VAERS 2021 Database www.vaers.hhs.gov

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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: 1678903
Sex: M
Age: 65
State: FL

Vax Date: 04/14/2021
Onset Date: 09/02/2021
Rec V Date: 09/07/2021
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: POSITIVE COVID TEST

Allergies: NKA

Symptom List: Dysphagia, Epiglottitis

Symptoms: POSITIVE FOR COVID

Other Meds: aspirin 325 mg oral tablet 81, PO, Daily atenolol 50 mg oral tablet 50 mg = 1 TAB, PO, Daily Crestor 10 mg oral tablet 10 mg = 1 TAB, PO, Daily ezetimibe 10 mg oral tablet 10 mg = 1 TAB, PO, Daily hydroCHLOROthiazide 12.5 mg oral capsul

Current Illness:

ID: 1678904
Sex: M
Age: 68
State: TX

Vax Date: 03/03/2021
Onset Date: 03/26/2021
Rec V Date: 09/07/2021
Hospital:

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

Lab Data: X Ray in Aug 2021 shows developing arthritis. Confirmed by specialist Dr in orthopedics Aug 2021 and PT therapist. PT has not helped resolve the condition. Previous history of osteoarthritis and inflammatory conditions, but not in either shoulder.

Allergies: Flagyl

Symptom List: Anxiety, Dyspnoea

Symptoms: Had one dose in each shoulder, 1st in Feb, 2nd in Mar. Had mild fever, tiredness, headache, joint pain. Arm was sore for 5 days after 2nd shot. Afterward developed persistent inflammation and discomfort in both shoulder joints. Arm painful to raise above shoulder height. Has partially resolved but discomfort remains.

Other Meds: Aspirin, metoprolol, micardis, Flomax, prasugrel, zyrtec, rovustatin, ferrous sulfate, d-3, calcium, magnesium, zinc, fish oil, multivitamin

Current Illness: None

ID: 1678905
Sex: F
Age: 36
State: CA

Vax Date: 09/02/2021
Onset Date: 09/04/2021
Rec V Date: 09/07/2021
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: Pt reports having a grand mal seizure. Pt has never had a grand mal prior and has been partial seizure free for over 2 years.

Allergies: Phenytoin, Latex Gloves, Bactrim DS

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

Symptoms: Grand Mal Seizure, unknown, follow up needed.

Other Meds: Levetiracetam 500mg tab, Bupropion XL 150mg, Cyanocobalamin 1000mcg/ml inj, L-Methyfolate 7.5mg, Methylcobalamin 500mcg,

Current Illness: none

ID: 1678906
Sex: F
Age: 22
State: NY

Vax Date: 09/03/2021
Onset Date: 09/03/2021
Rec V Date: 09/07/2021
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: Patient filled out her VAR and stated she has had no reaction to vaccines before. She states that she has a needle phobia. After receiving her vaccine, she felt dizzy and fainted twice. EMS was called and took over the situation. The patient was walked away at her own free will.

Other Meds:

Current Illness:

ID: 1678907
Sex: F
Age: 73
State: CA

Vax Date: 03/04/2021
Onset Date: 04/08/2021
Rec V Date: 09/07/2021
Hospital:

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

Lab Data: No

Allergies: No

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

Symptoms: Heart problems, rapid heart beat, dizziness, weakness.

Other Meds: No

Current Illness: No

ID: 1678909
Sex: F
Age: 21
State: PR

Vax Date: 08/17/2021
Onset Date: 08/17/2021
Rec V Date: 09/07/2021
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: No test was performed at the time of the reaction.

Allergies: Patient reports not having any allergy to medicine or food products.

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

Symptoms: Patient refers with numbness in the left arm then it manifested to the right arm it continues after the first dose since day 17/08/21. Patient with 5 months of pregnancy is recommended to visit her medical doctor to tell him a her symptoms.

Other Meds: Patient is on prenatal medication plus iron at the time of vaccination

Current Illness: Patient reports not having any disease at this time.

ID: 1678910
Sex: F
Age: 58
State: TN

Vax Date: 04/22/2021
Onset Date: 04/29/2021
Rec V Date: 09/07/2021
Hospital:

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

Lab Data: Hearing Test 7-13-21 @ Dr office -- he said I did have some hearing loss. he checked ears -- said they "appeared to look normal" Gave me steroid pack -- prednisone -- for two weeks Gave me exercises to do Still no relief. Help me please...

Allergies: None

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Vertigo, fullness in ears, hearing loss, tinnitus Vertigo -- has been "strong" to slight -- have had 17 different episodes now Fullness in ears -- I have not been able to clear my ears since 4-29-21...

Other Meds: Hydroxychloroquin and Gabapentin OTC: Probiotic, Vitamins: D, E, B, and Multi-vitamin fish oil glucosamine calcium

Current Illness: None

ID: 1678911
Sex: M
Age: 52
State: CA

Vax Date: 04/17/2021
Onset Date: 08/31/2021
Rec V Date: 09/07/2021
Hospital: Y

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

Lab Data: Results for patient (MRN 110009143618) as of 9/7/2021 10:40 8/31/2021 17:43 CRP, SER QL: 8.4 (H) 9/2/2021 06:05 CRP, SER QL: 6.5 (H)

Allergies: Allergies Amoxicillin Rash Not Specified Allergy 9/5/2009 Past Updates... Azithromycin Rash Not Specified Allergy 6/3/2015 Past Updates... Diagnostic Dye Not Specified 8/31/2021 Past Updates... States gets red all over body hours after injection

Symptom List: Pharyngeal swelling

Symptoms: 52 Y male with PMHx of chronic lymphoid leukemia (in remission since 2/2021), gout, anxiety, COVID-19 positive on 8/5/2021, who presented to ED on 8/31/2021 with worsening cough, fever, and SOB. Patient has had these progressive symptoms over the last 1-2 months. Patient met sepsis criteria presenting with fever 100.7F, tachycardia HR 138, and tachypnea RR 48, lactate 2.1-- >0.8 (after IV NaCl). He was positive for COVID-19 on 8/5/2021 after ~1 month of persistent productive cough, SOB, fevers (having tested negative on 7/16/21). Patient recently completed 2 courses of levofloxacin in July and August (8/26-8/30) for presumed CAP. On exam however patient is non-toxic and breathing comfortably on RA. Patient is fully vaccinated with Moderna COVID-19 vaccine since 4/2021 and has been in remission from CLL since 2/2021. CXR 8/31 with increasing opacity primarily in the right upper lung. Extensive workup initiated to r/o infectious vs malignant sources. Workup consisted of sputum cultures, sputum gram stain, AFB smear and culture, beta-d-glucan, aspergillus antigen, legionella antigen urine, procalcinotin, coccidiodes AB serum, TB gamma interferon, albumin, CRP, D-Dimer, PT, LDH, ferritin, HIV, CMV, PJP. CAP coverage started on 8/31 with ceftriaxone and doxycycline. Case was discussed with with ID, Pulm, and Onc. Imaging findings suggested COVID-19 process rather than opportunistic infection, so recommended CT contrast of chest/abd/pelvis. 9/1 CT showed progression with 1. Overall worsening multifocal groundglass infiltrates/pneumonia, particularly in the upper lobes compared with the previous chest CT. 2. New finding of trace bilateral pleural effusions with some relatively of modest suspected adjacent compressive atelectasis in the dependent left lung base. 3. No new developing intrathoracic or abdominal bulky adenopathy. No new localized intra-abdominal inflammatory process demonstrated. Patient has allergy to contrast but consented to CT with benadryl for relief of symptoms (had had multiple CTs done in past). 9/1 COVID-19 test returned positive, cycle threshold 30.7 and 33.1 per ID. Given still COVID-19 positive, it is possible he has not fully cleared the virus. Per Onc, less concerned for recurrent CLL. Patient continued to be non toxic on exam, breathing on room air, but had sweats and fevers overnight 9/1-9/2. Still unclear what is leading to prolonged symptoms. Differential includes viral, fungal, bacterial - less likely HSP or COP. Respiratory viral panel negative. AFB smear negative. Remaining workup pending. # COVID-19 Pneumonia vs Community-Acquired Pneumonia - Complete abx course for possible bacterial co-infection: Vantin/Doxycycline - Repeat CXR in 3-4 weeks to document resolution, if not clear, refer to Pulm # h/o Chronic Lymphocytic Leukemia (remission since 2/2021) # Low IgG Reason for Hospital Admission (Admitting Diagnosis): PNEUMONIA

Other Meds: Prior to Admission Medications Outpatient Home Medications Taking? Allopurinol (ZYLOPRIM) 100 mg Oral Tab Sig: Take 2 tablets by mouth daily Calcium Acetate (CALCIUM ACETATE, PHOS BINDER,) 667 mg Oral Cap Sig: Take 2 capsules by mouth d

Current Illness: CLL diagnosed on flow cytometry 09/2013, Rai stage II, Binet A, Neutral cytogenetics (FISH +12). FISH: Positive for trisomy 12 in 44% (44/100) of cells 03/19 ARUP Lab: IGHV-borderline

ID: 1678912
Sex: M
Age: 20
State: VA

Vax Date: 09/07/2021
Onset Date: 09/07/2021
Rec V Date: 09/07/2021
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 Reported

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Pt complained of mild SOB and chest pain within about 10 min post vaccination. Chest pain with breathing, A&Ox3, VS on EMS arrival T-N/A, P- 110-120, R 14-16, BP-157/88. Taken to EMD.

Other Meds: None reported

Current Illness: None Reported

ID: 1678913
Sex: M
Age: 62
State: FL

Vax Date: 05/08/2021
Onset Date: 09/04/2021
Rec V Date: 09/07/2021
Hospital: Y

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

Lab Data: POSITIVE COVID TEST

Allergies: NKA

Symptom List: Diarrhoea, Nasal congestion

Symptoms: SOB and cough x 4 weeks. EMS found pt to be saturating 79% on room air with a fever of 101. Pt confused/ poor historian

Other Meds: allopurinol 300 mg, PO, Daily Imbruvica 560 mg, PO, Daily

Current Illness:

ID: 1678914
Sex: M
Age: 65
State: NJ

Vax Date: 01/08/2021
Onset Date: 01/10/2021
Rec V Date: 09/07/2021
Hospital:

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

Lab Data:

Allergies: 0

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

Symptoms: Headache...muscle stiffness

Other Meds: TOO MANY TO MENTION

Current Illness: 0

ID: 1678915
Sex: F
Age: 51
State: VA

Vax Date: 04/04/2021
Onset Date: 04/04/2021
Rec V Date: 09/07/2021
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: Zithromax

Symptom List: Rash, Urticaria

Symptoms: After my vaccination and leaving Pharmacy, I was experiencing pain in my left arm . I assumed it was from the injection, and that the pain would go away. I noticed the pain wasn't going away and that it was hard to raise my left arm. I'm experiencing dull pain, weakness in my arm, and a reduced range of motion. I have not contacted a health care provider because I keep thinking it's going to get better, but I realize it's still the same.

Other Meds: None

Current Illness: None

ID: 1678916
Sex: F
Age: 43
State:

Vax Date: 08/10/2021
Onset Date: 08/10/2021
Rec V Date: 09/07/2021
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: Penicillin

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

Symptoms: Patient reported she felt "tingling of the throat" a "few minutes" after her vaccination. Patient reported she did not report it while in observation. Patient reported the tingling went away on its own.

Other Meds: None reported

Current Illness: None reported

ID: 1678917
Sex: F
Age: 11
State: MI

Vax Date: 09/02/2021
Onset Date: 09/03/2021
Rec V Date: 09/07/2021
Hospital:

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

Lab Data: None.

Allergies: None.

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

Symptoms: Patient was here for her 11 yr check, she was due for her Tdap, Hpv9 and MCV4, the patient was given Men-B. This was found upon doing the transfer report. I notified our Nurse Manager as well as the provider who Pt saw on 09/02, NP. NP contacted mom around 2:17pm on 09/03 to let her know she was given the wrong vaccine. Mom reported soreness of the injection site. Around 4pm on 09/03 the Health Department contacted our office to let us know mom called to report Pt wasn't feeling well, no specific symptoms were reported. I spoke with mother today, she states Pt was feeling a little more tired than normal, had a headache, and redness and swelling at the injection site. Pt is feeling better now.

Other Meds: None.

Current Illness: None.

ID: 1678918
Sex: F
Age: 25
State:

Vax Date: 08/27/2021
Onset Date: 08/27/2021
Rec V Date: 09/07/2021
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: Pt w/ hx of allergies to pollens, DM, and animal dander. Slight allergy to banana, chick pea and rye as revealed in allergy testing. Known reactions to green been (rxn sneezing) and rye (itching) as well.

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

Symptoms: 6mins post vaccination, pt c/o dry throat and chest pain. Vitals: @10:05 BP 130/85, HR 67, RR 15, Sat 100% on RA Pt brought to triage area. Pt sat in chair, no swelling or SOB. NP at chairside. Pt sat in triage for 15min. symptoms resolved. Pt stable and released from the vaccination site.

Other Meds: Current Medications: Albuterol 90mcg/act 2 inh Q6hrs PRN wheezing or SOB. Mirena IUD Naprosyn unknown dose and frequency Other medications are not being routinely taken

Current Illness:

ID: 1678919
Sex: M
Age: 40
State: AL

Vax Date: 07/12/2021
Onset Date: 07/01/2021
Rec V Date: 09/07/2021
Hospital:

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

Lab Data: went to PCM on AUG 26 who wants me to keep a log of times, and locations. I am going back to PCM end of September so we can decide next step.

Allergies: N/A

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

Symptoms: I smell what smells like cigarettes smoke when no-one else can. multiple times a day, different time, settings, and locations. a few days of this are logged waiting for my PCM to make a decision on next step.

Other Meds: one a day men's heath

Current Illness: none

ID: 1678920
Sex: M
Age: 47
State: PA

Vax Date: 04/07/2021
Onset Date: 04/11/2021
Rec V Date: 09/07/2021
Hospital:

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

Lab Data: Basic Metabolic Panel, low blood urea nitrogen 04/30/2021 CBC-normal 04/30/2021

Allergies: None

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

Symptoms: 11 days after first injection, awoke with vertigo, nausea, nystagmus. Dizzy, lightheaded, brain fog, disorientation, blurry vision and fatigue. Saw family physician, prescribed antivert and referral to vestibular therapy. Nearly resolved by the beginning of week 4. Received the second dose on May 5, 2021 and exactly 11 days later, all the above symptoms returned and have been persisting since this time on a daily basis. Brain fog and fatigue have diminished but the dizziness and imbalance as well as the blurry vision have persisted. Continue with vestibular rehab, treat with Dr. and taken various supplements and medications.

Other Meds: None

Current Illness: None

ID: 1678921
Sex: M
Age: 80
State: MI

Vax Date: 04/21/2021
Onset Date: 09/05/2021
Rec V Date: 09/07/2021
Hospital: Y

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

Lab Data: Positive PCR test for COVID on 9/5/21

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Patient presented to the hospital on 9/5/21 with worsening dyspnea that had been going on for a month. He tested positive for COVID on 9/5/21. He is currently still hospitalized and on 7L of Oxygen

Other Meds:

Current Illness:

Date Died: 08/20/2021

ID: 1678923
Sex: M
Age: 77
State:

Vax Date: 03/22/2021
Onset Date: 08/14/2021
Rec V Date: 09/07/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: dyspnea, positive COVID test, HTN, aches, non-small cell CA, taking chemo

Other Meds:

Current Illness:

ID: 1678924
Sex: F
Age: 73
State: MI

Vax Date: 05/03/2021
Onset Date: 08/23/2021
Rec V Date: 09/07/2021
Hospital: Y

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

Lab Data: Chest x-ray FINDINGS: Again, pacemaker generator pack in neural stimulator generator pack obscures portions of both the left and right chest. There is similar cardiomegaly. The visualized pulmonary vascularity does appear slightly congested. In addition to this, there are patchy areas of groundglass opacity right more pronounced than left. No sizable effusion or discernible pneumothorax. The adequately visualized portions of the implanted devices appear intact. __________________________________________________ CT head FINDINGS: 1. Patchy areas of hypodensity are noted in the periventricular and in the subcortical white matter. This is nonspecific but most likely represents chronic small vessel ischemic change of the white matter. There are no new areas of abnormal brain attenuation. No acute intracranial hemorrhage is identified. 2. The ventricles, sulci and the cisterns are prominent reflecting intracranial volume loss that is felt to be appropriate when allowing for the patient's age. No mass effect, midline shift nor extra-axial fluid collections are noted. 3. There is mild scattered mucosal thickening in the paranasal sinuses. The mastoid air cells are well aerated. 4. No skull abnormalities are noted. 5. Calcified atherosclerotic plaque is noted within the cavernous internal carotid arteries. ___________________________________________________ CT abdomen pelvis FINDINGS: Lung Bases: Multifocal small patchy opacities in the right middle lobe and right lower lobe likely representing pneumonia. Small layering right pleural effusion with prominent dependent atelectasis in the right lung base. Small left pleural effusion with mild dependent atelectasis in the left lung base. Mild cardiomegaly. Hepatobiliary: The liver has normal morphology and size with no focal lesion on this noncontrast study. The gallbladder is not identified likely due to a prior cholecystectomy. There is no biliary ductal dilatation. Pancreas: The pancreas is normal. Spleen: The spleen is normal. Adrenals: Poorly visualized. Kidneys, Ureters, & Bladder: There are bilateral renal cortical cysts. The kidneys are otherwise normal in appearance allowing for lack of intravascular contrast. There is no hydronephrosis. The ureters and bladder are normal. Gastrointestinal: The stomach, duodenum and remainder the small bowel are normal in appearance. There are no thick walled or abnormally dilated loops of small bowel. The colon is normal. No evidence of diverticulitis or acute colitis. Reproductive Organs: Status post hysterectomy. Lymphatic System: There is no lymph node enlargement within the abdomen or pelvis. Vasculature: There is severe calcific atherosclerotic disease involving the abdominal aorta and iliac arteries with extensive calcific atherosclerotic disease throughout the remainder of the abdomen. There is no abdominal aortic aneurysm. Peritoneum: Tiny amount of free fluid in the pelvis which is nonspecific. No other ascites. No free intraperitoneal air. Abdominal Wal

Allergies: Tape Itching Zoloft [Serotonin Reuptake Inhibitors]

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

Symptoms: Patient hospitalized with COVID-19; Still hospitalized (ICU); Fully vaccinated. Admission Note H&P: HISTORY OF PRESENT ILLNESS: Patient is a 73-year-old female with past medical history of diastolic CHF, hypertension, hyperlipidemia, seizure disorder s/p VNS, coronary artery disease status post CABG, sick sinus syndrome status post permanent pacemaker, CKD 3, diabetes type 2, GERD. Patient was recently hospitalized from 06/11/2021 to 6/20 3/21 for acute congestive heart failure found to have chronic diastolic CHF. Patient during this visit was suicidal and was EN route to facility when she developed chest pain and taken to Hospital. During hospitalization patient was noted to have chronic abdominal pain, a possible seizure that was followed up with an EEG and neuro evaluation all unremarkable. Patient denies suicidal ideations once admitted therefore no further psych placement needed and she was discharged to subacute rehab. Today patient is coming from facility with complaints of altered mental status from baseline, increased fatigue, fevers, and hypoxia. On 08/23 patient was diagnosed with COVID-19. Patient complains of some shortness of breath, cough, severe headache, abdominal pain but this appears chronic, numbness testing into her left lower leg. States having reduced appetite but no loss of taste or smell. ASSESSMENT/PLAN: Severe COVID-19 infection with acute hypoxic respiratory failure - First onset of symptoms: unknown, roughly week - Tested Positive: 8/23 - Decadron: 6mg PO daily, day #1 - continue home PPI - Give Remdesivir *Daily renal and liver function monitoring for kidney and liver toxicity due to Remdesvir is required. - Oxygen Requirements: 2L, wean as tolerated - COVID lab panel: - D-Dimer = ordered - CRP = ordered - alkaline phosphatase = 244 - DVT Prophylaxis: Heparin - treat CHF keeping euvolemic, encourage proning, IS - PRN albuterol, tessalon, tylenol Superimposed Bacterial CAP - procal mildly elevated at 0.29 - ER started Rocephin day 1/5 and Azithromycin day 1/3 - sputum culture, legionella, strep pneumoniae, blood cultures ordered Acute exacerbation of chronic diastolic CHF -last echo 6/12/21 EF 57%, diastolic dysfunction grade 2, right ventricle mildly to moderately decreased, mild MR, moderate TR right ventricular systolic pressure 43.1 mmHg -chest x-ray shows findings of mild congestion; BNP 17,476 -start Lasix 40 mg IV push 2 times a day *The patient is on IV Lasix which requires daily monitoring of electrolyte and renal function to monitor for the following toxicities: renal failure, hyper/hyponatremia, hypokalemia, metabolic alkalosis. -2 L fluid restriction, strict I&Os, daily weights Indeterminate high sensitivity troponins -trope 61 with a 2 hour delta of +3 -demand ischemia from CHF exacerbation and in the presence of CKD

Other Meds: acetaminophen (TYLENOL) 325 MG tablet ascorbic acid (VITAMIN C) 500 MG tablet aspirin 81 MG enteric coated tablet atorvastatin (LIPITOR) 40 MG tablet brimonidine (ALPHAGAN) 0.2 % ophthalmic solution calcium carbonate (TUMS) 500 MG chewable

Current Illness: Hospitalized due to COVID-19 Found to be COVID positive 8.28.21. Iron infusions

ID: 1678925
Sex: U
Age: 77
State: WI

Vax Date: 06/30/2021
Onset Date: 07/19/2021
Rec V Date: 09/07/2021
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: Appointment on 07/19/21

Allergies:

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

Symptoms: After receiving vaccine, patient broke out in shingles as confirmed by his provider on 07/19/21/ A course of valacylovir 1gm, doing 1 tid was dispensed for a 7 day supply.

Other Meds:

Current Illness:

ID: 1678926
Sex: F
Age: 48
State: GA

Vax Date: 08/24/2021
Onset Date: 08/25/2021
Rec V Date: 09/07/2021
Hospital:

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

Lab Data: NA

Allergies: Codeine

Symptom List: Unevaluable event

Symptoms: Swollen lymph nodes and tenderness on left side, starting within 24 hours and persisting for 14 days (and counting) after vaccination. Not resolved Pain and stiffness in left arm, shoulder and neck starting after vaccination and persisting for 14 days after vaccination. Not resolved Headaches, temporarily resolved by OTC treatment (Advil, Tylenol) but recurring.

Other Meds: Birth control pills Zolpidem 12.5 mg Venlafaxine 75 mg

Current Illness: Pneumonia/lower respiratory infection (2 negative and 1 positive Covid test within one week of diagnosis)

ID: 1678927
Sex: F
Age: 61
State:

Vax Date: 08/25/2021
Onset Date: 09/07/2021
Rec V Date: 09/07/2021
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: Patient completed Moderna COVID-19 vaccine series 4/7/2021 and 5/7/2021. Patient then received Pfizer dose as documented on this report on 8/4/2021.

Other Meds:

Current Illness:

ID: 1678928
Sex: F
Age: 78
State: WI

Vax Date: 03/03/2021
Onset Date: 08/27/2021
Rec V Date: 09/07/2021
Hospital:

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

Lab Data: No

Allergies: Never felt well after taking a flu shot; I took it along with one of the Hepatitis vaccine; I became really sick

Symptom List: Injection site pain, Pain

Symptoms: On 08/27/2021, my left lower eye lid became quite red and painful, a lot of weeping from the eye or tearing. On 08/31/2021, I went to see my doctor. She wondered if I didn't have an allergic reaction. She wanted me to call her the next day, 09/01/2021 and it wasn't getting better. I went to the vision care clinic, she prescribed the antibiotics, Keflex, the pharmacy gave me cephalexin. I got 5 doses in and it wasn't getting better. On 09/02/2021 I saw her partner and it was worse I had a large bump and it was painful. He examined my eye and gave me a steroid drops and told me to continue the prescription plan. He told me to continue with the antibiotics and icing. I am not totally recovered from the AE, but it has improved, you can still see there is a little growth or lump there, about a 1/4 of an inch. It's small and not painful today and I think I am on the road to recovery.

Other Meds: Vitamin D3; Tylenol

Current Illness: No

ID: 1678929
Sex: F
Age: 43
State:

Vax Date: 09/03/2021
Onset Date: 09/03/2021
Rec V Date: 09/07/2021
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: Penicillin

Symptom List: Injection site pain, Menorrhagia

Symptoms: At approximately 1626, patient reported tingling of throat to RN. Patient denied difficulty breathing, difficulty swallowing, itchiness and rashes. RN offered to take vital signs. Patient denied vitals signs. RN offered diphenhydramine. Patient denied diphenhydramine. Patient reported "I'm fine". Patient given water. Patient able to drink water. Patient reported similar reaction to the first dose of Pfizer Covid Vaccine (LOT# EW0168, exp. 08/2021) administered on 08/10/21. Patient reported she felt the "same thing" and "didn't say anything". Patient reported it "felt like a panic attack starting". At 1634, RN reassessed patient. Patient reported "it didn't get any worse". Patient denied itchiness, rashes, difficulty breathing and difficulty swallowing. RN offered diphenhydramine. Patient denied diphenhydramine. RN offered to take vital signs. Patient denied vital signs. At 1642, RN reassessed patient. Patient reported the symptom had "gone down". Patient denied itchiness, rashes, difficulty breathing, difficulty swallowing. RN offered diphenhydramine. Patient denied diphenhydramine. RN offered to take vital signs. Patient denied vitals signs. At 1645, RN reassessed patient. Patient reported the symptom is "gone". Patient denied itchiness, rashes, difficulty breathing and difficulty swallowing. RN educated patient on signs/symptoms of when to seek emergency care, to follow up with primary care provider, and to sign up on v-safe. At 1647, patient left facility with steady gait and unlabored respirations.

Other Meds: None reported

Current Illness: None reported

ID: 1678930
Sex: F
Age: 36
State: AZ

Vax Date: 09/02/2021
Onset Date: 09/04/2021
Rec V Date: 09/07/2021
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: None

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

Symptoms: Severe muscle weakness and pain in left forearm, no pain/weakness in upper arm at site of injection. Pt has trouble lifting or doing much with her arm. Pt does not have any pain or weekness in right arm. Pt reports no swelling, redness or heat in painful arm. Since it has only been a couple of days since vaccination, and there were no signs of infection I advised pt to wait 2 more days and if there was no improvement at that point to contact her doctor.

Other Meds: Unknown

Current Illness: None

ID: 1678932
Sex: F
Age: 45
State:

Vax Date: 09/07/2021
Onset Date: 09/07/2021
Rec V Date: 09/07/2021
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: Nausea, Pain in extremity, Pyrexia

Symptoms: About 45 minutes after receiving the vaccine, she developed a systemic rash followed by jives. Her right arm developed some swelling and then some numbness and stiffness. She states she developed a headache behind her eyes. BP 131/75 at 1232 with HR 102 and Pulse Ox95. At 1237 BP 127/77, HR 104 and Pulse Ox 95. SHe was taken to the ED to be evaluated

Other Meds:

Current Illness:

ID: 1678933
Sex: F
Age: 41
State: WA

Vax Date: 08/25/2021
Onset Date: 08/25/2021
Rec V Date: 09/07/2021
Hospital:

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

Lab Data: N/A

Allergies: Sulfa drugs; Penicillin; Cipro; Macrobid; PEG; Miralax

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Tingling in my throat and tongue, Nausea, Diarrhea, Hives, My whole body was tingling and itchy, Pain in my left leg Lymph nodes under both armpits.

Other Meds: Pepcid AC

Current Illness: N/A

Date Died: 09/03/2021

ID: 1678934
Sex: M
Age: 82
State: TN

Vax Date: 02/01/2021
Onset Date: 09/03/2021
Rec V Date: 09/07/2021
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: Fully vaccinated patient tested positive 8/28/2021 and hospitialized then expired 09/03/2021.

Other Meds:

Current Illness:

ID: 1678935
Sex: F
Age: 29
State: CA

Vax Date: 09/03/2021
Onset Date: 09/06/2021
Rec V Date: 09/07/2021
Hospital:

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

Lab Data: EKG: normal

Allergies: None known

Symptom List: Nausea

Symptoms: 3 days after test patient notes occasional palpitations and redness at arm. She reports a similar reaction with 1st dose.

Other Meds: None known

Current Illness: None known

ID: 1678936
Sex: F
Age: 80
State: GA

Vax Date: 03/01/2021
Onset Date: 08/01/2021
Rec V Date: 09/07/2021
Hospital:

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

Lab Data: Strep throat test positive, Blood pressure 183/92

Allergies: No

Symptom List: Injection site pain

Symptoms: The morning of August 2, 2021 I went to the urgent care and they did a Strep throat test and it came back positive. An then by Wednesday August 4, 2021 I couldn't smell or taste anything. I went to be and I was sick for about two weeks. I had no energy and I was very weak and couldn't do anything. I believe that I had come down with COVID-19. But I didn't have a fever at all. Urgent care prescribe me, Amoxicillin for 10 days. As of today Sept. 07, 2021 I still can't taste or smell.

Other Meds: Senior Vitamin for Women; Baby Aspirin

Current Illness: No

ID: 1678937
Sex: F
Age: 54
State: CA

Vax Date: 07/14/2021
Onset Date: 07/14/2021
Rec V Date: 09/07/2021
Hospital:

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

Lab Data: unknown

Allergies: unknown

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

Symptoms: Rash, tightness in chest, chest pain

Other Meds: unknown

Current Illness: unknown

ID: 1678938
Sex: F
Age: 62
State: NJ

Vax Date: 03/26/2021
Onset Date: 09/01/2021
Rec V Date: 09/07/2021
Hospital:

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

Lab Data: 9/3/2021 +PCR for Covid

Allergies: none known

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

Symptoms: Client was vaccinated for Covid on 3/26 and 4/22/2021. Was exposed to someone with Covid and was tested on 9/1 and 9/3. PCR tests positive and client had no symptoms. Reported as a case of breakthrough Covid in a fully vaccinated person.

Other Meds: none known

Current Illness: none known

ID: 1678939
Sex: F
Age: 77
State: PA

Vax Date: 08/31/2021
Onset Date: 09/02/2021
Rec V Date: 09/07/2021
Hospital:

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

Lab Data: NOT KNOWN

Allergies: codeine

Symptom List: Tremor

Symptoms: PT SAYS APPOX 2 DAYS AFTER RECIEVING VACCINE SHE BEGAN TO ITCH AROUND THE SITE OF ARM. PT CAME TO STORE 1 WEEK LATER. LEFT AREA HAS A SMALL BRUISING AREA AROUND INJECTION SITE AND SOME REDNESS ON UPPER ARM. PT HAD NOT ICED IT BUT DID PUT SOME CREAM ON IT SHE THINKS IT MIGHT BE ANTIBIOTIC. SHE SAYS IT STILL ITCHES. SO I RECOMMEND SHE SEE HER DR.

Other Meds: tropsium

Current Illness:

ID: 1678940
Sex: F
Age: 74
State: FL

Vax Date: 04/02/2021
Onset Date: 09/06/2021
Rec V Date: 09/07/2021
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: POSITIVE COVID TEST

Allergies: TIZANIDINE

Symptom List: Erythema, Pruritus

Symptoms: Type 2 diabetes mellitus well controlled, Blood in urine, Atrial fibrillation with rapid ventricular response., Pneumonia caused by SARS-CoV-2

Other Meds: aspirin, 81 mg, PO, Daily diclofenac 1% topical gel, 2 GM, TOP, 4 times a day, PRN donepezil 5 mg oral tablet, 5 mg= 1 TAB, PO, Daily Eliquis 5 mg oral tablet, 5 mg= 1 TAB, PO, BID (2 times a day) glimepiride 4 mg oral tablet, 4 mg= 1 TAB,

Current Illness:

ID: 1678941
Sex: M
Age: 73
State: VA

Vax Date: 09/02/2021
Onset Date: 09/03/2021
Rec V Date: 09/07/2021
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: Presented to Urgent Care 9/4/21 and given Medrol dose pack (Prednisone taper, 60mg and decreased dose daily by 10mg until completed) along with Benadryl 25mg q6 hours x 48 hours.

Allergies: No know allergies.

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

Symptoms: Generalized maculopapular, pruritic rash to bilateral arms, legs, abdomen.

Other Meds: 1. Vitamin D3 1,000 units po daily. 2. Flomax 0.4mg po daily. 3. Bupropion SR 150mg po bid. 4. Novolog insulin SC via insulin pump (~50 units daily). 5. Aspirin 81mg po daily. 6. Losartan 100mg po daily. 7. Metronidazole 0.75% topically bi

Current Illness: None.

ID: 1678942
Sex: F
Age: 35
State: IN

Vax Date: 08/26/2021
Onset Date: 09/02/2021
Rec V Date: 09/07/2021
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: Nexium

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

Symptoms: Patient stated that she received a seizure. She has never had a seizure before. It lasted about 30seconds. Patient stated that she did not go to the Dr but she did reach out to her PCP to let her know what happened.

Other Meds: NAC 1000mg 25mg Zinc Hydrazine 25mg 1000 Vitamin c Sulfate 1gram Calcium Prenatal Vitamins Vitamin D3 Clodine Gabapentin

Current Illness:

ID: 1678943
Sex: F
Age: 29
State: NM

Vax Date: 08/03/2021
Onset Date: 08/29/2021
Rec V Date: 09/07/2021
Hospital:

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

Lab Data: N/A

Allergies: Honeydew melon

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: 1st Dose: Within 12 hours, fever, body aches, chills. Gone by next day. 2nd Dose: Within 12 hours, fever, body aches, chills, infrequent heart pain, nausea, vomiting, dull intestinal pain. Gone after day and a half. After two days, inflammation of muscle tissue underneath shot; skin was red, hot to touch, and raised/a lump. "Covid arm" lasted about a week; symptoms went away.

Other Meds: N/A

Current Illness: N/A

Date Died: 08/19/2021

ID: 1678944
Sex: F
Age: 62
State:

Vax Date: 03/24/2021
Onset Date: 08/01/2021
Rec V Date: 09/07/2021
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:

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

Symptoms: hx of renal transplant, hypoxia, positive COVID test

Other Meds:

Current Illness:

ID: 1678945
Sex: F
Age: 14
State: KY

Vax Date: 08/19/2021
Onset Date: 08/24/2021
Rec V Date: 09/07/2021
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: 8/24 ER visit Troponin and BNP elevated 8/25 pediatrician follow up 8/31 pediatrician follow up 8/27 cardiologist apt, Holter monitor placed 9/1 repeat labs/echo

Allergies: None

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

Symptoms: She was playing in a soccer game and developed chest pain and extreme fatigue. She went to the ER and had elevated troponin and BNP. Was diagnosed with cardiomyopathy. She is now 2 weeks out and still unable to do any activity that elevates her heart rate. She had follow up labs one week later and cardiac inflammatory markers have returned to normal. Echocardiogram and Holter monitor still pending results

Other Meds: Aimovig CoQ10 Vit D

Current Illness: None

ID: 1678946
Sex: F
Age: 55
State: PA

Vax Date: 08/07/2021
Onset Date: 08/07/2021
Rec V Date: 09/07/2021
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: arm swelling ( shoulder to elbow), sore arm, fatigue, headache, general sick feeling

Other Meds: gallapentin,

Current Illness:

ID: 1678947
Sex: F
Age: 32
State: KY

Vax Date: 02/24/2021
Onset Date: 09/02/2021
Rec V Date: 09/07/2021
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: PT VACCINATED WITH PFIZER ON 1/7/21 (LOT EL0140) + 2/24/21 (LOT EL0332). S/O BEGAN 9/1/21, TESTED + 9/2/21

Other Meds:

Current Illness:

ID: 1678948
Sex: F
Age: 63
State: MN

Vax Date: 12/23/2020
Onset Date: 09/03/2021
Rec V Date: 09/07/2021
Hospital:

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

Lab Data: Rapid COVID test.

Allergies:

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

Symptoms: Tested positive for COVID-19 after being vaccinated.

Other Meds:

Current Illness:

ID: 1678949
Sex: F
Age: 57
State: IL

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

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

Lab Data: unknown

Allergies: fluzone latex hydrocodone codeine erythromycin iodine tomato egg aspirin Toradol morphine

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

Symptoms: 17 minutes after vaccination, patient started having itching and tightness to face. Started with a few hives to right cheek. Benadryl 25 mg IM given and patient sent to emergency department

Other Meds: unknown

Current Illness: NA

ID: 1678950
Sex: F
Age: 25
State:

Vax Date: 08/04/2021
Onset Date: 08/05/2021
Rec V Date: 09/07/2021
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: Pt w/ hx of allergies to pollens, DM, and animal dander. Slight allergy to banana, chick pea and rye as revealed in allergy testing. Known reactions to green been (rxn sneezing) and rye (itching) as well.

Symptom List: Vomiting

Symptoms: 24hrs post vaccination, pt reported pain at the injection site and that she is unable to lift her arm. Pt instructed to take APAP or Ibuprofen for pain until symptoms resolved. On 8/6 pt reported difficulty breathing/wheezing/SOB, a rapid HR the night before, dizziness, weakness, and abdominal cramping. Pt instructed to go to UC/ED given hx of Asthma and pt report of SOB. Pt stated they were going to Hospital. No information regarding that encounter is available to this writer. Pt recovered and was given 2nd dose on 8/27. Pt did not report prior reaction at that time.

Other Meds: Current Medications: Albuterol 90mcg/act 2 inh Q6hrs PRN wheezing or SOB. Mirena IUD Naprosyn unknown dose and frequency Other medications are not being routinely taken

Current Illness:

ID: 1678951
Sex: F
Age: 52
State: IN

Vax Date: 06/14/2021
Onset Date: 06/16/2021
Rec V Date: 09/07/2021
Hospital:

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

Lab Data: N/A

Allergies: valium, scopolamine, poison ivy

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Starting 2 days after administration of my second COVID-19 vaccine and ending approximately 2-1/2 months after receiving the vaccine my heart would start racing at random times of the day, often several times a day. I run 5 miles 3-4 times a week and have no heart issues. I had a CT Heart scan that showed 0% plaque and am at very low risk of heart disease due to level of physical fitness and appropriate height/weight for my whole life. Several times my heart would start racing in the middle of the night and would wake me out of a sound sleep. The episodes took 30-45 minutes to resolve. Not only was my heart racing at rest (would reach 168 bpm at 0% activity level) but I also experienced a higher heart rate than normal during my 5 mile runs. My heart rate would get 20 bpm higher than it normally does during these runs. This was very scary and I visited my physician, Dr., because I was worried that it was related to the vaccine and I also worried about long term heart problems as a result of the 2-1/2 month period where my heart was racing for no reason/at rest.

Other Meds: birth control, armor thyroid, lisinopril HCL,

Current Illness: none

ID: 1678952
Sex: F
Age: 26
State: CA

Vax Date: 09/01/2021
Onset Date: 09/02/2021
Rec V Date: 09/07/2021
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: none

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

Symptoms: heavy, tight feeling from the top of the arm to the last tip of the finger. swollen armpit. muscle pain on left upper back shoulder. heavy pain comes and goes, gets worse at night feels like arm is to heavy and might fall off. A vaccine shouldn't be forced ..

Other Meds: none

Current Illness: none

ID: 1678953
Sex: F
Age: 65
State: OK

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 09/07/2021
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: I was unable to rouse myself enough to ask my husband to call 9-1-1 and as he had only mild symptoms in response to vaccine, he thought of 9-1-1 but kept expecting that I would show improvement as time went on (which turned out to be true).

Allergies: Allergic to Sulfa drugs, Cipro class of antibiotics, Cyproheptadine, and Sinemet Sensitive to Codeine, Lortab Mild allergic response to cows milk, beef and other mammal meats, paprika and honey

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Exactly 12 hours after administration I experienced these symptoms: Exploding headache, nausea, vomiting, chills, fever, dizziness, unable to stand up I had a partial loss of consciousness with the exploding headache. This lasted for 6 1/2 hours. Then the headache diminished to that of a severe migraine and I regained full consciousness. Over the course of another 12 hours I gradually improved so that 24 hours after onset of severe reaction I could stand up, move around, and eat a little. Some symptoms such as extreme fatigue and brain fog lasted for another week. I have never had a headache like that and I hope I would never experience anything like that again.

Other Meds: Combipatch estrogine/progesterine changed 2ce weekly; Amitriptyline 5 mg/daily, Famotidine dose? daily; Clonazepam .5mg prn for restless legs Benadryl 50mg at night; 1000 IU Calcium daily; vitamin B12 daily; Allegra a.m. daily

Current Illness: NONE

ID: 1678954
Sex: M
Age: 68
State: CA

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 09/07/2021
Hospital:

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

Lab Data: none

Allergies: none

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

Symptoms: Soreness in shoulder at vaccination site. It still persists to this day.

Other Meds: multi-vitamin

Current Illness: none

Date Died: 04/03/2021

ID: 1678955
Sex: M
Age: 80
State: GA

Vax Date: 02/27/2021
Onset Date: 02/28/2021
Rec V Date: 09/07/2021
Hospital: Y

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

Lab Data: Many can be provided if requested. Was in the hospital so they did many tests multiple times daily

Allergies: none

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

Symptoms: had a couple of fainting episodes after first vaccine, but collapsed and was hospitalized 2 days after second dose

Other Meds: allopurinol 100 MG Oral Tablet (Allopurinol) 100 Mg TABLET Active 100 MG PO Daily aspirin 81 MG Delayed Release Oral Tablet (Aspirin Ec) 81 Mg TABLET.DR Active 81 MG PO Daily 30 30 March 25th, 2021 10:08am carvedilol 12.5 MG Oral Tab

Current Illness: diagnosed with covid when brought to hospital

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am