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**
PLEASE CHECK BACK SOON
Download the files above while you wait.







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: 1694402
Sex: M
Age: 55
State: TX

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 09/13/2021
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: nka

Symptom List: Dysphagia, Epiglottitis

Symptoms: pt says he developed pain in his left arm that hurt more than the arm that was vaccinated. He laid down and took a nap and when he woke up about 4 hours later he had pain in muscles in both legs. He went to his PCP a few days later where he could barely walk. He was instructed to continue his pain medication he already has been prescribed and to let them know if he gets worse. He was instructed not to take the 2nd dose. Pt says he feels like he is still recovering at this time says he does not have the strength he used to. His muscles still ache and has to wrap his legs daily with ace bandages to support his leg muscles. He feels like he is 75 or 80 years old now.

Other Meds: n/a

Current Illness:

ID: 1694403
Sex: F
Age: 46
State: TN

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 09/13/2021
Hospital: Y

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

Lab Data: I was hospitalized from 4/30/2021 until 5/6/2021. They ran every test from CT scans, ultra sounds, x rays, constant blood work. It was a full work up.

Allergies: Penicillin and latex

Symptom List: Anxiety, Dyspnoea

Symptoms: Fever, chills, delirium, brain fog, vomiting, diarrhea, weakness, This continued for the entire week and I went to a walk in clinic, my primary care doctor and was finally advised to go to the hospital. At the hospital I went into crisis as they did not believe my issues were vaccine related and did not take it seriously at first. I spent a week with them running tests while I hallucinated and lost down to under 100 pounds. In the end I had an undiagnosed auto immune disease and had I not made it to the hospital when I did I would have died. I'm thankful for the vaccine but it's very risky for those who may have undiagnosed conditions. I am unsure how to proceed on the booster, even with treatment for my auto immune disease. I do not believe that the vaccine cause my auto immune disease, but I do know that I should not have taken the vaccine without being treated for it.

Other Meds: zyrtec

Current Illness: n/a

ID: 1694404
Sex: F
Age: 43
State: MA

Vax Date: 07/13/2021
Onset Date: 07/17/2021
Rec V Date: 09/13/2021
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: None

Allergies: Penicillin, some seasonal and skin sensitivity to latex.

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

Symptoms: 13 July shortness of breath shortly after receiving the vaccine--rest and fresh air improved symptom. 17July red itchy bumps around neck, chin and jaw--washed area and refrained from scratching. Symptom dissipated over a couple days. 18 July wet intermittent cough began and lasted for a couple weeks--zinc, vit C, neti pot and good hydration to treat.

Other Meds: Super Lysine, Fish Oil and Probiotics (all regularly taken)

Current Illness: None

ID: 1694405
Sex: F
Age: 59
State: SC

Vax Date: 07/08/2021
Onset Date: 07/01/2021
Rec V Date: 09/13/2021
Hospital:

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

Lab Data: none

Allergies: narcotics (eg codeine)

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Since receiving both COVID vaccines, my husband and I have both felt unusually tired during the evenings and nights. We have a difficult time sleeping and difficulty waking up after a normal amount of sleep (8-8.5 hours). Although we are healthy and physically fit, we feel ?old?; we feel like we have prematurely aged in the last few months. We did not feel this way before getting either of the Pfizer vaccines.

Other Meds: Montelukast 10mg, Advair (generic) 250/50, Claritin, multivitamin 50+, Vitamin C 1000mg, Vitamin D3 25mcg, Calcium 600mg, Zinc 50mg

Current Illness: none

ID: 1694406
Sex: M
Age: 81
State: MO

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 09/13/2021
Hospital:

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

Lab Data: Opthalmology exam sometime around 02/10.

Allergies: None

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

Symptoms: Blurred double vision, light sensitivity

Other Meds: Lorazapam 1mg hs

Current Illness: None

ID: 1694407
Sex: F
Age: 74
State: TX

Vax Date: 08/30/2021
Onset Date: 09/02/2021
Rec V Date: 09/13/2021
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: Biopsy 09/09/2021

Allergies:

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

Symptoms: Pt. states that after receiving the 1st dose of Phizer 08/30/2021, started experiencing symptoms 09/02/2021 of Red rash developed with pain right throughout the arm and underneath, Dermatologist?s Biopsy done 09/09/2021 After Biopsy done rash has spread to the hand. 09/17/2021 expected Results of Biopsy.

Other Meds:

Current Illness:

ID: 1694408
Sex: M
Age: 53
State: WI

Vax Date: 09/01/2021
Onset Date: 09/11/2021
Rec V Date: 09/13/2021
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: none

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Long periods of headaches. Soreness. Some chest discomfort

Other Meds: Ibuprofen

Current Illness:

ID: 1694409
Sex: M
Age: 70
State: WA

Vax Date: 09/09/2021
Onset Date: 09/09/2021
Rec V Date: 09/13/2021
Hospital:

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

Lab Data: None. Did not seek a Covid test because symptoms seemed to be similar to what the vaccine administrator told me to expect (except the hearing loss).

Allergies: None

Symptom List: Pharyngeal swelling

Symptoms: 11:30 am typical soreness in arm. 11:00 pm Restless sleep, fever, extreme head ache, extreme ache in every part of my body. 9/10/21 Slept all morning too weak to wake up. 1 pm Loss of hearing in both ears. All symptoms gone within 24 hours so I did not see a physician today (Monday).

Other Meds: None

Current Illness: None

ID: 1694410
Sex: F
Age: 35
State: AR

Vax Date: 08/19/2021
Onset Date: 08/22/2021
Rec V Date: 09/13/2021
Hospital:

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

Lab Data:

Allergies: Aspirin

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Extreme Hair Loss, falling out daily

Other Meds: None

Current Illness: None

ID: 1694411
Sex: F
Age: 45
State:

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

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

Lab Data: chest xray: pneumonia

Allergies: asprin ct scan contrast dye

Symptom List: Diarrhoea, Nasal congestion

Symptoms: arm soreness, very fatigued, dry throat, coughing wheezing, viral pneumonia

Other Meds:

Current Illness:

ID: 1694412
Sex: F
Age: 29
State: IN

Vax Date: 09/11/2021
Onset Date: 09/12/2021
Rec V Date: 09/13/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

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

Symptoms: Severe body aching, pain level 8, fever of 100.7, diarrhea and severe nausea, headache, chills and shaking

Other Meds: 50mg Pristiq Calcitriol Calcium carbonate Lithothyronine Xyzal

Current Illness: Papillary Thyroid cancer

ID: 1694413
Sex: F
Age: 66
State: IN

Vax Date: 09/08/2021
Onset Date: 09/10/2021
Rec V Date: 09/13/2021
Hospital:

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

Lab Data: None

Allergies: PCN, Morphine, Erythromycin

Symptom List: Rash, Urticaria

Symptoms: Patient presented to the clinic with complaints of itching, soreness and swelling at the injection site. Symptoms appeared localized and patient was instructed to use benadryl cream and ice packs through resolution of symptoms. Contacted patient 9/13 for follow-up: Soreness has resolved. Itching still remains - placing benadryl three times daily to site. Patient has an appointment with NP on wednesday. If not resolved by then, patient will review with NP

Other Meds: Vancomycin PO

Current Illness: Not Assessed

Date Died: 09/12/2021

ID: 1694414
Sex: M
Age: 73
State: KY

Vax Date: 02/26/2021
Onset Date: 09/12/2021
Rec V Date: 09/13/2021
Hospital: Y

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

Lab Data: Antigen positive.

Allergies:

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

Symptoms: Pt succumbed to COVID-19 virus on 9/12/2021 after being diagnosed on 8/28/21.

Other Meds: Morphine 3mg every 4 hrs with prn dosing of morphine 2-4mg every 15 min; ativan 1 mg every 4 hrs with .5mg ever 30 min as needed or 1mg every 15 min as needed; haldol .5mg ever 30 min as needed; robinul .4mg every 4 hrs as needed; dulcolax

Current Illness: AKI; Hyponatremia; metabolic acidosis; history of PE.

ID: 1694415
Sex: M
Age: 60
State: SC

Vax Date: 07/08/2021
Onset Date: 07/01/2021
Rec V Date: 09/13/2021
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: penicillin

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

Symptoms: Since receiving both COVID vaccines, my husband and I have both felt unusually tired during the evenings and nights. We have a difficult time sleeping and difficulty waking up after a normal amount of sleep (8-8.5 hours). Although we are healthy and physically fit, we feel ?old?; we feel like we have prematurely aged in the last few months. We did not feel this way before getting either of the Pfizer vaccines.

Other Meds: multivitamin 50+, Vitamin C 1000mg, Vitamin D3 25mcg, Calcium 600mg, Zinc 50mg

Current Illness: none

ID: 1694416
Sex: F
Age: 66
State: DE

Vax Date: 01/24/2021
Onset Date: 06/01/2021
Rec V Date: 09/13/2021
Hospital:

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

Lab Data: EMG EKG PET Scan Cardiac Ultrasound Blood tests

Allergies: Bee stings, bell peppers

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

Symptoms: Muscle weakness, shortness of breath, heart palpitations

Other Meds: Tylenol, Levothyroxine-125mcg, Xarelto-20mg, Duloxetine-20mg, Crestor-5mg, Claritin otc.

Current Illness: Hyperlipidemia, osteoarthritis, blood clotting, hypothyroid

ID: 1694417
Sex: F
Age: 83
State: PR

Vax Date: 09/01/2021
Onset Date: 09/03/2021
Rec V Date: 09/13/2021
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: No

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

Symptoms: Area red and itchy.

Other Meds: Calcium, Collagen, Vitamin D

Current Illness: Breast cancer, diabetes/controlled

ID: 1694418
Sex: F
Age: 29
State: IL

Vax Date: 08/26/2021
Onset Date: 09/10/2021
Rec V Date: 09/13/2021
Hospital:

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

Lab Data:

Allergies: Augmentin, Lorazepam, Vantin, Vicodin, Bentley, Elavil

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

Symptoms: I have suffered with Endometriosis and PCOS for nearly my entire reproductive life. Two weeks after my first Pfizer vaccine, I had doubling over intense pain that made me pass out. I have had a hx of this due to Endometriosis but have not experienced these symptoms in years. The following day I began an out of cycle period which was full of major clots. I am typically on a 28 day cycle so for it to be off is unusual. The most telling is the amount of bleeding and clots I have never experienced in my entire life. Clots have been continuing for 3 days now and the size of a small orange or plum. I have not been sexually active in over a year so there is no risk of pregnancy or anything that would warrant clots of this nature.

Other Meds: Prenatal vitamin.

Current Illness: N/A

ID: 1694419
Sex: M
Age: 25
State: OH

Vax Date: 09/10/2021
Onset Date: 09/10/2021
Rec V Date: 09/13/2021
Hospital:

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

Lab Data:

Allergies: Allergic to Sulfa drugs.

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Around 2 hours after receiving the Janssen Covid-19 treatment. Symptoms of headache, body soreness, pain at injection site, fatigue, and "mental fogginess" (as if I were concussed) occurred. On the following morning, 9/11, I awoke with a slighter headache, with the same pain at injection site and continued body soreness. These persisted through the day but once the evening came again around 6 pm - the body soreness increased, and fatigue as well as the mental fog came back. This subsided after a good nights rest and since 9/12 no problems have arisen.

Other Meds: None.

Current Illness: None

ID: 1694420
Sex: F
Age: 89
State: MN

Vax Date: 02/20/2021
Onset Date: 09/04/2021
Rec V Date: 09/13/2021
Hospital:

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

Lab Data: POSITIVE SARS-COV-2 BY PCR

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Note that this case meets vaccine breakthrough criteria. KNOWN FAMILY EXPOSURE, SXS INCLUDE GENERALIZED WEAKNESS, CHILLS, SUBJECTIVE FEVER

Other Meds:

Current Illness:

ID: 1694421
Sex: M
Age: 48
State: OH

Vax Date: 09/11/2021
Onset Date: 09/11/2021
Rec V Date: 09/13/2021
Hospital:

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

Lab Data:

Allergies: Sensitive to Fentanyl

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

Symptoms: Left hand in pain. Took ibuprofen as recommended by the Pharmacist. Pain has not gone away as of 9/13/2021.

Other Meds: None

Current Illness: None

ID: 1694422
Sex: M
Age: 15
State: NY

Vax Date: 09/02/2021
Onset Date: 09/05/2021
Rec V Date: 09/13/2021
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: na

Allergies: nkda

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

Symptoms: flat red fixed drug rash to chest / armpits

Other Meds: none

Current Illness: none

ID: 1694423
Sex: F
Age: 41
State: NC

Vax Date: 09/02/2021
Onset Date: 09/02/2021
Rec V Date: 09/13/2021
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: maple, cats and dogs, mold

Symptom List: Unevaluable event

Symptoms: Later that evening after the vaccine my skin got hot, I got nauseous and sick to my stomach. I laid down, but got up vomiting. The vomiting continued all night into the next day. I woke up the next day with a migraine feeling as if my head was going to explode. By that afternoon I couldn't stand. I was in bed all day and if I moved I began vomiting. If I drank water I would even threw up from that until it was nothing but acids that I was throwing up. My head still hurting really bad. I called CVS who advised I went to the Urgent Care. About 5:30pm I had to wear sunglasses and ear plug and was transported to the Urgent Care. Soon as I arrived I was turned away because the Dr's at the Urgent stated I was septic and too dehydrated. So the called the ambulance I was transported where I was administered IV fluids, Toradol for the massive headache and anti-nausea meds. It was confirmed I was septic from being so dehydrated. I was monitored for a few hours and as I began to feel better I was released with some dissolvable meds to help control the nausea and vomiting. And within about a week I began gaining some strength, was able to finally stop the nausea meds and mildly move around.

Other Meds: Lexapro 20mg, gabapentin 300mg, topromax, trazadone

Current Illness: No

ID: 1694424
Sex: F
Age: 82
State: TX

Vax Date: 04/21/2021
Onset Date: 08/31/2021
Rec V Date: 09/13/2021
Hospital: Y

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: penicillin

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

Symptoms: generalized weakness, generalized pain poor appetite

Other Meds: protonix allopurinol amitriptyline aspirin lipitor furosemide solifenacin plavix mirabegron insulinlumigan gabapentin levothyroxine metoprolol sertraline

Current Illness:

ID: 1694425
Sex: F
Age: 55
State: FL

Vax Date: 08/28/2021
Onset Date: 08/28/2021
Rec V Date: 09/13/2021
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: AMLODAPHINE; LIVERTEROXIDE

Symptom List: Injection site pain, Pain

Symptoms: FEVER, BODY ACHE CHILLS, AND HEADACHE.

Other Meds: NONE

Current Illness: NONE

ID: 1694426
Sex: F
Age: 45
State: CA

Vax Date: 08/31/2021
Onset Date: 08/31/2021
Rec V Date: 09/13/2021
Hospital:

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

Lab Data: EKG (day before ER visit); Blood Tests.

Allergies: None

Symptom List: Injection site pain, Menorrhagia

Symptoms: Within the first 20 minutes I had light headedness and shortness of breath and I had to breathe hard and make myself gasp. It was really mild. The next day I had severe light headedness with a lot of pressure along with a migraine and severe heart palpitations, ear ringing. The headache lasted for 3 days and head pressure continued for about 11 days. The pressure was present without the pain of the headaches. The dizziness lasted about 9 days as well. The heart palpitations have not stopped. I never experienced the common side effects such as body ache, fever, chills. I ended up in ER from these things but first had phone appts where they ordered EKG, blood tests. I was going to dermatology and then going to a breast surgeon to get a boil cut and drained but that never happened because my blood pressure was so low that she sent me to the ER because I was light headed and strong heart palpitations. They gave me two IV's to bring blood pressure up and it did. I went home after about 5 hours. Day one and Day two I also had chest pains like in the heart area only on the left side that started the evening of the 31st. As of last night 09/12/2021 I'm experiencing the pain in heart area again and the heart palpitations have calmed down during the day time but do come back at night when I'm resting, and they last for about 6-9 minutes. I have appointment tomorrow with a doctor. EKG showed low beats per minutes but there was no concern.

Other Meds: Calcium citrate; vitamin C; iron; B3; B12; B1

Current Illness: None

ID: 1694427
Sex: F
Age: 42
State: GA

Vax Date: 08/13/2020
Onset Date: 08/18/2021
Rec V Date: 09/13/2021
Hospital:

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

Lab Data: I called my doctor's office on day 6 after getting the shot and day 2 of the hives and they told me to take 2 Allegra or 2 Pepcid during the day and Benadryl at night.

Allergies: none

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

Symptoms: Days 5, 6, and 7 I broke out in hives and itches from head to toe. This is also when I noticed I started getting "warm" sensations in my left leg. These random warm sensations lasted for 2 weeks.

Other Meds: Escitalopram 20 mg; Buspirone 15 mg

Current Illness: none

ID: 1694428
Sex: F
Age: 81
State:

Vax Date: 09/08/2021
Onset Date: 09/08/2021
Rec V Date: 09/13/2021
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: None

Allergies: None

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Arm began to swell immediately after vaccine. Very sore and swelling lasted about 3 days. Upper arm is still bruised at this time.

Other Meds: Clopidogrel 75mg (once daily) Carvedilol 3.125mg (twice daily) Baby Aspirin 81mg (once daily)

Current Illness: None

ID: 1694429
Sex: F
Age: 50
State: FL

Vax Date: 08/30/2021
Onset Date: 08/31/2021
Rec V Date: 09/13/2021
Hospital:

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

Lab Data: none

Allergies: Augmentin Keflex gluten sensitivity

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: I experienced severe weakness, fatigue on vaccination date 08/30/2021 after the vaccination with slight dizziness and nausea. The next morning 08/31/2021 the symptoms became worse so I laid on the couch and napped throughout the day, my glucose was normal. On the morning of 09/01/2001 I became VERY dizzy with severe nausea. I took Zofran for the nausea but was unable to perform my duties at work at my full function. My co-worker did all the bending and ?running around? while I sat or I would hold on to furniture and prop up against a wall when needed. These severe symptoms would last for a total of 4 days and then started declining. I went to see my PCP on 09/03/2021 @ 2:30pm and explained my current symptoms are I received my second dose of Pfizer. Dr prescribed Medrol dose pack (steroid), more Zofran, and Antivert medication that I took. On Monday, 09/06/2021 Dr called in a Z-pack medication due to I started having left sinus burning with a pressure. He started me on the Z-pack case I had an upper respiratory infection. I took the entire prescription of Medrol and Z-pack. I am about80% better but still dizzy if i look to the left. I just don?t feel like I did prior to the vaccination.

Other Meds: multivitamin fish oil vit D ashwagandha Saxenda

Current Illness: none

ID: 1694430
Sex: F
Age: 35
State: CA

Vax Date: 09/07/2021
Onset Date: 09/08/2021
Rec V Date: 09/13/2021
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: Doctor did not want to order a chest X-ray

Allergies: None

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

Symptoms: In the morning of 9/8/21 approximately 0700 body aches, nausea, vomiting. 9/9/21 developed dry hacking cough with bronchospasms. 9/10/21 worsening cough with yellow thick mucous stuffed head and runny nose, sore throat, chest tightness with chest burning sensation. 9/12/21 fever 100.5 with consistent cough and chest tightness. 9/13/21 persistent cough with thick chunky yellow phlegm. Doctor ordered antibiotics if condition doesn?t improve. Also taking albuterol 2 puffs as needed and Alvesco BID

Other Meds: Aller-flex 180mg Vitamin D Emergency packet

Current Illness: None

ID: 1694431
Sex: F
Age: 29
State: MN

Vax Date: 09/10/2021
Onset Date: 09/13/2021
Rec V Date: 09/13/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin. Ceclor. Nuts. Avocado. Bananas. Latex. Azithromycin. Clindamycin. Doxycycline. Levofloxacin.

Symptom List: Nausea

Symptoms: Multiple bruises on legs

Other Meds: Xarelto

Current Illness: None

ID: 1694432
Sex: F
Age: 46
State: FL

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

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

Lab Data: None known at this time. Sent to clinic for evaluation on 9/13/21.

Allergies: Codiene

Symptom List: Injection site pain

Symptoms: After receiving vaccine on 9/3/21 had pain in left arm. This progressed to on 9/5/21 started with rash on face and other parts of body, pain, body aches, and swelling in lymph node in neck that radiates into chest and back of neck. On 9/10/21 started with nausea, chills, and body aches. The rash and some of the other reactions resolved without treatment. On 9/13/21 still with pain in lymph node radiating to chest, left shoulder, down left arm, and to back of neck.

Other Meds: Unknown

Current Illness: Unknown

ID: 1694433
Sex: F
Age: 34
State: NY

Vax Date: 09/04/2021
Onset Date: 09/09/2021
Rec V Date: 09/13/2021
Hospital:

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

Lab Data: No lab tests just reporting something that doesn?t seem right adding to the new reports coming out about the same thing

Allergies: None

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

Symptoms: Noticed Thursday sept 9 while washing my face and neck there was a marble sized lump in my lymph nodes on the left side near my collar bone just feels a little sore?. My left shoulder joint is also sore feels very fatigued I panicked at first but then started reading about some side effects

Other Meds: None

Current Illness: None

ID: 1694434
Sex: M
Age: 14
State: MO

Vax Date: 07/15/2021
Onset Date: 09/09/2021
Rec V Date: 09/13/2021
Hospital: Y

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

Lab Data: CBC/BMP 9/9/21 ? all within normal limits AST/ALT (unit/L): 9/9/21 ? 479/238 ; 9/10/21 ? 218/150 ; 9/12/21 ? 113/117 NT pro BNP: 9/9/21 - 596 CRP (mg/dL): 9/9/21 ? 1.8 CK (units/L): 9/9/21 ? 21,100 ; 9/10/21 - 7467; 9/11/21 - 4778; 9/12/21 ?6039 ; 9/13/21 - 5927 LDH (unit/L): 9/9/21 ? 2613; 9/10/21 ? 1758 Troponin: 9/9/21 - 45.9; 9/10/21 -41.5 ; 9/11/21 -13; 9/12/21 ? 1.3 ; 9/13/21 ? 0.8 Triglycerides ? 9/9/21- 83 D-Dimer 9/9/21 ? 0.66 Fibrinogen (mg/dl)-9/9/21 - 391 9/9/21 blood PCRs (adenovirus, parvovirus, SARS Cov2, CMV, enterovirus) ? all negative 9/9/21 EBV and HHV6 blood PCRs, gastrointestinal stool panel = pending 9/9/21 respiratory viral panel = negative 9/9/21 Cardiac MRI = Subepicardial delayed postcontrast enhancement within the lateral and inferolateral left ventricular walls in a nonischemic regional distribution and global relative increased signal of the myocardium relative to skeletal muscle suggestive of edema. In the setting of clinically suspected myocarditis, cardiac MRI findings are consistent with myocardial inflammation. Mild enhancement of the pericardium laterally which can correlate with pericarditis-myocarditis. Mildly depressed left ventricular function. Normal left ventricular size. Normal right ventricular size and function. 9/9/21 CT Angiogram Chest = Breathing artifact is present within the midportion of the exam which somewhat degrades the evaluation of the midportion of the RCA and distal LCA. Normal appearance of the coronary origins, course and caliber. 9/9/21 ECHO - Normal cardiac anatomy Dilated left ventricle, trivial, with mild global hypokinesis, LV ejection fraction 49% The right ventricle is grossly normal size with qualitatively trivial global hypokinesis Structurally normal mitral valve with trivial mitral regurgitation Tricuspid regurgitation gradient is not quantifiable for estimation of RV systolic pressure No pericardial effusion Possible right pleural effusion (image 34) - correlate with chest xray 9/13/21 ECHO (multiple ECHOs in between 9/9/21 and 9/13/21): Left ventricular strain quantification was clinically indicated based upon 2D Echo images. Left ventricular has trivial dysfunction with ejection fraction of 52% and global longitudinal strain of -17.5% (stable to subtle improvement) The right ventricle is grossly normal size with normal systolic function. No significant pericardial effusion.

Allergies: NKA

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

Symptoms: Patient received 1st COVID-19 vaccine on 6/24/21 and 2nd COVID-19 vaccine on 7/15/21. Both at same pharmacy. He had a well child check in July which showed elevated LFTS on baseline labs ( AST was 148, ALT is 161). He was seen by hepatology who obtained a liver ultrasound which demonstrated Echogenic liver, most commonly seen with fatty infiltration. He then presented to our hospital on 9/8/21 with 2 days of chest pain, feeling like pressure, was intermittent, and sometimes sharp. Labs demonstrated significantly elevated AST/ALT, CK, troponin, NT pro BNP, fibrinogen, d-dimer, and CRP. EKG showed ST segment elevation. ECHO showed normal heart structure with EF of 49%. A gated CT angiogram showed normal coronaries. A cardiac MRI showed diffuse inflammation. He was admitted due to concerns for myocarditis and started on ibuprofen on 9/9/21. EKG obtained later in the day on 9/9 was normal. The patient received 70 g (1 g/kg) IVIG on 9/10/21 PM. Hepatology, rheumatology, genetics, and infectious diseases were consulted and recommended a variety of tests. An ECHO on 9/13 demonstrated an EF improved to 52%. The patient remains admitted.

Other Meds: cholecalciferol 2000 iu qday

Current Illness: Elevated transaminases found in July 2021 - unknown etiology

ID: 1694435
Sex: F
Age: 22
State: NM

Vax Date: 03/08/2021
Onset Date: 08/02/2021
Rec V Date: 09/13/2021
Hospital:

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

Lab Data: COVID-19 test, negative, blood panel prior to getting sick, results liver enzymes were elevated.

Allergies: No

Symptom List: Tremor

Symptoms: On 08/02/2021 I started to feel generally sick cough, running nose, real bad headache. On 08/03/2021 I was given a COVID-19 test, the results were negative. It wasn't getting better so I went to the urgent care on 08/05/2021, I saw a NP he told me it might be pneumonia and sent me home with antibiotic, Z-pack. I started to feel a little bit better but the cough just lingered. I used an inhaler I had, and it made the cough go away eventually. Months prior to getting sick I had a blood panel done. and my liver enzymes were elevated. I don't know if that is relevant. I recovered from my AEs but as of 2 days ago, I started feeling sick again sore throat, really bad headache, stuffy congested. I have not tested for COVID-19. I will probably go today or tomorrow.

Other Meds: Birth control norethindrone

Current Illness: No

ID: 1694436
Sex: F
Age: 64
State:

Vax Date: 03/08/2021
Onset Date: 09/07/2021
Rec V Date: 09/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: positive covid test and symptoms

Other Meds:

Current Illness:

ID: 1694437
Sex: F
Age: 50
State: WA

Vax Date: 08/27/2021
Onset Date: 08/27/2021
Rec V Date: 09/13/2021
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: None

Allergies: Bactroban, Afrin, Fentanyl, Zithromax, Sulfa drugs, flu vaccine, yogurt, cantelope, mango

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

Symptoms: Pt. stated she had some symptoms following a flu shot 7 years ago. Her doctor, recommended getting the covid vaccine. She saw him last week . About 10 minutes after administering the vaccine, patient exhibited specific signs of not feeling well. She stated her throat felt a bit itchy and getting hard to swallow the saliva. Vital signs were taken often (per Dr.); 5-10 minutes post vaccine: 5 minutes to 10 minutes: 134/83 96/18/98.5; 15 minutes post vaccine: 144/85 95 19; )2 sat 100%; 30 minutes post vaccine: 145/85 95/99/19; 45 minutes post vaccine: 188/102 100 99%; manual BP 45 minutes post vaccine: 184/90 103 99% l 1 hour post vaccine: 136/78 92 18 99%

Other Meds: Claritin, Proventil HFA, Epipen (2 pack), Multivitamin

Current Illness: none

ID: 1694438
Sex: F
Age: 17
State: PR

Vax Date: 08/24/2021
Onset Date: 08/24/2021
Rec V Date: 09/13/2021
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: PATIENT REFERS NOT HAVING ALLERGIES TO MEDICATIONS, FOOD OR OTHER PRODUCTS

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

Symptoms: ADMINISTRATION ERROR: CONSENT REFLECTS INFORMATION FROM MODERNA VACCINE ADMINISTERE TO A MINOR 17 YEAR OLD.

Other Meds: patient refers not taking medications at the moment

Current Illness: PATIENT REFERS NOT HAVING ANY DISEASES

ID: 1694439
Sex: M
Age: 48
State: CA

Vax Date: 03/12/2021
Onset Date: 06/26/2021
Rec V Date: 09/13/2021
Hospital:

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

Lab Data: lab work

Allergies: Lactose

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: I experienced a bruise in my arm after the vaccine. I have had health issues since the vaccine. I woke up on 06-26-21, body aches, muscle aches. I had muscle soreness and body aches. A lab work was performed and my hemoglobin was low and still has muscle aches since the vaccine. I also had a lot of fatigue as well. Since I had leukemia about 13 years ago, now there is confusion what is causing my anemia.

Other Meds: Keppra 1500mg OD

Current Illness:

ID: 1694440
Sex: F
Age: 65
State: IN

Vax Date: 09/10/2021
Onset Date: 09/10/2021
Rec V Date: 09/13/2021
Hospital:

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

Lab Data: None

Allergies: None

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

Symptoms: Starting the evening of the 2nd injection, I became extremely weak with general muscle and overall joint pain?inability to concentrate . Nausea and poor appetite all lasting from onset until 9/13/2021.

Other Meds: Prestige 50mg daily Estradiol 1mg daily Multi vitamin daily

Current Illness: None

ID: 1694441
Sex: F
Age: 72
State: GA

Vax Date: 08/09/2021
Onset Date: 08/12/2021
Rec V Date: 09/13/2021
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: WENT TO DOCTOR HE HAD TEST DONE ON AUG 26 ,2021 MRI + DOBBLER ON NECK NOT SURE WHAT THE RESULTS ARE YET

Allergies: no

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

Symptoms: I AM HAVE NUMBNESS IN MY FACE , TEETH , ARM RIGHT SIDE GOING DOWN TO MY TOES ON THE RIGHT SIDE DIZZY WHEN I GET UP FROM A SETTING

Other Meds: ultram 50mg, tizandine 2mg , lisinopril 10mg , xyzal 5mg, trazodone 25mg ,norco 10-325mg ,calcuim 600mg ,gulcosamine/chondrptin 350, ocuvite

Current Illness: no

ID: 1694442
Sex: F
Age: 17
State: NV

Vax Date: 09/09/2021
Onset Date: 09/09/2021
Rec V Date: 09/13/2021
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: NKA, NKDA

Symptom List: Pain in extremity

Symptoms: The patient is 17 years and 9 months old. She was given Moderna; however, Moderna is currently only approved for persons over 18 years of age. The patient did not require any treatment and denies any adverse events related to the vaccination delivery.

Other Meds: None

Current Illness: None

ID: 1694443
Sex: F
Age: 40
State: FL

Vax Date: 08/28/2021
Onset Date: 08/28/2021
Rec V Date: 09/13/2021
Hospital:

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

Lab Data: None.

Allergies: Amoxicillin, Sulfa, Ceclor, Biaxin, Prednisone

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

Symptoms: Started as red, raised round circle with tiny bumps inside. The circle?s circumference is larger than a half dollar. I immediately felt pain and itchiness at the site, but did not see my left arm until I got home. Now, 3+ weeks after injection, round circle is not red, but is still itchy and noticeable (as of reporting). There is a small, hard lump most likely where needle was inserted still.

Other Meds: None

Current Illness: Anemia postpartum

ID: 1694444
Sex: F
Age: 76
State: MN

Vax Date: 02/17/2021
Onset Date: 08/27/2021
Rec V Date: 09/13/2021
Hospital: Y

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

Lab Data: POSITIVE SARS-COV-2 BY PCR 9/3/21

Allergies:

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

Symptoms: This case meets vaccine breakthrough criteria. SXS SOB, HYPOXIA, COUGHING

Other Meds:

Current Illness:

ID: 1694445
Sex: F
Age: 22
State: LA

Vax Date: 04/20/2021
Onset Date: 04/01/2021
Rec V Date: 09/13/2021
Hospital:

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

Lab Data: Breast exam and ultrasound. No abnormalities. Early to mid-June.

Allergies: N/A

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

Symptoms: I do not have a menstrual cycle with the Nexplanon birth control implant but after receiving the second dose of Moderna I starting spotting and ended up having a full period in June/July. Spotting has persisted since then. Additionally, I also experienced breast tenderness since the second dose. After two months of near constant pain I went to my doctor for an ultrasound and they reported no issues. I am still experiencing this pain, five months after the second dose.

Other Meds: Nexplanon, daily multivitamin

Current Illness: N/A

ID: 1694446
Sex: F
Age: 72
State: MO

Vax Date: 02/09/2021
Onset Date: 02/12/2021
Rec V Date: 09/13/2021
Hospital:

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

Lab Data: Many lab tests, Xrays, Ultra-sound. Many visits to doctors and referral to rhematology specialist. Diagnosis-Rheumatoid Arthritis

Allergies: Mercury, Sulfa

Symptom List: Vomiting

Symptoms: UTI, EXTREME swelling of hands, wrist, progessed to entier upper body, legs, weakness and inability to use arms and legs--SEVERE RHEMATOID ARTHRITIS flare. Excruciating pain

Other Meds: Metorolol Tart 50 mg, Lisinopril/HCTZ10=12.5

Current Illness:

ID: 1694447
Sex: F
Age: 26
State:

Vax Date: 01/07/2021
Onset Date: 09/08/2021
Rec V Date: 09/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: PATIENT HAD PFIZER COVID VACCINE ON Dose 1 date: 01/07/2021, Dose 2 date: 01/28/2021, AND TESTED POSITIVE TO COVID.

Other Meds:

Current Illness:

ID: 1694448
Sex: F
Age: 32
State: CA

Vax Date: 09/10/2021
Onset Date: 09/10/2021
Rec V Date: 09/13/2021
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: None.

Allergies: NKDA

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

Symptoms: Loss of lactation in breastfeeding mom. Took the vaccine on Friday at 10:30 am. Had fever, chills, night sweats beginning at 11:00 pm, lasting through the night. Breast fed baby around 4 am per routine. Attempted to breastfeed baby per routine at 6 am. Less milk was available during this feed as indicated by short feed time and upset baby. Breastfeeding routine was kept through the weekend which includes feedings at 4 am, 6 am, 5 pm, and bed time (approximately 9pm). This has been routine for 10 months. Less milk was available through the weekend and today as indicated by frustrated baby and short feed times with no active feeding observed. Monday there is only a drop of milk available with manual stimulation. Breasts feel lighter and "empty", nursing bra is now baggy and does not fit (too large).

Other Meds: None

Current Illness: cold like symptoms 2 weeks prior (1 week after first dose of Pfizer)

ID: 1694449
Sex: M
Age: 99
State: MI

Vax Date: 02/23/2021
Onset Date: 09/04/2021
Rec V Date: 09/13/2021
Hospital: Y

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

Lab Data: Positive covid on admission

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Weakness

Other Meds: Nitroglycerin, protonix, Lipitor, eliquis

Current Illness:

ID: 1694450
Sex: F
Age: 36
State: OK

Vax Date: 08/27/2021
Onset Date: 08/31/2021
Rec V Date: 09/13/2021
Hospital:

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

Lab Data:

Allergies: latex

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

Symptoms: my left bicep and shoulder cap are in pain two weeks after receiving vaccine. pain is most in the morning when i wake up. but is felt throughout the day any time i use the upper arm muscles. pain is similar to a muscle pain like from exercise.

Other Meds: naproxen

Current Illness: none

ID: 1694451
Sex: M
Age: 83
State: TX

Vax Date: 02/11/2021
Onset Date: 09/01/2021
Rec V Date: 09/13/2021
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:

Allergies: penicillin

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

Symptoms: Weakness, syncope, loss of consciousness

Other Meds: flomax cardidopa-levo omeprazole amantadine rasagiline proscar diclofenac

Current Illness: weakness, syncope, lost concsiousness

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am