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: 1701356
Sex: F
Age: 46
State: TX

Vax Date: 07/24/2021
Onset Date: 07/24/2021
Rec V Date: 09/15/2021
Hospital:

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

Lab Data: Did not seek any further medical testing or lab work. It was an anaphylactic reaction. I have had them in the past and there is no lab work or testing that can treat a reaction that has already taken place. My physician gave me extra epipens as we suspected I may have A reaction

Allergies: Anaphylaxis to aspirin, unknown food preservatives in can and jar food and insects.

Symptom List: Dysphagia, Epiglottitis

Symptoms: 20 minutes after vaccination, severe itching of scalp. Three hours after vaccination started a dry cough, within a few minutes difficulty breathing and tightening in chest. Heart rate increased to 125 & blood pressure dropped significantly low and digestive issues. Took 2 Benadryl & Epipen when no relief from Benadryl. Four minutes after injections chest & throat tightness began to decline.

Other Meds: Adderall & Zyrtec

Current Illness: None

ID: 1701357
Sex: F
Age: 19
State: NC

Vax Date: 09/15/2021
Onset Date: 09/15/2021
Rec V Date: 09/15/2021
Hospital:

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

Lab Data: EMS VERIFIED BLOOD PRESSURE, PULSE, OXYGEN AND LOOKED AT BACK OF THROAT. VITALS WERE NORMAL. TONSIL SLIGHTLY INFLAMED

Allergies: RADISH

Symptom List: Anxiety, Dyspnoea

Symptoms: ITCHING IN RIGHT ARM, NOTICE TONGUE, CHANGES IN SWALLOWING. FEELING WARM AND HOT AND COOL

Other Meds: NONE

Current Illness: NONE

ID: 1701505
Sex: F
Age: 56
State: PR

Vax Date: 09/01/2021
Onset Date: 09/03/2021
Rec V Date: 09/15/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Phantom smell , the sudden smell of fumes, ammonia, acetone or smoke like smells.

Other Meds:

Current Illness:

ID: 1701506
Sex: F
Age: 52
State: OK

Vax Date: 09/09/2021
Onset Date: 09/09/2021
Rec V Date: 09/15/2021
Hospital:

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

Lab Data: n/a

Allergies: NKDA

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Swelling of lymph node on same side as injection, fatigue, sweating, fever, chills and body aches.

Other Meds: Ibuprofen

Current Illness: unknown

ID: 1701507
Sex: M
Age: 63
State: IL

Vax Date: 09/15/2021
Onset Date: 09/15/2021
Rec V Date: 09/15/2021
Hospital:

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

Lab Data: N/A

Allergies: None

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

Symptoms: About thirty minutes after the vaccine, strong dizziness for about 5 to 10 minutes. It became quickly less prevalent and mostly went away after an hour. I was glad that I walked back to my school after the vaccine as I had a class 45 minutes after my second shot. Driving would have been impaired for the short amount of time I experienced the dizziness.

Other Meds: None

Current Illness: None

ID: 1701508
Sex: F
Age: 66
State: IN

Vax Date: 09/14/2021
Onset Date: 09/14/2021
Rec V Date: 09/15/2021
Hospital:

Vax Type: FLUC4
Manufacturer: SEQIRUS, INC.
Vax Name: INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)
Lot: 276563
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: morphine

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

Symptoms: Swelling , redness, pain in injection arm. Fever

Other Meds: amlodipine, Symbicort, ropinirole, valsartan, albuterol

Current Illness: none

ID: 1701509
Sex: F
Age: 13
State: NY

Vax Date: 09/14/2021
Onset Date: 09/15/2021
Rec V Date: 09/15/2021
Hospital:

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

Lab Data: EKG, BLOOD PRESSURE CHECK, AND BLOOD SUGAR TEST

Allergies: no

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: 6:30am on 9/15/21 She came into the kitchen complaining to me of a headache. I gave her motrin and when she went to the sink to rinse out the medicine cup she lost consciousness. she eyes rolled in the back of her head and her whole body went limp. I grabbed her and carried her back to bed. In bed she was unresponsive to her name and was hot to the touch. I called her primary doctor who told me to bring her to the ED right away. She was seen at a Hospital on 9/15/21 at 7:30am.

Other Meds: no

Current Illness: no

ID: 1701510
Sex: F
Age: 31
State: IN

Vax Date: 09/13/2021
Onset Date: 09/14/2021
Rec V Date: 09/15/2021
Hospital:

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

Lab Data: None

Allergies: None

Symptom List: Pharyngeal swelling

Symptoms: Fever 100.7, chills, body aches, weakness, fatigue, severe headache, and nausea 6am when I woke up until I went to bed for the day at 830pm

Other Meds: Prenatal vitamin

Current Illness: None

ID: 1701511
Sex: F
Age: 26
State: CA

Vax Date: 09/14/2021
Onset Date: 09/14/2021
Rec V Date: 09/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Patient passed out and started seizing for <1 minute. I held on to her to prevent her from falling down. Once she was conscious, I went to grab her mom (and an RN passerby available). Mom got her water and we provided her a cold compress. She was very sweaty and a little bit of low heart rate (per RN). She refused an ambulance. She sat down for at least 30 minutes after using the bathroom (with mom helping). Patient says she she has a history of passing out when she got tattoed or got her dermal filler.

Other Meds: Patient said she took "pot" before vaccination.

Current Illness:

ID: 1701512
Sex: F
Age: 83
State: MI

Vax Date: 02/09/2021
Onset Date: 09/14/2021
Rec V Date: 09/15/2021
Hospital:

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

Lab Data: blood work U/S of lower extremity

Allergies: Advil PM facial swelling, moderate amoxicillin Cipro itching, mild rash, mild codeine Iodinated Contrast Media rash, moderate to severe Sulfa (Sulfonamide Antibiotics) hives, moderate to severe

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Pt to ED on 9/14 and dx'd with DVT Pt. discharged home on Xarelto

Other Meds: diclofenac 1 % topical gel APPLY 2 GRAMS TO THE AFFECTED AREA(S) BY TOPICAL ROUTE 4 TIMES PER DAY fiber Nature D omeprazole 20 mg capsule,delayed release TAKE 1 CAPSULE BY MOUTH EVERY DAY Tums verapamiL ER (SR) 120 mg tablet,extende

Current Illness: trophic vaginitis bladder muscle dysfunction - overactive chronic interstitial cystitis cystocele deep venous thrombosis Dx 9/2021 gastroesophageal reflux disease without esophagitis Health maintenance alteration no immunizations, mammogram, colonoscopy or dexa scan in Nextgen chart history of cardiac arrhythmia osteoarthritis pain of right wrist stress vitamin D deficiency

ID: 1701513
Sex: F
Age: 23
State: IL

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 09/15/2021
Hospital:

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

Lab Data: None

Allergies: Lactose intolerant

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

Symptoms: About an hour afterwards I had flu like symptoms and a sore throat. However at about 9:00 pm that night, my whole body was itching and I was coughing . I woke up the next day still feeling a little weak, and had I hives on my face under my eyes and on my cheeks. These grew larger so I applied Cortisone cream. These hives eventually became smaller after 2 weeks, and went away. Then they came back, went away, came back etc. for about a 2 months.

Other Meds: None

Current Illness: None

ID: 1701514
Sex: F
Age: 17
State: NJ

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

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

Lab Data:

Allergies: according to var filled out by patient, NO allergies

Symptom List: Rash, Urticaria

Symptoms: 17 y/o patient was administered vaccine (without parental consent) vaccinator verified name, dob , and id but did not realize patient was under 18 because they looked significantly older. pt mom stated to rph that pt began getting hives while pt was sleeping on monday night, pt took benadryl but hives continue to worsen on tues, at which point the patient went to the hospital (ed) and patient was places on steroids. weds pt mom called the pharmacy to let us know pt was vaccinated without parental consent.

Other Meds:

Current Illness:

ID: 1701515
Sex: F
Age: 49
State: WI

Vax Date: 09/07/2021
Onset Date: 09/08/2021
Rec V Date: 09/15/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, bees, trees, mosquitoes

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

Symptoms: Woke up with hives between my thighs. Next day got a hive on my breast

Other Meds: Furosemide, potassium,allopurinol, fish oil, red yeast, l lysine, probiotic, prenatal vitamin w/iron

Current Illness:

ID: 1701516
Sex: M
Age: 25
State: ID

Vax Date: 09/02/2021
Onset Date: 09/02/2021
Rec V Date: 09/15/2021
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: COVID-19 NAAT (Abbott ID NOW) negative. Monospot test negative.

Allergies: Penicillin

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

Symptoms: Initial onset of soreness and minor swelling at injection site, subsided within 24 hours. Within 8 hours gradual onset of body aches, fever up to 101.0 F, chills, rigors, and fatigue. Symptoms initially improved over a few days, but now worsening again x 1 week.

Other Meds: None

Current Illness: Obesity, ADHD

ID: 1701517
Sex: M
Age: 58
State: GA

Vax Date: 08/27/2021
Onset Date: 08/28/2021
Rec V Date: 09/15/2021
Hospital:

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

Lab Data: home check blood pressure and pulse rate monitor

Allergies: no

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

Symptoms: extremely high heart rate/ pulse for approximately 72 hours, between 120 to 140 beats per minutes at times

Other Meds: insulin,predisone, antibiotics,tamsolosin, cilostazol, pantoprazole, vitamins and supplements, various

Current Illness: had poison ivy, taking predisone and antibiotics to help get rid of it

ID: 1701518
Sex: M
Age: 34
State: CA

Vax Date: 09/03/2021
Onset Date: 09/03/2021
Rec V Date: 09/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: After getting vaccine, patient said he felt that his "eyes were turning inward" and/or "feel really tired". He stayed for 30 minutes and his temp was 97.3 F. He had no fever, redness of eye, or bulging eye. He could see my 2 fingers from 5 feet. I told him to monitor symptoms and if it gets worse or not resolve...to speak to MD ASAP.

Other Meds:

Current Illness:

ID: 1701519
Sex: F
Age: 34
State: WA

Vax Date: 08/27/2021
Onset Date: 09/01/2021
Rec V Date: 09/15/2021
Hospital:

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

Lab Data: N/a at this time. If symptoms continue, provider is requesting blood work.

Allergies: Gluten Dairy Codeine Vicodin

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

Symptoms: Headaches, dizziness, myalgia, joint pain, short-term memory loss, difficulty concentrating, depression. Followed up with provider 9/15/21

Other Meds: Claritin 10mg nightly Sertraline 50mg nightly Clindamycin cream topical Ibuprofen 400mg

Current Illness: Laryngitis, cough, sore throat

ID: 1701520
Sex: F
Age: 38
State: VA

Vax Date: 05/15/2021
Onset Date: 05/15/2021
Rec V Date: 09/15/2021
Hospital: Y

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

Lab Data: See above

Allergies: Keflex

Symptom List: Ear pain, Hypoaesthesia

Symptoms: The patient is a 38 year old, with an estimated due date of 7/24/2021 whose pregnancy was notable for suspected Trisomy 21, based on duodenal atresia, nuchal thickening, echogenic bowel, and transient left renal pyelectasis. Cell free DNA screening indicated a high risk of Trisomy 21, and the patient declined amniocentesis. From a maternal health standpoint, her pregnancy was notable for Gastroesophageal reflux disease, iron deficiency anemia, and a history of cold knife conization. The patient had a sonographic assessment of the fetus two days prior to receiving the vaccine at 30 weeks gestation, which demonstrated new development of polyhydramnios. Given the patients multiple risk factors for stillbirth, it was recommended that antenatal testing commence by 32 weeks gestation. The patient reported that she stopped feeling her baby moving the day she received the COVID vaccine (two days after the ultrasound report demonstrating the above findings). She had reassuring antenatal testing two days subsequent to vaccination, but then had intrauterine fetal demise confirmed 9 days after vaccination. She underwent a labor induction. Her postnatal workup including chromosomal analysis which confirmed the Trisomy 21 diagnosis and a 2.8Mb 2q32.1 duplication thought to be a variant of unknown significance. The placental pathology report demonstrated a umbilical cord stricture with significant clot burden within the stricture. There was also evidence of meconium staining, and some scattered infarctions in the placenta but no large infarction. Maternal antiphospholipid screening was normal. Our clinical impression was that the fetal loss was most likely secondary to Trisomy 21, but given the temporal association between vaccination and change in fetal movement, we have submitted this report as a possible vaccine complication.

Other Meds: Prenatal vitamins Protonix

Current Illness: None

ID: 1701521
Sex: F
Age: 68
State: NJ

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

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

Lab Data: NONE

Allergies: NONE

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: SEVERE SWELLING AND PAIN FROM SHOULDER TO ELBOW .

Other Meds: NONE

Current Illness: NONE

ID: 1701522
Sex: M
Age: 43
State: IL

Vax Date: 08/12/2021
Onset Date: 08/12/2021
Rec V Date: 09/15/2021
Hospital: Y

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

Lab Data: Pneumonia, diabetes spike.

Allergies: Aspirin

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

Symptoms: Fatigue, pain in my back about the size of a baseball from day of 2nd vaccine shot. Went to hospital 9 days after I couldn't breathe from right side. Was diagnosed with pneumonia infection. After in the hospital I also got pneumonia bacteria in addition to the infection. Needed a chest tube to drain pneumonia out. Stayed in hospital 10 days. Still 16 days from being discharged from the hospital & I'm still fatigued.

Other Meds: None

Current Illness: None since 2019

ID: 1701523
Sex: M
Age: 17
State: PA

Vax Date: 09/14/2018
Onset Date: 09/15/2018
Rec V Date: 09/15/2021
Hospital: Y

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: From 9/2018 through 1/2020: Hospitals visited: Hospital - Hospital; Hospital. Xrays, EKGs, EEGs, MRI, Various blood and urine test; some performed at locations and lab: Lab and Lab. Can provide Patient's medical records.

Allergies: Seasonal, sensitive to fruity scents.

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

Symptoms: We believe Flu vaccine was the cause of reactions: Less than 24 hours after vaccines Patient woke up next morning feeling like he had the Flu. By the afternoon he was having palpitations and rushed to the hospital. Was experiencing tachycardia up to 180. Medication was given twice to lower heart rate. He was back in the emergency department in less than a week. He was in the emergency department countless times. Experiencing tachycardia, feeling of anaphylaxis, hypertension, feelings of radiating waves from head to toes, taste and smell of metal, red welts on the neck, veins in arms bulging/pulsing, feeling empty-headed/cloudy and hypertension. The treatment prescribed by Dr., cardiologist of Hospital, was to drink water and eat salty snacks. Dr., cardiologist, also Hospital of, had Patient wear a heart monitor for 60 days to determine if he was experiencing arrhythmias. None were detected. Medication was never provided. Various blood and urine tests were performed at Lab and Lab. My son has been to Hospital; Hospital; and, Medical In the fall of 2019, while at school, Patient started experiencing tachycardia, a cardiologist prescribed metoprolol. The medication would jolt him awake. School medical referred him to a neurologist. He had a head MRI without dye performed but showed nothing. In January 2020 I communicated with Dr. at the CDC regarding GBS. My son was experiencing tingling in his hands and feet, an increased heart rate, high blood pressure, and muscle aches. Due to the continued tachycardia, school medical prescribed Patient hydrochlorothiazide, and atenolol. He no longer takes either of these medications. But he does keep the hydrochlorothiazide prescription current in case he needs it. Patient is doing better. But once in a while odd symptoms still occur. Unfortunately, I can't say his primary care doctors really helped. I had to request tests be performed. My son's need to get the COVID vaccine took coordination between his primary doctor and cardiologist. Patient received the Moderna vaccine. Thank God no problems so far. We are concerned about Moderna combining the COVID and Flu vaccines. We don't believe he can ever take the Flu vaccine again. Today is the 3rd anniversary of the date my son received the Flu and Meningitis B second dose vaccines. I believe that one of the doctors in the emergency department of the hospital we visited reported what my son experienced - probably from Hospital. I have attempted to seek help from attorneys, with no success because Patient's symptoms were not documented causes of any disease or injury. Although the three-year reporting period has expired, I wanted to be an advocate for my son, tell his story and bring attention to his suffering. He missed out on his last year of high school activities because he couldn't participate and some of his first years in college. They can be replaced. If requested, I do have Patient's medical records and can make them available. I hope this information can be used to help someone. Thank you for this opportunity and your time.

Other Meds: Perhaps Flonase.

Current Illness: None

ID: 1701524
Sex: F
Age: 31
State:

Vax Date: 03/11/2021
Onset Date: 08/19/2021
Rec V Date: 09/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: Positive covid test. Nasal congestion and loss of smell and taste. 4 weeks postpartum.

Other Meds:

Current Illness:

ID: 1701525
Sex: F
Age: 63
State: GA

Vax Date: 01/12/2021
Onset Date: 01/19/2021
Rec V Date: 09/15/2021
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: None

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

Symptoms: large whelps on arms, leg, and at one time I had one appear on my face. They come and stay for several days and then go away. This happened for regularly for several months and then quit. I got the virus in August and right before I tested positive, I broke out again.

Other Meds: Vitamin D and Biotin

Current Illness: None

ID: 1701526
Sex: M
Age: 54
State: OK

Vax Date: 08/31/2021
Onset Date: 09/01/2021
Rec V Date: 09/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: patient received second Moderna vaccine on Tuesday 8/31/21 around 1:00pm. developed fever on Wednesday morning which resolved, then he started having chest tightness and pain on inspiration on Thursday. Still bothering him today. I told him to see his doctor if it doesn't resolve by Sunday

Other Meds:

Current Illness:

ID: 1701527
Sex: F
Age: 23
State: AL

Vax Date: 03/01/2021
Onset Date: 04/01/2021
Rec V Date: 09/15/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain, Menorrhagia

Symptoms: Large black and red circle on thumb and the bottom of left index finger

Other Meds: None

Current Illness: None

ID: 1701528
Sex: M
Age: 27
State: OH

Vax Date: 07/14/2021
Onset Date: 07/16/2021
Rec V Date: 09/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: I became magnetic 2 days later

Other Meds:

Current Illness:

ID: 1701529
Sex: M
Age: 61
State: CA

Vax Date: 08/16/2021
Onset Date: 08/16/2021
Rec V Date: 09/15/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: none taken as my symptoms gradually subsided.

Allergies: NKA

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Severe calf cramps in both legs in the early morning which awakened me and were present for approximately 5-minutes and gradually subsided. I awoke every morning afterwards for approximately 2-weeks with a headache and cold sweats throughout the day. I had chest "tightness" off and on for several days intermittently during the day. I experienced significant fatigue for 2-weeks following the vaccination. I developed cold-like symptoms for 2-weeks with chest and head congestion which gradually reduced over a 4-week period. I did not feel sufficiently recovered to take the 2nd vaccination..

Other Meds: none

Current Illness: none

ID: 1701530
Sex: F
Age: 57
State:

Vax Date: 04/09/2021
Onset Date: 05/01/2021
Rec V Date: 09/15/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Alopecia developed within a few weeks of the vaccine.

Other Meds:

Current Illness: None

ID: 1701531
Sex: F
Age: 37
State: MA

Vax Date: 09/10/2021
Onset Date: 09/10/2021
Rec V Date: 09/15/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data: none

Allergies: sulfa drugs

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

Symptoms: I am 31 weeks pregnant with my second child, a boy, due November 6. At 10:00 PM on Sep 10, 13 hours after the vaccine was administered, I began noticing an episodic pinching feeling in my heart. It was unsettling and difficult to sleep. I counted 16 occurrences. The next day, Sep 11, the episodic 'pinching' had stopped but I felt a mild pressure in my chest for most of the day. I eventually called my friend who is a cardiologist and she asked several questions and had me lean forward, which did work to resolve the pressure. The fetus was kicking and moving normally, and I had no other signs or symptoms of distress or illness. She said it could be a case of Pericarditis, and I considered going to L&D to be checked out, however by 8:00 PM, the pressure sensation had disappeared. I have been fine ever since.

Other Meds: prenatal vitamin prenatal DHA supplement iron supplement magnesium supplement coral calcium supplement Synthroid 88mg daily

Current Illness: none

ID: 1701532
Sex: F
Age: 24
State: NJ

Vax Date: 09/14/2021
Onset Date: 09/14/2021
Rec V Date: 09/15/2021
Hospital:

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

Lab Data: Blood work, EKG, a glucose meter. Given Hydration IV and Oxygen tubes. All on 9/14/21.

Allergies: None

Symptom List: Nausea

Symptoms: Hypotension, blood pressure 61/42. Diaphoresis.

Other Meds: Multi-Vitamin

Current Illness: None

ID: 1701533
Sex: F
Age: 51
State: TN

Vax Date: 08/20/2021
Onset Date: 08/20/2021
Rec V Date: 09/15/2021
Hospital:

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

Lab Data: EKG 9/8/21

Allergies: augmentin, erythromycin, zithromycin

Symptom List: Injection site pain

Symptoms: Accelerated heart rate (and sometimes difficulty breathing) which has continued every day since covid vaccine was received

Other Meds: Lisinopril Resuvastatin Lo-loestrin

Current Illness: eustacian tube dysfunction and ear pain

ID: 1701710
Sex: F
Age: 65
State: CA

Vax Date: 08/27/2021
Onset Date: 08/27/2021
Rec V Date: 09/15/2021
Hospital:

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

Lab Data: none

Allergies: Codeine, Cloves, Sage

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

Symptoms: acute, hot swelling of upper arm (5 - 6 days), low grade fever (99.9 - 100.8, three days), body aches, fatigue, headache . Treated with alternating heat and cold at injection site, ibuprofen and tylenol.

Other Meds: Metformin ER, Daliresp, Buproprion, Ibuprofen, Tramadol, Claritin, Sudafed

Current Illness: None

ID: 1701712
Sex: M
Age: 70
State: CO

Vax Date: 08/25/2021
Onset Date: 08/27/2021
Rec V Date: 09/15/2021
Hospital:

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

Lab Data: PT STATES THAT WARFARIN LEVELS WENT OUR OF RANGE DUE TO VOMITING AND HE WAS WORRIED ABOUT BLEEDING AND CLOTTING AND BLOOD PRESSURE AND HEART RATE WERE ELEVATED WHILE VOMITING AND AFTERWARDS AS WELL

Allergies: GLUTEN

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

Symptoms: IMZ ADMINISTERED AUG 25TH - NO ISSUES. AUG 26TH-MILD SORENESS IN ARM. AUG 27TH- STOMACH ACHE BEGAN. AUG 28TH AND 29TH- SEVERE ABDOMINAL PAIN AND VOMITING. AUG 30TH AND 31ST- VERY WEAK.

Other Meds: WARFARIN AND LEVETRIACETAM WERE ONLY 2 MENTIONED....(PT DOES INDICATE HEART AND BP ISSUES WHICH WOULD INDICATE OTHER MEDICATIONS AS WELL. THESE WERE THE ONLY 2 THE PT MENTIONED AND PT DOES NOT FILL WITH US SO WE DO NOT HAVE FULL MEDICATION

Current Illness: N/A

ID: 1701713
Sex: F
Age: 31
State: SC

Vax Date: 02/12/2021
Onset Date: 02/20/2021
Rec V Date: 09/15/2021
Hospital:

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

Lab Data: Primary care visit for assessment. No labs or tests run. Prednisone given but I did not take it due to breastfeeding.

Allergies: None

Symptom List: Tremor

Symptoms: Around 1 week following 2nd Pfizer covid shot, developed a numb/tingling sensation in top of tongue. Gradually progressed over the course of 10days. Numbness and tingling tip of tongue to right lateral side of tongue. By day 7 of 10 right side of cheek radiating up to side of right ear was tingling. No motor deficits occurred only sensory. By day 10 symptoms resolved. I took ibuprofen 200mgx2 three times a day on day 8-10.

Other Meds: Prenatal

Current Illness: None

ID: 1701714
Sex: M
Age: 35
State: FL

Vax Date: 09/03/2021
Onset Date: 09/13/2021
Rec V Date: 09/15/2021
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: None

Symptom List: Erythema, Pruritus

Symptoms: Very high blood pressure. Very high heart rate. Treated with aforementioned medications, and increased BP and HR.

Other Meds: Lisinopril 40mg; Atenolol 50mg; Sertraline 50mg

Current Illness: High blood pressure; tachycardia; depression

ID: 1701715
Sex: M
Age: 70
State: GA

Vax Date: 02/27/2021
Onset Date: 05/10/2021
Rec V Date: 09/15/2021
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: PCN

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

Symptoms: I have had reasonably well controlled hypertension for a number of years. Since my vaccination, my blood pressure has been elevated while taking the same meds.

Other Meds: Atrorvastatin, Irbesartan, Niaspan, Fish oil, HCT,aspirin, tamsulisin

Current Illness: None

ID: 1701716
Sex: F
Age: 50
State: PA

Vax Date: 09/15/2021
Onset Date: 09/15/2021
Rec V Date: 09/15/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Exactly 1 1/2 hours after the shot was administered I suddenly developed chest pain shortness of breath and rapid breathing. I also got a migraine soon as the shot was administered and I never get headaches. It?s evening and I still have a migraine. My low back pain increased severely. I experienced numbness in my right hand.

Other Meds: None

Current Illness: None

ID: 1701717
Sex: F
Age: 46
State: RI

Vax Date: 09/15/2021
Onset Date: 09/15/2021
Rec V Date: 09/15/2021
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: Heart palpitations, sweating, dizziness , hand numbness

Other Meds: Lexapro

Current Illness:

ID: 1701718
Sex: F
Age: 23
State: IL

Vax Date: 08/28/2021
Onset Date: 08/30/2021
Rec V Date: 09/15/2021
Hospital:

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

Lab Data: n/a

Allergies: n/a

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

Symptoms: Left breast painful lump about the size of a golf ball behind areola with a vertical red line up and down and veiny breast. Incapable of wearing bra and sensitive to touch it lasted that size for 24-48 hours, treated with antibiotics at an Urgent Care. I followed up with OB 2 days later, swelling improved and slimmed lump flat like a quarter, however lump is still present and painful. The plan is to follow up with OB in 2 weeks. Primary suggested 12 weeks for full recovery.

Other Meds: adderall alprazolam omeprazole cefadroxil

Current Illness: abdominal pain

ID: 1701719
Sex: M
Age: 65
State: CA

Vax Date: 09/02/2021
Onset Date: 09/09/2021
Rec V Date: 09/15/2021
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: Elevated esr and elevated CRP otherwise normal

Allergies: No

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

Symptoms: Day one to twojust sore arm and fatigue. Night of day seven had horrible back pain arthralgias chills vomiting and overwhelming fatigue. Vague abdominal pain. Mild headache. We are both internal medicine doctors. If we were not we would?ve had to go to the emergency room. Got a little better day 8 to 9. He was able to function on day 10. Still with some fatigue today.

Other Meds: Metformin, edarbi, spironolactone, bystolic Crestor

Current Illness: None

ID: 1701720
Sex: F
Age: 34
State: NH

Vax Date: 09/14/2021
Onset Date: 09/15/2021
Rec V Date: 09/15/2021
Hospital:

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

Lab Data:

Allergies: Lisinopril, penicillin and hydrochlorothiazide

Symptom List: Pain in extremity

Symptoms: 24 hours after second dose started to get lower back pain that then turned in to numbness and tingling from hip to toes on both legs. Extreme leg weakness.

Other Meds: Cymbalta, buspirone and amlodipine

Current Illness: None

ID: 1701721
Sex: F
Age: 34
State: TX

Vax Date: 08/20/2021
Onset Date: 09/08/2021
Rec V Date: 09/15/2021
Hospital:

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

Lab Data: Visual exam by doctor

Allergies: none

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

Symptoms: Shingles, diagnosed by dermatologist who prescribed Valacyclovir. Shingles appeared on Sept 8 or Sept 9 of 2021. I thought it was just a mild rash, until it started getting bigger and I decided to go to a doctor.

Other Meds:

Current Illness: none

ID: 1701722
Sex: F
Age: 55
State: CO

Vax Date: 08/24/2021
Onset Date: 08/24/2021
Rec V Date: 09/15/2021
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: None

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

Symptoms: Chills, body aches, temp, headache

Other Meds: Pristiq, Abilify, Norvasc, lisinopril, rosuvastatin

Current Illness: None

ID: 1701723
Sex: M
Age: 41
State:

Vax Date: 08/28/2021
Onset Date: 08/29/2021
Rec V Date: 09/15/2021
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: Sulfa medications

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

Symptoms: The day after I received the vaccine, two joints in my fingers have become very stiff. The pain is most significant in the morning. This has not happened before and it has not yet gone away (nearly three weeks have passed).

Other Meds: None

Current Illness: None

ID: 1701724
Sex: F
Age: 36
State: TX

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

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

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: Red patch of skin near injection site, soreness - Covid arm?

Other Meds: Prenatal vitamin, iron, vitamin D, omega 3

Current Illness: Lymph node swelling

ID: 1701725
Sex: M
Age: 31
State: NY

Vax Date: 09/10/2021
Onset Date: 09/10/2021
Rec V Date: 09/15/2021
Hospital:

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

Lab Data: N/A

Allergies: NONE DISCLOSED

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: PATIENT REPORTED FEELING LIKE HE COULDN'T CATCH HIS BREATH AND CHEST TIGHTNESS ABOUT 10 MINUTES AFTER VACCINATION. HE DIDN'T APPEAR TO BE IN RESPIRATORY DISTRESS BUT LOOKED A LITTLE PALE. WE CALLED 911, PARAMEDICS CAME AND UPON CHECKING HIM OUT THEY SAID THE PATIENT APPEARED TO HAVE HAD A PANIC ATTACK. HE DIDN'T LEAVE WITH THE PARAMEDICS SINCE HE STARTED FEELING BETTER AND OPTED TO GO HOME TO REST AND RECOVER.

Other Meds: NONE DISCLOSED

Current Illness: NONE DISCLOSED

ID: 1701726
Sex: F
Age: 22
State: PR

Vax Date: 03/30/2021
Onset Date: 07/01/2021
Rec V Date: 09/15/2021
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: I had high thyroid, with nodules in my neck, high creatinine, very low vitamin D, high blood pressure.

Allergies: N/A

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

Symptoms: At the time only arm pain and phlebitis. The second dose it was stronger. I had a headache and body ache, chills and fever.

Other Meds: Protonix

Current Illness: Gastritis

ID: 1701728
Sex: F
Age: 41
State: WY

Vax Date: 09/14/2021
Onset Date: 09/15/2021
Rec V Date: 09/15/2021
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: NKA

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Fever of 100.5, severe body aches, headache, fatigue.

Other Meds: Sertraline, meloxicam

Current Illness: None

ID: 1701730
Sex: F
Age: 55
State: CA

Vax Date: 08/05/2021
Onset Date: 08/15/2021
Rec V Date: 09/15/2021
Hospital:

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

Lab Data:

Allergies: sulfur drugs, nuts, fish

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

Symptoms: After 1st shot, initial day exhausted-rested. 5th day after shot started experiencing hot/cold profusely sweating, extreme pain of entire body, fatigue, swelling- head area is the worse causing bad headache. Heart palpitations or racing and problems breathing. After the 2nd shot Is the same but the symptoms are worse. Sept 14, 2021 first day in which I slept 4 hours straight, pain and breathing was better other symptoms are present might be a little better today

Other Meds: vitamin d, vitamin c, medroxyprogesterone, estradiol, ibuprofen

Current Illness: chronic disc disease, psoriatic arthritis, psoriasis

ID: 1701731
Sex: F
Age: 20
State:

Vax Date: 07/14/2021
Onset Date: 07/15/2021
Rec V Date: 09/15/2021
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: Intermittent chest pain and aches starting 1 day after the vaccine and still occurring at this time.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am