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: 1719124
Sex: M
Age: 67
State: WI

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 09/21/2021
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: Allergy to Tetanus vaccine

Symptom List: Dysphagia, Epiglottitis

Symptoms: From the date of second Covid-19 Pfizer on March 29, 2021 until July 13, 2012, I felt fatigue, lethargy, and "brain fog". After July 13th those conditions abated.

Other Meds: Testosterone replacement; vitamin C; vitamin B-complex; vitamin D3

Current Illness: None

ID: 1719125
Sex: F
Age: 36
State: IL

Vax Date: 09/20/2021
Onset Date: 09/20/2021
Rec V Date: 09/21/2021
Hospital:

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

Lab Data: none

Allergies: iv contrast, adhesives

Symptom List: Anxiety, Dyspnoea

Symptoms: patient was nervous prior to injection, received dose, felt a little nauseous but had water bottle on hand so had patient remain sitting in immunization room and to breathe normally. after 10 minutes patient stated she was feeling better and was able to move to sitting aware to complete remainder of observation period. after 10 minutes patient stated her throat felt itchy and a little hard to swallow, otherwise no other symptoms or side effects. patient was provided a dose of Benadryl and remain seated for further observation. after 10 minutes patient stated she felt better and stated she think she might have overreacted. patient was reassessed for any other symptoms, denied any and was able to leave

Other Meds: ibuprofen for tendonitis

Current Illness: none

ID: 1719126
Sex: F
Age: 56
State: GA

Vax Date: 08/12/2021
Onset Date: 08/26/2021
Rec V Date: 09/21/2021
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: 9/21/21: Medical exam. Treatment with prednisone dose pk and cyclobenzaprine

Allergies: no known allergies

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

Symptoms: Left shoulder pain and decreased ROM

Other Meds: None

Current Illness: None

ID: 1719127
Sex: F
Age: 38
State: FL

Vax Date: 09/14/2021
Onset Date: 09/15/2021
Rec V Date: 09/21/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: - Body aches: started around 24 hours after injection and ended around 48 hours after injection - Fever: started around 28 hours after injectin and ended around 40 hours after injection - sore arm: started 24 hours after shot and ended around 4 days - armpit soreness and slight swelling: started around 30 hours after injection and lasted 5 days - Headache: started around 24 hours after injection and lasted about 1 day **no treatment for adverse events **adverse events eventually cleared

Other Meds:

Current Illness: N/A

ID: 1719128
Sex: F
Age: 30
State: DE

Vax Date: 08/13/2021
Onset Date: 08/14/2021
Rec V Date: 09/21/2021
Hospital:

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

Lab Data: Ultrasounds

Allergies: Rocephin

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

Symptoms: Really bad headaches, feeling bad, drained, received stomach pain and bleeding, as well a my body feeling different. I'm pregnant but wasn't having any complications like this before I received the shot. Now I have placenta previa and at risk for other things as well. treated by my ob-gyn.

Other Meds: None

Current Illness: None

ID: 1719129
Sex: M
Age: 12
State: VA

Vax Date: 08/28/2021
Onset Date: 08/31/2021
Rec V Date: 09/21/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Patient developed Pityriasis rosea. It started on day 3 after the shot. Just a bump or two on his trunk. Over the span of a week it spread over his trunk and started to show up on his arms and legs. After three weeks the bumps are still noticeable but are drying up.

Other Meds: None

Current Illness: On 8/24/21 patient had a bug bite under his right eyelid. He took benadryl on 8/24/21; 8/25/21; and 8/26/21.

ID: 1719130
Sex: F
Age: 26
State: TX

Vax Date: 09/21/2021
Onset Date: 09/21/2021
Rec V Date: 09/21/2021
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: Pyrexia, White blood cell count decreased

Symptoms: Pt was given 2nd pfizer dose @ 11:22am while in process of giving vaccine air pressure caused 5 percent of the vaccine dose to come out. Pt was notified and aware. Pt refused to be revaccinated and denies any symptoms or reaction after vaccination. Pt was informed that she only received 90% of the dose. Pt verbalized understanding.

Other Meds:

Current Illness:

ID: 1719131
Sex: F
Age: 35
State: KY

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 09/21/2021
Hospital:

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

Lab Data: Immediate Care Tests 4/5/2021: Physical Exam: BP 117/71 | Pulse 60 | Temp 97.8 ?F (36.6 ?C) (Temporal) | Resp 16 | Ht 5' 7" (1.702 m) | Wt 140 lb (63.5 kg) | SpO2 100% | BMI 21.93 kg/m? Physical Exam Constitutional: She is oriented to person, place, and time. She appears well-developed and well-nourished. No distress. HENT: Head: Normocephalic and atraumatic. Mouth/Throat: Oropharynx is clear and moist. No oropharyngeal exudate. Cardiovascular: Normal rate and regular rhythm. Pulmonary/Chest: Effort normal and breath sounds normal. No respiratory distress. She has no wheezes. She has no rales. Neurological: She is alert and oriented to person, place, and time. No cranial nerve deficit. Skin: Skin is warm and dry. Psychiatric: She has a normal mood and affect. Her behavior is normal. Judgment and thought content normal. Tearful due to current symptoms/situation Nursing note and vitals reviewed. Assessment/Plan: Diagnoses and orders/medications from this encounter 1. Numbness and tingling of right side of face Emergency Department (ER) Emergency Room Visit 4/5/2021: PHYSICAL EXAM *VITALS :BP 127/75 | Pulse (!) 59 | Temp 98 ?F (36.7 ?C) (Temporal) | Ht 5' 7" (1.702 m) | Wt 63.5 kg (140 lb) | SpO2 100% | BMI 21.93 kg/m? Physical Exam Constitutional: She is oriented to person, place, and time. She appears well-developed and well-nourished. HENT: Head: Normocephalic and atraumatic. Eyes: Pupils are equal, round, and reactive to light. EOM are normal. Cardiovascular: Normal rate and regular rhythm. Pulmonary/Chest: Effort normal and breath sounds normal. Abdominal: Soft. She exhibits no distension. There is no abdominal tenderness. Musculoskeletal: Normal range of motion. Neurological: She is alert and oriented to person, place, and time. She has normal strength. No cranial nerve deficit or sensory deficit. Coordination normal. Skin: Skin is warm and dry. Nursing note and vitals reviewed. Labs Reviewed 4/5/2021 BASIC METABOLIC PANEL (BMP) - Abnormal; Notable for the following components: Sodium 136 (*) All other components within normal limits CBC W/DIFF MAGNESIUM INITIAL Labs/Rad/Diagnostics = See orders below. Orders Placed This Encounter Procedures ?CBC w/Diff ?Basic Metabolic Panel(BMP) ?Magnesium Vital signs in ED 04/05/21 1106 04/05/21 1107 BP:127/75 Pulse:(!) 59 Temp:98 ?F (36.7 ?C) TempSrc:Temporal SpO2:100% Weight:63.5 kg (140 lb) Height:5' 7" (1.702 m)

Allergies: None

Symptom List: Pharyngeal swelling

Symptoms: Adverse Events: right sided arm tingling/numbness, tingling to right side of face, tingling to right side of throat about an hour after first dose of Pfizer COVID vaccine. I felt dyspnea and "one moment" sensation of throat closing which resolved with deep breathing. I felt weakness in right arm/hand and had difficulty writing. Right sided facial droop and dizziness. Treatment: called vaccine clinic and they told me to go to immediate care or ER. Went to immediate care and they took vitals and suggested I go to ER due to it being single sided. ER Visit: bloodwork done by ED physician. OUTCOME: Re-assessment: (12:40): -Patient was reassessed and patient/family was updated on the results. -Patient's condition has improved, vital signs are stable, and no new complaints are reported. -A repeat exam reveals no new worrisome changes from initial exam findings. -The patient was comfortable being discharged. Discussed the plan and they are comfortable with this. - I discussed with the patient any abnormal labs or imaging. I discussed with the patient that they must followup with a physician tomorrow. Diagnosis: Paresthesias

Other Meds: Vitamin C, Vitamin D, Probiotic, Multivitamin

Current Illness: None

ID: 1719132
Sex: M
Age: 41
State: WV

Vax Date: 08/25/2021
Onset Date: 09/20/2021
Rec V Date: 09/21/2021
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: Penicillin, Ceclor

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA. Patient received 3rd dose of Pfizer COVID-19 vaccine on 8/25/2021 without incident. Reports yesterday (9/20/2021) at approximately 2:00pm he began feeling a burning sensation on the back of his neck and on the right side of his upper body. States red rash was present. States the rash is intermittent but area remains sensitive. States he started taking Benadryl once rash developed. Examined today by Dr. and diagnosed with herpes zoster.

Other Meds: Lisinopril, Protonix

Current Illness: none

ID: 1719133
Sex: F
Age: 28
State: MN

Vax Date: 03/18/2021
Onset Date: 08/09/2021
Rec V Date: 09/21/2021
Hospital:

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

Lab Data: 08/09/2021 Positive OTC rapid test

Allergies: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: COVID-19 positive test, then symptoms appeared. Symptoms: body aches, joint pain, extreme exhaustion, lower limb edema, headache, NO fever.

Other Meds: Zoloft, Junel, Ibuprofen, Zyrtec, Flonase

Current Illness: None

ID: 1719134
Sex: F
Age: 12
State: IL

Vax Date: 09/18/2021
Onset Date: 09/18/2021
Rec V Date: 09/21/2021
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:

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

Symptoms: There were no adverse events from this encounter . Patient was inadvertently given the Janssen COVID vaccine, which is not approved for children under 18 years old. Patient was seen 2 days later and no ill effects reported.

Other Meds:

Current Illness:

ID: 1719135
Sex: F
Age:
State: PR

Vax Date: 03/03/2021
Onset Date: 04/01/2021
Rec V Date: 09/21/2021
Hospital:

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

Lab Data: April 5, 2021 I got "shingles" a day before I was feeling weak

Allergies: No

Symptom List: Rash, Urticaria

Symptoms: 30 days after the second dose MODERNA I got "shingles".

Other Meds: None

Current Illness: No

ID: 1719136
Sex: F
Age: 63
State: TN

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 09/21/2021
Hospital:

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

Lab Data: no

Allergies: corn sulfate

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

Symptoms: Patient reported that she has severe headaches and unable to keep anything down.. also has dizziness and chills

Other Meds: Morphine Hydrocholorzine Zingler

Current Illness: no

ID: 1719137
Sex: M
Age: 18
State: NC

Vax Date: 08/28/2021
Onset Date: 09/18/2021
Rec V Date: 09/21/2021
Hospital: Y

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

Lab Data: troponin 9/20 3.14 9/20 7.6 9/21 13.9 9/21 11.1 CRP 82.9 BNP 5.5 TSH 4.19 SARS-CoV-2 Negative, Influenza A&B negative, urine drug screen negative EKG: Vent. Rate : 065 BPM Atrial Rate : 065 BPM P-R Int : 134 ms QRS Dur : 110 ms QT Int : 414 ms P-R-T Axes : 051 073 054 degrees QTc Int : 430 ms Normal sinus rhythm with sinus arrhythmia ST elevation consider anterolateral injury or acute infarct ST elevation consider inferior injury or acute infarct ** ** ACUTE MI / STEMI ** ** Abnormal ECG

Allergies: cefdinir - rash

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

Symptoms: Patient is a 19-year-old male who received his 2nd COVID-19 vaccination 2 days ago. Patient received vaccine in the left shoulder. Patient the next day (1 day ago) began to have body aches fever and chills and some right-sided chest discomfort. Patient states he has some soreness with touching the right chest wall. Patient states he has no known medical problems. Patient denies any surgery denies any history of blood clot to the lung or leg. Patient states he feels mildly short of breath and has some mild chest soreness. 9/21 Hospital Course Patient was admitted to the telemetry floor where he was continued on ibuprofen therapy for suspected acute pericarditis. Treated with Ibuprofen 800 TID , treatment dose Lovenox , (initially) Assessment Problem List (1) Acute pericarditis: Status: Acute (2) Myocarditis: Status: Acute Plan (Overall): Patient with perimyocarditis secondary to COVID vaccination. Symptoms have improved with ibuprofen. Awaiting echocardiogram results. Agree with ibuprofen. Will make further recommendations after speaking with the rounding physician. Suspect symptoms will improve with time. Spoke with Dr. who also had face to face contact with the patient. Continue anti-inflammatory regimen. Continue to trend troponins. No heavy lifting/strenuous physical activity x 2 weeks. Therefore, no work x 2 weeks. If symptoms improve, may return to work at that time.

Other Meds: none

Current Illness: no known medical problems

ID: 1719138
Sex: F
Age: 82
State: TX

Vax Date: 09/15/2021
Onset Date: 09/15/2021
Rec V Date: 09/21/2021
Hospital:

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

Lab Data: Patient has doctor appt at 2pm 9/21/21

Allergies: no known allergies

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

Symptoms: Patient had soreness and redness at injection site starting Wednesday 9/15 at 9pm. Soreness gradually got better and was completely gone by Monday 9/20. Redness got progressively larger and when patient presented on 9/21/21 at 11:45am the red circle around injection site was 5 inches in diameter

Other Meds: Budesonide EC 3mg, Omeprazole 40mg, QVAR inhaler, Stiolto inhaler, albuterol inhaler

Current Illness: none

ID: 1719139
Sex: F
Age: 33
State: TX

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

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

Lab Data: N/A

Allergies: None

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

Symptoms: Nausea

Other Meds: Montelukast

Current Illness: None

ID: 1719140
Sex: F
Age: 51
State: CA

Vax Date: 09/20/2021
Onset Date: 09/20/2021
Rec V Date: 09/21/2021
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: no

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

Symptoms: Lips and tongue and throat swelling . At 9 pm Nausea started

Other Meds: Wellbutrin ,Lexapro

Current Illness: no

ID: 1719141
Sex: F
Age: 66
State: MN

Vax Date: 12/29/2020
Onset Date:
Rec V Date: 09/21/2021
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: None stated.

Other Meds:

Current Illness:

ID: 1719143
Sex: F
Age: 64
State: TN

Vax Date: 09/01/2021
Onset Date: 09/01/2021
Rec V Date: 09/21/2021
Hospital:

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

Lab Data:

Allergies: Ace inhibitors

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Jittery, short of breath, and ?felt like my throat was closing? for 2 weeks after vaccination. States that shortness of breath has persisted for 3 weeks

Other Meds:

Current Illness: Autoimmune

ID: 1719144
Sex: F
Age: 65
State: NJ

Vax Date: 08/14/2021
Onset Date: 08/14/2021
Rec V Date: 09/21/2021
Hospital:

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

Lab Data: N/A

Allergies: morphene

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

Symptoms: WAS TIRED..NEEDED NAP. THIS WAS AFTER MY BOOSTER SHOT DUE TO NO SPLEEN (IMMUNOCOMPRIMISED)

Other Meds: 81 mg aspirin, plavix, artorvostatin, metropolol, imdur & losartin

Current Illness: none

ID: 1719145
Sex: F
Age: 64
State: FL

Vax Date: 06/18/2021
Onset Date: 06/01/2021
Rec V Date: 09/21/2021
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: Sept 14 2021 - CT scans, echocardiogram, Lab work - I do not know all these results you will have to contact my DR.

Allergies: Penicillin; Sulfa; Codeine; Azithromycin

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

Symptoms: It's been too long since it happened and too much has gone on. My son died, my family members have died. The heart stuff has been happening for several months that's all I can tell you, and it's just not getting better. If you want all the information then go back to my little check-ins there from my phone that you send me. My heart rate is high, my numbers are just disturbing. I cannot get enough air. I wouldn't even know, I don't even know if it is vaccine related. It is hard to differentiate where it got worse. I had went to the heart DR on the 14th of Sept and he told me to go to the ER for tests but I cannot go to the ER I have too high of a deductible, I cannot afford that. Well I did, I went to the ER and they admitted me there.

Other Meds: Probiotic; Levothyroxine; Diltiazem XR; Famotidine; Duloxetine; Eliquis; Omeprazole; Trazadone; Montelukast; Blue Bonnet Melatonin; Levalbuterol Tartrate HSA; Arnuity Elliptica; Epipen; Metamucil; Fish Oil; Omega 3; Osteobiflex; B Complex

Current Illness: N/A

ID: 1719146
Sex: F
Age: 50
State: NV

Vax Date: 07/23/2021
Onset Date: 07/25/2021
Rec V Date: 09/21/2021
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:

Symptom List: Unevaluable event

Symptoms: Got a stroke one July 25th, 2021

Other Meds:

Current Illness:

ID: 1719147
Sex: M
Age: 42
State: GA

Vax Date: 09/17/2021
Onset Date: 09/17/2021
Rec V Date: 09/21/2021
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:

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

Symptoms: patient was given an expired vaccine. vaccine expired on 09/07/2021 and it was given 09/17/2021

Other Meds:

Current Illness:

ID: 1719149
Sex: F
Age: 79
State: MN

Vax Date: 04/16/2021
Onset Date: 09/19/2021
Rec V Date: 09/21/2021
Hospital: Y

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

Lab Data: Lab Tests Completed in the emergency department, more tests completed after transfer. C-REACTIVE PROTEIN (INFLAMMATION) COMPREHENSIVE METABOLIC PANEL LAB ONLY-COMPLETE BLOOD COUNT WITH DIFFERENTIAL LACTIC ACID LIPASE TROPONIN I performed 2 times URINE DIP, REFLEX TO MICROSCOPIC, REFLEX TO CULTURE CT ABDOMEN PELVIS WITH CONTRAST EKG XRAY CHEST PORTABLE -

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: 79 year old female, presents to ED via wheelchair. Patient is accompanied by her husband. Patient states that she has been having abdominal pain since last night and it is getting worse. Patient admits to vomiting x1 this morning. Patient has had two bowel movements today. Patient has recently started back up on chemo for ovarian cancer. transferred to higher care. reason for visit: Abdominal Pain Diagnoses Small bowel obstruction Encounter for nasogastric (NG) tube placement Epigastric pain Abdominal pain, generalized Nausea Elevated troponin level Dehydration

Other Meds:

Current Illness:

ID: 1719151
Sex: M
Age: 47
State: NE

Vax Date: 08/30/2021
Onset Date: 08/30/2021
Rec V Date: 09/21/2021
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: no known allergies

Symptom List: Injection site pain, Menorrhagia

Symptoms: Patient came in for second dose in series. He stated that he has been experiencing severe headaches since he received the first dose. This happens off and on and mainly at night. It is relieved enough that he can sleep and get thru the next day after he takes Advil.

Other Meds: none on file

Current Illness: none

ID: 1719152
Sex: F
Age: 68
State: AZ

Vax Date: 03/16/2021
Onset Date: 04/27/2021
Rec V Date: 09/21/2021
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: Garlic; Morphine; and Oxycodine

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

Symptoms: Memory lost, pressure and tingling on right side of head.

Other Meds: Vitamins

Current Illness:

ID: 1719153
Sex: F
Age: 72
State: MI

Vax Date: 03/30/2021
Onset Date: 09/16/2021
Rec V Date: 09/21/2021
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: NKA

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Oxygen demands, rapid breathing, dry cough, COVID pneumonia

Other Meds: Acidophilus Probiotic Blend oral capsule: 1 cap(s), PO (oral), qDay, # 30 cap(s), 0 Refill(s), Bactrim DS 800 mg-160 mg oral tablet: 1 tab(s), PO (oral), bid, # 28 tab(s), 0 Refill(s), Diflucan 150 mg oral tablet: 150 mg = 1 tab(s), PO (

Current Illness: HTN HLD Rheumatoid arthritis

ID: 1719154
Sex: F
Age: 37
State: AL

Vax Date: 01/27/2021
Onset Date: 02/10/2021
Rec V Date: 09/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: I took the 2nd vaccine in the series and I did not know that I was pregnant at the time. I started experiencing light bleeding and ultimately had a miscarriage 1.5-2 weeks after receiving the 2nd vaccine. My doctor did not think that the vaccine was attributed to the miscarriage. I have no previous history of miscarriage. Since this occurred within 30 days of receiving the vaccination, I believe that it should be reported. I am a healthcare worker and there has been zero communication/education or plea to the healthcare community to report adverse events for patients that receive the covid vaccines. As a researcher for phase 1 trials, we are required by the FDA to report all adverse events to the FDA whether the adverse event is attributed to study drug or not.

Other Meds:

Current Illness:

Date Died: 05/22/2021

ID: 1719155
Sex: M
Age: 61
State: FL

Vax Date: 05/19/2021
Onset Date: 05/22/2021
Rec V Date: 09/21/2021
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: Death certificate and autopsy report can be provided upon request

Allergies:

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

Symptoms: My Father received his second COVID19 shot on May 19th, 2021. He felt fine the day of his vaccine and the day after. He experienced minor side effects. On May 22nd, 2021 my Father suddenly died while driving to work.

Other Meds: Toprol XL Nitroglycerin Atorvastatin Calcium

Current Illness:

ID: 1719156
Sex: F
Age: 47
State: CA

Vax Date: 06/17/2021
Onset Date: 06/17/2021
Rec V Date: 09/21/2021
Hospital:

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

Lab Data: Sent me to a Rheumatoid Arthritis doctor-did a bunch of testing: ESR rate was a little elevated but other lab results came back normal. X-ray on list - no fracture - all normal. The Rheumatoid doctor - Diagnosed me with Fibromyalgia - never had issues with that before this happened and also diagnosed with Osteo Arthritis to the Knee. He put me on Cymbalta but it didn't' have a good affect on my body. My body isn't taking right at this time. I have been seeing a Holistic doctor for these symptoms, too. This doctor- has given me some Herbal medications to help with the inflammation and they help with the pain.

Allergies: bee stings; allergies - a lot: certain fish and to aspirin, ibuprofen, morphine; seasonal allergies

Symptom List: Nausea

Symptoms: First symptom - I started itching and my lips started swelling up. I took a Zyrtec right away. that night, I had severe chills. It was worse than after birth chills. The next day;, 18th, I had severe body aches and I couldn't touch my body because everything hurt. After that day, I noticed tingling and numbing in finger and toe - joint pains in finger and toe. I had pain between my joints on my fingers. I also had pain in my wrist joints (both) and that radiated up to my elbows. Feet were tingling and numbing. I called my doctor each of these days. Doctor did try to give me Prednisone to help with inflammation. About a week or week and a half after. It (Prednisone) inflamed all my joints and made the pain worse - knees, hips, bottom of my feet, shoulders and where the injection site was I had a lot more pain. I had sensitivity to cold on my feet. There are times when my feet are super cold. Every day I would have a different joint pain - it rotates joint to joint - I'm still having that. I don't know from day to day which joint it is going to affect. But I'm still having the tingling in my toes and the tingling and the puffiness in my fingers. Two weeks ago, I started having jaw pain and teeth sensitivity. It was really difficult to chew on food. Also got a sensitivity to cold in my mouth. Those newer symptoms lasted for about a week to a week and a half steady but now it comes and goes. Every time that I have these symptoms, I have migraines, too. And I haven't migraines for a long while before this started happening lately. I am being seen by workmen's comp doctor and a Holistic doctor. Urgent Care visit at one point - this visit was towards the beginning and was right after I took the Prednisone. They told me to see my doctor - didn't help me too much.

Other Meds: high blood pressure pill; tylenol

Current Illness: no

ID: 1719157
Sex: F
Age: 28
State: CA

Vax Date: 09/19/2021
Onset Date: 09/20/2021
Rec V Date: 09/21/2021
Hospital:

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

Lab Data:

Allergies: dilaudid, morphone, pencillin, soy lecithin

Symptom List: Injection site pain

Symptoms: Per patient, she developed redness, swelling, and itchy lump to her injection site

Other Meds: tylenol

Current Illness:

ID: 1719158
Sex: F
Age: 50
State: MN

Vax Date: 01/29/2021
Onset Date: 09/15/2021
Rec V Date: 09/21/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: +COVID test following completed Pfizer COVID19 vaccine series

Other Meds:

Current Illness:

ID: 1719159
Sex: M
Age: 79
State: VA

Vax Date: 03/13/2021
Onset Date: 07/06/2021
Rec V Date: 09/21/2021
Hospital:

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

Lab Data: Stress Test 08/2021

Allergies: Statins, Darvocet, Atenolol, Neosporin

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

Symptoms: On 07/06/2021 I got a call from my cardiologist that informed me that I was experiencing Atrial Fibrillation. I have a Pacemaker so the AFib had showed up on my monitoring. I was scheduled a stress test after that and they did not find anything with that. I am scheduled to see my cardiologist again to get information.

Other Meds: Levothyroxine, Questran, Lexapro Baby Aspirin, Omeprazole

Current Illness:

ID: 1719160
Sex: M
Age: 16
State: TX

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

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

Lab Data: N/A

Allergies: None

Symptom List: Tremor

Symptoms: Patient felt light headed. EMS evaluated and cleared.

Other Meds: None

Current Illness: None

ID: 1719161
Sex: F
Age: 63
State: FL

Vax Date: 09/19/2021
Onset Date: 09/19/2021
Rec V Date: 09/21/2021
Hospital:

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

Lab Data: None yet

Allergies: Egg Penicillin Doxycycline

Symptom List: Erythema, Pruritus

Symptoms: 30 min after 2nd shot of vaccine I felt weakness on left side of my body. It lasted a minute or so. As that weakness disappeared - my right facial cheek felt strange. I touched it and it was numb. That also disappeared in a minute or so. Thought you should know

Other Meds: Gabbapentein 400mg

Current Illness: Disturbed nerve due to facet injection of neck-

ID: 1719162
Sex: F
Age: 30
State: WI

Vax Date: 09/21/2021
Onset Date: 09/21/2021
Rec V Date: 09/21/2021
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: NA. Vitals checked.

Allergies:

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

Symptoms: She reports symptoms of Other: Immediately after injection patient reports feeling dizzy and "hotflashes". Denies nausea, heart racing, shortness of breath or throat swelling. I have observed: Patient shaking arms. Eyes closed. Complains of tongue and throat pain. Describes it as "a sinking feeling". Denies nausea, heart racing, shortness of breath or throat swelling. Able to swallow. Drinking water and talking without difficulty.

Other Meds:

Current Illness:

ID: 1719163
Sex: F
Age: 11
State: CA

Vax Date: 06/29/2021
Onset Date: 06/29/2021
Rec V Date: 09/21/2021
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: Septra

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

Symptoms: Patient received Pfizer vaccine on 6/29/21 and 7/21/21. 11 year old patient received both doses of Pfizer, which does not yet have an emergency use authorization for under 12 years old.

Other Meds:

Current Illness: N/A

ID: 1719164
Sex: M
Age: 36
State: OR

Vax Date: 09/15/2021
Onset Date: 09/15/2021
Rec V Date: 09/21/2021
Hospital:

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

Lab Data: NA

Allergies: None

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Severe headache (9/15-today), pain in injection site(9/15-today), chills (24 hrs post injection), loss of appetite (72 hrs post injection), eyes twitching (9/15-today), very lethargic (9/15-today), ringing in ears (9/15-today).

Other Meds: None

Current Illness: None

ID: 1719165
Sex: F
Age: 46
State: TX

Vax Date: 04/01/2021
Onset Date: 06/10/2021
Rec V Date: 09/21/2021
Hospital: Y

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

Lab Data: echocardiogram, blood tests, heart cath

Allergies: none

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

Symptoms: heart attack. no risk factors. no blockages found.

Other Meds: none

Current Illness: none

ID: 1719166
Sex: F
Age: 31
State: OR

Vax Date: 06/07/2021
Onset Date: 06/09/2021
Rec V Date: 09/21/2021
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:

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

Symptoms: Pulmonary Embolism, Pulmonary Edema

Other Meds: Tri-Sprintec

Current Illness:

ID: 1719167
Sex: F
Age: 47
State: TN

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

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

Lab Data: 09/21/2021 12:34PM: BP 102/64, HR 54, PULSE OX 99 09/21/2021 12:40PM: BP 118/85, HR 53, PULSE OX 99

Allergies: NONE REPORTED

Symptom List: Pain in extremity

Symptoms: ADVERSE EVENT OCCURED 10 MINUTES AFTER ADMINISTRATION OF THE FIRST VACCINE. PATIENT WALKED UP TO THE COUNTER AND STATED SHE NEEDED HELP. PATIENT WAS LEAD TO A CHAIR AND SAT DOWN. PATIENT KEPT EYES CLOSED, STATED THEY WERE LIGHTHEADED AND FELT WEAK. WE LEAD PATIENT TO ROOM WHERE WE HAD HER LAY DOWN. MONITORED PATIENT FOR AN ADDITIONAL 25 MINUTES AND PATIENT WAS ABLE TO WALK TO HER CAR WITH HER HUSBAND.

Other Meds: THIS INFORMATION IS UNKOWN, HUSBAND WAS NOT AWARE EITHER

Current Illness: NO ILLNESSES

ID: 1719168
Sex: M
Age: 66
State: AZ

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 09/21/2021
Hospital:

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

Lab Data: Coloscopy Endoscopy EKG heart catheter chest x-ray MRI on back nuclear stress test ultrasound on heart

Allergies: Morphine; Pregabalin (lyrica); a blood pressure medication

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

Symptoms: 30 minutes after getting the vaccine, my eyes started burning. The next day my eye was still burning. All of a sudden I started having uncontrollable tremors in my left hand. I went to see a doctor the next day for my eyes and he gave me prescription eye drops. They haven't helped. A couple days later I started having pressure on my chest as if someone was sitting on my chest and my heart was racing. I went to another doctor the day after that and my blood pressure was high when I arrived. The doctor told me to monitor my blood pressure for a week. He prescribed medication for anxiety because of my tremors. I stopped taking that medication because it didn't help. When I monitored my blood pressure it was high each time. My blood pressure was 177 over 102. The doctor monitored me until my blood pressure was lower. The doctor didn't let me leave until he prescribed me some blood pressure medication. I also told my doctor that I had been experiencing severe back pain. I had a back injury 17 years ago that haven't bothered me until now causing extreme pain. The doctor recommended I go to a spine doctor. So I went there and had injections twice but they haven't worked. The other option is to have my nerve endings burnt, but I can't do it now because of the heart surgery I had done. The doctor said I had a left bundle branch block heart condition that was found. He recommended to see a cardiologist as soon as possible. I went to a cardiologist and they seen that I had some problems and recommend to have a nuclear stress test did. They also did an examination with my heart. The results of those test came back and the doctor said I needed to go have a heart catheter done. I was having open heart surgery the next day. I had five bypasses done on August 27th. I still have the tremors, back pain, and my eyes are still burning. My doctor recommended not to have the 2nd shot. He said that the shot caused my heart to have the issues a lot quicker, but I would've had the issues come up at a later time anyway.

Other Meds: Vitamins; Omeprazole

Current Illness:

ID: 1719169
Sex: M
Age: 53
State: CA

Vax Date: 09/17/2021
Onset Date: 09/18/2021
Rec V Date: 09/21/2021
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: Day of injection-normal injection site trauma-focus on range of motion left arm/shoulders - Day 2 5:00am Resting Heart Rate noticeably increased-disturbing normal waking pattern @ 10am Strong Headache, body ache, joint inflammation, injection site sore with normal range of motion, sore to touch, 3 red discolored lines in left shoulder appearing to following muscle striations. Symptoms lasted through the night. Did not use recommended Tylenol or any pain reliever to mask pain. Pain is there for a reason. Day 3 Sunday: Normal wake time 6:00am. Today 9:30am. Resting Heart Rate increased. Left arm injection site noticeably more sore than DAY 1 and 2 with normal range of motion. Range of motion limited. Headache intermittent throughout DAY3. DAY 3 evening - series of fevers - sweating despite room temperature being 73 and sitting down. DAY 4 get up to alarm @ 6:30am to go to work. Body aches and chills, headache returns, injection site continues to be sore to touch surrounding injection site, entire lateral shoulder muscle. DAY 5 I am at work, injection site sore to touch, small headache in the morning, current brain fog.

Other Meds: None

Current Illness: None

ID: 1719170
Sex: M
Age: 49
State: FL

Vax Date: 09/17/2021
Onset Date: 09/17/2021
Rec V Date: 09/21/2021
Hospital:

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

Lab Data: n/a

Allergies: Erythromycin

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

Symptoms: NO adverse event described at the time of the administration , the problem was overdose of the Pfizer vaccine.

Other Meds: Taking Metoclopramide HCl 5 MG Tablet 1 tablet before meals Orally Twice a day hydroCHLOROthiazide 12.5 MG Tablet 1 tablet in the morning Orally Once a day Pancreaze 2600-8800 UNIT Capsule Delayed Release Particles one capsule Orally three

Current Illness: Chronic GERD Hypertension, unspecified type Lumbar disc herniation Interstitial lung disease Other hyperlipidemia Uncontrolled type 2 diabetes mellitus with hyperglycemia Erectile dysfunction, unspecified erectile dysfunction type Pulmonary fibrosis Spinal stenosis of lumbar region, unspecified whether neurogenic claudication present Cervical stenosis of spinal canal

ID: 1719171
Sex: M
Age: 71
State: AZ

Vax Date: 02/18/2021
Onset Date: 08/22/2021
Rec V Date: 09/21/2021
Hospital:

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

Lab Data: Covid test 08/23/2021

Allergies:

Symptom List: Vomiting

Symptoms: Felt like the usual flu building over 48 hours. Then major runny gastroenteritis unable to feel, be alerted to or control at all for 30 hours; was like colonoscopy but slow and at 5-10 minute intervals throughout the night and next day into the evening. Slowly gaining control over explosive runny bowels during the next 10 days. No respiratory symptoms; no cough, no shortness of breath, no pain. No runny nose/sinus throughout. Light, painless corona like headache for 72 hours, with significant loss of mental capacity including short-term memory, finding words, and slight difficulty in controlling emotional fears about these symptoms becoming long-term or permanent. Felt tired the first 5-7 days. Got tested but no treatment.

Other Meds:

Current Illness:

ID: 1719172
Sex: F
Age: 40
State: CO

Vax Date: 09/12/2021
Onset Date: 09/12/2021
Rec V Date: 09/21/2021
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: None

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Received shot at 2:00 pm felt fine. 8:00 pm felt jaw pain. Hurt to chew. 1:00 pm woke up with vomiting diarrhea , rapid heart rate, throat felt swollen 09/13/21 2:00 pm rapid heart rate, dizziness, headache, throat felt swollen, felt like i was having a hard time taking breaths, back of neck extremely swollen 5:00 still not feeling good called an ambulance given oxygen on the way to hospital.Blood pressure high At ER I was given a steroid and hydroxyzine felt better 09/14/21 3:00 pm felt sick again took hydroxy. felt a little better 9:00 pm took one more hydroxy before bed. ER Dr suggested to help sleep 11:00 pm woke up mouth extremely dry and felt fatigued and felt like my body was extremely .heavy 9/15/21 finally got into family Dr told I had a panic attack and was given zoloft. Said I had a bad reaction to hydroxy and said I had to wait to wear off so I can feel better. I continued to feel very weak and extremely fatigued. Still very dizzy. I never took zoloft and I am finally feeling a little better. Very hard to do certain tasks because I feel so weak.

Other Meds: Allegra Cefalaxin

Current Illness: Urinary tract infection

ID: 1719173
Sex: F
Age: 33
State: OR

Vax Date: 08/31/2021
Onset Date: 09/01/2021
Rec V Date: 09/21/2021
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: Latex aspirin

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

Symptoms: Instant heavy chest and shortness of breath. Rapid heart beat over 80 bpm at rest, extreme fatigue. I lost my feeling in my hands I couldn?t touch anything slightly warm it felt like it was on fire. Fever over 101 for 3 days. Body aches and pains. Sore throat. Hard to breath and catch my breathe.

Other Meds: None

Current Illness: None

ID: 1719174
Sex: F
Age: 58
State: FL

Vax Date: 09/19/2021
Onset Date: 09/20/2021
Rec V Date: 09/21/2021
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: Extreme pain to pectoral muscle lasting over 24 hrs.

Other Meds: 2 prophylactic aspirin to lower expected injection site pain.

Current Illness:

ID: 1719176
Sex: M
Age: 48
State: NC

Vax Date: 08/18/2021
Onset Date: 08/31/2021
Rec V Date: 09/21/2021
Hospital:

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

Lab Data:

Allergies: NA

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

Symptoms: THE PATIENT RECIEVED JANSSEN ON 08/18/2021 AND RECIEVED ANOTHER DOSE OF JANSSEN ON 08/31/2021

Other Meds: NA

Current Illness: NA

ID: 1719177
Sex: F
Age: 48
State: CA

Vax Date: 06/11/2021
Onset Date: 06/30/2021
Rec V Date: 09/21/2021
Hospital:

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

Lab Data: Did not seek medical attention as I conducted my own research. My conclusions were these symptoms were common, but concerning. There has been no obvious sign of any other underlying medical issue.

Allergies: None

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

Symptoms: Prior to vaccinations 1 and 2, I was peri menopausal, having irregular periods. Prior to vax, I experienced 2 lighter and shorter periods in 8 months prior to 1st vaccine. Approximately 2-3 weeks after 2nd vaccine, I had a much heavier and longer period than ever before since starting my menstrual cycle at the age of 12. Approximately 4 weeks later, I had a 2nd period, not quite as heavy and long as first right after the vax, but somewhat heavier and longer than normal. Approximately 4-5 weeks later, I had a 3rd period that was more similar to my periods prior to beginning stages of menopause. Last day of last period was approx 9/18/2021.

Other Meds: Prilosec - 20mg - 1x daily

Current Illness: None

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am