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: 1783127
Sex: F
Age: 36
State:

Vax Date: 10/12/2021
Onset Date: 10/12/2021
Rec V Date: 10/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: First dose Moderna

Other Meds:

Current Illness:

ID: 1783128
Sex: F
Age: 42
State: FL

Vax Date: 04/05/2021
Onset Date: 05/11/2021
Rec V Date: 10/13/2021
Hospital:

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

Lab Data: none

Allergies: sunflower (plant) seeds, oil

Symptom List: Anxiety, Dyspnoea

Symptoms: felt the medicine immediately travel into the area of my armpit. Soreness for 3 days. Insomnia for 2 days. 6 weeks post injection my left arm (shoulder) started going numb and tingling. Feeling of "dead arm" and heavy arm. Pain that lasted approx 4 -5 days. Took iron and magnesium supplements which helped. The same numbness and tingling returned again about 5-6 weeks later. The supplements didn't help as much the 2nd time. Symptoms returned again, but I can't remember how far apart the third time, they weren't as strong, and dissipated faster. I did call my Dr after the 2nd time and she recommended an U/S but my insurance isn't good, and it was too far away and too expensive.

Other Meds: Adderall 30 mg XR

Current Illness: none

ID: 1783129
Sex: F
Age: 40
State: HI

Vax Date: 05/01/2021
Onset Date: 09/01/2021
Rec V Date: 10/13/2021
Hospital: Y

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

Lab Data:

Allergies:

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

Symptoms: COVID hospitalization after full vaccination.

Other Meds:

Current Illness:

ID: 1783131
Sex: F
Age: 29
State: CA

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

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

Lab Data:

Allergies: n/a

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: 5 minutes after the vaccine , employee started feeling hot and nauseous

Other Meds: n/a

Current Illness: n/a

ID: 1783132
Sex: F
Age: 49
State: NM

Vax Date: 04/08/2021
Onset Date: 04/23/2021
Rec V Date: 10/13/2021
Hospital:

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

Lab Data: EEG 05/20/2021 normal upon initial review, lab work 04/23/2021 normal results.

Allergies: None

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

Symptoms: I had a grandma seizure in home depot while shopping with a coworker. My coworker called 911 and I was taken to the hospital in an ambulance. The hospital could not find a reason for the seizure. I have never had a seizure before or since. I was referred to a neurologist who did an EEG. I am still waiting to hear back form the neurologist on what to do moving forward.

Other Meds: ALLERTEC

Current Illness: None

ID: 1783133
Sex: F
Age: 37
State: FL

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 10/13/2021
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: N/A

Allergies: Seafood allergies

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

Symptoms: My heart was beating really fast and was pounding hard Very dizzy Blood pressure and pulse was high Jerky head movements

Other Meds: None

Current Illness: None

ID: 1783134
Sex: M
Age: 45
State: AL

Vax Date: 09/27/2021
Onset Date: 10/04/2021
Rec V Date: 10/13/2021
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: None

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Shingles

Other Meds: Lisinopril 20mg Zyrtec

Current Illness: None

ID: 1783135
Sex: M
Age: 74
State: IL

Vax Date: 01/29/2021
Onset Date: 02/23/2021
Rec V Date: 10/13/2021
Hospital: Y

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

Lab Data: yes

Allergies: no

Symptom List: Pharyngeal swelling

Symptoms: After a fews days of taking the vaccine he started feeling bad. His heart rate was going up he had the feeling of being light headed and about to pass out. He was taken to the ER and admitted on 2/23/21

Other Meds: lorsartan, hydrothyroize

Current Illness: no

ID: 1783137
Sex: F
Age: 63
State: LA

Vax Date: 10/08/2021
Onset Date: 10/08/2021
Rec V Date: 10/13/2021
Hospital:

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

Lab Data: N/A

Allergies: NKDA

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Received dose 1 and 2 of Moderna vaccine. Did not have card at the time of "booster" only a printout of dates of 1st 2 vaccines. Received 3rd dose of COVID vaccine as Pfizer. At the time, person knew she had received Moderna vaccines as 1st and 2nd doses, but wanted 3rd dose to be Pfizer. Healthcare provider was not aware at the time, thought 1st and 2nd doses were Pfizer doses. No signs/symptoms noted. No reactions noted.

Other Meds: Not known

Current Illness: None

ID: 1783138
Sex: M
Age: 11
State: AZ

Vax Date: 09/30/2021
Onset Date: 09/30/2021
Rec V Date: 10/13/2021
Hospital:

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

Lab Data: none

Allergies: NKDA

Symptom List: Diarrhoea, Nasal congestion

Symptoms: there was no adverse reaction. Patient was erroneously given a second Pfizer dose when they were of ineligible age (11 years). Also got the first dose in error here.

Other Meds: unknown

Current Illness: unknown

ID: 1783139
Sex: F
Age: 35
State: OR

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 10/13/2021
Hospital:

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

Lab Data: Blood work , CK levels checked to see if tissue is breaking down, lab work is normal

Allergies: Soybean; Soy Products; Metal that is not pure; Seasonal Allergies; don't digest eggs well.

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

Symptoms: The night of, it felt like muscles were ripped apart, that never subsides until 3 or 4 days after, then had a brief psychotic episode for about a 2 months, still have physical problems, can't work, can't go to the grocery store, I have people run errands for me. On good days, I am able to walk the dog for 20 mins, other days I have to have someone walk the dog. Very very slow progress. It also took away memory & speech, I'm also experiencing paranoia.

Other Meds: 11am Adderall was taking then at 12 noon the vaccine

Current Illness: No

ID: 1783140
Sex: F
Age: 68
State: MO

Vax Date: 03/31/2021
Onset Date: 09/26/2021
Rec V Date: 10/13/2021
Hospital:

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

Lab Data: None

Allergies: codeine I was told today by my doctor that the Pfizer booster shot i got on 09/21/2021 After the booster shot on 09/21/2021. about a week later I started having severe cold sore in my mouth my hand and my face on some of my feet. Please contact me for the info I don't want to have this happen to others who mixed up vaccines..

Symptom List: Rash, Urticaria

Symptoms: my body severe blister in my mouth . Lips face hand, face, Arm, and foot spreading.

Other Meds:

Current Illness: Diabetic, Copd. Arthritis..

ID: 1783141
Sex: F
Age: 76
State: IN

Vax Date: 01/19/2021
Onset Date: 02/05/2021
Rec V Date: 10/13/2021
Hospital: Y

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

Lab Data: MRI

Allergies:

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

Symptoms: Left sided CVA... Dose #2 of moderna given 2/25/21...patient then had second, right sided CVA on 3/13/21

Other Meds:

Current Illness:

ID: 1783142
Sex: F
Age: 67
State: CO

Vax Date: 03/12/2021
Onset Date: 03/19/2021
Rec V Date: 10/13/2021
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: No recent labs or medical tests

Allergies: Latex; Tawin; a medication that I took for five days (I don't remember the name)

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

Symptoms: Follow up report to the original report: Cognitive difficulties, like naming things, people, plants and even my horses and dogs (stuff you don't forget). Not as cognitively sharp. I am use to being pretty smart. It's hard to remember important things. The neurologist says there is nothing really to do. No treatment at this time.

Other Meds: Synthroid; Requip; vit D

Current Illness: None

ID: 1783143
Sex: M
Age: 32
State: CA

Vax Date: 09/28/2021
Onset Date: 09/29/2021
Rec V Date: 10/13/2021
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: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: I received my booster shot (3rd in total) of the Pfizer COVID-19 vaccine and the next morning I noticed that my left armpit was in pain. I received my shot on my left arm and believe my lymph node in the area of my left armpit was swollen. It was a dull pain that hurt more with any activity and lasted for a total of 8 days. I had no residual effects after 8 days.

Other Meds:

Current Illness:

ID: 1783144
Sex: M
Age: 44
State: NC

Vax Date: 10/12/2021
Onset Date: 10/12/2021
Rec V Date: 10/13/2021
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: None known

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

Symptoms: Vaccine had been placed from the freezer and fridge which expired on 10/11/21 and had been given on 10/12/21

Other Meds: None

Current Illness: None

ID: 1783145
Sex: M
Age: 55
State: MT

Vax Date: 05/05/2021
Onset Date: 06/01/2021
Rec V Date: 10/13/2021
Hospital:

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

Lab Data: Hearing test, ENT specialist

Allergies: None

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

Symptoms: Tinitis left ear

Other Meds: None

Current Illness: None

ID: 1783146
Sex: M
Age: 31
State: TX

Vax Date: 05/22/2021
Onset Date: 05/26/2021
Rec V Date: 10/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: During the same week of receiving the Johnson & Johnson COVID-19 vaccine, I was diagnosed by two doctors with "jock itch", a very severe rash on my inner thighs and genitals, which lasted for over a month! Never in my life have I ever had a rash. This is not a coincidence.

Other Meds:

Current Illness:

ID: 1783147
Sex: F
Age: 71
State: TX

Vax Date: 10/11/2021
Onset Date: 10/12/2021
Rec V Date: 10/13/2021
Hospital:

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

Lab Data: blood tests came back fine, chest x-ray, monitoring my heart rate and EKG

Allergies: codeine, erythromycin, neosporin, adhesive, sulfa, estrogens

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: On 10/11/2021 I received the Covid Booster Vaccine at pharmacy about 9:30 am. No problems. About 1:00 pm, I started having a dull headache that moved around to different parts of my head. I took 1 regular strength Tylenol about 4 pm, on 10 /11/2021, and another one at 10 pm that evening. My injection site was mildly sore. I did not feel bad. About 4:00 am, on 10/12/2021, I was awakened by my heart racing. I have a history of this, but have not had any episodes for some time. My blood pressure was 157/93 and my heart rate was 107. This never happened with the 2 previous Covid vaccines. Since I have a heart history, I went to the Hospital. They monitored my heart rhythm and blood pressure, took a chest x-ray, and ran some blood tests. They told me that racing heart was not a known effect of the Covid vaccine. I was discharged about 6:00 am. I have felt fine today (10/12/21). My heart history includes a mitral valve repair in 2014, current moderate leaking of my mitral and tricuspid valves, and minimal leaking of the pulmonic valve. I am prone to Supraventricular tachycardia and I have a right branch bundle. I am generally in good health.

Other Meds: Atenolol, Pravastatin, calcium, Vit B12, Vit D 3, baby aspirin, multi vitamin

Current Illness:

ID: 1783148
Sex: M
Age: 18
State: NC

Vax Date: 10/12/2021
Onset Date: 10/12/2021
Rec V Date: 10/13/2021
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: Vaccine was placed in the fridge to that from freezer and expired on 10/11/2021 and was given on 10/12/2021

Other Meds: None known

Current Illness:

ID: 1783149
Sex: M
Age: 46
State: NY

Vax Date: 09/20/2021
Onset Date: 09/28/2021
Rec V Date: 10/13/2021
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: unknown

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

Symptoms: Patient received 2nd dose of Pfizer on 9/28/21, eight days after the first dose

Other Meds: unknown

Current Illness: unknown

ID: 1783151
Sex: F
Age: 53
State: NJ

Vax Date: 03/08/2021
Onset Date: 03/15/2021
Rec V Date: 10/13/2021
Hospital: Y

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

Lab Data: I had an EKG, blood drawn and my blood pressure checked.

Allergies: I do not have any allergies.

Symptom List: Unevaluable event

Symptoms: After receiving the vaccine, throughout the next week, I started experiencing headaches. I went to the pharmacy and checked my blood pressure. It was 210/110. I went straight to ER. While at the ER, they gave me amlodipine 5mg and it did not help any, but they sent me home. A day later, my BP was at 171/111. I went back to the ER and they performed an EKG, and drew blood. Those results came back normal. They told me to see my PCP. I couldn't get in to see him for over two weeks time. In between my appointment, I went to a different hospital, ER, and my BP spiked to 225/120 and then to 225/130. I was admitted to the hospital. I was admitted for two days to the hospital because of my high BP. I was given an IV that lowered my BP instantly. They wanted to put me into ICU, but I told them to just remove the IV. I am now taking 20 mg lisinopril and 10mg of Amlodipine. I still have spikes from time to time. I then took the second dose and it spiked again. I went back to Medical Center since they took great care of me. I also have a cardiologist that I see regularly.

Other Meds: I was not taking any medication.

Current Illness: I was not experiencing any illness.

ID: 1783152
Sex: F
Age: 35
State: NY

Vax Date: 10/13/2021
Onset Date: 10/13/2021
Rec V Date: 10/13/2021
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: N/A

Allergies: N/A

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

Symptoms: Patient claimed to have received Pfizer as a first dose, but did not have her CDC card present, RN proceeded with vaccination. Once vaccine was administered, patient presented photo of CDC card showing first dose given was Moderna not Pfizer. RN waited with patient for 15 minutes after vaccination and notified her managers of the incident.

Other Meds: N/A

Current Illness: N/A

ID: 1783153
Sex: F
Age: 45
State: ID

Vax Date: 04/06/2021
Onset Date: 04/10/2021
Rec V Date: 10/13/2021
Hospital:

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

Lab Data: HD genetic testing negative Cbc normal Chemistry normal

Allergies: None

Symptom List: Injection site pain, Pain

Symptoms: Severe movement disorder resulting in inability to work for 5 months.

Other Meds: Levothyroxine

Current Illness: None

ID: 1783154
Sex: F
Age: 51
State: MN

Vax Date: 10/07/2021
Onset Date: 10/08/2021
Rec V Date: 10/13/2021
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: Levaquin

Symptom List: Injection site pain, Menorrhagia

Symptoms: Difficulty with sleep. Awake at 2:00 AM and unable to fall asleep. Felt similar to side effect of prednisone and levaquin.

Other Meds: None

Current Illness: None

ID: 1783155
Sex: F
Age: 43
State: MT

Vax Date: 03/18/2021
Onset Date: 04/01/2021
Rec V Date: 10/13/2021
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. Didn't make the connection until I heard stories of other women experiencing unusual menstruation post vaccination. I had an annual physical exam non 6/10/21 that included a PAP smear which came back negative.

Allergies: none

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

Symptoms: Failed to menstruate for two months following my first injection. My second dose was on 4/8/21 (Lot EP6955). At the time I thought I might be pre-menopausal so I didn't think anything of it. I did start to menstruate again on 5/23/21 and it was the heaviest and longest period of my life, until August. I had several large clots (nickle to quarter size). My cycle lasted approximately 10 days, whereas my cycle pre-vaccination was closer to 5 days and never heavy. I then failed to menstruate again until 8/5/21 and that period lasted until 8/16/21, was longer and definitely heavier. I was regularly soaking through pads in 1 hour. I had clots regularly but all were nickle size or smaller. This menstruation only started to slow on 8/13/21. Since then I have had regular menstruation.

Other Meds: none

Current Illness: none

ID: 1783156
Sex: F
Age: 32
State:

Vax Date: 06/23/2021
Onset Date: 07/01/2021
Rec V Date: 10/13/2021
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: At the time of vaccination, no known allergies.

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Started experiencing hay fever symptoms. Started with sneezing only. Now I have symptoms including sneezing, stuffy and/or runny nose.

Other Meds: Levothyroxine, vitamin D supplement

Current Illness: Hypothyroidism

ID: 1783157
Sex: F
Age: 13
State: HI

Vax Date: 10/11/2021
Onset Date: 10/11/2021
Rec V Date: 10/13/2021
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: Moderna vaccine was given incidently to 13 year old. Mother reports following vaccination child had SE to the vaccine which includes HAs, leg/back pain, cramping, and fatigue.

Other Meds: unknown

Current Illness: none

ID: 1783158
Sex: F
Age: 24
State: HI

Vax Date: 04/01/2021
Onset Date: 09/07/2021
Rec V Date: 10/13/2021
Hospital: Y

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: COVID hospitalization after full vaccination.

Other Meds:

Current Illness:

ID: 1783159
Sex: F
Age: 45
State: CA

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

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

Lab Data:

Allergies: allergic to cephalexin

Symptom List: Nausea

Symptoms: rash at the injection site occurred on the same day (10/10/2021) but not severe, however, patient came to us on 10/13/21 indicating the rash is spreading and felt hot. No other symptoms noted. I recommended patient to put ice at the injection site and may use benadryl if needed, however, patient should also seek medical attention at same time.

Other Meds: not known

Current Illness: none

ID: 1783160
Sex: F
Age: 0
State: FL

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

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

Lab Data: My dr dismissed me!!!!

Allergies: Cipro, steroids and misc allergies

Symptom List: Injection site pain

Symptoms: Covid arm, headache severe, hallucinations, heart pain for weeks prob inflammation. Felt like I was dying multiple times

Other Meds: Clonazapam

Current Illness: None

ID: 1783161
Sex: F
Age: 32
State: VA

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 10/13/2021
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: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Exactly two days after receiving each Covid vaccine I broke out in a swollen blotchy rash on my face, right side of my throat, the back of my neck and on my chest. The reaction after the second dose was more severe than the first. Both times I had to be given a steroid injection in addition to a Benadryl injection for the first vaccine. The rash took several days to clear up. Four months post second vaccine, the same rash randomly appeared in the same locations on my body. I did not seek clinical advice for this event and it cleared up on its own after a few days. Now eight months post second vaccine (today, 10/13/21) the same rash has reappeared in the same spots.

Other Meds: None

Current Illness: None

ID: 1783162
Sex: F
Age: 75
State: VA

Vax Date: 09/20/2021
Onset Date: 09/21/2021
Rec V Date: 10/13/2021
Hospital:

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

Lab Data: No tests

Allergies: Allergy to tetanus vaccine codeine and histamine food reactions SO I eat a low histamine diet

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

Symptoms: Fever of 102 about 36 hours with histamine like jacked up reaction could not sleep like I get with allergy attack. Then Covid Moderna Arm which spread for a week with hot to touch arm, painful itchy and it spread to upper chest by clavicle and down a little past my elbow in a week. I ran a low grade fever of about 99.2 for a week. Arm swelled. Lymph nodes enlarged a little. Nothing relieved it and I tried just about everything available over the counter and prescription steroid cream made it hurt more. Arm slowly Improved BUT Second week heart was racing for two days pulse 90 and 100 when normal pulse is 76.

Other Meds: No prescriptions. Same herbal medicines for years for my CLL

Current Illness: Chronic Lymphocytic Leukemia since 2001

ID: 1783163
Sex: F
Age: 66
State: HI

Vax Date: 03/01/2021
Onset Date: 09/12/2021
Rec V Date: 10/13/2021
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:

Allergies:

Symptom List: Tremor

Symptoms: COVID-19 hospitalization after full vaccination.

Other Meds:

Current Illness:

ID: 1783164
Sex: M
Age: 30
State: NJ

Vax Date: 04/17/2021
Onset Date: 05/05/2021
Rec V Date: 10/13/2021
Hospital: Y

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

Lab Data: ER/ICU visit from August 2nd to August 7th. A1C: 14.2%, blood tests, and other medical testing.

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: Diabetes Type 1. Bed-wetting, dehydration, nose bleed, fatigue, unconscious state, excessive sleepiness, excessive urination, rapid weight loss from 250LBs to 165LBs (1 month prior to ER visit).

Other Meds:

Current Illness:

ID: 1783165
Sex: F
Age: 54
State: NJ

Vax Date: 02/27/2021
Onset Date: 03/01/2021
Rec V Date: 10/13/2021
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: Allergy test for Environmental & Food: Negative

Allergies: Penicillin Dust Grass

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

Symptoms: Swelling on the right side of my neck, face, and eyes Rash on both arms, neck, leg, thigh, and lower back I was prescribed Prednisone 20 mg, Methylprednisolone, and Zyrtec.

Other Meds: Amlodipine besylate 5 mg

Current Illness: None

ID: 1783167
Sex: M
Age: 15
State: CA

Vax Date: 10/04/2021
Onset Date: 10/06/2021
Rec V Date: 10/13/2021
Hospital:

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

Lab Data: none

Allergies: no

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

Symptoms: Hallucinations (auditory). no treatment. sent to psychiatry. continue 3 times since the vaccination. last episode 10/12/21.

Other Meds: none

Current Illness: none

ID: 1783168
Sex: M
Age: 16
State: CA

Vax Date: 10/13/2021
Onset Date: 10/13/2021
Rec V Date: 10/13/2021
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: NKA

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Patient received his first dose of Pfizer vaccine and stood up to wait in short line for observation. While standing in line, patient lost consciousness and fell backward, with his fall broken by his father who was standing next to him. It is unclear if patient hit his head. After the 15 minute observation period, patient was transported via wheelchair to the minor injury clinic for evaluation. Patient did not complain of head pain or show any signs of head trauma.

Other Meds:

Current Illness:

ID: 1783169
Sex: F
Age: 49
State: SC

Vax Date: 09/27/2021
Onset Date: 09/28/2021
Rec V Date: 10/13/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: sore arm, body aches, vision skewed, balance issues, pressure behind eyes, blister on mouth,

Other Meds:

Current Illness: penicillin

ID: 1783170
Sex: F
Age: 72
State: WI

Vax Date: 10/08/2021
Onset Date: 10/08/2021
Rec V Date: 10/13/2021
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: Initially a UA for the flank pain, but not test for the lesions, just the Drs. exam of the area affected.

Allergies: Ibuprofen, naproxen

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

Symptoms: About 8 hours after receiving the Shingrix injection on Oct 8, I noticed a discomforting soreness on the right side of my abdomen. Over the next two days I had right flank pain that I thought might be a kidney infection. By Oct 11 I had more pain and my skin was becoming increasingly sensitive and uncomfortable, as if my clothing was made of sandpaper. I did not think the flank pain and the skin soreness were related when I saw a Nurse Practitioner from the flank pain on Tues, the 12 where I had a urinalysis done(neg) which then was sent for culture. Today when I woke up I had very sore lesions on my right abdomen along the waist line. I saw my primary physician and he diagnosed shingles and prescribed me Valacyclovir.

Other Meds: 20mg Omeprazole, 20 mg escitalopram,37.5-25 triamterene-HCTZ, one a day vitamin

Current Illness: no illnesses, just joint inflammation from arthritis

ID: 1783171
Sex: F
Age: 61
State:

Vax Date: 10/05/2021
Onset Date: 10/05/2021
Rec V Date: 10/13/2021
Hospital:

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

Lab Data:

Allergies: penicillin,

Symptom List: Pain in extremity

Symptoms: hives, rashes, nausea, entire body dumb, body gets hot, daily outbreak of hives, tightness in chess, heart pounding, numbness around mouth, difficulty focusing, not feeling like myself

Other Meds:

Current Illness:

ID: 1783172
Sex: F
Age: 38
State: NY

Vax Date: 09/24/2021
Onset Date: 09/28/2021
Rec V Date: 10/13/2021
Hospital:

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

Lab Data:

Allergies: All type seafood Shelle fish Penicillin

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

Symptoms: Constant headache, Constipation, No appetite , Heart issues

Other Meds: None

Current Illness: (RA) arthritis

ID: 1783173
Sex: M
Age: 20
State: ME

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

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

Lab Data: N/A

Allergies: N/A

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

Symptoms: Patient was nervous about receiving vaccine, it is being mandated by college. He received vaccine at 3:20 pm. At 3:30 he asked for water and was very pale and sweaty. Gave patient water and sat with him. The were unresponsive for about 30 seconds while staring slouched in chair. Patient stated he couldn't see for about 5 minutes and felt very light headed. EMT arrived shortly after and took patient to ambulance and took vitals.

Other Meds: N/A

Current Illness: N/A

ID: 1783174
Sex: F
Age: 41
State: CA

Vax Date: 09/22/2021
Onset Date: 10/08/2021
Rec V Date: 10/13/2021
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: N/A

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

Symptoms: Shingles

Other Meds: Methotrexate, folic acid

Current Illness:

ID: 1783175
Sex: F
Age: 16
State: CA

Vax Date: 10/09/2021
Onset Date: 10/09/2021
Rec V Date: 10/13/2021
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: NKA

Symptom List: Vomiting

Symptoms: Patient is 16 YO female, arrived to clinic with mother for third dose Pfizer on 10/09/2021 at 11:00 am. Patient's second dose Pfizer was not reviewed and verified by staff. Patient was administered the Pfizer third dose today. Per staff, patient and mother left Clinic with no adverse events. Writer reviewed patient's prevaccination Checklist for COVID-19 Vaccines and noticed that patient's age group is not eligible for the booster COVID-19 vaccine at this time. Mother contacted and confirmed that patient's second dose was administered on 06/12/2021. Mother stated that patient is not experiences any adverse events at this time; however, it appears that patient may be catching a cold. Patient was scheduled with Healthcare Provider for a post vaccination follow up to address any concerns and questions. Per patient's visit with Healthcare Provider, mother stated that patient is having nasal congestion. Writer follow up today and mother stated that patient is doing better and that nasal congestion has improved. Mother instructed to monitor symptoms and follow-up with PCP as needed.

Other Meds: unknown

Current Illness: N/A

ID: 1783176
Sex: F
Age: 37
State: MN

Vax Date: 10/12/2021
Onset Date: 10/12/2021
Rec V Date: 10/13/2021
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: Sensitivity to Sulfa

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Severe migraine onset about 11 hours after the vaccine. Most pain was on the left side of my head, the same side of my body the vaccine was administered.

Other Meds: One-A-Day Women's Multivitamin

Current Illness: None

ID: 1783177
Sex: F
Age: 40
State: NJ

Vax Date: 04/08/2021
Onset Date: 06/06/2021
Rec V Date: 10/13/2021
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: Blood taken before chemo every 2 weeks; PET scan - determined it was Hodgkin's Lymphoma Stage 2 unfavorable. I had another scan as well after the 4 treatments- PET scan 09/10/2021; biopsy determined it was Hodgins's Lymphoma.

Allergies: Every season allergies.

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

Symptoms: There were no indication or bumps prior to 06/06/2021. Then on 06/06/2021- I noticed a raised bump above my collar bone. I went to my PCP, he ordered an ultrasound. He said it was suspicious of lymphoma, I had a excisional biopsy at the site of the bump, they took out a whole lymph node and determined it was Hodgkin's Lymphoma. And a PET scan after that determined it was stage 2 unfavorable. It was unfavorable because the size of the mass was over 10 cm. I went to 3 different oncologist and got their opinion on what treatment I should take. I preceded with and started treatment on 07/17/2021, and I go every 2 weeks. Disability yes, risk to my heart and lungs from the aggressive chemo meds.

Other Meds: Vitamin D; Vitamin B; Zyrtec; Montelukast; Flonase

Current Illness: No

ID: 1783178
Sex: M
Age: 30
State: CA

Vax Date: 10/13/2021
Onset Date: 10/13/2021
Rec V Date: 10/13/2021
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: none

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Patient received the immunization. After about 5 minutes he felt dizzy and passed out. He woke right back up and was able to sit in a chair to be observed for 30 minutes.

Other Meds:

Current Illness:

ID: 1783179
Sex: F
Age: 44
State: OR

Vax Date: 09/12/2021
Onset Date: 09/16/2021
Rec V Date: 10/13/2021
Hospital: Y

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

Lab Data: Upon hospital admission 9/20/21 CBC including platelets WNL with exception of Hct 34.4, MCV 80, MPV 6.8, CMP WNL with exception SCr 1.19, protein 8.5, globulin 3.9, eGFR 49, PTT WNL, COVID 19 nasopharnygeal negative CT head: IMPRESSION: Small subcortical white matter lesions with no associated enhancement or mass effect. The etiology is uncertain. These can be seen with chronic small vessel ischemic change, chronic migraines, vasculitis, demyelinating processes, the sequela of old trauma, and infectious etiologies such as Lyme disease. Follow-up MRI may be helpful CT neck: IMPRESSION: 1. Thrombosed RIGHT internal jugular vein with clot surrounding tubing of right-sided Port-A-Cath device within the upper superior vena cava. 2. Normal appearance otherwise to neck. 3. No evidence for acute cardiopulmonary disease within chest.. US VENOUS UPPER EXTREMITY RIGHT DUPLEX: Acute deep venous thrombosis involving the right internal jugular vein remaining arm veins are open and in normal limits. Cursory evaluation of the left lower extremity, subclavian veins are negative. 10/11/21 US VENOUS UPPER EXTREMITY RIGHT DUPLEX Impressions * Acute occlusive DVT identified in the right internal jugular vein. * The remainder of the right upper extremity venous system appears patent. * Cursory check of the left was negative. * No signficant change from prior study 9/20/21

Allergies: listed: hydrocodone/APAP- nausea

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

Symptoms: Received Pfizer COVID vaccine 1 of 2 on 9/12/21. Has office visit with PCP 9/16/21 chief compliant "R lateral neck pain and swelling, started 2 days ago, not improving. Did receive 1st COVID vaccine 4-5 days ago, was advised by lymphedema coach that her immune system would "flare". Also has a port in her R upper chest wall, last accessed 3 weeks ago. Has tried nothing for her pain." Referral placed for CT scan of the area, instructions to apply heat and tizanidine prescribed. 9/20/21 hematology office outpatient visit note on 9/20/21, "Pt mentions received Covid vaccine 9/12. States she felt "hot and burny" for two days thereafter, with some tightness to throat. Felt fine Tuesday 9/14. Wed 9/15, swelling began" referred her to the emergency room where she was then admitted with diagnosis of right occlusive DVT in the internal jugular. Spent 3 days in the hospital and discharged on apixaban and pain medications. 10/1/21 heme/onc outpatient follow-up visit "?. She is currently doing better compared to last week, has less pain, denies any shortness of breath or chest pain. ECOG 1. Swelling has also improved Lately however she is also having swelling of the left side of her body, worsening of previous lymphedema, going to physical therapy for this already." 10/11/21 Heme/onc follow-up call patient c/o "1) Constant "irritation" and tingling under her right jaw that started one hour ago. Pt reports HX of right jugular vein blood clot. 2) Pt denies jaw pain, dyspnea, chest tightness, chest palpitation, nausea, diaphoresis, HA, vision changes. Pt states she has experienced this jaw numbness when she has significant allergies. Pt states she has missed 2 of her Eliquis doses within the last 5 days.A) Pt asking if she can have a neck ultrasound ordered. B) RN concerned that pt should be seen by an Urgent Care or ED." 10/11/21 ER visit for Paresthesia (Primary Dx); Thrombosis of internal jugular vein, unspecified laterality"? with neck tingling. She did receive an ultrasound from triage and results are already available: "No change in the right proximal, mid and distal internal jugular vein thrombus noted since last exam dated 9/20/21.". She has normal voice and swallow and there is no evidence of airway compromise. She has no evidence of ear infection requiring antibiotics. She has set an alarm to help her remember her anticoagulation. She is relieved that there is no progression of the clot. I see no evidence of other emergent medical condition or further testing at this time, and she is stable for discharge to follow up with oncology as needed. To continue anticoagulation as prescribed."

Other Meds: Last chemo dose listed from outside records as 9/1 and next dose delayed due to events. Was on Paclitaxel/Trastuzumab but appears per chart review paclitaxel discontinued 12/2020 and continues on trastuzumab- but not clear. Amlodipine 1

Current Illness:

ID: 1783180
Sex: F
Age: 75
State: SC

Vax Date: 09/04/2021
Onset Date: 09/18/2021
Rec V Date: 10/13/2021
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:

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

Symptoms: Patients arm has bruised and slightly swollen and sore around injection site

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am