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**
PLEASE CHECK BACK SOON
Download the files above while you wait.







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: 1779567
Sex: M
Age: 13
State: CO

Vax Date: 06/12/2021
Onset Date: 09/11/2021
Rec V Date: 10/12/2021
Hospital: Y

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

Lab Data: Reactive SARS-CoV-2 spike and nucleocapside antibodies: 9/19/2021 ProBNP 477 9/19 Troponin 0.04 9/19 platelets 109K 9/19 ALC 600 9/19 CRP 85.8 mg/L 9/19

Allergies: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: Patient developed symptoms concerning for Acute COVID-19 in mid August of 2021. He had a positive test outside of our system. He had a mild course with cough and nasal congestion (parents also had infection around the same time). He fully recovered, but developed symptoms again on 9/11/21 that culminated in admission to our hospital, and subsequent diagnosis of MIS-C on 9/19

Other Meds: None

Current Illness: None documented

ID: 1779568
Sex: F
Age: 44
State: RI

Vax Date: 04/11/2021
Onset Date: 06/20/2021
Rec V Date: 10/12/2021
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: N/A

Symptom List: Anxiety, Dyspnoea

Symptoms: Longer more painfu, heavier periods since I received the vaccine. My periods have been over a week and prior to this it was only 4 days and very light.

Other Meds: N/A

Current Illness: N/A

ID: 1779569
Sex: M
Age: 54
State:

Vax Date: 05/26/2021
Onset Date: 08/21/2021
Rec V Date: 10/12/2021
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:

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

Symptoms: COVID 19

Other Meds:

Current Illness:

ID: 1779570
Sex: M
Age: 49
State:

Vax Date: 10/08/2021
Onset Date: 10/08/2021
Rec V Date: 10/12/2021
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: Administration error: Patient received booster dose approximately 1 week before 6 month period from second dose (second dose given 4/16/2021). Patient reported no adverse event.

Other Meds:

Current Illness:

ID: 1779571
Sex: F
Age: 56
State:

Vax Date: 10/11/2021
Onset Date: 10/11/2021
Rec V Date: 10/12/2021
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 erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Immediately following immunization, patient experienced hives, throat closing, and nausea/vomiting. Patient went to the emergency department and was not admitted to the hospital.

Other Meds:

Current Illness:

ID: 1779572
Sex: F
Age: 32
State: WA

Vax Date: 10/08/2021
Onset Date: 10/09/2021
Rec V Date: 10/12/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Pain at injection site, abdominal pain and headache, fever of 99.4 to 100.2 continuing. Follow up with physician continues to worsen

Other Meds: None

Current Illness: None

ID: 1779574
Sex: F
Age: 68
State: PA

Vax Date: 10/08/2021
Onset Date: 10/09/2021
Rec V Date: 10/12/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Large hives, itching at injection site

Other Meds:

Current Illness:

ID: 1779576
Sex: M
Age: 43
State: NY

Vax Date: 04/30/2021
Onset Date: 07/09/2021
Rec V Date: 10/12/2021
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: Pharyngeal swelling

Symptoms: Adverse Event: Atrial Fibrillation (Afib). Treatment: Cardioversion procedure, cardiac monitor surgically implanted Outcome: continuous doctor visits to monitor the Afib

Other Meds: nexium

Current Illness: none

ID: 1779577
Sex: F
Age: 32
State: NC

Vax Date: 10/06/2021
Onset Date: 10/08/2021
Rec V Date: 10/12/2021
Hospital:

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

Lab Data: Covid test

Allergies: Corn, soy, milk, gluten, artificial sweeteners, pork, beef, tree nuts, peanuts, legumes, onions, mango, leafy greens, green beans, asparagus, spinach

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Shingles flare up, high fever, Covid symptoms

Other Meds: Mirtazapine, pristiq, prenatal vitamins, Adderall

Current Illness: Microscopic lymphocytic colitis, vitiligo, PTSD, GAD, MDD, ADHD

ID: 1779578
Sex: F
Age: 44
State: CA

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 10/12/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin, sulfa

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Irregular constant periods

Other Meds: Lamotrigine 200mg daily Levothyroxine sodium 137mcg daily Omeprazole 40mg daily AM Seroquel 800 mg daily PM Famotidine 40mg daily Gabapentin 300 mg twicedaily Norco10/325asneeded Atorvastatin10mgdaily Aimovig70injectionmonthly Nurtec75Asnee

Current Illness:

ID: 1779579
Sex: F
Age: 63
State: NY

Vax Date: 09/21/2021
Onset Date: 10/12/2021
Rec V Date: 10/12/2021
Hospital:

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

Lab Data: none

Allergies: none

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

Symptoms: bilateral ear fullness minutes after receiving the vaccine and associated vertigo. Vertigo resolved on meclizine

Other Meds: none

Current Illness: none

ID: 1779580
Sex: F
Age: 34
State: PR

Vax Date: 08/29/2021
Onset Date: 09/12/2021
Rec V Date: 10/12/2021
Hospital:

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

Lab Data: NA

Allergies: Bactrim Keflex

Symptom List: Rash, Urticaria

Symptoms: I experienced headaches and heart palpations. I went to see my doctor and we figured out I was having high blood pressure which was causing the symptoms I was having. I talked to my doctor and she prescribed medication. I have an appointment scheduled next month with a cardiologist.

Other Meds: NA

Current Illness: NA

Date Died: 09/30/2021

ID: 1779581
Sex: F
Age: 55
State: CA

Vax Date: 09/29/2021
Onset Date: 09/30/2021
Rec V Date: 10/12/2021
Hospital:

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

Lab Data: Autopsy performed by local Coroners Office.

Allergies: Sulpha drugs

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

Symptoms: Woke up with a fever of 99.4. When I checked on her in the evening she was dead.

Other Meds: Tylenol

Current Illness: None

ID: 1779582
Sex: F
Age: 41
State: CA

Vax Date: 09/10/2021
Onset Date: 09/11/2021
Rec V Date: 10/12/2021
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: Ultrasound, miscarriage. Ultrasound, normal.

Allergies: Latex

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

Symptoms: The night when I got the vaccine I felt a lot of spams on my neck all the way to my lower back. I could not turn my neck from left to right. I took Tylenol. I had the common side effects like fever and chills but I also had a lot of cramping and spasms in my lower pelvic area, I felt like it was my uterus. I started having bleeding. Even if I got up soon or put on force on those muscles to walk I would get spasms in that area. The bleeding kept going. I called the advised line and they said it was normal to bleed a little. I called back. I had an ultrasound because the bleeding continued and I ended up losing that pregnancy. I had my last ultrasound today and everything is cleared. Pregnancy history: I have 2 babies and I had a previous miscarriage prior to this. Estimated date of delivery: 05/04/2021.

Other Meds: Prenatal vitamin

Current Illness: None

ID: 1779583
Sex: F
Age: 74
State: WA

Vax Date: 07/15/2021
Onset Date: 07/16/1921
Rec V Date: 10/12/2021
Hospital:

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

Lab Data: EKGs Bloodwork X-rays Records worth Hospital and Dr. as noted on precious page

Allergies: Severe allergy to morphine Penicillin Sensitivity to most chemical meds - usually have to cut in half or quarter

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

Symptoms: 1st day after vax shot, had buzzing ?feelers? up back of head from bottom to top (2 left side; 1 right side). A few hours later had severe migraine type headache that kept me awake all night. In morning left arm had very large, swollen red spot where inject was. Could not touch , as it was so painful. From that day forward, had dizziness that some days was way worse than others, and continued for two plus months. Approximately 2+ weeks after vax, I had strange pain in my lower back that then moved to my pelvic area. Approximately 3+ weeks after vax, while in bed, I had a strange tight slightly painful band move across my chest from right to left. I took natural supplements and took buffered aspirin and CoQ10 After that subsided, during the day, my heart began beating strange,y. After that episode, during the day, I nearly fainted from low blood pressure. At times, I could feel my blood pressure very high, with frontal headache pressure. My heart started beating oddly, sometimes skipping a beat, double beating, rapid-fire beating, and very slowly beating. I?ve NEVER had any heart conditions prior to getting vax. After dealing with this for awhile, I went to Hospital. I am seeing Dr, on Thursday, Oct 14, 2021 for follow up

Other Meds: Thyroid Thryozyme Z14

Current Illness: None

ID: 1779584
Sex: F
Age: 53
State: PA

Vax Date: 04/10/2021
Onset Date: 09/27/2021
Rec V Date: 10/12/2021
Hospital:

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

Lab Data: NA

Allergies: N/A

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

Symptoms: I have a severe rash on my cheeks and around my eyes that burns and is very itchy. I saw my doctor via a tele-med appointment and she prescribed methylPREDNISolone 4 MG tablets. The rash is clearing up but it is still very red at times. In addition I have a rash on my left ankle similar to a jelly fish sting in that it is around the lower portion of my ankle. It hurts to touch it and is very warm to the touch and is also itchy. I also had trouble using my leg until I was using the steroids were in my body for 2 days.

Other Meds: pantoprazole 40 mg EC tablet propranolol LA 60 MG 24 hr capsule rizatriptan 10 MG tablet topiramate 50 MG tablet lisinopril 40 MG tablet citalopram 20 MG tablet

Current Illness: N/a

ID: 1779585
Sex: F
Age: 31
State: WA

Vax Date: 10/08/2021
Onset Date: 10/09/2021
Rec V Date: 10/12/2021
Hospital:

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

Lab Data:

Allergies: No

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

Symptoms: I vomited a lot of the afternoon after I got the second dose of moderna. So very nauseated and lots of vomiting.

Other Meds: Zoloft 100mg

Current Illness: N/A

ID: 1779586
Sex: F
Age: 45
State: PA

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 10/12/2021
Hospital:

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

Lab Data: Ultra Sound , blood work done and Ultrasound found a Fibrod tumor and Biobsy and it came back normal.

Allergies: None Seasonal allergies and pet allergies cats, and dogs

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Dose 2 - 03/17/2021 , 04/18/2021 16 days after vaccination start spotting which is unsual for her then she went to the OBGYN PAP was done and was told to comeback in June/2021 April had a heavy period cycle and no period to 06/04/201 which was 46 days after the spotting on 04/18/2021. 14 days later got a min period. 06/18/2021. Regular cycle is normally 25 days apart for as long as she could remember. Light Discharge 06/18/2021-06/29/2021 two weeks a 36 days since the spotting of mini period mention earlier, period 07/23/2021 was very heavy. 14 days 09/2021 Went to the Doctor for blood work and intro Vaginal Ultrasound New medication TransExamicAcid to reduced blooding during heavy period began after dose 3. 09/27/2021 under arm pain on the injection site and missed work for tired fatigue and headache and noticed two days later had swelling below and above shoulder in neck area an went to urgent care and diagnoised with the vaccination and advised to go to General Practicer next week.

Other Meds: None

Current Illness: No

ID: 1779587
Sex: M
Age: 69
State: NY

Vax Date: 10/12/2021
Onset Date: 10/12/2021
Rec V Date: 10/12/2021
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: provided booster dose 1 day prior to approved 6 month wait period; client last 2nd dose 4/13/2021 and was scheduled for 10/13/2021 but came to clinic 1 day early( today 10/12/2021). waited 15 minutes after dose; left on own accord with no reported side effects.

Other Meds:

Current Illness:

ID: 1779588
Sex: F
Age: 71
State: ND

Vax Date: 10/12/2021
Onset Date: 10/12/2021
Rec V Date: 10/12/2021
Hospital:

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

Lab Data:

Allergies: naproxen/ naprosyn

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

Symptoms: Patient is fully vaccinated with Pfizer as of 02/26/2021. Patient received Moderna Vaccine as a third dose in series by error on 10/12/2021 at 1523 in RDeltoid. No signs or symptoms were noted by patient at time of administration. Patient was monitored in office for 30 minutes and sent home with instructions on adverse reactions. VAERS system was shown to patient to submit. Patient will be monitored via telephone by Medical Center Staff for 3 following days. Patient made aware and had no complaints or concerns at the time.

Other Meds: anastrozole, asmanex, atenolol, atorvastatin, cetrizine, fluticasone, gabapentin, metamucil, metrondazole, nortriptyline, restasis, topiramate, ventolin

Current Illness:

ID: 1779589
Sex: M
Age: 46
State: MA

Vax Date: 05/16/2021
Onset Date: 06/11/2021
Rec V Date: 10/12/2021
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: Audiology test conducted Tuesday, August 31st.

Allergies: No allergies

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

Symptoms: Sudden Hearing loss/ ringing in left ear. Beginning mid June. Following vaccine. Hearing loss has not resolved and is only present in left ear. Diagnosed by Doctor via audiology exam and treated with high dose prednisone.

Other Meds: Lisinopril 10mg daily

Current Illness: None

ID: 1779591
Sex: F
Age: 65
State: AK

Vax Date: 10/06/2021
Onset Date: 10/08/2021
Rec V Date: 10/12/2021
Hospital:

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

Lab Data: I took allergy medicine

Allergies: Penicillin

Symptom List: Unevaluable event

Symptoms: My sugar level shot up to 300 on and off all day. I walked around. All day. Day 2 I developed a headache. Day 3 I developed a rash all over my body.

Other Meds: Levothyroxine 100 mcg, Farxiga-5mg

Current Illness: none

ID: 1779592
Sex: F
Age: 53
State: CA

Vax Date: 10/12/2021
Onset Date: 10/12/2021
Rec V Date: 10/12/2021
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: Asthma attack. Chest tightening and cough. Using rescue inhaler and breathing treatment

Other Meds:

Current Illness:

ID: 1779593
Sex: F
Age: 87
State: IA

Vax Date: 10/04/2021
Onset Date: 10/04/2021
Rec V Date: 10/12/2021
Hospital:

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

Lab Data: None

Allergies: Dicloxacillin Sodium , : Metoprolol, Penicillin's

Symptom List: Injection site pain, Pain

Symptoms: Patient was asked by provider if she wanted her 3 rd vaccine of Covid. Pt agreed. At the time her 3 rd covid hadn't been entered in EMR. After giving the vaccine, I asked patient for her Covid card and patient said her son out in the waiting room had it. I proceeding to get from son, at that time is when he informed me his mom had just gotten her 3 rd covid vaccine a week or so ago. Patient and son and providers, office manager were all informed.

Other Meds: Multivitamin, Omega 3

Current Illness: none

ID: 1779594
Sex: M
Age: 36
State: MI

Vax Date: 10/11/2021
Onset Date: 10/11/2021
Rec V Date: 10/12/2021
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: Injection site pain, Menorrhagia

Symptoms: Received Flu Shot at work (hospital) around 1:00 pm. Developed GI discomfort and frequent stooling between 1:30 to 5:00 pm. At 8pm noticed itching on tops of feet. Woke up at 4 am to itching/hives on tops of both feet, around both armpits, and behind left knee. I've worked in healthcare for over a decade, have gotten my flu shot every year while working in healthcare, have gotten both sets of pfizer Covid vaccines (december 2020/jan 2021) and have never had a reaction to any vaccine previously.

Other Meds: Atenolol 25mg PO Daily

Current Illness: None

ID: 1779595
Sex: F
Age: 58
State: TX

Vax Date: 09/28/2021
Onset Date: 09/28/2021
Rec V Date: 10/12/2021
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

Allergies: Percocet and Lisinopril

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

Symptoms: Fever for three days: 99-101.9, fatigue for 5 days and headache for 5 days.

Other Meds: Metformin; Losartan; Lantus; Singular; Tricor; Verapamil; Sitagliptin; Glipizide; Maxzide; Multivitamin; Vitamin C; Desloratadine; Bydureon

Current Illness: Allergies

ID: 1779596
Sex: F
Age: 54
State: CA

Vax Date: 10/07/2021
Onset Date: 10/08/2021
Rec V Date: 10/12/2021
Hospital: Y

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

Lab Data: MRI Brain, CT Angio head and neck and CT head w/o contrast. Carotid Ultrasound

Allergies: NONE

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: day after vaccine 10/8/21 I woke with a fever and severe body aches these lasted about 48 hours on the 3rd day 10/9/21 I felt better and went out shopping at which time I felt the left side of my face go numb and my speech became garbled, the numbness traveled down my left arm into my left leg which made it hard to walk I had to drag my leg behind me. I was scared I was having a stroke. I was taken to the ER while on the way there my face/arm/leg started to tingle and by the time I arrived at the ER I could not remember my name and my left leg started to shake at first slowly then extremely violently. I was admitted to the hospital for testing and observation and was discharged Sunday 10/11/21

Other Meds: VENLAFAXINE

Current Illness: NONE

ID: 1779597
Sex: F
Age: 53
State: NJ

Vax Date: 10/10/2021
Onset Date: 10/12/2021
Rec V Date: 10/12/2021
Hospital:

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

Lab Data: none

Allergies: none

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: second fever and malaise after recovery from side effects

Other Meds: atorvastatin hydrochlorothiazide sertraline

Current Illness: none

ID: 1779598
Sex: M
Age: 33
State: FL

Vax Date: 10/12/2021
Onset Date: 10/12/2021
Rec V Date: 10/12/2021
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 or not disclosed

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

Symptoms: After getting the shot patient started getting sweaty, we asked if he is ok he said yea he is fine just feeling little off. After minute or so he got up to grab a drink. We told him to take off the mask to make it easier to breath. After getting water from cooler he just fell down. Got him up he was responding saying he was dizzy. Just got him seated back after 30 minutes he walked out on his own. Offered to call ambulance he declined it. When he left he said he felt fine

Other Meds: not disclosed

Current Illness: none

ID: 1779599
Sex: F
Age: 51
State: TX

Vax Date: 09/16/2021
Onset Date: 09/19/2021
Rec V Date: 10/12/2021
Hospital:

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

Lab Data:

Allergies: Cortisone, Phenergan, Sulfa Antibiotics

Symptom List: Nausea

Symptoms: 3 to 4 days after vaccination, patient developed a rash over her whole body. The rash resembled chicken pox. She is currently being treated by her primary care physician with Prednisone 60mg. She started the prednisone 4 days ago.

Other Meds:

Current Illness:

ID: 1779600
Sex: M
Age: 47
State: CA

Vax Date: 03/11/2021
Onset Date: 09/01/2021
Rec V Date: 10/12/2021
Hospital:

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

Lab Data: Doctor visualized ear to the eardrum in both ears, with minor wax removed via irrigation. (This did not result in any change in hearing.) Followup scheduled for audiologist, but no appointments available until January(!)

Allergies: None.

Symptom List: Injection site pain

Symptoms: Around September 1, I noticed new hearing loss in my left ear. I thought my hearing aid battery had died (the amount of loss was very similar to having one hearing aid dead/out), but that was not the case. My ear also felt/feels partially clogged, but with no pressure, pain or any discomfort. There has been no noticeable change since onset.

Other Meds: Nexium, multivitam, B complex vitamin, omega vitamin, Tums

Current Illness:

ID: 1779601
Sex: M
Age: 21
State: AL

Vax Date: 08/08/2021
Onset Date: 10/05/2021
Rec V Date: 10/12/2021
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: KNDA

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

Symptoms: chest pain, shortness of breath, elevated cardiac enzymes.

Other Meds: Hydrochlorothiazide

Current Illness: muscular dystrophy

ID: 1779602
Sex: F
Age: 77
State: WA

Vax Date: 10/05/2021
Onset Date: 10/05/2021
Rec V Date: 10/12/2021
Hospital:

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

Lab Data: None. Ferry system not working well to get off the island, and I didn't think I could drive safely.

Allergies: Many antibiotics but the form is about to time out so no time to enter them. I have not had any recently. 1st Shingles shot reaction.

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

Symptoms: 10/5/21 Tuesday Tuesday 10:30am Felt very tired almost immediately. Went home, slept until 3pm. Ate something for dinner, went back to bed. COVID Booster 10/6/21 Wednesday 9am Woke up with a rash and a 101.3 fever, joints and back ache. 1 Benadryl, and 2 Tylenol for fever Wednesday 10am Rash all over my chest, abdomen, arms, back, and tops of legs, arches of feet. Loose stools. 2 Prednisone 10mg each ? 20mg total Wednesday 2pm Rash slightly better. Fever gone. 1 Benadryl Wednesday 6pm Rash slightly better Took 1 Benadryl Wednesday 10pm Rash improved but not gone which is unusual for me. 2 Prednisone 10mg each ? 20 mg total and 1 Benadryl 10/7/21 Thurs. 10am Rash slightly better 1 Benadryl, and 1 Prednisone 10 mg Thurs. 3pm Rash slightly better 1 Benadryl Thurs. 5:40pm Teleconference. Provided photos. Got a new prescription for Prednisone. Rash still present but not as bad as Wednesday. Thurs. 8pm Legs swollen, tongue swollen, drank lots of water, 1 Benadryl Thurs. 2am Went to bed late 1 Benadryl 10/8/21 Fri. 9am Rash improved but not gone which is unusual for me. Why the persistent rash? 1 Benadryl 10/9/21 Sat. 9am lingering rash but no fever, extremely tired in the morning. Checkin call from Doctor. Slept and finally felt better. 10/10/21 Sun. Rash getting better. Not as visible on arms, torso, upper legs. Fairly itchy. 10/11/21 Mon. Fairly itchy finally. Applied topical soothing oil. Rested. 10/12/21 Tuesday (today) no rash visible but itchy and tired today.

Other Meds: Levoxyl 1.25, Vit B, Probiotic, Magnesium, Calcium,

Current Illness: None

ID: 1779603
Sex: M
Age: 37
State: GA

Vax Date: 04/07/2021
Onset Date: 09/07/2021
Rec V Date: 10/12/2021
Hospital:

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

Lab Data: COVID test - positive for COVID. - the first one was 8/26. Had another positive test result on 9/7. At Medical for COVID testing. Had a COVID test last MOnday with negative results.

Allergies: penicillin

Symptom List: Tremor

Symptoms: I had vomiting; diarrhea and body aches. I had those symptoms for about 8 hours. I was taking Tylenol. The following day, I had what seemed to be like a sinus infection. That lasted for about a week. Was prescribed Prednisone and something else.

Other Meds: no

Current Illness: no

ID: 1779604
Sex: F
Age: 55
State: PA

Vax Date: 09/15/2021
Onset Date: 09/15/2021
Rec V Date: 10/12/2021
Hospital:

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

Lab Data: phone evaluation by nurse, Tramadol prescribed to help alleviate pain. Zofran to alleviate nausea.

Allergies: doxycylcine

Symptom List: Erythema, Pruritus

Symptoms: Severe debilitating headache, Extreme Nausea for 12 straight hours, Chills, weakness, tiredness, vaccination site pain. Continuing brain fog, occasional right upper chest pain.

Other Meds: singulair, protonix, wellbutrin, women's multivitamin

Current Illness: none

ID: 1779605
Sex: F
Age: 33
State: CA

Vax Date: 04/08/2021
Onset Date: 08/27/2021
Rec V Date: 10/12/2021
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: LMP (last missed period) July 1, pregnancy detected July 30 via HCG urine test. Ultrasound on 9/3 should have detected a 9-week old fetus, but instead no cardiac activity detected and fetus measured 8 weeks. Chromosomal testing was not done on pregnancy tissue, but tumor check came back negative

Allergies:

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

Symptoms: Miscarriage (missed abortion) detected via ultrasound on 9/3. D&C procedure carried out on 9/10. Light spotting continued until 10/3.

Other Meds: Advair, Montelukast, Claritin, Proair inhaler

Current Illness:

ID: 1779606
Sex: F
Age: 83
State: NJ

Vax Date: 10/09/2021
Onset Date: 10/09/2021
Rec V Date: 10/12/2021
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: codeine

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

Symptoms: pt reports whole body aches since vaccine and as of 10/12/21 feeling of pins and needle, tingling on the tongue. Pt also reports loss of appetite.

Other Meds: xarelto, metoprolol, meloxicam, glimepiride

Current Illness: n/a

ID: 1779607
Sex: F
Age: 41
State: WI

Vax Date: 08/10/2021
Onset Date: 08/15/2021
Rec V Date: 10/12/2021
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: 8/17/21 CT of perforated appendix and blood work

Allergies: Geodon

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Pain began on incident date, assumed it was constipation with gas, on Tuesday 8/17/21 diagnosed with appendicitis, during laparoscopic procedure MD discovered appendix had ruptured and an open appendectomy was performed. I have an 8 inch incision from the surgeon needing to open me up and clean my abdominal cavity.

Other Meds: Olmersartan, metropolol, hydrachlorathizide, adderal

Current Illness:

ID: 1779608
Sex: F
Age: 44
State: IL

Vax Date: 10/12/2021
Onset Date: 10/12/2021
Rec V Date: 10/12/2021
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 have been done yet

Allergies: None known

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

Symptoms: At first I felt fine, I was very hydrated and ready to get the shot. I sat down in a waiting area for about 2 minutes and still felt good-then within seconds I started having trouble breathing an felt nauseous. I couldn?t speak to well and then I started sweating and started to feel like I was going to loose consciousness. The pharmacy staff was with me by this time and they layed me on the floor. At this point passed out for a minute and don?t remember much but when I opened my eyes the paramedic team was with me. They sat me up and took my vitals. I started to feel better and was able to explain what happened. My blood pressure and sugar were good so I asked if I could just go home, monitor symptoms and follow up with my doctor. This is what I ended up doing . I have an appointment with my doctor but and I have have also called my cardiologist to understand what happened better. I do not intend to get a second dose as this was a very scary event for me.

Other Meds: Multi-vitamin Fosteum

Current Illness: None

ID: 1779609
Sex: F
Age: 75
State: CA

Vax Date: 10/11/2021
Onset Date: 10/12/2021
Rec V Date: 10/12/2021
Hospital:

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

Lab Data:

Allergies: PCN

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

Symptoms: Body-aches, dizziness, diarrhea, fever (no temp was relayed to front office staff or to triage nurse. patient was advised to use tylenol as needed for body aches and fever, patient advised to hydrate and to report to the ER if symptoms worsen.

Other Meds: Excedrin Extra Strength [2 tablets by mouth daily] Reclast 5 mg/100 mL Intravenous Piggyback Requip 3 mg oral tablet [Take 1 tablet by mouth at bedtime] Ventolin HFA 90 mcg/actuation Inhalation HFA Aerosol Inhaler [2 PUFFS Q 4 HRS PRN F

Current Illness:

ID: 1779610
Sex: M
Age: 36
State: IL

Vax Date: 10/08/2021
Onset Date: 10/08/2021
Rec V Date: 10/12/2021
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: None.

Symptom List: Pain in extremity

Symptoms: Severely swollen Lymph Nodes under left arm pit for up to 5 days after shot.

Other Meds: None.

Current Illness: None.

ID: 1779611
Sex: F
Age: 45
State: CA

Vax Date: 10/06/2021
Onset Date: 10/07/2021
Rec V Date: 10/12/2021
Hospital:

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

Lab Data:

Allergies: penicillin and sulfa medications

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

Symptoms: Painful body and muscle aches, fever chills, headache. Swelling of right hand, followed by dark bruising of right hand/wrist.

Other Meds:

Current Illness:

ID: 1779612
Sex: F
Age: 34
State: MN

Vax Date: 09/19/2021
Onset Date: 09/25/2021
Rec V Date: 10/12/2021
Hospital:

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

Lab Data: No tests done at urgent care on 9/26/21.

Allergies: None.

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

Symptoms: Full-body hives/rash that is still present on arms and legs.

Other Meds: Prenatal vitamins.

Current Illness: None.

ID: 1779613
Sex: M
Age: 43
State: IL

Vax Date: 10/11/2021
Onset Date: 10/11/2021
Rec V Date: 10/12/2021
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: Pt got Moderna for their first covid shot on 9/1/21. Pt came in on 10/11/21 for second dose and was given Pfizer instead.

Other Meds:

Current Illness:

ID: 1779615
Sex: F
Age: 84
State: FL

Vax Date: 10/09/2021
Onset Date: 10/09/2021
Rec V Date: 10/12/2021
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: Alpha Gal

Symptom List: Vomiting

Symptoms: Headache, arm pain 3 days Lost all control of legs -11pm to 4 pm next day Slept for 2 days.

Other Meds: None

Current Illness: None

ID: 1779616
Sex: F
Age: 45
State: CO

Vax Date: 04/09/2021
Onset Date: 05/19/2021
Rec V Date: 10/12/2021
Hospital:

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

Lab Data: Blood test - inconclusive xrays - showed deterioration of back & possible hip defect (unrelated)

Allergies: cats & hay fever

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: I started experiencing muscle soreness in the back of my legs that I thought were due to hiking, but the soreness never went away and never recovered. Then it traveled from the back of my legs to the side of my legs and my calves. They originally diagnosed it as T band issues and gave me some stretches. I took ibuprofen 400-600 mg as needed. I continued walking and staying active & the soreness got worse. I could no longer do my daily tasks and my hamstrings were really tight. They gave me different stretches. And then eventually I ended up getting sent to PT per my request. That seems to be helping. I still take ibuprofen as needed. And I was also recently prescribed anti-inflammatory and there was a blood test that inconclusive and xrays showed that there was some deterioration in my back, possible birth defect in my hip, but it didn?t relate directly to what was happening. My therapist seems to think its all musculoskeletal related.

Other Meds: ? Prometrium 100mg daily ? Ibuprofen & Tylenol as needed ? Multivitamin ? CBD Oil rub

Current Illness: N/A

ID: 1779617
Sex: F
Age: 28
State: MA

Vax Date: 10/08/2021
Onset Date: 10/08/2021
Rec V Date: 10/12/2021
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: penecillin

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

Symptoms: painful and severe swelling of the under arm and lymph nodes on the arm given the injection (booster) lasting 4 days as well as a fever of 101.8 which lasted about 48 hours in addition to body aches and chills

Other Meds: Wellbutrin, Hydroxyzine

Current Illness: N/A

ID: 1779618
Sex: F
Age: 85
State: UT

Vax Date: 10/12/2021
Onset Date: 10/12/2021
Rec V Date: 10/12/2021
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: Patient was supposed to get a Flu shot but was confused and received the Pfizer COVID shot instead. She had received both of the Moderna Covid shots in Feb/March of 2021. No adverse events happened the patient just received an Pfizer shot.

Other Meds:

Current Illness:

ID: 1779619
Sex: F
Age: 51
State: HI

Vax Date: 10/04/2021
Onset Date: 10/05/2021
Rec V Date: 10/12/2021
Hospital:

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

Lab Data: No tests as no fever, just edema and pain posterior R neck. Prior to vaccine CBC negative. Bloodwork normal. Only slight elevated Vitamin D with d/c Centrum Silver multivitamin.

Allergies: Sulfa, dust, tetracycline

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

Symptoms: About day after booster Pfizer dose, neck stiffness Right side only, 3 days slight heat and muscular pain at right deltoid/injection site, then slight edema supraclavicular right side. Did not check axilla as never had lymphatic involvement after other vaccinations. Concern is more accumulation of fluid at ipsilateral side only of booster shot 5+ days after injection posterior neck and base of occiput. At peak very noticeable as could feel mass/edema Limiting cervical extension. As of today, base of occiput edema slowly going down after some lymphedema MLD massage. Another healthcare co-worker reported headaches.

Other Meds: Lisinopril, Atorvastatin, Metformin, Zyrtec, Bioastin.,womens probiotic, famotidine Stopped 81 mg aspirin and centrum silver womens multivitamin after vaccine. 2 weeks prior had flu vaccine in left arm.

Current Illness: Sore throat chronic since 7/2021 after viral sinusitis/rhinitis. Negative strep, negative COVID, CBC levels clear. Multiple MD visits. Unknown why chronic. Completed 2 step Pfizer Covid vaccine 2/2021.

ID: 1779620
Sex: F
Age: 50
State: TX

Vax Date: 10/06/2021
Onset Date: 10/09/2021
Rec V Date: 10/12/2021
Hospital:

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

Lab Data: none yet

Allergies: metal allergy (earrings, dental work) - reaction to many metals including surgical steel, gold, silver, etc.

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

Symptoms: In bed all day Saturday and Sunday - tired, nauseas, headache with visual disturbances. Starting Monday (?) started feeliing a weird feeling in my heart. Fluttering, ponding, sometimes dizzy. Skips a beat and tired. Feels like my heart is too big for my chest.

Other Meds: none

Current Illness: none

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am