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: 1689803
Sex: F
Age: 29
State: FL

Vax Date: 06/10/2021
Onset Date: 06/11/2021
Rec V Date: 09/10/2021
Hospital:

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

Lab Data:

Allergies: Sudafed

Symptom List: Dysphagia, Epiglottitis

Symptoms: Well, the next day I felt like I couldn't breathe, and I was very pail and cold and clammy. The people that I live with told me I passed out for about 30 seconds. I had that tingly feeling all over my body and could not breath still. They called the ambulance and went to the hospital, they gave me Ativan, but they told me I needed to see a DR and get checked out. So, after I left the hospital, I was fine but every day since the 11th on June 2021 I have had similar symptoms but just a little smaller intensity. Eventually the shortness of breath it started to go away. Then on the 19th of June I was very lightheaded and just feeling very week for about 4 hours and then on Monday the 21st of June I had a "normal" day so apparently, I am starting to feel better. On the 15th of June I also had a very bad heavy breathing panic attack like symptoms. She prescribed me the generic of Ativan. I went to the DR yesterday 6/22/2021 to follow up but am feeling better so far. I have felt fine ever since the 21st of June 2021, but that has been only a few days since then. I am still having the trouble breathing and the heart racing every now and then. I have two very bad episodes August 31st and September 8th. Sometimes I get weak just moving around and going up and down stairs. I had my attack on Wednesday my pulse OX went down. Sometimes during the day my heart rate is in the 50's. I feel like I was good for 6 months and now it has come back.

Other Meds: Lo Loestrin

Current Illness:

ID: 1689804
Sex: F
Age: 30
State: CA

Vax Date: 01/18/2021
Onset Date: 01/20/2021
Rec V Date: 09/10/2021
Hospital:

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

Lab Data: Colonoscopy may and august 2021. Blood work, stool samples, hospitalization. CT?s, MRI?s.

Allergies: No

Symptom List: Anxiety, Dyspnoea

Symptoms: Started having bowel issues, diarrhea for weeks after, bloody diarrhea, weight loss (over 20 lbs), nausea, fatigue, Abdominal pain.

Other Meds:

Current Illness: Asthma

ID: 1689805
Sex: M
Age: 67
State: CA

Vax Date: 03/19/2021
Onset Date: 03/01/2021
Rec V Date: 09/10/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: Cat scan, xray

Allergies: No

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

Symptoms: Covid.

Other Meds: No

Current Illness: No

ID: 1689806
Sex: F
Age: 21
State: TN

Vax Date: 06/02/2021
Onset Date: 06/02/2021
Rec V Date: 09/10/2021
Hospital:

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

Lab Data: No testing performed when seen 6/7/21 and 6/28/21. CBC, CMP, TSH, and EKG performed 8/12/21. Labs were all normal. EKG normal sinus rhythm with possible LAE and RSR in V1. Was referred to cardiologist at 8/25/21 visit.

Allergies: None known

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Patient reported intermittent bilateral chest pain and left armpit pain occurring almost immediately following vaccination. Reported sharp left-sided chest pains that caused some difficulty breathing that started almost immediately (same day) after receiving vaccine. Pain continued the week following the vaccine almost every day, and was described as sharp. Had dyspnea with exertion and intermittent breast and chest pains into August following the vaccination. Was seen by a different provider twice in June following her vaccination for these complaints

Other Meds: None known

Current Illness: None known

ID: 1689808
Sex: F
Age: 47
State: WI

Vax Date: 08/31/2021
Onset Date: 09/02/2021
Rec V Date: 09/10/2021
Hospital:

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

Lab Data:

Allergies: Cipro, Flagyl, Macrobid, Trimethoprim

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

Symptoms: Light-headed, nauseous, sweating, shivering, headache, fatigue.

Other Meds: Parlodel

Current Illness:

ID: 1689809
Sex: F
Age: 27
State: NM

Vax Date: 09/03/2021
Onset Date: 09/04/2021
Rec V Date: 09/10/2021
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: N/A

Allergies: Nickel

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

Symptoms: Migrating Hives - Extremely itchy, small welts, migrating from arms, to back, to neck.

Other Meds: Prenatal vitamins

Current Illness: None

ID: 1689810
Sex: M
Age: 34
State: TN

Vax Date: 08/08/2021
Onset Date: 08/11/2021
Rec V Date: 09/10/2021
Hospital:

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

Lab Data: None

Allergies: No known drug allergies

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Patient developed itchy, red rash all over his body that started 3 days after vaccination. Present on his abdomen, arms, and legs. Never had a rash similar to this before

Other Meds: Unknown

Current Illness: Seasonal allergies

ID: 1689811
Sex: F
Age: 56
State: CA

Vax Date: 08/24/2021
Onset Date: 08/24/2021
Rec V Date: 09/10/2021
Hospital:

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

Lab Data:

Allergies: Iodine

Symptom List: Pharyngeal swelling

Symptoms: Pfizer 2nd dose administered at 1030am and immediately patient reported feeling difficulty breathing. 911 was called at 1030am. 0.3mg of Epinephrine was administered on right vastus lateralis and patient expressed slight relief. Patient had tachycardia with weak pulses and hypotension. Second dose of 0.3mg epinephrine given at 1036am. Paramedics arrived at 1037am.

Other Meds: Unknown

Current Illness: Unknown

ID: 1689812
Sex: M
Age: 31
State: NY

Vax Date: 08/20/2021
Onset Date: 08/20/2021
Rec V Date: 09/10/2021
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: Patient felt dizzy 5 minutes after receiving the vaccine and about 20 minutes after the vaccine he experienced on and off deep muscle pain on the left side of his heart that lasted for 5 hours. The pain increased with deep breathing and when he touched the area. Patient did not experience any other side effects after the 1st 5 hours. He discussed these side effects with his provider, but was told it was not related to the vaccine. After discussed with patient before his 2nd dose, I felt it was important to report this information.

Other Meds: NONE

Current Illness: NONE

ID: 1689813
Sex: F
Age: 46
State:

Vax Date: 07/01/2021
Onset Date: 08/28/2021
Rec V Date: 09/10/2021
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: My first period was a 3 days late and lasted for twice as long (7days) as it normally does, and then my period after that was 10 days early. Both of them were much heavier, with a lot heavier bleeding than normally.

Other Meds:

Current Illness:

ID: 1689814
Sex: F
Age: 66
State: OH

Vax Date: 03/24/2021
Onset Date: 09/10/2021
Rec V Date: 09/10/2021
Hospital: Y

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

Lab Data:

Allergies:

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

Symptoms: Patient hospitalized due to breakthrough COVID case

Other Meds:

Current Illness:

ID: 1689815
Sex: F
Age: 58
State: WA

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 09/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: I experienced bad chills, whole body felt like I was rolling around in metals, I also had bit of fever and headaches on 02-12-2021. Also on 04-22-2021; my left carotid gland swelled up, went to have oral surgery and on 04-30-2021 went to see ENT specialist. Oral surgery was done as well as a panoram and 3D X-ray was performed. The problem resolved. On 08-02-2021; the metals on the right side of my body continued to increase in discomfort. Lab work was done and it was normal. This lasted about 21 days. As of today, that metal feeling on my right side is still present.

Other Meds: Metoprolol; propylthiouracil; levetiracetam; magnesium; fish oil; vitamin D3; multi vitamin; aspirin

Current Illness:

ID: 1689816
Sex: F
Age: 62
State: TX

Vax Date: 09/10/2021
Onset Date: 09/10/2021
Rec V Date: 09/10/2021
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: UNKNOWN

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

Symptoms: PATIENT HAD BEEN VACCINATED WITH PFIZER VACCINE IN APRIL 2021. PATIENT DID NOT DIVULGE INFORMATION AND RECEIVED JANSSEN VACCINE. WHEN ENTERING INFORMATION IN TO IT WAS SHOWN THAT SHE HAD BEEN VACCINATED WITH PFIZER. PATIENT THEN ADMITS SHE WAS VACCINATED WITH PFIZER PREVIOUSLY AND HAD WANTED JANSSEN THEREFORE SHE ASKED FOR IT. PATIENT INFORMED THIS WILL BE REPORTED FOR SAFETY PURPOSES.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1689817
Sex: M
Age: 56
State: AZ

Vax Date: 05/21/2021
Onset Date: 05/31/2021
Rec V Date: 09/10/2021
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: high blood pressure event - recieved blood tests and cat scan and chest x ray

Allergies: none

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

Symptoms: signficant and long running tiredness and weakness - example, going up stairs became difficult, and slow - up until present day energy level has not been to the same level as pre-injection of second dose. Had blurry vision in one eye the weekend after having taken the shot. Also had an extreme hypertensive event with high blood pressure spiking very high 2-3 weeks ago and was taken to the hospital emergency room. Total abnormal event, during low stress, normal work day.

Other Meds: blood pressure and cholesterol

Current Illness: none

ID: 1689818
Sex: M
Age: 50
State: CA

Vax Date: 09/10/2021
Onset Date: 09/10/2021
Rec V Date: 09/10/2021
Hospital:

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

Lab Data: None

Allergies: NKDA

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

Symptoms: Client received the 1st COVID vaccine (Janssen, lot #206A21A and expiration 09/21/21) at 1355 in the R arm. At approximately 1430 client reported feeling slightly lightheaded to RN offered transfer to zero gravity chair but client stated he preferred to stay in his assistive chair device that allowed him to lay back. Client laid back in his chair. RN provided water and client took sips. Client's family member provided client with personal juice. Client took sips of juice. Client was warm and dry to touch. Client reported he ate a "full lunch" approximately 30 minutes prior to receiving the vaccine. At 1440 client reported lightheadedness was resolving but stated he had "some tingling" in his left hand that "felt a little funny". Client reported he has experienced this feeling of tingling in the extremities before which has been attributed to his diagnosis of MS. Client has significant medical history of Multiple Sclerosis and Hypertension. Clients current medications include Amlodipine (dosage unknown) and Tizanidine (dosage unknown). Client has NKDA. RN took vitals at 1441 with BP 136/80 in L arm laying back in chair, HR 72, and RR 16. Client stated his vitals were within his "normal range". Client presented A&O x 4 and denied SOB, chest pain, numbness or tingling of the face, dizziness, and altered vision. At 1450 client reported he was "feeling fine". RN provided ER precautions and advised client when to f/u with PCP. Client left the facility with his family member who provided transportation at 1455.

Other Meds: Amlodipine, dosage unknown Tizanidine, dosage unknown

Current Illness: None

ID: 1689819
Sex: M
Age: 28
State: MO

Vax Date: 09/10/2021
Onset Date: 09/10/2021
Rec V Date: 09/10/2021
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: NKA

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

Symptoms: Pt was given covid vaccination, then moved from exam room to waiting room. Pt was sitting in waiting room chair, was leaning forwards, then leaned back. Pt then stated "Oh no" and this nurse asked if he was okay, at this time pt became unconscious et leaned to the left, fell out of the chair et hit head on floor, laid on left side. This nurse hit emergency call button, then went over to patients side, while other nurses responded. Pt was pale in color, skin temp warm et pt was diaphoretic. Pt then rolled from his side to his back, et woke up, pt was confused upon first waking, but was then able to tell us his name, et where he was and what he was doing. It was noted that pt had some blood in his mouth, from hitting floor. While pt was laying on his back, vs were taken. HR low, BP within normal range. Pt denied pain, denied SOA, but stated he was "hot, sweaty, and dizzy" pt then sat cross legged on floor. Given water to drink, noted to be shaky. Pt stated he was feeling better, but wanted to continue to sit on the floor. Pt stated when he first woke up, he was confused, because he thought he was at home sleeping. Pt was able to carry on a conversation with nurses. Pt then got up et sat in chair, stated he was cold and was shaking. Ceiling fan was turned off, et pt stated that felt better. After a while, pt walked around waiting room area before deciding he was stable enough to drive himself home.

Other Meds: None that we are aware of

Current Illness: None per patient

ID: 1689821
Sex: F
Age: 30
State: TX

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

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

Lab Data: ER : EKG test

Allergies: N/a

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

Symptoms: Adrenaline rush through the body, high pulse of 167, chest pain

Other Meds: N/a

Current Illness: N/a

ID: 1689822
Sex: F
Age: 47
State: SD

Vax Date: 09/10/2021
Onset Date: 09/10/2021
Rec V Date: 09/10/2021
Hospital:

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

Lab Data: NA

Allergies: nkda

Symptom List: Ear pain, Hypoaesthesia

Symptoms: PATIENT COMPLAINED OF CHEST PAIN VSS: 140/100 (LEFT); 140/90 (RIGHT); 142/98 (LEFT) PULSE OX: 98%; PULSE 100 REGULAR EMS CALLED AND EVALUATED; PATIENT DECLINED TRANSPORT AND STATED SHE WOULD CONTACT HEALTH PROVIDER; SHE WAS TRASPORTED HOME BY A COWOKER

Other Meds: UNKNOWN

Current Illness: NO

ID: 1689823
Sex: F
Age: 44
State: TX

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

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: Pt received her Pfizer vaccine and in less than 15 minutes she developed red and itching hives on her arms. 1ml of Injectable Dyphenhydramine was given and she was monitored for 15 more minutes. She was re-evaluated by a fellow RN on the team and the hives on her arms disappeared and she stated she felt much better.

Other Meds:

Current Illness:

ID: 1689824
Sex: M
Age: 23
State: MT

Vax Date: 09/09/2021
Onset Date: 09/09/2021
Rec V Date: 09/10/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Patient received the Johnson and Johnson shot on 05/24/2021 and then was give the Moderna shot on 9/9/21. No adverse events reported

Other Meds:

Current Illness:

ID: 1689825
Sex: M
Age: 52
State: CA

Vax Date: 08/30/2021
Onset Date: 09/10/2021
Rec V Date: 09/10/2021
Hospital: Y

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: CT chest showing bilateral PE. Elevated troponin indicative of R heart strain

Allergies: soma, peach

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

Symptoms: presented 10 days after vaccination with bilateral pulmonary embolism

Other Meds: calcitriol, pantoprazole, ibuprofen, levothyroxine, terazosin

Current Illness: ankle fracture 6/12/2021

ID: 1689826
Sex: M
Age: 49
State: CA

Vax Date: 08/04/2021
Onset Date: 08/05/2021
Rec V Date: 09/10/2021
Hospital:

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

Lab Data:

Allergies: non

Symptom List: Unevaluable event

Symptoms: sore arm

Other Meds: no

Current Illness: none

ID: 1689827
Sex: F
Age: 51
State: TX

Vax Date: 03/11/2021
Onset Date: 08/27/2021
Rec V Date: 09/10/2021
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: COVID test, positive result, 30th of August.

Allergies: Augmentin.

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

Symptoms: Started feeling tired and weak; 102-degree fever; loss of my appetite; didn't eat much. When I got to the point where I was hungry, I lost my taste and smell senses, 5 or 6 days in. Monday, the 30th, the doctor prescribed (at a walk-in clinic) erythromycin, five days. I also had very bad headaches. I took hydrocodone (take that for my regular headaches) but it wasn't helping with the headaches. I still have headaches now, it comes every day. It's not a migraine but it's pressure on top of my head. It's not as bad as they had been. I have the congestion still, it's not going away. I am barely getting my taste and smell back, they aren't back to where they use to be. I am slowly getting my energy back but I tire more easily now. It comes and goes. Not as bad as it was at the beginning. Next week, I'll probably see my regular doctor if I'm still having the congestion and pressure on top of my head.

Other Meds: Synthroid; Allergy medication; Vitamin D3; Vitamin D2.

Current Illness: No.

ID: 1689828
Sex: F
Age: 29
State: OR

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

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

Lab Data: None

Allergies: None.

Symptom List: Injection site pain, Pain

Symptoms: Given expired flu injection. Expired 6/30/2020. No adverse reaction, normal outcome, patient is stable.

Other Meds: None.

Current Illness: None

ID: 1689829
Sex: F
Age: 53
State: CA

Vax Date: 08/12/2021
Onset Date: 08/15/2021
Rec V Date: 09/10/2021
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: Flu vaccine

Symptom List: Injection site pain, Menorrhagia

Symptoms: First dose of vaccine received on 8/12/2021. After a couple of days, I experienced arthritis-like symptoms in the 2 upper joints in both my left index and left middle fingers. I also noticed an increase in the "normal pain" that I have in my left ankle and my left lower back/upper hip was also sore. NSAIDs did not completely relieve the pain or resolve the issue (only had limited effect for left ankle). No previous history of arthritis in any of those joints. Received second dose of vaccine on 9/2/2021 with continuation of soreness in knuckles.

Other Meds: None

Current Illness: None

ID: 1689830
Sex: M
Age: 31
State: CA

Vax Date: 09/07/2021
Onset Date: 09/09/2021
Rec V Date: 09/10/2021
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: None

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

Symptoms: localized rash. body aches

Other Meds: None

Current Illness: None

ID: 1689831
Sex: F
Age: 51
State: CA

Vax Date: 09/08/2021
Onset Date: 09/10/2021
Rec V Date: 09/10/2021
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: Swollen lymph nodes in left armpit - baseball sized lump, tenderness in left armpit

Other Meds:

Current Illness:

ID: 1689832
Sex: F
Age: 51
State: FL

Vax Date: 04/03/2021
Onset Date: 04/03/2021
Rec V Date: 09/10/2021
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

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Face turned bright red and extremely hot for 1 1/2 days, I was extremely nauseous and very fatigued for over a week.

Other Meds: - Rosuvastatin 10 mg - Metoprolol Succ ER 25 mg - Rhinocort Vitamins: - collagen + biotin 6,000 mg - Fish oil 1400 mg - Turmeric 1500 mg - CoQ10 200 mg - E 400 I.U. - Fiber - D3 5000 I.U. - Multivitamin - C 250 mg - Zinc 50 mg

Current Illness: N/a

ID: 1689833
Sex: F
Age: 53
State: OH

Vax Date: 03/03/2021
Onset Date: 08/21/2021
Rec V Date: 09/10/2021
Hospital: Y

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

Lab Data: No

Allergies: Antibiotics

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

Symptoms: COVID

Other Meds: No

Current Illness: No

ID: 1689834
Sex: F
Age: 53
State: IN

Vax Date: 09/08/2021
Onset Date: 09/09/2021
Rec V Date: 09/10/2021
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: Naprosin adverse reaction, otherwise seasonal allergies.

Symptom List: Nausea

Symptoms: Extraordinary headache, chest pains (strong but sporadic 3/4 of 1st day), bruising on inside of right leg 2nd morning.

Other Meds: Diclofenac, 75 mg, Lisinopril, 20 mg, Methocarbamol, 750 mg, Nexium, Claritin, 10 mg, Advil PM

Current Illness: None

ID: 1689835
Sex: M
Age: 30
State: FL

Vax Date: 09/10/2021
Onset Date: 09/10/2021
Rec V Date: 09/10/2021
Hospital:

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

Lab Data: EMTs checked his vitals and ran an EKG

Allergies: None

Symptom List: Injection site pain

Symptoms: Patient lost consciousness a couple of minutes after receiving the vaccine, when he regained consciousness he was very sweaty, twitching, and mumbling incoherently. He said he does drink but he felt "wasted." EMS was called and checked him out on scene and stated that it was most likely anxiety related.

Other Meds: None known

Current Illness: None

ID: 1689836
Sex: M
Age: 25
State: MO

Vax Date: 09/10/2021
Onset Date: 09/10/2021
Rec V Date: 09/10/2021
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: NKA

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

Symptoms: Patient arrived today to receive Janssen COVID-19 vaccine. While providing the patient with education about the vaccine the patient stated "I have a history of passing out when I get IV's and blood work done." Patient voiced that they would like to proceed with the Janssen COVID-19 vaccine today. After receiving the vaccine the patient stated that they were feeling fine, but would like to stay seated before moving to the designated waiting area. Upon observation by this nurse one minute later the patient was starting to look flushed, and the patient stated "I am starting to feel dizzy and sweaty." This nurse stayed close to patient and provided fanning. The patient stated that they would like to sit on the floor. The patient sat on the floor and then proceeded to lay down as the patient stated " laying down helps with the dizziness." This nurse obtained vital signs and ask for a co-worker to provide the patient with water. This nurse stayed with the patient and kept up a conversation while the patient waited the recommended time of 15 minutes after getting a vaccine. The patient never lost level of consciousness which was assessed by the patient kept talking with staff. Before the 15 minutes was up the patient voiced that they were feeling better. Upon assessment before leaving the patient was no longer sweating and no longer had the flushed skin appearance. The patient was able to stand and walk without assistance, and no abnormalities were observed.

Other Meds: None per patient

Current Illness: None per patient

ID: 1689837
Sex: M
Age: 43
State: TN

Vax Date: 04/29/2021
Onset Date: 07/30/2021
Rec V Date: 09/10/2021
Hospital:

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

Lab Data: (2) CT Scans 07/31/21

Allergies: NKDA

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

Symptoms: Bells Palsy, right side of face

Other Meds: Lisinopril 5mg daily, Nexium 20 mg daily, store brand daily vitamin

Current Illness: N/a

ID: 1689838
Sex: F
Age: 56
State: OR

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

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

Lab Data: None.

Allergies: Fentanyl, hydrochlorothiazide, latex, losartan. prednisone

Symptom List: Tremor

Symptoms: Given expired flu injection. Expired 6/30/2020. No adverse reaction, normal outcome, patient is stable.

Other Meds: Benadryl, Botox, estradiol, ibuprofen, lisinopril, magnesium, multivitamin, omeprazole, oxycodone, tizanidine, vitamin D3, vitamin E

Current Illness: None

ID: 1689839
Sex: F
Age: 27
State: NE

Vax Date: 09/10/2021
Onset Date: 09/10/2021
Rec V Date: 09/10/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Erythema, Pruritus

Symptoms: Initially patient denied ever receiving a covid vaccine. She then stated she did but it was 5 months ago and she received the Pfizer vaccine. She thought she needed to start the series over again because of the length of time that had gone by. Nurse informed patient she didn't need to start series over and after this shot she would be fully vaccinated. After questioning the patient for quite some time, she stated she did have a vaccination card and handed it to the nurse. It was then realized that the patient had received Moderna for her first dose, after the nurse had already administered a dose of Pfizer for her second dose.

Other Meds:

Current Illness:

ID: 1689840
Sex: M
Age: 21
State: SD

Vax Date: 09/10/2021
Onset Date: 09/10/2021
Rec V Date: 09/10/2021
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: NA

Allergies: NKA

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

Symptoms: PATIENT HAD A SYNCOPAL EPISODE; HE WAS NOTED TO SHAKE AND HEAD WENT BACK. HE WAS IMMEDIATELY ASSISTED TO A LYING POSITION ON THE FLOOR WITH HIS FEET ELEVATED. HE VERBALIZED THAT HE WAS DIZZY AND THAT HAPPENS SOMETIMES AFTER VACCINATIONS. PATIENT WAS GIVEN COLD PACKS AND OFFERED A SUCKER. HE WAS MONITORED FOR 30 MINUTES AFTER THE INCIDENT. HE REPORTED FEELING BETTER AND WAS DISCHARGED TO THE HEALTH SERVICES DEPARTMENT. VSS: 180/100 (RIGHT); 120/80 (LEFT); 120/76 (RIGHT); PULSE WAS REGULAR

Other Meds: na

Current Illness: NONE

ID: 1689841
Sex: M
Age: 14
State: OH

Vax Date: 09/10/2021
Onset Date: 09/10/2021
Rec V Date: 09/10/2021
Hospital:

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

Lab Data: 911 crew checked patients bp and sugar levels, patient had not eaten and did ask for some water which was provided

Allergies: none

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

Symptoms: after shot was given 11:05am patient began to pass out in observation area called 911 arrived at 11;15am and released patient at 11:30am

Other Meds: n/a

Current Illness: n/a

ID: 1689842
Sex: F
Age: 16
State: MN

Vax Date: 06/11/2021
Onset Date: 07/17/2021
Rec V Date: 09/10/2021
Hospital:

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

Lab Data: 9/9/21 CT Chest abdomen pelvis showed one 1 cm hilar LN and mesenteric lymphadenitis. 8/20/21 Zio patch showing only NSR with dizzy symptoms. Results for patient (MRN private) as of 9/10/2021 17:24 7/19/2021 16:42 Lyme Disease Serology, S: Negative Babesia microti IgG Ab: <1:64 Anaplasma phagocytophilum Ab, IgG: <1:64 Ehrlichia Chaffeensis (HME) Ab, IgG: <1:64 Results for Patient (MRN private) as of 9/10/2021 17:24 8/18/2021 11:50 WBC: 7.7 RBC: 4.89 HEMOGLOBIN: 11.3 (L) HEMATOCRIT: 36.5 MCV: 75 (L) MCH: 23 (L) MCHC: 31 (L) RDW: 14.6 (H) MPV: 9.3 PLATELET COUNT: 311 PMN %: 62.3 IG%: 0.4 LYMPH %: 31.2 MONO %: 4.3 EOS %: 1.4 BASO %: 0.4 ABSOLUTE PMN CT: 4.82 IG ABSOLUTE: 0.03 ABSOLUTE LYMPH CT: 2.41 ABSOLUTE MONO CT: 0.33 ABSOLUTE EOS CT: 0.11 ABSOLUTE BASO CT: 0.03 NUCL RBC: 0.0 NUCL RBC ABSOLUTE: 0.00 SODIUM: 138 POTASSIUM: 4.0 CHLORIDE: 105 CARBON DIOXIDE: 28 ANION GAP: 5.0 GLUCOSE: 85 BUN (UREA NITRO): 11 CREATININE: 0.55 CALCIUM, SERUM: 9.3 AST (SGOT): 17 ALBUMIN: 3.5 (L) ALKALINE P'TASE: 134 ALT: 40 PROTEIN TOTAL: 7.6 BILIRUBIN TOTAL: 0.1 (L) CORTISOL, SERUM: 11 8/18/2021 12:00 8/18/21 BC x 1 of 2 + Gram Positive Cocci identified using rapid molecular testing as: Staph. sp. (not S.aureus, S.epidermidis, S.lugdunensis) Abnormal 8/20 repeat BC x 2 NG Results for Patient (MRN private) as of 9/10/2021 17:24 8/20/2021 11:22 TSH: 3.530 T4 FREE: 0.78 T3 Uptake: 33 8/20/2021 11:22 SODIUM: 141 POTASSIUM: 3.9 CHLORIDE: 103 CARBON DIOXIDE: 29 ANION GAP: 9.0 GLUCOSE: 84 BUN (UREA NITRO): 9 CREATININE: 0.71 CALCIUM, SERUM: 8.9 MAGNESIUM: 2.0 IRON: 23 (L) HGBA1C OP: 5.7 (H) EAG (EST. AVERAGE GLUCOSE): 117 (H) TRANSFERRIN, SERUM: 303 TIBC: 366 IRON SATURATION: 6 (L) Folate, Serum: 27 Vit B12 Serum: 529 FERRITIN, SERUM: 35 VITAMIN D TOTAL (25-HYDROXY): 19 (L)

Allergies: NKA

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Patient developed low grade fever, Fainting episodes twice (potts disease and arrhythmia ruled out), infectious disease work up negative for common risk based viral and bacterial etiologies. CT Chest abdomen pelvis showed one 1 cm hilar LN and mesenteric lymphadenitis.

Other Meds: sertraline

Current Illness:

ID: 1689843
Sex: F
Age: 70
State: TX

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 09/10/2021
Hospital:

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

Lab Data: Blood work Ekg Stool test Stress test All kinds of other test.

Allergies: Antibiotics Sulfa drugs

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

Symptoms: Patient went to bed early the day of the vaccine. The next day she was very weak with extreme fatigue and felt real light headed . The fatigue is still ongoing. She stated that the DR. have run all kinds of text. No one can find anything wrong with her, Patient stated that something is wrong with her she is having extreme muscle pain. It takes her 2 days to go to work up the nerve t o go to the store because she knows she will be extremely weak. Muscle pain is in the patients arm.

Other Meds: Thyroid med Vitamin D3 Coconut oil

Current Illness:

ID: 1689844
Sex: M
Age: 34
State: HI

Vax Date: 09/09/2021
Onset Date: 09/09/2021
Rec V Date: 09/10/2021
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: unknown, possible allergy

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

Symptoms: Person fainted lossing consicousness for several minutes following vaccination during the 15 minute monitoring period. As he fainted he hit his forehead on the ground . Reportedly very nervous about getting the vaccine, had taken cannibas before getting vaccinated to help decrease his anxiety. His diastolic blood pressure was low initially. His O2 saturation decreasedo about 88 percent as he started to develop more anxiety after rising from laying to sitting.

Other Meds: Cannabis 30 minutes before vaccination

Current Illness: unknown

ID: 1689845
Sex: F
Age: 35
State: CO

Vax Date: 03/30/2021
Onset Date: 04/01/2021
Rec V Date: 09/10/2021
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: shellfish, tree nuts, chicken, eggs, sesame, pineapple, oranges

Symptom List: Pain in extremity

Symptoms: Severe body and muscle aches and pains exhaustion severe shakes & unable to sleep or move normally throughout the ate fever Symptoms lasted 3 days

Other Meds: Lisinopril Lexapro Xyzal Singulair Prenatal vitamins Folic acid Vitamin B Prazosin

Current Illness: none

Date Died: 09/09/2021

ID: 1689846
Sex: M
Age: 76
State: TX

Vax Date: 08/25/2021
Onset Date: 08/31/2021
Rec V Date: 09/10/2021
Hospital: Y

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

Lab Data: Positive COVID Test on 9/1/2021 utilizing the Cepheid GeneXpert Platform using PCR or Equivalent Nucleic Acid Amplification technology.

Allergies: Ciprofloxacin (muscle rigidity), Levofloxacin (muscle rigidty)

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

Symptoms: Pfizer BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 1/27/2021, 2/21/2021, and 8/25/2021. Presented to ED on 8/31/2021 with malaise, low-grade fever, and feeling lightheaded. His daughter was recently diagnosed with COVID and had been quarantining. Patient admitted for acute hypoxic respiratory failure secondary to COVID PNA. Initially required BiPAP, but able to be weaned off. Patient transferred to ICU 9/4 due to increased work of breathing and increased oxygen requirements. Hospital course complicated by worsening hypoxic respiratory failure requiring emergent intubation 9/8 overnight. Pt with a total of 2 cardiac arrests overnight. PEA Arrest on 9/9/2021 @ 0658. Patient converted to DNAR/COT per family wishes and patient expired at 0750 on 9/9/2021. Patient treated with dexamethasone, remdesivir,

Other Meds: Acetaminophen PRn, Aspirin 81 mg QD, Atorvastatin 40 mg QD, Azelastine/Fluticasone nasal QD, benzonatate 100 mg TID PRN, Clonidine 0.3 mg BID, Epoetin alfa 20,000 units Q2Weeks, Ergocalciferol 50,000 units QWeek, Erythromycin 200 mg QID, Es

Current Illness:

ID: 1689847
Sex: M
Age: 14
State: NC

Vax Date: 09/10/2021
Onset Date: 09/10/2021
Rec V Date: 09/10/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Gave a 14 year old the pfizer vaccine. Afterwards he felt dizzy and ears were ringing. Stated he had not eaten in several hours. Gave him water and a snack. He felt better about 10-15 minutes later.

Other Meds:

Current Illness:

Date Died: 08/16/2021

ID: 1689932
Sex: M
Age: 58
State: IL

Vax Date: 05/28/2021
Onset Date: 07/14/2021
Rec V Date: 09/10/2021
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: 7/14/21 COVID19: Positive 7/23/21 US: Neg for DVT 7/25/21 Chest xray: Fairly extensive bilateral airspace disease most consistent with COVID-19 pneumonia. Developing ARDS not excluded. 8/1/21 CTA: PE and COVID19 pneumonia with ARDS

Allergies: Penicillins

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

Symptoms: Transferred from another hospital. Presented there on 7/14/2021 with shortness of breath. While at outside hospital (OSH), pt with BP of 103/54, HR of 65, RR 20. Upon presentation there, pt with oxygen saturation of 77%. He was started on Optiflow with 25 L at 85%; pt now with spO2 of 91%. Pt had elevated D-dimer, so CT angio chest done. It showed multifocal pneumonia; no PE. He had nl trop and EKG. Pt was given Azithromycin and Decadron while there. Request for transfer made given pt's need for Optiflow. When received at our hospital, patient was resumed on dexamethasone, started remdesivir, ceftriaxone and doxycycline. He continued to have acute hypoxemic respiratory distress requiring mechanical ventilation. Developed septic shock was requiring pressors had low blood pressure and was found to have septic shock from COVID pneumonia, with superimposed likely Gram-negative bacterial infection. received Steroids, Rocephin, doxycycline, remdesivir. Received 1 dose of Actemra. Course complicated by rhabdomyolysis, new onset atrial fibrillation. Passed away on 8/16/2021

Other Meds: Amlodipine and hydrochlorothiazide

Current Illness:

ID: 1689933
Sex: F
Age: 57
State: NC

Vax Date: 08/09/2021
Onset Date: 08/10/2021
Rec V Date: 09/10/2021
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: milk

Symptom List: Vomiting

Symptoms: Next day right eye was really off . After 2nd vaccine on 8/30 the next day could see out of eye and it was extremely cloudy. Patient is now wearing a eye patch .

Other Meds: Symbicort, abuttal, singular,

Current Illness: no

ID: 1689934
Sex: F
Age: 57
State: FL

Vax Date: 08/03/2021
Onset Date: 08/14/2021
Rec V Date: 09/10/2021
Hospital:

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

Lab Data:

Allergies: Iodine

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Discoid lesion rash breakout

Other Meds: Plaquenil 200mg

Current Illness: Discoid lupus

ID: 1689935
Sex: M
Age: 67
State: CO

Vax Date: 03/05/2021
Onset Date: 07/22/2021
Rec V Date: 09/10/2021
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: Covid-19 Positive

Allergies: Compazine

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

Symptoms: My wife got the Covid and then I started to get sick five days later. I had a cough at first and then a few days later I got a headache. I started to run a fever. I went to the medical center and I tested positive for Covid-19. I was given an antibody infusion three days after I started to have symptoms. For the next few days I had aches and pains and my fever went as high as 104 degrees. My fever was going up and down. On the third day after the fever started I felt much better. I did not lose my sense of taste or smell. I still feel tired after six weeks. I can?t do as much activity as I normally do.

Other Meds: Clopidogrel Atorvastatin Amlodipine

Current Illness: N/A

ID: 1689936
Sex: F
Age: 61
State: GA

Vax Date: 03/09/2021
Onset Date: 03/23/2021
Rec V Date: 09/10/2021
Hospital: Y

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

Lab Data: CBC, Amylase, Blood work, CAT

Allergies: Prednisone, Codeine, Iodine

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Severe shooting pain in left arm that persisted for 3-4min after. It lasted until 8/27. Severe abdominal pain and pancreatitis esp. when eating fatty foods. Change in diet and scheduled to see a gastrointerologist. ongoing issue.

Other Meds: Alopurinol, Beclomethasone, Bupropion, Novolog, Levemir, Levothyroxine, Lisinopril, Pancrelipase, Pantoprazole, Prednisone, Benadryl, Trazodone, D3, Centrum Silver Women's, albuterol,

Current Illness: None

ID: 1689937
Sex: F
Age: 65
State: KS

Vax Date: 04/01/2021
Onset Date: 04/23/2021
Rec V Date: 09/10/2021
Hospital:

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

Lab Data: None Yet

Allergies: None

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

Symptoms: Tinnitus

Other Meds: Rosuvastatin

Current Illness: None

ID: 1689938
Sex: M
Age: 39
State: CA

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

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

Lab Data:

Allergies: NKDA

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

Symptoms: Generalize hives, chest tightness, fatigue and facial swelling that occurred less than 24 hours after his immunization.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am