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: 1701732
Sex: F
Age: 49
State:

Vax Date: 01/07/2021
Onset Date: 09/14/2021
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:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Individual called with positive test result on 9/14/21. Individual still symptomatic with cough, congestion, sore throat, and fever. Advised to isolate from family in separate rooms for at least ten days (s/s onset 9/13/21) and to update mgmt. She did not participate in the study but would like to have the antibody testing done. Advised to go after isolation period is over to get test done. Also, advised to callback with any changes.

Other Meds:

Current Illness:

ID: 1701733
Sex: F
Age: 33
State: MD

Vax Date: 09/13/2021
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:

Allergies: none

Symptom List: Anxiety, Dyspnoea

Symptoms: I am experiencing severe headache and hearing loss in both ears. Right ear has significant hearing loss while left ear is not as bad. The feeling I feel is similar to going under water and have having water in your ears.

Other Meds: none

Current Illness: none

ID: 1701734
Sex: F
Age: 74
State: CA

Vax Date: 09/12/2021
Onset Date: 09/13/2021
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: None

Allergies: Latex

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

Symptoms: Initial sore arm with increasing pain, itiching and swelling. Fever 100 with ibuprofen for 3days, chills, muscle pain, general feeling of malaise

Other Meds: CoQ10 200mg, calcium 167mg, magnesium 321mg, allergic (cetirizine HCl 10 mg

Current Illness: None

ID: 1701735
Sex: F
Age: 35
State:

Vax Date: 08/01/2021
Onset Date: 08/28/2021
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:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: In two days my calf started hurting and feeling like sore muscle and stayed like that for about 3-4 days. Following that I started having pain around my joints and especially excruciating pain around my bunion and it is persistent. I also feel more anxious in daily life and experiencing heart pulpitations.

Other Meds:

Current Illness:

ID: 1701736
Sex: M
Age: 23
State: CA

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:

Allergies:

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

Symptoms: Transport to Hospital At approximately 1905 hours at the vaccination site, a 23 YOM, Patient was vaccinated with his 1st dose of Pfizer after clearing all medical screening questions. Pt was AOx3 with a normal affect prior to the vaccination event. Approximately 15 seconds after receiving his vaccination, pt became unconscious and slumped over in chair. Pt was promptly attended to by clinicians and no fall occurred. He woke up shortly after his syncopal episode. Security were notified and Rescue was dispatched to the incident. Detailed Pt information: Pt only medical history is celiac disease. Pt has NKDA and no medications. Pt admitted to drinking two beers and smoking marijuana earlier in the evening. Pt became AOX3 approximately 30 seconds after the syncopal episode, however did not recall the event. Pt detailed exam included: Vitals #1: BP: 122/94, P: 60, R:14 Skin: Pale, diaphoretic Vitals #2: BP: 90/60 P:58, R:14 Skin: Pale, diaphoretic Rescue arrived on scene and patient care transferred. Pt was loaded into ambulance and transported to hospital.

Other Meds:

Current Illness:

ID: 1701737
Sex: F
Age: 24
State: WA

Vax Date: 03/02/2021
Onset Date: 03/03/2021
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: none

Allergies: none

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

Symptoms: When I got my first dose of the Pfizer vaccine, I experienced some swelling in the area where I received my shot. The upper arm area where I got the vaccine was still swollen when I got my second dose. It has been six months now and my arm is still swollen (looks puffy) where I got the shots. There is no pain, but at times I do experience throbbing.

Other Meds: none

Current Illness: none

ID: 1701738
Sex: F
Age: 27
State: MD

Vax Date: 09/08/2021
Onset Date: 09/10/2021
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: None

Allergies: None

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: I have been getting shooting pains in my ovaries randomly since getting the shot. I should not start my period till the 25-27. The pain is not as consistent as normal cramps and was shorter but has been very intense a few times. In total I have experience roughly 7 shooting pain incidence in my lower abdominal area most noticeable on the left side and always when I am in a standing position.

Other Meds: Nuva ring

Current Illness: None

ID: 1701886
Sex: F
Age: 71
State: CA

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

Allergies: sulfa, codeine, vicodin

Symptom List: Pharyngeal swelling

Symptoms: Headache, chills, nauseous, dry heaves, no treatment, eventually passed

Other Meds: Acetomenifen

Current Illness:

ID: 1701887
Sex: F
Age: 27
State: CA

Vax Date: 07/12/2021
Onset Date: 09/13/2021
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: none

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Patient describes her heart is pounding, chest pain, and shortness of breath. Advised patient to get it check out with her Doctor. Patient said that she will go to clinic.

Other Meds: none

Current Illness: none

ID: 1701888
Sex: M
Age: 27
State: TX

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: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Patient called back stating that arm was hurting to move after administration of vaccine. Felt like the shot was administered too high and thinks the arm might be dislocated and out of socket.

Other Meds:

Current Illness:

ID: 1701889
Sex: F
Age: 39
State: CA

Vax Date: 09/11/2021
Onset Date: 09/12/2021
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: no tests done

Allergies: Dilaudid

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

Symptoms: Feeling shortness of breath since the day vaccine was received. Hard time catching my breath. Back pain started 4 days after vaccine and feeling fatigue since the day of the vaccine

Other Meds: Breo, Losartan, Loratadine, Azalestine

Current Illness:

ID: 1701890
Sex: F
Age: 41
State: NC

Vax Date: 08/24/2021
Onset Date: 08/27/2021
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: None

Allergies: Sulfa drugs

Symptom List: Rash, Urticaria

Symptoms: Right eye twitches often now since the vaccine. No eye twitches ever before this second shot. Not sure if the muscle under the eye or above the eye is causing it, but it twitches for roughly 25% of the total day, intermittently and is very annoying and concerning.

Other Meds: Adderrall

Current Illness: None

ID: 1701891
Sex: M
Age: 33
State: AL

Vax Date: 04/06/2021
Onset Date: 04/07/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Chills, 101 degree fever, fatigue, aches for 24 hours Extreme diarrhea with total purge of stomach for 24 hours Less severe loose stool or diarrhea for 6 additional days Mild to severe fatigue when playing pickleball for 3 weeks Impaired depth perception when playing pickleball for 3 weeks Impaired hand-eye coordination when playing pickleball for 3 weeks Moderate to severe brain fog for 3 weeks Moderate to severe flare ups of neck and upper back pain for 5 weeks

Other Meds: Trazodone 100 mg, daily multivitamins

Current Illness:

ID: 1701892
Sex: M
Age: 12
State:

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: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: He was given the vaccine at 315pm. We noticed hives at 3:27pm during the Observation Period. We gave him benadryl oral tablet 25 mg. Hives and a little bit of swelling. No shortness of breath. Had itch. 911 was called. Security informed. Ambulance arrived. Patient observed and discharged as per EMS. Discharged. around 4pm.

Other Meds:

Current Illness:

ID: 1701894
Sex: F
Age: 42
State:

Vax Date: 06/17/2021
Onset Date: 06/19/2021
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: Oxygen okay, EKG normal

Allergies: None

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

Symptoms: Long term chest pain, fast heart beat,

Other Meds: None

Current Illness: None

ID: 1701895
Sex: F
Age: 48
State: FL

Vax Date: 08/26/2021
Onset Date: 08/28/2021
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: In addition to previously reported side effects, I also began to produce random bruises all over my body. I had a black eye, bruising on my torso and several bruises on my upper and lower legs. These bruises appeared without trauma ? just randomly. They also would fade quickly ? in approximately two days. Weeks later, I?m still getting random bruises on my legs and stomach area, but not as many as in the days following my second Pfizer vaccine.

Other Meds: None

Current Illness: None

ID: 1701896
Sex: F
Age: 50
State: CA

Vax Date: 08/20/2021
Onset Date: 08/28/2021
Rec V Date: 09/16/2021
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: Cold sore outbreak worse than ever experienced. Haven?t experienced a cold sore since Covid protocol began and never to this extreme

Other Meds: None

Current Illness: None

ID: 1701897
Sex: F
Age: 54
State: TX

Vax Date: 09/03/2021
Onset Date: 09/13/2021
Rec V Date: 09/16/2021
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: 10 days after my first dose of Moderna a large red patch developed. No itch but slightly sensitive.

Other Meds: B12 injections prescription folate Vitamine D

Current Illness:

ID: 1701898
Sex: M
Age: 42
State: CA

Vax Date: 08/14/2021
Onset Date: 08/19/2021
Rec V Date: 09/16/2021
Hospital:

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

Lab Data: Covid test given 9/10/2021. Negative result

Allergies: Olives

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Paresthesia - Bottom lip intermittently on 8/19/2021 to current date. More frequent as of 8/27/2021.

Other Meds: Vitamin B supplement Vitamin D3 Magnesium Omega-3 Ibuprofen 800mg

Current Illness: High Blood Pressure

ID: 1701899
Sex: F
Age: 46
State: UT

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 09/16/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, Celebrex

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

Symptoms: Headache, malaise, fatigue occurred approximately 24 hours after second dose. No treatment, symptoms resolved in less than one day.

Other Meds: Ibuprofen 800 mg BID, etanercept weekly

Current Illness: Rheumatoid arthritis

ID: 1701900
Sex: F
Age: 55
State: NY

Vax Date: 09/13/2021
Onset Date: 09/14/2021
Rec V Date: 09/16/2021
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: none

Allergies: bupivacaine, food allergies nuts shrimp

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

Symptoms: My adverse effect started the day after my shot was given at approx 3pm, i begin to experience extreme muscle/joint pain nausea loss of appetite and blood shot eyes. I also had a mild headache Around 7PM i felt very weak and could not keep my balance at times. i also began to experience blurry vision, By 9pm i was very weak and needed to lay down AT 10pm i felt like a sharp pin go throw my left eye, sclera remained red, i then felt a electric type of shock go through my lower left leg where my leg had tingling and numbness. i continued with a more severe headache till appox 1 am. The third day i was tired but much improved. i did not seek out medical attention for the above side effects. i am only writing to you because people need to be aware of these possible side effects.

Other Meds: no

Current Illness: none

ID: 1701903
Sex: M
Age: 69
State: UT

Vax Date: 09/14/2021
Onset Date: 09/14/2021
Rec V Date: 09/16/2021
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: None

Symptom List: Unevaluable event

Symptoms: Sore arm that lasted 24 hours or more

Other Meds: Testosterone, omeprazole, synthesis, cytomel, neurontin, naproxen,calcium, Tylenol, trazodone, creator,melatonin, multivits, bee pollen, AREDS 2, move free,

Current Illness: Iron deficiency anemia

ID: 1701904
Sex: F
Age: 28
State: LA

Vax Date: 09/01/2021
Onset Date: 09/03/2021
Rec V Date: 09/16/2021
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: CBC - stable H&H Respiratory panel including covid tests all negative CMP - normal Scheduled for follow ups with endocrinologist and primary care physician. GI doctor stated did not need to see.

Allergies: adhesive tape in some bandages

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

Symptoms: 48 hours after 2nd dose of Pfizer covid vaccine, woke up with numb arms, hands cramped backwards, severe abdominal pain with 1 small loose stool and dry heaving eith unrelenting nausea. Seen in urgent care for nausea medicine and IV fluids. Immediately upon arriving home, began to have bloody BMs. No stool present, only dark red clots and fresh red blood. No pain, no history of hemorrhoids. Continued to poop blood throughout 7 hour wait in emergency room. Sent home, stopped pooping blood 24 hours after initial onset. Moderate stomach cramping and nausea persisted for 6 additional days and had to take prescription medications for both. Weakness, loss of appetite and inability to work lasted approximately 7 days. General fatigue has increased since injection. Both urgent care provider and ER doctor believe this is result of ?stomach virus?

Other Meds: levothyroxine Vitamin D selenium

Current Illness: None

ID: 1701905
Sex: F
Age: 71
State: FL

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 09/16/2021
Hospital:

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

Lab Data: None

Allergies: Penicillin, Boniva, mold & mildew, tree pollen, dust, cats

Symptom List: Injection site pain, Pain

Symptoms: From Feb. 20th through Aug. 14th unable to lift anything with left arm & constant sharp pain in upper left arm - felt like it was frozen also because I couldn't raise my arm up or move it backward without sharp pains & inability to move the arm. From Aug. 15th through today (Sept. 16th) have been able to move arm, but still cannot raise my arm up without pain.

Other Meds: Singulair, Xyzal, Fluticasone, Azylastine, Calcium, Vitamin D, Vitamin B12, Prevalite, Prolia, Gabapentin

Current Illness: None

ID: 1701906
Sex: F
Age: 44
State: WA

Vax Date: 09/12/2021
Onset Date: 09/14/2021
Rec V Date: 09/16/2021
Hospital:

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

Lab Data: physical evalution

Allergies: none

Symptom List: Injection site pain, Menorrhagia

Symptoms: Swollen lymph nodes above clavicle. Golf ball sized swollen nodes behind ear. Pt visited urgent care for evaluation and will follow up with doctor if swelling gets worse or doesn't resolve in 72 hours.

Other Meds: unknown

Current Illness: none known

ID: 1701907
Sex: M
Age: 65
State: FL

Vax Date: 03/04/2021
Onset Date: 04/11/2021
Rec V Date: 09/16/2021
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: Heart monitoring for 24 hours.

Allergies: None known

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

Symptoms: Atrial Fabulation which lasted 24 hours and required an overnight hospital stay.

Other Meds: Losartin 50 mg, Vitamin D

Current Illness: None

ID: 1701908
Sex: U
Age: 30
State:

Vax Date: 05/19/2021
Onset Date: 05/19/2021
Rec V Date: 09/16/2021
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: It's PRIVATE info VERY abnormal blood test in emergency hospital

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: I ONLY got 1st Mederna covid shot. No way I'll get 2nd shot for any local vaccine. After I got 1st Mederna covid shot, I got 1 time in urgent care and 2 times in emergency hospital. Those symptoms still with me for 2+ month. Sometimes still feel like they are coming back for 3-6 days. Symptoms: - disorientation (4+ days) - blond syndrome (extreme uncontrolled silliness, not adequate behavior, unable to quickly make decision, not sharp thinking, can't concentrate, fall into a stupor, memory loss) - still have it from Mederna covid shot - shortness of breath - fever - sore throat - runny nose - pain in the upper chest (like bronchitis) - fatigue - enlargement and soreness of the lymph nodes armpits (also itching) - place of injection is red like red, swollen and itchy (15X15cm) - very sleepy - dyspnea (even when going on 2nd floor in my house - out of breath), - pallor of skin - constant fatigue - fast heartbeat -dizziness and weakness - chest pain VERY abnormal blood test in emergency hospital

Other Meds: Symptoms: - disorientation (4 days) - blond syndrome (extreme uncontrolled silliness, not adequate behavior, unable to quickly make decision, not sharp thinking, can't concentrate, fall into a stupor) - 5 + days - fever - sore throat - ru

Current Illness:

ID: 1701909
Sex: F
Age: 36
State: CA

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

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

Lab Data: UNKNOWN

Allergies: NONE

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: PATIENT REPORTED FEELING TINGLING SENSATION ON BILATERAL LOWER ARMS AFTER WITHIN 10 MINUTES OF VACCINATION. PATIENT ALSO REPORTED SKIN BLOTCHING ON BILATERAL LOWER ARMS WITHIN 10 MINUTES OF VACCINATION, BUT WAS UNCONFIRMED ON VISUAL INSPECTION BY PHARMACIST. PATIENT REPORTED NO OTHER SYMPTOMS. PATIENT REPORTED FEELING SIMILAR TINGLING AFTER FIRST DOSE WHICH WORSENED WITH COUGH. PATIENT WAS CONCERNED THAT THIS MAY BE ALLERGY TO VACCINATION OR ANXIETY RELATED TO VACCINE ADMINISTRATION. PATIENT WAS OBSERVED BY PHARMACIST FOR 30 MINUTES FOLLOWING ADMINISTRATION OF SECOND DOSE MODERNA COVID 19 VACCINE WITH PATIENT REPORTED REVERSAL OF SKIN BLOTCHING BUT NOT CHANGE IN TINGLING SENSATION IN BILATERAL ARMS. PATIENT ADVISED TO SEEK MEDICAL ATTENTION.

Other Meds: NONE

Current Illness: NONE

ID: 1701910
Sex: F
Age: 59
State: WI

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 09/16/2021
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:

Allergies: N/A

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

Symptoms: After 1st dose had severe sciatic pain down both legs to knees. After about 3 wks pain subsided. A month later I took 2nd dose (3/2/2021)within 12hours-have had hand issues-trigger fingers, tightening of hand joints. Not able to make fists unless working hands. Still continues to this day.

Other Meds: Anastrozole 1mg Losartan/HCTZ 50/12.5 mg

Current Illness: None

ID: 1701912
Sex: F
Age: 39
State: CA

Vax Date: 03/14/2021
Onset Date: 08/24/2021
Rec V Date: 09/16/2021
Hospital:

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

Lab Data: Visit to Nurse Practitioner to diagnose/treat symptoms on 8/31/2021 EKG - 8/31/2021 Lab/blood workup 8/31/2021

Allergies: Aspirin

Symptom List: Nausea

Symptoms: Leg pain/weakness; constant accelerated heart rate; fatigue; general weakness

Other Meds: Advair; Nasacort; Loratadine; Albuterol

Current Illness: None

ID: 1701913
Sex: F
Age: 58
State: IA

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

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

Lab Data:

Allergies: Sulfa, morphine, tape

Symptom List: Injection site pain

Symptoms: Chest pains that were very uncomfortable. They lasted approximately 3 hours.

Other Meds: None

Current Illness: None

ID: 1701914
Sex: F
Age: 27
State: CA

Vax Date: 08/23/2021
Onset Date: 08/23/2021
Rec V Date: 09/16/2021
Hospital:

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

Lab Data:

Allergies: unknown

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

Symptoms: Shot # 1: Day 1- 7 Sleepy hardly can keep eyes open. Sharp burning pain on right shoulder blade within 30 minutes of shot. highlighted all pain areas ie: I have a bad knee.. wasn't hurting that day till after the shot. It was alright durable. I also got alot of hotflashes.. even fans werent keeping me cool Shot #2 Day one felt fine till 30 minutes after my hands weren't my hand felt felt like i had no control over them only my nubs (all i could see were nubs and my hands were see through" I don't really remember the ride home. The rest of the day i wasn't tired but felt like my body wasn't my body. at night i got a-lot of energy and couldn't go to sleep. (I could run a maraton with my energy). Day 2 my anxitey and mood level were at an all time high freaked out over everything and was ready to say something if someone said something wrong to me. At the end of this day i was burning up room tempure water felt like ice cubes on me. sat outside in the cold to cool down. Day 3 Im feeling alright still in the afternoon i feel like i get over heated. So far my close ones around me have noticed that I have a short temper since the first shot and my depression came back. I have a hard time remember things like i use to. like my phone number in times that i need to remember it, spelling and remembering what i was doing and where i just sat things down. Feels like early demetia. well see how day for goes

Other Meds: daily vitamen

Current Illness:

ID: 1701915
Sex: M
Age: 43
State: WV

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 09/16/2021
Hospital:

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

Lab Data: Urgent Care, Dr Office Visits. Noticeable swollen inflamed tendons in elbow, pain in arm and forarm. Advised to take ibuprofin, but could not tolerate (stomach pain). Follow up 9/27.

Allergies: Immodium AD - Hives

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

Symptoms: RSF-28615-53273 Record in CDC V-Safe also records same details. Starting 5/14, increasing pain from, site of injection, through elbow, and into forarm. Significant dibilitating pain experienced when reaching, pointing, grasping, twisting forarm. Sought care from WVU Urgent Care. Weakness and grip strength noticeable compared to other arm. No obvious signs of stroke seem isolated to injection site and below.

Other Meds: Aspirin, Multi Vitamin, Vitamin C, Vitamin D, Potassium, Zyrtec

Current Illness: None

ID: 1701919
Sex: M
Age: 33
State:

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 09/16/2021
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: Tremor

Symptoms: Painful and abnormally swollen Lymph Nodes over collarbone

Other Meds: None

Current Illness: None

ID: 1701920
Sex: F
Age: 41
State: NY

Vax Date: 05/24/2021
Onset Date: 06/14/2021
Rec V Date: 09/16/2021
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: Erythema, Pruritus

Symptoms: extremely heavy periods

Other Meds:

Current Illness:

ID: 1701921
Sex: F
Age: 58
State: NC

Vax Date: 08/13/2021
Onset Date: 08/16/2021
Rec V Date: 09/16/2021
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: EKG, blood work, echocardiogram 08/16/2021 - 08/17/2021

Allergies: NSAIDS, doxycycline

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

Symptoms: Began having palpation, chest heaviness, shortness of breath, light-headedness. Pulse was rapid and irregular. Immediately was driven to ED. EKG revealed Atrial Fib with RVR with heart rate 140-170 bpm and elevated blood pressure. Cardizem given with no change. Labetalol given and BP decreased. Placed on Cardizem drip IV, heart rhythm converted to normal sinus rhythm after about one of infusion. Cardizem drip stopped and changed to by mouth. Heparin drip IV started. Spent night in ED with no events and had an Echocardiogram the next morning. Test revealed asymmetric septal hypertrophy, thickening of the heart wall. Discharged in diltiazem and apixaban. Advised by MD to continue medications for a few months and if no events, the medications may be stopped.

Other Meds: montelukast, cetirizine, omeparzole, symbicort, spiriva respimat, zinc, vitamin C, vitamin D3, melatonin

Current Illness: Asthma, GERD, Seasonal Allergies

ID: 1701922
Sex: F
Age: 59
State: WA

Vax Date: 09/12/2021
Onset Date: 09/12/2021
Rec V Date: 09/16/2021
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: numbness in my throat, jaw, face nose, tongue, eyes and forehead

Other Meds: Cholestiramine

Current Illness:

ID: 1701923
Sex: F
Age: 55
State: CA

Vax Date: 03/27/2021
Onset Date: 09/15/2021
Rec V Date: 09/16/2021
Hospital:

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

Lab Data: I did not see a doctor.

Allergies: Possibly vicodin

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Dizziness, eye pain, unable to focus vision, chest pain, rapid heart rate, chest tightness, severe joint pain, headaches all happened within 10 or so minutes. Leg swelling started next day or day after. Most symptoms lasted well past June and I have had daily headaches since March 27 and a few other symptoms off and on.

Other Meds: Thyroid medicine and high blood pressure medicine

Current Illness: No illnesses like the flu or a cold. Not sure what you are asking.

ID: 1701926
Sex: F
Age: 53
State: HI

Vax Date: 09/04/2021
Onset Date: 09/04/2021
Rec V Date: 09/16/2021
Hospital:

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

Lab Data: none

Allergies: GADOLINIUM

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

Symptoms: Rash developed in the LT arm followed by a warmth sensation from the bottom of spine all the way to the throat which started to get swollen and constricted about 38 min after the vaccination. Self treated with 1 dose of claritin which relived partially the throat constriction and rash 10 min later. Throat constriction lasted for 6 hours, developed subsequent muscle pain and tingling sensation in all muscles that is not going away till today

Other Meds: COQ10, VIT B COMPLEX, EMERGENC, CURCUMIN, ASEA, VIT D/K, VIT C LIPOSSOMIC, COD LIVER OIL

Current Illness: Gadolinium deposition disease

ID: 1701927
Sex: F
Age: 41
State: KY

Vax Date: 09/13/2021
Onset Date: 09/15/2021
Rec V Date: 09/16/2021
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: N/A

Allergies: Alpha-Gal. Chicken. Penicillin. Amoxicillin.

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

Symptoms: Large knot under injection site that has quadrupled in size. Red, itchy, and extremely painful.

Other Meds: Serequel. Pristiq. Colestid.

Current Illness: None

ID: 1701928
Sex: F
Age: 62
State: CA

Vax Date: 09/09/2021
Onset Date: 09/10/2021
Rec V Date: 09/16/2021
Hospital:

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

Lab Data:

Allergies: Avocados Honey Some shellfish

Symptom List: Pain in extremity

Symptoms: Next morning after shot my Chest or lungs felt very impacted. Hurts to breath in. Similar feeling to when you have bronchitis. Been feeling this for 5 days

Other Meds: Pramipixole Lamictal Tramadol Wellbutrin Levothyroxine Rosuvastatin Amlodipine Besylate

Current Illness: None

ID: 1701929
Sex: M
Age: 34
State: NM

Vax Date: 05/31/2021
Onset Date: 06/15/2021
Rec V Date: 09/16/2021
Hospital:

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

Lab Data:

Allergies: N/A

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

Symptoms: hyperhidrosis

Other Meds: N/A

Current Illness: N/A

ID: 1702302
Sex: F
Age: 40
State: NC

Vax Date: 09/15/2021
Onset Date: 09/15/2021
Rec V Date: 09/16/2021
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: Sulfa, adhesives

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

Symptoms: Extreme body aches, fatigue, sleeplessness, nausea

Other Meds: Loratadine, omega-3, seasonale,

Current Illness:

ID: 1702303
Sex: M
Age: 44
State: NY

Vax Date: 09/03/2021
Onset Date: 09/03/2021
Rec V Date: 09/16/2021
Hospital:

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

Lab Data: At the ER all they did was an EKG, and said the results were ok and released me saying if the symptoms got worse to come back.

Allergies: None-known

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

Symptoms: Within 20 minutes after receiving the shot I felt pain in my chest pain over the area of my heart and numbness thru my entire left arm. Then in addition it started to feel like something was squeezing my heart really hard. I also felt so extremely tired I was falling asleep while I was talking to people, I couldn't stay awake. I went to the ER at this point.

Other Meds: N/A

Current Illness: Gastritis

ID: 1702814
Sex: F
Age:
State: PR

Vax Date: 07/26/2021
Onset Date: 07/27/2021
Rec V Date: 09/16/2021
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: Arm pain; Tiredness; Arm pain sleepiness; This is a spontaneous report from a contactable consumer (patient herself). A 31-years-old non pregnant female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration, administered in right arm on 26Jul2021 14:30 (age at vaccination: 31 years) as DOSE 1, SINGLE for covid-19 immunisation. The patient's medical history was none. The patient's concomitant medications were not reported. The patient had no known allergies. The patient had covid prior to vaccination. On 27Jul2021 13:15, the patient experienced arm pain, tiredness and sleepiness. The patient did not receive any other vaccine in four weeks or any other medication in 2 weeks. No treatment was received for the adverse event. The patient was not tested for covid post vaccination. The outcome of all the events was recovering.

Other Meds:

Current Illness:

ID: 1702815
Sex: F
Age:
State: PR

Vax Date: 08/21/2021
Onset Date: 08/21/2021
Rec V Date: 09/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Reaction in the arm of the injection site; Red and bulge area form covering a pretty big area of upper arm; Red and bulge area form covering a pretty big area of upper arm; When it started to dry, it itched a lot; The mark is still visible; This is a spontaneous report from a contactable consumer, the patient. A 40-year-old non-pregnant female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: FD8448) via an unspecified route of administration in the left arm on 21Aug2021 at 13:00 (at the age of 40-years-old) as a single dose for COVID-19 immunisation. The patient's medical history and known allergies were reported as not applicable. The patient did not receive any other vaccines within four weeks prior to the vaccination. Concomitant medications included acetylsalicylic acid (BABY ASPIRIN) and unspecified vitamins; both from unknown dates, for unknown indications and unknown if ongoing. Prior to the vaccination, the patient was not diagnosed with COVID-19. On 21Aug2021 at 22:00 the patient experienced reaction in the arm of the injection site. Red and bulge area form covering a pretty big area of her upper arm. The bulging went down first, then the redness. When it started to dry, it itched a lot. The mark was still visible in her arm. The events did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. Therapeutic measures were not taken as a result of the events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events reaction in the arm of the injection site, red and bulge area form covering a pretty big area of her upper arm, when it started to dry, it itched a lot was resolved on an unknown date in 2021 and while that of the mark is still visible was not resolved. The patient also received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: FC3184) via an unspecified route of administration in the left arm on 11Sep2021 at 14:00 (at the age of 40-years-old) as a single dose for COVID-19 immunisation.

Other Meds: BABY ASPIRIN.

Current Illness:

ID: 1702816
Sex: F
Age:
State: PR

Vax Date: 02/12/2021
Onset Date: 02/19/2021
Rec V Date: 09/16/2021
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:

Allergies:

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

Symptoms: Bad headache; This is a spontaneous report from a contactable consumer (patient herself). A 79-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection), dose 2 via an unspecified route of administration on 12Feb2021 (Batch/Lot number was not reported) as DOSE 2, SINGLE (age at vaccination was 78 years old) for COVID-19 immunization at Hospital Auxilio Mutuo. Medical history included blood pressure high ongoing. Concomitant medication(s) included losartan potassium (COZAAR) 50mg taken for hypertension, start and stop dates were not reported and clopidogrel bisulfate (PLAVIX) 50mg. Historical vaccine included bnt162b2, dose 1 via an unspecified route of administration on 22Jan2021 (Batch/Lot number was FL9261) as DOSE 1, SINGLE. On 19Feb2021, at 04:00 hrs the patient experienced bad headache. She stated that I got my second vaccine of Pfizer on Friday, February 12 and was speaking , on friday that's the second dose okay Vaccine number 2, is it possible that 8 days after that I can get the side effects, 8 days after the vaccine not on the day, not the day after but 8 days after because she having a bad headache since yesterday after 4 am in the morning I am taking Tylenol. Do you think it is possible that this headache could be a side effect of this vaccine after 8 days because I don't usually have headaches, I could say I rarely have headaches but this headache since yesterday worries me, I want to find out is this possible to have side effect from the second vaccine. When paraphrased the concern, consumer stated, correct, after 8 days. Consumer was informed about the role of Pfizer Drug safety and was also informed about Pfizer Medical Information department. When probed if County of Incidence was, consumer stated, yes (not appropriately paraphrased and clarified hence, captured). The patient stated, Expiration date I don't know, it says Pfizer 1st FL9261, the second dose says EN I think it looks like an N EN6200, it might be EN or EU, EU6200. Treatment received by the patient was acetacminophen, tylenol. The clinical outcome of the event headache was unknown. Follow-up attempts completed. No further information expected.

Other Meds: COZAAR; PLAVIX.

Current Illness: Blood pressure high (Verbatim: Blood pressure high).

ID: 1702852
Sex: F
Age: 30
State: CA

Vax Date: 08/10/2021
Onset Date: 08/11/2021
Rec V Date: 09/16/2021
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: 8/11/2021 I had an MRI and a CT scan done of my entire mid section.

Allergies: Sulfa drugs; bactrim

Symptom List: Injection site swelling, Limb discomfort

Symptoms: My symptoms onset right about the 24 hour mark. I thought I avoided all side affects other than a sore arm but I suddenly couldn?t walk. I couldn?t stand up straight. I screamed in pain trying to find a position to lay in. I could hardly hold my phone. My whole right side was affected from about mid rib cage to the knee area. My entire thigh and butt cheek was numb. I couldn?t use the restroom. It lasted exactly 7 days of which I was in fairly excruciating discomfort for at least 4 days. It was like I was being shocked in my back. I also had a CT scan which reflected a fatty liver and spleen this scan was compared to a scan just two months earlier thats was unremarkable. I can?t say that was from the vaccine but I do find it odd that I would develop such condition. I do not drink alcohol at all.

Other Meds: Lyrica

Current Illness:

ID: 1702853
Sex: M
Age: 37
State:

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

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

Lab Data:

Allergies: NKDA

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

Symptoms: Pt received second dose of series 14 days early. Pt has no symptoms at this time. Pt informed to monitor symptoms and to return to clinic if any concerns. VAERS report line called.

Other Meds: Not known

Current Illness: Not known

ID: 1702854
Sex: F
Age: 30
State:

Vax Date: 09/14/2021
Onset Date: 09/14/2021
Rec V Date: 09/16/2021
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: No

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

Symptoms: Severe chills, shaking, severe muscle aches, high fevers? despite around the clock ibuprofen and Tylenol

Other Meds: Levothyroxine

Current Illness: No

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am