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: 1696245
Sex: M
Age: 63
State:

Vax Date: 04/01/2021
Onset Date: 08/28/2021
Rec V Date: 09/14/2021
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:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Covid19 positive

Other Meds:

Current Illness:

ID: 1696246
Sex: F
Age: 61
State: SC

Vax Date: 03/18/2021
Onset Date: 03/21/2021
Rec V Date: 09/14/2021
Hospital:

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

Lab Data: n/a

Allergies: no

Symptom List: Anxiety, Dyspnoea

Symptoms: Patient reported that she is suffering from memory loss and hair loss, she was also hallucinating and had to have someone come in and help her get dressed and was in the bed for 3 weeks

Other Meds: Clonazetam 1mg Vitamins

Current Illness: no

ID: 1696247
Sex: F
Age: 37
State: CO

Vax Date: 08/30/2021
Onset Date: 08/30/2021
Rec V Date: 09/14/2021
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: Sulfa drugs, amoxicillin

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

Symptoms: Mastitis in left breast. Symptoms appeared within 15 minutes of the vaccine dose. Symptoms included pain in breast, fever, muscle / body aches, chills. Treated with 10 day course of Clindamycin.

Other Meds: Lexothyroxine, prenatal vitamins, omega 3, vitamin B complex, magnesium, vitamin D3

Current Illness: Retained placenta

ID: 1696248
Sex: M
Age: 39
State:

Vax Date: 08/27/2021
Onset Date: 08/27/2021
Rec V Date: 09/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Extreme vertigo with nystagmus

Other Meds:

Current Illness:

ID: 1696249
Sex: M
Age: 57
State: NJ

Vax Date: 04/12/2021
Onset Date: 09/12/2021
Rec V Date: 09/14/2021
Hospital: Y

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

Lab Data: COVID PCR + 9/13/21

Allergies: no known allergies

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

Symptoms: fever, SOB

Other Meds:

Current Illness:

ID: 1696250
Sex: M
Age: 46
State: TX

Vax Date: 09/11/2021
Onset Date: 09/11/2021
Rec V Date: 09/14/2021
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: N/A

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

Symptoms: Soreness/pain at the injection site, headache, drowsiness, slight sore throat (persisted over approximately 48 hour period, seem to be dissipating)

Other Meds: N/A

Current Illness: N/A

ID: 1696251
Sex: M
Age: 74
State: GA

Vax Date: 02/16/2021
Onset Date: 02/27/2021
Rec V Date: 09/14/2021
Hospital: Y

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

Lab Data: Labwork, covid test-positive, CXR.

Allergies: NKA

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Pt came to ER c/o abdominal pain.

Other Meds:

Current Illness:

ID: 1696252
Sex: F
Age: 59
State:

Vax Date: 03/29/2021
Onset Date:
Rec V Date: 09/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Covid 19 positive

Other Meds:

Current Illness:

ID: 1696253
Sex: M
Age: 82
State: NJ

Vax Date: 01/27/2021
Onset Date: 08/29/2021
Rec V Date: 09/14/2021
Hospital: Y

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

Lab Data: On admission 8/29 SARS-COV-2 Antigen (-); on 8/30 SARS-CoV-2 PCR (-) On 9/6 SARS-COV-2 PCR (-) On 9/12, SARS-CoV-2 PCR (+) On 9/12 SARS-CoV-2 IgM 0.40; IgG 0.97 On 9/13, SARS-COV-2 IgG2 QT-SPIKE Atibodies 11,246.00

Allergies: Tetanus Toxoid

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Admitted with cellulitis which developed into septic shock. COVID was + but not a factor in the current illness.

Other Meds: allopurinol 100 mg podaily Aspirin 325 mg po daily COlace 100 mg po BID Cavedilol 3.125 mg po bid divalproex 250 mg po daily furosemide 20 mg po daily folic acid 1 mg po daily oxycodone 5 mg po q6h prn clopidogrel 75 mg po daily quetipine 1

Current Illness:

ID: 1696254
Sex: F
Age: 53
State: MN

Vax Date: 02/05/2021
Onset Date: 09/11/2021
Rec V Date: 09/14/2021
Hospital:

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

Lab Data: 9/12/21 SARS/COV-2, NAAT positive

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Breakthrough COVID

Other Meds:

Current Illness:

ID: 1696255
Sex: M
Age: 40
State: NC

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 09/14/2021
Hospital:

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

Lab Data: Chest x-ray, 07 June 2021 ESR, TSH, CMP, CRP, ECHO, Treadmill test ordered, 29 June 2021 Cardiac MRI, 19 Aug 2021

Allergies:

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

Symptoms: He states vaccine receipt 01 APR 21 with PFizer BioNTech was unremarkable and no suggestion of IgE mediated reaction. He states on 05 or 06 APR (day #4 or 5) he experienced onset of an intermittent pinching pain to midchest with activity and mild dyspnea. He states he was very fit and now was experiencing shortness of breath even climbing a flight of stairs.

Other Meds: pseudoephedrine HCl, 60 MG oxymetazoline HCl, 0.05 %, SPRAY, NASAL sod chlor,bicarb/squeez bottle, NASAL Fluticasone Propionate 0.05%, Spray, Nasal cholecalciferol (vitamin D3), 1,000 unit VALACYCLOVIR (valacyclovir HCl), 500 MG

Current Illness:

ID: 1696256
Sex: F
Age: 57
State: NY

Vax Date: 09/12/2021
Onset Date: 09/13/2021
Rec V Date: 09/14/2021
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: None known

Symptom List: Rash, Urticaria

Symptoms: A lot of body aches? neck , back, legs & arm & underarm & a feeling of being tired, heaviness ir sluggish.

Other Meds: Vitamin C, Vitamin Dk3, CoQ10, Salmon oil & Ceylon Cinnamon

Current Illness: No illnesses

ID: 1696257
Sex: M
Age: 51
State:

Vax Date: 08/19/2021
Onset Date: 09/10/2021
Rec V Date: 09/14/2021
Hospital:

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

Lab Data:

Allergies: eggs

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

Symptoms: a few days after taking my second dos I was extremely tired the first week. 15 days after the injection my jaw bone started to hurt. A lot. Now I'm taking 3x Extra Strength Tylenol PMs every 3 hours to keep the pain at away. When the pain does come back it goes straight to my jaw, upper jaw, left side of my face reaching up to my left temple. I have never experienced this kind of pain ever. Well, maybe when I was growing up. It feels like growing pains in my face. All my teeth are tingling. Very annoying. Will this go away?

Other Meds: Nebido - Testosterone Depot. It's for Klinerfeldt syndome.

Current Illness: Acid Reflux

ID: 1696258
Sex: F
Age: 30
State: TX

Vax Date: 09/13/2021
Onset Date: 09/14/2021
Rec V Date: 09/14/2021
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: Penicillin

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

Symptoms: Bloody nose

Other Meds:

Current Illness:

ID: 1696259
Sex: M
Age: 48
State: MD

Vax Date: 09/11/2021
Onset Date: 09/14/2021
Rec V Date: 09/14/2021
Hospital:

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

Lab Data: N/A

Allergies: None

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

Symptoms: Significant swollen of lymph nodes above left clavicle and tender. Discomfort/pressure into left side of neck

Other Meds: Levothyroid, cytomel, prozac

Current Illness: None

ID: 1696260
Sex: M
Age: 76
State: MI

Vax Date: 02/23/2021
Onset Date: 09/05/2021
Rec V Date: 09/14/2021
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: Amoxicillin [Penicillins] Rash Ampicillin Other

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

Symptoms: Hospitalized; COVID-19 positive (9.5.21); fully vaccinated Admission Date: 9/4/2021 Discharge Date: 09/13/2021 ASSESSMENT / PLAN: 1. COVID-19 pneumonia, Tylenol p.r.n. fever, oxygen as per protocol, IV remdesivir, Decadron, bronchodilators, zinc, thiamine, undo with full inflammatory markers 2. Atrial fibrillation monitor telemetry, continue metoprolol, and Coumadin for anticoagulation. INR is therapeutic at 2.3 3. Possible sepsis likely from COVID-19 lactic acidosis resolved, procalcitonin elevated, CRP also elevated, urinalysis negative nitrite and esterase , continue ceftriaxone and Zithromax for possible superimposed bacterial pneumonia 4. DVT prophylaxis patient therapeutic on Coumadin. Pharmacy to dose Coumadin HISTORY OF PRESENT ILLNESS: PT is a 76 y.o. male with history of chronic knee pain who had initially come to the emergency room for evaluation of the he lost balance while coming out of his truck and fell backwards. He claims he did not hit his head and he did not lose consciousness but reported worsening right knee pain. He also reports occasional cough which sometimes is productive none mild shortness of breath, he does not use oxygen at home. He denies chest pain reports fever denies nausea vomiting abdominal pain or diarrhea. Denies dysuria hematuria no leg pain or swelling In the emergency room maximum temperature was 38.5? centigrade, patient was hypoxic with oxygen saturation of 87 and was subsequently placed on 2 L nasal cannula, troponin less than 6, lactic acid was 2.3 but trended downwards, procalcitonin 1.64, WBC count of 11.65 2 CT scan of the head was unremarkable CTA of the chest no evidence of PE shows mild COVID-19 pneumonia PRESENTING PROBLEM: Weakness [R53.1] Atrial fibrillation with RVR (HCC) [I48.91] Fever, unspecified fever cause [R50.9] Sepsis, due to unspecified organism, unspecified whether acute organ dysfunction present (HCC) [A41.9] Pneumonia due to 2019 novel coronavirus [U07.1, J12.82] COVID-19 virus infection [U07.1] HOSPITAL COURSE: Admitted to the hospital with COVID pneumonia, treated with steroids, remdesivir, supplemental oxygen, empirical antibiotic coverage. Blood culture grew Streptococcus agalactiae, initially source was thought to be the right knee, it was initially swollen and painful following a fall that the patient experienced prior to coming to the hospital. Orthopedics were consulted, aspirate negative for Streptococcus agalactiae. Treatment with Rocephin 2 g daily that the ID consultant recommended be continued for 2 weeks, it started on the 7th, it will be continued until the 20th on outpatient basis. Oxygen was weaned down to room air fairly early during the course of hospitalization The patient is on Coumadin for history of atrial fibrillation, initially INR was supratherapeutic, over the last 3 days before today INR has been subtherapeutic therefore a CT angiography of chest to rule out PE given the fact that the D-dimer was more elevated was done, negative for PE but more inflammatory changes of COVID found. For the AFib RVR in addition to his Lopressor 100 mg twice a day I added Cardizem initially IV and subsequently orally, I added digoxin up to 125 mcg daily but previous to that loading of 2 consecutive days 500 mcg IV daily done. Since heart rate was still elevated I increased the Lopressor to 150 mg by mouth twice a day. I explained to the patient that this is more than likely consistent with AFib RVR resulting directly from the presence of COVID pneumonia therefore I am anticipating that in the future these medications will need to be scaled back so I encouraged him to follow-up with his primary care physician to do that. Need for continuous hospitalization up to this point was 1. COVID pneumonia isolation, 2. Need for IV antibiotic, 3. Ongoing AFib RVR with rates above 100 requiring active medication adjustment and intravenous medication and close monitoring.

Other Meds: acarbose (PRECOSE) 25 MG tablet alfuzosin (UROXATRAL) 10 MG 24 hr tablet atorvastatin (LIPITOR) 20 MG tablet cefTRIAXone (ROCEPHIN) 2 g/20mL injection clindamycin (CLEOCIN) 150 MG capsule digoxin (LANOXIN) 125 MCG tablet dilTIAZem (CARDIZEM

Current Illness: Pain and swelling of knee; mobility issues

ID: 1696261
Sex: F
Age: 50
State: IN

Vax Date: 09/01/2021
Onset Date: 09/01/2021
Rec V Date: 09/14/2021
Hospital:

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

Lab Data: ER Visit on 9/3/21: EKG, blood work, chest xrays, heart monitor for 48 hours

Allergies: Keflex Darvoset

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

Symptoms: Received 2nd COVID vaccine around 3pm and then about 3 hours later my heart began thumping so hard it felt as if it were coming out of my chest. The thumping continued into the next day and I ended up going to the Emergency Room for treatment where they ran an EKG, full blood work up, chest xrays and went home wearing a portable halter heart monitor for 48 hours. Follow-up with a cardiologist for results. The thumping has continued almost 2 weeks later.

Other Meds: Spironolactone 50 mg Levothryoxine 100mcg Tydemy (birth control) Multivitamin

Current Illness:

ID: 1696262
Sex: F
Age: 71
State:

Vax Date: 02/03/2021
Onset Date: 08/25/2021
Rec V Date: 09/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: COVID 19 positive

Other Meds:

Current Illness:

ID: 1696263
Sex: F
Age: 32
State: CT

Vax Date: 09/03/2021
Onset Date: 09/11/2021
Rec V Date: 09/14/2021
Hospital:

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

Lab Data: Blood labs

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: After 1st covid vaccine I have a swollen lymph node under my right arm. That is still there after getting my 2nd vaccine in my left arm as Dr recommend using opposite arm. One week after 2nd vaccine I started to get palpation. After two days of this I went to er because my heart rate was in the 160s just walking around the house. I also experienced shortness of breath and chest pains. Er dr gave fluids, did ekg that showed tachycardia. They also ran labs and it showed my tsh levels were really high at 32 making me hypo which has not happened in years. My last labs were done just in July and they were great with my tsh being 1.67. I take my medicine daily first thing in the morning with no food or drinks besides water for several hours. I regularly fast till lunch. Now all of a sudden my levels are off the charts and my dr said she is blown away and has no idea why this is happening. They have no clue if the vaccine causes this due to LACK OF STUDYING and you fools says it's safe. So this is a issue and needs to be looked into further because my Dr's have no clue why or what to do and that is very unsettling.

Other Meds: Synthroid 125mcg Viibryd 10mg Multivitamin B12

Current Illness: None

ID: 1696264
Sex: M
Age: 66
State:

Vax Date: 08/19/2021
Onset Date: 09/09/2021
Rec V Date: 09/14/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Patient received Pfizer vaccine 3/29/2021, 4/19/2021 and 8/19/2021. 8/19/2021 dose administration is documented in this report.

Other Meds:

Current Illness:

ID: 1696265
Sex: F
Age: 29
State: NY

Vax Date: 09/08/2021
Onset Date: 09/13/2021
Rec V Date: 09/14/2021
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: nka

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

Symptoms: abnormal menstrual bleeding, severe cramping, dizziness, nausea, diarrhea

Other Meds: none

Current Illness: none

ID: 1696266
Sex: F
Age: 58
State: OH

Vax Date: 07/28/2021
Onset Date: 09/10/2021
Rec V Date: 09/14/2021
Hospital:

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

Lab Data: COVID antigen test 9/10/21- POSITIVE

Allergies: vicodin, ibuprofen

Symptom List: Unevaluable event

Symptoms: Patient presented to ED 9/10/21 and was admitted for acute hypoxic respiratory failure secondary to COVID-19 pneumonia. COVID antigen test was positive 9/10/21. Patient was discharged to home 9/13/21.

Other Meds: acetaminophen, albuterol sulfate inhaler, apixaban, vit D3, cyclobenaprine, folic acid, gabapentin, levothyroxine, metformin, metoprolol, prednisone, sitagliptin, warfarin

Current Illness: unknown

ID: 1696267
Sex: F
Age: 64
State:

Vax Date: 04/30/2021
Onset Date: 09/13/2021
Rec V Date: 09/14/2021
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:

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

Symptoms: Per ED Note: Chest pain that began this morning. Cannot describe the pain. Rated as 8/10. Also noting feeling more confused. Called EMS. Initial rhythm unremarkable. Patient did have sudden change to wide-complex sinus rhythm while in route to the ED concerning for acute STEMI. Patient received aspirin and 1 dose of nitroglycerin via EMS. After receiving nitroglycerin dose EKG changes returned back to baseline. Patient states that she is still having some chest pain. Otherwise has no complaints. She did receive both of her COVID-19 vaccines. She is coughing but states that she has been coughing for a long time and this is gradually improving. She does not smoke, drink alcohol, or recreational drugs. Patient has had quadruple bypass in the past and has a history of heart failure.

Other Meds:

Current Illness:

ID: 1696268
Sex: F
Age: 47
State: CT

Vax Date: 04/25/2021
Onset Date: 05/05/2021
Rec V Date: 09/14/2021
Hospital: Y

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

Lab Data: Neurologist 6/24/2021. Blood Work Up: normal Cytokine Blood Work 7/27/2021: showed high IL-17, IL-13 and IL-1 beta Total Spike Semi QN Blood Work 7/27/2021: 31.1 High EMG 9/9/201 normal MRI : 9/14/2021 today therefore, no results yet Brain Based Tests: showed autonomic dysfunction and vestibular dysfunction

Allergies: Clariten

Symptom List: Injection site pain, Pain

Symptoms: Bi lateral shin pain (for two weeks at onset of symptoms), bi lateral calf pain (ongoing), left thigh pain (ongoing), right arm paralysis (one week at onset), bi lateral numbness in hands & fingers (2 months), bi lateral leg muscle spasms (ongoing), burning skin (new symptom), sore feet (new symptom), weakness in lower legs making me unable to walk (ongoing but improving), brain fog (ongoing but improving), dizziness (ongoing), off balance (improved), loss of appetite (2 months), unable to drive still. Treatments: PCP & Neurologists unable to find me help or answers and unwilling to even prescribe Prednisone. Naturopath and Chiropractic Neurologist have been most helpful with acupuncture treatment, supplements, red laster therapy, and brain based exercises for vestibular issues and autonomic dysfunction.

Other Meds: None

Current Illness: None

ID: 1696269
Sex: F
Age: 67
State: AZ

Vax Date: 06/12/2021
Onset Date: 06/25/2021
Rec V Date: 09/14/2021
Hospital:

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

Lab Data: EKG, blood work, urinalyses, tested stool, ct scan of GI Tract

Allergies: Pain killers (morphine, codeine

Symptom List: Injection site pain, Menorrhagia

Symptoms: Within 2 weeks of getting my second dose of the Maderna vaccine, I started getting bad dizzy spells and diarrhea which caused me to go to Urgentcare and the ER numerous times and to miss a week of work. I am still dealing with both. None of the doctors could figure out what was the cause. I mentioned my thoughts about possible adverse affects from the Maderna vaccines and that almost everyone I mentioned it to, said they had been having the same symptoms since getting the COVID vaccines.

Other Meds: Hydrochlorothiazide 25 mg, vitamin D3, vitamin C

Current Illness:

ID: 1696270
Sex: M
Age: 69
State: MI

Vax Date: 04/30/2021
Onset Date: 09/05/2021
Rec V Date: 09/14/2021
Hospital: Y

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

Lab Data:

Allergies: NKDA

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

Symptoms: Hospitalized; COVID-19 positive (9.5.21); fully vaccinated Admission Date: 9/5/2021 Discharge Date: 9/8/2021 DISCHARGE DIAGNOSES: 1. COVID-19 infection 2. Urinary retention 3. History of multiple strokes 4. Dementia with behavioral disturbance 5. Chronic liver disease 6. Anemia 7. Benign essential hypertension DETAILS OF HOSPITAL STAY: HOSPITAL COURSE: Patient is a 69-year-old male who was brought to the ED after testing positive for COVID-19 at his long-term care facility. Due to his positive COVID test, he was unable to status facility, so was sent to the emergency department for further evaluation. He was hemodynamically stable in the emergency department with normal labs, but due to placement issues, he was admitted to the hospitalist service for further care. Upon admission, the patient was monitored on the general medical floor. We discussed regenerate on therapy with his guardian, but never heard back from the guardian as to whether or not she wished to pursue this, so it was never given. He remained hemodynamically stable, with normal labs throughout his inpatient stay. He is to be discharged for continued isolation until he can return to his local skilled nursing facility.

Other Meds: acetaminophen (TYLENOL) 500 MG tablet aspirin 81 MG enteric coated tablet benzonatate (TESSALON) 100 MG capsule donepezil (ARICEPT) 10 MG tablet escitalopram (LEXAPRO) 20 MG tablet lactulose (CONSTULOSE) 20 GM/30ML SOLN melatonin 3 MG table

Current Illness: NA

Date Died: 09/13/2021

ID: 1696271
Sex: M
Age: 63
State: AR

Vax Date: 09/09/2021
Onset Date: 09/13/2021
Rec V Date: 09/14/2021
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: Metfomin

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Pt had vaccine on 9/9. Four days later he presented at local emergency room with blood clots in both legs. He died at the hospital the same day.

Other Meds:

Current Illness:

ID: 1696272
Sex: F
Age: 36
State: OK

Vax Date: 08/11/2021
Onset Date: 08/24/2021
Rec V Date: 09/14/2021
Hospital: Y

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

Lab Data: Amniocentesis performed due to FOB family history of hemifacial microsomia on 8/10 prior to vaccine date. 8/16 Down's screening negative, but elevated WBCs (16.28) on this date and urea nitrogen normal 8/19 clear urine sample but WBCs 17.92, COVID test performed and resulted negative, drug screen cleared and negative

Allergies: Codeine causing rash

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Vaccine received after recommended by perinatal specialist on 8/11/2021 at the Pharmacy, Normal ultrasound 8/12/2021 8/19/2021 patient developed nausea/vomiting/diarrhea 8/24/2021 patient presents with severe abdominal pain running from hips to center of abdomen and down legs. She is seen and discharged. Patient then presents to the facility and diagnosed with small abruption at 22 weeks. On 8/26 she spontaneously delivers at 22 weeks. Infant was peri-viable and intubation was attempted but ultimately did not survive

Other Meds: labetalol HCL 100MG 2 times daily Loperamide 2MG once daily as needed Ondansetron 4MG every 8 hours PRN for nausea Ferrous Gluconate 324MG 3 times daily iron supplement

Current Illness: Prenatal Hypertension

Date Died: 02/26/2021

ID: 1696273
Sex: M
Age: 63
State: FL

Vax Date: 01/14/2021
Onset Date: 02/26/2021
Rec V Date: 09/14/2021
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: Lab work, cxr, covid test-positive

Allergies: PCN

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

Symptoms: Pt sent to ER via EMS for AMS and hypotension, cool to touch.

Other Meds:

Current Illness:

ID: 1696274
Sex: M
Age: 16
State: NC

Vax Date: 08/26/2021
Onset Date: 08/27/2021
Rec V Date: 09/14/2021
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: SHELLFISH

Symptom List: Nausea

Symptoms: Woke up with large tennis ball sized knot on arm at injection site. Was hard, hot, and red for 9 days.

Other Meds: NONE

Current Illness: NONE

ID: 1696275
Sex: F
Age: 65
State: NY

Vax Date: 08/12/2021
Onset Date: 08/12/2021
Rec V Date: 09/14/2021
Hospital:

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

Lab Data: covid tests on July 26 (4 days after first vaccine dose) and on Sept 10 (4 weeks after second dose) EKG - 9/10/21 lung x-ray 9/10/21

Allergies: severe allergy to buckwheat (causes anaphylaxis)

Symptom List: Injection site pain

Symptoms: high fever (104+), headache, occular migraine, body aches and pains, chest pain and tightness, burning sensations in chest and on surface of skin, shortness of breath, racing heartbeat, hallucinations, incontinence.

Other Meds: Vitamin D 1000 mg daily

Current Illness: none

ID: 1696276
Sex: F
Age: 40
State: CA

Vax Date: 03/18/2021
Onset Date: 03/26/2021
Rec V Date: 09/14/2021
Hospital:

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

Lab Data: Obgyn appointments and heart monitoring.

Allergies: Chemicals found in food, especially soy or canola lecithin, as they are processed with hexane.

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

Symptoms: *Horrible pain in the back of my head worse than any chiari pain I have ever had. *Blood clots the size of golf balls for 25 days. *A rash occurred at the sit of injection and a lot of my arm. *Chest pain and heart flutters.

Other Meds: None

Current Illness:

ID: 1696277
Sex: M
Age: 15
State: PA

Vax Date: 06/11/2021
Onset Date: 06/28/2021
Rec V Date: 09/14/2021
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: Anti-GQ1b positive, normal/ negative MRI brain, EMG/NCS and lumbar puncture.

Allergies: No known allergies.

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

Symptoms: Miller-Fisher variant Guillain-Barre syndrome; rapid onset diagonal diplopia and gait instability, improved initially over 2 months then further worsening requiring IVIg treatment.

Other Meds: n/a

Current Illness: None

ID: 1696279
Sex: F
Age: 19
State: NC

Vax Date: 07/16/2021
Onset Date: 07/17/2021
Rec V Date: 09/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: Patient is a 19yo female ADSM with who experienced onset of generalized pruritic erythematous dermatitis described as urticaria on awakening day 1 after receipt of Pfizer BioNTech COVID vaccine #1. She did not respond to oral benadryl or topical OTC steroid and was treated with oral prednisone and the dermatitis resolved about 6 days after onset. Provider note day 3 documents 'Maculopapular rash with visible hives which extends over patient's back, stomach, neck, and bilateral upper extremities without any evidence of desquamation, cracking or bleeding'

Other Meds:

Current Illness: Onychomycosis Furuncle of other sites

ID: 1696280
Sex: F
Age: 63
State: NY

Vax Date: 09/13/2021
Onset Date: 09/13/2021
Rec V Date: 09/14/2021
Hospital:

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

Lab Data: 09/13 get EKG and other test and everything came back normal

Allergies: no

Symptom List: Erythema, Pruritus

Symptoms: Patient wasnt sure what type of Flu shot it was... she stated that it wasn't the high dose...after an hour of getting the vaccine she stated that her rate increase rapidly

Other Meds: Synthroiz

Current Illness: no

ID: 1696281
Sex: F
Age: 69
State: FL

Vax Date: 03/06/2021
Onset Date: 09/09/2021
Rec V Date: 09/14/2021
Hospital: Y

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: amoxicillin, bactrim, betadine, contrast dye, fish, flagyl,

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

Symptoms: 9/9/21: Patient arrived at the ER due to shortness of breath, chest pain, has had a cough and diarrhea. Also mentions headache and dizziness, abdominal pain, nausea and vomiting. Patient tested positive for COVID on 9/11/2021

Other Meds:

Current Illness:

ID: 1696282
Sex: M
Age: 71
State: FL

Vax Date: 09/02/2021
Onset Date: 09/08/2021
Rec V Date: 09/14/2021
Hospital: Y

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

Lab Data: CTA positive for PE

Allergies: zosyn

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

Symptoms: Patient had worsening SOB (started around 09/04) which he expressed on 09/08 when he came in for chemotherapy. Patient has received 3rd dose of COVID-19 vaccine on 09/02, but is also receiving chemotherapy regimen which has a black box warning for VTE. Heme/onc decided to admit patient where CTA was done and patient was positive for PE. Heparin gtt was initiated with admission on 09/08 and continued to discharge on 09/10 when patient was switched to Eliquis. Patient reported no other signs and symptoms besides SOB throughout his stay.

Other Meds: bortezomib/lenalidomide/dexamethasone, nicotine patch, aspirin, cyanocobalamin, multivitamin

Current Illness:

ID: 1696283
Sex: F
Age: 43
State: KY

Vax Date: 03/30/2021
Onset Date: 09/07/2021
Rec V Date: 09/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: positive COVID test

Other Meds:

Current Illness:

ID: 1696284
Sex: M
Age: 68
State: MI

Vax Date: 03/03/2021
Onset Date: 09/05/2021
Rec V Date: 09/14/2021
Hospital: Y

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

Lab Data:

Allergies: NKDA

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

Symptoms: Hospitalized; COVID-19 positive (9.5.21); fully vaccinated Admission Date: 9/6/2021 Discharge Date: 09/08/2021 Patient's Discharge Disposition: Home in stable condition. DISCHARGE DIAGNOSES: 1. Sepsis, UTI 2. Non-neutropenic fevers 3. Covid-19 positive 4. AKI 5. Metastatic neuroendocrine carcinoma of Retroperitoneal Mass with pelvic lymph mets 6. Metastatic invasive urothelial carcinoma 7. HTN 8. HLD 9. Insomnia Hospital course: This is a 69 yo male with a history of neuroendocrine carcinoma of pelvis mass diagnosed 7/8/21 and on active treatment with VP16/cisplatin. He completed cycle 2 on 9/2/21. He also has a history of urothelial carcinoma s/p RURBT 3/22/19 and cystoprostatectomy 11/2020, CAD, OSA, HLD. He had presented to Metro ED on 9/5/21 with a fever, nausea and malaise. Work-up was started with blood cultures, IV antibiotics but the patient eventually left AMA due to bed shortage from Metro. Then on 9/6/21 he presented to SH BWH ED. He had Leukocytosis and fevers. His COVID PCR from 9/5 was positive. The patient was admitted for sepsis, likely from COVID-19. UA appeared positive and urine culture is still pending. Patient was started on Zosyn. ID was consulted for evaluation. The patient did not meet criteria for monoclonal antibodies for Covid. His fevers improved and his blood cultures are negative at 48hrs. Per discussion with ID patient is okay to discharge home today, and with zosyn has been treated for UTI, although cultures will be followed-up outpatient. The patient had diarrhea but it improved prior to cdiff sample could be collected. He had a mild AKI on admission which has improve with IVF. The patient's WBC normalized and his vitals are stable. He is discharging home in stable condition. He will follow-up in the office on 9/16 with labs and Doctor. Nurse coordinator to f/u on urine culture after discharge.

Other Meds: acetaminophen (TYLENOL) 325 MG CAPS aspirin 81 MG enteric coated tablet atorvastatin (LIPITOR) 80 MG tablet diphenhydrAMINE (SOMINEX) 25 MG tablet ezetimibe (ZETIA) 10 MG tablet Glucosamine-Chondroitin (MOVE FREE PO) Melatonin 10 MG CAPS MU

Current Illness: COVID-19 positive 9.5.21 ED visit 9.5.21 Metro Health - fever, chills & vomiting, since Thursday, chemo infusion on Thursday - COVID positive

ID: 1696285
Sex: F
Age: 82
State: FL

Vax Date: 04/05/2021
Onset Date: 09/13/2021
Rec V Date: 09/14/2021
Hospital: Y

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: Levofloxacin

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

Symptoms: 9/13/21: Patient arrived at the ER due to shortness of breath getting progressively worse over the last 3 hours. Patient was given breathing treatment at home by family, with no improvement. She just also received her flu vaccine on 09/10/2021. She endorses mild fevers at home. Patient received first dose Pfizer vaccine on 3/15/2021 Lot # EN6198 and the second dose on 4/05/2021 Lot # EN62060

Other Meds:

Current Illness:

ID: 1696286
Sex: F
Age: 64
State: FL

Vax Date: 03/24/2021
Onset Date: 09/13/2021
Rec V Date: 09/14/2021
Hospital: Y

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

Lab Data:

Allergies: Zithromax

Symptom List: Pain in extremity

Symptoms: 9/13/21: Patient arrived at the ER due to worsening cough and shortness of breath. Per patient she returned from traveling on last Tuesday and since then experiencing worsening shortness of breath with exertion and dry cough. Associated with chest tightness and congestion and fatigue. The patient also reported recurring fevers. The patient was exposed to COVID-19 cases while traveling. The patient went to Clinic on Friday, COVID test was negative and the patient was started on doxycycline. Despite taking the medication her symptoms were getting worse therefore she decided to come to the ER. Patient tested positive for COVID on 9/13/21.

Other Meds:

Current Illness:

ID: 1696287
Sex: F
Age: 61
State: IA

Vax Date: 09/11/2021
Onset Date: 09/13/2021
Rec V Date: 09/14/2021
Hospital: Y

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

Lab Data: MRI: "multifocal areas of acute ischemia in a pattern suggestive of thromboembolic stroke."

Allergies: Allergy to Bactrim

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

Symptoms: Patient received 2nd dose of COVID vaccine on 9/11/21. Presented to hospital on 9/13/21 with worsening right-sided weakness. Teleneurology consult assessment with findings of "stroke, probably left posterior limp interal capsule/small vessel."

Other Meds: Acetaminophen, Atorvastatin, Calcium Carbonate, Clopidogrel, Cyclobenzaprine, Folic Acid, Lisinopril, Methotrexate, Metoprolol, Nitroglycerin, Prednisone, Triamcinolone nasal spray

Current Illness:

ID: 1696289
Sex: F
Age: 14
State: AL

Vax Date: 09/11/2021
Onset Date: 09/12/2021
Rec V Date: 09/14/2021
Hospital:

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

Lab Data: 9/13/21 - Physical exam within normal limits. EKG shows normal sinus bradycardia CBC, CMP, Troponin, CRP, Sed rate, TSH within normal limits

Allergies: no known allergies

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

Symptoms: Patient reports that she received her 2nd Pfizer COVID vaccine Saturday and woke up in the early AM Sunday with chest pain, her head "feeling tingly" and heart rate feeling like it was going fast sometimes and slow sometimes. Presented to the office on Monday AM with symptoms persisting

Other Meds: cetirizine 10mg daily, flonase nasal spray

Current Illness: n/a

ID: 1696290
Sex: F
Age: 84
State: VA

Vax Date: 08/04/2021
Onset Date: 08/08/2021
Rec V Date: 09/14/2021
Hospital:

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

Lab Data: none

Allergies: mercury, some vaccine preservatives, celebrex, chemicals in processed food.

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

Symptoms: Feeling of stuffiness in left frontal lobe of brain. Dull ache no headache.

Other Meds: Vitamin D3 1000IU Daily

Current Illness: Incontinence, peripheral neuropathy in legs, heart valve calcification.

ID: 1696291
Sex: F
Age: 44
State: WI

Vax Date: 09/03/2021
Onset Date: 09/03/2021
Rec V Date: 09/14/2021
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

Allergies: Fur, bananas, mellons

Symptom List: Vomiting

Symptoms: I have pain, swelling, numbness and tingling in my left arm and hand. It is most noticeable in my left hand. The numbness and tingling are present all the time, but sometimes it gets worse. It feels like my arm "fell asleep" all the time. My left arm is also sore to the touch. I thought this would pass, since arm pain is a common side-effect, but it has been 11 days and it has not improved and the numbness/tingling concern me, which is why I am reporting it now.

Other Meds: None

Current Illness: None

ID: 1696292
Sex: F
Age: 65
State: MN

Vax Date: 09/10/2021
Onset Date: 09/11/2021
Rec V Date: 09/14/2021
Hospital:

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

Lab Data: I have not gone in yet. It is day 4

Allergies: Gluten

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Aching in joints specifically the knees Stiffness in fingers and puffiness Headache behind the eyes Heart fluttering and weakness in legs Ringing in ears

Other Meds: No

Current Illness: No

Date Died: 03/04/2021

ID: 1696293
Sex: M
Age: 82
State: FL

Vax Date: 01/30/2021
Onset Date: 02/23/2021
Rec V Date: 09/14/2021
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: Covid test on 2/23/21 and cxr.

Allergies: Bactrim, benzoin topical tincture, cephalexin, ciprofloxacin, clindamycin, doxycycline, fluorouracil, polysporin, solaraze, tape, telfa, vicryl stiches.

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

Symptoms: Pt came to ER for jaundice on 2/23. Seen in ED again on 2/27 for weakness and fatigue.

Other Meds:

Current Illness:

ID: 1696294
Sex: F
Age: 37
State: ME

Vax Date: 08/25/2021
Onset Date: 08/26/2021
Rec V Date: 09/14/2021
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: No testing.

Allergies: Lactose

Symptom List: Injection site swelling, Limb discomfort

Symptoms: First 5 days esophagitis/gastritis, red inflamed throat, epigastric pain, difficulty eating, reflux pain so bad awakens during night, difficulty taking meds. Started 8-10 days of Prilosec 40mg BID, then liquid diet and taper to Prilosec 20mg BID last 3 days. Awaiting availability to have gastric band released.

Other Meds: Topamax, Wellbutrin, Percocet, B2, magnesium, aspirin, Tylenol, Zyrtec

Current Illness: None

ID: 1696295
Sex: F
Age: 60
State: KY

Vax Date: 04/29/2021
Onset Date: 09/13/2021
Rec V Date: 09/14/2021
Hospital: Y

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: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: Pfizer on 4/8 and 4/29. Positive on 9/13

Other Meds:

Current Illness:

ID: 1696296
Sex: F
Age: 68
State: IL

Vax Date: 09/03/2021
Onset Date: 09/05/2021
Rec V Date: 09/14/2021
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: Swollen hands that were hard to open

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am