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: 1759823
Sex: F
Age: 30
State: MN

Vax Date: 09/30/2021
Onset Date: 10/01/2021
Rec V Date: 10/04/2021
Hospital:

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

Lab Data: Negative COVID-19 test on 10/1/21.

Allergies: Sulfa, Topamax, Relpax, Ancef and Azythromycin

Symptom List: Dysphagia, Epiglottitis

Symptoms: I woke up the morning of 10/1/21 feeling well. I noticed early on that day that I couldn't get my hands to warm up but chalked that up to the temperature in the building. By noon, I started to have nausea but thought that was because I didn't get a lunch. I also noticed that I started to have mild body aches and joint pain. 30 minutes later, I requested to leave work because the joint pain and body aches were becoming too much. I became very chilled and fatigued as well. 30 minutes later once I got home, the chills became severe as well as the joint pain and body aches. I wasn't able to move a muscle without being in severe pain. I then developed a headache. I was able to take Tylenol and Ibuprofen. About an hour after that, I spiked a fever of 102.9 but the body aches and joint pain decreased slightly, enough for me to be able to get out of bed to use the bathroom. I still continued to have nausea and fatigue. I took Tylenol and Ibuprofen round the clock. Woke up the next day (10/2/21) and the body aches and joint pain were moderate. Still continued to be febrile, fatigued, nauseous and had a headache. I developed lymphadenopathy in my right axilla and that was very painful even on medication. Again, took Tylenol and Ibuprofen round the clock. Sunday, 10/3/21 the body aches and joint pain were now mild. Continued to be fatigued and had a headache. Lymphadenopathy still present. Afebrile at this point. Today, 10/4/21, I am only having mild body aches and joint pain on my right side, fatigue, headaches are still the same, afebrile and have moderate lymphadenopathy. Have continued to take Tylenol and Ibuprofen round the clock since 10/1/21. I will note that my neck has been very stiff since this all started. My previous COVID vaccines (both Pfizer) I only had a sore arm for two days following my vaccinations.

Other Meds: Prenatal vitamin, Fish Oil, Cholestoff, Biotin, Probiotic, Claritin, Desvenlafloxine

Current Illness: None

ID: 1759824
Sex: F
Age: 52
State: FL

Vax Date: 10/01/2021
Onset Date: 10/01/2021
Rec V Date: 10/04/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: PATIENT CAME BACK INTO THE PHARMACY TODAY COMPLAINING OF POURING SWEAT, NAUSEA AND LETHARGIA AFTER RECEIVING VACCINES

Other Meds:

Current Illness:

ID: 1759825
Sex: F
Age: 62
State: SC

Vax Date: 10/04/2021
Onset Date: 10/04/2021
Rec V Date: 10/04/2021
Hospital:

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

Lab Data: none

Allergies: none

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

Symptoms: Patient got Pfizer dose as 2nd dose ... should have been Moderna. Patient did not have cdc card for the 1st vaccine, then once she was vaccinated, she came back and had determined she got Moderna as the first dose.

Other Meds: none

Current Illness: none

ID: 1759827
Sex: F
Age: 24
State: CO

Vax Date: 05/22/2021
Onset Date: 05/22/2021
Rec V Date: 10/04/2021
Hospital:

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

Lab Data: NA

Allergies: No

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Patient came in 05/22/21 for a second dose of Moderna. Patient had already received second dose on 05/14/21 which was 28 day after first dose. Patient did not have any adverse reactions. She was advised to watch for symptoms.

Other Meds: Unknown

Current Illness: No

ID: 1759828
Sex: F
Age: 50
State: PA

Vax Date: 03/28/2021
Onset Date: 08/16/2021
Rec V Date: 10/04/2021
Hospital:

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

Lab Data: COVID-19- TEST -positive

Allergies: penicillin and it derivatives

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

Symptoms: 3 weeks prior to 08/16/2021- I had a migraine headache that was continuous for 3 weeks and a sinus infection. On 08/11/2021-I went in for the visit and my sinuses and ear were full of fluid. Dr. assistant prescribed my antibiotic- z-pack. My symptoms resolved after the antibiotics. On 08/16/2021, Monday, I did not feel right. I did not have a fever, or a cough. I could still taste, smell and and I still had my appetite. I did not have any of the classic symptoms. That night I got up to go to the bathroom and vomited, and had diarrhea (and I normally do not vomit) and I passed out afterwards. It was only a one shot of vomiting and diarrhea. I did not know I passed out. My husband found me on the floor. The next morning, Tuesday, 08/17/2021, I didn't feel well. I had a low grade fever and chills. I went and bought an over-the-counter COVID-19 test and the results were negative. That same day, I went to the clinic, and they administered a COVID-19 test and it was positive. For 2 days after, I had fever, chills , heavy chest, massive headache. I felt like someone was sitting on my chest and head. The headache was worse than a migraine. The pain felt different than a migraine, a pain I had never felt before. I took Tylenol and it broke my fever, but it was no match for my headache. By Friday my symptoms, began to resolve. I did have a little congestion . A week after my Pfizer 2nd dose - I developed COVID arm. It felt like a bee sting, hot to the touch, swollen and really itched. And went away after a week on it's own.

Other Meds: Chlorthalidone 25 mg od losartan potassium 25 mg od klor-conm 20 mg 4 tablets a day Zyrtec 10mg od Flonase 50mcg one spray on each side Vit D-3 1000 iu docusate sodium 100 mg od

Current Illness: no

ID: 1759829
Sex: F
Age: 48
State: PA

Vax Date: 02/21/2021
Onset Date: 02/24/2021
Rec V Date: 10/04/2021
Hospital:

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

Lab Data: None as of today.

Allergies: No know allergies.

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

Symptoms: Severe rash, hives, swelling, burning and itchiness on both arms, fingers, scalp, torso, legs, thighs, face, neck and ears. Began on or around Feb 24 2021 and is still occurring as of October 2021. I have been using hydrocortisone cream, aloe, triple antibiotic cream, topical analgesics, Benadryl, Aquaphor ointment and Ivarest cream. As of today I still have all the above symptoms. I have seek medical attention now and I have an appointment with my PCP 10-4-21 and a dermatologist 10-13-21.

Other Meds: Adderall

Current Illness: None

ID: 1759830
Sex: F
Age: 50
State: VA

Vax Date: 09/29/2021
Onset Date: 09/29/2021
Rec V Date: 10/04/2021
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: Patient says she has an allergy to a filler that is used in some medications, but could not recall the name

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Bright red rash appeared on over 50% of back on the evening of the day of vaccination, and gradually darkened over the following days. Patient also reported feeling hot/sweating over time.

Other Meds: Zyrtec 10mg

Current Illness: None

ID: 1759831
Sex: F
Age: 20
State: MT

Vax Date: 09/16/2021
Onset Date: 09/17/2021
Rec V Date: 10/04/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Vomiting, Nausea, Headache, Body aches: started 12 hours after vaccine

Other Meds:

Current Illness:

ID: 1759832
Sex: F
Age: 54
State: LA

Vax Date: 10/03/2021
Onset Date: 10/04/2021
Rec V Date: 10/04/2021
Hospital:

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

Lab Data:

Allergies: n/a

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: ~ 24 hrs after the injection, experienced low grade fever, aches, chills, upset stomach, loose stools. Took tylenol every 4 hours

Other Meds: n/a

Current Illness: n/a

ID: 1759833
Sex: F
Age: 63
State: ID

Vax Date: 03/23/2021
Onset Date: 06/01/2021
Rec V Date: 10/04/2021
Hospital:

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

Lab Data: 8/31/2021 Chest X-ray; 9/9/2021 CT Chest w contrast; 9/14/2021 bloodwork; 9/15/2021 Thorancentesis of left lung; 9/22/2021 PET scan; 9/23/2021 needle biopsy

Allergies: Metoclopramide

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Metastatic Breast Cancer; affecting lining of lung, liver (MRI of brain appt scheduled). System: Cough, shortness of breath Treatment: will begin chemotherapy

Other Meds: Ibandronate 150mg; 1xmonthly; Citracal

Current Illness: none

ID: 1759834
Sex: M
Age: 48
State: OR

Vax Date: 09/13/2021
Onset Date: 09/13/2021
Rec V Date: 10/04/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Patient reported double vision, then loss of field of vision which lasted 8-10 hours. Event started within 12 hours of vaccine administration. Vision returned to normal following episode.

Other Meds:

Current Illness: none reported

ID: 1759835
Sex: F
Age: 68
State: CO

Vax Date: 10/01/2021
Onset Date: 10/02/2021
Rec V Date: 10/04/2021
Hospital:

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

Lab Data: note

Allergies: nkda

Symptom List: Rash, Urticaria

Symptoms: swelling rash and swollen distal cervical/supraclavicular lymphadenopathy and pain 24 hr after and then lymph node presented about 72 hr after

Other Meds: losartan/HCTZ xarelto 10mg

Current Illness: no

ID: 1759836
Sex: F
Age: 47
State: MD

Vax Date: 02/04/2021
Onset Date: 09/25/2021
Rec V Date: 10/04/2021
Hospital: Y

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

Lab Data:

Allergies: Percocet

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

Symptoms: Months later hospitalized for erratic BP and pulse. No history of heart or BP conditions. Normal (110/70) BP when laying down. Elevates immediately when standing (160/102 at highest). Resolved upon laying back down. Slight unspecific abnormality repeated on four EKGs. Normal bloodwork , stress test, X-rays and echo. Slight headache, fluttering racing heart with chest tightness, can hear and feel heartbeat throughout head and neck. Is it possible this is vaccine related? (Had first and second shot in February)

Other Meds: Claritin. Multivitamin.

Current Illness: Chronic bronchitis. Asthma. Allergies. Microscopic colitis.

ID: 1759837
Sex: F
Age: 29
State: MO

Vax Date: 10/02/2021
Onset Date: 10/02/2021
Rec V Date: 10/04/2021
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: My heart rate was high at least 145 at one point and blood pressure 176/122. They gave me Labetalol in the IV. My bloodwork ran for a heart attack came back normal. My EKG showed a probable left atrial enlargement. Follow up appointment tomorrow with primary doctor.

Allergies: Advair

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

Symptoms: Within seconds warm pressure/chest discomfort started in the center of my chest and grew outward rapidly. I struggled to breathe and my heart began to race and pound hard. I began to feel that something was majorly wrong. I began sweating and my hands were shaking. I was told that my face was really red. My family drove me to the local emergency room. When I arrived at the hospital I was confused and struggled to answer basic questions like my address.

Other Meds: Atorvastatin 40 mg Niacin 250 mg Tri-Lo-Sprintec 25 mcg

Current Illness:

ID: 1759980
Sex: F
Age: 71
State: WA

Vax Date: 03/29/2021
Onset Date: 07/17/2021
Rec V Date: 10/04/2021
Hospital:

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

Lab Data: no

Allergies: avoid wheat; they think I'm allergic to amoxicillin

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

Symptoms: 17th - Sore throat started that evening and overnight that night. That went away. Within 24 hours, I had leg pain. Overnight on the 18th, I could crawl but I could not walk or stand. I was able to manage to get around with husband's care. I called the doctor: Diagnosed as Degenerative Joint Disease - Osteoarthritis - she said she saw this - major inflammation in my joints. She didn't know I that I had had a diagnosis for that years ago. At that time, they weren't concerned with breakthrough cases. )Our county currently has 28% breakthrough cases now but at that time they weren't aware of it. So I wasn't tested for COVID.) I came home and started my at-home physical therapy routine again - then on day 10, it disappeared just like a cold would disappear. I also had visual migraines again at that time. Those symptoms lasted a couple of days. On the 24th, I had four visual migraines in one day; day 5 - had another one and by day 10 everything cleared up with the 9th being the last day that being the last visual migraine . It was like having a cold in my joints - it was all the old injuries inflamed - bad knee on one side and bad foot on another side - major inflammation. My vitals looked fine when I went into the doctor. My pulse was 85 at the time of the exam. She said to go home and take care of myself.

Other Meds: Tylenol - possibly

Current Illness: Heath event occurred two weeks and up to 7 days before my second vaccine - From my report from the first COVID vaccine dose adverse event report: This was something I have never had before: March 2021 - Got sick two weeks after the COVID vaccine - Every injury I ever had: inflammation in all my joints - all my sprains I ever had were inflamed- so I couldn't walk. I got an elevated temperature (but not a bad fever); heart was doing "flip flops" -not beating regularly- worse when sitting and would go away when I stood up but my heart rate seemed to be normal; had gastric distress - diarrhea and then two days later, I felt light headed and dizzy and visual migraines. Breathing exercises helped. I was worried that my heart may stop when I was sleeping with the flips flops - it was pretty scary at the time. I tried to go to the clinic but it was a Saturday when I called and they were closed and then I started feeling better by and decided to get a second vaccine at the regular time on 3/29/2021.

ID: 1759981
Sex: F
Age: 60
State: MT

Vax Date: 09/16/2021
Onset Date: 09/17/2021
Rec V Date: 10/04/2021
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Sore Arm & Body aches: subsided 24hours post vaccine

Other Meds:

Current Illness:

ID: 1759982
Sex: M
Age: 73
State: HI

Vax Date: 04/04/2021
Onset Date: 07/14/2021
Rec V Date: 10/04/2021
Hospital:

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

Lab Data: Ultrasound Blood Work Stress Test CT Lungs CT Abdominal-Radiology clinic

Allergies: N/A

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

Symptoms: In July of 2021 I was experiencing left leg swelling. I had some pain and discomfort at the back of my thigh. I got a cramp in my left cramp and then I noticed some swelling. I suspected DVT and I got a D-Dimer test and it was elevated. I went to the ER and they confirmed multiple clots in my left leg by Ultrasound. I was prescribed some Eliquis, and the problem seems to have subsided.

Other Meds: Glyburide low dose Metformin at night

Current Illness: N/A

ID: 1759983
Sex: M
Age: 21
State: AZ

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 10/04/2021
Hospital: Y

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

Lab Data: Echocardiogram, Ultrasound of heart.

Allergies: None

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Pericarditis beginning the day after the injection. Hospitalized on March 18th for pericarditis. Was treated with 0.6mg of colchicine 2/day until symptoms disappeared. However, symptoms have re-appeared recently (month of October) in a less intense form and my cardiologist has started me on colchicine again.

Other Meds: None

Current Illness: None

ID: 1759984
Sex: F
Age: 24
State: NY

Vax Date: 10/04/2021
Onset Date: 10/04/2021
Rec V Date: 10/04/2021
Hospital:

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

Lab Data: none

Allergies: none

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: patient informed prior to vaccine that she has vasovagal syncope & will know if she is going to pass out. after administering the vaccine, patient stated she was going to pass out. asked for a bag to vomit if necessary. patient regained conciousness quickly. vomited no food only small amount of salivia. provided patient with water & stayed with patient until she was fine. patient sat for 20 minutes, felt better, and left the store.

Other Meds: none

Current Illness: none

ID: 1759986
Sex: F
Age: 50
State: MO

Vax Date: 10/01/2021
Onset Date: 10/03/2021
Rec V Date: 10/04/2021
Hospital:

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

Lab Data:

Allergies: Pcn

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

Symptoms: Swollen lymph node- axilla

Other Meds: Lexapro 5 mg OD

Current Illness: No

ID: 1759987
Sex: F
Age: 75
State: FL

Vax Date: 09/30/2021
Onset Date: 10/01/2021
Rec V Date: 10/04/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: none

Allergies: iodine (X-ray contrast), cyclobenzaprine, singulair, wasp stings

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

Symptoms: Approximately 24 hours after the Moderna injection I developed low grade fever, chills and fatigue. However, the adverse reaction was severe heart pain. First episode lasted about 3-4 minutes. then, a second episode of heart pain lasting 2-3 minutes. As I said, the pain was severe and felt like the entire heart muscle was involved. I live alone and one the heart pain subsided, I took tylenol and went to bed.

Other Meds: crestor, coreg, aspirin, sertraline, clonazepam, Miralax, Metamucil

Current Illness:

ID: 1759989
Sex: M
Age: 24
State:

Vax Date: 09/02/2021
Onset Date: 09/03/2021
Rec V Date: 10/04/2021
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: Unevaluable event

Symptoms: Patient reports one day after J/J COVID vaccine, intense vomiting and nausea. Symptoms have persisted and he is eating much less. He notes after eating any food, having "violent" BMs about every hour. He reports eating at midnight last night and having 6 BMs between then and now. He also reports becoming ill and vomiting almost every time after he eats, stating he has stopped eating to vomit.

Other Meds: Multivitamin

Current Illness: None known

ID: 1759990
Sex: F
Age: 43
State: NJ

Vax Date: 09/27/2021
Onset Date: 10/03/2021
Rec V Date: 10/04/2021
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: Sudden rapid heart palpitations. Subsided after 2 minutes and drinking water. Did not return.

Other Meds: Levothyroxine 125 mg, vitamin d, calcium, zinc, vitamin c, multivitamin, iron

Current Illness:

ID: 1759991
Sex: F
Age: 83
State: NC

Vax Date: 09/23/2021
Onset Date: 09/23/2021
Rec V Date: 10/04/2021
Hospital:

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

Lab Data: Negative head CT and CXR

Allergies: sulfa

Symptom List: Injection site pain, Pain

Symptoms: Severe headache, diarrhea, gait imbalance, confusion. Required ER evaluation. Did not have problems with Pfizer one and two.

Other Meds: none

Current Illness: no illness

ID: 1759992
Sex: M
Age: 53
State: PA

Vax Date: 10/04/2021
Onset Date: 10/04/2021
Rec V Date: 10/04/2021
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: Patient got Fluad QID PFS 65+ despite being younger than 65 years old at time of vaccination. Patient is only 53 years old. No issues have been reported.

Other Meds:

Current Illness:

ID: 1759993
Sex: M
Age: 71
State: FL

Vax Date: 10/01/2021
Onset Date: 10/03/2021
Rec V Date: 10/04/2021
Hospital:

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

Lab Data: None conducted.

Allergies: None

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

Symptoms: Low Blood Pressure 98 / 70; for two days, Oct 3d & 4th; Severe Dizziness; sleeplessness; severe "spike" headaches; muscle pains / aches; fatigue; and severe tremors.

Other Meds: Aspirin low dose; Propranolol 80 mg; Lorazepam.

Current Illness: None

ID: 1759994
Sex: M
Age: 38
State: UT

Vax Date: 09/18/2021
Onset Date: 09/19/2021
Rec V Date: 10/04/2021
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: Patient saw Dr 10-4-21 for an office visit

Allergies: none

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Patient said he got his second Pfizer shot on 9-18, & on 9-19 he started to feel chest pressure, severe heart pain, palpitations and flutters. He went to see Dr on 10-4-21 because the symptoms continued 2-3 times a week. He called our pharmacy today to report the adverse reaction.

Other Meds:

Current Illness:

ID: 1759995
Sex: F
Age: 92
State: OH

Vax Date: 09/28/2021
Onset Date: 09/29/2021
Rec V Date: 10/04/2021
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 a day or so after getting flu shot, she developed a rash with itching around injection site and also area on chest and back. patient has had many flu shots in past and has never had a reaction before. patient has upcoming appointment with her doctor if symptoms don't subside soon

Other Meds:

Current Illness:

ID: 1759998
Sex: F
Age:
State: OH

Vax Date: 01/01/2021
Onset Date: 01/16/2021
Rec V Date: 10/04/2021
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: penicillin

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

Symptoms: hiv antibodies

Other Meds: multivitamin, valacyclovir, lisinopril, Topamax, prilosec

Current Illness:

Date Died: 05/01/2021

ID: 1759999
Sex: M
Age: 81
State: SC

Vax Date: 03/03/2021
Onset Date: 03/04/2021
Rec V Date: 10/04/2021
Hospital:

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

Lab Data: He was hospitalized to treat pneumonia but his condition continued to decline over a two-month period. He eventually died in the hospital because he could not breathe.

Allergies: None

Symptom List: Nausea

Symptoms: My father received his 2nd vaccination in early March 2021. He reported feeling flu-like afterwards. He ran a fever and developed severe diarrhoea. Shortly thereafter, he became ill with pneumonia which he suffered on and off with for the next two months. His condition continued to decline until his eventual death in May 2021.

Other Meds:

Current Illness: CLL, COPD

ID: 1760000
Sex: F
Age: 27
State: CA

Vax Date: 06/05/2021
Onset Date: 07/29/2021
Rec V Date: 10/04/2021
Hospital: Y

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

Lab Data: Brain Scan 2 1/2 hours, 4 MRIs, Spinal Plug. Ex Rays of bowls.

Allergies: none

Symptom List: Injection site pain

Symptoms: Was at work standing an my legs starting going numb with zero feelings. Was in the Hosp for 6 days with out being able to know if i was going to the bathroom. It took 6 days of many cat scans of my entire body. On the 6th day they said a have an reaction from the Modena vaccine. It took 8 days before I had a bowel movement, And they had to induce it. I was in the Hosp for 12 days without Health Insurance so they said I has to go. I needed Acute therapy but no one would pay. I could not go home i have 20 Stairs to get to my apartment. So I had to go to my mothers house to live. Its been 1 1/2 months since I have been to my house so I had to give it up. My mother has me in therapy to teach me how to walk again. Still cant walk by my self.

Other Meds: none

Current Illness: none

ID: 1760001
Sex: M
Age: 62
State: UT

Vax Date: 10/04/2021
Onset Date: 10/04/2021
Rec V Date: 10/04/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Patients PCP ok'd patient to get the covid pfizer booster not knowing that the patient previously had moderna. patient was given the vaccine. than the patient handed me his vaccine card and it stated moderna vaccines. advised patient that i needed to talk to my nurse cause the cdc doesn't recommend patients getting the pfizer if they got any of the other vaccines. nurse notified. reported within in our system. patient waited in room at least 20 min after being given the vaccine and he had no reaction no complaints.

Other Meds:

Current Illness:

ID: 1760002
Sex: F
Age: 54
State: PA

Vax Date: 10/01/2021
Onset Date: 10/03/2021
Rec V Date: 10/04/2021
Hospital:

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

Lab Data:

Allergies: sulfa and tetanus

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

Symptoms: I received the booster 10/1/2021 minor headache and aches 10/2/2021 but woke up 10/3/2021 massive lymphadenopathy under left arm size of baseball ready to explode and golf ball size in left supraclavicular so painful to touch could not move. used heat and advil to manage . Very red hot to touch as well as injection site hard swollen and hot. better little 10/4/2021 but still very tender and swollen. also filed incidence with work and seeing PCP tomorrow. I am an oncology nurse 35 years and never saw LN this large even with lymphoma.

Other Meds: Synthroid, zetia, norvasc, biotin, co-Q10

Current Illness: none

ID: 1760003
Sex: F
Age: 67
State: WA

Vax Date: 03/03/2021
Onset Date: 09/30/2021
Rec V Date: 10/04/2021
Hospital: Y

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

Lab Data: COVID status positive on 9/30/21.

Allergies: aminophylline

Symptom List: Tremor

Symptoms: Patient received Moderna COVID vaccine on 2/3/21 and 3/3/21. Her AVF is having a COVID outbreak and on 9/30/21, patient is admitted to our facility with acute metabolic encephalopathy, low grade temperature, and COVID positive result (no respiratory symptoms). As of 10/4/21, patient is still admitted in our med/surg unit.

Other Meds: acetaminophen PRN, atorvastatin, vitamin D3, divalproex DR, furosemide, lisinopril, loperamide PRN, melatonin, metoprolol tartrate, MVI, olanzapine, rivaroxaban, vancomycin PO

Current Illness:

ID: 1760004
Sex: F
Age: 44
State: GA

Vax Date: 10/01/2021
Onset Date: 10/02/2021
Rec V Date: 10/04/2021
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: Latex Iodine Bupropion Shrimp

Symptom List: Erythema, Pruritus

Symptoms: Lump under left armpit the size of a baseball, painful arm, painful armpit. Can?t raise left arm. Treatment is rest for 2 days and Mobic.

Other Meds: None

Current Illness: None

ID: 1760005
Sex: F
Age: 72
State: CA

Vax Date: 02/17/2021
Onset Date: 10/04/2021
Rec V Date: 10/04/2021
Hospital:

Vax Type: UNK
Manufacturer: UNKNOWN MANUFACTURER
Vax Name: VACCINE NOT SPECIFIED (NO BRAND NAME)
Lot:
Dose Series: UNK
Vax Route: SYR
Vax Site: UN

Lab Data:

Allergies: None

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

Symptoms: Forearm numb since shot

Other Meds: Multiple vitamins, calcium,preser vision

Current Illness: None

ID: 1760006
Sex: M
Age: 31
State: FL

Vax Date: 10/03/2021
Onset Date: 10/03/2021
Rec V Date: 10/04/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: The patient vomited all over the floor during the 15 minute observation time. Pt has a phobia of shots and needles. The patient was then escorted to the restroom. Afterwards, pt stated he was fine.

Other Meds:

Current Illness:

ID: 1760009
Sex: F
Age: 33
State: GA

Vax Date: 10/02/2021
Onset Date: 10/02/2021
Rec V Date: 10/04/2021
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: Solar urticaria

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Abdominal cramping and diarrhea four hours after receiving shot. Fever gradually reached 104 degrees at 22 hours after shot (despite taking fever-reducing medication). Other symptoms persisting at 50 hours post shot: muscle and joint pain, headache, fatigue, throat irritation, increased heart rate, fatigue, fever abdominal cramping and nausea.

Other Meds: Synthroid, Alegra, Buspirone, Vyvanse

Current Illness: None

ID: 1760010
Sex: M
Age: 62
State: HI

Vax Date: 09/16/2021
Onset Date: 09/16/2021
Rec V Date: 10/04/2021
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:

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

Symptoms: Client did not disclose that they had already recieved a dose of Janssen vaccine on 4/30/21 Lot # 201A21A from another provider. Requested a dose of Pfizer vaccine as his first dose, and it was administered as requested.

Other Meds:

Current Illness:

ID: 1760011
Sex: F
Age: 57
State: WA

Vax Date: 09/30/2021
Onset Date: 09/30/2021
Rec V Date: 10/04/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: EKG, chest xray, lab work, oxygen levels, signs of allergic reaction, blood pressure - all normal.

Allergies: sulfa, aspirin, Flexoril

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

Symptoms: Over 4 hours, gradual tightness in throat followed by pain at base of throat and pain in center, upper chest. Asymmetric, high blood pressure in left and right arms over an hour. (220/? on right; 180/? on left) Throat tightness subsided but pain remained at base of throat and pain increased in center of chest and was followed by tightness of breath within 24 hours. Pain in chest and shortness of breath was identical to symptoms I experienced for 4 or 5 months following contracting COVID-19 in March, 2020. No fever. No signs of allergic reaction. Pain and shortness of breath lasted over 72 hours and began to improve in the 24 hours following that. Approx. 5 days of symptoms.

Other Meds: L-thyroxine, Liothyronine, Naltrexone, Fluoxetine, Deplin, Trazodone, Glatiramer, Meloxicam, Amlodipine, Lisinopril, vit D, multivitamin, fish oil, probiotic, Zyflamend Whole Body (supplement)

Current Illness: none

ID: 1760012
Sex: F
Age: 40
State: FL

Vax Date: 09/07/2021
Onset Date: 09/08/2021
Rec V Date: 10/04/2021
Hospital:

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

Lab Data: XRAY

Allergies: N/A

Symptom List: Pain in extremity

Symptoms: 9/7: VACCINATION AT STORE PHARMACY @ 4PM 9/8: LESS THAN 24 HRS AFTER 1ST SHOT: NUMBNESS IN MY RIGHT LEG MOST OF THE DAY FROM MY HIP DOWN. COULD NOT FEEL LEG. FELT OFF BALANCED 9/9: ALMOST 47 HOURS AFTER 1ST SHOT: SAT AT MY DESK FOR MOST OF THE DAY WORKING. APPROX. 3PM EXTREME PAIN AND COULD NOT WALK. COULD NOT MOVE FROM CHAIR. MOST INTENSE PAIN. PAIN SO SEVERE I WAS DRY HEAVING & CRYING. I CAN NOT EXPRESS HOW SEVERE THIS PAIN WAS- I HAD A LONG HARD LABOR AND LABOR WAS NOTHING COMPARED TO THIS. IT WAS SCARY. COULD NOT WALK FOR A FEW ( 3 ) HOURS. SON CALLED HUSBAND AND I WAS TAKEN TO THE MED. GOT SHOT TO HELP WITH THE PAIN AND AN XRAY. PRESCRIBED PAIN PILLS AND TOLD TO REST. PAIN WAS MOST INTENSE AT MY HIP AND RADIATED DOWN MY LEG & LOWER BACK. IT WAS THE WORST PAIN AND AFRAID I WOULD NOT BE ABLE TO WALK EVER. PHYSICALLY COULD NOT WALK FOR A COUPLE HOURS. ONCE I WAS ABLE TO ATTEMPT WALKING, COULD ONLY DO SO WITH A LIMP AND CANE. LIMPING LASTED THE REST OF THE NIGHT AND NEXT DAY. UP MOST OF THE NIGHT WITH PAIN. 9/10: HAD TO WORK FROM BED. EXTREME DIZZINESS AND SICK TO STOMACH. RIGHT HIP/LEG AND RIGHT SIDE LOWER BACK DULL/ NAGGING PAIN. EVERY TIME I GOT UP, I GOT SICK TO MY STOMACH AND DIZZY. 9/11-9/12: DIZZINESS BOTH DAYS AND EXTREMELY TIRED. 9/11: HIP PAIN BETTER. FOOT ONLY NUMB. TRIED TO GET HAIRCUT AND HAD TO HAVE A FAN PUT ON ME UNTIL BETTER AND LEFT SALON TO GO BACK HOME DUE TO DIZZINESS. 9/12: TRIED TO REPORT ONLINE TO CDC AND GOT KICKED OUT 2X. 10/1: DR APPOINTMENT TO REPORT ISSUES AND DISCUSS 2ND SHOT POSSIBLE REACTIONS.

Other Meds: VITAMIN C, D, ZINC, VYVANSE

Current Illness: N/A

ID: 1760015
Sex: F
Age: 67
State: WI

Vax Date: 10/01/2021
Onset Date: 10/03/2021
Rec V Date: 10/04/2021
Hospital:

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

Lab Data: None. Patient received a prescription for Cephalexin to treat cellulitis.

Allergies: Clonidine, Pregabalin

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

Symptoms: Patient's developed a red swelled area about two inches below where the shot was given. The area expanded over time and was warm to the touch. Patient did not experience an elevated temperature.

Other Meds: Nifedipine, Zolpidem, Clonazepam, Bupropion, Losartan, Hydroxychloroquine, Ziprasidone, Buspirone, Metoprolol,

Current Illness: None

ID: 1760017
Sex: M
Age: 38
State: PA

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

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

Lab Data: Did a full motor and sensory check on pt.

Allergies: none

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

Symptoms: Pt comes in today for a numbness in left foot and is now starting in left hand x1 day. C/O shortness of breath a few days after receiving vaccine but denies SOB now. Pt states he had J/J vaccine on 9/21/21. Pt present to ER if any worsening symptoms or new symptoms that concern you. If symptoms are not severe you may consult a provider by phone for recommendations. I suspect this may be a vaccine reaction. The patient received the J&J Vaccine.

Other Meds: glucosamine and krill oil

Current Illness: none

ID: 1760019
Sex: F
Age: 45
State: TX

Vax Date: 10/04/2021
Onset Date: 10/04/2021
Rec V Date: 10/04/2021
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: NKDA

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

Symptoms: Pt had already completed her 15mins Post vaccination monitoring, when she stop by the rest room, while in the rest room she stated that she saw rashes all over her abdominal area has evidence by this nurse. SN gave her Benadryl 50mg IM on her Rt deltoid-well tolerated. SN educated Pt to call a cab home due to dizziness which is a side effect of Benadryl, she was also educated to call 911 or go to the nearest emergency room if rashes continues or she experience other adverse reaction such as difficulty breathing-she verbalize understanding.

Other Meds: Pt stated that she is not on any medication at this time but she said she is undergoing radiation-she did not state reason for radiation

Current Illness: Pt stated that she is not on any medication at this time but she said she is undergoing radiation-she did not state reason for radiation

ID: 1760020
Sex: F
Age: 53
State: SC

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 10/04/2021
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: Penicillin

Symptom List: Vomiting

Symptoms: I Have had non stop soreness up to actual pain at 1st injection site

Other Meds: Melatonin 5 mg, nightly.

Current Illness: None

ID: 1760021
Sex: F
Age: 70
State: CO

Vax Date: 09/23/2021
Onset Date: 09/24/2021
Rec V Date: 10/04/2021
Hospital:

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

Lab Data: None

Allergies: Codeine, Demerol

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: The day after receiving the Covid 3rd dose I woke up w a painful, hard lump that was an inch wide, red in color, extremely painful to touch and extremely itchy. Warm compresses did not help . Benadryl cream did not help. It was hard to sleep for 2 nights due to pain and itching. A week later the itching is gone, redness is less. Still have a painful lump the size of a marble at the site.

Other Meds: Synthroid, Norvasc, VitD3 , Multivitamin, Lunesta, Ibuprofen, Nexium , ASA

Current Illness: None.

ID: 1760024
Sex: F
Age: 44
State: NY

Vax Date: 10/03/2021
Onset Date: 10/03/2021
Rec V Date: 10/04/2021
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: None

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

Symptoms: Unbearable headache, vertigo, vomiting, chills, sweats, 102 fever lasting over 24 hours

Other Meds: Birth control

Current Illness: None

ID: 1760025
Sex: F
Age: 29
State: TX

Vax Date: 10/03/2021
Onset Date: 10/04/2021
Rec V Date: 10/04/2021
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: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Severe fatigue, severe joint pain, headache, loss of appetite

Other Meds: None

Current Illness: None

ID: 1760026
Sex: F
Age: 87
State:

Vax Date: 09/29/2021
Onset Date: 09/30/2021
Rec V Date: 10/04/2021
Hospital:

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

Lab Data: Visual check by doctor

Allergies: Sulfa

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

Symptoms: Headache, loose bowel, nausea. Felt good the next day. But Saturday (10/1) am woke with sore arm, very red and hot below the injection site

Other Meds: Synthroid. 75 mcg Rosuvastatin 20mg Tambacor 50 mg 2X/day Xarelto 15mg

Current Illness: None

ID: 1760027
Sex: M
Age: 52
State: MI

Vax Date: 08/18/2021
Onset Date: 08/25/2021
Rec V Date: 10/04/2021
Hospital:

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

Lab Data: 9/16/21 visit to clinic resulted in diagnosis. Xray taken to rule out lung problems.

Allergies: None

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

Symptoms: Diagnosed with Brachial Plexopathy. Severe pain from right shoulder down right arm to wrist.

Other Meds: Vitamin B and D

Current Illness: None

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am