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: 1802404
Sex: M
Age: 31
State: NY

Vax Date: 03/01/2021
Onset Date: 09/15/2021
Rec V Date: 10/20/2021
Hospital: Y

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

Lab Data: Doctors office multiple times between the date of September 22, through October 10th

Allergies: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: I have intense insomnia and internal tremors that are consistent and will not stop at all they start when I try to fall asleep, as soon as I lay down my tremors start it is all internally but prevents me from sleeping, in order to sleep I have been prescribed high dose benzos or colonzapam in order to get sleep

Other Meds: None

Current Illness: None

ID: 1802405
Sex: F
Age: 25
State: FL

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: None. If muscle pain doesnt resolve or rash comes back i will seek more invasive medical tests.

Allergies: None known

Symptom List: Anxiety, Dyspnoea

Symptoms: Severe chills, fever of 102.4, tingling/severe muscle pain, chest pain, diarrhea. 1000mg acetaminophen every 4 hours ibuprofen 800mg every 6 hours alternating. 18 hours after my first vaccination and 20 hours after my second vaccination i developed a splotchy burning rash on my arms. I treated it with benadryl cream and benadryl 50mg orally

Other Meds: Birth control Vitams c, b12, d3, zinc, biotin

Current Illness: None

ID: 1802406
Sex: F
Age: 20
State: PA

Vax Date: 10/20/2021
Onset Date: 10/20/2021
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: Citrus

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

Symptoms: Tongue swelled up, blisters on tongue

Other Meds: Buspar

Current Illness: None

ID: 1802407
Sex: M
Age: 74
State: IA

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: unknown
Dose Series: UNK
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Patient was given an expired vaccine

Other Meds:

Current Illness:

ID: 1802408
Sex: F
Age: 77
State: HI

Vax Date: 01/21/2021
Onset Date: 03/01/2021
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: 6/8/2021 Blood test confirmed reactivation of Epstein Barr virus

Allergies: Allergy to penicillin

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

Symptoms: After receiving the second dose of the Covid vaccine, I experienced symptoms of excessive fatigue, rapid heart rate, nausea, loss of appetite and lightheadedness which continued for several months.

Other Meds: none

Current Illness: none

ID: 1802409
Sex: M
Age: 21
State: CA

Vax Date: 10/18/2021
Onset Date: 10/19/2021
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: none

Allergies:

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

Symptoms: Patient received the first dose of Pfizer vaccine on 09/08/2021 and was due to get his 2nd dose of Pfizer vaccine. Patient was instead given the Moderna vaccine. Patient did not have any strong side effects other than fever on 10/19/2021 which patient recovered from on 10/20/2021 after taking Advil.

Other Meds:

Current Illness:

ID: 1802410
Sex: F
Age: 42
State: VA

Vax Date: 10/19/2021
Onset Date: 10/20/2021
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: Sulfa drugs

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Started with joint soreness and then pain, sharp shooting pains throughout body, feel sick like I have the severe flu, fever, swollen are that is red about 3 inches wide across arm at injection site, eye soreness and pressure, feeling like I'm getting a chest cold in my chest, muscle weakness

Other Meds: Vitamin d, fish oil 1000 MG, benadryl, losartin, Claritin, gnc women's daily vitamin, generic for Valtrex, biotin, melatonin

Current Illness: Diagnosed with hypertension

ID: 1802411
Sex: F
Age: 58
State: GA

Vax Date: 01/30/2021
Onset Date: 02/27/2021
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: Lab work physical therapy Gastro for endoscopy rheumatologist neurologist several visits to primary care Urgent Care sent to ER for ctscan X-rays steroid injection right shoulder

Allergies: Horseserum oxycodine peaches latex

Symptom List: Pharyngeal swelling

Symptoms: Exhaustion fatigue weight loss joints aching limit range of motion in arms especially right arm neck pain feet hurt elbows pain knee pain hand weakness anxiety depression worse headaches IBS has come back

Other Meds: Zolfolt colazapam venafalin

Current Illness: Anxiety depression

ID: 1802413
Sex: F
Age: 28
State: WA

Vax Date: 10/20/2021
Onset Date: 10/20/2021
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: None

Allergies: Busbar, Metformin

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Pt was being vaccinated for COVID-19 by facility. Pt was doing 15 min post-vaccination observation and nurse and accompanying staff was informed by mate that pt was reporting a numb tongue but did not "want to make a scene." Staff asked pt to accompany them to sit nearby where pt stated that her tip of tongue went numb, then her lips went numb, then her chin started to go numb. VS taken at 15:13 where O2 was 98-99%, HR 104-105, temp 98.4 F, BP 140/80. Pt then stated that she was having chest tightness, slight shortness of breath, and pt appeared to staff to be slightly diaphoretic. This PHN had officer contact nursing staff and contacted on-call physician Dr. to explain pt symptoms. Dr. instructed to give epinepherine, contact jail nursing staff and to call 911. Auto injector epinepherine 0.3 mg was given to pt at 1523. Pt reported feeling some ease from chest tightness and shortness of breath, although still present. Nursing staff arrived and were instructed to call 911; VS taken again at 1523: O2 99%, HR 89, RR 20, temp 98.3F, BP 120/80 and pt continued to be monitored. At 1530 pt reported throat tightness, and autoinjector of epinepherine 0.3 mg was administered for 2nd time. Pt once again reported some decrease in chest and throat tightness; VS as medics arriving: O2 100%, HR 94, RR 20; medics arrived for transported to hospital at 1532.

Other Meds: Unknown

Current Illness: None known

ID: 1802414
Sex: F
Age: 47
State: CA

Vax Date: 10/08/2021
Onset Date: 10/14/2021
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:

Allergies: NKA

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Patient received Moderna vaccination on 10/8/21. She stated that she had a rash/swelling in the injection site and rash on one side of the neck on 10/14/21. It is now subsided and done, but the rash has left some dark spots on the skin.

Other Meds: unknown

Current Illness:

ID: 1802415
Sex: M
Age: 17
State: TN

Vax Date: 10/20/2021
Onset Date: 10/20/2021
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: 10/20 blood pressure 126/80 90pulse

Allergies: grass allergy

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

Symptoms: Patient received his first Pfizer vaccine today. Patient developed blurred vision shortly after receiving the vaccine (3:14pm), Asked the patient if he would like an ice pack and he did. We activated the ice pack and he placed it on his neck. I took the patient's blood pressure at 3:20pm and it was 126/80 pulse 90. Patient was shaking the ice pack while I was taking his blood pressure. 3:23 patient said he was having some tightness in his neck. 3:24 911 was called. at 3:25 patient said he was feeling better. At 3:29 Patient's mom asked him to uncross his legs and he said they were feeling a little numb/ tingling. I kept asking the patient how he was feeling. He later said his throat was feeling tight. At 3:31pm I asked mom and then gave one dose of epi adult dose. At 3:32 the patient said he was breathing better. He said his heart was racing at 3:34pm. The EMTs arrived and took over at approximately at 3:35/3:40. The patient started looking pale and shaky. The EMT had to help the patient to the gurney. EMT took the patient to the emergency room. The patient's mom came in at 5:15pm and said her son was ok and the hospital said it was an allergic reaction and said that the hospital said the epipen saved her son. The ER sent the patient an epipen prescription to the pharmacy and she picked up the prescription. The mom asked if she could give me a hug for helping her son

Other Meds: unknown

Current Illness: foot/leg surgery just got stitches out

ID: 1802564
Sex: M
Age: 89
State: CO

Vax Date: 03/04/2021
Onset Date: 10/19/2021
Rec V Date: 10/20/2021
Hospital: Y

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: pt admit to hospital on 10/15/21 with COVID pna, that was diagnosed on 10/9/21. He had received 2 doses of Moderna vaccine (2/4/21 & 3/4/21).

Other Meds:

Current Illness:

ID: 1802565
Sex: F
Age: 71
State: WA

Vax Date: 10/13/2021
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: N/A

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

Symptoms: Patient called and stated had given her a vaccine that led to a site infection. Following vaccination, patient arm was warm to the touch and had a bump near the site. Patient described that she couldnt remember if used an alcohol swab, and she felt that the dose administration site was lower than it shouldve been. Upon watching tape, correctly administered vaccine using an alcohol swab, and injecting in the proper area. After speaking to the patient again, she said that she was not upset or trying to get anyone in trouble, she just wanted to let us know what happened so that we could investigate. She stated that Dr gave her an antibiotic for cephalexin, and she has taken 3 doses so far, and site of injection is already feeling better.

Other Meds: N/A

Current Illness: N/A

ID: 1802566
Sex: M
Age: 24
State: CA

Vax Date: 10/16/2021
Onset Date: 10/16/2021
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: patient passed out for a few seconds minutes after receiving first pfizer vaccine. paramedics were called onto scene. pt was observed until pt recovered

Other Meds:

Current Illness:

ID: 1802567
Sex: F
Age: 14
State: NY

Vax Date: 09/04/2021
Onset Date: 09/15/2021
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: None

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

Symptoms: Patient's menstrual period has been extremely painful and has had a heavy flow since she has had the vaccine.

Other Meds: None

Current Illness: None

ID: 1802568
Sex: F
Age: 36
State: AZ

Vax Date: 04/17/2021
Onset Date: 08/01/2021
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: 10-12 CBC, c reactive protein, sed rate, tsh. Sed rate is abnormally high. Other labs are within normal limits.

Allergies: Doxycycline, morphine, amoxicillin, ketorlac, adhesive tape, bee stings

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

Symptoms: Recurring low grade fevers over 1 month, easy bruising

Other Meds: Metoprolol succinate ER, Tylenol

Current Illness: None

ID: 1802569
Sex: F
Age: 64
State: MO

Vax Date: 10/13/2021
Onset Date: 10/14/2021
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: N/A

Allergies: none

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

Symptoms: Bowel movement the morning after the vaccine - about 24 hours later- was a fairly bright red - very unusual color. Wiping afterward revealed bright red blood on tissue. Did not continue to bleed and subsequent bowel movements were normal.

Other Meds: Claritin - 10 mg, Calcium Citrate - 1000 mg, Vitamin D3 - 4000 IU, Magnesium - 200 mg, Kirkland Super B-Complex, Omega-Q Omega 3 fatty acids - 530 mg & Coenzyme Q10 - 20 mg, Zinc - 23 mg & Echinacea purourea - 20 mg, Dr. formulated Probioti

Current Illness: none

ID: 1802570
Sex: F
Age: 52
State: MO

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

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

Lab Data: None

Allergies: None

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Major leg and foot cramps. Happens at least once a day or middle of the night. Never had this issue prior to vaccine.

Other Meds: Micardis HTC, Zinc, biotin, vitamin D, Fish oil, Flaxseed

Current Illness: None

ID: 1802571
Sex: F
Age: 41
State: FL

Vax Date: 09/24/2021
Onset Date: 09/24/2021
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: My primary wants me to get a hemoglobin but I had to leave on a business trip and haven?t gotten it tested yet.

Allergies: Sulfa, amoxicillin, clindamycin, yaz, solodyn, azestaline, lexapro, OCPs

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Day 1 of Dose 1: intermittent neck muscle tightening that I had never had before. It continued throughout the night. I woke up with horrible chills in the middle of the night. When I woke up Saturday morning it felt like somebody was stabbing my brain with a knife. I vomited that afternoon and slept most the day. My head was hazy and I was extremely tired for about five days after dose one. I also suffered from muscle and joint pain for a week. Day 2 Dose 2: Started having vaginal bleeding in the middle of the afternoon that continued until Tuesday. Then on Wednesday, October 20 I started having horrible muscle and joint pain in the afternoon.

Other Meds:

Current Illness: NA

ID: 1802572
Sex: F
Age: 35
State: IL

Vax Date: 10/14/2021
Onset Date: 10/15/2021
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: 10/17/2021: CT, XR, EKG, BLOOD TRANSFUSION, AND STEROIDS.

Allergies: N/A

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

Symptoms: Diagnosis: thrombocytopenia, horrible bruising and red blotchy spots everywhere on my body

Other Meds: Vitamin C Vitamin D3 Emergenc

Current Illness: Flu symptoms due to flu and Covid 1st dose vaccine on 9/21/2021. extremely dizzy and fell unconscious attempting to walk to bathroom For about 20 to 30 seconds The loud thump and my daughter callin me woke me bak up She assisted me onto the bed, subsequently went unconscious a 2nd time. Woke up to hearing my daughter screaming my name I sat under warm running water for 1 hour During which I was still very dizzy & lightheaded. Felt flu & cold symptoms for the next two days after that - complete body aches with severe back pain that radiated to my mid back (back pain maybe when I fell?), runny nose, congestion, coughing, mild fever, chills, bumps all over my body, sob, difficulty walking up/down the stairs No nausea, vomiting, diarrhea, headaches 10-14 (645pm): 2nd dose Immediately felt sore all over, chills, bumps. Friday later afternoon began to notice first bruise on my right hand palm. Within minutes my whole body was covered in horrible bruises from head to toe along with red blotchy spots. Went o hospital 845pm, told wait time would be at least 6 hrs, left and went home. Felt otherwise like a perfectly normal person falthough bruising was getting worse and spreading. No headaches, dizziness, or lightheadedness up to the point I went to ER on 10/17/2021. By Sunday, I was covered in red blotchy spots in the neck/face area. Causing great concern so I rushed to urgent care where they did blood work & urine test. Blood uncovered in urine, Provider urged me to go to ER immediately. Blood count had d

ID: 1802573
Sex: F
Age: 71
State: UT

Vax Date: 09/25/2021
Onset Date: 09/25/2021
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: Went to see Dr. on Oct 11th and was given azithromycin for 5 days for infection in left ear. Ear pain worsened on day 4 but improved on day 5 but has not gone away yet in either ear. I have never had an ear infection. I began taking Mucus relief (OTC) on the 15th and Tylenol for pain. My doctor suggested I go see an ENT but couldn't get an appointment with his referrals. I have not followed up because of work schedule.

Allergies: Morphine, Dilaudid

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

Symptoms: Not sure which flu vaccine I was given so the above could be wrong. I became very tired but could not fall into a deep sleep for two nights. It was like a twilight sleep. Beginning on the 28th I began having off and on ear pain . EAr pain continued off and on until the 9th of Oct when it became strong and mostly in left ear continuously. On the 15th Oct I began symptoms of bronchitis (disoriented, loss of balance, loss of energy, cough)

Other Meds: Amlodipine, Phentermine,Celebrex, Multi vitamin senior,Biotin, Vitamin E, 2 tbls raw vinegar in morning. Also had flu vaccine at same time as the Covid booster

Current Illness: none. Have not been sick for nearly 3 years.

ID: 1802574
Sex: M
Age: 40
State:

Vax Date: 01/01/2021
Onset Date: 06/01/2021
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: n/a

Symptom List: Unevaluable event

Symptoms: -migrating lymphadenopathy -it started on the left underarm , and in the past two months have been moving in the different areas of the body; right pectoris, groin area ,left ear, right ear . Symptoms don't improve or get worst since the start. No fever, no weight loos and no other symptoms.

Other Meds: Vitamin D 1000, Amlopidine 5mg

Current Illness: n/a

ID: 1802575
Sex: M
Age: 34
State: CA

Vax Date: 10/15/2021
Onset Date: 10/15/2021
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: Vital checked BP slightly elevated

Allergies: NKA or NKDA

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

Symptoms: Patient waited in pharmacy waiting area for approximately 2 hours. We checked on him numerous times and he reported being ok giving us the thumbs up. When patient left the pharmacy, a patron outside found him laying on the ground with his vaccination papers on his chest. He returned to the pharmacy. He reported feeling numbness in his arm and cloudy in his head. The NP checked his vitals and everything was within normal range excluding the BP being slightly elevated while sitting. We called EMS and he refused to go with them. He left after the EMS visit. I conducted a follow-up call and patient reported that he felt symptomatic for 4 to 5 hours and now he doing fine.

Other Meds: None reported by patient

Current Illness: None reported

ID: 1802576
Sex: F
Age: 73
State: WA

Vax Date: 09/30/2021
Onset Date: 10/01/2021
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: SULFA PENICILLINS

Symptom List: Injection site pain, Pain

Symptoms: Pt states her arm was red, swollen, and hot to the touch for 5 days after her booster dose. She also states she was extremely lethargic for 5-6 days following her vaccine. She states that her arm is still sore when lifted. She also states that she has been suffering extreme headaches only at night that have caused her to wake up.

Other Meds:

Current Illness:

ID: 1802577
Sex: F
Age: 35
State: NJ

Vax Date: 10/18/2021
Onset Date: 10/18/2021
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: Shellfish

Symptom List: Injection site pain, Menorrhagia

Symptoms: My OB recommenced that I receive the vaccine to ensure I protect myself and my child from the covid virus. At the time of vaccination, I was 10 weeks pregnant. Shortly after receiving the shot, I felt a numbness in my mouth and a heaviness in my throat. I immediately took a few sips of water which didn?t go down very easily then notified the nurse who called the ER staff. I was brought to the ER for observation. The numbness lasted for about an hour. I believe I was discharged an hour and a half after I had received the vaccine. Thankfully, we are feeling better after much needed rest.

Other Meds: Prenatal vitamins

Current Illness: None

ID: 1802578
Sex: F
Age: 54
State: WA

Vax Date: 09/04/2021
Onset Date: 09/06/2021
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: SYR
Vax Site: LA

Lab Data: Eke, car scans, cardio gram. Admitted for 2 days and currently recovering at hime

Allergies: Sulfa, code in, morphine

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

Symptoms: I started to feel flu like symptoms 1 day after shot which never went away and progressively got worse for 3 weeks. I exsperienced increase flushing, night see rats and fatige. During the 3rd week, I developed chest pain, shortness of breath and flushing. I was diagnosed with pericarditis as a result of getting a 3rd moderna full dose 3rd booster shot

Other Meds: Gabepentin, ibuprofen, allergy meds as needed,

Current Illness: None

ID: 1802579
Sex: F
Age: 79
State: FL

Vax Date: 09/07/2021
Onset Date: 09/20/2021
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: Ciprofloxacin

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Rash on side of abdomen, consistent with herpes zoster. Treated with valacyclovir and resolved after 2 weeks.

Other Meds: ? acetaminophen (TYLENOL) 500 MG tablet Take 500 mg by mouth every 6 (six) hours as needed for pain (specific location in comments). ? celecoxib (CELEBREX) 100 MG capsule Take 1 capsule (100 mg total) by mouth 2 (two) times a day as needed

Current Illness: Basal cell carcinoma of skin Lung cancer

ID: 1802580
Sex: M
Age: 38
State: CO

Vax Date: 10/18/2021
Onset Date: 10/18/2021
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:

Allergies: None.

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Started running a fever over 100.4 within 7 hours of the receiving the vaccination. Fevers ended within 24 hours. Right arm at injection is still sore 2 days later.

Other Meds: None.

Current Illness: None.

ID: 1802581
Sex: F
Age: 47
State: NY

Vax Date: 09/30/2021
Onset Date: 10/14/2021
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: No

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

Symptoms: Unexpected menstruation- menstruated twice in course of a 2 week period.

Other Meds: Effexor

Current Illness: No

ID: 1802582
Sex: F
Age: 78
State: WA

Vax Date: 10/12/2021
Onset Date: 10/13/2021
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: nkda

Symptom List: Nausea

Symptoms: Pt reported rash on her left left arm within 24 hours of Fluzone HD administration (10/12). She took one dose of cetirizine for some improvement, but presented at pharmacy 10/14 with distinct erythematous patches on her left arm, near and below injection site. No reports of itching or pain. No chest tightness or wheezing according to patient. I encouraged her to monitor and continue cetirizine daily and I would follow up with her on the weekend. Left a message with her on Sunday to follow-up, she returned phone call today, 10/20/21. Redness is still there, but looks better than onset. She mentioned she had a non-related PCP visit earlier this week, and PCP was not concerned.

Other Meds: Lisinopril, apap/codeine, rabeprazole

Current Illness: n/a

ID: 1802583
Sex: M
Age: 56
State: CA

Vax Date: 04/08/2021
Onset Date: 04/09/2021
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: Labs, Xrays, CT

Allergies: Raw and Sun Dried Tomatoes

Symptom List: Injection site pain

Symptoms: Severe fatigue , headache, chest / heart discomfort and blood pressure issues. my body still feels fatigue to this day. Was in ER twice within two weeks, didn't feel well for over a month, still not feeling like myself.

Other Meds: Baby Aspirin ,

Current Illness: Spinal Pains from several fusions. But after Vaccine I was in ER several times blood pressure, heart, severe pains over all body. I still don't feel well

ID: 1802584
Sex: F
Age: 29
State: NJ

Vax Date: 08/10/2021
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: Hearing tests performed 9/28 & 10/11 both normal second with low frequency hearing loss considered normal

Allergies: Peanuts,penicillin, seasonal allergies

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

Symptoms: JANSSEN COVID-19 Vaccine EUA - I started to experience tinnitus on day 5 after being fully vaccinated. ( I noticed a persistent ringing in my ear since Sept 8th) I reached out to my primary care doctor who suggested I try Flonase for a week, I did and this unfortunately did not help. I went to an ENT specialist who noted that she had been seeing more patients come i. Describing tinnitus recently after the vaccines had been rolled out and she prescribed me a steroid (methyl prednisone) to take to clear up any fluid behind my ear, I took this and this also did not help, I have seen another specialist who told me the common denominator in females my age who have had Covid in the past, and were vaccinated, that the common denominator was a history of migraines. He had given me a list of foods as well as alcohol to avoid which I have for a week and I am still experiencing the tinnitus now for 6 weeks straight.

Other Meds: Nuvaring (generic), papaya enzyme, vitamin B12, Vitamin D

Current Illness: None

ID: 1802585
Sex: M
Age: 21
State: KS

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: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: NKDA

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

Symptoms: Patient after receiving vaccine had a moment of passing out and felt dizzy and disorientated. Patient felt tingly and shaky. EMS was called and patient recovered over a period of time. EMS measured blood pressure and found patient to have normal BP and pulse. Patient was accompanied by mother and was 'normal' on departure from pharmacy

Other Meds: Patient reports no drug/medication use

Current Illness: None reported

ID: 1802586
Sex: F
Age: 21
State: NV

Vax Date: 10/18/2021
Onset Date: 10/18/2021
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: None

Symptom List: Tremor

Symptoms: Supraclavicular lymph nodes swollen to marble sized and painful to the touch: started after 1st shot, more painful and enlarged after 2nd shot; continuing for multiple days after each Muscle and joint pain: after 1st shot, continuing to 2nd shot and for days after the 2nd shot Extreme sleepiness: 8 hours after 2nd shot Headaches: starting the day after the 2nd shot, continuing days later

Other Meds: None

Current Illness: None

ID: 1802587
Sex: F
Age: 36
State: WA

Vax Date: 08/21/2021
Onset Date: 08/21/2021
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: Lactose, avocado, motion sickness patch, Cortisone shot

Symptom List: Erythema, Pruritus

Symptoms: Tiredness chills vomiting lymph node pain and swelling swelling of the shot area with pain muscle pain lightheadedness nausea headache joint pain itching feeling unwell decreased appetite All went away within a couple weeks by themselves. a month later vaginal spotting that resolved after about a week. two weeks after neuropathy of the right big toe that has not gone away

Other Meds: Hormone patch, progesterone, iron, vitamin c, vitamin d3, multi vitamin, meloxicam

Current Illness:

ID: 1802748
Sex: M
Age: 48
State: MO

Vax Date: 09/21/2021
Onset Date: 09/30/2021
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: N/A

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

Symptoms: Muscle fatigue, tightness of chest, shortness of breath and body tremors

Other Meds: N/A

Current Illness: N/A

ID: 1802749
Sex: F
Age: 38
State: VA

Vax Date: 04/14/2021
Onset Date: 06/22/2021
Rec V Date: 10/20/2021
Hospital:

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

Lab Data: MRI, lumbar puncture, blood work

Allergies: None

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

Symptoms: Transverse Myelitis, steroids

Other Meds: Levothyroxine

Current Illness: None

ID: 1802750
Sex: F
Age: 33
State: IL

Vax Date: 09/17/2021
Onset Date: 10/09/2021
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

Allergies: None

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Tinnitus 3 weeks after vaccination of first dose; constant; still present at this time.

Other Meds: None

Current Illness: None

ID: 1802752
Sex: F
Age: 32
State: PA

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

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

Lab Data: THE CT OF MY BRAIN DONE ON 10/8/21 REVEAED A PARTIAL EMPTY SELLA, A 7MM ETHMOID OSTEOMA, EROSION, AND A PSEUDOTUMOR CEREBRI. THE LABS DONE ON 10/8/21 WERE NORMAL AND THE ULTRA SOUND OF THE BACK OF MY BACK AND NECK DONE 10/19/21 WAS NORMAL.

Allergies: PCN, Sulfa

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

Symptoms: I received the first vaccine and had a very sore arm and became very fatigued for the rest of the day that I received the vaccine and a headache. They were the only symptoms with the first dose. After the second dose, within several hours, I became extremely ill with severe muscle aches, pain, pounding headache all over my head and neck, sweating and chills, nausea, and fatigue so severe that I was unable to stand up. I also experience a low grade fever with sweating and chills. I had severe muscle weakness and all of these symptoms lasted about a week. As the weeks went by since the second dose, I started noticing severe and worsening fatigue, pounding headaches, dizziness, weak muscles, pain in my muscles and joints, sweating and chills, and nausea. A few more weeks later and into the month or so after the second dose the headaches became worse and I now was experiencing vision issues with worsening headaches, blurred vision, heart palpitations, almost passing out, nausea, more fatigue, and worse headaches requiring more and more need to take Advil, Tylenol and to lay down for hours and sometimes days due to blasting headaches and head pressure. I had missed some work and I finally became worse and I contacted my doctor who took me in under the urgent appointment to be seen by the NP in Dr. local office (my pcp). She ordered a CT of brain, Ultra Sound of a lump on the back o my neck and the back of my neck and labs. Which I did immediately except for the ultra sound was scheduled a week or so later.

Other Meds: Synthroid 112mcg's daily, Proair pro, Advil, Tylenol for the symptoms after the vaccine.

Current Illness: Asthma, Hypothyroidism, Morphea, Lichens Sclerosis Et Atrophicus, Vitiligo

ID: 1802754
Sex: F
Age: 31
State: FL

Vax Date: 10/11/2021
Onset Date: 10/11/2021
Rec V Date: 10/21/2021
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: October 17, 2021 Blood tests CT scan Ultrasound

Allergies:

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

Symptoms: Enteritis which is inflammation of the small intestine, transaminitis having high liver enzymes, vaso vagal episode, chest pains.

Other Meds:

Current Illness:

ID: 1802755
Sex: M
Age: 39
State: AK

Vax Date: 09/14/2021
Onset Date: 09/27/2021
Rec V Date: 10/21/2021
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: Keflex, Penicilin

Symptom List: Pain in extremity

Symptoms: 1. 27 Sep, ~0830. I was driving by myself in town. I had nothing but water to drink that day. I went to a coffee shop to get a cup of coffee. I got in the car and the inside of my lip started feeling odd. Like there was something on the inside of it. I realized about 15 minutes later that my lip was actually swelling. It was very swollen, very obvious to others. As if I had gotten in a fight. it subsided around 1100. The swelling was almost completely gone by early afternoon. 2. 3 Oct, ~1800. I was standing in the kitchen. I had poured a glass of wine. I was doing the dishes and prepping for the next morning, kid lunches, etc. I noticed my upper lip was swelling. It wasn?t as bad as it was the first time, but it was noticeable. My wife could clearly see it was swollen. It subsided completely within an hour or two. 3. 5 Oct, ~1530. I dropped the kids off at the gym. They were changing and I was talking to the owner. I noticed the left side of my face felt odd. My face was swelling. I even made a comment to employee, who I was talking to. I went in to the bathroom to look in the mirror. I couldn?t tell that it was swollen like the other times, but it was clearly not normal as I felt it internally. Then the left side of my face started to go numb. It was numb for approximately 2-3 hours. I felt really off the rest of the day, just not normal. 4. 14 Oct. 1000. Lower lip started swelling. Not as bad as previously but noticeable. My mom noticed it too. Remained in a swollen state for approximately 3 hours. Then subsided. 5. 16 Oct. 1000. Got coffee. Went to play soccer. Lower lip started feeling weird. Swelling and numbness on the left side of my lower lip and a little bit into the facial area. Small red dots noticed around the lower lip area that night. 6. 17 Oct. 1750. At home. Center upper lip swelling. Just the center portion. Numb. Feels like I got hit in the mouth. Or, More accurately, like I just got a novocaine shot in my lip. Began returning to normal around 830pm. Some red dots on lower left lip still noticeable.

Other Meds: None

Current Illness: None

ID: 1802756
Sex: F
Age: 48
State: NY

Vax Date: 10/17/2021
Onset Date: 10/21/2021
Rec V Date: 10/21/2021
Hospital:

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

Lab Data: NONE DONE

Allergies: NO

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

Symptoms: THREE DAYS AFTER RECEIVING THE SECOND DOSE OF THE VACCINE, I WOKE UP WITH SEVERE HIVES ON MY INNER THIGHS, BOTH LEGS, MY FOREARM, THE BACK OF MY HANDS, FINGERS AND WRIST. THE SWELLING CONTINUED AND I NOW HAVE HIVES ALL OVER MY ENTIRE BODY. I ALSO EXPERIENCED SEVER LOWER, RIGHTSIDE ABDOMINAL PAIN, AS WELL AS SEVERE LOWER BACK PAIN. I WAS TREATED IN THE ER, PRESCRIBED A CORTOSONE CREAM AND WAS GIVEN A BENADRYL. MY SYMPTOMS CONTINUED, THE WELTS ON MY BODY ARE VERY PAINFUL AND I CURRENTLY, I AN UNABLE TO MAKE A FIST WITH MY RIGHT HAND, DUE TO THE SWELLING.

Other Meds: NO

Current Illness: NONE

ID: 1802757
Sex: F
Age: 47
State: FL

Vax Date: 10/05/2021
Onset Date: 10/05/2021
Rec V Date: 10/21/2021
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: Rocephin, omnicef, azithromycin, bacitracin Sheep products, mushrooms Fire ant stings, wasp stings, some surgical tape

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

Symptoms: Within a few hours, began to develop red, itchy, hot, swollen, tender rash at injection site. Swelling and redness increased over the next few days, with maximum size 3 inch diameter on 10/8/2021. I recognized it as an allergic reaction on the first day and took Benadryl 25mg twice daily and style 500mg to treat. On 10/7/2021 I contacted my primary care Dr. whose office provided the shot. Dr. instructed me to ice it, and continue to take Benadryl 25mg twice daily and take Tylenol as needed which I did. I also spoke with my allergist, Dr. by phone. Dr. office instructed me to use my allergy steroid cream triamcinolone 0.05% topically in addition to the Benadryl and Tylenol. The rash and pain persisted for several more days but improved and was pretty much gone by a week later.

Other Meds: Propranolol 10mg once daily Levothyroxine 100mcg once daily Singulair 10mg once daily Zyrtec 10mg once daily Coumadin 10- 12.5mg once daily Plaquenil 200mg twice daily Omeprazole 40mg once daily Pepcid once daily Guaifenesin 400mg twice d

Current Illness: See below

ID: 1802758
Sex: F
Age: 37
State: CO

Vax Date: 10/18/2021
Onset Date: 10/19/2021
Rec V Date: 10/21/2021
Hospital:

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

Lab Data: N/A

Allergies: Mollusk allergy (octopus, squid, snails)

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

Symptoms: Headache, joint pain, nausea, mild fever, moderate to severe pain in lymph nodes on right side of body, including underarm into breast, clavicle, and down right side of ribs, right side of groin, right side of upper back, and right arm down to wrist area. Underarm/clavicle lymph node pain is most severe.

Other Meds:

Current Illness: None

ID: 1802759
Sex: F
Age: 38
State: OR

Vax Date: 08/31/2021
Onset Date: 08/31/2021
Rec V Date: 10/21/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, kiwi

Symptom List: Vomiting

Symptoms: Splitting headache that I still get intermittently today; the headaches are not as frequent now but lasted 5 weeks straight. Severe joint pain and throbbing that lasted 1 day. Sensitive/prickly/painful skin/nerve pain that lasted 2 days. Injection site pain and stiffness that lasted 3 days. A week after 1st dose, I experienced lymph node pain in arm pit that lasted a week. I also experienced flu-like symptoms and body aches, as well as severe mouth/tooth pain a week after 1st dose that lasted a day. About 12 days after 1st injection, I experienced left side ovary pain and spotting for over a week.

Other Meds: Viorele, Vitamin D, Spironolactone

Current Illness: n/a

ID: 1802760
Sex: F
Age: 17
State: SC

Vax Date: 10/14/2021
Onset Date: 10/14/2021
Rec V Date: 10/21/2021
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: COVID19 Vaccine Clinic appointment only. CDC screening form completed. No allergies indicated on form that was questioned for.

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Vaccine Error. Patient only 17 and not eligible for Moderna vaccine. No know adverse outcomes at this time. Vaccine error discovered by auditor at the end of the day at 5pm. Notified CMO. Attempts began to contact patient of vaccine error. Please advise if patient should get Moderna or Pfizer as 2nd vaccine.

Other Meds: COVID19 Vaccine Clinic appointment only. CDC screening form completed. No medication indicated on form that was questioned for.

Current Illness: COVID19 Vaccine Clinic appointment only. CDC screening form completed. No illnesses indicated on form that was questioned for.

ID: 1802761
Sex: F
Age: 55
State: CA

Vax Date: 04/15/2021
Onset Date: 05/15/2021
Rec V Date: 10/21/2021
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: MRI (June 18, 2021) and MRA (July 17, 2021) found brain aneurysm (unrelated to both dizzy spells and vaccine). EKG (Sept 16, 2021) was normal. Blood work done (Sept. 17, 2021) found ferritin levels to be 17ng/ml. Severe iron deficiency. Red blood cell morphology found Anisocytosis 1+, Hypochromia 1+, Microcytes 1+, Ovalocytes, bld ql, micro 1+, PLTs, bld ql, man Confirmed and Polychromasia 1+. In my life, I have NEVER had low iron. I've been turned away from blood donation for it being too high. I've never experienced low iron. Echocardiogram (Oct. 5, 2021) normal. MRI (Oct 6, 2021) showed no changes from prior MRI and MRA. Colonoscopy and Endoscopy scheduled for Oct. 25. I'm not a doctor, but I have spent a lot of time looking up what all these things mean.

Allergies: none

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

Symptoms: Symptoms began in mid-May. Aphasia, swollen lymph nodes in neck and right foot, severe lethargy (noticed and commented on by family and co-workers). Mammogram (routine) in August shows swollen lymph nodes in upper right chest area. September 2021 brief intermittent dizzy spells, with jolts down arms - near constant some days, other days no spells.

Other Meds: Pantoprazole, Atorvastatin, Losartan, Fluoxetine

Current Illness: none

ID: 1802762
Sex: F
Age: 38
State: OR

Vax Date: 09/29/2021
Onset Date: 09/29/2021
Rec V Date: 10/21/2021
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: Penicillin, kiwi

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Painful injection site, body aches and slight headache began 3.5 hours after 2nd dose and an hour following these side effects, I had cramping in fingers and toes. The next morning I woke up with body and muscle aches, fever of 101 degrees, splitting headache, cramping throughout body, sore and swollen injection site, body sweats, swollen lymph node in left arm pit and back/rib pain. This lasted 3 days and I sweat profusely on and off the entire time. By day 4 post injection, fever was gone but felt exhausted after short amount of time after walking. Five days post 2nd dose, I started experiencing shortness of breath while climbing stairs and walking short distances. I had pain in my lungs when breathing. Two weeks post 2nd dose, I started to have less shortness of breath, could walk farther distances, but any incline made it harder to breath. Three weeks post 2nd dose, I am back to exercising moderately, which I hadn't been able to do since 1st dose. Climbing stairs can still be difficult. Spotting has been happening since a few days post 2nd dose and still continues.

Other Meds: Viorele, Vitamin D, Spironolactone

Current Illness: n/a

Date Died: 10/13/2021

ID: 1802763
Sex: M
Age: 78
State: CA

Vax Date: 02/06/2021
Onset Date: 03/29/2021
Rec V Date: 10/21/2021
Hospital:

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

Lab Data: CT scans, and biopsy's

Allergies: Sulfa

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

Symptoms: The patient had tumors growing in her mouth which was diagnosed as squamous cell cancer in May 2021. Patient had surgery May 17, 2021, they removed the tumor, took a graph from her leg and bone from the leg to reconstruct the jaw. By July 6, 2021, the tumor had grown back and was the size of an almond. Patient had chemo on 8/30/2021, became septic and was back in the hospital. Patient went home one week later, by this time the doctors said she was no longer a candidate for surgery and she had 2 tumors that broke out of the skin on her left side of her face. The tumors were 7 inches by 4 inches by 2.5 inches

Other Meds: Graviola, Losartan, Anastrazole, Nortriptyline, Prilosec, Thyroid, Docusate

Current Illness: None

ID: 1802765
Sex: F
Age: 37
State: AZ

Vax Date: 10/18/2021
Onset Date: 10/20/2021
Rec V Date: 10/21/2021
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: Codeine, percocet

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

Symptoms: Woke up on 10/20 with swollen and painful axillary glands which started to get worse and seem to become symptomatic in the throat glands as the day progressed. Just before 10pm on the evening of 10/20 (2 days post-booster) I started feeling prickly and noticed a full body rash all over my arms, back, and torso. As it is now after 10pm I've taken some Benadryl and will hope it passes.

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am