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: 1738047
Sex: F
Age: 62
State: WI

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

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

Lab Data: Pfizer Vaccine Reactions 2021 - March 3, 2021 - 1st dose - Pfizer-BioNtech Covid-19 vaccine Lot#EN6199 Location - Redacted Reactions - left arm - numb within 2 hours/ fatigue / headache / fever / thirst / dry eyes / muscle aches / armpits ache / nausea / Very dry and thirsty / difficulty sleeping March 23, 2021 - 2nd dose - Pfizer-BioNtech Covid-19 vaccine Lot# ER8732 Location Redacted Reactions - fever 101.1 for 2 days then 99.7 - 99.6 rest of the week / stomach cramps / leg cramps / fatigue / headache / DIZZY!! / No DRIVING / NO Work / disoriented / Not well at all / very thirsty / difficulty sleeping March 31 - Dr. - eyes infected - puss dripping into the eyes / antibiotics received *** into June - alarming brain fog and fatigue - linguistic recall delayed / incorrect prefixes and suffixes / spelling backwards to bring forth the correct word / difficulty focusing and comprehending information / routine steps to cooking forgotten / hot items on stove forgotten *** muscle aches into July / thirst / waking multiple times to drink water / *** June routine work insurance blood test - Scored 100% (nurse consultant - said my scores were great - least likely to have a heart ache - HOWEVER - she said my Bilirubin # flagged as high - She wanted to know if I was dehydrated at the time of the blood draw. I explained my concern about constant thirst since receiving the vaccine. She stated that that vaccine was not meant for everyone.) ***Into July constant muscle aches / charley horses / leg cramps / armpit cramps / forearm cramps (dropped a mixing bowl - left arm / difficulty writing and typing with right arm) thirsty / waking at night ***May 19 - routine physical with Dr.- discussed my body aches and concerns about the vaccine / I told her that a booster would probably kill me. She stated that hopefully we will never have to worry about that. Other than that, I am quite healthy. *** August 3 and 4 - leg cramps - right thigh top and bottom / left hip felt like it was out of place / difficulty sleeping, walking, bending over, getting out of bed. (Arrived home Aug. 1 from visit - difficulty driving -leg cramps - stopped every 3 hours) Called for an orthopedic appointment - PA- Sept. 8 - x-ray indicated that hip bone is fine / He felt it was muscle inflammation / suggested hip conditioning exercises along with my yoga stretches Body aches persist / thirst at night Sept. 23 - 1am ish severe leg cramps and charley horse

Allergies: codeine, Vicodin, anesthesia (post-operative nausea/ vomiting), lactose intolerant, red food dye, yellow food dye, cayenne pepper, strawberries, sensitivity to preservatives - nitrates, BHT (Benzoate), sulfites, newly developed drops for dilating eyes, some type of insect bite - probably a spider (have an EpiPen)

Symptom List: Dysphagia, Epiglottitis

Symptoms: Pfizer Vaccine Reactions 2021 - March 3, 2021 - 1st dose - Pfizer-BioNtech Covid-19 vaccine Lot#EN6199 Location - Redacted Reactions - left arm - numb within 2 hours/ fatigue / headache / fever / thirst / dry eyes / muscle aches / armpits ache / nausea / Very dry and thirsty / difficulty sleeping March 23, 2021 - 2nd dose - Pfizer-BioNtech Covid-19 vaccine Lot# ER8732 Location Redacted Reactions - fever 101.1 for 2 days then 99.7 - 99.6 rest of the week / stomach cramps / leg cramps / fatigue / headache / DIZZY!! / No DRIVING / NO Work / disoriented / Not well at all / very thirsty / difficulty sleeping March 31 - Dr. - eyes infected - puss dripping into the eyes / antibiotics received *** into June - alarming brain fog and fatigue - linguistic recall delayed / incorrect prefixes and suffixes / spelling backwards to bring forth the correct word / difficulty focusing and comprehending information / routine steps to cooking forgotten / hot items on stove forgotten *** muscle aches into July / thirst / waking multiple times to drink water / *** June routine work insurance blood test - Scored 100% (nurse consultant - said my scores were great - least likely to have a heart ache - HOWEVER - she said my Bilirubin # flagged as high - She wanted to know if I was dehydrated at the time of the blood draw. I explained my concern about constant thirst since receiving the vaccine. She stated that that vaccine was not meant for everyone.) ***Into July constant muscle aches / charley horses / leg cramps / armpit cramps / forearm cramps (dropped a mixing bowl - left arm / difficulty writing and typing with right arm) thirsty / waking at night ***May 19 - routine physical with Dr. - discussed my body aches and concerns about the vaccine / I told her that a booster would probably kill me. She stated that hopefully we will never have to worry about that. Other than that, I am quite healthy. *** August 3 and 4 - leg cramps - right thigh top and bottom / left hip felt like it was out of place / difficulty sleeping, walking, bending over, getting out of bed. (Arrived home Aug. 1 from visit - difficulty driving -leg cramps - stopped every 3 hours) Called for an orthopedic appointment - PA- Sept. 8 - x-ray indicated that hip bone is fine / He felt it was muscle inflammation / suggested hip conditioning exercises along with my yoga stretches Body aches persist / thirst at night Sept. 23 - 1am ish severe leg cramps and charley horse

Other Meds: After - aspirin, During - Vitamin C, Digest Gold, Multivitamin, Bone Strength

Current Illness: None

ID: 1738048
Sex: F
Age: 28
State: TN

Vax Date: 08/30/2021
Onset Date: 09/06/2021
Rec V Date: 09/27/2021
Hospital:

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

Lab Data: N/A

Allergies: Penicillins, mango, avocado

Symptom List: Anxiety, Dyspnoea

Symptoms: Patient developed raised, circles on hands, elbows, knees and feet that resembled bug bites; 7 days after vaccination. They throbbed, burned and itched profusely. She tried OTC hydrocortisone and Benadryl creams with no relief. Visited urgent care and given a steroid injection. Resolved within one week.

Other Meds: None

Current Illness: None

ID: 1738049
Sex: F
Age: 65
State: OH

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

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

Lab Data:

Allergies: Sulfa Medications

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

Symptoms: Gave patient Prevnar 13 vaccine in upper right deltoid. After immunization, patient developed a small bump at the injection site. Patient exprienced no pain or redness at the site and felt fine. Monitored patient after vaccination, no pain or breathing issues. Counseled patient that a small bump can occur at the injection site and to put some ice on the arm to bring down any swelling. Could also take a tablet of benadryl to bring down the reaction. Had a second pharmacist, look at the reaction and agreed it was a localized reaction. Called patient back in the evening and she was having no other issues.

Other Meds:

Current Illness:

ID: 1738050
Sex: F
Age: 72
State:

Vax Date: 12/02/2020
Onset Date: 12/02/2020
Rec V Date: 09/27/2021
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: I took my Emgality injection the same day that I got the first of the two Shingrix injections. My Emgality stopped working and it took 9 months and more than monthly injections of Emgality before I got significant headache relief again.

Other Meds: Emgality

Current Illness:

ID: 1738051
Sex: F
Age: 31
State:

Vax Date: 09/18/2021
Onset Date: 09/19/2021
Rec V Date: 09/27/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

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

Symptoms: Severely Bloodshot Eyes/blurry Vision for two days. I never have had this problem. Sensitivity to smells causing migraines. Couldn?t even smell brownies baking in an oven without a severe headache and nausea. Side effect still happening more than a week after dose received Continued back pain for a week

Other Meds: Symbicort, Zyrtec, Pepcid

Current Illness: No

ID: 1738053
Sex: F
Age: 13
State: GA

Vax Date: 09/17/2021
Onset Date: 09/17/2021
Rec V Date: 09/27/2021
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: Nonoe

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

Symptoms: Pt states she started experiencing a rapid heart beat (135bpm) the evening after she received the vaccination that lasted about 30 minutes, then subsided. Pt also states she continues to experience rapid heart rate 1 to 2 times daily for "a couple of minutes" and reports heart flutters as well. Pt states if she coughs hard, or hits her chest, she feels it helps the flutters.

Other Meds: Pt states she has a Birth-Control Implant

Current Illness: none

ID: 1738054
Sex: F
Age: 32
State:

Vax Date: 09/19/2021
Onset Date: 09/26/2021
Rec V Date: 09/27/2021
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: NKA

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Delayed Injection site reaction. It?s become swollen, red and hot and it?s extremely big and growing. I also came down with flu like symptoms a week after and my breastfed baby is having them as well.

Other Meds: Prozac 60 mg Birth control pill

Current Illness:

ID: 1738055
Sex: F
Age: 86
State: FL

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

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

Lab Data:

Allergies: NKDA

Symptom List: Pharyngeal swelling

Symptoms: Patient explained that within just hours of the vaccination administration she noticed the darkening of one of her toes. It continued to the color black and is continuing to move up the foot toward the ankle.

Other Meds: N/A

Current Illness: N/A

ID: 1738056
Sex: F
Age: 46
State: MN

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

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

Lab Data: Negative covid test. 9/24/2021

Allergies: None

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Achiness and discomfort in spine and neck. Sinus pressure in ears. headache. Generally not feeling well.

Other Meds: None

Current Illness: None

ID: 1738057
Sex: F
Age: 51
State: FL

Vax Date: 09/11/2021
Onset Date: 09/11/2021
Rec V Date: 09/27/2021
Hospital:

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

Lab Data: EKG on 9/27/2021 was normal, no heart issues.

Allergies: Severe abdominal pain w/ Bactrim, Cipro & Levaquin

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Wave of discomfort, pins and needles in arms & hands and lower legs & feet, sweaty palms, feel like going to pass out, episode lasts for approximately 3 hours at a time, has occurred 4 times since shot, most recent being 9/26/21. PCP recommended B12. Also had chest pain starting 4 days after the shot and still continues. Intensity varies and lasts majority of the day. Dull pain mostly but some sharp stabbing pains.

Other Meds: Sumatriptan (50 mg), Probiotic, Vitamin D and Magnesium

Current Illness: None

ID: 1738058
Sex: F
Age: 34
State: IL

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 09/27/2021
Hospital:

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

Lab Data: None. I will have my first OB-GYN appointment since receiving the COVID-19 vaccine on October 1, 2021.

Allergies: N/A

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

Symptoms: I received the first COVID-19 (Pfizer-BioNTech) on 4/7/21 from occupational health at my workplace. I stayed approximately 15 minutes after my injection. Then I drove home, which took approximately 20 minutes. When I got home, I urinated. After I wiped, there was bright red bleeding from my vagina on the tissue that I used to wipe myself. That was the first episode of breakthrough bleeding. I was menstruating at my normal monthly time when I got my second dose of the vaccine. Because I was menstruating, identifying breakthrough bleeding was impossible. I had breakthrough bleeding (vaginal) again in May 2021, June 2021, July 2021, August 2021, and September 2021. All days of the breakthrough bleeding occurred between days 11-18 of my menstrual cycle. My time of menstruation is consistent as I am taking Yasmin and has been consistent for many years. I have been taking Yasmin for at least 10 years. Before I received the COVID-19 vaccine, I would normally menstruate on days 1-6 or days 1-7 of my cycle and have no breakthrough bleeding. Since I received the COVID-19 vaccine, I have had breakthrough bleeding every month on days that are not on days 1-6 or 1-7 of my cycle. The breakthrough bleeding is dark brown. The bleeding begins as a moderate amount and then lightens to mild and then stops.

Other Meds: Yasmin

Current Illness: n/a

ID: 1738059
Sex: M
Age: 36
State:

Vax Date: 09/24/2021
Onset Date: 09/25/2021
Rec V Date: 09/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Saturday-headache, body felt like it was on fire, chills, aches and pains throughout, nausea, fatigue, site soreness, fever, restless. Sunday-headache, nausea, fatigue, brain fog Monday-tiredness, fatigue, confusion

Other Meds:

Current Illness:

Date Died: 09/18/2021

ID: 1738061
Sex: F
Age: 61
State: NC

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

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

Lab Data: Multiple (Check with medical facility).

Allergies: Tobacco

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

Symptoms: Developed COVID Symptoms within <24 hours of receiving vaccine (Sore throat, mild fever, headache the morning after the vaccine). Patient had minimal to no contact with any other people prior to vaccination, and had not been around any individuals exposed to COVID in the past 2 weeks. Symptoms included fever, headache, nausea, joint & muscle pain, difficulty breathing, low oxygen stats, and vomiting. Patient was taken to medical facility on September 6th, was admitted to the hospital, and later transferred to the MICU. Patient pronounced dead September 18, 2021.

Other Meds: Metformin, Hydrochlorothiazide, Prednisone, Aleve, Cetirizine, Tizanidine

Current Illness: Rheumatoid Arthritis

ID: 1738062
Sex: F
Age: 52
State: TN

Vax Date: 07/01/2021
Onset Date: 09/01/2021
Rec V Date: 09/27/2021
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: Sulfa

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

Symptoms: Reoccurring injection site pain. Mild to severe at times.

Other Meds: Vyvanse, lamictal, metoprolol, ibuprofen

Current Illness: NA

ID: 1738063
Sex: M
Age: 64
State: FL

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

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

Lab Data: I'm a freaking physician, I don't need a test to confirm what is blatantly obvious. I was harmed by this vaccine.

Allergies:

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

Symptoms: I got pertussis from the vaccine! I also came down with the flu a couple of days after the coughing started. I'm still coughing with major coughing fits several times a day especially at night. It is now about 4 weeks since the vaccination. All I wanted was a tetanus booster but that apparently is not available without the other two (diphtheria and pertussis). Ridiculous.

Other Meds:

Current Illness:

ID: 1738064
Sex: F
Age: 45
State: GA

Vax Date: 04/01/2021
Onset Date: 04/27/2021
Rec V Date: 09/27/2021
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: No

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

Symptoms: Uncontrollable blood pressure , ongoing Numbness in legs. Shingles outbreak

Other Meds: Norco , butran, meloxicam, vit, d, c , biotin , hydroxyclorinque,Humaria, prednisone, iron

Current Illness: Ra, dds, Neuropathy, Scoliosis, Osteoarthritis,

ID: 1738065
Sex: F
Age: 41
State: MA

Vax Date: 09/03/2021
Onset Date: 09/08/2021
Rec V Date: 09/27/2021
Hospital:

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

Lab Data: Urine analysis (3times)- 16 Sept, 24 Sept and 25 Sept. All Show blood in urine and sign of inflammation.

Allergies: None

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

Symptoms: Started with pain in hips and headache. The pain in the hips developed into pain up and down spine and into base of skull. The headache has not gone away in two weeks. Heart palpitations and speeding heart beat started around 10 September. The pain progressed to its worse on 17 September. All of the above plus heavy lower abdominal pain. Went to Urgent care on 16 September for ekg and urine analysis. The ekg was done three times because first showed abnormalities and they kept moving proves until they got a normal reading. Urine analysis showed blood in urine and inflammation markers. Was put on antibiotics for a uti but was called back to stop antibiotics as the uti culture came back negative. No explanation for blood in urine. 20 September started excruciating pain in right foot, both shins and arms. I would wake up from the pain at night. Over the counter pain medication did not help alleviate pain. Noticed bruises on both arms, legs and right armpit/shoulder blade as well. 23 September - shooting pain from base of skull down both arms. This has been continues until this report on 27 September. 25 September my left thigh went numb for 30 mins. Saw pcp twice more urine analysis and blood work was ordered . Waiting for the results.

Other Meds: Synthroid Vit D

Current Illness: None

ID: 1738066
Sex: F
Age: 38
State: CA

Vax Date: 09/25/2021
Onset Date: 09/26/2021
Rec V Date: 09/27/2021
Hospital:

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

Lab Data:

Allergies: Bentyl, Nickel

Symptom List: Ear pain, Hypoaesthesia

Symptoms: 2-3 inch erythematous, swollen/raised rash at injection site. Skin warm in affected area. 2 day after eruption slightly larger and pruritic

Other Meds: Vyvanse 70 mg, levothyroxine 88 much, Zyrtec 10 mg bid, singular 10 mg, beyaz, valacyclovir, Flexeril 10 my, tizanidine, percocet

Current Illness: N/a

ID: 1738067
Sex: F
Age: 27
State: CA

Vax Date: 08/11/2021
Onset Date: 08/12/2021
Rec V Date: 09/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: I was 5 weeks postpartum and still trying to establish breastfeeding/milk supply. After my second dose of the COVID vaccine, I woke up with intense chest pain. Over the course of a few hours, I realized that the lymph nodes in my chest/breasts were inflamed. This caused extreme clogging of my milk ducts, and my milk supply dropped dramatically. I was primarily pumping breastmilk at the time, so I could see the exact output, and I was pumping about 1/2 to 2/3 of my usual output. The clogs were extremely painful and persistent. It took about 5 days for them to fully resolve and over a week for my milk supply to get back up to capacity. I?d recommend that any breastfeeding individuals wait until after 12 weeks postpartum (generally when milk supply is regulated) to get vaccinated in the event that their milk supply is affected like mine was.

Other Meds:

Current Illness:

ID: 1738068
Sex: F
Age: 66
State: NV

Vax Date: 09/24/2021
Onset Date: 09/25/2021
Rec V Date: 09/27/2021
Hospital:

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

Lab Data: None

Allergies: None known

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

Symptoms: Entire arm sore, shoulder and elbow throbbing with pain. Underarm pit area swollen and sore. Severe headache interrupting and preventing sleep. Extreme malaise.

Other Meds: Hydrochlorothiazide 25mg, 1T po d Atenolol 50mg, 1T po d

Current Illness: Status post breast cancer, 12 years

ID: 1738250
Sex: F
Age: 35
State: FL

Vax Date: 07/15/2021
Onset Date: 07/16/2021
Rec V Date: 09/27/2021
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: Low blood pressure Normal ECG (unconfirmed)

Allergies: None

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

Symptoms: I woke the next day at 7am after my second Pfizer covid-19 vaccine feeling fine with just a little soreness at the injection spot. Had my usual breakfast (tea and cereal) and headed to work. Around 11am I started to feel hot but couldn't take my temperature and eventually felt lightheaded and nauseous . I walked to the nearest bathroom to lay down in cool air but didn't make it. Everything went black and I fainted. I was awaken by another worker I'm still not sure how long I was out for, probably a minute or two. The paramedics arrived ten minutes later and performed a few tests and recommended I go to the hospital to check my head, which had a massive bump caused by the fall. I refused and preferred to rest at home. Besides the physical injuries from my fall I recovered quickly with no signs of fever or other symptoms related to a concussion.

Other Meds: None

Current Illness: None

ID: 1738251
Sex: F
Age: 30
State: FL

Vax Date: 09/26/2021
Onset Date: 09/26/2021
Rec V Date: 09/27/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Unevaluable event

Symptoms: Fever, chills, severe body aches and pains and headache. All not relieved with over the counter medications.

Other Meds: None

Current Illness: None

ID: 1738252
Sex: F
Age: 61
State: HI

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

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

Lab Data:

Allergies:

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

Symptoms: Patient received vaccination early at 14 days instead of the 28 day interval.

Other Meds:

Current Illness:

ID: 1738253
Sex: F
Age: 71
State: IA

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

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: no adverse event, dose given 1 day per calendar days early, during the six months there are 4 months with 31 days and 1 month 28 days, technically given 2 days post 6 months if you are counting actual days.

Other Meds:

Current Illness:

ID: 1738254
Sex: F
Age: 68
State: AZ

Vax Date: 08/27/2021
Onset Date: 09/10/2021
Rec V Date: 09/27/2021
Hospital:

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

Lab Data: I had an ultrasound at Radiology the next day. The results of the ultrasound showed it was not blood clots. It showed lymph node swelling and pain. This was on a Friday, The next Monday, September 13 I returned to Dr. because I had swellings in my axillary, armpit, area and they were very sore. I went to imaging center on September 20 for an already scheduled ultrasound and mammogram. It was alarming because in September 2020 I was diagnosed with breast cancer, stage 0. The results of the mammogram and ultrasound showed all of the grape sized swellings were lymph nodes. It is now September 27, and the swellings are still painful and pea sized.

Allergies: sulfa penicillin

Symptom List: Injection site pain, Menorrhagia

Symptoms: About 2 weeks after my Moderna injection, I had unusually large swelling around the site. Also, I had grape size swollen bumps in my arm between my shoulder and elbow. I went to Dr.. He was not sure if it was 3 blood clots, vein inflammation or lymph nodes. He wrote orders for an ultrasound on this sore area.

Other Meds: lithium--450 mg 1xday seroquel--250mg 1/day levothyroxine--100mg 1/day fish oil 1500 mg Vitamin B complex Vitamin C Vitamin D

Current Illness: None

ID: 1738255
Sex: F
Age: 32
State:

Vax Date: 07/01/2021
Onset Date: 08/01/2021
Rec V Date: 09/27/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Blindness

Other Meds:

Current Illness:

ID: 1738256
Sex: F
Age: 65
State: HI

Vax Date: 09/27/2021
Onset Date: 09/27/2021
Rec V Date: 09/27/2021
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: Patient received Pfizer booster when they received Moderna for their first and second dose.

Other Meds:

Current Illness:

ID: 1738257
Sex: M
Age: 60
State: NC

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

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

Lab Data: Multiple (contact Medical Center)

Allergies: none

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: next morning coughing , was admitted to hospital sept 6 with low oxygen levels, hard to breath, left hospital September 13th.

Other Meds: amlodipine besylate 5mg hydrochlorothiazide 25mg pravastatin sodium

Current Illness: none

ID: 1738258
Sex: F
Age: 32
State: IL

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

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

Lab Data:

Allergies:

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

Symptoms: Pt called stating she has having increased swelling and redness at injection site since administration of her second Moderna vaccine on 9/25/21. Pt stated she has tried oral/topical Benadryl, Tylenol, and iced down the area. She stated she had a bit of swelling after the first vaccine, but it is worse this time. She also stated that she has an adhesive allergy and she took off the bandage sooner after the first vaccine than she did after the second vaccine. I advised that injection site swelling/redness are common side effects but recommended she follow-up with her pcp regarding this. I also recommended she try ibuprofen as well for pain/inflammation. I requested pt follow-up with us to let us know how she is doing, she stated she would.

Other Meds:

Current Illness:

Date Died: 09/14/2021

ID: 1738259
Sex: M
Age: 91
State: NY

Vax Date: 09/14/2021
Onset Date: 09/14/2021
Rec V Date: 09/27/2021
Hospital:

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

Lab Data: Not sure. The hospital wouldn't share that information

Allergies: Morphine

Symptom List: Nausea

Symptoms: Patient came in to receive his 3rd dose of Pfizer Covid-19 vaccine. He said he qualified as immunocompromised. The pharmacist on duty stated that he appeared to be in good health as far as she could tell. Team member claimed he was disoriented upon checking out for his purchase, they helped him to his car. He crumpled to the ground and team members helped him sit up in his car and waited with him for EMS. After a few minutes we were told that he became incoherent and this continued when EMS arrived. EMS medic came to the pharmacy around 12:30pm to let the pharmacist know the patient was despondent. Upon later information from the family, the patient had passed away at the hospital due to a brain bleed.

Other Meds: Not Known

Current Illness: Not known

ID: 1738260
Sex: F
Age: 34
State: MA

Vax Date: 09/24/2021
Onset Date: 09/24/2021
Rec V Date: 09/27/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain

Symptoms: Pharmacy did not disclose the brand of flu shot or provide me with any paperwork following the injection. I guessed from the options above. Fatigue for 1.5 days beginning 2 hours after shot. Low-grade fever for 3 hours beginning 12 hours after shot. Soreness and mild swelling in cheeks/tear troughs for 2 days beginning 1 day after shot. This is where I had 1 syringe of Restalyne injections placed 5 months prior.

Other Meds: Prenatal vitamin B-100 complex Magnesium (250mg)

Current Illness: Had D&C and general anesthesia 10 days prior

ID: 1738261
Sex: F
Age: 53
State: GA

Vax Date: 09/07/2021
Onset Date: 09/10/2021
Rec V Date: 09/27/2021
Hospital:

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

Lab Data: none

Allergies: chronic urticaria of unknown etiology

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

Symptoms: significant worsening of tinnitus, facial and periocular edema.

Other Meds: athorvastatine, metformin

Current Illness: sore throat

ID: 1738262
Sex: F
Age: 86
State: FL

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

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

Lab Data: N/A

Allergies: doxepin, doxercalciferol

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

Symptoms: A noticeable amount of the vaccine leaked back out of the injection site. It is unknown how much vaccine was lost, so the pharmacist on duty offered a second dose to the patient and she declined. The injection was given by a certified technician, yet the patient blamed him for improper technique. The pharmacist reviewed video footage which showed no apparent issues with the technician's injection technique.

Other Meds: Lisinopril 40mg qd, oxybutynin 5mg bid, Eliquis 5mg bid, lovastatin 40mg qhs

Current Illness: n/a

ID: 1738263
Sex: F
Age: 75
State: VA

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

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

Lab Data: None

Allergies: None

Symptom List: Tremor

Symptoms: Below injection-sore, lumpy, raised skin about the size of a golf ball or a little bigger but not raised that high.

Other Meds: B12, D3

Current Illness: UTI

ID: 1738264
Sex: F
Age: 61
State: NV

Vax Date: 08/27/2021
Onset Date: 09/03/2021
Rec V Date: 09/27/2021
Hospital:

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

Lab Data: None

Allergies: Peanuts

Symptom List: Erythema, Pruritus

Symptoms: Day of injection- sore arm at injection site Aug 30 - Sept 13 - feverish/ hot flashes Sept 20 to present - hives and dark splotches on upper right and left arm

Other Meds: Hydrochlorot 25mg K-tab cr 10;mg Vitamin D Zinc

Current Illness: None

ID: 1738265
Sex: F
Age: 40
State: WY

Vax Date: 09/24/2021
Onset Date: 09/27/2021
Rec V Date: 09/27/2021
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: None yet

Allergies: Eggs Melon Penicillin amoxicillin

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

Symptoms: Dizziness Sore arm Itching where injection occured

Other Meds: Hydroxozine

Current Illness: Mild cold

ID: 1738266
Sex: M
Age: 54
State: OH

Vax Date: 09/20/2021
Onset Date: 09/20/2021
Rec V Date: 09/27/2021
Hospital:

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

Lab Data: Blood work completed two weeks prior: 1117.0 antibodies

Allergies: N/A

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

Symptoms: holding a fever for a week now. Fever stays low grade. Shivering, headaches, complete exhaustion

Other Meds: IBUPRFEN WHEN AFFECTS BEGAN

Current Illness: N/A

ID: 1738267
Sex: F
Age: 61
State: NY

Vax Date: 09/23/2021
Onset Date: 09/23/2021
Rec V Date: 09/27/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: passing out, temporally loss of speech, shortness of breath, inability to open eyes, lack of oxygen, Last about 30 to 45 minutes. Head and face vigorously showered with cold water, pain like chest pain

Other Meds: None

Current Illness: None

ID: 1738268
Sex: M
Age: 34
State: NC

Vax Date: 08/22/2021
Onset Date: 08/26/2021
Rec V Date: 09/27/2021
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 at the moment. Idk where to go besides the ER and I really don't feel like jerking off into a cup at the ER.

Allergies: None

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

Symptoms: Blood in semen/ejaculate ongoing for 4 weeks.

Other Meds: None

Current Illness: None

ID: 1738269
Sex: M
Age: 67
State: GA

Vax Date: 08/20/2021
Onset Date: 08/21/2021
Rec V Date: 09/27/2021
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: See continuation page

Allergies: Penicillin

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

Symptoms: Second Maderna shot done 08/20/2021. By 24 hours patient began experiencing heighten nervousness. Began having trouble sleeping. During the next week, patient experienced increased nervousness, listlessness, exhaustion with sleep cycle disrupted and loss of time from work due to exhaustion. Patient averaged 3 to 5 hours per night sleep. By the following Friday (08/27/2021) patient experienced additional severe pain lower cervical, upper thoracic spinal areas. Patient visited Urgent Care on Monday August 30, due to alarming high blood pressure, severe pain. Urgent care did blood work, ekg, BP.....over 210/110 with St changes on EKG. BP did not respond to BP meds....recommeded Emergency Room. Clonidin

Other Meds: Carvedilol 12.5 mg 2x/day

Current Illness: N/A

ID: 1738270
Sex: F
Age: 51
State: NM

Vax Date: 09/24/2021
Onset Date: 09/26/2021
Rec V Date: 09/27/2021
Hospital:

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

Lab Data: Unknown

Allergies: NKDA

Symptom List: Pain in extremity

Symptoms: A patient called today to report tingling in her hands and arm that she thinks stems from a Shingles and Flu vaccine she received 3 days ago. She stated that the tingling started in her right hand yesterday and in her left hand today. The tingling in her left hand led to numbness in her left hand and arm. She received both vaccines in the left arm. The patient stated that she has a Doctors appointment on Oct 1 that she had scheduled prior to the vaccine. I instructed the patient to call the Doctor's office to see if they could see her before her appointment date.

Other Meds: Novolog Mix 70/30, Furosemide, Potassium Chloride, Spironolactone

Current Illness: Unknown

ID: 1738271
Sex: F
Age: 35
State: FL

Vax Date: 08/02/2021
Onset Date: 08/05/2021
Rec V Date: 09/27/2021
Hospital:

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

Lab Data: St elevations on ekg, mild mitral and trace tricuspid regurgitation, increased CO2, Ekg, chest X-ray, echocardiogram, cardiac and inflammatory labs, d dimer? no indications of blood clots

Allergies: DTAP, Thiomersal, Penicillin, hay fever, some black dyes and other chemicals,

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

Symptoms: Cardiac and pleuritic pain, shortness of breath, dizziness, heart palpitations, tachycardia, difficulty breathing, fatigue

Other Meds: Vitamin C, Vitamin D, spironolactone

Current Illness: N/a

ID: 1738272
Sex: F
Age: 33
State: TX

Vax Date: 09/16/2021
Onset Date: 09/25/2021
Rec V Date: 09/27/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Entire body is exhausted, non-stop muscle weakness, nothing helps

Other Meds: Adderral, wellbutrin

Current Illness:

ID: 1738273
Sex: F
Age: 46
State: CA

Vax Date: 09/27/2021
Onset Date: 09/27/2021
Rec V Date: 09/27/2021
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: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: client was sitting in observation room when PHN noticed client holding left upper chest with right hand approximately at 1432. Client stated she was "feeling pain." EMT set up anti-gravity chair and client was able to transfer without assistance. PHN began assessment as EMT began taking vitals. Client was alert and oriented x4, able to answer in full sentences. Client described chest pain as "pressure" as client pointed to upper left chest by collarbone. PHN asked if pain radiated anywhere else and client denied. Client denied shortness of breath, dizziness, blurry vision, or headache. Per client has history of hypertension, diabetes and unspecified thyroid. Client stated she forgot to take blood pressure medication today. Vitals at 1632: oxygen sat 97%, pulse 85, unable to get blood pressure reading. Retake blood pressure at 1635: 160/98. At 1635 client reported feeling "she could not take deep breaths." PHN informed paramedics would be called for further assessment and client declined. At 1636 client stated, "it is all gone." PHN informed client of importance to be further assessed and of her high blood pressure. PHN advised client to stay longer in observation as she only completed her 15 minutes. Client stated she wanted to leave and began standing up. Per client "she would call 911 if she felt the pain again." EMT unable to take anther set of vitals. PHN gave brief education of following up with provider and ER precautions. Per client came with daughter and daughter would drive her home. Client left facility with steady gait at 1639.

Other Meds: unknown names, one for blood pressure

Current Illness:

ID: 1738274
Sex: F
Age: 34
State: CA

Vax Date: 09/23/2021
Onset Date: 09/23/2021
Rec V Date: 09/27/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Vomiting

Symptoms: After the vaccine, the client reported that her arm felt "numb" to Lead Ancillary and she stated that "I didn't feel the shot." The client then reported feeling "high" to lead Ancillary. Lead Ancillary notified RN and RN, who then responded to the client. The client reported feeling, "Like I'm on a cloud and dizzy." RN asked if the client's vision was clear, and the client reported "You're a little foggy." The client was sitting in an office chair with her right leg elevated. The client had a boot on her right foot and a right knee brace from a previous injury. The client denied any history of syncope. The client reported a history of hypertension, which is not controlled with medication. The client stated that she has recently been taking Ibuprofen for pain, but did not take any ibuprofen today. The client has no known allergies. Vitals obtained at 7:27PM were as follows: HR 105 and automatic BP 136/80. The client also reported feeling "cold and shaky." RN felt the client's hands which felt cool. RN did not see any visible shaking of the client's hands or body. The client reported a stomach ache. The client last ate a salad at 3:00PM. Respiration rate was 16 per minute at 7:30PM. The client began eating a personal protein bar at 7:31PM. The client stated that "It's helping to eat, the fog is kind of going away." RN arrived on scene. Repeat vitals obtained at 7:38PM were as follows: automatic BP 132/77, HR 82, and O2 99%. The client was alert and oriented to person, place, time, and situation. The client reported that she was still "cold," that her vision was clear, mild dizziness, and feeling tired. The client denied any s/s of anaphylaxis. RN assessed the client's skin near the vaccination site. RN noted redness about 2 inches below where the vaccine was administered, that was approximately 1 inch long and 0.5 inches wide. The client denied any itching at the site and stated she had not seen that red spot before. RN noted no other signs of redness or a rash across the client's neck, chest, or arms. Repeat vitals obtained at 7:47PM were as follows: BP 138/83, HR 88, O2 99%. The client stated "I feel like I drank wine. I feel tired, and cold." The client also reported that her vision was "foggy in areas." The client reported that she was "starting to feel a little headache." The client denied any pain associated with the headache. The client was continuing to eat her protein bar. The client stated that when the vaccine was administered, "I felt like it went all through my body." The client reported persistent feeling "foggy and dizzy." The client reports a history of dizziness after not eating for a while. The client reported "weakness" while trying to open her bottle of water. RN assisted the client and opened the water bottle. At 7:52PM the client was drinking water provided to staff. At 7:55PM the client reported feeling "dizzy after I use energy." The client stated that the cold feeling was "going down, and I'm still a little shaky." Vitals obtained at 7:58PM were as follows: BP 125/79, HR 83, and O2 97%. The client reported that she still felt dizzy and tired. She stated "I feel like I'm in slow motion." The client denied any foggy vision spots, but stated that the "fog is in my head." The client stated she did not drive to the vaccination site, and called someone to come and pick her up. At 8:04PM the client stated that she needed to use the restroom. The client stood up without assistance, placed her right knee on her knee walker, and began ambulating with the use of the knee walker to the restroom. The client reported she felt, "A little dizzy standing." RN accompanied the client to the restroom. The client returned from the restroom and sat in the anti-gravity chair. RN and RN reclined the anti-gravity chair to a semi-fowler's position. Vitals obtained at 8:09PM were as follows: BP 122/75, HR 81, O2 98%, and RR 18. The client reported a stomach ache and nausea and requested to sit up. The anti-gravity chair was adjusted to a high fowler's position. The client reports a history of anxiety and states that she experiences dizziness with her anxiety. RN offered to activate EMS due to the client's persistent symptoms and the client declined. RN discussed options for the client including activating EMS or going to urgent care on her own. The client stated that sometimes she goes to the pharmacy to check her "blood sugar." The client stated her plan after leaving the vaccination site was to go to the pharmacy to get her blood glucose checked, and that she would go to urgent care if her blood glucose was high. The client denied any persistent nausea or stomach ache. RN educated the client regarding s/s of anaphylaxis, when to seek EMS, and V-Safe. The client voiced understanding of this education. The client stated, "Okay, I want to leave." The client stood up with the assistance of her scooter, placed her knee on the knee walker. The client ambulated with the use of the knee walker outside of the building and stated that someone was picker her up. RN accompanied the client outside the vaccination site, and visualized the client ambulate with the use of the knee scooter off of the property at 8:30PM. RN did not visualize the client get into a vehicle.

Other Meds: None

Current Illness: Unknown

ID: 1738275
Sex: F
Age: 21
State:

Vax Date: 01/11/2021
Onset Date: 02/17/2021
Rec V Date: 09/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Heart palpitations, rapid heart rate, chest tightness, chest pain, lightheadedness/dizziness, nausea. Symptoms varied over the course of approximately two weeks.

Other Meds:

Current Illness:

ID: 1738276
Sex: M
Age: 22
State: IL

Vax Date: 05/07/2021
Onset Date: 05/07/2021
Rec V Date: 09/27/2021
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: Doctor tested my blood said nothing was wrong on August 9th

Allergies:

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

Symptoms: Headaches. Mild to severe. Almost passed put while trying to lift weights. Extreme sensitivity to light at times. Loss of appetite.

Other Meds: Allergy nasal spray non prescribed

Current Illness:

ID: 1738277
Sex: M
Age: 84
State: MT

Vax Date: 09/27/2021
Onset Date: 09/27/2021
Rec V Date: 09/27/2021
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: Pt given Pfizer Covid-19 instead of Moderna Covid vaccine.

Other Meds:

Current Illness:

ID: 1738278
Sex: F
Age: 79
State: CO

Vax Date: 09/23/2021
Onset Date: 09/24/2021
Rec V Date: 09/27/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: patient has Parkinson's' and noticed worsening symptoms the day after including difficulty walking and shuffling of feet.

Other Meds:

Current Illness:

ID: 1738279
Sex: F
Age: 58
State: CA

Vax Date: 04/01/2021
Onset Date: 07/01/2021
Rec V Date: 09/27/2021
Hospital:

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

Lab Data:

Allergies: Codeine

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

Symptoms: Muscle twitches in all areas of my body.

Other Meds: Zoloft, Amlodipone, Celebrex

Current Illness: None

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am