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: 1719437
Sex: F
Age: 27
State: HI

Vax Date: 09/07/2021
Onset Date: 09/09/2021
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: 3 ER visits, fetal ultrasounds performed and reassuring, doppler tones reassuring. Strong suspicion for MSK pain in pregnancy.

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Pt received vaccine at 16wks EGA, EDD 2/11/2022. Reported onset of pelvic pain and pubic symphysis pain within 48hrs of vaccination., persisting for 3 wks after first vaccine.

Other Meds: PNV

Current Illness:

ID: 1719438
Sex: M
Age: 75
State: MN

Vax Date: 02/24/2021
Onset Date: 02/27/2021
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:

Allergies: Sulfa

Symptom List: Anxiety, Dyspnoea

Symptoms: I experienced itching on my chest and both legs

Other Meds: Yes

Current Illness:

ID: 1719439
Sex: F
Age: 79
State: TX

Vax Date: 08/25/2021
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: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: Enzymes on labs 12/18/2020 of alk phos 97, SGOT 19, SGPT 16. Elevated liver enzymes on labs 9/17/2021 of alk phos 146, SGOT 440, SGPT 589. Hepatitis panel on 9/20/2021 all negative.

Allergies: NKDA

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

Symptoms: Elevation of liver enzymes with no other interventions to cause the elevation.

Other Meds: Benazepril, Lasix, KCl, Pepcid, Symbicort

Current Illness: None

ID: 1719440
Sex: M
Age: 72
State: GA

Vax Date: 08/24/2021
Onset Date: 09/07/2021
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: unknown

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Patient began having bells palsy like symptoms on 9/7/2021, was diagnosed on 9/9 by Dr. Patient states was given antivirals/corticosteroids. Symptoms resolved after 2 weeks. Unsure if Dr. office has already completed a vaers report.

Other Meds: unknown

Current Illness: unknown

ID: 1719441
Sex: F
Age: 60
State: KY

Vax Date: 06/25/2021
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: IM
Vax Site: LA

Lab Data: COVID 19

Allergies: UNKNOWN

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

Symptoms: POSITIVE COVID

Other Meds: NONE

Current Illness: NO

ID: 1719442
Sex: M
Age: 23
State: NC

Vax Date: 09/14/2021
Onset Date: 09/17/2021
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 REPORTED

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

Symptoms: CHILLS, BODY ACHES, HEADACHES, SORE THROAT, AND COUGH

Other Meds: ZYRTEC

Current Illness: NONE REPORTED

ID: 1719443
Sex: M
Age: 47
State: MN

Vax Date: 01/11/2021
Onset Date: 09/09/2021
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: Tested PCR positive for COVID 9/9/21 after being fully vaccinated.

Other Meds:

Current Illness:

ID: 1719444
Sex: F
Age: 17
State: OR

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:
Dose Series: UNK
Vax Route: IM
Vax Site: LA

Lab Data: none

Allergies: none listed

Symptom List: Pharyngeal swelling

Symptoms: Not 18 yet. No adverse event

Other Meds: none listed

Current Illness: none listed

ID: 1719445
Sex: F
Age: 27
State: MN

Vax Date: 04/22/2021
Onset Date: 09/16/2021
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: COVID RAPID TEST, NASOPHARYNGEAL SWAB

Allergies: NONE DOCUMENTED

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: NASAL CONGESTION

Other Meds: OBC NAPROXEN VALTREX

Current Illness: NONE DOCUMENTED

ID: 1719446
Sex: F
Age: 55
State: VA

Vax Date: 12/12/2020
Onset Date: 12/27/2020
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: MRI January 2021 and august 2021 Joint fluid for analysis

Allergies: none

Symptom List: Diarrhoea, Nasal congestion

Symptoms: On 12/27/2020 , 2 weeks after my first covid vaccine, I woke up with a severely swollen ,stiff right knee but was not sure what caused it. I waited a couple weeks to see if it would go down. When it did not, I saw an Othopedic Doctor. He ordered a MRI which showed an old Meniscal tear. It continued to remain swollen, so I had a knee scope on February 12th and the Doctor did a partial menisectomy. It was noted that my cartilage looked good with some very minor arthritic changes. Through the next few months, my knee remained swollen. The doctor sent the synovial fluid off for culture and to check for crystals or Lymes Disease. This was all negative. We got another MRI in August which now showed severe arthritis. He suggested i have another knee arthroscopy to see what was going on. This time my knee's cartilage was mostly gone on the lateral side. i have bone on bone arthritis which i did not have 6 months before. My Doctor said this is unusual. I'm now am looking at having to have a total knee replacement. I am 55 years old, not over weight and have never had problems with my knees or any joints until i received the Covid Vaccine. I have the 2 MRI's to show the progression as well as pictures of the 2 knee arthroscopies that show the 6 month destruction of my cartilage

Other Meds: prevacid prn

Current Illness: none

ID: 1719447
Sex: F
Age: 30
State: FL

Vax Date: 08/18/2021
Onset Date: 08/18/2021
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: 09/15 I got blood test, COVID antibodies test, d-dimer test, urinal test, heart check and regular visit with my doctor.

Allergies: None

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

Symptoms: The same night after vaccine I felt completely sick. I had fever, chills I was sweating and I couldn?t sleep completely. Next day it was the same. I felt very sick all day. After few days I got red spots on my skin and spontaneously headache till today. Also I used to go to the gym often but after vaccine I am much weaker and my muscles are shaking while I am exercising. Sometimes my legs feel heavy and not completely normal like before the vaccine. I lost lot of my hair. I got anxiety because of that.

Other Meds: Multivitamin Complex solgar Solgar hair, nails and skin complex

Current Illness: None

ID: 1719449
Sex: F
Age: 55
State:

Vax Date: 05/11/2021
Onset Date: 09/20/2021
Rec V Date: 09/21/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Pt tested C19 Positive , and admitted on date of adverse event.

Other Meds:

Current Illness:

ID: 1719450
Sex: M
Age: 36
State: MD

Vax Date: 09/16/2021
Onset Date: 09/16/2021
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: N/A

Allergies: ? information not available this is a temp agency employee

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

Symptoms: Pt received the vaccine at 9:00am. He reported that he felt dizzy and had a headache at approximately 1000 Pt informed a coworker that he was not feeling well, and he felt dizzy. The coworker told him to talk to a staff nurse. Pt proceeded to the nurse's office and informed her that he had a slight headache, Nurse informed pt that she does not have any Tylenol at this time and to ask the other Triage Nurses. Pt proceeded to the triage office where he apparently took some Tylenol voluntarily. At 1142 he sent a Text to a coworker stating that he does not feel well and he feels dizzy and he was instructed to see a staff nurse. Around 1300 PT then asked his coworker for some more Tylenol, She gave him her private bottle which he then took more meds voluntarily not understanding the full background of his issues. Person then followed up with PT, while he was sitting next to someone else, MA and he stated that he felt fine. Around 1415 PT then expressed to a coworker that he is still not feeling well and felt dizzy and she then informed him to go to Dr. Around 1431 a nurse obtained his vital signs BP: 133/74, HR:77, Temp:98.0, Pulse Ox 100% on RA. PT was feeling, we offered Epi and informed him that based on his symptoms of ( nausea, hot flashes, dizziness) he would go by Ambo. PT did not want to go by Ambo, however, we informed him that after the administration of EPI, pts tend to be tachycardic and it is ideal that they are sent out by Ambo. Pt stated that he just wants this feeling to go away and if we need to administer the Epi we can. Pt informed two nurses that he has Marfans syndrome along with a Heart Murmur and we would rather not take the Epi. 911 was called and all pertinent information and vitals were given. PT Ambulated via Ambo at 1530. Pt opted to walk stating that he was not going to get on the stretcher. The paramedics asked him if he was okay, he responded saying yes and exited through the back staff door. Prior to his departure with the paramedics, PT vitals were obtained by RN, at 1511. BP:136/77, HR:75, 98% on Room Air. Pt declined ambo ride to the hospital due to the hospital that he wanted to go to was on alert. Pt instead left the parking lot via his personal car.

Other Meds: ?- not a patient but a temporary employee, information not available

Current Illness: Temp agency employee so don't know all of his personal health information

ID: 1719451
Sex: F
Age: 32
State: WV

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

Lab Data:

Allergies: Shellfish Cows milk Beef Wheat Orange Banana

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

Symptoms: Starting at 330pm day of vaccine I developed a low grade temp of 99.6 8pm Back pain with continued temp 99.8 845pm Cold chills, body aches and temp 100.2 9/21/21 4am Body aches and temp of 100.6 8am Body aches, weakness, temp 99.5 1pm- weakness ,body aches and fatigue 4pm- weakness

Other Meds: Stelara Injection 90mg Prozac 20mg once daily

Current Illness:

ID: 1719452
Sex: M
Age: 20
State: IN

Vax Date: 08/30/2021
Onset Date: 08/31/2021
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: none

Allergies: nka

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

Symptoms: extreme fatigue, headache, joint aches and pain

Other Meds: none

Current Illness: none

ID: 1719453
Sex: M
Age: 82
State: TN

Vax Date: 02/28/2021
Onset Date: 06/01/2021
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: Echocardiogram, which showed my injection fracture went down from 55% to 25%. Other test but they came back normal. x-ray of heart and lungs- slight fluid

Allergies: None

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

Symptoms: I had congestive heart failure because of a fib. I went to the ER in 2 different occasions. They did an echocardiogram, which showed my injection fracture went down from 55% to 25%. They did a lot of tests but they came back normal. The x-ray of heart and lungs showed slight fluid. They gave me heart medications, Lasix 20 mg, Aldactone 25 mg, Metoprolol 12.5 mg, Entresto 24 mg twice a day. My heart rate when I was sleeping when from 40-50 to 90-100s. It was for a week. Also, I could not sleep. I went 3 days without being able to sleep. That is when I went to the ER. After I took the Lasix I did not have any problem with sleeping.

Other Meds: Eliquis 5 mg two times a day; Pravastatin 40 mg; Losartan 25 mg; Pantoprazole 40 mg; Escitalopram; multi vitamin; probiotic; knee cream

Current Illness: None

ID: 1719454
Sex: F
Age: 74
State: CO

Vax Date: 09/11/2021
Onset Date: 09/16/2021
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: Observation for objects and cleaning of the eye and she could not see anything.

Allergies: Morphine, Lipitor and Crestor, Neomycin- Antibiotic

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

Symptoms: 09/16/2021 AM Awoke to find the hematoma Conjunctivitis - broken blood vessels and given eye drops - Ciprofloxacin 10mg two drops every two hours for first two days, then two drops for times a day for five days. Observation for objects and cleaning of the eye and she could not see anything. Hematoma of the eye.

Other Meds: Prevastatin 20mg once daily and Muti- vitamin, CoQ10 300mg, D3 1,000mcg daily, fish oil 600 mg, Milk Thistle 600mg daily, Calcium plus D3 500 mg daily

Current Illness: No

ID: 1719455
Sex: F
Age: 32
State:

Vax Date: 09/20/2021
Onset Date: 09/20/2021
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: Immediate burning pain @ injection site, significant arm pain the day after

Other Meds:

Current Illness:

Date Died: 05/13/2021

ID: 1719456
Sex: M
Age: 63
State: CA

Vax Date: 05/11/2021
Onset Date: 05/11/2021
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: autopsy

Allergies: unknown

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: nausea, vomiting

Other Meds: unknown

Current Illness: unknown

Date Died: 09/18/2021

ID: 1719457
Sex: F
Age: 77
State: MO

Vax Date: 07/12/2021
Onset Date: 09/05/2021
Rec V Date: 09/21/2021
Hospital: Y

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

Lab Data:

Allergies: Adhesive tape, Alendronate, Sulfa

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

Symptoms: patient expired 9/18/2021

Other Meds: Iron, Tylenol arthritis, Eliquis, Lipitor, Tessalon perles, Caltrate, Vitamin D3, Plavix, Vitamin B12, Decadron, Colace, Vibramycin, Breo Ellipta inhaler, Flonase nasal spray, Mucinex, Apresoline, Plaquenil, Imdur, Levothyroxine, Melatonin,

Current Illness: None

ID: 1719458
Sex: M
Age: 30
State: FL

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

Allergies: N/A

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

Symptoms: Male patient 31 year old reports after getting his first dose PRIZER on August 30, 2021 he felt a burning and stinging in his left arm in the area where he was vaccinated and a water bubble was formed. September 1, 2021 patient went to the doctor and was prescribed antibiotics and tripe antibiotics for the affected area.

Other Meds: N/A

Current Illness:

ID: 1719459
Sex: F
Age: 57
State: AL

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: Rapid heart rate, ringing in ears, dizziness, tightness in chest, high blood pressure, cramping in toes, occasional tingling in fingers

Other Meds:

Current Illness:

Date Died: 09/01/2021

ID: 1719460
Sex: M
Age: 64
State:

Vax Date: 03/01/2021
Onset Date: 08/25/2021
Rec V Date: 09/21/2021
Hospital: Y

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

Lab Data:

Allergies:

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

Symptoms: presented to hospital with complaints of increased weakness, dyspnea, and weight loss; immunosuppressed due to heart transplant; intubated, condition worsened and patient passed away in the hospital; COVID pneumonia ARDS

Other Meds:

Current Illness:

ID: 1719461
Sex: F
Age: 53
State:

Vax Date: 01/13/2021
Onset Date: 09/18/2021
Rec V Date: 09/21/2021
Hospital:

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

Lab Data: PCR positive for COVID on 9/20/2021

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: EE tested positive for COVID > 14 days after 2nd dose of Pfizer vaccine

Other Meds:

Current Illness:

ID: 1719462
Sex: F
Age: 45
State: AZ

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: SYR
Vax Site: LA

Lab Data:

Allergies: moderna

Symptom List: Injection site pain, Menorrhagia

Symptoms: client states rx to the moderna in 04/05/2021 031B21A lot states swelling hx of dermal fillers, was told by doctor to get J/J no mRNA. spoke with dept of health and although discouraged for mixing vaccines the benefits outwt. risk for this pt.

Other Meds: none known

Current Illness: none known

ID: 1719463
Sex: M
Age: 42
State: CA

Vax Date: 08/14/2021
Onset Date: 08/17/2021
Rec V Date: 09/21/2021
Hospital:

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

Lab Data: N/A

Allergies: none listed

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

Symptoms: Patient developed swelling of throat and uvula about 2-3days after the first dose was administered. The first dose was administered 8/14/21 and the uvula swelling occurred in the morning of 8/17/21 and lasted approximately 24hrs. Patient did not report going to the hospital for this incident.

Other Meds: lisinopril 40mg 1po qd

Current Illness: none listed

ID: 1719464
Sex: M
Age: 22
State: NC

Vax Date: 09/20/2021
Onset Date: 09/20/2021
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: NONE REPORTED

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: NASAL CONGESTION, NAUSEA, DIARRHEA, AND FATIGUE. GIVEN MEDS TO TREAT SYMPTOMS SENT HOME SICK FOR 24 HOURS

Other Meds: NONE REPORTED

Current Illness: NONE REPORTED

ID: 1719465
Sex: F
Age: 23
State: WA

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:
Dose Series: UNK
Vax Route: IM
Vax Site: RA

Lab Data: Chest x-ray (Sunday, Sept. 19, 2021) - everything was clear D-dimer (Friday, Sept. 17, 2021) - also clear EKG ( Friday, Sept. 17, 2021 & Sunday, Sept. 19) - also normal heart function Troponin blood test (Sunday, Sept. 19, 2021) - levels were clear

Allergies: Penicillin, oxycodone

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Mild chest pain started the day after the vaccine along with some shortness of breath and sore arm. The second day after the vaccine my chest pain got worse along with more shortness of breath and a minor headache and nausea. The third day after the vaccine chest pain and shortness of breath increased. Went to an urgent care clinic, EKG and several blood tests were deemed as normal. Vital signs were also okay. Chest pain and shortness of breath, headache and nausea continued and got worse. On the fifth day after the vaccine I went to the ER, chest pain was at its worse along with the shortness of breath and a tension headache. Had an X-ray done and some more blood test to rule out myocarditis. All came back with okay levels and chest x-ray was clear. Chest pain did not subside, I was told to just drink fluids and take motrin. Chest pain, headache and shortness of breath did not subside, headache got worse on sixth day. Felt like pressure on my entire head and forehead. Day 7, today, chest pain is less and shortness of breath is also less. Headache is constantly there and at times gets worse. My neck feels like it has some pressure and at times it is hard to swallow but there is no pain in my neck or throat. Every day I have taken ibuprofen. Days 6 & 7 I took low dose asprin and tylenol. On days 4,6 and 7 I did not go to work, instead I stayed home and rested. The days that I did go to work were the days I had stronger symptoms.

Other Meds: n/a

Current Illness: n/a

ID: 1719466
Sex: F
Age: 38
State: WI

Vax Date: 09/13/2021
Onset Date: 09/13/2021
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, PCN, Erythromycin

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

Symptoms: 20 minutes post vaccination - sweating Later in day began itching, with rash, followed by wheezing, self treated at home. By following morning reports hands curled under, eyes swollen, severe headache, skin was "on fire", full body spasms and cramping. Seen in ED, treated with muscle relaxant, and Percocet. Went on to have reported aphasia, left side numbness of hand and foot, left hand tremors and random muscle spasms. Also began stabbing chest pain radiating to jaw. Chest pain continues to come and go.

Other Meds: unknown

Current Illness: unknown

ID: 1719467
Sex: F
Age: 67
State: MN

Vax Date: 04/09/2021
Onset Date: 04/09/2021
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: Mri April 27 showed stroke parietal region mri aug 18/2021 stroke healed

Allergies: sulfa pcn

Symptom List: Nausea

Symptoms: After the 2nd dose of the Moderna vaccine, that evening I had a bad headache, felt like my head was getting squeezed I was also very tired and had no energy, this went on for a couple weeks, then contacted my Dr. An Mri was ordered, which showed a small stroke, from there I went to see a neurology Dr. on which I had a cardiac workup consisting of TEE, carotid ultrasound, 48 hour holter moniter , and limited exam by the neurologist. A repeat mri on august 18/2021 showed the stroke had healed

Other Meds: amlodipine,aspirin,atorvastin,vit d3,losartin,mesalamine,

Current Illness: none

ID: 1719468
Sex: F
Age: 41
State: NY

Vax Date: 09/20/2021
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: UNK
Vax Route: IM
Vax Site: LA

Lab Data: None, I have NOT seen the doctor. I just want to sleep.

Allergies: none

Symptom List: Injection site pain

Symptoms: I'm a school teacher and have a fever. I can't measure the temp. because eI don't have a thermometer. My head is heavy, hot and painful. I'm freezing cold with goosebumps. My joints and bones ache. Eyes are dry hot and stinging. I have a sore throat - not very painful but around the lower part of my ears feel like they will burst. I'm not taking anything at the moment. My right arm feels numb and stiff. This is not like any other vaccines I've had when I was young. Note: I had Covid 19 in March 2020.

Other Meds: Moringa, Vitamin C and Vitamin D

Current Illness: none

ID: 1719469
Sex: M
Age: 37
State: MO

Vax Date: 09/13/2021
Onset Date: 09/17/2021
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: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: pt felt bad the following days after getting vaccine until Friday he woke up his wife with heart palpatations, light-headed, numb left arm and shooting pain in his left inner thigh. His wife took him to the ER and they told him it was probably a reaction to the vaccine

Other Meds:

Current Illness:

ID: 1719470
Sex: M
Age: 40
State: CA

Vax Date: 03/01/2021
Onset Date: 04/01/2021
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: MRI of back, MRI of knee, EMG, Brain MRI coming up soon. All test so far show no signs of MS

Allergies: na

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

Symptoms: Manifested from knee pain to serious neurological issues and degeneration, numbness and tingling in both legs. I was confined to a wheelchair about six weeks after the vaccine, Manifested into back pain after that. Pre clinical diagnosis was MS, but test have come back negative for MS.

Other Meds: advil pm

Current Illness: na

ID: 1719471
Sex: F
Age: 58
State: NY

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: Performed tests to eliminate stroke as a possibility, no issue with fine motor movements, no facial droop or slurred speech, just numbness.

Allergies: unknown

Symptom List: Tremor

Symptoms: Approximately 8 minutes after administering the vaccine, the patient began experiencing right-sided numbness. Sensation did not radiate and was unclear exactly from where it was originating, but was persistent from right fingertip through the right shoulder, down the right side to her feet.

Other Meds: unknown

Current Illness: unknown

ID: 1719473
Sex: F
Age: 33
State: NC

Vax Date: 09/13/2021
Onset Date: 09/20/2021
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:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: Outbreak of shingles exactly 1 week from vaccination on left arm, swollen lymph node under left armpit on day 6 from vaccination.

Other Meds: Singulair, synthroid

Current Illness:

ID: 1719474
Sex: M
Age: 51
State: CA

Vax Date: 07/29/2021
Onset Date: 08/05/2021
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:

Allergies: gluten, casein

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

Symptoms: Arthritis in left hand, ring and middle finger, proximal digit.

Other Meds: Calcium, flnaise

Current Illness:

ID: 1719475
Sex: F
Age: 60
State: OH

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

Allergies:

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

Symptoms: Pharmacy called patient to remind her to come for her second COVID vaccine. Patient said she did not want to get second vaccine yet because she had a reaction. She said that she got "COVID arm" a large red patch that was itchy appeared on her arm near the injection site. Patient also said that later on she felt that she had trouble breathing. She took benadryl to treat the symptoms. She said she experienced anaphylaxis in the past and felt that if she did not take benadryl she may have went into anaphylaxis.

Other Meds:

Current Illness:

ID: 1719476
Sex: F
Age: 46
State: VA

Vax Date: 02/01/2021
Onset Date: 03/05/2021
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: 3 ENT visits. Nothing took away the tinnitus

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Constant Tinnitus (Ringing in the ears) began day after the 2nd Pfizer shot High pitch tone Causes headache and difficulty sleeping

Other Meds:

Current Illness:

Date Died: 08/24/2021

ID: 1719477
Sex: F
Age: 65
State:

Vax Date: 07/14/2021
Onset Date: 08/11/2021
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:

Allergies:

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

Symptoms: admitted to hospital with positive test for COVID, COVID pneumonia; hx of COPD, type 2 diabetes, cirrhosis, and known liver mass; stayed in ICU, then admitted to in-house hospice where she later died

Other Meds:

Current Illness:

ID: 1719478
Sex: F
Age: 32
State: MN

Vax Date: 01/07/2021
Onset Date: 09/19/2021
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: Tested positive for COVID on a home test 9/19/21 after being fully vaccinated.

Other Meds:

Current Illness:

ID: 1719479
Sex: F
Age: 78
State: OR

Vax Date: 09/09/2021
Onset Date: 09/10/2021
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: head CT, CBC, CMP, troponin, EKG, TSH, urinalysis all unremarkable

Allergies: morphine, naproxen, nsaids, terbinafine, vicodin

Symptom List: Pain in extremity

Symptoms: headache, fever, altered mental status x 3 days

Other Meds: vitamin C, CoQ10, fish oil tabletes, tylenol, hair and nails vitamin daily, baby aspirin, calcium, vitamin B12, magnesium, cranberry supplement

Current Illness: none

ID: 1719480
Sex: M
Age: 45
State: TN

Vax Date: 08/03/2021
Onset Date: 08/03/2021
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: MEDICAL TESTS AND LAB WORK WAS DONE ON 09/01/2021 AND THE RESULTS CAME BACK ON 09/02/2021. THE LAB WORK CAME BACK NORMAL NOT SHOWING ANY WHITE COUNT ELEVATED OR AUTOIMMUNE ISSUES. INCONCLUSSIVE WHAT WAS CAUSING THE SYMPTOMS.

Allergies: ALLERGIC TO GRASS, WEEDS, DUST AND DUST MITES.

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

Symptoms: ARM SORENESS LASTING UPTO A WEEK AFTER THE SHOT, BOTH MUSCLE ACHES AND BODY FATIGUE THAT HAVE CONTINUED AND WORSENED. LEFT ARM HURTS WHEN LIFTED EARLY DURING THE DAY. BRAIN FOGGINESS, SPORADIC BLURY VISION, NIGHT SWEATS AND OVERALL NOT FEELING WELL. COUGHING AND SHORTNESS OF BREATH, CONGESTION, POSTNASAL DRIP, RHINORRHEA AND SORE THROAT.

Other Meds: PRAVASTATIN 40MG, IRBESARTAN 150MG, AMLODOPINE BESYLATE 5MG, SUPER-B COMPLEX, ZINC 50MG, VITAMIN C 500MG, D3 125MCG 5000IU, CETIRIZINE HYDROCHLORIDE 10MG AND FISH OIL 1000MG/300MG OMEGA-3.

Current Illness:

ID: 1719481
Sex: F
Age: 51
State: CA

Vax Date: 03/19/2021
Onset Date: 03/21/2021
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: MRI- normal, PAP exam- normal

Allergies: Some pain killers, environmental allergies, dairy, some antidepressants, possible Gabapentin

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

Symptoms: I was having a lot of weird pain and a headache. It kept getting worse and worse. I went to the ER. They did not know what was going on. They said it could not be a stroke. They gave me Aspirin and another medicine but I do not remember which one. They did an MRI, which came back normal. They think I was having an anxiety attack but we do not know. Recently like 3-4 weeks ago it felt like I was getting my period, it was odd. I felt very sick. I had diarrhea. I also had vaginal bleeding. I was really sick for a few days. I went to get my annual PAP exam and they said it was normal. They want to do an ultrasound to make sure everything is ok. I have not had my period in a while since I am entering menopause.

Other Meds: Spironolactone, Xyzal, Prozac

Current Illness: None

ID: 1719482
Sex: M
Age: 65
State: VA

Vax Date: 04/09/2021
Onset Date: 05/12/2021
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: No tests given.

Allergies: None

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

Symptoms: Developed intermittent whole-body rash with extreme itching. Initial rash started out on upper back and arms. Subsequent events expanded the rash to include chest & abdomen and sometimes thighs. Sometimes hot flashes precede outbreak of the rash. After experiencing 3 - 4 outbreaks of the rash, I went to see my dermatologist. Initial treatment by my dermatologist included an IM injection in the buttocks of Kenalog in mid-June. A follow-up visit as a result of an additional outbreak was also treated in office with an additional IM injection in the buttocks of Kenalog. I don't remember the doses; the second was less than the first. Ongoing treatment includes Triamcinolone Acetonide 0.1% cream applied to the rash

Other Meds: 1X Losartan 50mg, 1X Spironolactone/Hctz 25/25,

Current Illness:

ID: 1719483
Sex: U
Age:
State: AR

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

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

Lab Data: I know I had a chest X-ray, EKG, chest CT, and blood work done

Allergies:

Symptom List: Vomiting

Symptoms: 4/11/21 Shortness of breath. Dx: with a-fib, heart attack , heart failure, pneumonia, fluid on lungs. Chest X-ray., chest CT DONE. Pt incubated and transferred to ICU

Other Meds:

Current Illness:

ID: 1719484
Sex: F
Age: 34
State: OH

Vax Date: 02/09/2021
Onset Date: 07/15/2021
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: August 2021- karyotype testing; genetic testing of fetal tissue; blood clotting disorder testing; autoimmune disorder testing; thyroid panel; diabetes panel

Allergies: azithromycin

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: I began the IVF process after receiving both COVID-1 vaccines. I got pregnant through IVF in May 2021 and had a miscarriage in July 2021. My doctors have not been able to determine why the miscarriage happened.

Other Meds: Lexapro; birth control

Current Illness:

ID: 1719485
Sex: M
Age: 42
State: TX

Vax Date: 09/20/2021
Onset Date: 09/20/2021
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: NKDA

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

Symptoms: Pfizer BioNTech COVID-19 Vaccine EUA; Janssen COVID-19 Vaccine EUA; Moderna COVID-19 Vaccine EUA: Patient received Pfizer COVID-19 Vaccines on 03/04/2021 and 3/25/2021: Janssen COVID-19 Vaccine on 5/1/2021, and Moderna COVID-19 vaccine on 8/23/2021 and 9/20/2021.

Other Meds: Cetirizine 10 mg QD, Adderall 30 mg QD, Vyvanse 70 mg QD, Olmesartan 40 mg QD, Hydrochlorothiazide 12.5 mg QD.

Current Illness:

ID: 1719486
Sex: F
Age: 11
State: WA

Vax Date: 08/28/2021
Onset Date: 08/28/2021
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: Due to a recent audit, we discovered that this patient was actually 11 y/o when she received Pfizer, not 12 years old, as parent had specified. Parent falsified birth date on intake form so that it appeared child was 12 years old, instead of 11.

Other Meds:

Current Illness:

ID: 1719487
Sex: M
Age: 14
State: FL

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: RA

Lab Data: N/A

Allergies: No known allergies

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

Symptoms: Individual administered Moderna vaccine. Individual is 14 years of age at time of vaccination. Individual reports no adverse side effects and no adverse side effects or reactions observed. Individual and mother advised individual will not be able to receive a second dose of Moderna. Individual scheduled to receive first dose of Pfizer on October 21, 2021 to complete vaccine series. Proper authority notified.

Other Meds: Unknown

Current Illness: Unknown

ID: 1719488
Sex: F
Age: 60
State: TX

Vax Date: 09/09/2021
Onset Date: 09/10/2021
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: none so far, they are trying to say the rash is not from the vaccine despite not having the rash until I got the vaccine

Allergies: Sulfa medications, amoxicillin, gold, formaldehyde, synthetic fragrances

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

Symptoms: With the first shot, I had some rash, mostly on my stomach, however the 2nd shot I had A LOT of rash on my stomach, back, neck , and also several blood red dots

Other Meds: Synthroid

Current Illness: n/a

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am