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: 1696297
Sex: F
Age: 33
State: CO

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

Allergies: No allergies.

Symptom List: Dysphagia, Epiglottitis

Symptoms: Fever >103, Bone pain, Confusion, Fatigue, Nausea, Muscle Pain, Chills, Rigors, Injection site pain, Headache. Approximately 12 hours post vaccination Fever, chills, muscle pain, and headache began. These continued for the next 48 hours. Bone pain began approximately 24 hours post vaccination and continued for 12 hours. Fatigue began 36 hours post vaccination and still continues. Confusion began 94 hours post vaccination and still continues.

Other Meds: Vitamin D, Vitamin C, Zinc

Current Illness: COVID + >14 days prior to vaccine

ID: 1696298
Sex: F
Age: 73
State: KY

Vax Date: 04/23/2021
Onset Date: 09/13/2021
Rec V Date: 09/14/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Pfizer on 4/2 and 4/23 and 8/18. Positive on 9/13

Other Meds:

Current Illness:

ID: 1696299
Sex: F
Age: 53
State: NC

Vax Date: 03/07/2021
Onset Date: 03/11/2021
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: I went to my gynecologists to try a hormone therapy. She prescribed more estrogen. It has not worked.

Allergies:

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

Symptoms: I have been in menopause for 7 years. After the 1st shot I noticed a return of hot flashes. After the 2nd shot I have had them every day , now for 6 months.

Other Meds:

Current Illness:

ID: 1696300
Sex: F
Age: 73
State: KY

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

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Moderna on 3/17 and 4/14. Positive on 9/13

Other Meds:

Current Illness:

ID: 1696301
Sex: F
Age: 21
State: GA

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

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

Lab Data: I have had no testing done on this but the vaccine is the only thing that has changed in my body over the past two months

Allergies: None

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

Symptoms: I have had both vaccines i had very harsh initial symptoms that went away after a few days however i have developed twitch in my left eye

Other Meds: Birth control

Current Illness: None

ID: 1696302
Sex: F
Age: 82
State: MI

Vax Date: 02/25/2021
Onset Date: 09/05/2021
Rec V Date: 09/14/2021
Hospital: Y

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: Sulfa Drugs Rash, Throat swelling Amoxicillin Diarrhea Seasonal Sneezing Tape Adhesive Rash, Other

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

Symptoms: Hospitalized; COVID-19 positive (9.5.21); fully vaccinated Admission Date: 9/5/2021 Discharge Date: 09/10/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Pneumonia due to COVID-19 virus [U07.1, J12.82] HOSPITAL COURSE: Patient is an 82 yo female with PMH of severe COPD, bronchiectasis, PE who was hospitalized on 9/5 with COVID19 pneumonia. Onset of her symptoms were on 9/2. Patient had been vaccinated with Moderna earlier this year. Laboratory workup revealing for hyponatremia of 128 and positive COVID19 test. Hypoxic with ambulation in ED. CT Thorax showed post operative changes secondary to left lower lobectomy and extensive chronic lung changes with no notable acute process. She was started on Decadron and Remdesivir and continued on home bronchodilators. We held home neb treatments secondary to COVID19 status. Her breathing and cough improved. PT/OT recommend Home with Home Care. She was weaned to room air. Clinically stable for discharge on 9/8 but felt fatigued so monitored for 1 more night. On 9/10 - pt felt strong, back to baseline and ready to discharge home. She is discharged home in stable condition. We discussed the following: - completion of Decadron for 4 more days (total of 10 days), THEN resuming home dose Prednisone - self quarantine through 9/1 - patient was recommended to monitor their oxygen levels at home with pulse oximeter and contact his PCP or call 911 if oxygen levels drop below 92%. Patient will need close follow up with PCP with additional outpatient testing/labs. - Patient was provided COVID discharge instructions and to self monitor for any signs/symptoms of blood clots. We reviewed COVID self-isolation instructions.

Other Meds: acetaminophen (TYLENOL) 500 MG tablet ALBUTEROL 108 (90 Base) MCG/ACT inhaler atorvastatin (LIPITOR) 40 MG tablet azithromycin (ZITHROMAX) 250 MG tablet budesonide/formoterol (SYMBICORT) 160-4.5 MCG/ACT inhaler cholecalciferol (VITAMIN D) 5

Current Illness: Seen in the office 8.17.21 - Dyspnea (COPD and spinal stenosis) Respiratory symptoms and distress 9.4.21/9.5.21 COVID-19 positive 9.5.21

ID: 1696303
Sex: F
Age: 34
State: OH

Vax Date: 09/09/2021
Onset Date: 09/10/2021
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:

Allergies: Peroxide

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Severe menstruation cramping, heavy menstruation spotting/bleeding. Symptoms started one day after receiving vaccine with cramping. The next day followed by cramping and breakthrough spotting. Very regular periods otherwise. Last period was sept 1-4th.

Other Meds: Aleve, Prozac.

Current Illness: None

ID: 1696304
Sex: F
Age: 60
State: VA

Vax Date: 03/09/2021
Onset Date: 08/06/2021
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 test positive

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: I was traveling on 8/1/2021 and I started having symptoms on 8/6/2021. I did a Covid test and it was positive. We drove so we just got back into the car and came back home to quarantine.

Other Meds:

Current Illness:

ID: 1696305
Sex: F
Age: 40
State: MD

Vax Date: 04/05/2021
Onset Date: 06/14/2021
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: TBD - ultrasound performed

Allergies: N/a

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Heavy menstruation cycle followed by irregular cycle and spotting

Other Meds: N/a

Current Illness: N/a

ID: 1696306
Sex: F
Age: 13
State: NC

Vax Date: 09/08/2021
Onset Date: 09/08/2021
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: Follow up at dr office on 9/13/21 and was told to take pain meds.

Allergies: none

Symptom List: Diarrhoea, Nasal congestion

Symptoms: My daughter had a 3 inch round raised welt at the injection site. It was about 1/8 inch raised for about 2 days and now 8 days later you can still see the red circle but its not raised. Also didn't feel well, didn't eat much for few days . Arm was sore like the first shot.

Other Meds: none

Current Illness: none

ID: 1696307
Sex: F
Age: 38
State: MN

Vax Date: 01/11/2021
Onset Date: 09/11/2021
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: 9/13/21 SARS/COV-2, NAAT, Positive

Allergies:

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

Symptoms: Breakthrough COVID

Other Meds:

Current Illness:

ID: 1696308
Sex: M
Age: 86
State: PA

Vax Date: 09/07/2021
Onset Date: 09/10/2021
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: N/A

Allergies: N/A

Symptom List: Rash, Urticaria

Symptoms: About three days after the second dose of the Moderna covid 19 vaccine my grandfather has lost his hearing. He is no longer able to talk on the phone due to hearing loss. He lives alone so as you can see this is very very alarming.

Other Meds: taking 5mg eliquis

Current Illness: None

ID: 1696309
Sex: M
Age: 76
State: OH

Vax Date: 04/02/2021
Onset Date: 08/29/2021
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 8/29/21- NEGATIVE COVID antigen 9/10/21- POSITIVE

Allergies: ambien, benzodiazepines, amiodarone

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

Symptoms: Patient admitted 8/29/21 for generalized weakness and debility.Patient was negative for COVID on admission. Patient's ill wife was visiting patient. Patient documented to be COVID positive 9/10/21. Patient is currently still admitted for treatment at the time of this report.

Other Meds: acetaminophen, allopurinol, apixaban, vit C, atorvastatin, bemetanide, cefdinir, vit B12, flexiril, epoeitin alfa, ferrous sulfate, gabapentin, hydralazine, insulin aspart, insulin detemir, isosorbide dinitrate, liraglutide, magnesium oxide

Current Illness: unknown

ID: 1696310
Sex: F
Age: 42
State: OH

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

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

Symptoms: In the afternoon of 9/11 I noted a flare of my fibromyalgia coming on. I haven't had one in so long I can't remember the last one. All of my old standard pain sites that hurt with a flare were inflamed, including a nerve issue in my neck, and I was exhausted. The problem persists.

Other Meds: None

Current Illness: None

ID: 1696311
Sex: M
Age: 51
State: MD

Vax Date: 05/20/2021
Onset Date: 05/24/2021
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:

Allergies:

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

Symptoms: Tinnitus which has progressively worsened

Other Meds:

Current Illness:

ID: 1696312
Sex: M
Age: 15
State: MS

Vax Date: 06/29/2021
Onset Date: 06/29/2021
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:

Allergies: No

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

Symptoms: Dizziness at the 15 minute mark after 1st dose of COVID vaccine. No other symptoms noted. BP 126/78, pulse 68, Resp. 18. After another 5 minutes, patient has no complaints and states " feels back to normal"

Other Meds: No

Current Illness: No

ID: 1696313
Sex: F
Age: 34
State: NY

Vax Date: 08/21/2021
Onset Date: 08/30/2021
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:

Allergies: NONE

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

Symptoms: HEAVY EARLY PERIOD

Other Meds: BIRTH CONTROL PILLS

Current Illness: NONE

ID: 1696314
Sex: F
Age: 39
State: FL

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

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: Blood Clots both lungs, Hospital stay x4 days, shortness of breathe, heparin IV x3 days and oral blood thinner x6 months

Other Meds: Prozac

Current Illness: None

ID: 1696315
Sex: F
Age: 15
State: OK

Vax Date: 08/16/2021
Onset Date: 09/13/2021
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: 09/13/21: POSITIVE POC SARS COVID RAPID ANTIGEN (QUICKVUE)

Allergies: NKA

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: NASAL CONGESTION, CHEST CONGESTION, COUGH, BODY ACHES, FEVER

Other Meds: CETIRIZINE, POLYETHYLENE GLYCOL

Current Illness: NONE

ID: 1696316
Sex: F
Age: 25
State: IL

Vax Date: 09/10/2021
Onset Date: 09/10/2021
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: Patient works for Dr., her PCP and he checked on her. She also let OB aware. She is going to have check up with OB this week - Did not go to ER. She did had headache about 6 PM pm 9/10/21. Still has lingering headache.Reports heart rate was 115-120 even resting Saturday and Sunday. Reports her heart rate has gone down now. Had a fever on Saturday - Temp 101.2

Allergies: Codeine

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

Symptoms: G4P0 EDC 11/21/2021 Hx of IVF Patient went to pharmacy for Pfizer dose #2. At 1:42 PM patient states that pharmacy called her to tell her Pfizer was reconstituted with Moderna Vaccine instead of sodium chloride.

Other Meds: Pepcid ASA Folic acid Vit D 5000 units Prenatal Vitamin

Current Illness: None

ID: 1696317
Sex: F
Age: 48
State: FL

Vax Date: 07/22/2021
Onset Date: 07/23/2021
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: LABS DONE.

Allergies: LAMISIL; DEMEROL; BACTRIM; RUBBER BANDAIDS

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

Symptoms: SWELLING WITH HIVES, SKIN REDNESS WITH ITCHING.

Other Meds: MULTIVITAMIN; XALATAN EYE DROP; TIMOPTIC EYE DROP

Current Illness: NONE

ID: 1696318
Sex: M
Age: 24
State: UT

Vax Date: 08/13/2021
Onset Date: 08/16/2021
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: i have a doctors appointment scheduled to talk to my doctor about this.

Allergies: none

Symptom List: Unevaluable event

Symptoms: Whenever I walk up my stairs now my chest is tight and my heart is beating hard, im unable to catch my breath. this is 1 flight of stairs thats making me feel like i just ran a mile. really anything that gets my heart beating takes 90% faster to make me feel winded and needing time to get my heart to stop beating so fast. i didn't know if this was anxiety at first but it is now clear to me with my apple watch and checking my heart rate that it is indeed beating extremely fast after just minimal physical activity

Other Meds: no medications, or prescriptions. i take black oxygen that has fulvic acid and some other minerals.

Current Illness: none

ID: 1696319
Sex: M
Age: 54
State: MI

Vax Date: 04/14/2021
Onset Date: 09/06/2021
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: Dust Sneezing Tylenol Diarrhea

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

Symptoms: Hospitalized; COVID-19 positive (9.6.21); fully vaccinated Admission Date: 9/6/2021 Discharge Date: 09/11/2021 Discharge disposition: Home; Condition at discharge: Improved Admission Diagnosis: Elevated troponin Congestive heart failure, unspecified HF chronicity, unspecified heart failure type Pneumonia due to COVID-19 virus COVID-19 Shock Syncope and collapse Discharge Diagnosis: COVID-19 Pneumonia Hospital Course: Patient is a 54 year old male with past medical history of severe multivessel coronary artery disease S/p PCI April 2021 to LCx (previous PCI to LAD, uncontrolled diabetes mellitus type 2 (Hgb A1c 11.2), OSA, hypothyroidism, and recent diagnosis of COVID 19 presented to hospital with syncopal episode on 9/6. He reported he had had several syncopal episodes over past few weeks preceded by severe chest pain. Recent LHC 8/24/21- three vessel CAD with prior stent thrombosis, poor targets for revascularization. Echo 9/6- EF down to 32% from 44% in August. He did require 2L NC on presentation. Labs significant for sodium 128, Creat 0.64. Troponin 102 then increased to 668 then back down. He became hypotensive with concern for cardiogenic shock and he was started on norepi for MAP >65 and transferred to ICU for CTS evaluation for CABG. He was weaned off of vasopressors by AM 9/8. CTS stated patient not a CABG candidate due to distal CAD and COVID pneumonia. Transferred out of ICU 9/8. He was started on dexamethasone and remdesivir for COVID pneumonia. He was hypotensive after transfer out of the ICU so unable to undergo diuresis or restart his home medications. Cardiology and Neurology felt that syncopal episodes were likely vasovagal in nature. Cardiology recommended medical management of CAD, LifeVest placed 9/10, repeat TTE in 3 months On CT thorax patient was found to have "A lobulated right lower paratracheal structure measures 2.5 x 3.2 cm and has gradually increased in size compared with 2009. This appeared to measure fluid density on the noncontrast portion of the comparison examination from 8/4/2017 and this may represent fluid in a pericardial recess or a bronchogenic/foregut cyst. However an abnormal mediastinal lymph node could also have this appearance. Recommend further assessment with MRI of the chest with and without contrast." Will defer repeat imagine of this to PCP. PT evaluated the patient and recommended discharge home with outpatient PT. At discharge he is aware of 10 days isolation requirements for COVID-19, through 9/16 unless still having fevers. He has outpatient appointments established with PCP and Cardiology for follow-up. Home ACE-I and IMDUR held at discharge for hypotension. He is encouraged to monitor BP at home and report to outpatient physicians. He has referral to outpatient cardiac rehab. Diabetes followed through hospital stay and home medications were resumed at discharge.

Other Meds: aspirin 81 MG tablet atorvastatin (LIPITOR) 80 MG tablet dapagliflozin 10 MG TABS ezetimibe (ZETIA) 10 MG tablet fluticasone (FLONASE) 50 MCG/ACT nasal spray gabapentin (NEURONTIN) 300 MG capsule insulin glargine (LANTUS SOLOSTAR) 100 UNIT/

Current Illness: 8.16.21 - seen for hearing loss and dizziness (wears hearing aids) 8.18.21 - sinusitis, headaches, cough, balance concerns 8.23.21 - ED visit - instent stenosis; unstable angina 9.6.21 - ED to hospital - COVID-19 positive (9.6.21)

ID: 1696320
Sex: F
Age: 52
State: GA

Vax Date: 04/23/2021
Onset Date: 09/01/2021
Rec V Date: 09/14/2021
Hospital:

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

Lab Data: MRI - no sign of stroke

Allergies: Sulfa

Symptom List: Injection site pain, Pain

Symptoms: Bell?s Palsy Drooping face, headache

Other Meds: Losartan 100 mg HCTZ 12.5 mg

Current Illness: Covid symptoms but negative Covid tests

ID: 1696321
Sex: M
Age: 22
State: VA

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

Lab Data: N/A

Allergies: N/A

Symptom List: Injection site pain, Menorrhagia

Symptoms: Fatigue staring 24 hours after vaccination and lasting 48 hours. Headache 72 hours after vaccination. Sweats and chills, cough, nausea and vomiting all 72 hours after vaccination.

Other Meds: N/A

Current Illness: N/A

ID: 1696322
Sex: F
Age: 38
State: AR

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: SYR
Vax Site: LA

Lab Data: NA

Allergies: cymbalta, penicillin, sulfa, dust mites, seasonal allergies

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

Symptoms: Within 30 minutes I was very nauseous (10 on a scale of one to ten). Then headache started in frontal lobe area (reminds me of when I had covid in 2/2020 and doesn't respond to anything). Slight itchiness. Lots of pain (widespread body pain not body aches). By 10 hours the pain was preventing sleep and the chills were causing shivering. Fever is steady between 101-102. I'm very itchy now (arms, chest, face, legs 6 on a scale of one to ten) with slight redness to chest/face. Briefly had pain with deep breaths but that has stopped. I've got major frequent urination (about every 30mins, not drinking much due to nausea). Shoulders are both hurting and stiff (not necessarily uncommon). I literally feel worse than having covid and I had to call in to work.

Other Meds: Levothyroxine 25mcg qam, vitamin d 50,000 units qw, flexeril 10mg prn

Current Illness: None

ID: 1696323
Sex: F
Age: 37
State:

Vax Date: 07/30/2021
Onset Date: 08/06/2021
Rec V Date: 09/14/2021
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: sulfa

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: 7 days after receiving the first dose of Moderna I developed lasting arm pain. This was different from the arm pain/soreness I had 3 hours after I first received the shot (which only lasted 2 days). Once the initial soreness wore off I had no pain, and then 7 days after the injection I developed this lasting arm pain at the site of injection. It can range from a dull ache, to intermittent sharp pains that radiate down from the site of injection to the base of my deltoid muscle. Sometimes it will keep me up at night, and seems to get worse when it's going to rain.

Other Meds: vit C 1000mg/day, vit d3 4000 IU/day, zinc 50mg/day, iron 324mg/day

Current Illness: Anemia

ID: 1696324
Sex: M
Age: 50
State: NY

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

Lab Data: None

Allergies: None

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Fever to 103F. Profound headache, chills, rigors and body aches. Lasted for total of 5 days; fever resolved on day 6. Symptom free (other than low grade fever ) on day 5.

Other Meds: Losartan 50mg/day

Current Illness: None

ID: 1696325
Sex: F
Age: 96
State:

Vax Date: 01/12/2021
Onset Date: 04/24/2021
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: 04/24/21 SARS-CoV-2 (COVID-19), Micro DETECTED

Allergies:

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

Symptoms: Presented to EC c/o nausea & vomiting on 04/24/21; discharged back to Facility on 04/29/21.

Other Meds:

Current Illness:

ID: 1696326
Sex: F
Age: 30
State: FL

Vax Date: 08/15/2021
Onset Date: 08/15/2021
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: n/a

Allergies: PCN, amoxicillin

Symptom List: Nausea

Symptoms: 8/13/2021: Patient 37w 6d gestation with EDD 8/28/2021. Pt presented with regular, painful contractions every 1-2 minutes with some bloody mucous discharge, but no leakage of fluid. Pt desires repeat cesarean delivery with tubal ligation. Patient tolerated Cesarean procedure well. COVID-19 test had not resulted prior to procedure, as it was considered urgent/emergent. No postop/postpartum problems. 8/15/2021: Patient given first dose of Pfizer COVID-19 vaccine. Pt stated that she feels like her "left side of face feels tingly/numb." Vitals WNL. Around 1443, patient stated that she started to have a headache. Earlier today, patient discharged postpartum c-section.

Other Meds: docusate, ferrous sulfate, ibuprofen prn for moderate pain

Current Illness: unknown

ID: 1696327
Sex: F
Age: 87
State: CA

Vax Date: 08/26/2021
Onset Date: 08/29/2021
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:

Allergies:

Symptom List: Injection site pain

Symptoms: Swollen lower leg , redness , blisters

Other Meds:

Current Illness:

ID: 1696328
Sex: F
Age: 63
State: MI

Vax Date: 03/08/2021
Onset Date: 09/06/2021
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: NKDA

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

Symptoms: Hospitalized; COVID-19 positive (9.6.21); fully vaccinated. Admission Date: 9/5/2021 Discharge Date: 09/07/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: TIA (transient ischemic attack) [G45.9] Chronic anticoagulation [Z79.01] HOSPITAL COURSE: Presents to the hospital with left upper extremity numbness and back pain, admitting provider suspected TIA, workup included an MRI, MRI of the brain was negative, based on the presentation which appears to be subacute and persistent this is more likely consistent with cervical radiculopathy. Given that family member had positive COVID test before patient's admission she was also tested for COVID, she came back positive therefore respiratory isolation placed, she was however asymptomatic, imaging of the chest was negative for pneumonia, she did not require supplemental oxygen. She was discharged home in stable condition. She will need to self quarantine for a total of 10 days post diagnosis of COVID. TIA diagnosis while present on admission was worked up and ruled out Cervical radiculopathy with left upper extremity numbness is the diagnosis that the patient was considered to have when discharged COVID 19 infection positive without respiratory distress nor other manifestations Other diagnosis as above Discharge Disposition:home or self care Active Issues Requiring Follow-up: Suspected cervical radiculopathy with pain and numbness and multilevel degenerative disc disease of back

Other Meds: acetaminophen (TYLENOL) 325 MG tablet apixaban (ELIQUIS) 5 MG tablet baclofen (LIORESAL) 20 MG tablet doxycycline (VIBRAMYCIN) 100 MG capsule gabapentin (NEURONTIN) 100 MG capsule lacosamide (VIMPAT) 100 MG tablet levETIRAcetam (KEPPRA) 750

Current Illness: oral thrush COVID-19 positive 9.6.21

ID: 1696329
Sex: F
Age: 42
State: IL

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

Lab Data:

Allergies: Celaic Disease, Shellfish allergy and Salmon

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

Symptoms: Within 30 mins and possibly prior as I was pre occupied cooking and not paying attention. Shot received at 12:15pm and I felt heat and itching along with normal vaccine swelling then once in front of a mirror at 1pm I noticed hive above the injection site. on 9/3 the hive was finally dissipating! Hesitant on 2nd shot as I have other allergies along with fact that I am on hormone therapy for menopause following hysterectomy's

Other Meds: Divigel daily

Current Illness: None

ID: 1696330
Sex: F
Age: 70
State: KS

Vax Date: 03/15/2021
Onset Date: 03/16/2021
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: cat scan for my leg - could not find anything

Allergies: almost anything - lost of allergies

Symptom List: Tremor

Symptoms: 2nd dose- I took steroids prednisone. nest day my brain was on fire. one week later feet was swollen and red. Couldn't stand up for long. Veins research said flow was fine. It had blood flow. I put my feet up. They didn't know what was wrong. I sent to my doctor and they sent me to the vein specialist.

Other Meds: Prednisone, Wellbutrin, Bupropion hcl , magnesium, potassium, glucosamine , vit D

Current Illness: no

ID: 1696331
Sex: M
Age: 61
State: KY

Vax Date: 03/23/2021
Onset Date: 09/08/2021
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: COVID PCR TEST

Allergies: NKDA

Symptom List: Erythema, Pruritus

Symptoms: POSITIVE COVID

Other Meds: HTN MEDS

Current Illness: NONE

ID: 1696332
Sex: U
Age:
State: MA

Vax Date: 09/09/2021
Onset Date:
Rec V Date: 09/14/2021
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: no adverse event reported.

Other Meds: unknown

Current Illness: none

ID: 1696333
Sex: M
Age: 85
State: NY

Vax Date: 02/25/2021
Onset Date: 04/30/2021
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: CAT Scan MRI Bloodwork

Allergies: No

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

Symptoms: On 4/30/2021, my husband was getting very weak and developed a fever. His doctor said take him to the ER. At the ER, he was diagnosed with sepsis caused by a perforated diverticulitis. He was treated at the Hospital, where they also found abscesses on his liver, and he almost died. He then went to rehab for two weeks and came home on 5/28. In June he developed urinary tract infections. He was on various antibiotics, but it kept coming back. Last week he was again back in the hospital because the infection was getting worse and was causing confusion for him as well. He was diagnosed with an infection from his colon spreading to his bladder. He needs to have a major surgery where part of his colon will need to be removed. He is going to have this surgery in the next week or so.

Other Meds: Yes, cholesterol medication, blood thinner (Xarelto), blood pressure medications

Current Illness: No

ID: 1696334
Sex: F
Age: 58
State: NV

Vax Date: 03/02/2021
Onset Date: 03/01/2021
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: MRI, various medication

Allergies: None

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Dizziness

Other Meds: Thyroid med and Vit D

Current Illness: None

ID: 1696335
Sex: F
Age: 26
State: VT

Vax Date: 01/08/2021
Onset Date: 09/13/2021
Rec V Date: 09/14/2021
Hospital:

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

Lab Data:

Allergies: Penicillin and amoxicillin

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

Symptoms: I tested positive for COVID 9/8/21 and have developed an uncommon symptom of COVID which is intense burning sensation in nostrils

Other Meds:

Current Illness:

ID: 1696336
Sex: F
Age: 65
State: GA

Vax Date: 08/28/2021
Onset Date: 08/28/2021
Rec V Date: 09/14/2021
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: Iodine, Keflex, Codine, Morphine, Tetracycline, Iron Infusion White wine

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

Symptoms: Pain on the pads of my feet (still exists after two weeks) Numbness of torso (lasted exactly two weeks) Swelling over hip replacement area (Hip replaced several years ago)

Other Meds: Lisinopril, Iron

Current Illness: No

ID: 1696337
Sex: F
Age: 28
State: IL

Vax Date: 09/04/2021
Onset Date: 09/04/2021
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: My doctor recommended a CT scan last night - so I will be getting one today.

Allergies: Morphine

Symptom List: Pain in extremity

Symptoms: I am having debilitating migraines for over a week almost every day. This is effecting my every day life.

Other Meds: None

Current Illness: None

ID: 1696338
Sex: U
Age: 55
State: GA

Vax Date: 08/06/2021
Onset Date: 08/06/2021
Rec V Date: 09/14/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Same day of the vax she had bleeding at injection site, had a 104 fever, clot in her lymph nods, high blood pressure, went to er and er did a blood test and told her that her blood was contaminated

Other Meds:

Current Illness:

ID: 1696339
Sex: F
Age: 33
State: KY

Vax Date: 09/02/2021
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: COVID 19

Allergies: NONE

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

Symptoms: POSITIVE COVID 5 DAYS AFTER SECOND DOSE

Other Meds: NONE

Current Illness: NONE

ID: 1696340
Sex: F
Age: 62
State: VA

Vax Date: 03/12/2021
Onset Date: 03/12/2021
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: EKG heart monitor blood work cat scan scan of my legs

Allergies: Penicillin, eggs whites, gluten, ragweed, sulfa drugs, cats

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

Symptoms: The day of the vaccine I experienced shortness of breathe and tightness in my chest. That lasted off and on for a couple weeks, it was like I had to force myself to breathe. On 06/26/2021 I woke up a heart beat of 165/minute and I felt dizzy. I was rushed to the hospital, the ambulance showed I was having a mild heart attack. the hospital diagnosis it as a attrofiblation.

Other Meds: No

Current Illness: No

ID: 1696341
Sex: F
Age: 63
State: VA

Vax Date: 09/09/2021
Onset Date: 09/11/2021
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: EMT's did the following. EKG normal BP 150/59 Blood sugar 150

Allergies: Sulfa and Iodine

Symptom List: Vomiting

Symptoms: Suddenly got weak and felt very faint, nausea and profuse sweating, rapid breathing . I crawled to phone called 911 and was barely able to get my words out then I passed out twice while lying on kitchen floor, holding on to the phone with dispatcher while waiting for EMT's to arrive). I felt like I was dying. My blood sugar was 150, my BP was 150/59 and they checked me out thoroughly. Oxygen levels okay and EKG fine.. We discussed possible Anxiety attack but that did not make sense as i was going about my normal routine and was not upset about anything. I have passed out a couple times in my life but I've never felt like that or had anything like this happen to me before! It's hard to know with all my other conditions exactly what happened but this event was nothing like anything I've experienced before. I am following up with my doctor and seeing if I need medication adjustments but I don't think there is any definitive answer and I'm afraid to get the second dose of the vaccine now.

Other Meds: Insulin Humalog and Lantus, Verapamil, Lisinopril, VitaminD3, Synthroid, Alpha Lipoic Acid

Current Illness: Type 1 Insulin Dependent Diabetes Hashimoto's Hypothyroidism Hypertension Sciatica

ID: 1696342
Sex: F
Age: 67
State: MI

Vax Date: 07/07/2021
Onset Date: 08/26/2021
Rec V Date: 09/14/2021
Hospital: Y

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

Lab Data:

Allergies: Percocet [Oxycodone-acetaminophen] Itching Tramadol Other

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Hospitalized; COVID-19 positive (8.26.21 / 9.7.21); fully vaccinated Admission Date: 9/7/2021 Discharge Date: 09/13/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute cystitis with hematuria Acute encephalopathy Altered mental status, unspecified altered mental status type HOSPITAL COURSE: Patient is a 68-year-old female with past medical history significant for end-stage renal disease on dialysis, diabetes, hypertension and chronic debility, resides in a nursing home over the last 4 months, presents to the hospital from dialysis as she became confused and started yelling that her legs hurt, complain of abdominal pain and had only finished about 75% of her dialysis run. Patient was also tested positive for COVID-19 on 08/26 and was started on Decadron on 08/30. She was noted to be mildly tachypneic, hypertensive 199/73 and needed 4 L nasal cannula. Urinalysis also was indicative of infection. Chest x-ray showed moderate pulmonary vascular congestion. Patient was admitted for further workup. Patient was noted to have E coli urinary tract infection and upon further evaluation with a CT showed possible ascending urinary tract infection. Urology consultation was obtained however felt that changes noted on CT were noted previously and this is likely related to low flow state given her dialysis state. No further urological interventions were felt to be needed. 7 day antibiotic course was completed. COVID-19: Patient was diagnosed to have COVID-19 on 08/26 and was started on dexamethasone 8/30 which she completed 10 day course. Respiratory status improved to her baseline. Acute hypoxic respiratory failure: Likely related to a combination of COVID-19 and volume status given her dialysis. This returned back to her baseline with supportive treatment, negative fluid balance to dialysis and ongoing treatment of COVID-19 End-stage renal disease: Nephrology assisted in management of dialysis. Patient was noted to be on Lokelma 4 days per week but was also noted to have low normal to low potassium levels and hence ir Lokelma dose was reduced to just 2 days per week. Hypertension: Even though she was noted to be hypertensive at admit, patient actually needed of her home dosing both Lopressor and losartan and maintained normal blood pressures. Encephalopathy: Likely related to toxic/metabolic encephalopathy related urinary tract infection, uremia and COVID-19. Over the hospital stay her mental status slowly improved. Goals of care discussion: Spoke to multiple times with son but attempts to call husband were unsuccessful. Did speak further about code status but per my conversation with patient, wishes are consistent with full resuscitation Consultations: Nephrology Neurology Gastroenterology Procedures: CT of the head negative Lower extremity bilateral ultrasound negative for DVT Barium swallow esophagogram suspicious for esophageal stricture, presbyesophagus CT of the abdomen and pelvis with IV contrast--bilateral urothelial/bladder wall thickening and hyper enhancement concerning for ascending urinary tract infection. Similar to changes noted on previous CT in April. Patchy ground-glass attenuation interlobular septal thickening has peripheral solid nodularity related to pulmonary edema versus COVID-19 infection Bilateral upper extremity ultrasound negative for DVT

Other Meds: acetaminophen (TYLENOL) 500 MG tablet albuterol HFA (PROVENTIL HFA, VENTOLIN HFA, PROAIR HFA) 108 (90 Base) MCG/ACT inhaler CRANBERRY PO D-Mannose 500 MG CAPS Dextrose, Diabetic Use, (GLUCOSE PO) doxazosin (CARDURA) 4 MG tablet fiber supple

Current Illness: NA COVID-19 positive 8.26.21 / 9.7.21

ID: 1696343
Sex: F
Age: 37
State:

Vax Date: 07/29/2021
Onset Date: 09/01/2021
Rec V Date: 09/14/2021
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: Mammogram to be done today, as well as routine labs sometime this week.

Allergies: sulfa

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

Symptoms: I previously developed lasting arm pain in my left arm after first dose of Moderna 7 days after the injection that I was still experiencing at the time of my second Moderna shot. I chose to get the 2nd dose in the same arm (left) as before because I didn't want to have this pain in both arms. After the 2nd shot the arm pain disappeared (besides the normal soreness). Exactly 7 days after the 2nd shot the arm pain came back just like it was after the first dose (random dull aches, intermittent sharp pains from site of injection down to end of the deltoid muscle). 26 hours after the second dose I felt a cold tingly sensation at the base of the left side of my head that lasted for a few minutes. About 5 minutes after that stopped I started to feel intermittent pain near my jaw on the left side of my face. This lasted for about an hour and then I decided to take ibuprofen. The pain in my jaw went away and never came back. 3 days after receiving my 2nd dose, I started to get cramping and severe breast tenderness. My period came 7 days later which was 1 week earlier than it should have come. During this time I noticed a large lump and a small lump in my right breast near/under the nipple. On day 5 of my period the breast tenderness has subsided, but the lumps still remain with slight tenderness to touch. I had my gynocologist exam me on Sept 1st when this started, and then went to my PCP Sept 13th to be checked again for the breast lumps. My doctor ordered me to have a mammogram to have it checked out so I have an appointment scheduled for today.

Other Meds: vit c 1000mg/day, vit d3 4000 IU/day, zinc 50mg/day, iron 324mg/day

Current Illness: anemia

ID: 1696344
Sex: M
Age: 43
State: KY

Vax Date: 08/20/2021
Onset Date: 08/01/2021
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:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Patient has chronic itching.

Other Meds:

Current Illness:

ID: 1696345
Sex: F
Age: 28
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:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data: n/a

Allergies: penicillin

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

Symptoms: I began to feel a rush of heat, body tingling, dizziness, and shortness of breath. I laid down on the floor immediately, and was clammy and sweating profusely through my head and shirt. The pharmacist called the ambulance.

Other Meds: n/a

Current Illness: n/a

ID: 1696346
Sex: F
Age: 36
State: MO

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

Lab Data:

Allergies:

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

Symptoms: Client was given Pfizer for her second dose in the series but was given Moderna for the first dose. No adverse reactions noted.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am