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: 1723358
Sex: F
Age: 36
State: WI

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data: CBC, BMP, TSH, free T4- wnl IUD removal planned 9/23/21 and possible additional work up and intermittent lymphadenopathy since vaccine continues to recur

Allergies: Keflex. Bactrian. Tree pollen

Symptom List: Dysphagia, Epiglottitis

Symptoms: Recurrent posterior occipital, neck, and chest lymphadenopathy. Keeps recurring 9 months after vaccination with no chronic health issues. When lymph nodes flare, have debilitating fatigue/lethargy, lymph nodes are painful, and headaches when lymph nodes on skull are the size of golf balls. When lymph nodes go down, feel fine. Keeps recurring randomly over 9 months SINCE 2nd vaccine.

Other Meds: IUD

Current Illness: None.

ID: 1723359
Sex: F
Age: 56
State: AZ

Vax Date: 06/04/2021
Onset Date: 06/08/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data: 56 yo with hx of uncontrolled DM, HTN, hyperlipidemia who had COVID in January. She then had COVID vaccines on May 7 and then June 4 (Moderna) and ended up having severe CP on June 8, sent to Abrazo hospital where she was evaluated. Troponin's negative, EKG with new first degree AV block. Echo was done during hospitalization which showed normal EF, mild diastolic dysfunction an mild LAE. Lexcian nuclear stress test was done which showed apical reversible defect suggesting ischemia so cardiac cath was done 6/10/21 which showed normal coronary arteries. She has not been taking any of her meds, just restatred yesterday. She was in ER Sept 13th with very high glucose, low sodium, low GFR. Not doing much excercise. Says she gets lot of cramping. No SOB, orthpnea or PND. No chest pain.

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: 56 yo with hx of uncontrolled DM, HTN, hyperlipidemia who had COVID in January. She then had COVID vaccines on May 7 and then June 4 (Moderna) and ended up having severe CP on June 8, sent to Abrazo hospital where she was evaluated. Troponin's negative, EKG with new first degree AV block. Echo was done during hospitalization which showed normal EF, mild diastolic dysfunction an mild LAE. Lexcian nuclear stress test was done which showed apical reversible defect suggesting ischemia so cardiac cath was done 6/10/21 which showed normal coronary arteries. She has not been taking any of her meds, just restatred yesterday. She was in ER Sept 13th with very high glucose, low sodium, low GFR. Not doing much excercise. Says she gets lot of cramping. No SOB, orthpnea or PND. No chest pain.

Other Meds:

Current Illness:

ID: 1723360
Sex: F
Age: 43
State: CA

Vax Date: 08/21/2021
Onset Date: 09/10/2021
Rec V Date: 09/22/2021
Hospital: Y

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: lab results , unremarkable. cbc, cmp,

Allergies: none

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

Symptoms: blistering to bilateral feet and hands. loss of sensation to left greater toe. sloughing off of skin. spreading of the blisters. discoloration of skin. blisters opening and wounds seeping

Other Meds: none

Current Illness: none

ID: 1723361
Sex: M
Age: 56
State: MA

Vax Date: 09/21/2021
Onset Date: 09/21/2021
Rec V Date: 09/22/2021
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: After about 6 hours had chills, shaking, fatigue, joint and muscle pain.

Other Meds:

Current Illness:

ID: 1723362
Sex: F
Age: 52
State: VA

Vax Date: 08/30/2021
Onset Date: 08/31/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data: TBD

Allergies: phenothiazines

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

Symptoms: Patient received a 3rd shot of pfizer covid 19 due to autoimmune disease. She has experienced nausea, vomiting, aches and pains and diarrhea since her vaccine on 8/30/21. Time of reporting to pharmacy is now 9/22/21. I strongly advised the patient to be evaluated by a medical doctor and told her the side effects should have resolved within 72 hours.

Other Meds: cetirizine 10mg, furosemide 20mg, nortriptyline 10mg, quetiapine 50mg, venlafaxine er 75mg, hydroxychloroquine 200mg, pantoprazole 40mg, rosuvastatin 10mg, metformin er 500mg, alprazolam 0.5mg, methotrexate 2.5mg, melatonin 5mg, gabapentin

Current Illness: n/a

ID: 1723363
Sex: F
Age: 86
State: TX

Vax Date: 09/22/2021
Onset Date: 09/22/2021
Rec V Date: 09/22/2021
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:

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

Symptoms: Pt and daughter were in Clinic because patient had appointment with Dr. After her appointment patient opted to receive 1st dose of Moderna, after 10mins of administering Vaccine patient was c/o chest pain, nausea, pressure in the head, and tightness. EMS was called. @12:20pm administered Aspirin 243mg tablet; 12:25pm Nitro 0.1mg administered; @12:30pm patient was transferred to hospital via ambulance.

Other Meds:

Current Illness:

ID: 1723364
Sex: F
Age: 42
State: TN

Vax Date: 08/15/2021
Onset Date: 08/25/2021
Rec V Date: 09/22/2021
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: Diflucan

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Heavy irregular menstrual bleeding. I had been extremely regular prior to this. Injection was administered on cycle day 5, during my period. I continued my period for another day, which was normal. Heavy bleeding started again on cycle day 15, lasted for 6 days. Started again 3 days later, lasted for 6 more days. I have never had irregular bleeding like this before. My cycle has not returned to normal.

Other Meds: Incassia 0.35 mg

Current Illness: none

ID: 1723365
Sex: F
Age: 67
State: CO

Vax Date: 03/18/2021
Onset Date: 04/01/2021
Rec V Date: 09/22/2021
Hospital: Y

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

Lab Data: 1st ER - Lab work was done 2nd vist to ER - Hospital (same) - I was in ICU initially - they couldn't keep my blood pressure up and I was on meds to keep the blood pressure up. I was bad and I was out of it. I don't remember ICU until I was leaving. They called in GI consult and now we have the diarrhea under control. I got all kinds of tests and scans. When I was in ICU, they told me they could never find the source of the infection but they knew it was there because the lab work showed it. They took me to Radiology and scanned the body until they found it - pocket of infection in right butt cheek - put drain in and white and gray puss came out. I had the drain in even through Rehab. I couldn't sit down or lie down on it because a big drain was in there. I paid off the infectious disease doctor and she said she couldn't believe that I walked into her office again - I was so sick she thought I was going to die. - Was there 30 days or so at hospital.

Allergies: Amoxicillin; Lovenox; Sulfa; Percocet and Dilaudid

Symptom List: Pharyngeal swelling

Symptoms: Note: Surgery 3/27/2021 - left shoulder replacement and biceps tendon reattachment - that had been schedule prior. April 1 - Diarrhea started on that day. Nothing stopped it - nothing stopped it - even Imodium. Finally on the 4/5/2021, I went to ER for the first time. They said I was dehydrated and I got IV fluids but they didn't do anything to help me with the diarrhea. They did lab work which showed I was dehydrated. I can't remember if they did x-rays or scans. The diarrhea continued though and it was 4/12 - as the day progressed, it got to the point that I couldn't walk - I was so weak and sick an d the diarrhea was so bad - stool would just run all the way from bedroom to the bathroom - it just wouldn't stop. It was awful. I went to ER after doctor told me to go back again. I found out I was septic. I had septic shock and was so sick. I was in the hospital for 4 to 5 weeks. I didn't go to Rehab from the hospital until mid May and I was there for two or three weeks. They said it takes 6 months to a year to fully recover Note: I had the third vaccine today for Pfizer. Last week, I had my first Shingrix and my flu vaccine on the 15th.

Other Meds: I was off Humera - 40 mg and 4 cc; 5 mg of Prednisone daily; Gabapentin - 1200 mg 3 times a day; Methocarbamol - muscle relaxer - 750 mg 3 times a day; Celebrex - 200 mg twice a day; Spironolactone - 50 mg twice a day; Prevacid - 30 mg a da

Current Illness: no

ID: 1723366
Sex: F
Age: 22
State: IL

Vax Date: 03/01/2021
Onset Date: 05/01/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data: none at this time

Allergies: Allergy to the hep b vaccine

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: I have abdominal pain that is yet unresolved. I have an appointment with my primary care to address that issue. I also have a rash that started in may. I have used an oral steroid pack to help. This was given to me from a walk in urgent care. It helped temporarily. I also have cortisone cream i use everyday to try and help with the rash. The pain and rash started in may and have not resolved.

Other Meds: Bupropion, Levothyroxine, trinessa birth control,

Current Illness: N/A

ID: 1723367
Sex: F
Age: 59
State: NY

Vax Date: 03/21/2021
Onset Date: 05/01/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data: x-ray bloodwork ultrasound on leg

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: I had swelling that started in my ankle and foot on the left side. I had an orthopedic appointment and mentioned the swelling to my doctor and they said it could be from the knee because I was going to have knee surgery because of two tears I have in my meniscus. On July 13th I was scheduled to have my knee surgery. So I went in for the surgery and my ankle and foot were swollen a lot more so the doctors didn't do the knee surgery. They sent me to vascular doctor and they found no blood clot. I went to another vascular doctor and they confirmed I had no blood clot. I had pain in both legs at the time. The vascular doctor though it could have been the cholesterol medication I had started, and told me to stop taking it so I did. After several weeks the swelling didn't go away so the doctor didn't think the medication started the swelling. I went back to taking the cholesterol medication, and I was put on prednisone. After that the swelling had went down but when I stopped the prednisone medication the swelling came back. I was out of work for one week because of the swelling. It didn't make a difference though because i was still experiencing the swelling. My left wrist is swollen now too, and the swelling is not going away in my wrist either. When the doctors did the x-ray and bloodwork they didn't find anything.

Other Meds: Aspirin (low dose); Daliresp 500mcg; L-thyroxine 75mg; Trilogy 100mcg; Albuterol Rescue Inhaler

Current Illness: COPD

ID: 1723368
Sex: M
Age: 18
State: ME

Vax Date: 09/19/2021
Onset Date: 09/19/2021
Rec V Date: 09/22/2021
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: None

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

Symptoms: Patient reported being dizzy, nauseous and couldn't feel his fingers a couple minutes after receiving the vaccine. He described his fingers as tingly and unable to bend them into a fist. We offered him Benadryl to help with the reaction. Patient declined. Brought him a cold cloth and ice pack, which he used on his head. His friend got him Gatorade and a snack, which he ate. Monitored patient for 30 minutes. During that time he improved and got feeling back in his hands. The nausea subsided. Offered to get further medical treatment. Patient declined. He stated he had a similar reaction after shot number one of this series but got better within 15 minutes.

Other Meds: None known

Current Illness: None known

ID: 1723369
Sex: F
Age: 57
State: ID

Vax Date: 09/22/2021
Onset Date: 09/22/2021
Rec V Date: 09/22/2021
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, vancomycin, augmentin, cefzil, fioricet, avelox, cephalosporins, clindamycin, minocycline

Symptom List: Rash, Urticaria

Symptoms: Patient presented today for mRNA vaccine following previous Janssen dose in March 2021. Her specialist recommended she complete mRNA series. Vaccine administered, patient felt flush and stated she felt she was developing hives from her neck down. She was brought back to exam room. Vital signs obtained, stable. No difficulty breathing or shortness of breath. No swelling of face, neck, throat. Alert and oriented x3. Spoke in full sentences. History of chronic urticaria, takes benadryl when needed. Benadryl offered, patient said she could wait and take at home. Discussed Pfizer dose #2 would still be recommended to complete the series. Patient left the clinic feeling better, continued with flushed skin around neck area, mostly anterior neck. No appreciated hives.

Other Meds: Humira, adalimumab, amitriptyline, aripiprazole, atenolol, atorvastatin, carisoproldol, certrizine, clonidine, diphenhydramine PRN, epipen PRN, fluticasone, hydrochlorothiazide, hyoscyamine sulfate, levotyroxine, losartan, methocarbamol, mi

Current Illness: Pulmart lymphangioleiomyomatosis, rheumatoid arthritis, recurrent periodic urticaria, osteoarthritis, hashimoto's thyroiditis, renal angiomyolipoma, Hypertension, long-term use of immunosuppressant medication, palpitations

ID: 1723370
Sex: F
Age: 33
State: WA

Vax Date: 08/19/2021
Onset Date: 08/19/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data:

Allergies: latex, penicillin

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

Symptoms: Patient was given the first dose of moderna without the knowledge that she had already received the Janssen vaccine 06/11/2021

Other Meds:

Current Illness:

ID: 1723371
Sex: F
Age: 34
State: CA

Vax Date: 09/07/2021
Onset Date: 09/07/2021
Rec V Date: 09/22/2021
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: September 8 - went to urgent care with sad symptoms as after taking the vaccine. They did not know what was wrong with me and to rest and take a steam bath. Was advised if still felt same way to go to ER. September 9 - took steam bath as instructed and was unable to breath. went to ER hospital with same symptoms since the day of vaccine,. Was given EKG, chest X-ray, a medication to decrease the inflammation in my chest, heart wall, and back, and was perscribed prednisone

Allergies: Allergic to Strawberries, dust, possibly wheat

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

Symptoms: Approximately 5 minutes after receiving the dose my heart started pounding hard and fast, I then began to start feeling clammy, sweat at the hands and felt dizzy, and around my left side of mouth to chin felt numb. I advised the pharmacist and he told me to sit down and breath. My heart continued to feel pounding and felt light headed. After monitored for 30 mins I was sent home. At approximately 7:05pm my breast and back began to feel extremely heavy and heart felt discomforting. About 30 minutes after my whole chest was in extreme discomfort, I was beginning to have trouble breathing and taking deep breaths, light headed, and my right leg started twitching and at the same time my face would twitch moving to the left. I was unable to sleep that night due to the chest and back discomfort, and my heart rate dropped to 41. Two weeks after the vaccine I still feel my heart differently, chest still feels discomfort here and there. Those areas do not feel the same. My heart beat is my main concern now cause it has not felt the same.

Other Meds: None

Current Illness: Mild sinus allergy (seasonal)

ID: 1723372
Sex: M
Age: 65
State: KS

Vax Date: 03/22/2021
Onset Date: 09/01/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data: rapid test at Pharmacy

Allergies: No

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

Symptoms: July 29, 2021 tickle in throat progressed from their til 09/01/202 that is when you did rapid test at Pharmacy and they contacted local heath department who surveillance team reached out with instruction on Quarantine and taking care of the symptoms. Still experiencing a coughing, tightness lung, difficulty breathing , and tiredness and brain fog

Other Meds: Aldine 5mg daily,

Current Illness: No

ID: 1723373
Sex: F
Age: 33
State: NE

Vax Date: 12/23/2020
Onset Date: 05/10/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data: Various lab work completed post ultrasound that detected the miscarriage (5/10/21) until end of June 2021.

Allergies: Ceclor, Rocephin, Menocin

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

Symptoms: I had my first Moderna vaccine on 12/23/20 and my second Moderna vaccine on 1/19/21. On 5/10/21 I found out I had a miscarriage when the fetus was approximately 9 weeks gestation- no heart beat was detectable at 10.5 weeks during my ultrasound. It should be noted that I have had two other healthy pregnancies and no miscarriages prior. It took my body 4 weeks to remove all tissues naturally; however, bleeding continued so my physician scraped the inside of my uterus to remove more tissues. My cycle is still not regular. Also since June 2021, I have had pitting edema of my bilateral lower extremities with my left lower extremity being worse than my right lower extremity. This is not normal for me. I do get pitting edema when further along in pregnancies which is currently not the case due to the above stated miscarriage. There has also been some incidences of abnormal resting, high heart rate.

Other Meds: Daily multi-vitamin

Current Illness: None

ID: 1723374
Sex: F
Age: 19
State: MO

Vax Date: 09/22/2021
Onset Date: 09/22/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data: EMS provided needed test upon arrival

Allergies: unkown

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

Symptoms: Patient came to pharmacy to get their second dose of Pfizer covid vaccine. They were asked how the first dose went and the patient stated "it was fine, just a sore arm, but I am nervous about the second dose." They were asked if they had any questions about the second dose and responded no. Patient tensed up when given the injection in their left deltoid muscle but was fine immediately after the injection. Patient was instructed to sit in covid vaccine recovery area for 15 minutes after the dose. A couple minutes later, technican said that patient was seizing, so pharmacist went to check on patient. Patient was on floor at the time, with legs straight out, but left arm and waterbottle curved underneath her torso. She was lying on her right ear and their was a noticeable "goose egg" on her forehead (Larger than a quarter). Patient was initially unresponsive the first couple of seconds, but quickly responded and could speak to us. She kept saying her head hurt, but she said her arm was okay (we asked since it was convoluted at a weird angle) and her neck or back didn't hurt (didn't seem like any spinal damage,etc, so she could move). Her mother, who was in wine& spirits I believe (right next to pharmacy), came over within 30 seconds and started stroking her back and thought she would be okay, that she just kept complaining of her head hurting. By this time, a member of management came and had called 911. She didn't want to move and was both scared and crying. We kept telling her to take deep breaths, that she is okay and not bothering anyone, we just want to make sure she is okay. She started to calm down but kept saying her head hurt, but not mentioning any other symptoms. The ambulance arrived to evaluate her head injury afterwards and she was able to stand and walk to her car with her mom with their assistance.

Other Meds: unkowns

Current Illness: unknown

ID: 1723375
Sex: F
Age: 33
State:

Vax Date: 09/22/2021
Onset Date: 09/22/2021
Rec V Date: 09/22/2021
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: Patient at 1400 was administered pfizer vaccine, at 1405 patient reports chest pressure, nausea, , 86/46 pulse 88, then 76/40 puilse 82 , 1403 blood pressure 115/75, heart rate 88, oxygen saturation 100%. Patient was administered benadryl 50IM and oxygen 2liters via NC , patient tolerated it well. 1415 Called 911 then 1425 firemen arrived. Patient denies tongue swelling, shortness of breath, wheezing , denies respiratory distress. Respirations even and unlabored. Patient left via gurney with emergency.

Other Meds:

Current Illness:

ID: 1723376
Sex: F
Age: 51
State: NV

Vax Date: 09/22/2021
Onset Date: 09/22/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data:

Allergies: EGG ALLERGY CHEESE,PENICILLIN

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: swelling of throat and tongue, jaw pain, and trouble breathing, ear ache

Other Meds:

Current Illness:

ID: 1723377
Sex: M
Age: 64
State: OH

Vax Date: 04/07/2021
Onset Date: 04/09/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data: Went to family doctor on 4/22/2021 for ear ringing. Ears were clear and referred me to an audiologist. Went to audiology clinic (AuD) on 5/20/2021 for hearing test, which was normal.

Allergies: None

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

Symptoms: Ears started ringing 2 days after second dosage.

Other Meds: Allopurinol; Atorvastatin

Current Illness: None

ID: 1723379
Sex: F
Age:
State: NM

Vax Date:
Onset Date: 09/22/2021
Rec V Date: 09/22/2021
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: CBC and BMP.

Allergies: none

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

Symptoms: About five minutes after vaccination she began to feel very weak and dizzy. No shortness of breath or wheezing. No hypotension.

Other Meds: atorvastatin, phentermine,buproprion, doxepin, gabapentin

Current Illness: none

ID: 1723380
Sex: F
Age: 59
State: OK

Vax Date: 07/24/2021
Onset Date: 07/25/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data: None just rested and slept and took acetaminophen pain relievers

Allergies: Benzoyl peroxide and similarly-related chemicals

Symptom List: Unevaluable event

Symptoms: Aches and pains in my body like a flu; fever up to 103.3; even facial pain; flu-like symptoms. Rested a lot. Could not do much more than to rest.

Other Meds: Chlorophyll green herbal drink, multi vitamin

Current Illness: none

ID: 1723381
Sex: F
Age: 13
State: NE

Vax Date: 09/22/2021
Onset Date: 09/22/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Accidentally administered 0.5 mL instead of 0.3mL. Reported to the patient and asked them to submit a VAERS report if they have any adverse effects.

Other Meds: Unknown

Current Illness: None

ID: 1723382
Sex: F
Age: 47
State: AL

Vax Date: 08/21/2021
Onset Date: 08/31/2021
Rec V Date: 09/22/2021
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:

Allergies: None

Symptom List: Injection site pain, Pain

Symptoms: Received the first shot on 08/21/2021. Had a blood clot in my neck that caused a major stroke on 08/31/2021. The stroke left my right side paralyzed with limited movement. No prior medical history present that would warrant a blood clot or stroke.

Other Meds: None

Current Illness: None

ID: 1723383
Sex: F
Age: 57
State: WA

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

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Immediately following administration of vaccine the patient felt lightheaded, nausea, and lost consciousness (for 2 seconds). She remained sitting and elevated her feet. He blood pressure was 98/60 and pulse 32 immediately following her return to consciousness. The patient remained in observation for about 45 minutes.

Other Meds:

Current Illness:

Date Died: 09/16/2021

ID: 1723384
Sex: M
Age: 77
State: CA

Vax Date: 09/08/2021
Onset Date: 09/10/2021
Rec V Date: 09/22/2021
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: NKA

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

Symptoms: 77 years old male with past medical history of A. fib on anticoagulation, glaucoma, prostate cancer on Lupron, arthritis, brought to the emergency room today for confusion and weakness. The patient reported that his weakness started around 6 AM when he woke up trying to go to pee. He reported that he was having trouble trying to keep his head up and he was confused as he does not know how to use his phone. However, he has no focal deficit. I believes he may have taken too much of his norco10mg as well. He cannot recall how often he took the med. He also claims to add tylenol 500mg To the norco 10 to help with his pain. I believe he call his neighbor and the neighbor called the ambulance and he was brought to the emergency room. On presentation, his heart rate was 107 but his systolic blood pressure was 93. Due to history of A. fib and on anticoagulation, the patient had a rectal exam and guaiac stool was strongly positive. He got Kcentra infusion to reverse the Eliquis. The work-up in the ER showed her the patient has INR 2.12, hemoglobin 11.8, platelet of 70, sodium 131, potassium 4.7, chloride 97, BUN 30 and creatinine 1.3. There is no chest x-ray, UA or CT scan of the head done. However, the patient denies any recent head injury. On the medical floor, the patient continued to be confused but no focal deficit or facial droop. He is quite confused and his answer is quite tangential. I spent around 30 minutes trying to get the history and it looks like he has been on new medication for his prostate cancer. It also sounds like he has been treated with a new medication for his A. fib. However, it sounds like the patient stopped these medications. However, he cannot provide me the exact name of the medication nor when he stopped taking them. It seems like the patient has leg swelling and he has been going on for about 6-week, after he started on the new medication to treat his A. fib. However, he reported that the medication was not helping his A. fib and he went back to his old medication. Other than that, his history is quite confusing as he is Talking mostly about his wife, who is being admitted to another hospital for possible CVA workup... ROS: Limited but (-) HA, visual changes, f,c,n/v, diarrhea, sob, chestpain, neckpain, lnew focal weakness, dysuria, dysphagia, dyspnea.

Other Meds: Norco 5-325mg Ativan 0.5mg

Current Illness: A-fib Glaucoma Non-seasonal allergic rhinitis due to pollen Arthritis Hyperlipidemia Prostate cancer metastatic to bone

ID: 1723385
Sex: F
Age: 38
State: CT

Vax Date: 05/19/2021
Onset Date: 05/26/2021
Rec V Date: 09/22/2021
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: Nausea, Pain in extremity, Pyrexia

Symptoms: Following my second dose of Moderna, my menstrual cycle changed for 2-3 months. I got my period twice in the month after the second shot and more heavily. It continued to be longer and heavier and shorter times between cycles until it returned to normal after the third month.

Other Meds: Vitamin C, nettle, Zyrtec, Benadryl, magnesium, Vitamin B complex, Vitamin D

Current Illness:

ID: 1723386
Sex: M
Age: 21
State: PA

Vax Date: 09/22/2021
Onset Date: 09/22/2021
Rec V Date: 09/22/2021
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: Patient stated had tingling in arm and finger approximately 45 min to 1 hour after vaccine

Other Meds:

Current Illness:

ID: 1723387
Sex: F
Age: 54
State: OH

Vax Date: 08/03/2021
Onset Date: 08/09/2021
Rec V Date: 09/22/2021
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: Weekly blood work before and after vaccine. Elevated since vaccine. Ultrasound done 9/9 with normal results Liver biopsy is scheduled for 10/11 No other symptoms

Allergies: Penicillin

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

Symptoms: I had stomach discomfort and fatigue for several days after 2nd vaccine. Beginning August 9 liver enzymes were higher than normal for me. At one point were alt 64 and ast 131. Latest were 9/20 alt 54 and 92. Before vaccine they were in the teens and 20's.

Other Meds: Tacrolimus, mycrophenolate, Bactrim, baby aspirin, multi vitamin, b-1

Current Illness: Liver enzymes were normal in the teens and low 20's until the week after the second Moderna vaccine. I have blood work done once a week since transplant. Enzymes never elevated until after 2nd vaccine.

ID: 1723388
Sex: F
Age: 46
State: AR

Vax Date: 09/03/2021
Onset Date: 09/03/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data: x-rays & head CT

Allergies: PCN, darvocet, dilaudid, imitrex, requip

Symptom List: Nausea

Symptoms: 9/3/2021 @ 2000: I developed aches, pains (FLU like symptoms), and fever, these symptoms lasted for 2 days requiring alternation of Tylenol and ibuprofen. In addition to these symptoms on 9/4/2021 I developed a large knot (abscess) in the armpit of my right arm (injection side). It grew to a size between a golf ball and baseball, causing great discomfort and pain, using moist heat compresses to help relieve the pain. On 9/11/2021 this knot in my armpit had fully dissipated. On 9/15/2021 @ 1700 I developed a headache, earache, and toothache on my left side. From 1700-2300 the pain gradually got so bad I was using Tylenol and ibuprofen as well as ice packs to tolerate the pain. 9/16/2021@ 0645 I called and left a VM at my dentist?s office requesting to be seen ASAP. Dentist office called back and I was able to be seen at 0830 that morning. X-rays done shown that I had abscesses on teeth #13 & #14. The dentist began doing a root canal on #13 this process was going to take 3 visits due to the abscess. After my appointment sedation wore off much faster than the dentist office had said and from that point until I was able to call the office again the next morning 9/17/2021, I returned back to the dentist office in excruciating pain. After 2 hours of trying to numb the area to try and treat unsuccessfully, my dentist called an oral surgeon in town to see if I could get into see them ASAP. The receptionist at the dentist office had to drive me to the oral surgeon?s office because I was in such pain. The oral surgeon did x-rays and a CT of my head and teeth and found multiple abscess. At this point the only thing that could be done to get me out of pain was to surgically remove the two teeth that were exposed by the dentist. I was put to sleep under general anesthesia and teeth #13 & #14 were surgically removed by an oral surgeon. I was prescribed an antibiotic and pain medication. 9/21/2021 @ 1430 I had a follow up appointment with oral surgeon. Wait 4 months for mouth to heal before I can do anything for missing teeth repair. Oral surgeon has suggested implants to replace missing teeth, this process can take up to a year for work that will need to be completed. Antibiotic prescribed is hopefully clearing up other abscesses, today I have no additional pain.

Other Meds: Adderall, maxide, mirapex, synthroid, cytomel, potassium, vitD, vitC, zinc, multi-vitamin

Current Illness:

ID: 1723389
Sex: F
Age: 43
State: TX

Vax Date: 08/24/2021
Onset Date: 09/14/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data: rapid covid test- negative rapid flu test- negative

Allergies: no

Symptom List: Injection site pain

Symptoms: Last Tues 8/14 I felt pretty tired and had a sore throat. Wednesday I felt even worse, I got home and had a 100.8 temperature. I took a rapid covid test and it was negative. On Thursday my fever 101.6. I took Mucinex and Tylenol. I called Dr. and they told me I do not have covid or the flu, my lungs okay, but stated I was sick with something and my body was fighting it. I was told to come back by Monday if I didn't feel better. By Friday I was still coughing a lot but no fever. I started to feel better over the weekend. Now today, Wednesday 09/22, I am still coughing up some phlegm but I am still tired.

Other Meds: Exfexor, Doxepin, Clonazepam, Prilosec, Zyrtec, Spironolactone, Estrogen, Methotrexate, Folic Acid, Cosentyx, Ozempic, Tylenol

Current Illness: no

ID: 1723391
Sex: M
Age: 36
State: TX

Vax Date: 09/10/2021
Onset Date: 09/11/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data: Office visit on 9/22/2021 for shingles treatment.

Allergies: None

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

Symptoms: Day following injection, he developed a painful pustule rash on the opposite arm. He assumed it was due to the injection day prior. He watched it. It continued to spread for 1 week until a follow-up determined he developed initial shingles outbreak.

Other Meds: None

Current Illness: None

ID: 1723392
Sex: F
Age: 49
State: WA

Vax Date: 09/22/2021
Onset Date: 09/22/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data: yes ekg, strength test

Allergies: no

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

Symptoms: about an hour shot her left side of her face became numb, left side of her throat, arm and tongue was numb she went to urgent care

Other Meds: vit d, multi vit, vit c and vit b12

Current Illness: no

ID: 1723393
Sex: F
Age: 65
State: CA

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 09/22/2021
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

Allergies: Methylparaben Cipro Erythromycin

Symptom List: Tremor

Symptoms: I developed this arm soreness that never went away. The soreness continued to worsen. By July 2021, my arm was hurting quite badly. The bone hurt deep inside. It was difficult to pick things up and it was pretty painful. The pain started high up and progressed down to my thumb. I went to the doctor. I was recommended to see an orthopedist. I was given a steroid shot, which helped considerably. However, the underlying pain is still there.

Other Meds: N/A

Current Illness: None

ID: 1723394
Sex: F
Age: 26
State: CA

Vax Date: 08/25/2021
Onset Date: 08/28/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data: Blood work - Low Iron levels

Allergies: Chia Seeds, Almond Milk and Sage

Symptom List: Erythema, Pruritus

Symptoms: I experienced a sore throat ad ending up losing my voice for approximately 1 week. I went to see my PCP on 04/31/2021 via a video appointment and I was sent for a COVID test on 09/04/2021 which came back negative; therefore, my PCP prescribed antibiotics to treat my sore throat. I went to see another Physician more painful and heavier than normal menstrual cycle on 09/132021 and again on the 15th. My Ob-gyn gave me a Depo shot ( rec'd on 09/13/2021 which did not work) to stop the heavy I ended up going to the ER ER immediately after the appointment on 09/15/2021 where blood work was done to ensure that my iron and blood levels were normal. bleeding that I was experiencing. I had additional blood work done on 09/17/2021 to check my levels again which came back with results showing low iron levels. I was given Potassium bills to take help with the dizziness.

Other Meds: I took my normal medications: Glatopa (injectable), Baclofen, and Lyrica

Current Illness: No

ID: 1723395
Sex: M
Age: 66
State: IL

Vax Date: 04/20/2021
Onset Date: 09/15/2021
Rec V Date: 09/22/2021
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: 9/16/21 chest xray: Cardiomegaly with bilateral interstitial and airspace disease and fissural thickening. This does appear worse on the left compared to the right. Findings likely at least partially related to edema but are concerning for underlying pneumonia.

Allergies: None

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

Symptoms: Presented to ED on 9/16/21 with complaints of wheezing and headache, SOB since last night along with cough, feeling more weak and fatigued. no phlegm production, no fever chills, no dysphagia, no body aches or sore throat. he took the COVID vaccine back in April and in May. He does have a fistula in place in Jan 2021. In ED, BP 145/81, pulse of 88, T 98.7?, oxygenating on 6 L at 96% on 2 L nasal cannula. chest x-ray performed that showed cardiomegaly with bilateral interstitial thickening, evidence of edema and pneumonia. Regarding labs, troponin at 0.079, creatinine 8.0, COVID was positive, BNP 709. ABG PO2 of 59.4, pCO2 of 24.5, pH of 7.333, bicarbonate of 13.0. Hb 10.5, K 5.3, Interventions in ED include DuoNeb treatment at 3 mL nebulizer x1 dose. Rocephin 1 g IV, Doxycycline 100 mg IV. COVID protocol was initiated in the emergency room. Patient's diagnosed and admitted on 9/16/21 as acute respiratory failure with hypoxia secondary to community-acquired pneumonia,fluid overload due to underlying ESRD and COVID-19 infection. Patient was treated with Rocephin, doxycycline, Decadron, and Remdesivir. His shortness of breath improved. Pt weaned off of oxygen and has been doing fine without it over the last 2 days. Discharged on 9/22/21

Other Meds: Acetaminophen, allopurinol, amitriptyline, amlodipine, aspirin, atorvastatin, calcitriol, clopidogrel, hydralazine, novolog, levemir, omeprazole,

Current Illness:

ID: 1723396
Sex: F
Age: 62
State: WA

Vax Date: 09/19/2021
Onset Date: 09/20/2021
Rec V Date: 09/22/2021
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: Erythromycin

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

Symptoms: Low-grade fever, chills, headache, redness, swelling & warmth at the injection site approx 24 hours after injection (9/20/21) Took ibuprofen at 3 pm and 10 pm. Fever resolved by the morning of 9/21/22, area of redness, swelling & warmth slightly increased to approx 1x2 inches. By 72 hours post-injection (9/22/21) area of swelling, redness & warmth increased to approx 2x3 inches and starting to itch and not quite as tender.

Other Meds: Sumatriptan, Atorvastatin, Verapamil, Venlafaxine, Famotidine, Asmanex, CoQ10, Naproxen Sodium, Women's 50+ Daily Vitamins, Fiber Gummies

Current Illness: none

ID: 1723397
Sex: F
Age: 46
State: NC

Vax Date: 08/25/2021
Onset Date: 09/16/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data: 12 lead EKG

Allergies: None

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Rapid pulse, abnormal high BP, chest pain, high resting heart rate, abnormal heart rhythms (PACs and PVCs on EKG. Headaches, body aches. Cardiologist prescribed Metoprolol for BP and performed 12 lead EKG

Other Meds: Junel oral contraceptive 81mg baby aspirin

Current Illness: None

ID: 1723398
Sex: M
Age: 68
State: CA

Vax Date: 09/22/2021
Onset Date: 09/22/2021
Rec V Date: 09/22/2021
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: Denies

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

Symptoms: Individual became lightheaded and diaphoretic a few minutes after receiving injection. He stated ?this happens to me when I get shots?. Vitals stable, no difficulty breathing or loss of consciousness.

Other Meds: None

Current Illness: None

ID: 1723399
Sex: M
Age: 78
State: IL

Vax Date: 03/19/2021
Onset Date: 09/13/2021
Rec V Date: 09/22/2021
Hospital: Y

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: 9/16/21 COVID19: positive 9/16/21 Chest: 1. Cardiomegaly. Right basilar consolidation could represent atelectasis or pneumonia. Correlate clinically. 9/17/21 CTA chest: Findings compatible with COVID-19 pneumonia

Allergies: None

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

Symptoms: He went out recently to a football game where most people were not wearing a mask, started to have sore throat, cough and headache going on for about 2-3 days and on 9/17/21 he had dyspnea on exertion and therefore came to emergency room. In the beginning he was saturating well. He did test positive for COVID-19 and the plan was for the ER to send him home after they give him Regeneron. However, when the patient tried to go to the restroom his saturations dropped to 88% on room air. His 1st ABG done in the ER showed a pO2 of 84.7%. I am not sure whether it was on room air or on oxygen, but the 2nd one repeated on room air showed a pO2 of only 58.8, and then the hospitalist service was called for admission. I have started the patient on Decadron and remdesivir since his onset of symptoms is just 2-3 days. His CT of the chest was done in the ER which is showing bibasilar pneumonia/consolidation, so the patient was started on Rocephin and Zithromax which I am going to continue. Blood cultures have already been sent. Sputum cultures have also been ordered. Patient will be admitted as an inpatient with a diagnosis of acute hypoxemic respiratory failure secondary to COVID-19 pneumonia. Pulmonary consult will be obtained in the morning as well. Please note, the patient is already on anticoagulation with Coumadin with INR of 1.8. He takes it for history of PEs and DVTs. Patient denies any chest pain except occasionally when he tries to take a deep breath. He is unable to produce any sputum when he coughs. Says he has chronic right lower extremity swelling, which he attributes after surgery on that leg and the fact that he has had DVT in the right lower extremity as well. Was admitted on 9/17/21. Dexamethasone, remdesivir, vitamin C, vitamin D, ceftriaxone, and azithromycin started.Was placed on 3 L of oxygen via nasal cannula and was saturating well. He denies any significant complaints of breathing. Remained afebrile. Was also treated with remdesivir and Decadron. He continued to remain stable. He did complete 5 day course of remdesivir. Oxygen walk was performed on 09/21/2021. Required no oxygen at rest, 3 L with exertion. Discharged on 9/22/21

Other Meds: Allopurinol, finasteride, pravastatin, verapamil, enalapril, warfarin

Current Illness:

ID: 1723400
Sex: F
Age: 46
State: UT

Vax Date: 09/04/2021
Onset Date: 09/11/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Pain in extremity

Symptoms: 7 DAYS AFTER THEY RECEIVED THEIR PFIZER FIRST DOSE THEY FELT WEAKNESS AND TINGLING IN ARMS AND LEGS. THEY COULD NOT MOVE FOR ABOUT 8 HOURS. THEY WERE FINE AFTER THAT. IT'S BEEN 10 DAYS SINCE THEN. THEY ARE DOING GOOD ON THE FOLLOW UP.

Other Meds: BUSPIRONE , AVIANE, FLUOXETINE, SYNTHROID, CYCLOBENZAPRINE, HCTZ, HYDROXYCHLOROQUINE

Current Illness: NON

ID: 1723401
Sex: F
Age: 76
State: WI

Vax Date: 02/03/2021
Onset Date: 09/19/2021
Rec V Date: 09/22/2021
Hospital: Y

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

Lab Data: CT, MRI, CBC

Allergies: Hydromorphone Oxycontin PCN Hydrocodone

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

Symptoms: developed Bells Palsy 9/19/21

Other Meds: rybelsus

Current Illness: none

ID: 1723402
Sex: F
Age: 41
State: TX

Vax Date: 05/21/2021
Onset Date: 05/23/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data: Blod clot lad test.(June 21, 2021) Leg ultrasound. (August 19)

Allergies: not Known

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

Symptoms: My symptom have been started on May 23, 2021. May 23, I saw 5 blue and brown spots on my both. 3-4 more came within 2 days. Those were disappeared after weeks. Couple of days my legs were clear. Again those come. This happened to me for 2 months. My chronic problem has been started on first week of June. On June 4th while I was sleeping. I feel really hot. could not use light blanket or anything. I decreased my room temperature and still felt hot. In the morning , I found my whole body was puffy. Hands and feet, and face were puffy and shiny. I was hot. I took cold shower and my body got normal. But I started to cook or did any activities I got hot. After couple of days I found out I could not sweat when my body became hot. I did not sweat till August 15. At that time my town got rain. Temperature were 75 F and I went to park for walk, that day I sweated first time after the vaccine. Above 90 F, I could not sweat. My body swollen and I feel dizzy. Even inside home I feel hot , If I do lighter activities: like cooking or other activities. I still have this problem. My an trying too see endocrinologist. I report this to my PCP on June 16th 2021. I really help. I am using cooling device to sleep. In hot temperature, I do not sweat instead my body gets swollen. Need Help

Other Meds: No

Current Illness: I was sick on around second week of April 2021. Symptom had started on Sunday midnight and it was mostly sore throat. It last for 6 days. Three days were really bad sore throat . I had took NyQuil to help my sore throat. I has 2 days light fever.

ID: 1723403
Sex: M
Age: 66
State: CA

Vax Date: 09/17/2021
Onset Date: 09/17/2021
Rec V Date: 09/22/2021
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: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: Both arms (back) started itching. Right leg from calf to glute tighten up and would not loosen up. Three fingers on right hand tighened up. Still having problem with hand. Leg stayed tight for three or 4 days. Developed rash and redness in both arms. Rash has cleared up, but skin is still tender.

Other Meds: Tegretol

Current Illness: None

ID: 1723404
Sex: F
Age: 44
State: WV

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

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

Lab Data: Negative COVID test

Allergies: None

Symptom List: Vomiting

Symptoms: Pain and swelling at injection site, excessive sneezing, congestion, sore throat, coughing, shortness of breath.

Other Meds: Diltiazem, chlorthaladone, aspirin, multaq, potassium, Meloxicam, furosemide

Current Illness: None

ID: 1723405
Sex: F
Age: 69
State: CA

Vax Date: 09/14/2021
Onset Date: 09/15/2021
Rec V Date: 09/22/2021
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: 102 fever, chills, aches. But most important, swelling of lips a day later. Soreness when touching cheeks. Took antihistamine.

Other Meds: Vitamin d3 2000iu Miralax powder

Current Illness: Had a cold like symptoms, no fever, not covid

ID: 1723406
Sex: F
Age: 60
State: NC

Vax Date: 03/20/2021
Onset Date: 09/08/2021
Rec V Date: 09/22/2021
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: COVID test - on the 7th - before I actually had the symptoms.

Allergies: Sulfa drugs

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

Symptoms: My 11 year old brought it home from school. Four days later my husband and I were sick. I was fine when I tested for COVID on the 7th and had a positive result. I am still feeling a little bit - on the 8th, I felt extremely tired and dizzy. That Saturday - low grade temperature 99.8 and a little bit of chills and coughing and sore throat and lots of snot and congestion. The highest the fever got was 100.8 or .9 for three days. The chills were awful. Sore throat and ear aches and extreme congestion in my head that went down to my chest. My oxygen stayed above 96 - never dropped real low. My blood pressure was always fine. I didn't need my rescue inhaler until later on. I didn't feel a whole lot of chest tightness until when I started feeling a bit better. It felt like a bad case of flu. As I got better for 16th and 17th. I taught online the entire week that I was sick - I was seriously sick and fever broke Tuesday morning early finally. I started feeling better The following Saturday, the 18th, I started feeling bad again - my head started feeling bad again. Doctor didn't put me on anything until I felt sick again and then he put me on Prednisone (one course - that I finished yesterday)- it had gone into a sinus infection. I get those - because my sinuses rest on my upper jaw bone. They are real lift. I had one side lifted because I had to get a tube replacement (in the past.) I am just now getting over the congestion today but I'm still coughing. I had to do my rescue inhaler finally the past couple of days. I went back to work in person on Monday. My 10th day out of the building was 17th - my last isolation day. I have to talk loud and through a mask at work - so I'm using a lot of oxygen doing that and that might contribute me to using my inhaler now - have only needed it use it only once a day. I am recovering slowly. Note: I had a sinus infection - prior to this but about three months after the vaccination. But I didn't get bronchitis with it.

Other Meds: Blood Pressure Medicine; Estrogen; Vit D3 and B12 and a regular multivitamin; Tylenol and Ibuprofen as needed (but I only took Tylenol that day). Allergy shots - monthly (for cats and mold)

Current Illness: no

ID: 1723407
Sex: M
Age: 52
State: FL

Vax Date: 03/30/2021
Onset Date: 04/13/2021
Rec V Date: 09/22/2021
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: Multiple blood tests, throat examinations, CT scans of head/neck/chest, allergy tests

Allergies: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Unilateral vocal fold paralysis (left), anxiety, panic attacks, throat closure and tightness, ringing in ears tinnitus, sore throat, neck stiffness, severe rhinitis, ears plugged, runny nose, brain fog, exhaustion, gut pain, loss of appetite, cough,

Other Meds: Multivitamin, b complex, glucosamine, milk thistle, fish oil, vitamin D

Current Illness:

ID: 1723408
Sex: F
Age: 24
State: TX

Vax Date: 09/20/2021
Onset Date: 09/20/2021
Rec V Date: 09/22/2021
Hospital:

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

Lab Data:

Allergies: Shellfish and some types of seafood

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

Symptoms: During the night after receiving my second dose of the vaccine I woke up to an incredibly high fever of 103.6 and cold sweats. IN the morning I had severe aches and pains throughout my entire body to the point that I was barely able to stand or walk. I was so weak that I was unable to open or close the blinds or even open water bottles. My fever stayed for about 36 hours even with the use of Tylenol and Advil. The aching was accompanied by sharp pains in my back that would cause numbness in other areas of my body. By around noon the day following my vaccine I was having difficulty breathing, it felt like there was a weight on my chest and I could breathe shallow inhales. Today is the second day following the vaccination and the aching and pains have diminished to the point where I am able to walk, but I have been unable to work or complete my normal daily tasks without frequent rest breaks. I have also developed indigestion, heartburn, and diarrhea today. Additionally, I have had a migraine for 2 days nonstop. I am incredibly frustrated by the adverse side effects of the vaccine because I am a very healthy individual who is very active and does not have any pre-existing health conditions. I also tested positive for COVID-19 in November of 2020 and recovered quickly with little to no side effects at all.

Other Meds: Birth control

Current Illness: None

ID: 1723409
Sex: M
Age: 91
State: IL

Vax Date: 01/25/2021
Onset Date: 09/03/2021
Rec V Date: 09/22/2021
Hospital: Y

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

Lab Data: 9/20/21 COVID19: positive 9/20/21 Chest xray: Opacification in the retrocardiac portion left lower lung may reflect infection/inflammation. An element of atelectasis may be present.

Allergies: none

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

Symptoms: His daughter is helping with history. She states that they called and stated that he was acting somewhat confused. He had an episode similar to this on last Thursday where his eyes looked ?glazed over?. The decision was made for patient to come to the emergency room. Upon arriving to the emergency room patient was found to be hemodynamically stable. He did have a temperature of 99.1?. He is oxygenating on room air. A chest x-ray and CT of his chest was obtained and patient had findings consistent with a COVID pneumonia. During the time of examination patient's O2 saturation appear to have dropped to 90 when he was talking. He denies any shortness of breath, dyspnea upon exertion, fever chills, body aches, nausea or vomiting, no diarrhea. He states that his appetite is intact. He denies any headache. He had a CT of his head that did not reveal any acute intracranial abnormalities. He had routine labs and was found to have an elevated D-dimer at 2.81. He had an ABG performed and was found to have a PO2 of 68.7, pCO2 of 30.5, pH of 7.512, bicarbonate of 24.5. The remainder of patient's labs were within normal limits. Admitted on 9/20/21. Started on ceftriaxone, azithromycin. Noncontrast CT of the head was negative. CT angio of the chest did show evidence of COVID pneumonia. He is not significantly hypoxic, not needing any oxygen. He has been vaccinated against COVID since 7 months ago. Patient was also noted to have T8 compression fracture, however as per Radiology, this compression fracture has been present since at least since 2/2018. In any case patient is not having any pain and denies recent falls. Patient received IV antibiotics. Switched to cefdinir and doxy at discharge. Will continue Lasix. Hemodynamically stable for discharge. Dishcarged on 9/22/21

Other Meds: Rivaroxaban, acetaminophen, ascorbic acid, daily vites, ducolax PRN, fish oil, fluticasone nasal spray, furosemide, metoprolol tartrate, milk of magnesia, oystr shell, potassium chloride, preparation H PRN, sodium chloride nasal spray, tams

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am