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: 1694503
Sex: F
Age: 46
State: NY

Vax Date: 08/31/2021
Onset Date: 09/01/2021
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: I do not have insurance at this time and cannot afford to be seen

Allergies: Bactrim, Keflex, PCN, latex, bleach

Symptom List: Dysphagia, Epiglottitis

Symptoms: Day after vaccine started with headache, blurred/double vision, nausea, difficulty concentrating.

Other Meds: none

Current Illness: none

ID: 1694505
Sex: M
Age: 64
State: CA

Vax Date: 03/05/2021
Onset Date: 08/09/2021
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: blood work urine test

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: In August, I had rash that spread through out my body. It then began to bluster and legion up. I went to ER. I was hospitalized for 8 days. The did blood test and urine test. They diagnosed me with Stevens Johnson syndrome.

Other Meds:

Current Illness:

ID: 1694506
Sex: F
Age: 76
State: MN

Vax Date: 02/17/2021
Onset Date: 09/05/2021
Rec V Date: 09/13/2021
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: POSITIVE SARS-COV-2 BY PCR

Allergies:

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

Symptoms: This case meets vaccine breakthrough criteria . SXS LACK OF APPETITE

Other Meds:

Current Illness:

ID: 1694507
Sex: M
Age: 37
State: MD

Vax Date: 08/27/2021
Onset Date: 09/07/2021
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: n/a

Allergies: no known allergies

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Patient reported he woke up on 9/7/21 with a numb left arm, that felt like pins and needles, and could not make a fist with his left hand. He said there was a loss of blood flow to the arm, and it felt painful from below the injection site for his covid vaccine to his fingertips. The patient also reported that within a few days of receiving the 2nd dose of his Pfizer vaccine on 8/27/21, he developed hives that spread all over his body, some were quarter size welts. He went to the hospital for this on 9/4/21 and was treated with clindamycin per patient report.

Other Meds: n/a

Current Illness: no known illnesses

ID: 1694508
Sex: F
Age: 41
State: TX

Vax Date: 09/10/2021
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: IM
Vax Site: LA

Lab Data: None

Allergies: Penicillin

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

Symptoms: Large red, itchy, and hot red circle below the injection site- developed two days after vaccine. 9/12/21 9/13/21- itchiness increased, still hot and same size red circle. Difficulty breathing.

Other Meds: Lo Loestrin (Birth Control), Canasa, Lialda (generic), daily vitamin, turmeric, CLA (vitamin), Fish Oil

Current Illness: None

ID: 1694509
Sex: F
Age: 31
State: WI

Vax Date: 09/10/2021
Onset Date: 09/13/2021
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: None

Allergies: None

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

Symptoms: I received the vaccine at 3pm and initially felt well up until 10pm where I started to get a back ache. Around 3am I was in 10/10 unbearable pain just along my entire spine. It felt as though someone had beat my spine with a baseball bat. It was very hard to walk, I took 1,000 mg of Tylenol, 800 mg of Ibuprofen, CBD oil, and 50 mg of Benadryl to try and get to sleep and relieve some of the pain. I then woke up at 7am in excruitiating pain still only along my spine. I tried to get up to use the restroom and couldn't walk because of the pain. I was crying in the fetal position my husband actually had to lift me back up into bed. I again took all the stated medications and tried to fall back asleep. I have never had pain like this before (have a history of a spinal fusion from 2003).

Other Meds: multivitamin, birth control (Tri-sprintec), Vitamin D, loratadine, biotin

Current Illness: None

ID: 1694510
Sex: F
Age: 5
State: NE

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

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Localized swelling and itching started about 3 hrs after the vaccine was given. No fevers. No erythema or streaking noted. No pain or drainage noted at the site. Patient reports some generalized discomfort due to swelling. Benadryl, Claritin, and Motrin given.

Other Meds:

Current Illness:

ID: 1694511
Sex: M
Age: 31
State: NY

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

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

Lab Data: I haven?t gone to any clinic because I cannot afford it at this time. I?ve been medicating with Pepto. This does not stop the diarrhea.

Allergies: No

Symptom List: Pharyngeal swelling

Symptoms: It?s been 6 days since my first vaccination. I?ve had diarrhea for 5 days and for the last 4 days I believe there is blood. Outside of that, my arm pain has gone away, and I?m tired because I have to use the bathroom every 30min - 1 hour. And while sleeping through the night I?ll get up ever 1-2 hours.

Other Meds: No

Current Illness: No

ID: 1694512
Sex: M
Age: 67
State: NY

Vax Date: 01/15/2021
Onset Date: 02/01/2021
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: EMG/NCS of upper extremities 5/24/21 at facility: Left median sensory DL 4.4, CV 34 m/s normal amplitude Right median sensory absent Bilateral ulnar sensory absent Bilateral median motor DL prolonged Bilateral ulnar motor DL prolonged and in demyelinating range Right ulnar F responses 37.35 ms EMG/NCS of lower extremities 6/11/21 at facility: Bilateral peroneal and tibial motor responses normal Peroneal F responses 57.35. 57.35 Tibial F responses 52.07, 55.31 H reflexes 35, 35 MRI cervical spine WO 5/26/21: Small central disc herniation C3-4 and C4-5 Moderate to marked right C5 nerve root compression Normal cord signal Labs 4/23/21: CK 67, aldolase 8.6, CRP 2.2, ESR 36, AST and ALT normal, Cr 0.95 Labs 5/12/21: CK 73, CRP 2.3, ESR 21, thyroid studies normal.

Allergies: ZOCOR - RASH

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: January 15th, he got first Moderna vaccine. Developed pain in the groin soon after. The pain spread down the legs, right more than left, associated with pain in lower back. Increasingly difficult to drive due to leg weakness and pain, had to lift the leg to drive. February 12th got second shot. Symptoms continued to progress. In April, pain increased and spread to upper arms and neck. Tightness, constant in both arms. May: Any lifting, reaching, he gets pain in the muscles. Can't drive, he can't dress himself. Ongoing symptoms of aching in the right leg. He needs to use his arms to get out of chairs. Last week of May, his physical condition dramatically deteriorated. Needed assistance to dress. Constant stiff neck, aching in legs with standing. Medrol pack started June 3rd - after he felt immediately better. Symptoms increased again slowly since stopping it. June 2021: EMG/NCS consistent with demyelinating neuropathy June 30th: started IVIG, gradual improvement, no worsening since IVIG

Other Meds: NONE

Current Illness: NONE

ID: 1694513
Sex: M
Age: 13
State: MN

Vax Date: 05/19/2021
Onset Date: 09/11/2021
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:

Allergies: Penicillin, Sulfa

Symptom List: Diarrhoea, Nasal congestion

Symptoms: fatigue, nasal congestion, sore throat, cough, sneezing. starting on 9/11/21

Other Meds: Sertraline Methylphenidate, Fiber powder, Guanfacine

Current Illness: none

ID: 1694514
Sex: F
Age: 74
State: NV

Vax Date: 02/24/2021
Onset Date: 03/04/2021
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: lab work and they were normal dentist check up- everything was normal

Allergies: penicillin shellfish

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

Symptoms: Around 03/01/2021, I felt like I had a severe sinus headache, and all my teeth hurt, even the ones with root canals and crowns, and my joints hurt, I did not have a fever. I called the health nurse, on telehealth. She said your temperature is not high and you have not been around anyone and you cannot see a doctor here. And she said you need to go to the ER. I didn't not want to be exposed to COVID-19 at the ER. At that time, if you did not have a written doctor's referral, you could not get a COVID Test. There were not enough C-19 test. So I took Tylenol, Motrin, and Advil and drank a lot of fluids and laid around. A week and half later my doctor called me back and said it was probably a toothache or a sinus infection. She said I could use a Netty Pot to wash it if it was a sinus infection. My nasal passages were clear. but my sinus area was painful, my whole face was in pain. It lasted like a week or 10 days that I felt like that. Before I had the vaccine I was able to walk 3 miles in the morning. Now I can walk a block 1/2 before I am exhausted . The end of March I went to the dentist to get my teeth cleaned. I didn't have any cavities or dental problems. These symptoms are something I attribute to the shot. Since March 2020, before the vaccine I live in a community were they are strict, we were on lockdown. I had no exposure to anyone. Everyone was very careful because it we live in a community of a lot of old people. I attribute my symptoms to the vaccine because my body just reacted to it some way. Other than this I have not been sick since 2014. I have recovered from my symptoms, but I do not have stamina. I'm always exhausted.

Other Meds: Pravastatin 20 mg od Tylenol, Advil or Motrin occasionally

Current Illness: no

ID: 1694515
Sex: F
Age: 37
State: NY

Vax Date: 06/09/2021
Onset Date: 06/01/2021
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: Full panel of bloodwork on 7/27/2021

Allergies: wellbutrin

Symptom List: Rash, Urticaria

Symptoms: hair loss diagnosed as telogen effluvium by 2 separate dermatologists after completing a full panel of bloodwork from my primary doctor which came back normal. hair loss started immediately after becoming fully vaccinated on late June 2021.

Other Meds: Lamotrigine, Trokendi XR, Junel Fe, Taltz, multivitamin

Current Illness:

ID: 1694516
Sex: F
Age: 63
State:

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

Lab Data: None

Allergies: Nuts Trees Sulfa Percocet

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

Symptoms: Headache, fatigue, chills, legs tingling, soreness in arm and muscles

Other Meds: None

Current Illness: None

ID: 1694517
Sex: M
Age: 72
State: NC

Vax Date: 01/22/2021
Onset Date: 01/29/2021
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: yes mri, ct scan

Allergies: cipro

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

Symptoms: mind wasn't registering anything he couldn't remember things

Other Meds: omeprazol, atorvastatin, famotidine, fish oil, vit d, vit b12

Current Illness: no

ID: 1694518
Sex: F
Age: 43
State: TX

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: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: None yet

Allergies: None

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

Symptoms: Swelling of the lips, mouth and tounge. Lesions on the interior of the top and bottom lip. Ulcers on the top and bottom of the tongue. Chapped lips. Joint pain, body aches, low-grade temp.

Other Meds: Metformin, Magnesium, Vitamin D, Milk Thistle, Cinnamon, fish oil

Current Illness: None

ID: 1694519
Sex: F
Age: 43
State: IL

Vax Date: 05/09/2021
Onset Date: 06/07/2021
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: n/a

Allergies: n/a

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

Symptoms: After 5+ years of not getting my period (using NuvaRing) now have very heavy periods, strong cramping, etc.

Other Meds: Nuvaring (birth control)

Current Illness: n/a

ID: 1694520
Sex: F
Age: 64
State: NY

Vax Date: 03/12/2021
Onset Date: 04/05/2021
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: MRI

Allergies: none

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

Symptoms: About a week after the vaccine, I noticed my blood pressure fluctuating and would read super high and also low. I would get readings around 188/102 and low readings of 117/76. Around the beginning of April 2021, I started to have pain in my right knee and it felt like my knees was going to give out. The pain gradually increased. The pain started to travel up my right leg to my thigh and hips and started to aching. The left leg is fine. I did consult my doctor who said I have sciatica pain and I was prescribed pain medications and referred to physical therapy. My doctor did not examine me and just wanted to prescribe medications. I did go see PT but it did not help much. The pain has not resolved and I do not want to just take medications and mask my symptoms. I would prefer to know the source of my pain before I take anything. I did see a neurologist who ordered a MRI. On 8/9/2021, I also developed shingles infection. I woke up with bumps on my arm and I went to Urgent Care and was diagnosed with shingles. I was prescribed a medication for the treatment. Most of the shingles rash have resolved and I have a little risidual discoloration still left.

Other Meds: none

Current Illness: none

ID: 1694521
Sex: F
Age: 73
State: FL

Vax Date: 03/09/2021
Onset Date: 08/29/2021
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: 09/04/2021: COVID 19 Antigen, rapid & COVID-19 Antigen, Rapid BD. Both result were negative.

Allergies: None known

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Beginning 29 August 2021, recurring headaches, body aches, general fatigue. On Saturday, 04 Sep 2021, visited a local site for COVID testing. Both rapid and lab tests were negative for SARS-CoV-2. This outcome was reported by telephone to primary care physician. Because these mild symptoms have persisted, primary care physician prescribed treatment of Azithromycin (filled 09/07/2021).

Other Meds: Exforge; Boniva; Crestor; Thyroxine; Dicylomine Hcl; Omeprazole Dr; Calcium; Macular Protect Complete; Acidophilus probiotic; Tylenol for arthritis; IBguard; Systane eye drops.

Current Illness: N/A

ID: 1694522
Sex: M
Age: 41
State: MN

Vax Date: 02/25/2021
Onset Date: 09/11/2021
Rec V Date: 09/13/2021
Hospital: Y

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

Lab Data:

Allergies: uncertain

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: No concerns noted per chart review at time of vaccine - admitted to hospital at this time with new dx of Guillian Barre Syndrome

Other Meds: uncertain

Current Illness: respiratory infection?

ID: 1694523
Sex: M
Age: 26
State: NC

Vax Date: 09/09/2021
Onset Date: 09/09/2021
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:

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

Symptoms: Vaccine expired

Other Meds:

Current Illness:

ID: 1694524
Sex: M
Age: 58
State: TX

Vax Date: 05/18/2021
Onset Date: 05/20/2021
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: PCP directed blood work- no rheumatoid indicators. June 2021

Allergies: Bad reaction to Clariton D

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

Symptoms: Severe painful swelling in joints (hands, wrists, knees, shoulders, elbows) still ongoing. Severe painful muscles (legs, buttocks, lower back) still ongoing. Trouble sitting, pain in buttocks while sitting, pain in standing from sitting. Once standing, difficulty straightening back and legs to upright position. PCP prescribed anti-inflammatory. Some relief. PCP prescribed steroids-good relief but couldn?t stay on steroids because of diabetes. Still experiencing severe painful swelling of hands, wrist and knees as well as muscle pain in legs.

Other Meds: Januvia Glimipiride Livalo Losartan Zyrtec

Current Illness: None

ID: 1694525
Sex: F
Age: 68
State: CO

Vax Date: 03/05/2021
Onset Date: 07/28/2021
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: CAT scan, EKG, and blood work-all normal Covid test- negative

Allergies: None

Symptom List: Unevaluable event

Symptoms: I once had a similar episode many years ago so I did not relate it to the vaccine at all. Then I laid down to go to bed and I got extreme vertigo. The room was spinning. I was sort of ok the next day. Then it happened again later in the day, through the night, and the next day. I was feeling off balanced and nauseated. They recommended me a maneuver to do, I tried that maneuver. It did not help. It made me start vomiting, I could not stop vomited. For the next 2 days I was not able to sleep or take in much fluid because of the nausea. That was when I went to the emergency room. I had a severe headache by that time. They did a CAT scan, EKG, and blood work, which came back normal. They gave me nausea medication. They discharged me. I did not feel great but I was feeling better. I could eat now. I had a low grade fever after coming home. I was concerned because I live with someone who has an immune condition. I took a Covid test and it was negative.

Other Meds: Centrum, vitamin D

Current Illness: None

ID: 1694526
Sex: F
Age: 64
State: NC

Vax Date: 09/09/2021
Onset Date: 09/09/2021
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:

Allergies:

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

Symptoms: Vaccine expired

Other Meds:

Current Illness:

ID: 1694527
Sex: F
Age: 42
State: NY

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: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: None

Allergies: None

Symptom List: Injection site pain, Pain

Symptoms: 30 hours after the Vaccine I woke up and noticed my top lip swollen, red and warm to the touch. My left arm, and neck was hurting as well.

Other Meds: None

Current Illness: None

ID: 1694528
Sex: F
Age: 42
State: ND

Vax Date: 09/09/2021
Onset Date: 09/10/2021
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: None

Allergies: No known allergies

Symptom List: Injection site pain, Menorrhagia

Symptoms: Client stated she stated a day after the vaccination that she had an enlarged lymph node in her right arm pit. It was swollen, painful, and very tender. Stated on 9/13/2021 that the pain is much better and swelling is going down. No treatment was needed.

Other Meds: Heart meds, thyroid meds, cholesterol, and Vitamin D

Current Illness: None

ID: 1694530
Sex: F
Age: 54
State: ND

Vax Date: 06/06/2021
Onset Date: 06/07/2021
Rec V Date: 09/13/2021
Hospital:

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

Lab Data:

Allergies: Flagyl

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

Symptoms: Shortly after receiving her COVID Moderna injection (second dose) patient calls clinic c/o breathing difficulties w/asthma tendencies, three unprovoked soft tissue hematomas (unprovoked) to her upper extremities. Patient's doctor recommended targeting rash with Metronidazole, and oral anti-inflammatory medication doxycycline to slow/stop inflammatory response. Patient symptoms have resolved.

Other Meds: Breo Ellipta 100-25Mcg, metroNIDAZOLE 0.75%, Claritin-D 10-240Mg, Montelukast 10mg

Current Illness:

ID: 1694531
Sex: F
Age: 38
State: MO

Vax Date: 02/08/2021
Onset Date: 08/30/2021
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: Hearing - Normal; MRI - 9/14/2021

Allergies: No

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Ringing in my ear in the right ear for 8 hrs. 1september2021 I saw the doctor.

Other Meds: Vit D

Current Illness: No

ID: 1694532
Sex: F
Age: 38
State: NC

Vax Date: 08/19/2021
Onset Date: 08/21/2021
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:

Allergies: Miconazole

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Received Covid vaccine on 8/19/2021. I started having vaginal bleeding on 8/21/2021. My normal menstrual cycle was supposed to being on or around 8/27/2021. I experienced vaginal bleeding for 21 days from 8/21/2021 until 9/10/2021. My normal cycle is 7 days. I've never experienced any bleeding past 7 days in my life. I am hesitant to take any hormone medication, due to my sister having a blood clot to her eye when she took hormone medication in the past. I saw my OB doctor on 9/2/2021. I opted to not take any medication at that visit, and let my body quit bleeding on it's own, due to this being very unusual for me and my family history of blood clots. I continued having vaginal bleeding, and had to see my OB doctor again on 9/9/2021. At that time I was prescribed Microgestin 1/20 PO TID for 7 days. Then after 7 days Microgestin 1/20 PO QD. I began taking the medication on 9/9/2021. I finally quit having vaginal bleeding on 9/10/2021. However, I am still taking the medication. I did experience some very minor spotting with dark drown blood with wiping on 9/11/2021 & 9/12/2021, but not bleeding like I was. I also got my 2nd COVID vaccine on 9/9/2021.

Other Meds: Iron supplements once a day

Current Illness: Anemia

ID: 1694533
Sex: F
Age: 50
State: KS

Vax Date: 01/24/2021
Onset Date: 02/14/2021
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: RA

Lab Data: 9/10/2021 COVID-19 positive PCR result

Allergies:

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

Symptoms: Hospitalization for COVID-19. Symptoms (increased shortness of air) started on 9/8/2021 and tested positive for COVID-19 on 9/10/2021 upon admission to the hospital.

Other Meds:

Current Illness:

ID: 1694534
Sex: F
Age: 61
State:

Vax Date: 01/29/2021
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: RA

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: Patient had a positive COVID test on 9/9/2021.

Other Meds:

Current Illness:

ID: 1694535
Sex: F
Age: 29
State: MN

Vax Date: 01/19/2021
Onset Date: 09/04/2021
Rec V Date: 09/13/2021
Hospital: Y

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

Lab Data: POSITIVE SARS-COV-2 BY PCR

Allergies:

Symptom List: Injection site pain

Symptoms: This case meets vaccine breakthrough criteria. KNOWN EXPOSURE TO COVID+ COWORKER. TOOK HOME TEST 9/4 AND CONFIRMED IN CLINIC/WITH ADMISSION BY PCR. ADMITTED TO LABOR AND DELIVERY, DELIVERED BABY 9/5. SXS INCLUDE BODY ACHES, FATIGUE, RHINORRHEA, SORE THROAT.

Other Meds:

Current Illness:

ID: 1694536
Sex: M
Age: 46
State: NC

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:

Allergies:

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

Symptoms: Vaccine expired

Other Meds:

Current Illness:

ID: 1694537
Sex: M
Age: 59
State: MA

Vax Date: 04/01/2021
Onset Date: 04/01/2021
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: RA

Lab Data: Blood tests, X-rays, cortisone dhots

Allergies: Dilantin

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

Symptoms: Sudogout

Other Meds: Tegretol, lexapro, eliquis, vit D

Current Illness:

ID: 1694538
Sex: F
Age: 62
State: FL

Vax Date: 06/09/2021
Onset Date: 08/03/2021
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: NONE

Allergies: SESAMIE; SOY; PEANUTS; CONTRAST DYE; DERMABOND

Symptom List: Tremor

Symptoms: BUMP AT INJECTION SITE, CHICKEN POX

Other Meds: SYMBICORD; AFOLIC ACID; MELOXICAM; ESTRADIOL PATCHES; METHOCARBINAL; FISH OILS; VITAMIN D3; TUMERIC; CURAMIN; CBD OIL

Current Illness: KNEE REPLACEMENT

ID: 1694539
Sex: F
Age: 36
State: CA

Vax Date: 02/19/2021
Onset Date: 02/19/2021
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: No

Allergies: Yes, latex, bananas, kiwi fruit, avocado, chestnut, Benadryl, cipro, sulfa drugs, SSRI's, Neosporin

Symptom List: Erythema, Pruritus

Symptoms: I had arm pain that started about 4 hours after the first dose. I also got a low-grade fever of 99.5 about 6 hours after the vaccine and lasted about 4 hours. I also experienced sluggishness for about 24 hours.

Other Meds: General vitamin

Current Illness: No

ID: 1694540
Sex: F
Age: 47
State: LA

Vax Date: 08/20/2021
Onset Date: 08/23/2021
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:

Allergies:

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

Symptoms: HIGH BLOOD PRESSURE

Other Meds:

Current Illness:

ID: 1694541
Sex: F
Age: 45
State: ND

Vax Date: 01/20/2021
Onset Date: 01/20/2021
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: Penicillin Clarithromycin

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

Symptoms: Received 2nd dose of vaccine on 1/20/21. Towards late evening hours on date of administration, I developed chills and body aches. Woke up in the early hours of 1/21/21 and had fever of 103.3, chills, body aches, headache, SEVERE arm pain and swelling, and had a very difficult time moving my body. These symptoms last for 4 days. Arm swelling and pain continued for 2 more weeks after vaccine administration.

Other Meds: Linzess Ondansetron Propranolol Valtrex Ibuprofen Maxalt

Current Illness: None

ID: 1694542
Sex: F
Age: 27
State: TX

Vax Date: 07/31/2021
Onset Date: 09/04/2021
Rec V Date: 09/13/2021
Hospital: Y

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

Lab Data: Cervical test showed I was dilated at a 6 when I went into hospital to check for bleeding.

Allergies: None

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: My due date was December 17th but I had my baby at 25 weeks 1 day on September 4th. She weighed 1 lb 11 oz. She's currently fighting for her life in the level 4 NICU.

Other Meds: Labatelol, digoxin, baby aspirin, prenatal vitamins. A couple days before I got a blood thinner injection and switched to Metropolal

Current Illness: No, only going into SVT sometimes due to my ASD heart condition but I was taking medicine for it.

ID: 1694543
Sex: F
Age: 51
State:

Vax Date: 01/05/2021
Onset Date: 09/04/2021
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:

Allergies:

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

Symptoms: PATIENT HAD PFIZER COVID VACCINE Dose 1 date: 01/5/2021, Dose 2 date:01/26/2021, AND TESTED POSITIVE TO COVID.

Other Meds:

Current Illness:

ID: 1694544
Sex: F
Age: 36
State: NC

Vax Date: 09/09/2021
Onset Date: 09/09/2021
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:

Allergies:

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

Symptoms: Estimated delivery date 12/2021

Other Meds:

Current Illness:

ID: 1694545
Sex: F
Age: 42
State: OH

Vax Date: 04/03/2021
Onset Date: 07/06/2021
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: 9/13 - I haven?t got results yet

Allergies: Penicillin, ampicillin, ceclore, sulfa

Symptom List: Pain in extremity

Symptoms: Issues with Mensural cycle - I messaged my doctor on 7/6/21. I had my first shot 4/3 and my second 5/4 My cycle was 2 weeks late and that never happens and it was a different color than normal and large clots - I asked my doc if I should come in-she prefer some blood work for me - thought I was too young for menopause. Since July every month has been out of wack - heavier than normal - lighter than normal -off by a week or two- cramps have been intense - can?t stand up straight sometimes . I never even considered a issue w vaccine- but today I heard the NIH was looking into vaccine impacts on menstrul cycle so I thought I should let you know

Other Meds: Vyvannse Clomipramine Cholesterol medicine

Current Illness: No

ID: 1694546
Sex: M
Age: 71
State: OK

Vax Date: 04/07/2021
Onset Date: 09/09/2021
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: 09/09/21: POSITIVE POC SARS COVID RAPID ANTIGEN

Allergies: CODEINE, SHELLFISH

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

Symptoms: FEVER

Other Meds: LISINOPRIL, ASPIRIN

Current Illness: NONE

ID: 1694547
Sex: M
Age: 61
State: GA

Vax Date: 04/12/2021
Onset Date: 07/17/2021
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: 07/19/2021 PCR+ COVID-19 test

Allergies:

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

Symptoms: Breakthrough COVID-19 case. Symptom onset 7/17/2021: Fever >100.4, Subjective fever (felt feverish), Chills, Runny nose/Congestion, Cough (new onset or worsening of chronic cough), Fatigue or tiredness, Headache, Diarrhea (>/=3 loose/looser stools in 24 hr period). Still symptomatic as of 7/28/2021. Hospitalized from 7/26/2021-7/27/2021.

Other Meds:

Current Illness:

ID: 1694548
Sex: M
Age: 65
State: NC

Vax Date: 09/10/2021
Onset Date: 09/11/2021
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: medical exam

Allergies: Norvasc

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

Symptoms: swelling in left arm, left upper body, throbbing joints

Other Meds: Losartin Carvedilol Xeljanz Methotrexate Naproxen Tramidol

Current Illness: Kidney Stone 8/2021

ID: 1694549
Sex: M
Age: 36
State: LA

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: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: SWELLING OF THROAT, ITCHY, TROUBLE OF BREATHS, TINGLING IN FINGERS

Other Meds:

Current Illness:

ID: 1694550
Sex: M
Age: 41
State: NC

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: 037K20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Vaccine expired

Other Meds:

Current Illness:

ID: 1694551
Sex: M
Age: 34
State: CA

Vax Date: 03/09/2021
Onset Date: 07/07/2021
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: COVID test, County site. ER, chest x-ray, wanted to do it to be safe due to my medical history, but I wasn't admitted to the ER; EKG; pulse oximeter, breathing was 100% the whole time. I didn't have any breathing problems through it. At home, my pulse levels never dropped below 99 at home.

Allergies: Shellfish

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

Symptoms: Started with cold-like symptoms; I was sneezing and had cold symptoms. I couldn't sleep and developed a fever on Friday morning, 100.1. I took cold medicine; took extra vit C pills, broth and ate tangerines and it was gone in an hour I got a COVID test, positive result, didn't get the result confirmation until I had lost sense of smell, night of the 10th. Didn't lose taste and I got my sense of smell back until a few days later. Had sneezing and congestion of sinuses. By Wednesday, I was coughing. I was using my CPAP sleeping on my stomach. It was weird in color, what was coming up from the coughing. I tried to get an x-ray at urgent care. I went to a local ER, got an x-ray which was fine. Given my history and my size (I'm over 300 lbs), they advised me to do a monoclonal antibody treatment as well. Got that treatment on the 15th. By the 18th, all that stuff (symptoms) was gone. I had crazy fatigue and exhaustion for the next week, that was the hard part. Since the 25th, I have been fine since then. It lasted 2-3 weeks.

Other Meds: Advair; Singulair; multivitamin; turmeric; ginger; vit D; vit C; zinc tablet

Current Illness: No

ID: 1694552
Sex: F
Age: 36
State: CA

Vax Date: 03/12/2021
Onset Date: 03/13/2021
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: IM
Vax Site: LA

Lab Data: Bloodwork- normal.

Allergies: Yes; Latex; Bananas; Kiwi fruit; Avocado; Chestnut; Benadryl; Cipro, Sulfa drugs; SSRI's; Neosporin.

Symptom List: Injection site swelling, Limb discomfort

Symptoms: I had milder arm pain. I started to get a fever about 14 hours after. It lasted 60 hours and peaked at 102.5. I had a migraine as well as really bad body pain. I also had sluggishness. I contacted the doctor who advised me to take Tylenol. I was sick for about 3 days after receiving the vaccine.

Other Meds: General Vitamin.

Current Illness: No

ID: 1694553
Sex: F
Age: 30
State: TX

Vax Date: 08/19/2021
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: none. I called my PCP and Pharmacy and reported symptoms and was told to go to nearest Emergency room if symptoms get worse.

Allergies: None

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

Symptoms: I woke up this morning (9/13/21) and could not feel my both feet, became lightheaded and weak, had no strengths. it lasted about 30 minutes and feeling came back but I still have some tingling and numbness although better, still very weak overall. I contacted my PCP and pharmacy and was told not to get second vaccine and to go to ER if symptoms come back or get worse

Other Meds: Vitamin D

Current Illness: none

ID: 1694554
Sex: F
Age: 53
State: AK

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: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: Patient arrived, stated that they were here for their 2nd Moderna dose, and presented a vaccination card that had 9-9-2021 recorded as their recommended second dose date. The patient signed the consent forms, received the 2nd Moderna dose from myself, waited 15 minutes with no adverse side effects, and departed. After the patient departed, while it was identified that the patient was in fact 1 week early for their second dose and the recommended second dose date on their vaccination card was incorrect. The ordering provider, was notified along with the management team. Reports were filed per clinic procedures and Dr. notified the patient of the adverse event.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am