home Lamictal Anxiety - home ativan PRN Chronic anemia - hgb 10.3 which is around recent baseline Hx SDH with chronic R sided weakness HDL - continue home ASA and stain Hx DVT/PE - not currently on AC Diet: general VTE Prophylaxis: Lovenox Code status: Full code per discussion with patient and sister at bedside Above assessment and plan discussed with Dr. whose insight is reflected above. HISTORY OF PRESENT ILLNESS Patient is a 71 y.o. female with past medical history significant for Crohn disease on chronic anemia depression, anxiety, subdural hematoma with chronic right-sided weakness, epilepsy, hypertension, history of DVT/PE who presented emergency department complaints of cough, shortness of breath and weakness. Patient states that her husband was found to be COVID positive recently. She was seen at urgent care a few days ago and was negative but states that she has had worsening symptoms. Cough has been productive and she has been having intermittent shortness of breath. Has been having fevers at home with most recent being this morning. She also notes a decreased appetite and minor sore throat. Patient notes that she is fully vaccinated with Pfizer. Per patient and sister at bedside, they noted patient had 3 mechanical falls in the last 3 days. Last fall was yesterday. Patient states that these falls were secondary to ?getting tripped up? and not necessarily from weakness. She does have chronic right-sided from her prior stroke. Patient states that she had to call her sister for assistance getting off the floor has her husband is currently weak with COVID and was unable to help. Patient denies having had any of her falls. Patient is also not currently on any anticoagulation. Denies any chills, lightheadedness/dizziness, loss of taste or smell, chest pain, abdominal pain, nausea/vomiting, diarrhea urinary symptoms. Upon arrival to emergency department, patient was tachypneic. Baseline blood work was obtained showing minor hyponatremia of 132, slight bump in her creatinine to 0.99, minor leukocytosis of 12.8 with lymphopenia, stable chronic anemia. COVID PCR was positive. CXR was obtained was negative for acute process. Patient was stable on room air for most of her stay in the ER. She did have 1 episode of desaturation to 88% but did recover quickly. Patient was then started on Decadron. She was then admitted to General Medicine under observation for further evaluation and management.

Other Meds: amLODIPine (NORVASC) 10 MG tablet ascorbic acid (VITAMIN C) 500 MG tablet aspirin 81 MG enteric coated tablet atorvastatin (LIPITOR) 10 MG tablet azaTHIOprine (IMURAN) 50 MG tablet AZO-CRANBERRY PO Calcium Citrate-Vitamin D3 1000-400 LIQD c

Current Illness: COVID-19 symptoms (8.25.21) found to be COVID-19 positive 8.28.21 Husband tested positive for COVID 8.25.21

ID: 1670227
Sex: M
Age: 50
State: ID

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data: none

Allergies: No

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

Symptoms: Fever 102.9, red bumpy looking rash (picture sent) over the entire body, dizziness, chills, night sweats all through the night. Call made to nurse at 5:42 pm. Treatment- Tylenol extended release arthritic 650mg X2, Advil 200 mg x4, Benadryl 25mg x1 in pm and one am 9/3/2021 am still had rash and fever of 102.5, recommended more fever reducer medication and see physician

Other Meds: Tylenol, Advil, Benadryl

Current Illness: none

ID: 1670228
Sex: F
Age: 28
State: SC

Vax Date: 09/01/2021
Onset Date: 09/01/2021
Rec V Date: 09/03/2021
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: CT scan - normal MRI and MRA - normal and open vessels EKG - normal Chest X-ray - clear, heart normal sized CBP - normal; low MPV

Allergies: None

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

Symptoms: within 30 minutes, I had facial drooping on my right side. with 2 hours, I had shortness of breath, chest pain, high blood pressure, tingling sensation on my right arms/legs

Other Meds: Flonase, Zoloft 50mg, Lo loestrin fe

Current Illness: None

ID: 1670229
Sex: F
Age: 26
State:

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 09/03/2021
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Vaccine expired in fridge.

Other Meds:

Current Illness:

ID: 1670230
Sex: F
Age: 52
State: MN

Vax Date: 02/23/2021
Onset Date: 09/01/2021
Rec V Date: 09/03/2021
Hospital:

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

Lab Data: Positive SARS-CoV-2 test by PCR 9/1/2021

Allergies:

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

Symptoms: This case meets vaccine breakthrough criteria review. SxS Appetite change, fever, cough, abdominal pain, back pain, myalgias, headache

Other Meds:

Current Illness:

ID: 1670231
Sex: M
Age: 56
State:

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 09/03/2021
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: Vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1670232
Sex: M
Age: 27
State: OR

Vax Date: 06/06/2021
Onset Date: 06/08/2021
Rec V Date: 09/03/2021
Hospital:

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

Lab Data: I don?t have the dates memorized but can get them on request, EKG, CT scans and all blood work show normal. High blood pressure now, where it wasn?t before.

Allergies: None

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Second day after vaccine , intense migraine, dizziness, chest pain, sensitivity to light, chest tightness, vision going dark. Since then, every week I have a headache followed with panic attacks. Every week, probably 5/7 days if the week I have a headache or a panic attack. I didn?t have any of these issues before, and I was NOT anxious about the vaccine, I supported and believe in it. It?s almost debilitating snd have spent thousands of dollars at the ER now because these panic attacks feel like heart attacks and I thought I was having a stroke. This was NOT part of my everyday life before the vaccine. My head also feels like is constantly in a fog. I also now have high blood pressure.

Other Meds: None

Current Illness: None

ID: 1670233
Sex: M
Age: 63
State:

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 09/03/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Vaccine expired in fridge.

Other Meds:

Current Illness:

ID: 1670234
Sex: M
Age: 37
State:

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 09/03/2021
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:

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

Symptoms: Vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1670235
Sex: F
Age: 48
State: WI

Vax Date: 01/29/2021
Onset Date: 02/14/2021
Rec V Date: 09/03/2021
Hospital:

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

Lab Data: Blood work, MRI

Allergies: No

Symptom List: Unevaluable event

Symptoms: For about ten weeks after vaccine I had nonstop migraines that didn't go away and hypertension. After the ten weeks the hypertension went away and the migraines subsided to twice a week. Doctor listed it as inflammation from the vaccine.

Other Meds: Atenolol

Current Illness: No

ID: 1670236
Sex: F
Age: 53
State:

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 09/03/2021
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: Vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1670237
Sex: F
Age: 36
State: NC

Vax Date: 08/19/2021
Onset Date: 08/19/2021
Rec V Date: 09/03/2021
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: Allergy to Sudafed

Symptom List: Injection site pain, Pain

Symptoms: Started about 20 minutes after injection. It started out very similar to when you hit your funny bone.. and it went throughout my arm. Then I started to feel heat building on that side. Definitely at the injection site (expecting that) but then it started to REALLY build in my arm pit. By the time I got home (28 min drive) I had a full blown flare. At first I didn't think anything of it. I knew my immune system was going to take a hit which was going to mess with my condition but I had no idea it would be to THIS extent. After a week and I was able to lift my arm a little and proceed to drain my flares - I have INTENSE red/purple discoloration and I am draining from about 4 different places (I did not poke/lance, they started draining on their own). I also had (and still have) localized heat at the injection site. Up until a few days ago, I had a large knot and the red/heat was growing in diameter. At it's peak, reached about 3.5-4 inches. The red did dissipate but the heat did not. That is still present I have pictures depicting all of this.

Other Meds: Only thing taken at home is the occasional ibuprofen and Tumeric supplements (not consistent)

Current Illness: I suffer from HS (Hidradenitis Suppurativa) and I had a low/mild flares in both armpits as well as other areas.

ID: 1670238
Sex: F
Age: 66
State: IL

Vax Date: 04/01/2021
Onset Date: 08/29/2021
Rec V Date: 09/03/2021
Hospital: Y

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

Lab Data: COVID-19 NAA Positive A

Allergies: NKDA

Symptom List: Injection site pain, Menorrhagia

Symptoms: patient tested positive for COVID on 9/2/21 ED MD note: 66-year-old female with past medical history of COPD presenting for shortness of breath and cough. Patient says for the past week she has increased cough productive of green and yellow sputum. Denies any fever or chills. She is also having a sore throat causing her to eat and drink less than usual. In April, she did get the Johnson & Johnson COVID-19 vaccination. She has been using her inhaler, but is out of her nebulizer treatment. She also states that she did recently travel up to Connecticut in the past week. She is having some chest tightness, but no pain

Other Meds: unknown

Current Illness: unknown

ID: 1670239
Sex: M
Age: 79
State:

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 09/03/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1670240
Sex: F
Age: 72
State: NC

Vax Date: 09/02/2021
Onset Date: 09/02/2021
Rec V Date: 09/03/2021
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: none

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: I had severe chills, even though I was under an electric blanket I was constantly trembling. About 4 hours after that I had severe headache and fever.

Other Meds: tylenol

Current Illness: none

ID: 1670241
Sex: F
Age: 20
State: MD

Vax Date: 06/14/2021
Onset Date: 06/16/2021
Rec V Date: 09/03/2021
Hospital: Y

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

Lab Data: see abvoe

Allergies: no

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Chest Tightness 4 days after 2nd dose of Pfizer vaccine. 17yoF without cardiac risk factors with episodes of exertional chest pain, SOB, and fatigue. Initial EKG without signs of cardiac ischemia or pericarditis. Elevated Troponins 6/16: Trop I: 6.420>7.690 (0.012-0.034) SARS Cov-2 PCR - Neg CRP: 1.1 mg/dl (1) Admitted to a HOST hospital in Japan for "mild myocarditis". Limited records available. f/u on 8-10-21: Symptoms have resolved. She was not dc'd on any medications from the hospital.

Other Meds: no

Current Illness: no

ID: 1670242
Sex: F
Age: 83
State:

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 09/03/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1670243
Sex: M
Age: 72
State: MI

Vax Date: 03/03/2021
Onset Date: 08/31/2021
Rec V Date: 09/03/2021
Hospital: Y

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

Lab Data: Unknown

Allergies: Accupril, sulfa drugs

Symptom List: Nausea

Symptoms: Coughing, vomiting, right-sided chest pain, nausea, body aches and chills, hospitalization.

Other Meds: Unknown

Current Illness: Unknown

ID: 1670244
Sex: F
Age: 44
State: OR

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

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

Lab Data: none

Allergies: aspirin, fish oil, NSAIDS, Toradol, tramadol, clindamycin, gabapentin, methocarbamol, Wellbutrin, amoxicillin, clarithromycin, Butalbital-acetaminophen

Symptom List: Injection site pain

Symptoms: generalized itching, constriction of throat, difficulty breathing developed almost immediately after injection. Patient was given IM epinephrine, IM Benadryl in the clinic, was transported to ED via EMS within approx. 30 minutes of symptom onset, evaluated at ED, was given IV dexamethasone, lactated ringers, and metoclopramide. Patient was given outpatient prescription for prednisone and epinephrine. Was discharged from ED approx. 5 hours after injection.

Other Meds: amlodipine, apple cider vinegar, vitamin D, klonopin, valium, bentyl, Remeron, Zofran, oxycodone, Seroquel, Maxalt, zanaflex

Current Illness: hypertension, lower abdominal pain, hoarseness of voice

ID: 1670245
Sex: F
Age: 15
State: AL

Vax Date: 08/26/2021
Onset Date: 08/27/2021
Rec V Date: 09/03/2021
Hospital:

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

Lab Data: CBC, flu, strep throat, COVID-19 - all normal on 9/2/2021

Allergies: none

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

Symptoms: Developed fever on 8/27 21. No fever on 8/28/21 bur complained fo fever on 8/29/21 untol 9/2/21 as well as body aches. Had 2 negative tests for COVID-19 during this time.

Other Meds: albuterol, as-needed only

Current Illness: none

ID: 1670246
Sex: F
Age: 71
State: FL

Vax Date: 06/05/2021
Onset Date: 06/14/2021
Rec V Date: 09/03/2021
Hospital:

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

Lab Data: none

Allergies: sulfa,plastic tape

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

Symptoms: Increase in vein system. Veins are visible running along top of fingers . Increase visible veins lower legs and feet. Ringing in my ears! Fatigue increased with periods of heaviness in the chest when laying down.

Other Meds: yes

Current Illness: no

ID: 1670247
Sex: F
Age: 36
State:

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 09/03/2021
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: Vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1670248
Sex: M
Age: 18
State:

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 09/03/2021
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: Erythema, Pruritus

Symptoms: Vaccine expired in fridge.

Other Meds:

Current Illness:

ID: 1670249
Sex: M
Age: 71
State: MI

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

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

Lab Data:

Allergies: NKDA

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

Symptoms: Hospitalized; COVID-19 positive (8.21.21) - hospitalized on 8.28.21 due to COVID (fully vaccinated) Discharge Information: Admission Date: 8/27/2021 Discharge Date: 09/02/2021 Admitting Diagnoses: Pneumonia due to COVID-19 virus PRESENTING PROBLEM: Hypoxia Acute on chronic congestive heart failure, unspecified heart failure type Pneumonia due to COVID-19 virus COVID-19 HOSPITAL COURSE: Patient is a 71 y.o. male who presented to the emergency department with complaints of shortness of breath. He has a past medical history of chronic obstructive pulmonary disease, hypertension, GERD, gout, non-Hodgkin's lymphoma, CKD stage 3, type 2 diabetes, and lymphedema. Patient states that on 08/18/2021, he started having symptoms of COVID-19 including shortness of breath, fatigue, chills, fever, congestion, rhinorrhea, nausea, dizziness and weakness. On 08/21/2021, he presented to the emergency department and COVID-19 was confirmed. He states that since then he has had increasing shortness of breath. Yesterday afternoon, a home health nurse checked his oxygen saturation and found it to be 87% on room air. He presented to the emergency department after realizing he was hypoxic on room air. In the emergency department, patient was febrile, tachypneic, and required 2 liters/minute supplemental oxygen via nasal cannula to maintain a saturation greater than 90%. Complete blood count was unremarkable. BMP was remarkable for chronic kidney disease. BNP was 2261 in the emergency department, and increase from 1296 last week. EKG showed V paced rhythm. Chest x-ray showed few patchy opacities in the right perihilar region and left lower lung along with small bilateral pleural effusions. Echocardiogram from 08/16/2020 shows LVEF of 45% with mild septal hypokinesis. Additionally, it shows diastolic dysfunction stage I. Suspect hypoxia related to COVID-19 pneumonia. Patient has been admitted for further evaluation management of COVID-19 pneumonia and acute on chronic combined systolic and diastolic congestive heart failure. Patient was admitted and diuresed with Lasix. Had echocardiogram done recently on 08/16 was obtained from outpatient and found to have a stable ejection fraction of 40-45%. He diuresed well with improvement of his renal function to his baseline. He was treated with steroids and remdesivir. He was able to be weaned off of oxygen but continued to have persistent dyspnea and exertional shortness of breath with cough. With continued treatment the symptoms eventually improved and was felt he was stable to be discharged home for continued care. He will follow salt and fluid restrictions, and his Lasix was increased to twice daily. He will have a BMP drawn within 1 week and will follow up with tip in the latter more within the next week. He is greater than 10 days from onset of symptoms so he no longer needs to self isolate.

Other Meds: albuterol HFA (PROVENTIL HFA, VENTOLIN HFA, PROAIR HFA) 108 (90 Base) MCG/ACT inhaler albuterol HFA (PROVENTIL HFA, VENTOLIN HFA, PROAIR HFA) 108 (90 Base) MCG/ACT inhaler allopurinol (ZYLOPRIM) 100 MG tablet atorvastatin (LIPITOR) 20 MG ta

Current Illness: Found to be COVID-19 positive 8.21.21 - ED visit (8.21.21) - SYNCOPE Acute bronchitis - seen in office 7.28.21 (chronic shortness of breath) from ED visit 8.21.21: ED Provider Notes (Physician) ? ? Addiction Medicine Patient was signed out to me by the prior emergency department provider. For original emergency department report details, please see prior note. At the time of sign-out, patient was awaiting a CT angiogram of the thorax to rule out PE in the setting of new COVID infection diagnosis and syncopal episode. Patient was never noted to be hypoxic, but did arrive mildly hypotensive. He was given 2 L of IV fluids prior to sign-out and had responded to fluids nicely with normalization of his blood pressures. Patient does report feeling severe generalized fatigue and cough and assumed he had bronchitis. He does appear mildly fatigued here, but is still satting 97% on room air and has otherwise normal vital signs. His CT scan came back negative for PE but did show signs of congestive heart failure verses airspace disease. Given that patient does have a positive COVID test and also has an elevated BNP, he could certainly have a combination of both heart failure and COVID infection causing these findings on CT scan. I did tell him he should follow up with his PCP about possibly having an echocardiogram at some point. He does have lower extremity edema which he states is not new for him. The CT also commented on a an inflamed appearing gallbladder without gallstones, and I asked the patient if he has had any right upper

ID: 1670250
Sex: M
Age: 47
State:

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 09/03/2021
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:

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

Symptoms: Vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1670251
Sex: F
Age: 46
State:

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 09/03/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1670252
Sex: F
Age: 83
State:

Vax Date: 01/28/2021
Onset Date: 09/02/2021
Rec V Date: 09/03/2021
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:

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

Symptoms: Breakthrough case. Positive Covid results by PCR test

Other Meds:

Current Illness:

ID: 1670253
Sex: F
Age: 22
State:

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 09/03/2021
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:

Allergies:

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

Symptoms: Vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1670254
Sex: F
Age: 34
State: CA

Vax Date: 08/29/2021
Onset Date: 08/29/2021
Rec V Date: 09/03/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Pain in extremity

Symptoms: 08/29/2021- Heart rate increased dramatically. resting heart rate is 50, heart rate was at 150. 08/30/2021- Diarrhea for 16 hours, followed by dehydration and headache, continued heart rate increase 08/31/2021- fever of 103, followed by sweats and chills, continued heart rate increase 09/01/2021-runny nose, red eyes, continued heart rate increase 09/02/2021- dry cough and very congested, continued heart rate increase 09/03/2021- chest pain and continued heart rate increase

Other Meds: none

Current Illness: none

ID: 1670255
Sex: M
Age: 38
State:

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 09/03/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1670256
Sex: F
Age: 23
State: WI

Vax Date: 04/01/2021
Onset Date: 08/25/2021
Rec V Date: 09/03/2021
Hospital:

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

Lab Data: slit elevation of lynphoc

Allergies:

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

Symptoms: burning /pain in hand the arm then feet . pain moved up shooting pain and stabbing in arms and feet. later numb feeling in hip.. later numb up to abdomen too and then neck face and jaw pain.

Other Meds:

Current Illness:

ID: 1670257
Sex: M
Age: 40
State: UT

Vax Date: 08/17/2021
Onset Date: 08/19/2021
Rec V Date: 09/03/2021
Hospital:

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

Lab Data: None

Allergies: None

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

Symptoms: Had hives on my legs, back, and arms for about 7 days.

Other Meds: Testosterone Cypionate

Current Illness: None

ID: 1670258
Sex: M
Age: 71
State: FL

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

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

Lab Data: NONE

Allergies: none

Symptom List: Vomiting

Symptoms: MUSCLE PAIN, HEADACHE, SHIVERING , FEVER

Other Meds: LEVOTHYROXINE, ATORVASTATIN, DAILY VITAMINE

Current Illness: none

ID: 1670259
Sex: M
Age: 33
State:

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 09/03/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1670260
Sex: F
Age: 50
State:

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 09/03/2021
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: Vaccine expired in fridge

Other Meds:

Current Illness:

ID: 1670261
Sex: M
Age: 75
State: MN

Vax Date: 04/02/2021
Onset Date: 09/02/2021
Rec V Date: 09/03/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: Positive SARS-CoV-2 test by PCR from specimen collected 9/2/21

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: This case meets vaccine breakthrough criteria review; known COVID exposure. SxS include fatigue, cough

Other Meds:

Current Illness:

ID: 1670262
Sex: M
Age: 31
State: ME

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

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

Lab Data:

Allergies:

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

Symptoms: Second dose of Vaccine given 14 days after first dose.

Other Meds:

Current Illness:

ID: 1670263
Sex: M
Age: 36
State:

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 09/03/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Vaccine expired in fridge

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am