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: 1695732
Sex: M
Age: 38
State: AZ

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

Lab Data: None

Allergies: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: ***Previous immunity from infection*** Day of vaccine, twitching and uncommanded Left arm movement. Significant arm pain At hour 2. Dizziness at hour two. Significant headache at hour 5. Day 2-3 signifigant flu like symptoms. Bed ridden for days 2-3. Minimal calorie intake. Terrible body aches. Any food/drink consumed, immediately regurgitated. Day 4 slightly better. Still had a very bad headache and muscle aches. Able to consume food normally. Day 5-7 still have flu like symptoms. Significant leakage from sinus area. Blowing nose multiple times per hour. Some blood in Kleenex. Day 8+ mostly return to normal. Still very weak in the morning. Occasional dizziness and fly like symptoms.

Other Meds: None

Current Illness: None

ID: 1695733
Sex: M
Age: 15
State: MN

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

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

Lab Data: none

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Patient was not yet 16 when he had the vaccine.

Other Meds:

Current Illness:

ID: 1695734
Sex: F
Age: 26
State: FL

Vax Date: 09/13/2021
Onset Date: 09/13/2021
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:

Allergies:

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

Symptoms: Was not there to receive covid vaccine, was there for influenza and was administered wrong vaccine by accident.

Other Meds:

Current Illness:

ID: 1695735
Sex: F
Age: 26
State: KY

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

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

Lab Data: EMS performed vital signs and blood glucose test during evaluation

Allergies: NKDA

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Approximately 3-4 minutes after receiving vaccine, patient became hot, nauseous. Then patient slumped over and passed out and fell out of chair onto the floor bumping her head. Patient had an approximately 20 second seizure. During this time 911 was called and EMS was activated. Patient came to, sat up, and was confused about whereabouts after seizure. She was informed of what happened and continued to have a conversation while waiting on EMS. Patient was provided a water and assisted into chair where RPH observed and monitored patient until EMS arrived. EMS arrived and checked vitals, asked her medical history, her diet for the day, and performed a blood glucose test. EMS performed an evaluation for possible head injury. After about 10-15 minutes EMS and the patient made the decision to not transport to hospital. EMS informed patient and fiance to seek emergency care if status changed. Patient was able to leave the Pharmacy and store without assistance.

Other Meds: None Known

Current Illness: None Known

ID: 1695736
Sex: F
Age: 37
State: HI

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: IM
Vax Site: LA

Lab Data: N/A

Allergies: N/A

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

Symptoms: Tongue numbness; Jaw muscle pain; Lower abdominal pain; Headache; Fever with tachycardia; Flu like symptoms.

Other Meds: N/A

Current Illness: N/A

ID: 1695737
Sex: U
Age: 47
State: CA

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

Allergies: None

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

Symptoms: Dizziness, heart irregular beating , chest pain , weakness

Other Meds: Seroquel 14 mg

Current Illness:

ID: 1695738
Sex: F
Age: 47
State: IL

Vax Date: 08/24/2021
Onset Date: 09/13/2021
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

Allergies: NONE KNOWN

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: PT REPORTED RASH, IE HIVES TO BOTH OF HER FOREARMS FROM HER 1ST COVID VACCINE. PT WAS TREATED BY DR. WITH TOPICAL STERIOD PER PT. MD CLEARED PT TO RECEIVE HER 2ND DOSE. ADVISED PT TO TAKE BENADRYL PRIOR TO SECOND VACCINATION AND TO CONTINUE FOR A FEW DAYS AFTER HER 2ND COVID VACCINE.

Other Meds: NA

Current Illness: NONE KNOWN

ID: 1695740
Sex: M
Age: 24
State: MI

Vax Date: 09/09/2021
Onset Date: 09/10/2021
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: EKG at Urgent Care on 09/11 - came back slightly abnormal EKG in ER on 09/11 - came back normal Ultrasound of Heart on 09/11 - came back normal Bloodwork, 3-4 times, on 09/11 - Troponin levels were elevated Echocardiogram on 09/11 - came back normal Bloodwork, 3 times on 09/12 - Troponin levels were elevated

Allergies: Mold; No other known allergies.

Symptom List: Pharyngeal swelling

Symptoms: I started feeling chest pain around 9:00pm on Friday, 09/10. I could not sleep through the night, and was in extreme pain (8 out of 10). I went to an urgent care after speaking with the pharmacy that administered the second dose of the Moderna vaccine on 09/09 at 5:00pm. The Urgent Care did an EKG that came back slightly abnormal but stated it not uncommon for my age (24). They recommended I go to the ER to get blood work done. After speaking with family members, I decided to go to the ER. I was seen immediately and many tests were done. I stayed over night (arrived Sat, 09/11 at 12:30pm and stayed until Sunday, 09/12 at 11am).

Other Meds: Claritin Non-Drowsy 24 Hour

Current Illness: None

ID: 1695741
Sex: F
Age: 44
State: HI

Vax Date: 09/12/2021
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: LA

Lab Data: N/A

Allergies: Meds: SSRI , MAOI drugs Food: none Other: mold

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: High fever, chills, body aches, sore muscles, brain fog, mental confusion, can't work, fatigue, nausea, new onset of cough. All started at around 2am. I took ibuprofen around 11am. Brought fever down and I have slightly more energy. Other symptoms still present.

Other Meds: NAC, perilla pearls, L-glutathione, ultra omega, melatonin, seriphos

Current Illness: None

ID: 1695742
Sex: F
Age: 30
State: TX

Vax Date: 02/12/2021
Onset Date: 05/15/2021
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: I saw my OB immediately & received several scans/ultrasounds to check for cysts or a rupture. All came back normal. I was screened for uterine cancer as well, that came back negative. My blood work showed nothing abnormal in relation to my hormones or thyroid, etc. All panels came back normal. All of the exams happened between May 2021 & August 2021.

Allergies: NA

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Continuous vaginal bleeding outside of normal menstrual cycle, large clots & heavy vaginal discharge related to the bleeding.

Other Meds: Izibloom birth control, Xanax & Alprazolam

Current Illness: NA

ID: 1695743
Sex: F
Age: 53
State: MO

Vax Date: 06/03/2021
Onset Date: 06/04/2021
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: Did not go into Hospital/Urgent Care even though my husband wanted to take me. When I had my normal yearly Doctor Appointment on August 31, I mentioned to my Physician about the event, She told me that I should report it.

Allergies: None

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

Symptoms: Have Been going through Menopause, had not had a regular Menstrual Cycle over 8 months. Started Menses day after shot and had extreme bleeding for 3 days. Was very anemic, and wore down. after the 3 days of extreme bleeding, was a regular menses for 2 weeks. Have not had any Menstrual Cycle since.

Other Meds: multi-vitamin, B +C Complex, Caroto-E Omega, Optiflora Pearl probiotic, Optifloral Prebiotic complex, Black Cohosh, Green Tea boost, D3

Current Illness: None

ID: 1695744
Sex: F
Age: 26
State: TX

Vax Date: 02/19/2021
Onset Date: 02/27/2021
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: Lab results at Endocrinologist 8/19/2021 - "normal" except high red blood levels Unrelated hospital visit in 6/2021 - high red blood levels

Allergies: Peanuts

Symptom List: Rash, Urticaria

Symptoms: Was officially diagnosed with PMDD in August 18, 2021. Began having problems with hormones and mood between ovulation and menses starting at the end of February 2021 that have never experienced previously. Has been consistently during luteal phase every month. My women's health NP treated for low estrogen since s/s coincided with that clinical workup by increasing the estrogen in my birth control which made it worse. S/S: depression, anxiety, uncontrollable anger/rage, severe nausea, fatigue, apathy, hot flashes, insomnia, severe headaches, joint pain Consulted with psychiatric provider in June 2021 who diagnosed with regular depression and anxiety despite feeling fine except during luteal phase. Treated with 25 mg of zoloft which was not helpful and worsened s/s during luteal phase. Got second opinion from endocrinologist who confirmed PMDD symptoms. Placed me on a low dose of Celexa which only helps with insomnia symptoms and sleeping Also been having increased output of red blood cells which was discovered in June 2021 (the first time I've had accessible bloodwork results since January 2021). At last doctor's visit in December 2020, red blood levels were fine

Other Meds: Vitamin C Vitamin D Hair, skin, nails vitamin Norgestrel

Current Illness: Infection (January 2021)

ID: 1695745
Sex: M
Age: 60
State: AZ

Vax Date: 07/16/2021
Onset Date: 07/30/2021
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: Lactose intolerant

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

Symptoms: Constant Buzzing in the ears / head No treatment at this time. Planning on seeing my family doctor

Other Meds: None

Current Illness: None

ID: 1695746
Sex: F
Age: 20
State: NV

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

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

Lab Data:

Allergies:

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

Symptoms: over 42 days, 1st dose 05/28/2021, 2nd dose 09/13/21

Other Meds:

Current Illness:

ID: 1695747
Sex: F
Age: 35
State: CA

Vax Date: 09/07/2021
Onset Date: 09/07/2021
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 at this time.

Allergies: None

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

Symptoms: At 3 hrs post-injection: Palpitations. At 4 hrs post/injection: dizziness and throat tightness. Took chewable Benadryl 25mg and throat tightness resolved. Since 2 days post-injection to present: anxiety, feeling ?wired?, racing heart, racing thoughts, insomnia.

Other Meds: None

Current Illness: Hashimoto?s Multiple thyroid nodules Vitiligo Recurrent UTIs

ID: 1695748
Sex: M
Age: 57
State: VA

Vax Date: 06/03/2021
Onset Date: 06/04/2021
Rec V Date: 09/13/2021
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:

Allergies: None

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

Symptoms: Full cardiac arrest 24 hours after receiving the second dose. Felt mildly achy and tired during the day following the second vaccine. Was walking and collapsed due to cardiac arrest. Received prompt medical attention (CPR and three AED shocks) administered by close-by medical and emergency professionals. Stabilized and transported to ER/Cardiac Catheterization Lab where two coronary artery blockages (90+ %) were cleared and two stints inserted. Within a week after receiving my first COVID vaccine (3/30/2021), I experienced my first cardiac symptom (brief mild chest constriction) after a brisk walk. Over the next two weeks, I had a couple more incidents which were progressively longer lasting and more intense. I visited my GP doctor to get checked out on 4/20/2021. The doctor's exam detected no cardiac issues and an EKG was run and came back normal. I had no underlying health conditions or cardiac risk factors.

Other Meds: Centrum Men's multi-vitamin.

Current Illness: None

ID: 1695749
Sex: F
Age: 17
State: AR

Vax Date: 09/13/2021
Onset Date: 09/13/2021
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: none

Allergies: NONE

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

Symptoms: Pt was accidentally given the Moderna vaccine for the first dose instead of the Pfizer vaccine which is approved for pt's under 18.

Other Meds:

Current Illness:

ID: 1695750
Sex: F
Age: 55
State: MI

Vax Date: 09/10/2021
Onset Date: 09/11/2021
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: None

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Redness, swelling, tenderness & warmth at the injection site. Initially I couldn?t even see where I received the injection. However, approximately 12 hours later the injection site became very tender and a hard lump began forming. Over 72 hours later, the injection site is not improving. I also feel very fatigued and I have an upset stomach. Not nausea; more like acidy. It?s been over 72 hours since the injection and although I feel better than I did in the first 12 hours, I?m still not back to normal. It?s like an all over fatigue that isn?t related to physical exertion or lack of sleep. I just want to feel like I did before the vaccine.

Other Meds: Vitamin C 1,000 mg, ibuprofen 500 mg

Current Illness: None

Date Died: 09/11/2021

ID: 1695753
Sex: M
Age: 78
State: IL

Vax Date: 04/08/2021
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: none

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Admitted with severe COVID19 on 9/10/2021 and subsequently declined and deceased on 9/11/2021

Other Meds: Ferrous gluconate, furosemide, Medrol dose pak, metoprolol succinate, omeprazole, ropinirole, simvastatin, warfarin, Flovent HFA

Current Illness:

ID: 1695754
Sex: M
Age: 17
State: HI

Vax Date: 09/13/2021
Onset Date: 09/13/2021
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: NONE

Allergies: NKA

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

Symptoms: VACCINE LEAKED/DRIBBLED OUT WHILE ADMINISTERING THE IM INJECTION INTO HIS LEFT ARM. I BELIEVE OVER 1/2 THE DOSE WAS ADMINISTERED BUT THERE IS NO WAY FOR ME TO COMPLETELY VERIFY THIS. I SPOKE TO HIS MOTHER, ABOUT WHAT HAD JUST OCCURRED AND SHE, ALONG WITH THE PATIENT, DID NOT FEEL IT WAS NECESSARY TO ADMINISTER ANOTHER IMMEDIATE DOSE TODAY. THEY STATED THEY WOULD BE BACK FOR THEIR 2ND DOSE IN 3 WEEKS.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1695755
Sex: F
Age: 38
State: NJ

Vax Date: 03/17/2021
Onset Date: 03/17/2021
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:

Allergies: Shellfish

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

Symptoms: Finger swelling, lip swelling Epi pen ambulance called Steroids at hospital

Other Meds: Metformin

Current Illness: None

ID: 1695756
Sex: F
Age: 46
State: KS

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

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

Lab Data:

Allergies: Allergy to Strawberries, Pickles and Cucumbers

Symptom List: Unevaluable event

Symptoms: Patient was sitting out in front of the pharmacy so that we could observe her for the 15 minute wait period. (Dose given 3:44pm) Pt stated that she felt like her throat was tight, she was hot and that she was light headed. (3:46pm) We grabbed an ice pack to place on the back of her neck. She then stated that she felt like her tongue was swelling and that she was having trouble breathing and she was afraid she might faint. We helped her to the floor and had her lay down flat to see if that would help her breathing. It did not help, and her shortness of breath became apparent. We called 911 and administered 1 Epi-pen dose. (3:48pm) The Epi-pen did help and she began to have stronger breaths and she said that she could feel that it was helping with the swelling as well. The paramedics arrived and took over treatment at that time. She was transported to the hospital by ambulance.

Other Meds:

Current Illness: Pt has MS and a history of seizures

ID: 1695757
Sex: F
Age: 32
State: TX

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: LA

Lab Data: EKG - 9/11/21 Cardiac Panel- 9/11/21 Ct w/ Contrast- 9/11/21 D-Dimer - Elevated.- 9/11/21

Allergies: Nightsides, Gluten, and Kiwi

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

Symptoms: Unexplained Tachycardia, Radiating chest pain, Presyncope episodes, unexplained syncope, elevated d-Dimer, Shortness of breath, Leg pain, swelling, pain at the injection site.

Other Meds: Multi-vitamin

Current Illness: N/A

ID: 1695758
Sex: M
Age: 33
State: CA

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

Allergies: none

Symptom List: Injection site pain, Pain

Symptoms: Patient complains of pain and swollen under the armpit for about a week. He felt something hard like a" ball". It went away after a week with no other tissues. Patient did not seek any help or treatment because he felt better afterwards.

Other Meds: none

Current Illness: none

ID: 1695759
Sex: F
Age: 39
State: OR

Vax Date: 05/04/2021
Onset Date: 05/05/2021
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: too many to list - some included were thyroid panels, chest xray, metabolic panel, tests for autoimmune disorders, stool samples. still waiting for echocardiogram & colonoscopy

Allergies: augmentin, corn, grasses and trees

Symptom List: Injection site pain, Menorrhagia

Symptoms: difficulty sleeping, diarrhea started next morning and continues to current date. Increase of symptoms which peaked around 2 weeks post vaccine included extreme fatigue, body aches and pains, chest pain, abnormal heartbeat & palpitations, winded easily, headaches, stomach aches & bloating, brain fog. Cotton wool spot found in eye during a routine eye exam on 7/7/21 - triggering a positive ANA test

Other Meds: sertraline 25, zyrtec, tirosint 75, multivitamin, Vit D,

Current Illness: none

ID: 1695760
Sex: F
Age: 77
State:

Vax Date: 08/25/2021
Onset Date: 08/26/2021
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:

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

Symptoms: her injection site got very swelled up and bruised

Other Meds:

Current Illness:

ID: 1695761
Sex: M
Age: 31
State: MD

Vax Date: 08/16/2021
Onset Date: 08/16/2021
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: 8/28: Uranalysis, Chemistry Panel, White Blood Cell Differential, and Complete Blood Count

Allergies: Hyperactivity to Mucinex-D

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: 8/16: Soreness at injection site, fever 101 degrees F, chills, tremors, bodily pains, tingling in fingers and toes, migraines, dry mouth, fatigue, blurred vision, ringing in both ears, coughing, and sneezing, reduced sex drive, inability to become erect 8/17: Soreness at injection site, fever 101 degrees F, chills, tremors, bodily pains, tingling in fingers and toes, migraines, dry mouth, fatigue, coughing, and sneezing, reduced sex drive, inability to become erect 8/18: Soreness at injection site, bodily pains, migraines, dry mouth, fatigue, reduced sex drive, inability to become erect 8/19: Soreness at injection site, bodily pains, migraines, fatigue, reduced sex drive, inability to become erect 8/20: Soreness at injection site, bodily pains, migraines, fatigue, reduced sex drive, inability to become erect 8/21: Soreness at injection site, bodily pains, migraines, fatigue, reduced sex drive 8/22: Soreness at injection site, bodily pains, migraines, fatigue 8/23: Soreness at injection site, bodily pains, migraines, fatigue 8/24: Soreness at injection site, bodily pains, migraines, fatigue 8/25: Soreness at injection site, bodily pains, migraines, fatigue 8/26: Soreness at injection site, bodily pains, migraines, fatigue 8/27: Soreness at injection site, bodily pains, migraines, fatigue 8/28: Soreness at injection site, bodily pains, migraines, fatigue 8/29: Soreness at injection site, bodily pains, migraines, fatigue 8/30: Soreness at injection site, bodily pains, migraines, fatigue 8/31: Soreness at injection site, bodily pains, migraines, fatigue 9/1: Soreness at injection site, bodily pains, migraines, fatigue 9/2: Soreness at injection site, bodily pains, migraines, fatigue

Other Meds: Warafin St. John's Wort Vitamin B12 Vitamin D3 Vitamin C Zinc Men's Multivitamin Ginger Melatonin Apple Cider Biotin

Current Illness: None

ID: 1695762
Sex: M
Age: 42
State: MI

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: UNK
Vax Route: IM
Vax Site: RA

Lab Data: Awaiting to see my physician

Allergies: Sulfa, Macrodantin

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: I started to have axillary swelling and pain on the same side as the injection site. I had axillary tissue removed back in 2015 and never had any issues with this arm since. There is a lump after receiving the vaccine and it's tender to touch. There was also some numbness at times.

Other Meds: B12,

Current Illness: None

ID: 1695763
Sex: F
Age: 71
State: OR

Vax Date: 03/05/2021
Onset Date: 05/03/2021
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: Chest X-ray- May 13th Chest X-ray June 28th. Blood test May 13th

Allergies: Statins, lisinopril, lactose intolerance

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

Symptoms: On May 3rd AM experienced fatigue, by that evening had temp of 100.6. Over next 9 days temp stayed between 103.2-103.6. Joints ached, some nausea, occasionally vomiting, no appetite, continued fatigue, slight cough. Had two covid tests, first one on May 5th, second May 10th, both were negative. On May 11th went for out-patient IV fluids. On evening of Wednesday, May 12th temp was 99.8 and now had shortness of breath and increased coughing. Next day , May 13th went for chest X-ray and diagnosed with pneumonia in my right lung. Antibiotics started that day and X-ray in 6 weeks was clear.

Other Meds: Vit D, calcium, biotin, curcumin complex, HTZ, fenofibrate, zetia, metformin, losartan

Current Illness: None

ID: 1695764
Sex: F
Age: 26
State: AK

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

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

Lab Data:

Allergies: NKA

Symptom List: Nausea

Symptoms: patient fainted for seated position and fell face forward onto the floor 5 minutes after receiving vaccine. hit chin and chipped tooth. patient cleared by EMS to leave with her mom and seek medical treatment on their own.

Other Meds: METFORMIN ER

Current Illness: NONE

ID: 1695765
Sex: F
Age: 34
State: SC

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:

Allergies: None

Symptom List: Injection site pain

Symptoms: I received the vaccine last Thursday and my left upper arm area is still really swollen, red, and tender. The rash/redness is starting to spread on my arm as well.

Other Meds: Viibryd, Klonopin, Adderall, Rexulti

Current Illness: None

ID: 1695766
Sex: M
Age: 58
State: FL

Vax Date: 03/24/2021
Onset Date: 03/25/2021
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: Left worse than right tinnitus and decreased hearing

Other Meds:

Current Illness:

ID: 1695767
Sex: M
Age: 19
State:

Vax Date: 08/17/2021
Onset Date: 08/18/2021
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:

Allergies: Acetaminophen

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

Symptoms: Severe Pericarditis Rushed via ambulance to hospital

Other Meds: None

Current Illness: None

ID: 1695768
Sex: M
Age: 59
State: NC

Vax Date: 08/31/2021
Onset Date: 09/02/2021
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: 9/13 General Practitioner Visit No High Blood Pressure No Blood sugar issues or history of diabetes No Injury incurred Ordered MRI for 9/15 9/7 and 9/13 Opthamologist Visit Eye Pressure test normal Vison test normal Eye tracking abnormal Eye exam

Allergies: None

Symptom List: Tremor

Symptoms: Noticed double vision started 2 days after vaccine was taken. Right Eye would not track with Left Eye and get side by side double vision. Visited Opthamologist 9/7/21 and was first diagnosed on 9/13 diagnosis confirmed with my General Practitioner and second Opthamologist. No treatment available and must just wait until my vison and swelling of 6th cranial nerve subsides. Have MRI scheduled for 9/15 to confirm nothing else as an issue

Other Meds: .4mg daily of Tamsulosin (FlowMax)

Current Illness: None

ID: 1695769
Sex: F
Age: 82
State: CA

Vax Date: 03/14/2021
Onset Date: 03/14/2021
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: 2 weeks after finally getting an appointment with doctor. EKG done, labs done negative. EKG shows Sinus rhythm with frequent PVC?s. Heartrate irregular per Auscultation. TSH level elevated . Doctor corrected TSH levels with increased dose of levothtyroxin,. TSH level now normal but still having palpitations with occasional chest pressure. Currently still ongoing mild palpitations. On holter monitor. She has never had history of heart palpitations before.

Allergies: Hair dyes Shrimp Some lotions

Symptom List: Erythema, Pruritus

Symptoms: Has heart palpitations since receiving 2nd shot in March 14, 2021. Started the middle of the night on night of receiving shot. Worse during 1st week, got better, but has been on and off since and never really went away. Called Doctor, but couldn?t get an appointment right away.

Other Meds: Levothyroid, Norvasc in morning Vitamin C, calcium

Current Illness: None

ID: 1695770
Sex: F
Age: 25
State: MD

Vax Date: 05/20/2021
Onset Date: 05/20/2021
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: Have not went anywhere due to being scared.

Allergies: No

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

Symptoms: Have not gotten my period for 5 months since receiving the vaccine. No cramps, no blood, nothing.

Other Meds: None

Current Illness: No

ID: 1695771
Sex: F
Age: 40
State: CA

Vax Date: 07/30/2021
Onset Date: 07/31/2021
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Arm where I received the first vaccine started hurting like it's sprained/broken. The pain never went away and I went to the doctor and she said it's sprained and I need physical therapy in order to get better. The pain is coming from my shoulders all the way to my fingers, shooting pain, my elbow also hurts, kind of like tennis elbow problems. Lastly, I lost my strength and it's just painful, especially the more I use this arm.

Other Meds: None

Current Illness: Anxiety

ID: 1695772
Sex: F
Age: 45
State: CO

Vax Date: 03/04/2021
Onset Date: 03/04/2021
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. No care saught

Allergies: Cinnamon, pecans, walnuts, lemongrass, clove

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Extreme fatigue for 48 hours. Moderate fatigue for a week, mild fatigue for 3 weeks, severe muscle and joint pain, severe abdominal pain, headaches for 6 weeks, fever, pain at injection site

Other Meds: None

Current Illness: None

ID: 1695773
Sex: F
Age: 42
State: VA

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:

Allergies: I am allergic to novacaine, lidocaine, and naproxen sodium. I have gluten allergies. I am allergic to scents, perfumes, colognes, and cleaning products with scents

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

Symptoms: Approximately 35 minutes following the innoculation, I felt my heart beat speed up and could also feel my heartbeat in my lower mouth and jaw line, my jaws clenched and were not exactly itchy or tingly but some mixed sensation thereof. My heart would seem to race and then slow down (off an on). I had onset of localized intense headaches. For the course of 24 to 48 hours (varied depending on which event), I experienced heart palpatations, fluttering, sensations of something swelling and filling my chest cavity - to where I felt I could not expand my chest and sit upright, I had to cave in to breathe; headaches from mild to migraine level in different spots - it would come and go and move around my cranium; my face cheeks broke out and I was itchy on cheeks, across jaw line, back of throat, neck, chest, and left arm; my lips and tongue were midly tingly (like a food allergy, but not intense) - this occurred the least amount of time. The worst event was between 6 and 7 PM on Friday night: my left arm hurt from my left ear, down my neck, all the way down the arm (at bone), and to the fingertips - the only way to describe the sensation is a combination of a cold burn and what I think it would feel like in the nerves to be electrocuted - the hair folicules ached - that only lasted for about 15 minutes but was intense - so intense that my jaws were still tense and slightly sore for a while following. On Sunday, 09/12/2021, I experinced mild abdominal cramping and on this morning (09/13/2021), I had two instances of severe abdonimal cramping which felt worse than any menstrual cramps experienced. I felt nauseous (mildly) off an on from Friday to Sunday - I did not get sick and vomit or have diarrhea at any time. I did not experience any events which seemed to be an immune system response, so I was able to eat - I drank water and gaterade. My arm was terribly sore so I took 2 200 mg ibuprofen every 4 to 6 hours for the first 48 hours. The injection site did swell and get a knot on it, but I could not get a good picture. Yesterday, the injection site began to be itchy. My arm is still tender and sore today, but not like over the weekend - on Saturday, my arm was about a 5 in pain.

Other Meds: Lisinopril 20, Fluticason Propinate, Vitamin D, Vitamin B, Ibuprofen

Current Illness: none

ID: 1695774
Sex: F
Age: 35
State: TN

Vax Date: 08/23/2021
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: None

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

Symptoms: Sharp pain in lower abdomen. Two days later started period 2 weeks early. Lasted longer than normal.

Other Meds: Vitamin C Zinc

Current Illness: None

ID: 1695775
Sex: F
Age: 29
State: WA

Vax Date: 09/08/2021
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: covid test, flu test both negative

Allergies: none

Symptom List: Pain in extremity

Symptoms: Throat swelling, throat itching, chronic fatigue, trouble breathing, wheezing on 9/9/2021 cough, mucus coughing, dizzy spells, fatigue, coughing fits. 9/9/2021- current date of 9/13/2021

Other Meds: Nexplanon 10mg implant

Current Illness: none

ID: 1695776
Sex: F
Age: 36
State: FL

Vax Date: 09/12/2021
Onset Date: 09/12/2021
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:

Allergies: Monastat

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

Symptoms: I have body aches to the point I can't even sleep. My lower back, stomach, pelvic, breast is in excruciating pain as if I am pregnant or a chase of really bad of unbearable menstruation pain. I am also experiencing being bloated.

Other Meds: MVI

Current Illness: None

ID: 1695777
Sex: F
Age: 47
State: KY

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

Lab Data:

Allergies: Vimpat, morphine, depakote,Dilantin

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

Symptoms: 2 weeks after vaccine, bilateral bruises noted to lower extremities without trauma. Skin hurts

Other Meds: Florinef, hydrocortisone , gabapentin,robaxin, zanaflex

Current Illness:

ID: 1695778
Sex: F
Age: 52
State: OK

Vax Date: 06/05/2021
Onset Date: 06/08/2021
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: Penicillin

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

Symptoms: Persistent Dysgeusia and Parosmia occuring 3 days post 2nd vaccine Pfizer (June 5th, 2021: EW0185, first dose 5/15/21- EW0171 ). I cannot eat about 80% of foods due to disgusting smell and taste. This includes all food with animal proteins (meat, fish, chicken, eggs) plus food containing corn products as examples. I spend 90% of my day with a horrible taste in my mouth. I had not been exposed to anyone with Covid during this time nor to my knowledge to date.

Other Meds: Zinc, Vitamin D, Airborne, Ambien PRN, Allergy medications PRN

Current Illness: None

ID: 1695779
Sex: F
Age: 71
State: FL

Vax Date: 08/13/2021
Onset Date: 08/23/2021
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: None. I did not go to a clinic. I called my daughter who is an RN and is almost finished with her Nurse Practitioner program to get advice. She suggested I report the side effects to the CDC.

Allergies: Percoset, fosamax, Polymicin ointment

Symptom List: Vomiting

Symptoms: I felt fine for the first 9 days after receiving the first inoculation, but after 10 days I had an area around the injection site that my skin was bumpy, like a lot a mosquito bites type of bumps. It was an area approximately 2" wide X 3" long on my arm. The next day it was the same. The third day, that area of my arm turned red and got warm and a little swollen. The 4th day it remained red, warm, and swollen. On the 5th day, my arm went back to normal and I had no other side effects. I received my second Moderna shot this afternoon. I'll let you know if I have side effects from it.

Other Meds: Losartan, Metformin, Lipitor, Feldene, Solifenacin

Current Illness: None

ID: 1695780
Sex: F
Age: 45
State: CA

Vax Date: 06/24/2021
Onset Date: 08/01/2021
Rec V Date: 09/13/2021
Hospital:

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

Lab Data: None

Allergies: None

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Pain, tingling, numbness, weakness in arm stemming from vaccine location. Arm aches on and off, feels bruised like I just got the shot. Becomes very weak and painful and am unable to lift arm. Eventually it subsides. But returns- comes and goes. Feels bruised afterwards.

Other Meds: Ibuprofen , vitamins

Current Illness: None

ID: 1695781
Sex: M
Age: 53
State: TN

Vax Date: 09/01/2021
Onset Date: 09/11/2021
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: N/a

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

Symptoms: Back pain blood in urine

Other Meds: Amlopine Metformin Avorstatin Lantas Vitamin d Low dose aspirin

Current Illness:

ID: 1695782
Sex: F
Age: 33
State: UT

Vax Date: 08/03/2021
Onset Date: 08/10/2021
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: urgent care August 13 ENT August 17 VNG test September 14 Octologist specialist september 15

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: One week after I received the shot I started to feel really dizzy. It progressed over the weeks (it has now been 5 weeks) of daily dizziness, ear pressure, brain fog, head pressure and anxiety. After speaking with multiple doctors, we believe it is an inflammatory response from the vaccine; specifically in the Vestibular Nerve. I have no prior inner ear issues or any chronic illness. These are not mild symptoms, it is alarming and takes everything I have to make it through each day. I am pro vaccine and grateful to be able to get the covid vaccine, I just wish I knew this reaction was possible so I knew what I was up against and how to seek help for it.

Other Meds:

Current Illness:

ID: 1695783
Sex: F
Age: 41
State: KS

Vax Date: 12/31/2020
Onset Date: 01/01/2021
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: RA

Lab Data: None

Allergies: Allergy to ciprofloxicon, peanuts, carrots, goats milk, apples

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

Symptoms: Vertigo and tinnitus occurred day after 1st vaccine. Was improving when I received second and then got much, much worse

Other Meds: Ambien 5mg qhs

Current Illness: None

ID: 1695784
Sex: U
Age: 58
State: MO

Vax Date: 04/01/2021
Onset Date: 06/01/2021
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: RA

Lab Data: N/A

Allergies: None

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

Symptoms: Headache, mild. Muscle pain, severe fatigue. Started in June of 2021 and has been getting progressively worse to the point I called the primary care physician.

Other Meds: Lisinopril, Amlodopin, meloxicam, humera

Current Illness: None

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am