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: 1798476
Sex: F
Age: 24
State: UT

Vax Date: 08/13/2021
Onset Date: 08/16/2021
Rec V Date: 10/19/2021
Hospital:

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

Lab Data: I have not been able to be seen by a cardiologist for my heart or for an eye doctor yet due to health insurance but I do plan on going because this is serious.

Allergies: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: Intense painful chest pains. At one point I collapsed onto the ground and could not breath it hurt so bad, it felt like my heart was being squeezed and then my arm started to hurt. I thought I was having a heart attack. After a few minutes I could breath again but that was one of the scariest experiences of my life. The chest pains continued for months after the vaccine. None of them where as intense as the time I collapsed but they still hurt and have not subsided. I have never had chest pains before until I took the vaccine. I have never experienced chest pain like it even when running 26 mile marathons. Three days after taking the vaccine my left eye watered and cried constantly. I have always had perfect vision and never had watering or randomized crying in one of my eyes before. It has not stopped and has proceeded since taking the vaccine. In fact my vision sometimes gets blurry in that eye now.

Other Meds: None

Current Illness: None

Date Died: 10/13/2021

ID: 1798477
Sex: M
Age: 62
State: NY

Vax Date: 10/01/2021
Onset Date: 10/13/2021
Rec V Date: 10/19/2021
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: Nka

Symptom List: Anxiety, Dyspnoea

Symptoms: Death Less than Two weeks after vaccine Pfizer booster. Autopsy report stated cardiomyopathy with CHF . Died suddenly was previously healthy.

Other Meds: Welbutrin 150 q day neurontin 300mg hs. Lisinopril 10 mg daily, atenolol 50mg daily

Current Illness: Hypertension,anxiety,nerve pain

ID: 1798478
Sex: M
Age: 66
State: UT

Vax Date: 10/18/2021
Onset Date: 10/18/2021
Rec V Date: 10/19/2021
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: Redness, swelling, soreness with 1 inch by 1 inch yellowish liquid blister located about 1 inch below the injection site. Not sure when it started exactly but I noticed it this morning and it has increased in size since. I have not seen a doctor for this event. I have reported it on V-Safe.

Other Meds: simvistatin 20 mg olmesartan 20 mg zolpidem 2.5 mg

Current Illness:

ID: 1798479
Sex: F
Age: 43
State: WV

Vax Date: 10/12/2021
Onset Date: 10/15/2021
Rec V Date: 10/19/2021
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: CHEST PAINS, CHEST PRESSURE, HEADACHE, FEVER, CHILLS, SWEATING

Other Meds:

Current Illness:

ID: 1798480
Sex: F
Age: 59
State: NC

Vax Date: 03/08/2021
Onset Date: 10/15/2021
Rec V Date: 10/19/2021
Hospital:

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

Lab Data: Biopsy 10/19/2021, results will not come for 2 days

Allergies: No

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

Symptoms: It happened approx. 6 weeks ago I started experiencing pain in my back. I sought medical care and I was given pain medication. Blood work indicated abnormal enzymes, a CT scan showed tumors in my pancreas and liver.

Other Meds: Multivitamin; calcium

Current Illness: No

ID: 1798481
Sex: M
Age: 49
State: PA

Vax Date: 10/14/2021
Onset Date: 10/15/2021
Rec V Date: 10/19/2021
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: mold

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

Symptoms: 10/15/2021-shortness of breath, chest pain, sweating

Other Meds:

Current Illness:

ID: 1798482
Sex: F
Age: 30
State: AZ

Vax Date: 03/11/2021
Onset Date: 10/11/2021
Rec V Date: 10/19/2021
Hospital:

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

Lab Data: Positive Covid-19 PCR test.

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Complaint of cough, elevated temperature, runny nose/congestion, loss of taste/smell, myalgia and malaise

Other Meds:

Current Illness:

ID: 1798483
Sex: M
Age: 50
State: CA

Vax Date: 04/22/2021
Onset Date: 10/10/2021
Rec V Date: 10/19/2021
Hospital: Y

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

Lab Data: Secondary Procedures: CXR frontal: No focal consolidation. No pleural effusion. Minimal linear/bandlike densities at the left lung base likely represent scarring or atelectasis. No acute disease

Allergies: nka

Symptom List: Pharyngeal swelling

Symptoms: 51yo M with preDM, hld presents to ED with hypoxia, O2 sat in the low 90s at home. Pt has URI sxs x 5 days and was tested positive for Covid on 10/8. He was vaccinated. In ED, pt ambulated on RA with O2 sat in the low 90s and appeared shortness of breath. Temp was 100.3 in ED. 93-95% on RA at rest Pt was admitted and started on Decadron and Remdesivir. Pt does not respike temp in house. He is also not hypoxic. O2 sat 94-97% on RA. Pt feels stronger and can ambulate to BR today. He could not do it yesterda He will be d/c home today on cough medications: Tessalon Perles and Robitussin AC Will not continue Decadron or Remdesivir as pt has not been hypoxic. Discussed plan with ID and Pulm.

Other Meds:

Current Illness:

ID: 1798484
Sex: M
Age: 74
State: CA

Vax Date: 09/28/2021
Onset Date: 09/29/2021
Rec V Date: 10/19/2021
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: PCN, Statins, IV contrast dye.

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Complete muscle, joint pain all over my body?

Other Meds: Anoro/Elipta, Albuterol, Asa, Flomax, Flonase, Folic Acid, Gabapentin, Hydromorphone, MS-Contin, MiraLax, Toprol XL, Valsartan, B-complex, Boswellia, Vit-C, CoQ10, Curcumin, D-3, fish oil, Magnesium citrate, Resveratrol, Sam-e

Current Illness: None

ID: 1798485
Sex: M
Age: 63
State: FL

Vax Date: 05/05/2021
Onset Date: 05/06/2021
Rec V Date: 10/19/2021
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: none

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Short term - Headache for 2 days, Long term - muscle cramps causing muscle strains.

Other Meds: none

Current Illness: none

ID: 1798486
Sex: M
Age: 20
State: AZ

Vax Date: 01/12/2021
Onset Date: 10/14/2021
Rec V Date: 10/19/2021
Hospital:

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

Lab Data: Positive Covid-19 PCR test

Allergies:

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

Symptoms: Complaint of cough, sore/scratchy throat, and runny nose/congestion,

Other Meds:

Current Illness:

ID: 1798487
Sex: M
Age: 83
State:

Vax Date: 10/19/2021
Onset Date: 10/19/2021
Rec V Date: 10/19/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: After drawing up and administering 3 doses, it was noticed that the vial was not very full. Upon inspection and questioning the person who reconstituted the vial, it was determined that 1.6 milliliters of diluent had been used, rather than 1.8 milliliters. The vial was discarded, affected patients notified, and a new vial drawn up for the remaining recipients. No adverse events reported at this time. Employee was instructed to verify graduation marks on the syringes prior to drawing up diluent.

Other Meds:

Current Illness:

ID: 1798488
Sex: M
Age: 21
State: TN

Vax Date: 10/19/2021
Onset Date: 10/19/2021
Rec V Date: 10/19/2021
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 known

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

Symptoms: Pt had second dose of Moderna COVID-19 vaccine. Injection administered without incident. Approxinately 5 minutes after vaccine given, patient's significant other, also present, called medical staff to check pateint, reporting a sudden "jerking" motion of arm and leg and patient not feeling well. Patient was awake, alert, and oriented x3, pallor and diaphoresis noted. Patient reports anxiety, but no other medical conditions. He states he had not eaten since he woke up for the day. EMS notified. Paitent was assessed and encouraged to follow-up with a healthcare provider.

Other Meds: none

Current Illness: anxiety

ID: 1798489
Sex: F
Age: 72
State: MO

Vax Date: 10/13/2021
Onset Date: 10/13/2021
Rec V Date: 10/19/2021
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: None

Allergies: Azithromycin

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

Symptoms: Pt received flu injection in R arm and pneumovax in L arm at office appointment the morning of 10/13/2021. By the evening, she had severe R shoulder pain with decreased range of motion. She came in for evaluation on 10/19/2021 and had some mild improvement in pain and range of motion, but still extremely limited.

Other Meds: NONE

Current Illness: none

ID: 1798490
Sex: F
Age: 62
State: CO

Vax Date: 10/19/2021
Onset Date: 10/19/2021
Rec V Date: 10/19/2021
Hospital:

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

Lab Data: N/A

Allergies: NKDA

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

Symptoms: No adverse side effects. Vaccination was given to patient to soon at PCP office. Patient was asked if she wanted Flu vaccine and patient stated she wanted Flu vaccine and completed consent form. Also our EMR system had been alerting us that patient needed Flu shot. After administrating flu vaccine and trying to input info to our EMR system an alert showed up stating patient had already received Flu Vaccine on 09/21/21, prior to 10/19/21.

Other Meds: b complex vitamins capsule levothyroxine (SYNTHROID) 88 mcg tablet simvastatin (ZOCOR) 10 mg tablet

Current Illness: Vaccination was given to patient to soon. Patient was asked if she wanted Flu vaccine and patient stated she wanted Flu vaccine and completed consent form. Also our EMR system had been alerting us that patient needed Flu shot. After administrating flu vaccine and trying to input info to our EMR system an alert showed up stating patient had already received Flu Vaccine on 09/21/21 prior to 10/19/21.

ID: 1798491
Sex: F
Age: 31
State: AZ

Vax Date: 01/15/2021
Onset Date: 10/12/2021
Rec V Date: 10/19/2021
Hospital:

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

Lab Data: Positive Covid-19 test of unknown type

Allergies:

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

Symptoms: Complaint of cough, chills, elevated temperature, sore/scratchy throat, headache, runny nose/congestion, loss of taste/smell, myalgia, and malaise.

Other Meds:

Current Illness:

ID: 1798492
Sex: F
Age: 46
State: WA

Vax Date: 04/16/2021
Onset Date: 04/17/2021
Rec V Date: 10/19/2021
Hospital:

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

Lab Data: None

Allergies: Mushrooms and walnuts, Erythromycin

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

Symptoms: Headache, fever, tired arm hurt lasted 2 days. Contracted Covid tested postitive 9/17/2021 2

Other Meds: Cranberry supplement 450 mg-once a day in morning, probiotic pearls over the counter natures way 17mg - 1 soft gel daily, Allergra 180 mg at dinner, Tamoxifen (breast cancer post treatment) 20mg once in the morning, Have been taking it

Current Illness: None

ID: 1798493
Sex: F
Age: 55
State: NY

Vax Date: 10/18/2021
Onset Date: 10/19/2021
Rec V Date: 10/19/2021
Hospital:

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

Lab Data: no

Allergies: no

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Woke up not feeling good. Had body aches and took tylenol and vision started to become blurry.

Other Meds: 81 mg bayer aspirin

Current Illness: no

ID: 1798494
Sex: F
Age: 50
State: AZ

Vax Date: 09/10/2021
Onset Date: 10/17/2021
Rec V Date: 10/19/2021
Hospital:

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

Lab Data: Positive Covid-19 PCR test

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Complaint of cough, elevated temperature, sore/scratchy throat, headache, runny nose/congestion, and nausea/vomiting.

Other Meds:

Current Illness:

ID: 1798495
Sex: M
Age: 74
State: OR

Vax Date: 04/16/2021
Onset Date: 10/04/2021
Rec V Date: 10/19/2021
Hospital:

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

Lab Data: Hospital - Series of blood tests and urinalysis (simple one) - didn't show anything MRI -

Allergies: no

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

Symptoms: I had suddenly developed complete paralysis from the waist down - no control, no feeling, no nothing. I have had this happen other time in the past but not as severe. This time I started to recover but collapsed again and I did this three times in a space of 15 minutes. The only difference is that this time, I did not fully recover. I had a friend take me to ER - Hospital. They noted that my potassium level was low so they gave me a large dose of that mixed with orange juice. I did have a follow up MRI on the 10th of October - it showed that my lower back is in pretty bad shape. My primary care physician has referred me to a spine specialist. I am currently waiting for approval from the insurance company. I am having to use a walker now. Unknown at this point if I am permanently disabled. Immediately after the vaccine: I experienced everything you get with the flu except a fever. I had fatigue, body aches, chills and my shoulder swelled - injection site - up like an ostrich egg. All the symptoms were gone in a day. Note: Flu shot on August 18th, 2021 on the right arm - Quadravalent (Super dose for seniors)

Other Meds: Metoprolol 25 mg - 1/2 tablet; Omeprazole - 20 mg capsule; 81 mg aspirin tablet; Vit B12 supplement - 2000 mcg; Multi-Vitamin for seniors; Other half of the Metoprolol tablet; Lisinopril HCTZ - take 1/2 of one of those; Atorvastatin 20 mg t

Current Illness: no

ID: 1798496
Sex: F
Age: 64
State: VA

Vax Date: 09/20/2021
Onset Date: 09/21/2021
Rec V Date: 10/19/2021
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: Doctor visit 12/13/2021. prescribed Prednisone. Doctor felt vaccine was injected too high on shoulder. Patient will return to doctor if pain not relieved within 1 week.

Allergies: Dairy and egg allergy, gluten?

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

Symptoms: Pain started by the next evening (about 36 hours) . By the time 48 hours passed, pain was severe and patient can't lift arm to the side. She continutes to have severe pain, burning across shoulder blade and tingling down arm to fingers at times. Pain is so severe she's not sleeping./

Other Meds: 'Synthroid, Hydroxyurea, Aspirin 81mg, Vitamin b12, one-a-day vitamin

Current Illness:

ID: 1798497
Sex: F
Age: 48
State: AZ

Vax Date: 01/08/2021
Onset Date: 10/18/2021
Rec V Date: 10/19/2021
Hospital:

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

Lab Data: Positive Covid-19 PCR test.

Allergies:

Symptom List: Unevaluable event

Symptoms: Complaint of cough, chills, elevated temperature, sore/scratchy throat, headache, runny nose/congestion, myalgia, malaise, diarrhea, nausea and vomiting.

Other Meds:

Current Illness:

ID: 1798498
Sex: M
Age: 58
State: HI

Vax Date: 10/06/2021
Onset Date: 10/07/2021
Rec V Date: 10/19/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: 10/6 at 2pm got shot. Woke 10/7 too sick to work, heavy fatigue, fever/chills, head & muscle aches all day. 10/8 fatigue, head/body aches, pain in shot location, tried to go work 1/2 day went home to rest, at 5:30pm did a 25 min. walk on treadmill, felt flush headache I took 2 aspirin and rested more. At about 830pm my heart rate noticeably elevated monitored 127/64, Taste of vax/med in mouth/sinus, Went to bed 910pm, woke up 10:45pm in severe chills/heavy sweats, left shoulder twitching, I was terrified as I couldn't move my left side of body/face, couldn't feel my left leg or move arm much, right leg tingling numb, 3hrs at 1 am finally stumbled/crawl to bathroom, and back, 10/9 woke drained, ache and limbs numb, Arms still a little numb and tingly and weak, and fatigued all of 10/9 then each day from 10/10 fatigued and achy ,10/11, and 10/12 the symptoms slowly improved. 10/13 to current day more normal feeling. Experienced elevated heart rate a few times in the past week of-which I never get, and records show I rarely get sick..

Other Meds: Daily a Multi-vitamin, 1000 mg vit-c & chlorella tablets

Current Illness: None, other than very low grade non-aggressive prostate cancer

ID: 1798499
Sex: M
Age: 28
State: TX

Vax Date: 10/09/2021
Onset Date: 10/11/2021
Rec V Date: 10/19/2021
Hospital:

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

Lab Data:

Allergies: n/a

Symptom List: Injection site pain, Pain

Symptoms: Extended Fatigue, headache, fever, large painful bump warm to the touch.

Other Meds: cymbalta, Klonopin

Current Illness: n/a

ID: 1798500
Sex: F
Age: 38
State: FL

Vax Date: 10/18/2021
Onset Date: 10/18/2021
Rec V Date: 10/19/2021
Hospital:

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

Lab Data:

Allergies: Unknown

Symptom List: Injection site pain, Menorrhagia

Symptoms: Nausea/Vomiting for 24 hours.

Other Meds: Unknown

Current Illness: None

ID: 1798501
Sex: F
Age: 13
State: CA

Vax Date: 10/19/2021
Onset Date: 10/19/2021
Rec V Date: 10/19/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Incorrect administration as Moderna is not indicted under 18 yo.

Other Meds: Loratadine 10mg

Current Illness:

ID: 1798502
Sex: F
Age: 37
State: TN

Vax Date: 10/17/2021
Onset Date: 10/19/2021
Rec V Date: 10/19/2021
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: unknown

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: patient was administered the vaccine on 10/17/2021 with a lot that expired 10/13/2021. no adverse event reported at this time

Other Meds: unknown

Current Illness: unknown

ID: 1798503
Sex: F
Age: 54
State: AZ

Vax Date: 01/06/2021
Onset Date: 10/15/2021
Rec V Date: 10/19/2021
Hospital:

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

Lab Data: Positive Covid-19 PCR test.

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Complaint of cough, chills, headache, runny nose/congestion, and malaise.

Other Meds:

Current Illness:

ID: 1798505
Sex: F
Age: 43
State: WA

Vax Date: 05/02/2021
Onset Date: 07/05/2021
Rec V Date: 10/19/2021
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: Yes. I had a lot of them. They were all to rule out other things. I got a ultrasound to rule out gallbladder, appendicitis, a urine sample for infection and any gastrointestinal issues.

Allergies: Penicillin

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

Symptoms: I got shingles.

Other Meds: No.

Current Illness: No.

ID: 1798506
Sex: F
Age: 54
State: MI

Vax Date: 04/12/2021
Onset Date: 04/26/2021
Rec V Date: 10/19/2021
Hospital:

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

Lab Data: On Monday, 10/25/2021 he has ordered a yearly blood work

Allergies: no aware allergies

Symptom List: Nausea

Symptoms: I completed a VAERS report on 07/23/2021, I am filing a 2nd VAERS today to report my symptoms have not resolved at all. Approximately 2 weeks after my 2nd Dose, I noticed I never felt this pain on my right hand and both my hips until I had the 2nd Moderna vaccine. In my right hand, I have joint pain, muscle pain/achiness, both hips are the same way. The pain/achiness is acute. It came on 2 weeks after the vaccine and it never went away. My right hip hurts more than my left hip, but I have pain on both sides. I have seen my doctor twice for my symptoms and he really has not done anything, not even an x-ray.

Other Meds: Levothyroxine 110 mg od; Lunesta as needed; Multivitamin od; Tylenol as needed

Current Illness: no

ID: 1798507
Sex: M
Age: 27
State: NM

Vax Date: 10/11/2021
Onset Date: 10/14/2021
Rec V Date: 10/19/2021
Hospital:

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

Lab Data: None

Allergies: Walnuts, Almonds, Brazil Nuts.

Symptom List: Injection site pain

Symptoms: 1st Day on October 11th, 2021 I only had a sore arm. No side effects besides the sore arm where the Moderna Shot was injected in my right arm from October 11th until on October 14th in the middle of the night around 9 P.M. I felt lightheaded, nauseous, felt like I couldn't breathe and started vomiting for no apparent reason for almost 1 hour. I felt a tingling sensation all around my body and had to take a liquid form of Benadryl to help ease the severe side effects as I was having an allergy reaction. I didn't eat anything different in the course of time before or after this event on October 14th took place around 9 P.M. After the events of October 14th, I felt fine up until October 17th and then October 18th where I felt worse side effects. I suddenly had a severe fever on October 17th that appeared around 10 P.M. in the night and my heart was beating very fast, I also vomited and had diarrhea for several hours in the night I had to get up from my bed to use the bathroom and then go back to sleep. The next day on October 18th around 7:00 P.M. my heart was beating very fast and I felt like I was going to faint and then had a severe fever once again that now on October 19th in the morning disappeared.

Other Meds: None

Current Illness: None

ID: 1798508
Sex: F
Age: 38
State: LA

Vax Date: 08/01/2021
Onset Date: 08/01/2021
Rec V Date: 10/19/2021
Hospital:

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

Lab Data:

Allergies: Lisinopril, Skelaxin, Aleve, Tramadol, Codeine

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

Symptoms: Patient reported allergy to Pfizer COVID-19 vaccine on 10/19/21 to Pharmacy when reviewing allergy info with the pharmacist (reporter of this VAERS is the pharmacist). Patient stated she got the Pfizer COVID-19 vaccine (dose 1) in her primary care doctor's office around August 10th and had itching, tongue swelling, and throat swelling resulting in an ER visit where they gave her epinephrine, steroids, and Benadryl. Patient did not report who her PCP was or the exact location of the doctor's office.

Other Meds: Ventolin HFA, Armour Thyroid, Pulmicort, Creon, Lexapro, Novolog, Singulair, Trelegy Ellipta, Mirena, Albuterol via nebulizer

Current Illness:

ID: 1798509
Sex: M
Age: 51
State: NC

Vax Date: 09/03/2021
Onset Date: 09/07/2021
Rec V Date: 10/19/2021
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 done

Allergies: None

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

Symptoms: Reoccurring hives and some anaphylactic reaction including swollen lips and tongue

Other Meds: Advil

Current Illness: None

ID: 1798510
Sex: F
Age: 56
State: NY

Vax Date: 10/11/2021
Onset Date: 10/15/2021
Rec V Date: 10/19/2021
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

Allergies: Unknown

Symptom List: Tremor

Symptoms: Fever, body aches, joint pain, nausea, throwing up, dizziness, diarrhea, headache, fatigue, chills, sweats, loss of appetite, loss of smell and taste buddy?s, swollen glands, painful sinuses, cough, runny nose, scratchy throat, and brain fog.

Other Meds: N/A

Current Illness: None

ID: 1798511
Sex: F
Age: 33
State: GA

Vax Date: 10/19/2021
Onset Date: 10/19/2021
Rec V Date: 10/19/2021
Hospital:

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

Lab Data: CBC W/ diff Comprehensive Metobolic Panel High Sensitivity Troponin T All conducted 10/19/2021

Allergies: Latex, TDAP, Sulfa, Trimethoprim, Tylenol, Benadryl, tramadol, Neproxen

Symptom List: Erythema, Pruritus

Symptoms: Chest pain, trouble breathing, elevated heart rate, hives Transported to hospital, EKG and blood work given methylpresnisone, oxycodone, famotidine, lorazepam, hydromorphone

Other Meds: Oxycodone, Adderall, gabapentin, hydroxychloroquine, prednisone, valtrex, Xanax

Current Illness:

ID: 1798512
Sex: F
Age: 11
State: TN

Vax Date: 08/28/2021
Onset Date: 08/28/2021
Rec V Date: 10/19/2021
Hospital:

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

Lab Data: None.

Allergies: NKA

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

Symptoms: Patient's mother brought patient in to receive a COVID-19 Pfizer vaccine on 08/28/2021. The patient?s mother filled out a consent form on behalf of the patient and listed the date of birth as 07/22/2009 and signed and consented on the official Public Health Pfizer-BioNTech consent form. The nurse verified the name and date of birth with the patient and the patient?s mother. Public Health guidelines were followed, and the parent received the up-to-date Pfizer-BioNTech EUA and the vaccine was administered. In the patient?s 15-minute wait there were no adverse reactions. Three weeks later, on 09/18/2021 the mother once again filled out a consent form and stated her child's birthday was 07/22/2009. Upon entering the vaccine into the Immunization Information System it was discovered that the patient's true DOB was 07/22/2010 and therefore this was an unauthorized vaccination. The date of birth was then confirmed and verified in the Database. The Public Health Department Chief Medical Director was notified. In addition, the patient's mother and pediatrician were notified per protocol.

Other Meds: Unknown

Current Illness: Unknown

ID: 1798513
Sex: F
Age: 75
State: TN

Vax Date: 10/18/2021
Onset Date: 10/19/2021
Rec V Date: 10/19/2021
Hospital:

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

Lab Data: n/a

Allergies: none

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

Symptoms: patient was administered a vaccine on 10/18/2021 that expired on 10/13/2021

Other Meds: unknown

Current Illness: unknown

ID: 1798514
Sex: M
Age: 47
State: IN

Vax Date: 10/08/2021
Onset Date: 10/15/2021
Rec V Date: 10/19/2021
Hospital:

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

Lab Data: None yet

Allergies: None

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Lymph nodes swollen and tender to the touch

Other Meds:

Current Illness: None

ID: 1798515
Sex: F
Age: 42
State: CA

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 10/19/2021
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: None Known

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

Symptoms: Evening of February 24th it felt like left wrist was sprained but no trauma had occurred. Non-dominant hand. Pain persisted on/off for 2 months, brace worn, ice and ibuprofen used, xray taken in April. Ultrasound therapy done several times in May/June. Orthopedist seen June 22, determined to be tendonitis in the left wrist. Cortisone injected July 8. Pain flared September 28, topical pain reliever prescribed. Minor flare after 3rd Covid Vaccine dose October 1, 2021 with low level pain persisting.

Other Meds: Nora-Be, Lisinopril

Current Illness: None

ID: 1798516
Sex: M
Age: 23
State: ME

Vax Date: 10/19/2021
Onset Date: 10/19/2021
Rec V Date: 10/19/2021
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: He was referred to ER by paramedics

Allergies: None

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

Symptoms: Patient sat for observation. He stated he tried to stand up after 5 minutes and passed out. He fell to the floor, hit his head and jaw and chipped teeth. Ambulance was called because of hit to head and he was bleeding. He was referred to ER for CAT scan by paramedics. His girlfriend showed up to transport him.

Other Meds: None

Current Illness: None

ID: 1798517
Sex: F
Age: 74
State: CA

Vax Date: 09/21/2021
Onset Date: 09/21/2021
Rec V Date: 10/19/2021
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: Pain in extremity

Symptoms: Client came in on 09/21/2021 and reported no other COVID vaccine had been received by the client. The client was asked by the vaccinator if she had received any other COVID vaccine previously. She reported "no". The client was with her daughter who stated "no", and did not provide any other vaccine record. This was not true. The client received a 2 dose series of Pfizer vaccine. She received a 1st dose of Pfizer vaccine on 01/23/2021 and a 2nd dose Pfizer on 02/13/2021. She also received a 1st dose, of Moderna on 09/21/2021. The client was supposed to be checked in the computer system for record of any previous doses. We cannot confirm if this was in fact completed. Proper completion of this step would have helped identify the client was in fact receiving the wrong vaccine.

Other Meds:

Current Illness: Unknown

ID: 1798518
Sex: M
Age: 21
State: OH

Vax Date: 10/11/2021
Onset Date: 10/12/2021
Rec V Date: 10/19/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Patient received a higher concentration of the Covid vaccine than intended. Patient stated he experienced more severe side effects such as chills, nausea, muscle pain and headache after receiving vaccine. He had trouble sleeping. He treated symptoms with OTC pain reliever.

Other Meds:

Current Illness:

ID: 1798519
Sex: M
Age: 36
State: KY

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

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

Lab Data: NONE

Allergies: N/A

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

Symptoms: NONE ON 15 MINUTE WAIT PERIOD

Other Meds: N/A

Current Illness: FELT FINE AT TIME OF VACCINATION

ID: 1798520
Sex: M
Age: 27
State: NC

Vax Date: 10/18/2021
Onset Date: 10/19/2021
Rec V Date: 10/19/2021
Hospital:

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

Lab Data:

Allergies: None.

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

Symptoms: After receiving a Covid booster in my left arm on 10/18/2021, I developed a swollen lymph node under my left armpit which became noticeable on the afternoon of 10/19/2021. The area does not hurt to the touch but is considerably swollen compared to my right armpit. I also felt minor body aches, but those aches were not nearly as severe as my reaction to the second Pfizer dose I received on 04/02/2021.

Other Meds: - Sertraline 25 mg oral once daily

Current Illness: None.

ID: 1798521
Sex: M
Age: 31
State: CA

Vax Date: 10/15/2021
Onset Date: 10/16/2021
Rec V Date: 10/19/2021
Hospital:

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

Lab Data: None

Allergies: None

Symptom List: Vomiting

Symptoms: At around 3am (10/16/2021) after getting the vaccine at 4pm (10/15/2021) in the afternoon the day before I started to become extremely itchy all over my upper body and arms. Woke up around 9am to discover that my stomach, hips, and arms had all broken out in hives with red patches developing all over. Later around 1pm the itchy feeling and discomfort became worse and I then noticed that it was getting more and it was spreading now also turning into welts. After that I noticed it was showing signs of getting worse I purchased some Zertac and took a cold shower and put non-scented lotion over the affected areas of body. At 3pm I noticed that the hives had begun to go away and the welts were diminishing as well. By 6pm all of the hives were completely gone with just minor irritation on the skin if something rubbed on a previously affected area. Next day (10/17/2021) I developed the hives again at around 24hrs after taking the Zertac the day before. So at approximately 3pm 10/17/2021) the hives had begun to spread again but this time they were concentrated around my legs and feet and were no longer mainly on my upper body, there were still some on my arms though. I took a Zertac later that night and did not suffer from any more hives the next day (10/18/2021) besides some minor irritation here or there. By day 4 (10/19/2021) the hives had completely subsided and I was no longer suffering from the red patches, itchiness, or welts.

Other Meds: None

Current Illness: None

ID: 1798522
Sex: F
Age: 56
State: FL

Vax Date: 10/19/2021
Onset Date: 10/19/2021
Rec V Date: 10/19/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Patient was receiving a vaccine for Moderna. While reviewing the paperwork, the patient stated that she has a history of fainting due to fear of needles. After administering the vaccine, the patient was waiting. The patient was walking around because they were feeling ok and then she states she started thinking about the vaccine and she got light headed and dizzy and ended up fainting. The patient was lightheaded for several minutes unable to stand on her own so we called 911 and they came and checked the patient's vitals and blood sugar. After ensuring the patient was feeling better the paramedics left and the patient was allowed to leave. The patient was still considering getting the second shot so we advised the patient to come in with their husband for the second dose since the husband had received his vaccine the day prior.

Other Meds:

Current Illness:

ID: 1798523
Sex: M
Age: 38
State: NJ

Vax Date: 10/08/2021
Onset Date: 10/09/2021
Rec V Date: 10/19/2021
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: N/A

Allergies: N/A

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

Symptoms: Heart Palpitations. When checking pulse feels like skips a beat.

Other Meds: Insulin

Current Illness:

ID: 1798524
Sex: F
Age: 27
State:

Vax Date: 10/18/2021
Onset Date: 10/18/2021
Rec V Date: 10/19/2021
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 HAD PFIZER BOOSTER SHOT 10/18/21, AND DEVELOPED TACHCARDIA.

Other Meds:

Current Illness:

ID: 1798525
Sex: F
Age: 69
State: NC

Vax Date: 10/19/2021
Onset Date: 10/19/2021
Rec V Date: 10/19/2021
Hospital:

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

Lab Data:

Allergies: NONE

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

Symptoms: patient received fluzone hd flu vaccine in left arm at 1:15 pm after filling paper work and going over all questions and health check with the patient. after 30-45 minutes, patient returened to pharmacy with complaining from swallen area under left ear, no difficulty breathing, rash, dizziness, itching or hypotension. only swallen small area under left ear down to the neck. pt received 2 tablet sof 25 mg benadryl and water, sat and I checked her bood pressure (140/90). patient remained seated for about 20 minutes for observation, pt was alert and talkative, no further compalins or pther symptoms. after 20 minutes patient wanted to leave, i counceled her for emergency symptoms she should monitor and call 911 if needed, otherwise she should follow up with her physician. patient agreed and left pharmacy accompanied by her freind.

Other Meds:

Current Illness: NONE

ID: 1798526
Sex: F
Age: 61
State: CO

Vax Date: 10/03/2021
Onset Date: 10/11/2021
Rec V Date: 10/19/2021
Hospital:

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

Lab Data: COVID test - rapid COVID test and influenza A and B - all three were negative - Urgent Care -

Allergies: no

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

Symptoms: Cough -about the 11th or so, got a tickle in my throat at first and then coughing bouts of coughing - in the morning and again in the evening. I didn't feel that great. I went to clinic on the 13th. No treatment - they offered some Tessalon Pearls but I didn't feel like I needed them. I started to feel better by the next day - the cough is still a little bit of a tickle but I am feeling a lot better now. Flu shot on 9th - had that on the 9th a couple of days before I got the cough symptoms. Symptoms I experienced right after the vaccine, the next day - aches and pains (lower back pain and neck and shoulders were aching) - I felt feverish - but the highest was 99.9 - I was feeling pretty miserable and I think I took Naproxen twice and then I was fine.

Other Meds: Atorvastatin 10 mg once a day; Lisinopril Hydrochlorothiazide -12.5 mg ( of the Lisinopril); Calcium; Magnesium and zinc; vit D3 - 2000 Units

Current Illness: no

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am