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: 1801416
Sex: M
Age: 51
State: UT

Vax Date: 09/22/2021
Onset Date: 09/22/2021
Rec V Date: 10/20/2021
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: Vaccine error - Vaccine was administered past its beyond use date. The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.

Other Meds:

Current Illness:

ID: 1801417
Sex: F
Age: 35
State: AZ

Vax Date: 10/19/2021
Onset Date: 10/19/2021
Rec V Date: 10/20/2021
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: Amoxicillin

Symptom List: Anxiety, Dyspnoea

Symptoms: At 4PM, about 6-6.5 hours post vaccine, I developed an extremely itchy rash on both of my elbows and on the palms of my hands and wrists. The rash was flat and very red and began to spread down my arm and was extremely irritating. I used hydrocoritsone cream on the itchy rash but it did not provide relief. I went to sleep and woke up at midnight due to the severe itching I had. Within about 30 minutes, or around 12:30AM, I felt as though I was going to faint, my lips were swelling and I was having itching in my throat and a feeling as though I could not fully swallow. I took 2 tablets of Benadryl at 2AM. The swelling and itching did not subside with the use of Benadryl I called the on-call doctor who instructed my to go to the ER. The ER administered oral steroids and instructed my to take additional Benadryl and Pepcid AC. This was around 8AM, on 10/20, almost 24 hours post vaccine. I took the additional Benadryl and Pepcid AC, as well as used Benadryl lotion on the rash which was causing swelling and irritation on my hands. I have yet to find relief from the rash, but my throat is no longer itching. The swelling in my lips and hands is still present as of 12:30PM on 10/20.

Other Meds: Wellbutrin XR, Fish Oil, Zyrtec

Current Illness: none to report

ID: 1801418
Sex: M
Age: 65
State:

Vax Date: 09/28/2021
Onset Date: 10/11/2021
Rec V Date: 10/20/2021
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: received the vaccine beyond the use date.

Other Meds:

Current Illness:

ID: 1801419
Sex: F
Age: 37
State: UT

Vax Date: 09/22/2021
Onset Date: 09/22/2021
Rec V Date: 10/20/2021
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: Vaccine error - Vaccine was administered past its beyond use date. The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.

Other Meds:

Current Illness:

ID: 1801420
Sex: F
Age: 42
State: NY

Vax Date: 09/20/2021
Onset Date: 09/30/2021
Rec V Date: 10/20/2021
Hospital:

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

Lab Data: UNKNOWN

Allergies: UNKNOWN

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

Symptoms: PATIENT NOTIFIED US DAYS LATER THAT HER LEFT ARM WAS VERY HOT TO THE TOUCH AND SWOLLEN WITH A BUMP.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

Date Died: 10/02/2021

ID: 1801421
Sex: M
Age: 77
State: KY

Vax Date: 03/06/2021
Onset Date: 10/02/2021
Rec V Date: 10/20/2021
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: Laboratory test: 9/16/2021

Allergies:

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

Symptoms: Patient had breakthrough infection and expired.

Other Meds:

Current Illness:

ID: 1801422
Sex: F
Age: 74
State: MA

Vax Date: 10/11/2021
Onset Date: 10/11/2021
Rec V Date: 10/20/2021
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: Error: Incorrect Reconstitution.

Other Meds:

Current Illness:

ID: 1801423
Sex: F
Age: 74
State: ID

Vax Date: 10/01/2021
Onset Date: 10/01/2021
Rec V Date: 10/20/2021
Hospital:

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

Lab Data: I did not go to the doctor or even notify the doctor but thought it was of importance to add this to research.

Allergies: Trazadone, Nitroglycerine

Symptom List: Pharyngeal swelling

Symptoms: 2nd shot 24 hours of fever, aches, flu-ish symptoms; BOOSTER #3 - 10 hours after had fluish symptoms again. Got up in the night at 3 AM....went into shock blacking out and collapsing onto the floor for who knows how long (I live alone). Very disoriented upon waking. Limbs were mangled under me....feeling for where I was in the dark. Suddenly felt like vomiting yet didn't - sudden profuse sweating - need to get to the toilet and was able to manage that. Back in bed confused for a while. Twisted and stretched tendon all up back of left leg. Scratch on right thigh assuming from left toenail. Mainly the fact that I SUDDENLY blacked out and had symptoms of being in shock. I have a history with trazadone and nitroglycerine taking me into anaphylaxis.

Other Meds: Atorvastatin, Clopidogrel, Levothyroxine, Losartan, Progesterone

Current Illness:

ID: 1801424
Sex: F
Age: 39
State: UT

Vax Date: 09/22/2021
Onset Date: 09/22/2021
Rec V Date: 10/20/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: Vaccine error - Vaccine was administered past its beyond use date. The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.

Other Meds:

Current Illness:

ID: 1801425
Sex: F
Age: 43
State: TX

Vax Date: 03/31/2021
Onset Date: 06/01/2021
Rec V Date: 10/20/2021
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: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Abnormal periods. Skipped one full period. Each period since (July to Oct 2021) has included 5 to 10 days spotting. Never had skipped or spotting prior to vaccine.

Other Meds: None

Current Illness: None

ID: 1801426
Sex: F
Age: 71
State:

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

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

Lab Data:

Allergies:

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

Symptoms: received the vaccine beyond the use date.

Other Meds:

Current Illness:

ID: 1801427
Sex: M
Age: 49
State: CT

Vax Date: 04/01/2021
Onset Date: 06/28/2021
Rec V Date: 10/20/2021
Hospital:

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

Lab Data: 6/28/21 - elevated TSH level, 7/26/21 - increased elevated TSH level along with high THYROPEROXIDASE ANTIBODY which confirmed Hashimoto's diagnosis. Started daily Levothyroxine. 9/14/21 - TSH level back to within normal range. Ongoing daily Levothyroxine.

Allergies: None

Symptom List: Rash, Urticaria

Symptoms: Received two dose regimen of Pfizer vaccine on 3/27/21 and 4/17/21. During annual physical in June 2021 an elevated TSH reading was identified during bloodwork. Follow up bloodwork identified that I have Hashimoto's Disease (hypothyroidism). No known family history of this. Symptoms of slight tiredness and low resting heart rate.

Other Meds: Daily multivitamin only

Current Illness: None

ID: 1801428
Sex: F
Age: 23
State: MA

Vax Date: 09/05/2021
Onset Date: 09/08/2021
Rec V Date: 10/20/2021
Hospital:

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

Lab Data: lumbar puncture, blood work, and urinalysis

Allergies: adderall

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

Symptoms: - Numbness in bottoms of feet, toes, legs (entirety), waist, hands, face (both sides, lips, and throat) - neurological: brain fog, acting out of character, impulse control gone, memory loss, headache, tingles in head, blurred vision (seeing black dots), slowed movements with extremities, thought process is slowed, stumbling over words, confusion, feeling uneasy, eyes drooping, spacing out, random twitching, and couldn't hold a conversation - physical symptoms: flushed face, sweating profusely, feeling hot, swollen hands (red hue), fast heart rate (up to 134 bpm), chest pain, shaky hands (morning and night), physically feel (energized on caffeine) body more than mentally, pulsing pain in neck while sleeping, puffy face, sensory issue, restlessness, hard to breath, high blood pressure

Other Meds: ashwangda, probiotic,

Current Illness: no

ID: 1801429
Sex: F
Age: 41
State: UT

Vax Date: 09/22/2021
Onset Date: 09/22/2021
Rec V Date: 10/20/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Vaccine error - Vaccine was administered past its beyond use date. The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.

Other Meds:

Current Illness:

ID: 1801430
Sex: F
Age: 57
State: KY

Vax Date: 02/03/2021
Onset Date: 10/12/2021
Rec V Date: 10/20/2021
Hospital:

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

Lab Data: COVID19 test 10/12/2021

Allergies:

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

Symptoms: Positive COVID19 test 10/12/2021

Other Meds:

Current Illness:

ID: 1801431
Sex: F
Age: 16
State: FL

Vax Date: 09/29/2021
Onset Date: 09/30/2021
Rec V Date: 10/20/2021
Hospital:

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

Lab Data: EKG 9/30/2021 - sinus tachycardia, nonspecific t-wave abnormality CXR 9/30/2021 - normal

Allergies: ANTS

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

Symptoms: Tachycardia for 24 hours after administration of vaccines. Patient went to ER following day.

Other Meds: NONE

Current Illness: NONE

ID: 1801432
Sex: M
Age: 77
State: MA

Vax Date: 10/11/2021
Onset Date: 10/11/2021
Rec V Date: 10/20/2021
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:

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

Symptoms: Error: Incorrect Reconstitution-

Other Meds:

Current Illness:

ID: 1801433
Sex: M
Age: 75
State: NC

Vax Date: 04/20/2021
Onset Date: 10/11/2021
Rec V Date: 10/20/2021
Hospital: Y

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

Lab Data: Cycle threshold of 31.8 on 10/11/2021

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Hospitalization due to COVID-19 Reported per Moderna COVID-19 Vaccine EUA

Other Meds: Prednisone

Current Illness:

ID: 1801434
Sex: M
Age: 58
State: NY

Vax Date: 10/19/2021
Onset Date: 10/20/2021
Rec V Date: 10/20/2021
Hospital:

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

Lab Data: None

Allergies: None

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Chest inflammation Shortness of breath Coughing Headache Low grade fever Muscle aches & pain Joint pain Lethargic Flu like symptoms Sore arm Congestion Sinuses

Other Meds: Clyndomyicin Ezetimibe 10mg Amlodipine 2.5mg Candesartan 32mg Montelukast 10mg Humulin ru 500 Breo Albuterol Eliquis 5mg Fasenra Pravastatin 40mg Vascepa 1gm Fenofibrate 145mg Metformin 500er Fluticasone Creon 36000 Pantoprazole 40er Lia

Current Illness: None

ID: 1801435
Sex: M
Age: 80
State: IL

Vax Date: 03/03/2021
Onset Date: 10/19/2021
Rec V Date: 10/20/2021
Hospital: Y

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

Lab Data:

Allergies:

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

Symptoms: Pt received Pfizer x2. Pt tested COVID + on 10/19/21 and admitted to hospital for COVID on 10/19/2021. Pt receiving remdesivir and dexamethasone.

Other Meds:

Current Illness:

ID: 1801436
Sex: M
Age: 35
State: UT

Vax Date: 09/22/2021
Onset Date: 09/22/2021
Rec V Date: 10/20/2021
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:

Allergies:

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

Symptoms: Vaccine error - Vaccine was administered past its beyond use date. The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.

Other Meds:

Current Illness:

ID: 1801437
Sex: M
Age: 41
State:

Vax Date: 09/25/2021
Onset Date: 09/25/2021
Rec V Date: 10/20/2021
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: Unevaluable event

Symptoms: Received the vaccine beyond the use date.

Other Meds:

Current Illness:

ID: 1801438
Sex: F
Age: 37
State: UT

Vax Date: 09/22/2021
Onset Date: 09/22/2021
Rec V Date: 10/20/2021
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: Vaccine error - Vaccine was administered past its beyond use date. The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.

Other Meds:

Current Illness:

ID: 1801439
Sex: M
Age: 26
State: MA

Vax Date: 10/11/2021
Onset Date: 10/11/2021
Rec V Date: 10/20/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: Error: Incorrect Reconstitution-

Other Meds:

Current Illness:

ID: 1801440
Sex: F
Age: 33
State: GA

Vax Date: 10/18/2021
Onset Date: 10/19/2021
Rec V Date: 10/20/2021
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 Known

Symptom List: Injection site pain, Menorrhagia

Symptoms: Patient reported to the pharmacy on 10/20/2021 with a red welt like area at her injection site. The welt was about 2 inches in diameter and slightly warm. Patient stated she took Benadryl the evening of 10/19/2021 when she noticed it was raised and somewhat hard. The area is no longer hard to the touch. I contacted our director, Dr., who will look at the patient's arm. He suspects at this time it is just an injection site reaction.

Other Meds:

Current Illness: None

ID: 1801441
Sex: M
Age: 55
State:

Vax Date: 09/27/2021
Onset Date: 09/27/2021
Rec V Date: 10/20/2021
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: received the vaccine beyond the use date.

Other Meds:

Current Illness:

ID: 1801442
Sex: F
Age: 84
State: KS

Vax Date: 10/18/2021
Onset Date: 10/18/2021
Rec V Date: 10/20/2021
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: None

Allergies: Noroxin penicillin (rash) sulfa drugs

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Daughter, reported to me by phone on 10/19/2021 that patient received her 3rd dose of COVID-19 vaccine on 10/18/2021 and that patient had fallen that evening. She was also complaining of arm soreness, with redness and warmth to the area of the injection site. Daughter stated that this is similar symptoms to her second dose.

Other Meds: apixaban 5 mg BID bisoprolol 5 mg BID amlodipine 10 mg daily potassium chloride 20 mEq BID glucosamine 500 mg BID calcium-vit D 600 mg-200 IU BID sodium chloride 1 g BID multivitamin daily memantine 10 mg BID levothyroxine 150 mcg daily don

Current Illness: N/A

ID: 1801443
Sex: F
Age: 53
State: CA

Vax Date: 04/10/2021
Onset Date: 10/01/2021
Rec V Date: 10/20/2021
Hospital:

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

Lab Data: N/A

Allergies: N/A

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: I started getting a bad cold and a cough, I still have the cough.

Other Meds: Ambien; Losartan; Daily Vitamins; Vitamin C & D; Calcium.

Current Illness: N/A

ID: 1801444
Sex: M
Age: 35
State: NC

Vax Date: 04/10/2021
Onset Date: 04/13/2021
Rec V Date: 10/20/2021
Hospital:

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

Lab Data:

Allergies: none.

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

Symptoms: Hives and itching all over since 4-13-21. Had 2nd Pfizer vaccine on 4-10-21. Only goes away if I take Xyzal (levocetirizine). Has had intermittent hives since April 13. I had my second Covid vaccination April 10. Had no reaction of the first vaccine nor an immediate reaction to the second vaccine. not any any dietary or environmental changes. No new medications or supplements. No sinus congestion or allergies. No cough, shortness of breath or wheezing. No abdominal pain. I Feel well otherwise. I have been taking Xyzal(levocetirizine) at least every second or third day which will temporarily make the hives go away. Has never had a reaction like this in the past.

Other Meds: No.

Current Illness: No.

ID: 1801445
Sex: M
Age: 81
State: MA

Vax Date: 10/11/2021
Onset Date: 10/11/2021
Rec V Date: 10/20/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: Error: Incorrect Reconstitution-

Other Meds:

Current Illness:

ID: 1801446
Sex: F
Age: 21
State: MO

Vax Date: 10/04/2021
Onset Date: 10/05/2021
Rec V Date: 10/20/2021
Hospital:

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

Lab Data: Covid-19 test 10/06/2021. Negative Covid-19 test 10/11/2021. Negative

Allergies: None

Symptom List: Injection site pain

Symptoms: The next day 10/05/2021 at 7:00am I woke up with intense body aches and a 100.7 degree Fahrenheit fever. I felt dizzy and sick and had a headache for the whole day. I did not feel better or experience a reduced fever until the next morning. On the same day, my sister woke up feeling sick. It turns out, she had Covid-19. Then I participated in a virtual visit with a healthcare provider. They told me that my symptoms were likely from the vaccine, but the still scheduled me for a Covid test 5 days after my last exposure to my sister. The next day, 10/06/2021, I felt better. My Covid test was negative. On 10/11/2021 I woke up feeling sick again. I had a sore throat and some shortness of breath. I had another telehealth visit and received a Covid test on this day. My Covid test was negative. My sickness progressed, and I had Congestion, head-pressure, sneezing, around a 100.4 Fahrenheit fever, and a really bad cough. I continued to feel very sick until Thursday morning (10/14/2021), when I started to feel a bit better. After I received my second Pfizer vaccine on 02/11/2021, I felt terrible for about a day, and then I kept getting sicknesses/commons colds for the next couple months, a lot more often than usual. I think my delayed sickness may relate to the vaccine last winter, and this fall.

Other Meds: None

Current Illness: Sore throat 09/22/2021

ID: 1801447
Sex: M
Age: 80
State: GA

Vax Date: 10/14/2021
Onset Date: 10/14/2021
Rec V Date: 10/20/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: The patient presented on 10/19/21 with purple bruising starting about 4 finger widths from the Acromion Process and extending to just above the elbow. It also extended around the arm but did not completely encricle it. Above and below the purple bruising a faint yellow tint extened a few inches. There was not evidence of red streaks and the patient stated that he had not seen any. The area was warm but not any different than the unbruised areas of the arm. He had not called his doctor and I told him he should contact them as soon as he got home. I told the patient I would also contact the doctor. The office scheduled him an appointment for 10/21/21.

Other Meds: Takes 81mg Aspirin daily

Current Illness:

ID: 1801448
Sex: M
Age: 56
State: MT

Vax Date: 05/12/2021
Onset Date: 09/28/2021
Rec V Date: 10/20/2021
Hospital: Y

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

Lab Data:

Allergies:

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

Symptoms: Breakthrough COIVD 19 infection in fully vaccinated individual resulting in hospitalization and ventilator use

Other Meds:

Current Illness:

ID: 1801449
Sex: F
Age: 62
State: MS

Vax Date: 07/09/2021
Onset Date: 10/20/2021
Rec V Date: 10/20/2021
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 at this time but I may visit a doctor if the symptoms don't improve or get worse.

Allergies: NONE

Symptom List: Tremor

Symptoms: Left arm experiences numbness from injection site to tips of fingers on this arm. The arm was sore at the injection site and pain and numbness started 2 days later. The pain could be compared to hitting your elbow funny bone and feeling numbness. The pain was at the worse about 2 - 6 weeks after the initial onset of the injection. I had trouble sleeping due to pain and had to hold my arm in a certain position to get rest. Since the beginning of September the pain has lessen and now mostly I feel numbness and/or tingling in my fingers on my left hand. My left arm at the elbow still experiences numbness consistently. The symptoms I'm experiencing at this time, (mentioned above) are manageable/bearable but I felt needed to be reported.

Other Meds: SERTRALINE 25MG PER DAY

Current Illness: NONE

ID: 1801450
Sex: M
Age: 69
State: MA

Vax Date: 10/11/2021
Onset Date: 10/11/2021
Rec V Date: 10/20/2021
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: Erythema, Pruritus

Symptoms: Error: Incorrect Reconstitution-

Other Meds:

Current Illness:

ID: 1801451
Sex: F
Age: 71
State: TN

Vax Date: 09/27/2021
Onset Date: 10/07/2021
Rec V Date: 10/20/2021
Hospital:

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

Lab Data:

Allergies: pennicillin, septra

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

Symptoms: I began to notice an enlarged cyst on Oct. 7th. I felt nauseated and dizzy occasionally during the day. On Oct. 8th I went to the doctor because I felt worse and the cyst was much larger. The doctor opened it to start the draining, I was given Doxycycline for 14 days, and told how to treat it with epson salt baths. I had had this cyst under the skin for many years. It was about the size of a pea. Two different doctors had told me it was nothing to worry about. When it was infected it swelled to about the size of a small egg. A week later my dermatologist told me it did not need to be removed, but I needed to use Mupirocin for 2 weeks.

Other Meds: atorvastatin, celecoxib, atenolol, montelukast, venlafaxine, fexofenadine, nasacort

Current Illness: none

ID: 1801452
Sex: M
Age: 73
State: MA

Vax Date: 03/22/2021
Onset Date: 06/29/2021
Rec V Date: 10/20/2021
Hospital: Y

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

Lab Data: See multiple lab results and Pathology in section 18.

Allergies: NKDA. No allergies to food or environment.

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

Symptoms: Patient has experienced a series of unexplained immunologic or vasculitis events. We make this report while the medical diagnostic journey is still underway. June 29, 2021: While on vacation, patient awoke with hives on chest and trunk; self-treated with diphenhydramine 50 mg PO which reduced the rash. Later that same evening, patient developed urticaria and hives on trunk and arms, and swelling of the lips. Presented to Emergency Department at Hospital. Treated with solumedrol 125 mg IV; famotidine 20 mg IV. Patient has no history of food or environmental allergies. Has traveled to 50 countries and eaten and drank local foods and bevs. Discharged from ED with Prednisone taper over 9 days; famotidine 10 mg PO BID. July 16, 2021: Patient developed swelling and redness of the right side of the scrotum. July 18, 2021: Patient with advanced swelling and redness of the right scrotum presented to the Emergency Dept at Hospital. He was seen by a Urologist. Scrotal ultrasound revealed a necrotic right testis without Doppler flow or waveform. Laboratory values included: SARS-COV-2 RNA ? Negative. CBC and diff: WBC 11.52; RBC 3.60, HGB 11.7, HCT 34.8%, MCV 96.7, Lymphoctyes 8.3%, Platelets 189 10*3u/L. ProTime 11.60 sec, INR 1.0, Basic Metabolic Panel unremarkable, but for Calcium 8.2 (ref 8.3-10.3), C-Reactive Protein 78.7 mg/L (reference <10), Lactate dehydrogenase 518 U/L (reference range 313-618 U/L), Tumor markers were drawn and surgery was deferred until markers results would be available. July 21, 2021: Patient became febrile, with cellulitis of the groin advancing up to the lower abdomen. Returned to Hospital Emergency Dept. Treated with IV antibiotics and admitted to the hospital, still pending tumor markers drawn on July 18 which would dictate the surgical approach. Troponin-I: <0.012 ng/mL, Lactic Acid, serum: 0.8 mmol/L, Basic metabolic panel: unremarkable, Blood cultures: Negative, CBC with diff: RBC 3.50 x10*6/uL, HGB 11.0 g/dL, HCT 33.3%, MCV 95.1 fL, lymphocytes 11%. Patient baseline has historically low HGB (13) and HCT (38). July 22 ESR: 91 mm/hr (ref 0-25). July 22 SARS-COV-2 RNA: Negative. July 23, 2021: Patient underwent R orchiectomy which found no tumor, no torsion and no indication for the necrotic testis. Pathology final anatomic diagnosis: Non-viable testis with hemorrhage, congestion, hemosiderin-laden macrophages and cystic degeneration. Tumor markers: HCG Tumor Marker QN: <2mIU/Ml (reference <5). Alpha-1 Fetoprotein: 7.2 ng/mL (reference <6.1) Discharged to home with pain meds, bowel meds, Prednisone 20 mg QD x 5 days; loratadine 10 mg QD x 7 days. Sept 3, 2021: Patient was evaluated by a Hematologist, in consideration of vascular issues. Multi labs drawn: ProThrombin Factor II Gene Mutation: Not detected. Factor V Leiden: Variant not detected. ESR: 37 mm/hr (range 0-25). Repeat 29. Folate & B12: WNL, CBC: RBC 3.86, HGB 12.0, HCT 36.8%, MCV 95.3 fL. Lymphocytes 18%. Diff within reference ranges. Ferritin 221, Iron and TIBC within reference range. C Reactive Protein: <5.0 mg/L. D-dimer <230.0 D-DU/ ng/mL, Lupus Hexagonal Phase: Negative. Lupus Anticoagulant: Not detected. ProTime 11.20 seconds. INR 1.0, Anti-cardiolipin AB IgG not detected, Anti-Cardiolipin AB IgM not detected. Protein C Activity: 191% (ref range 70-180%). Protein S Activity: 99% (ref range 70-150%). Antithrombin III: 109% (ref range 80-135%). Sept. 25, 2021: Patient awoke with swollen lips, asymmetrical with more pronounced swelling on the Left side, with some facial swelling. Also noted swelling of left lower extremity. No hx of edema, PVD, CHF. Presented to Hospital ED for evaluation. Labs: Basic Metabolic Panel: unremarkable, within reference range. CBC with diff: WBC 5.62; RBC 4.22, HGB 13.2 HCT 40.2%, MCV 95.3 (consistent w/ patient hx). Eosinophils: 5.9% 9 (0-5%). C3 Complement: 111 mg/dL (82-185). C4 Complement: 29 mg/dL (15-53). Ultrasound Left Lower Extremity: No DVT. Etiology of symptoms remains unclear. Discharged from ED to home on 9/25/2021 with prednisone, loratadine, famotidine and EpiPen. Oct. 29, 2021: Patient has appt with allergy & immunology specialist.

Other Meds: Simvastatin; Cialis, Vitamin D

Current Illness: None

ID: 1801453
Sex: F
Age: 29
State: UT

Vax Date: 09/22/2021
Onset Date: 09/22/2021
Rec V Date: 10/20/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Vaccine error - Vaccine was administered past its beyond use date. The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.

Other Meds:

Current Illness:

ID: 1801455
Sex: M
Age: 13
State: UT

Vax Date: 09/22/2021
Onset Date: 09/22/2021
Rec V Date: 10/20/2021
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: Vaccine error - Vaccine was administered past its beyond use date. The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.

Other Meds:

Current Illness:

ID: 1801456
Sex: M
Age: 52
State: CA

Vax Date: 10/19/2021
Onset Date: 10/19/2021
Rec V Date: 10/20/2021
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: None

Allergies: No Known allergies

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

Symptoms: Patient came in for second dose of Covid vaccine. Patient was asked if second dose was Moderna. Patient exclaimed yes. He was screened. Patient was given Moderna dose. But later, nurse found out his first dose of Covid vaccine was actually Pfizer.

Other Meds: Mirtazapine, Benadryl, aripiprazole, albuterol , Seroquel, oxcarbazepine

Current Illness: Bipolar disorder, schizoaffective disorder, polysubstance dependent (chronic long standing condition)

ID: 1801457
Sex: F
Age: 94
State: MA

Vax Date: 10/11/2021
Onset Date: 10/11/2021
Rec V Date: 10/20/2021
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: Pain in extremity

Symptoms: Error: Incorrect Reconstitution-

Other Meds:

Current Illness:

ID: 1801458
Sex: M
Age: 37
State: UT

Vax Date: 09/22/2021
Onset Date: 09/22/2021
Rec V Date: 10/20/2021
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: Vaccine error - Vaccine was administered past its beyond use date. The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.

Other Meds:

Current Illness:

ID: 1801459
Sex: M
Age: 73
State:

Vax Date: 09/27/2021
Onset Date: 09/27/2021
Rec V Date: 10/20/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: received the vaccine beyond the use date.

Other Meds:

Current Illness:

ID: 1801460
Sex: F
Age: 71
State: MO

Vax Date: 03/16/2021
Onset Date: 08/01/2021
Rec V Date: 10/20/2021
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: unknown

Allergies: unknown

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

Symptoms: Symptom onset was 8-02-2021. Symptoms include cough. Case was diagnosed with COVID-19 pneumonia and was admitted to Hospital on 8-2-21 through 8-5-2021. She first tested positive with an antigen test for Covid-19 on 8-1-2021 at an urgent care. She tested positive with a PCR test on 8-2-2021 at Hospital. Case did not provide more information.

Other Meds: unknown

Current Illness: unknown

Date Died: 08/25/2021

ID: 1801461
Sex: M
Age: 76
State:

Vax Date: 03/22/2021
Onset Date: 08/21/2021
Rec V Date: 10/20/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: pt brought to hospital via EMS due to generalized weakness that has increased over past 3 days; fell this morning at home due to weakness; fever; placed on O2 via NC; positive for COVID; O2 requirements increased; pt taken for a CT Scan and while in the room pt coded; CPR unsuccessful; pt died in the hospital

Other Meds:

Current Illness:

ID: 1801462
Sex: M
Age: 26
State: UT

Vax Date: 09/22/2021
Onset Date: 09/22/2021
Rec V Date: 10/20/2021
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: Vaccine error - Vaccine was administered past its beyond use date. The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.

Other Meds:

Current Illness:

ID: 1801463
Sex: F
Age: 75
State: MA

Vax Date: 10/11/2021
Onset Date: 10/11/2021
Rec V Date: 10/20/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Error: Incorrect Reconstitution-

Other Meds:

Current Illness:

ID: 1801464
Sex: F
Age: 32
State: RI

Vax Date: 10/08/2021
Onset Date: 10/13/2021
Rec V Date: 10/20/2021
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: Largely unremarkable electrolytes per what ED attending told me, MR brain noncontrast unremarkable. Discharged home with outpatient neurology f/u and plan for routine EEG.

Allergies: childhood rash to amoxicillin

Symptom List: Injection site swelling, Limb discomfort

Symptoms: First generalized tonic clonic seizure the morning of 10/13 while hiking; no prior h/o seizure. Febrile to ~102F on 10/9, low grade elevated temperature ~100F overnight preceding seizure. Suspect multifactorial (on wellbutrin, so lower seizure threshold; may have had some ongoing post vaccine fever as I had an impressive immune response symptom wise that contributed, +/- mild dehydraton/physical exertion). Waiting on EEG. Wanted to report just in case, even though I recognize it may have been coincidental.

Other Meds: Wellbutrin XR 150mg daily, fluoxetine 40mg daily, Mg Oxide 400mg daily; prn ibuprofen

Current Illness: None

ID: 1801465
Sex: F
Age: 37
State: WA

Vax Date: 04/18/2021
Onset Date: 08/15/2021
Rec V Date: 10/20/2021
Hospital:

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

Lab Data: Bloodwork - my Doctor - In August 2021.

Allergies: Sulfa; Sudafed; Cephalosporin; 28 food allergies - dairy; corn; garlic are the worst; I'm allergic to a lot of fragrances and lotions.

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

Symptoms: In August, I started getting headaches and fatigue; I had disorientation and dizziness. Just feeling a little disassociation. I went to the doctor and they found that my B12 had gone all the way down. I am doing B12 injections now for that - I was going to do them once a week at most but I am having to do them every four to six days. I am going to see a specialist - a Gastroenterologist today about it. To see why I'm not absorbing B12. If he doesn't know, I'll need to see a Hematologist. Right after the vaccine, I had a sore arm and a fever, headache, chills and was tired. This was just for a couple of days. In May, I had an ear infection. I had antibiotics for that. That resolved with the antibiotics. Just a visual exam for that.

Other Meds: Lemictol; Zoloft; Iron; Probiotic; Omeprazole; Melatonin

Current Illness: No

ID: 1801466
Sex: F
Age: 59
State: UT

Vax Date: 09/22/2021
Onset Date: 09/22/2021
Rec V Date: 10/20/2021
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: Vaccine error - Vaccine was administered past its beyond use date. The vaccine had been stored in the freezer beyond the time frame recommended by the manufacturer.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am