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: 1804801
Sex: F
Age: 68
State:

Vax Date: 10/21/2021
Onset Date: 10/21/1921
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: LA

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: After the 15 minutes patient reports left arm tingling and burning. Patient reports tingling down to her fingers. Patient reports arm feels weaker. Took patient's blood pressure and it was 132/70 with pulse of 68. Patient was examined by LBST. Having patient stay a couple more minutes. Patient stayed for another couple minutes- patient reports arm feeling better- Symptoms resolved.

Other Meds:

Current Illness:

ID: 1804802
Sex: M
Age: 34
State: IA

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

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

Lab Data: Patient went to doctor today (10/21/21) and was given Cyclobenzaprine 10mg TID PRN to help with the leg pain/ muscle spasms.

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Patient reports persistent leg pain/ muscle spasm in left leg that started 2 hours after vaccination.

Other Meds:

Current Illness:

ID: 1804804
Sex: F
Age: 74
State: MD

Vax Date: 04/16/2021
Onset Date: 08/01/2021
Rec V Date: 10/21/2021
Hospital: Y

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

Lab Data: Several.

Allergies:

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

Symptoms: Blood clot in lungs and low oxygen levels. Had to stay in hospital for 10 days.

Other Meds:

Current Illness:

ID: 1804805
Sex: M
Age: 78
State: CA

Vax Date: 12/16/2020
Onset Date: 09/09/2021
Rec V Date: 10/21/2021
Hospital: Y

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

Lab Data: MRI, CT scan, biopsy, and resection. All positive for adenocarcinoma of pancreas

Allergies: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Pancreatic carcinoma

Other Meds: Multivitamins

Current Illness: None

ID: 1804806
Sex: F
Age: 55
State: NY

Vax Date: 01/12/2021
Onset Date: 01/13/2021
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: Halter monitor eccocardigram

Allergies: mild local allergy to adhesives

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

Symptoms: I developed what I call skipped beat feeling in my heart or ireegular beats. Dr confirmed with halter monitor there were premature atrial contractions(PAC) and premature ventricular contractions. (PVC)

Other Meds: Amitriptyline 10mg 1x/day, VitD, Daily vitamin

Current Illness:

ID: 1804808
Sex: M
Age: 59
State:

Vax Date: 04/29/2021
Onset Date: 10/18/2021
Rec V Date: 10/21/2021
Hospital: Y

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

Lab Data:

Allergies:

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

Symptoms: Admitted to Hospital on Date of Adverse Event [recorded in VAERS] for treatment of Covid-19 Positive following completion of Covid Vaccine Series

Other Meds:

Current Illness:

Date Died: 04/24/2021

ID: 1804809
Sex: M
Age: 42
State: SD

Vax Date: 04/02/2021
Onset Date: 04/24/2021
Rec V Date: 10/21/2021
Hospital:

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

Lab Data: PCR positive COVID-19 test despite being fully vaccinated (breakthrough case)

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: This is a breakthrough case who died, but the causality is not clear. There are unusual circumstances, in that the positive test was done post-mortem since the patient was an organ donor, thus the delay in identifying this as a breakthrough case. The patient was vaccinated on 04/02/2021. On 04/24/2021, he suffered a presumed cardiac arrest while exercising at home, and he subsequently passed away on the same day. Per policy, the organ/tissue donation facility ran a routine COVID-19 test on a sample taken on 04/25/2021 which came back PCR-positive on 04/27/2021. Per follow-up with the surviving spouse, the patient had been experiencing fatigue in the week prior to death, but no other possible COVID-19 symptoms that they were aware of. The case had also previously been COVID-19 positive in October 2020.

Other Meds:

Current Illness:

ID: 1804810
Sex: F
Age: 67
State: MT

Vax Date: 10/19/2021
Onset Date: 10/20/2021
Rec V Date: 10/21/2021
Hospital:

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

Lab Data: none

Allergies: Penacylin

Symptom List: Pharyngeal swelling

Symptoms: Fever, body ache, head ache

Other Meds: Vitamin D, zinc, tumeric cummerin.

Current Illness: None

ID: 1804811
Sex: M
Age: 61
State: IL

Vax Date: 05/05/2021
Onset Date: 05/06/2021
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: Unknown.

Allergies: NKDA

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Patient received 2nd dose of Moderna covid vaccine on 05/05/2021. He reports that he felt weak the day after this 2nd dose. Patient states that within a week after the 2nd dose both of his shoulders' muscles got to pain level of 8-9 on a pain scale of 1-10. He states he could not do anything or lift his shoulders. He states that he did have a pre-existing rotator cuff injury, but had never experienced pain like this before and that it was very debilitating. He states he went months in pain and the pain has now subsided to a 3 on a pain scale 1-10. He reports that he is not able to do push-ups. Patient contacted pharmacy 10/21/2021 and reported his adverse effects.

Other Meds: Unknown

Current Illness: Pre-existing rotator cuff injury

ID: 1804813
Sex: F
Age: 80
State: OR

Vax Date: 03/13/2021
Onset Date: 03/14/2021
Rec V Date: 10/21/2021
Hospital:

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

Lab Data: Physical examination of upper extremities 08/31/21

Allergies: Paxil, Zoloft, Aspirin, Ibuprofen, Lipitor, WelChol, Latex, Pravastatin Sodium, Zetia

Symptom List: Diarrhoea, Nasal congestion

Symptoms: The patient has had persistent right shoulder pain which is worsened by activity since receiving her COVID-19 vaccination in March 2021. On exam, moderate right glenohumeral and exquisite subacromial tenderness was noted which is suggestive of subacromial bursitis. It is possible that this is a Shoulder Injury Related to Vaccine Administration (SIRVA). The patient is unable to tolerate NSAIDs, so will treat topically with Voltaren gel.

Other Meds: Synthroid, Norco, Vitamin B-12, Docusate, Glucosamine, Ginger Root

Current Illness: None

ID: 1804814
Sex: F
Age: 41
State: MO

Vax Date: 10/17/2021
Onset Date: 10/19/2021
Rec V Date: 10/21/2021
Hospital:

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

Lab Data: None

Allergies: Cefdinir Augmentin Decongestants

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

Symptoms: My doctor had me start Allegra several days before reviving the injection and then continue taking it for up to 2 weeks after injection.. I was instructed to take Benedryl 2 hours before the injection and continue every 6 hours for a 24 hour period. The pharmacist suggested ibuprofen for inflammation, so I took that as needed. Continued Allegra as instructed. When I woke up on Tuesday, October 19th, the itchy hives rash was observed on my neck, chest, stomach, back, arms, thighs and pelvic area. Benedryl was started again. Hydrocortisone was used as needed. Thursday, October 21st- rash is practically gone. But still itchy. Hydrocortisone used as needed.

Other Meds: Benedryl

Current Illness: None

ID: 1804815
Sex: M
Age: 41
State: CA

Vax Date: 04/19/2021
Onset Date: 10/19/2021
Rec V Date: 10/21/2021
Hospital:

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

Lab Data: Brain scans MRI's spec scans shows abnormal function in the brain I've been diagnosed with inflammatory disease after vaccination

Allergies: gluten

Symptom List: Rash, Urticaria

Symptoms: brain fog , neuropathy , slurred speech, drooping eye, mouth and leg involuntary movements memory issues nerve pain in the face burning tingling stabbing feeling fatigue and body jerks as well as brain pressure

Other Meds: none

Current Illness: asthma joint issues

ID: 1804816
Sex: M
Age: 68
State:

Vax Date: 04/28/2021
Onset Date: 10/18/2021
Rec V Date: 10/21/2021
Hospital: Y

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

Lab Data:

Allergies:

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

Symptoms: Admitted to hospital on date of adverse event for treatment of COVID-19 positive following completion of COVID-19 vaccine series.

Other Meds:

Current Illness:

ID: 1804817
Sex: M
Age: 31
State: CA

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: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data: N/A

Allergies:

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

Symptoms: Patient c/o dizziness at 1:12pm. He was laid down in a supine position. Encouraged slow deep breaths, elevated his legs. BP=140/82, HR=112, RR=20. Offered apple juice, candy, and water. @1:20pm, BP=144/84, HR=82, RR=16. Patient denies feeling dizzy any more. Patient was d/c at 1:28pm with no trauma or falls while on site.

Other Meds:

Current Illness:

ID: 1804818
Sex: F
Age: 49
State: IL

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

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

Lab Data: None.

Allergies: Penecillin

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

Symptoms: Mouth sores: first one (upper left side of cheek inside mouth) appeared about 3 hours after shot. Second one (inner & outer upper lip on right side) appeared about 36 hours after shot. Third & fourth (one in back of throat & one on right side of tongue) appeared 2 days after shot.

Other Meds: Trazodone, Lorazepam, Bystolic, Rosuvastatin, Hydroxyzine, Buspirone, Spironolactone, Melatonin

Current Illness: Parathyroid surgery Sept, 9, 2021; was on Doxycycline for one week after that (Sept.15).

Date Died: 08/31/2021

ID: 1804819
Sex: M
Age: 88
State:

Vax Date: 02/23/2021
Onset Date: 08/16/2021
Rec V Date: 10/21/2021
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:

Allergies:

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

Symptoms: pt admitted to hospital with c/o abdominal pain; pt has dementia and failure to thrive due to inadequate home care; COVID positive; pt's condition worsened and he was placed on comfort care; pt expired in the hospital

Other Meds:

Current Illness:

ID: 1804820
Sex: F
Age: 67
State: GA

Vax Date: 10/01/2021
Onset Date: 10/21/2021
Rec V Date: 10/21/2021
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: None

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

Symptoms: None stated.

Other Meds: Antibiotics

Current Illness: Ear infection

ID: 1804821
Sex: M
Age: 67
State: FL

Vax Date: 03/22/2021
Onset Date: 07/14/2021
Rec V Date: 10/21/2021
Hospital:

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

Lab Data: Had lab work done yesterday. Doctor did many tests and all came back negative. Wanted to make sure it wasn't my heart, diabetes, etc.

Allergies: N/A

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Prior to my shots, I was very healthy for several years now. Around July 16, 2021 I came down with Shingles. Lasted for weeks, Very, very painful. Ended up on two meds; one that started with gab and the other with a P. Sorry don't remember the actual names but prescribed by my doctor. Later on I had soreness in my gums on the bottom side of a bridge I had put in years ago. Hurt like heck. Then I noticed my one toe on my left foot the nail turned completely black. Didn't hurt but where did that come from? Eventually as it grew out I was able to rip pieces of it off and now it is almost gone, but under the nail is now a hard scabby area. Also similar on my right foot and the same toe. Most recently I ended up with my right leg hurting as if I sprained it. Couldn't straighten it out all the way. Hurt when I walked and bent it. Pain was on the bottom side of my top part of the leg and in my calf area. Hurt like hell. Eventually my lower right leg began to swell up. Became real concerned that I was having a blood clot. So soaked in hot water with Epson salt, took Tylenol, and some inflamation meds from a friend. Took awhile but eventually the swelling went down. I was out of town for over three months but made a doctor appointment for when I got home on the 12th of October. As stated above had all kinds of blood work done and all came back negative. Today while walking my dog, I noticed some blurred vision in my left eye. I am 67 years old and know my body. This is not normal nor will I accept I am just getting old. I was in good health prior to the vaccine. I swear I had infection in my whole body and it just moved from one area to the other. Plus I truly believe the vaccine lowered my immune system to fight things.

Other Meds: Metoprolol SU ER, Entresto, Aspirin, Multi Vitamin, Fish Oil, Clopidogrel, Rosuvastatin, Ezetimibe, Pantoprazole, Citalopram.

Current Illness: N/A

ID: 1804822
Sex: M
Age: 38
State: PA

Vax Date: 04/12/2021
Onset Date: 04/21/2021
Rec V Date: 10/21/2021
Hospital:

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

Lab Data: I went to the emergency room after a telehealth call suggested I did. Assessment did not find any concern. I went on April 21 2021 I believe.

Allergies: n/a

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: a few red dots on left arm, and on torso. Showed up about 10 days in. Still there as of today.

Other Meds: vitamin c and d omegas zinc esomeprazole

Current Illness: n/a

ID: 1804823
Sex: F
Age: 52
State: CO

Vax Date: 09/28/2021
Onset Date: 09/28/2021
Rec V Date: 10/21/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Received booster dose of Pfizer vaccine and immediately felt reaction in right arm. Arm and painful to touch. Rash developed within 1 day. Symptoms resolving over last 3 weeks.

Other Meds:

Current Illness:

ID: 1804824
Sex: F
Age: 45
State: CA

Vax Date: 10/19/2021
Onset Date: 10/20/2021
Rec V Date: 10/21/2021
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: no

Allergies: no

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

Symptoms: Woke up itching and had hives all over her face and arms. They go away and come back all over her body.

Other Meds: antenolol

Current Illness: no

ID: 1804825
Sex: F
Age: 56
State: FL

Vax Date: 08/20/2021
Onset Date: 08/28/2021
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: September 6, 2021. Once I arrived to HCF they checked my vital, did a throat culture and covid-19 test and they both came back negative. October 11, 2021. At my appointment Dr. took samples of my throat and nose and put a scope down my throat

Allergies: Sulfa drugs; Maxzide

Symptom List: Unevaluable event

Symptoms: On August the 27, 2021, I have a really bad bloody nose and on August the 28, 2021, I blew a big blood clot out of my nose and ever since then my voice has been raspy and a little deeper than normal and feels like I am about to get laryngitis sometimes. I called a local HCF and asked if they were doing covid-19 test and they said yes so I went on September 6, 2021. Once I arrived to HCF they checked my vital, did a throat culture and covid-19 test and they both came back negative. On September 28, 2021 I went to see my PCP and she referred me to an ENT doctor. My appointment with the ENT doctor was October 11, 2021. At my appointment Dr. took samples of my throat and nose and put a scope down my throat. He found irritation in my throat and it ruled as post-nasal drip. I have follow-up scheduled for November 1, 2021, with the ENT doctor.

Other Meds: Levoxyl; sertraline; Savella; quinapril; Singulair; famotidine; metoprolol succinate; Tylenol; Zyrtec; nasal spray; inhaler Flovent; Centrum silver 50 and over vitamins; Ocuvite; turmeric.

Current Illness: None

Date Died: 09/27/2021

ID: 1804826
Sex: F
Age: 60
State: SD

Vax Date: 03/10/2021
Onset Date: 09/08/2021
Rec V Date: 10/21/2021
Hospital: Y

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

Lab Data: Positive COVID-19 test on 09/09/2021 despite being fully vaccinated.

Allergies:

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

Symptoms: This is an instance of breakthrough disease that resulted in death. Death Certificate details are as follows: Part I Cause of Death A: Acute Respiratory Failure B: Adult Respiratory Distress Syndrome C: COVID 19 Pneumonia Part II Other Significant Conditions: Acute Kidney Failure, Sepsis, Encephalopathy, Atrial Fibrillation, Coronary Artery Disease The patient was admitted to the hospital on 09/08/2021. It is unknown if they were having symptoms, but the patient did receive diagnoses of both pneumonia and ARDS so it seems that respiratory symptoms were likely.

Other Meds:

Current Illness:

ID: 1804827
Sex: M
Age: 36
State:

Vax Date: 04/22/2021
Onset Date: 05/02/2021
Rec V Date: 10/21/2021
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: regular, repeating prolonged bouts of fatigue, difficulty breathing, loss of appetite, respiratory infection and cold-like symptoms

Other Meds:

Current Illness:

ID: 1804829
Sex: F
Age: 59
State:

Vax Date: 06/14/2021
Onset Date: 10/19/2021
Rec V Date: 10/21/2021
Hospital: Y

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: Injection site pain, Menorrhagia

Symptoms: Admitted to Hospital on Date of Adverse Event [recorded in VAERS] for treatment of Covid-19 Positive following completion of Covid Vaccine Series

Other Meds:

Current Illness:

ID: 1804830
Sex: M
Age: 75
State:

Vax Date: 10/01/2021
Onset Date: 10/02/2021
Rec V Date: 10/21/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Muscle soreness first at injection site and then spread up upper arm. Soreness still at three weeks post injection. Treated with tylenol

Other Meds:

Current Illness:

ID: 1804831
Sex: F
Age: 45
State: HI

Vax Date: 10/05/2021
Onset Date: 10/05/2021
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: LA

Lab Data: Ultrasound on 10/12/2021 On 10/15/2021: Blood test Chest X-ray CT scan CAT scan

Allergies: Codeine Peanuts Dust mites

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: The night of the vaccination, I had a headache, dizziness, fever, chills, fatigue, and body aches. It lasted for 36 hours. I called out sick from work because of those symptoms. Later I started having a headache daily along with the fatigue. On 10/09/2021, I woke up with heavy menstrual bleeding and cramping. This was odd because previously my periods would be normal and occur for 4 to 5 days. Around this time, I was bleeding through 3 or 4 pads an hour. On 10/12/2021, I went to my doctor. I was prescribed with hormone therapy Microgestin. Eventually, my period stopped being extremely heavy, but I was still experiencing spotting. This was strange to me because I had my fallopian tubes removed in June 2021. On 10/15/2021 early in the morning, I woke up with chest pains, cold sweat, and I was nauseated. I thought I was having a heart attack. I went to the ER at Medical Center. I took many tests. The doctor checked to see if I had a pulmonary embolism - and I tested positive for it. I was given four aspirins. They released me from the hospital. I have to follow-up with my physician soon. Currently, I wake up with a headache, light headedness, and I am still dealing with menstrual spotting. I've been dealing with shortness of breath as well.

Other Meds: None

Current Illness: None

ID: 1804832
Sex: M
Age: 42
State: CA

Vax Date: 05/04/2021
Onset Date: 10/14/2021
Rec V Date: 10/21/2021
Hospital:

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

Lab Data: 10/16/2021 office visit for Dr. examination and diagnosis concurred.

Allergies: None.

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Diagnosis Bell's Palsy on 10/16/2021. Symptoms began 10/14/2021. I previously had Bell's Palsy once in April 2009. Completely went away after months w/taking Acyclovir antiviral med. This current case of Bell's Palsy being treated w/Acyclovir and Prednisone meds.

Other Meds: Lantus; Humalog; Losartan Potassium; Hydrochlorothiazide; Amlodipine Besylate; Potassium CL ER; and Atorvastatin.

Current Illness:

ID: 1804833
Sex: F
Age: 60
State: NY

Vax Date: 03/29/2021
Onset Date: 03/29/2021
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:

Allergies: sulfa

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

Symptoms: tingling on mouth and tongue

Other Meds: estradiol

Current Illness:

ID: 1804834
Sex: M
Age: 62
State: CA

Vax Date: 10/15/2021
Onset Date: 10/15/2021
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:

Allergies: n/a

Symptom List: Nausea

Symptoms: patient came back to pharmacy to day(10/21/2021) to report adverse reaction he experienced after his vaccination According to Mr, about 1 hour after he the Moderna Covid-19 vaccine, he felt fever, weak, shortness of breath, hives, lost of taste and lost of smell He stated that he got Covid infection again and he already had Covid 3 times in the past He is Ok now but the rash on his wrist is still there. Pharmacist is not sure this rash related to Patient was advised to talk to his health care provider for alternative

Other Meds: don't know

Current Illness: n/a

ID: 1804835
Sex: F
Age: 32
State: WI

Vax Date: 09/15/2021
Onset Date: 09/16/2021
Rec V Date: 10/21/2021
Hospital:

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

Lab Data: none

Allergies: latex, seasonal allergies

Symptom List: Injection site pain

Symptoms: Pt described hives of Right upper arm near injection site. Full body pruritis, and rash around mouth within 12 hours of vaccine. Other side effects included body aches, fatigue, and HA lasting up to two weeks

Other Meds: benedryl, ibuprofen, albuterol,

Current Illness: asthma, allergies, migraines

ID: 1804838
Sex: F
Age: 81
State:

Vax Date: 02/22/2021
Onset Date: 10/19/2021
Rec V Date: 10/21/2021
Hospital: Y

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

Lab Data:

Allergies:

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

Symptoms: Admitted to Hospital on Date of Adverse Event [recorded in VAERS] for treatment of Covid-19 Positive following completion of Covid Vaccine Series

Other Meds:

Current Illness:

ID: 1804839
Sex: F
Age: 45
State: AZ

Vax Date: 10/05/2021
Onset Date: 10/11/2021
Rec V Date: 10/21/2021
Hospital:

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

Lab Data: Went to Cardiologist on 10/21/2021 and diagnosed with bradycardia

Allergies: none

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

Symptoms: Sore arm and wrist for 3 days, and also developed bradycardia on October 11 2021, 6 days after receiving the 1st dose.

Other Meds: Generic Effexor XR 37.5mg, Generic Lo-Estrin FE 1/20

Current Illness: none

ID: 1804840
Sex: M
Age: 49
State: MN

Vax Date: 05/07/2021
Onset Date: 05/22/2021
Rec V Date: 10/21/2021
Hospital: Y

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

Lab Data: spinal tap, found elevated protein so started IVIG on June 5th

Allergies: none

Symptom List: Tremor

Symptoms: started May 22nd with body aches & pains, then by May 26th it was bad enough to go the the ER, had Bell's Palsy also start on that day. Was given some pain pills & went home. Back to providers office on June 1st and they sent to ER and was admitted to the hospital. Horrible pain everywhere even on the max amount of meds they would give. Went from a fully functioning man to needing 2 people to transfer and couldn't write or cut food. After a few days the figures out it was Guillain Barre Syndrome and started IVIG for 5 days. still in extreme pain everyday. After 14 days was sent to the inpt rehab area to be able to try to learn to walk and get some hand function back. Still am unable to return to work because of hand function and cane usage. need a brace on one foot at all times.

Other Meds: Aspirin 81 mg, lipitor 40mg, coreg 6.25 mg, colcrys 0.6 mg, lisinopril 5mg

Current Illness: none

ID: 1804841
Sex: F
Age: 39
State: SC

Vax Date: 04/21/2021
Onset Date: 05/01/2021
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: MRI CAT Scan EKG Ultrasound of heart

Allergies: aspirin

Symptom List: Erythema, Pruritus

Symptoms: I started noticing that I had chest pain and chest discomfort. I also have been having more shortness of breath than I am used to. When I went to the doctor they though it was just a asthma attack, but I told them that the discomfort in my chest felt different than what I am used to so the doctor referred me to a heart specialist. They noticed abnormalities of my heart and is going to continue to monitor it. There was some regurgitation with my heart and at those times it causes me to be a little short of breath. I felt like I had to do breathing treatments more frequently now. I had also caught covid well before getting the vaccine.

Other Meds: Singulair Inhalers

Current Illness: none

ID: 1804843
Sex: M
Age: 83
State:

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

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

Symptoms: Patient reports bodyaches, chills and fatigue that started 10/19 PM after receiving booster. Today having diarrhea and fatigue.

Other Meds:

Current Illness:

ID: 1804844
Sex: F
Age: 56
State: MD

Vax Date: 04/20/2020
Onset Date: 04/20/2020
Rec V Date: 10/21/2021
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Dizziness, Abdominal Cramps, Diarrhea, Nausea started the day of the vaccination. It continued into the next day. I still have the dizziness several months later.

Other Meds: none

Current Illness: none

ID: 1804845
Sex: F
Age: 63
State: SD

Vax Date: 09/22/2021
Onset Date: 10/21/2021
Rec V Date: 10/21/2021
Hospital: Y

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

Lab Data: BMP, CBC, UA, COVID-19 PCR, CT of chest

Allergies: Aspirin, codeine, sulfamethoxazole

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Pt was hospitalized for COVID-19, hypoxia, sepsis, and acute kidney injury on 10/12/21 - 10/18/21

Other Meds: Apiprazole, calcium, sertraline

Current Illness: UTI, hep C

ID: 1804846
Sex: F
Age: 73
State: TX

Vax Date: 04/19/2021
Onset Date: 05/24/2021
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: 6/22/21 full blood panel and urinanalysis ordered only adverse affects showed an elevated inflammation level 9/13/21 blood drawn for routine oncology visit (cancer was in 2017) - no adverse results reported I checked with my podiatrist (who prescribed the Terbinafine), my oncologist, my heart doctor (no heart issues or medication taken) and a vascular surgeon (who was reviewing a possible issue - no issue found). None had seen this before. None felt this related to my covid shots.

Allergies: penicillin, tetracycline

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

Symptoms: Starting 5/24/21 the base of my fingernail beds started to get red blotches. The blotches continued to move toward the end of the nails. By 7/22/21 the layers of the nails toward the base had started to peel away in layers. Meanwhile the front part of the nail had started to pull away from the bed of the nail. By 8/25/21 the first fingernail fell off, starting where the bed had pulled away. As of 10/21/21 9 of my fingernails are involved - 5 have fallen off, 2 more are ready to come off, 2 others are later, and 1 has never become involved. Likewise, I have one big toenail that has followed the same sequence, but not fallen off yet. There is no fever or any other symptoms. No pain until they fall off.

Other Meds: Anastrozole 1mg daily - since 2017 Terbinafine HCL 250 MB - started 5/10/21

Current Illness: none

ID: 1804848
Sex: F
Age: 61
State: CA

Vax Date: 10/09/2021
Onset Date: 10/13/2021
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: At home covid test- Negative

Allergies: Sulfa meds

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

Symptoms: Initially extreme fatigue and sore arm Sunday and Monday. Tuesday swelling in Lymph nodes in next on left side, following day midday because nauseated, dizzy and diaphoretic. Advised to lay down and relax. Symptoms lasted two days.

Other Meds: Athma -albuterol HRT Estrogen/progesterogen

Current Illness: RSV 1 month before

ID: 1804849
Sex: F
Age: 70
State: TX

Vax Date: 10/19/2021
Onset Date: 10/20/2021
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: xylocaine, thimerosal

Symptom List: Pain in extremity

Symptoms: Patient received her 3rd Pfizer booster shot Tuesday afternoon 10/19/21 at approximately 2:30 PM. Patient states she noticed adverse effect upon awakening Wednesday 10/20/21 at approximately 8:00 AM. She noticed a hard, raised, red, itchy, and painful spot about 3 inches in diameter on her left arm where the shot was given and extending below her band aid. Patient reports no streaking of redness and that the reaction was isolated to the 3 inch diameter spot. Patient states she took Tylenol 3 times throughout the day Wednesday for the pain. Recommended patient keep a close eye on the reaction and to notify us if anything changes. Recommended patient start icing the arm for 10-15 minutes at a time every couple hours and apply hydrocortisone cream to the area to help with itching and swelling. Followed up with patient later Thursday afternoon and patient sates that ice was helping with pain and itching and there was no change in size of spot or symptoms. Will follow up with patient again Friday to check status.

Other Meds: timolol eye drops for glaucoma, hydrochlorothiazide 12.5 mg capsule for high blood pressure, Tylenol, multivitamin, vitamin C, Vitamin D3

Current Illness: none

ID: 1804850
Sex: F
Age: 32
State: MO

Vax Date: 09/23/2021
Onset Date: 10/04/2021
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:

Allergies: Sulfa drug

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

Symptoms: Chest and heart pain. High blood pressure. Hypertension diagnosis

Other Meds: Vitamin D Anxiety medication Birth control

Current Illness: None

ID: 1804851
Sex: F
Age: 55
State: AZ

Vax Date: 09/17/2021
Onset Date: 09/18/2021
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: Complete blood count (very unusual results, high WBC, high liver enzymes, high glucose ) liver enzymes elevating much more quickly after the covid shot, glucose much higher than before

Allergies: The list of allergies is extremely long, so please contact me personally if you need to inquire about the list and I can give it to you.

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

Symptoms: Had previous symptoms for each dose of the vaccine listed in prior reports.. This information is a new update to the report for the 3rd dose of the Covid-19 vaccine, as the situation has changed significantly since the initial report about the 3rd dose. Things that have changed: the headaches and migraines were different from typical ones that I have regularly experienced for years. The migraine medication (sumatriptin) was totally ineffective, and had 3 different experiences of headaches. There would be a cluster of several a day, I was never without a headache that required medication until several days ago. The pain was more concentrated at the crown of the head, the pain was sharper, and it made me much more dizzy than a typical headache. The migraines were longer-lasting and persistent compared to what I have typically experienced. I have been prescribed two new medications, Nurtec (which is being refilled as insurance authorizes it). The Nurtec alleviates the current headaches, one of the days was in conjunction with sumatriptin. The second time I took the Nurtec, I did not need additional sumatriptin because I started Propanalol, which has been prescribed to prevent new headaches from occuring. The one side effect I have noticed is that my blood pressure has increased significantly, and was not able to be lowered with blood pressure (even though I am taking the propanalol which apparently lowers blood pressure). I have had several appointments with PCP and ongoing communication via telehealth portal almost daily for about two weeks. Since taking the medications, my symptoms have been greatly reduced, and they are much less debilitating than they were. For 3 days I have not needed any aspirin or additional migraine medications. I have been taking the medications since October 13th. I have had no migraines in the past few days, and headaches are extremely mild now. Had weird blood results, sinus surgery scheduled in a week and will test to see if things have changed. Occasional bone pain in legs, have not been fully diagnosed for that yet. The pain radiates from the bone outward. The pain is short and infrequent. Sometimes I felt a similar pain in the cluster headaches, very sharp and very short for a few seconds. Towards the crown of the head. Restless leg syndrome has become more prevalent since vaccine dose (unsure if linked to the leg pain).

Other Meds: The list of medications is extremely long, so please contact me personally if you need to inquire about the list and I can give it to you.

Current Illness: N/A

ID: 1804852
Sex: F
Age: 73
State: MA

Vax Date: 04/12/2021
Onset Date: 06/01/2021
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: CT scan of head 6/23/2021 normal. Open MRI of brain 6/23/2021 normal. MRI w/ contrast of brain, aneurysm found in back of head. Cardiac ultrasound 6/29/2021 normal. Blood work, abnormal thyroid levels

Allergies: All statin medications; penicillin; Augmentin; doxycycline; levothyroxine

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

Symptoms: I started getting tinnitus in June 2021. I don't hear it an one specific ear, just in my head. I haven't been able to sleep because it keeps me awake. I have insomnia because of it. It sometimes takes over my life. I don't want to be around people or talk on the phone. I can't seem to get any kind of help for it. Nothing has worked. I had a machine that was supposed to help with the tinnitus but it was to expensive so I had to send it back. I also tried physical therapy and acupuncture. The ENT doctor wanted me to get a special hearing aid to change the sound of the tinnitus but I could not afford that either. Also, the right side of my face is swollen all the time. This has also been since June. I have been to the ER for the tinnitus and from there they referred me to a neurologist. More recently I have been experiencing stomach issues including diarrhea.

Other Meds: Finesticide; metoprolol ER; iron; baby aspirin; losartan; Praluent; Rogaine; biotin

Current Illness: None

ID: 1804853
Sex: M
Age: 34
State: NY

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: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: none known

Symptom List: Vomiting

Symptoms: about 10 minutes after vaccination, patient walked up to pharmacy window and stated felt lightheaded/dizzy and then passed out (pharmacist braced fall as best as possible, pt did get scrape on arm) - was down and not responsive for ~30 seconds, then became alert and oriented. Pt sat up and BP taken (139/87), EMTs came about 2 minutes later and BP 140/100, blood glucose also taken and was 86 at this point. Patient was conversing with staff and drinking water. After EMT evaluation pt did not want to seek further treatment.

Other Meds:

Current Illness:

ID: 1804854
Sex: F
Age: 46
State: CA

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: 037K20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data: none

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Patient received COVID 19 Pfizer for a 3rd dose booster when they had previously received COVID 19 Moderna as primary series on 03/20/21 and 4/17/21. No side effects currently reported.

Other Meds:

Current Illness:

ID: 1804855
Sex: F
Age:
State: CA

Vax Date: 08/19/2021
Onset Date: 08/19/2021
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: 08/26/21 and 09/17/21 (Not enough time to add all of tests and results, I've attempted twice before).

Allergies: Codeine

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

Symptoms: Bruising on my legs and arms (mostly on my legs). Headache that never goes away.

Other Meds: Multivitamins

Current Illness: None

ID: 1804856
Sex: F
Age: 69
State: NY

Vax Date: 04/05/2021
Onset Date: 06/01/2021
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: They did run lab test with the rheumatologist. She would have more info about that. It the doctor I indicated earlier.

Allergies: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: I developed an autoimmune disease. I began to get really stiff and sore in the morning on my shoulder. At first I thought i pulled a muscle, About two to three days I got a hip pain and it felt like I ran a marathon. It was like a muscle spring. It was very strange because it was my two shoulders and my two hips. I went to my general practitioner,. They gave me a divided dose of perezone. It went away , but it came back. I'm a nurse and I thought I need a rheumatologist. I scheduled an appointment and they told me that I had an auto immune disease. PMR. They started me on predesol, and I'm still dealing with it.

Other Meds: I take Atacandhct 16/12.5mg 2 tablets once daily Tumoric 375mgs once a day Preservision one day, they're soft gels. Vitamin D 4000units once a day .

Current Illness: None

ID: 1804857
Sex: F
Age: 33
State: NJ

Vax Date: 01/30/2021
Onset Date: 02/06/2021
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: Heart monitor, EKG, Stress test, TSH, Sonogram

Allergies: None

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

Symptoms: About a week after vaccine (unsure of what time it started) I started experiencing palpitations and shortness of breath which persisted and I was at work one day (10 days after vaccine) and the palpitations and shortness of breath was strong and my blood pressure was about 180/100 something and they sent me to the hospital because my blood pressure was elevated. That persisted for many months and I was having palpitations and trouble breathing and so I seen a cardiologist and started on blood pressure medication and wore a heart monitor for 2 weeks but nothing came up and the sensation persisted for three months. I also had several other tests like an EKG and stress test and a sonogram. I seen my endocrinologist and my TSH spiked up with no change in my medication dosage so i think my body went into overdrive and spiked my thyroid hormones up. After 3 months I did feel better and I do still get shortness of breath and my blood pressure is still a bit high so I've continued my blood pressure medication, but all of this came up after the vaccine.

Other Meds: Levothyroxine

Current Illness: None

ID: 1804858
Sex: F
Age: 66
State: WA

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

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

Symptoms: pt reports continued pain in right arm to point she cannot sleep. There is not bruising, redness or swelling. started day after and is still having 9 days later.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am