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: 1670819
Sex: F
Age: 51
State: WI

Vax Date: 04/21/2021
Onset Date: 08/27/2021
Rec V Date: 09/03/2021
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:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: received Moderna vaccines on 3/24/21, 4/21/21 Tested positive for COVID by PCR on 8/24/21, received Monoclonal antibody infusion Admitted to Hospital on 9/2/21 Underlying h/o obesity BMI>40, DM Type I, CKD Stage III, HTN

Other Meds:

Current Illness:

ID: 1670820
Sex: F
Age: 95
State: AL

Vax Date: 04/21/2021
Onset Date: 04/21/2021
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: PFIZER-BIONTECH COVID-19 VACCINE EUA. Administration error: Patient presented for Pfizer vaccine with consent form stating no previous doses of vaccine. Patient received what was believed to be 1st and 2nd doses on 3/31/21 and 4/21/21 respectively. It was just discovered that patient received a 1st dose of the same brand at a pharmacy on 1/25/21. No adverse events reported to date.

Other Meds:

Current Illness:

ID: 1670821
Sex: M
Age: 38
State: FL

Vax Date: 08/30/2021
Onset Date: 08/30/2021
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: Medical Department refused any testing. The report was not handled seriously. The numbness was shrugged off and I was sent back to work.

Allergies: None

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

Symptoms: Left side of face and left arm went numb within 5 minutes of receiving vaccine. It went away after approximately 13 hours. A headache began shortly after and has not went away despite taking excedrin migraine over the course of 5 days.

Other Meds: None

Current Illness: None

ID: 1670822
Sex: F
Age: 30
State: OH

Vax Date: 01/27/2021
Onset Date: 02/15/2021
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: DNC

Allergies: Codeine

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: I must have been pregnant at the time of vaccine but I did not know, my baby did not live, they had to do a DNC. So it all started when I skipped my period. I took a pregnancy test on 02-15-2021 and it was positive. On 02-17-2021 I had some discharge with calcifications and so I went to see my doctor and she could not find a heart beat. They did a DNC on 02-25-2021. My baby would have been 6 weeks when I had the DNC.

Other Meds: Zinc; vitamin D

Current Illness:

ID: 1670823
Sex: F
Age: 54
State: TX

Vax Date: 02/05/2021
Onset Date: 02/07/2021
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: None

Allergies: Ragweed

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

Symptoms: 1st dose, no pain in my injection site but under my armpits and lymph nodes, under chin and right side of my neck. Day 7 it was not good, My throat was the half of a tennis ball. 2nd dose, same symptoms and right side of my breast. Saw my doctor in late March 2021 and end Aug2021. Did not get treatment. My spine hurts like a knife in my spine after the 2nd vaccine.

Other Meds:

Current Illness: No

ID: 1670824
Sex: M
Age: 57
State: TX

Vax Date: 08/30/2021
Onset Date: 08/31/2021
Rec V Date: 09/03/2021
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: ADMISSION FOR FULL CARDIAC WORKUP.

Allergies: NONE

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

Symptoms: POTENTIALLY LETHAL HEART ARRYTHMIAS, PAROXYSMAL SUPRAVENTRICULAR TACHYCARDIA, NONSUSTAINE VENTRICULAR TACHYCARDIA

Other Meds: NONE

Current Illness: NONE

ID: 1670825
Sex: F
Age: 99
State:

Vax Date: 08/23/2021
Onset Date: 08/23/2021
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: Pyrexia, White blood cell count decreased

Symptoms: was dispensed from to give in- home Covid-19 vaccines. are given all the supplies needed to prepare and administer Pfizer vaccines. In this case the nurse did not reconstitute the vial of Pfizer vaccine before drawing up the dose. Therefore, this client received a concentrated dose of Pfizer vaccine. The nurse realized there was not much remaining in the vial, and reported her mistake to the health department.

Other Meds:

Current Illness:

Date Died: 09/02/2021

ID: 1670826
Sex: M
Age: 78
State: CO

Vax Date: 09/01/2021
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: Death.

Other Meds:

Current Illness:

ID: 1670827
Sex: F
Age: 40
State: CA

Vax Date: 09/03/2021
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: IM
Vax Site: LA

Lab Data:

Allergies: none

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: fast heartbeat, numb left side of face and tongue

Other Meds: none

Current Illness: none

ID: 1670828
Sex: M
Age: 42
State: LA

Vax Date: 04/18/2021
Onset Date: 04/19/2021
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: Severe headache lasting 3 weeks.

Other Meds:

Current Illness: Ureter stone

ID: 1670830
Sex: M
Age: 54
State: VA

Vax Date: 08/31/2021
Onset Date: 08/31/2021
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: n/a

Allergies:

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

Symptoms: Pt was given first dose of Moderna before realizing that pt had been given first dose of Pfizer on 8/11/21. Pt was scheduled to return to clinic for second dose of Moderna on 9/28/21.

Other Meds:

Current Illness:

Date Died: 08/21/2021

ID: 1670831
Sex: M
Age: 90
State: TN

Vax Date: 01/12/2021
Onset Date: 08/16/2021
Rec V Date: 09/03/2021
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: SOB, POSITIVE COVID TEST

Other Meds:

Current Illness:

ID: 1670832
Sex: M
Age: 67
State: HI

Vax Date: 04/06/2021
Onset Date: 06/29/2021
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: chest x-ray, blood sampled compl metabolic panel etc., CT scan. Endoscopy, Colonoscopy. Ultrasound of legs.

Allergies: none

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

Symptoms: Blood Clots in lungs, Xarelto taken 20 days, blood in stool, discontinued meds. after tests med. resumed 9/2/21.

Other Meds: Metropolol, Lisinipril.

Current Illness: none

ID: 1670833
Sex: F
Age: 13
State: OK

Vax Date: 09/03/2021
Onset Date: 09/03/2021
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: na

Allergies: na

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

Symptoms: pt fainted after injection

Other Meds: na

Current Illness: na

ID: 1670834
Sex: F
Age: 55
State: TX

Vax Date: 06/01/2021
Onset Date: 07/16/2021
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: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: RT foot started cramping and lasted 20 min.

Other Meds: Amlodipine; atorvastatin; clopidogrel

Current Illness:

ID: 1670835
Sex: M
Age: 11
State: MD

Vax Date: 08/24/2021
Onset Date: 08/26/2021
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: ppd test applied at same visit on left lower forearm

Allergies: none known

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

Symptoms: non erythematous papular rash clustered around vaccination sites within 2 days and itchy at only Tdap site also

Other Meds:

Current Illness: none

ID: 1670836
Sex: F
Age: 40
State: WA

Vax Date: 08/31/2021
Onset Date: 08/31/2021
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:

Allergies: Sensitivity to gluten

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

Symptoms: Within 20 minutes of the shot, fingers became stiff and slightly swollen. Within 4 hours, most finger tips were mild to moderately numb. 3 Finger tips remain slightly numb (3 days later). Joints ache and feel "weak" (1 day to present [3 days later]). Outside of calves felt moderately numb 4 hours after the shot until end of 2 days. Remaining symptom of weak ankles, weak legs, joint pain and mild aches of joints, and pressure around the head continues.

Other Meds: Vitamins: Iron, D3, B vitamins, C, Calcium & Magnesium, Omega 3's.

Current Illness: None

ID: 1670837
Sex: F
Age: 45
State: CA

Vax Date: 09/03/2021
Onset Date: 09/03/2021
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: None

Allergies: Shellfish and Iodine

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Pt received Moderna vaccine. Pt complained of chest tightness, throat itching , coughing and lip swelling. Pt was given Benadryl 50 mg and Ativan 0.5 mg. Symptoms improved. Pt was monitored for over 1 hour. pt was discharged home with family member.

Other Meds: unknown

Current Illness: unknown

ID: 1670838
Sex: F
Age: 65
State: WA

Vax Date: 02/04/2021
Onset Date: 02/11/2021
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: X-ray on right shoulder, blood test, received steroids

Allergies: Penicillin

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Pain in right shoulder & hands. Left wrist swelling. Right hand index finger swollen.

Other Meds: None

Current Illness: None

ID: 1670839
Sex: F
Age: 51
State: TN

Vax Date: 08/16/2021
Onset Date: 08/16/2021
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: None Did not seek treatment because local facilities were overrun with Covid patients

Allergies: None

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

Symptoms: Sharp nerve pain in right hip, dull pain in right thigh, sudden onset upon standing after sitting down, pain worsened over next 12 hours, became excruciating, could not sit up or walk unassisted, pain remained intense for 2 days before lessening, pain nearly gone after 5 days, still discomfort when lying on right side after 2 weeks. Treated at home with prescription pain killer for first 5 days, ibuprofen after that; used heat and elevation, bed rest. Would definitely have visited ER first night, but our local hospitals are overrun with Covid right now.

Other Meds: Azathioprine 75 mg Synthroid 0.05 mg Simvastatin 20 mg Fluoxetine 10mg Bupropion XL 150 mg Amlodipine besylate 5 mg Lubiprostone 24 mcg, twice daily Ozempic 0.5 mg/dose weekly Pantoprazole 40 mg FiberCon 625 tablets, twice daily Vitamin D3

Current Illness:

ID: 1670840
Sex: F
Age: 55
State: NY

Vax Date: 09/01/2021
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: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: None

Allergies: None that I can describe.

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

Symptoms: Existing lymph node under left arm swelled on both occasions. Pain was quite bothersome and lasted for about 1 1/2 weeks after the first shot. This was repeated the very next day after the 2nd shot. Sleep with arm over head or pillow between arm to alleviate some of the pain. I am not taking any pain reliever such as Advil nor Tylenol. Currently lymph node is swollen and painful. Also after the 1st shot, I experienced a pain from my left shoulder blade right up the left side of my neck similar to a stiff neck. This lasted for approx. 1 week. Today is my 2nd day after the 2nd shot and I feel a discomfort when I turn my head to the left but so far no pain as I felt after the 1st shot.

Other Meds: None

Current Illness: None

ID: 1670841
Sex: M
Age: 69
State: TX

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: N/A

Allergies: Bee's

Symptom List: Unevaluable event

Symptoms: Fever of 100.1 for 2 days with fever 98.6 by end of second day. General body aches.

Other Meds: ? Jardiance ? 10mg (1xday) [started Early Jan 2019] ? Atorvastatin ? 20mg (1xday) ? Glimiperide ? 4mg (1xday) ? Verapamil ? HCL ER Tabs ? 240mg (2xday) ? Allopurinol ? 100mg (1xday) ? Metformin ? 1000mg (2xday) ? Clopidogrel ? 75mg (1xday)

Current Illness:

ID: 1670842
Sex: F
Age: 55
State: CA

Vax Date: 08/13/2021
Onset Date: 08/13/2021
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: Diagnostic Results Imaging XR Shoulder Complete 2+ Views Left 08/31/21 07:49:55 IMPRESSION: Calcific tendinitis. No acute osseous abnormality.

Allergies: none known

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

Symptoms: Left arm numbness. Gradual onset with 2nd COVID shot 8/13/2021. States feels like pins and needles. This is a 55 Years old Female with history of eczema is presenting with pain to the left upper extremity that occurred on the 13th. Patient reports that she had received the Pfizer COVID-19 vaccine, following, her left arm went numb and began to tingle and has been an ongoing symptom. Reports not being able to move arm well but is able to close her left hand. Symptoms occurred gradually and are still present. Symptoms are described as moderate in nature. Negative vomiting. Negative nauseousness. Negative diarrhea.

Other Meds: ZyrTEC 10 mg oral tablet, 10 mg= 1 tab, Oral, Daily

Current Illness: none known

ID: 1670843
Sex: M
Age: 27
State: FL

Vax Date: 09/03/2021
Onset Date: 09/03/2021
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: NKDA

Symptom List: Injection site pain, Pain

Symptoms: Profuse sweating, difficulty breathing, dizziness, tingling palms

Other Meds: None

Current Illness: NA

ID: 1670844
Sex: F
Age: 19
State: MN

Vax Date: 08/26/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: Sulfa drugs, ketamine

Symptom List: Injection site pain, Menorrhagia

Symptoms: 1) Fever within first 24 hours with nasal congestion (suspect viral URI as mother had similar symptoms); COVID PCR negative 2) 9 x 9.5 cm area of erythema left outer arm (vaccination site) -- subtle findings started 9/2/21, measured 9 x 9.5 cm with erythema (nontender, not warm to touch, not indurated) on 9/3/21. Suspect inflammation; safety Rx for antibiotic to treat skin infection given in case redness worsens over the weekend. No itching or constitutional symptoms.

Other Meds: Clobazam, rufinamide, cholecalciferol

Current Illness: Manifested fever, nasal congestion within 24 hours; COVID nasal swab negative

ID: 1670845
Sex: F
Age: 50
State: VA

Vax Date: 07/16/2021
Onset Date: 09/03/2021
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: none

Allergies: strawberry- anaphylaxis

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

Symptoms: Pfizer COVID vaccine given 6/25/21 and 7/16/21. Patient presented with vertigo 9/3/21. No previous history of vertigo. Unknown if related. Meclizine, Zofran prescribed, patient will start modified epley maneuver.

Other Meds: none

Current Illness: none

ID: 1670846
Sex: F
Age: 77
State: IA

Vax Date: 01/26/2021
Onset Date: 02/02/2021
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: Blood Pressure I had Labile hypertension which means blood pressure goes up and down! Wore a heart monitor for 24 hours. The Doctor couldn't give me blood pressure medications because when it goes low I can pass out.

Allergies: Diary; no red meat or eggs

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: I had an appointment on 02/02/2021. My blood pressure was 200/100 the first time then she took it again and it was 200/88. Wanted me to stop eating salt, had to get cholesterol down. It continued into June.

Other Meds: none

Current Illness: none

ID: 1670847
Sex: M
Age: 33
State: GA

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: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: PATIENT DIDN'T HAVE VACCINE CARD, AND DID NOT LET US KNOW HE HAD A COVID SHOT ON 8/24/2021 (2ND) AND 1ST ON 7/27/2021. I TOLD HIM I WOULD MAKE A NEW CARD WHILE HE WAITED HIS 15 MINUTES. HE NEVER STATED HE HAD A SECOND SHOT LAST WEEK UNTIL I WAS GOING TO MAKE HIS CARD. HE HAS NOT COMPLAINED OF ANY SIDE EFFECTS YET. I WATCHED HIM FOR 45 MINUTES TO ENSURE HE WAS OK. HE HASN'T HAD ANY COMPLAINTS, BUT I WAS JUST SUBMITTING THIS BECAUSE HE HAD A 3RD DOSE TOO EARLY.

Other Meds:

Current Illness:

ID: 1670848
Sex: F
Age: 11
State: WI

Vax Date: 08/29/2021
Onset Date: 08/29/2021
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: N/A

Allergies: NO KNOWN ALLERGIES PER FATHER

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

Symptoms: FATHER LISTED YEAR OF BIRTH AS 2009 ON SIGNED QUESTIONNAIRE AND CONSENT FORM. VACCINE WAS UNKNOWINGLY ADMINISTERED TO 11 YEAR, 7 MONTH OLD PATIENT. NO ADVERSE EVENTS REPORTED BY PARENTS/GUARDIANS THUS FAR.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1670849
Sex: F
Age: 14
State: AR

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

Lab Data:

Allergies: PCN, Versed

Symptom List: Nausea

Symptoms: My daughter was taken to the clinic for COVID 19 vaccine by her father. She was given the Moderna vaccine erroneously. When I called the clinic they stated they gave her Moderna bc they had her fathers consent. I asked if they always give the Moderna to children with parental consent and they stated no. They contacted the Chief Medical Officer and relayed to me that she should be fine bc it is almost identical to Pfizer and that I should give her Pfizer for her 2nd dose. 9/3/21 I took her for COVID test to make sure her symptoms were not related to COVID and the test was negative. I am trying to find out if there are any adverse side effects we should be watching for but I cannot find the answers. I contacted the CDC and the Dept of Health and they stated they have not had a case like this so nobody knows. Dept of Health advised me to report to VAERS.

Other Meds: Adderall

Current Illness: N/A

ID: 1670850
Sex: M
Age: 28
State: NC

Vax Date: 08/06/2021
Onset Date: 08/20/2021
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: sulfa drugs, sulfur

Symptom List: Injection site pain

Symptoms: patient had a red, hot, swollen arm for 2 days 2 weeks after his shot.

Other Meds: na

Current Illness: none

ID: 1670851
Sex: M
Age: 91
State:

Vax Date: 02/10/2021
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: LA

Lab Data: 8/31/2021 COVID PCR positive

Allergies:

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

Symptoms: received Pfizer COVID vaccines 2/10/2021 and 3/3/2021. Positive COVID test 8/31/2021. Admission to ICU 8/31/2021, on BiPAP

Other Meds:

Current Illness:

ID: 1670852
Sex: M
Age: 29
State: VA

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: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data: Monitored for 40 minutes, vital signs assessed q 5 minutes. Offered to call EMS, patient declined. Wife picked up patient and drove him home once stabilized. Given verbal follow up instructions.

Allergies: No Known Allergies.

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

Symptoms: Patient received vaccine and within 5 minutes experienced a syncope episode. Vaccinated at 5:10pm and fainted at 5:15pm. LOC, diaphoretic, pale, vital signs were 109/56 and pulse 88 bpm. He awakened less than 1 minute later with disorientation and confusion, vomited clear liquids. Patient verbalized "feeling much better" after vomiting.

Other Meds: No Known Drug Allergies.

Current Illness: Patient reports a history of syncope with immunizations. Medical related anxiety.

ID: 1670853
Sex: M
Age: 69
State: TX

Vax Date: 02/21/2021
Onset Date: 02/22/2021
Rec V Date: 09/03/2021
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:

Allergies: None

Symptom List: Tremor

Symptoms: I was unable to urinate and required the insertion of a catheter. I ultimately had to be operated on to open my urethra. This is due to my prostate completely blocking my urethra.

Other Meds: Ezetimibe; Torvastatin; miralax; Vitamin D; Folic Acid

Current Illness:

ID: 1670854
Sex: F
Age: 67
State: FL

Vax Date: 03/24/2021
Onset Date: 04/21/2021
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: Erythema, Pruritus

Symptoms: A few weeks after vaccination, pt developed severe intolerance to beef products. Can not be around the smell at all. When eating the product, will vomit it up immediately. The only change was the vaccination a few weeks prior. No recent tick bite and no actual allergic reaction to the meat itself. Pt requested that it be reported in case it was related.

Other Meds: Lisinopril, simvastatin

Current Illness: none

ID: 1670855
Sex: F
Age: 21
State: CA

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

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

Symptoms: patient reported feeling tingly and itchy from the head to her toes. This began 15 minutes after the vaccine. pt waited 15 minutes more. Was given water and benadryl. Pt refused Epi-pen. Pt stayed and additional 30 minutes. Started feeling a little better. Had her mother come pick her up

Other Meds: none

Current Illness: none

ID: 1670856
Sex: F
Age: 71
State: WA

Vax Date: 08/08/2021
Onset Date: 08/09/2021
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: N/A

Allergies:

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

Symptoms: Pt. states that after receiving the 1st dose of Moderna 08/08/2021, started experiencing symptoms 08/09/2021 of shortness of breath, dull headaches with nerve pain in the back of the neck, pain between eyes, and fever (101.0). Primary appt. 09/14/2021. 08/13/2021 shortness of breath episode happened again (hospice provided air tank), nausea, and mild headache continue.

Other Meds:

Current Illness: N/A

ID: 1670857
Sex: F
Age: 67
State: TN

Vax Date: 08/23/2021
Onset Date: 08/24/2021
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: No

Allergies: suda pac Medrol pac Norvasc amlodipine diprp Motrin Ramipril amotripolin cipro

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Arm hurting and burning after 12 days . Some numbness and nausea.

Other Meds: multi vitamin super b telmistan zolpidem tyridostigmine omeprazole

Current Illness:

ID: 1670858
Sex: M
Age: 58
State: CA

Vax Date: 08/01/2021
Onset Date: 08/31/2021
Rec V Date: 09/03/2021
Hospital: Y

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

Lab Data:

Allergies: PCN

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

Symptoms: pt admitted to hospital 8/31/21 for LLE ischemia-- > Surgical intervention needed for LLE angiogram intervention. Hospital stay complicated with ARF. Pt still hospitalized as of 9/3 needed for mechanical ventilation.

Other Meds:

Current Illness:

ID: 1670859
Sex: F
Age: 17
State: AZ

Vax Date: 08/19/2021
Onset Date: 08/19/2021
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: None

Allergies: None Known

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

Symptoms: Client did not have any adverse reactions to the Moderna covid 19 vaccine. clients age is the reason for reporting this.

Other Meds: Triamcinolone 0.5% topical Ensure oral liquid Ketotifen 0.025% eye drops Cetirizine 10mg po Zyprexa 5mg po Prazosin 2mg capsule Omeprazole 20mg po

Current Illness: History of positive ppd

ID: 1670860
Sex: M
Age: 62
State: NJ

Vax Date: 04/02/2021
Onset Date: 04/03/2021
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: All heart related tests to perform surgery.

Allergies: no

Symptom List: Pain in extremity

Symptoms: Feeling very unwell starting on Saturday morning. Could not do usual activities like picking up sticks in the yard. Heart Attack very late Sunday night. Went to the Emergency room and had stents placed late Monday.

Other Meds: no

Current Illness: no

ID: 1670861
Sex: F
Age: 23
State: NY

Vax Date: 09/03/2021
Onset Date: 09/03/2021
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: Patient presented to the pharmacy to receive her COVID-19 Johnson and Johnson vaccine. After vaccination we asked the patient to remain in the pharmacy to monitor. Shortly after the patient experienced syncope and fell of the chair which they were sitting on for us to monitor them. I asked a fellow staff member to call 911. I and another staff member placed the patient back on the seat from which she fell to better assess the patient. she returned to consciousness. She still had her mask on and said for a second she was having difficulty breathing. I went to grab an Epipen to administer. when I came back the patient was coherent enough to ask that I do not administer the Epipen. I asked if she had difficulty breathing to which she responded "may I just take my mask off". I responded "of course do you need assistance?". she stated "no I got it". the patient then took off their mask and repeated, "Do not give me the Epipen I can breathe fine I just need a second". Upon further evaluation the patient did not exhibit swelling of the face, nor any redness. they also stated that they were able to breathe adequately so we refrained from administering the Epipen. I counseled the patient to focus on breathing techniques and closely monitored the patient. We remained with the patient until Emergency services arrived. The patient was then taken to the hospital.

Other Meds:

Current Illness:

ID: 1670862
Sex: M
Age: 81
State: AZ

Vax Date: 02/26/2021
Onset Date: 08/01/2021
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: EKG

Allergies:

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

Symptoms: July 26th I had my normal physical exam and it looked like I had AFib. I made an appointment with my doctor the next day who said I have AFib as well. He got me scheduled for a procedure on August 10th. I received an electroshock to get my heart beat corrected and it worked. August 16th I started experiencing very short 10 second weaknesses that came and went. I checked my blood pressure and it read 86/55 which is low so I informed my doctor about it. August 26th they gave me a prescription midodrine which is for low blood pressure. I am going to see that doctor again to get fitted for a meter that I'll wear for 10 days to check the status of my heart.

Other Meds: Wellbutrin

Current Illness:

ID: 1670863
Sex: F
Age: 53
State: FL

Vax Date: 08/20/2021
Onset Date: 09/01/2021
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 known

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

Symptoms: Fullness and pain felt in right upper quadrant.

Other Meds: Pravastatin sodium 10 mg, venlafaxine HCl er 75 mg, krill oil 1000mg,vitamin D3 5000iu, h.a.joint formula, red yeast rice, vitamin e 450mg, calcium, c0q-10, magnesium

Current Illness: None known

ID: 1670864
Sex: F
Age: 73
State: CO

Vax Date: 01/11/2021
Onset Date: 08/20/2021
Rec V Date: 09/03/2021
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: Breakthrough COVID infection, ICU admission. Recieved Pfizer COVID 19 vaccines on 1/11/2021 and 2/1/20221

Other Meds:

Current Illness:

ID: 1670865
Sex: F
Age: 53
State: MA

Vax Date: 04/14/2021
Onset Date: 04/21/2021
Rec V Date: 09/03/2021
Hospital: Y

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

Lab Data: multiple CT scans, MRI's, xrays, and extensive blood work (note below unable to unclick mm/yyyy of section - pt did not die. is alive)

Allergies: copaxone, nickel, interferon beta 1-a albumin

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: pt was hospitalized exactly 1 week after both 1st and 2nd doses of moderna covid-19 vaccination. timeline: 2/13/21 PCP office visit with presumed covid, tested neg but symptomatic and exposed to positive household members 3/4/21 hospitalized with new diagnosis acute pulmonary embolism 3/13/21 ER visit with new left anterior thigh pain and swelling 3/17 received 1st dose of COVID-19 Moderna and MC lot # 026A21A 3/24/21 hospitalized exactly one week later with LLE LUE and left neck numbness. determined multiple sclerosis exacerbation. however patient notes her symptoms were significantly worse, total numbness which she'd never experienced before and newly int he leg (though that started a few days prior). per daughter and patient's separate accounts she also had significant dizziness lethargy and syncopal episodes with loss of consciousness which she had never experienced before, not noted in hospital notes. 4/3/21 ER visit for hemoptysis and cough. positive covid exposure during admission via hospital roommate. patient tested neg x2 4/14/21 received 2nd dose covid-19 moderna vaccine lot # 044A21A 4/15/21 vomited 8 times that night. nausea and poor appetite persisted for a week 4/21/21 hospitalized for dizziness, slurred speech, syncopal episode and "multiple sclerosis flare" of left sided total body numbness and facial changes. per daughter and patient she had a complete loss of consciousness at a restaurant leading to this ER visit and was completely "unresponsive" for some time prior to arrival at hospital. daughter and patient in separate accounts report patient to be "very ill" immediately after each vax administration for 2-3 weeks, gradually improved, then suddenly much worse again after subsequent dose. aware of possible contributing factors. is concerned vaccine itself may have exacerbated symptoms, aware possibly poor po intake secondary to feeling unwell from typical side effects a contributor ; concerned for triggering exacerbations.

Other Meds: albuterol, amitriptyline, vit d, vit b, iron, gabapentin, Coumadin, Lipitor, lamictal, magnesium, zyprexa, Prilosec, Seroquel, Topamax, buprenorphine, milnacipran, duoneb, aspirin

Current Illness: (filing one VAERS but please note pt with same reaction to both first and second doses of vaccine hospitalized exactly 1 week post vax with both doses) new acute pulmonary embolism 3/4/21 (first dose covid vax received 3/17/21. note presumed covid on 2/13/21, tested negative but symptomatic with positive exposures in home)

ID: 1670866
Sex: F
Age: 73
State: FL

Vax Date: 08/23/2021
Onset Date: 08/24/2021
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: penicillin, sulfa drugs, Clindamycin

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

Symptoms: None stated.

Other Meds: Monthly Orancia infusions for Rheumatoid Arthritis Daily Montelukast 10 mg tablet daily Vitamin D3 1000 units daily Vitamin B12 1000 mcg daily Biotin 5000 mcg daily

Current Illness: none

ID: 1670867
Sex: F
Age: 99
State: IA

Vax Date: 08/27/2021
Onset Date: 08/29/2021
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: IM
Vax Site: LA

Lab Data: na

Allergies: none

Symptom List: Injection site swelling, Limb discomfort

Symptoms: injection site edema, erythema, warmth, and tenderness

Other Meds: COVID test daily-floor nurse will do this test to avoid excess use of PPE for sample collection. one time a day for 14 Days Other Active 9/20/2021 06:00 10/4/2021 9/2/2021 TID vitals (add BP), assess lung sounds and document condition-be a

Current Illness: none, see chronic conditions

ID: 1670868
Sex: F
Age: 62
State: CA

Vax Date: 04/12/2021
Onset Date: 04/14/2021
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: RA

Lab Data: Was prescribed Ibuprofen 600 mg. Did not ease pain Predisone was prescribed and still was in pain Doctor suggested PT, After the 2nd appointment pain was worse so called Dr and was given Cortisone shots on both wrists. That was in July. Cortisone is now wearing off so pain is back.

Allergies: Penicilin, Asprin

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

Symptoms: Developed excruciating on both wrists

Other Meds: Metformin, Atorvastatin, Fish Oil

Current Illness:

ID: 1670869
Sex: F
Age: 66
State: NY

Vax Date: 08/31/2021
Onset Date: 08/31/2021
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: None.

Allergies: Dicloxacillin, Penicillin, amoxil, Tylenol (recent), Bactrim, etc. Egg allergy, peanut oil allergy, etc.

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

Symptoms: First Day, 8.31.21 , Reddened face, watery eyes, blurry vision, fatigue dizziness, soft stools, TeNonemperature: 100.4 F, sore throat, headache, Second Day, 9.1 .21 : Same as before, temperature 100.9 F, call the pharmacist tole me to take Tylenol,, at midnight, stronger headache, Temperature: 102.8 F, I knew since last January , Tylenol give me adverse reactions but took it anyway, I got the reactions and no effect the temperature went higher. Third Day:, 9.2.21, Took herbal teas, temperature went down to 100.1 F, headache, applied ice on forehead and head, A/C at 60 F, drank lot of water, ate well Fourth Day, 9.3.21 (today) took more herbal teas, Temperature 98.4 F at 5pm., dizziness, watery eyes and so blurry vision, light headache, ate well.

Other Meds: None

Current Illness: None.

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am