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: 1814185
Sex: M
Age: 52
State: UT

Vax Date: 10/22/2021
Onset Date: 10/22/2021
Rec V Date: 10/24/2021
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: Penicillin

Symptom List: Dysphagia, Epiglottitis

Symptoms: Arm pain at and around injection site

Other Meds: Naproxen

Current Illness: N/a

ID: 1814186
Sex: M
Age: 42
State: MN

Vax Date: 10/23/2021
Onset Date: 10/24/2021
Rec V Date: 10/24/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Anxiety, Dyspnoea

Symptoms: Temp 103.5, rigors, chills, headache, nausea, extreme joint pain and body aches. Alternated Advil and Tylenol and all night and day and temp only came down to 102.1. Still experiencing 103.4 temp at this time and all other above symptoms as well.

Other Meds: None

Current Illness: None

ID: 1814187
Sex: F
Age: 47
State: UT

Vax Date: 10/22/2021
Onset Date: 10/23/2021
Rec V Date: 10/24/2021
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: Penicillins, amoxicillin, keflex

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

Symptoms: The lymph nodes under my left arm haven swollen up and become hard and painful. It hurts to lower my arm or have any pressure there at all. The entire area under my arm is swollen and protruding. It is much worse than a typical swollen lymph node when getting sick.

Other Meds: Diclophenac, hydroxychloroquine, escitalipram

Current Illness:

ID: 1814188
Sex: M
Age: 39
State: NY

Vax Date: 10/23/2021
Onset Date: 10/24/2021
Rec V Date: 10/24/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Fever; headache; loss of taste; cold sweats; cough; dehydration; nausea; pain in left arm; weakness; shortness of breath, all of which occurred about 12 hours after the vaccine shot. Symptoms are still present.

Other Meds: n/a

Current Illness: none

ID: 1814189
Sex: F
Age: 61
State: WA

Vax Date: 10/24/2021
Onset Date: 10/24/2021
Rec V Date: 10/24/2021
Hospital:

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

Lab Data:

Allergies: Pencillin Allergic to all scented things (perfume, scented soap, candles, lotion, etc . . . .

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

Symptoms: Light Headed, Fatigued and dry mouth at 6:47 pm

Other Meds: Letrozole 2.5 mg 1 daily Valacyclovir 1 gram 1 daily Hair, Skin and Nail with Biotin 5000 mcg per serving 1 daily Women's Multi-50+ Vitamin D 1 daily Calcium 600 mg = D3 1 daily

Current Illness: Breast Cancer

ID: 1814190
Sex: F
Age: 34
State: OR

Vax Date: 10/16/2021
Onset Date: 10/17/2021
Rec V Date: 10/24/2021
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 known

Allergies: Lactose, no others known

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

Symptoms: Rash over whole body, fever, chills, aches. No information about timing other than Medrol dosepack dispensed on 10/23 (7 days post-vaccine).

Other Meds: Birth control: tri-lo-marzia. Maybe others.

Current Illness: None known.

ID: 1814191
Sex: F
Age: 20
State: VA

Vax Date: 10/22/2021
Onset Date: 10/23/2021
Rec V Date: 10/24/2021
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: N/A

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Lymph node swelling in right axillary area, headache, fatigue

Other Meds: 20mg Trintellix 300mg Wellbutrin 1000 IU vitamin D3 Birth Control

Current Illness: N/A

ID: 1814192
Sex: M
Age: 37
State: IL

Vax Date: 05/05/2021
Onset Date: 05/06/2021
Rec V Date: 10/24/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Pharyngeal swelling

Symptoms: Worst one was mouth ulcers for 2 to 3 months. Made it hard to swallow. Eventually went away. Had fever and sweats for 2 weeks and bad muscle aches.

Other Meds: None

Current Illness: None

ID: 1814193
Sex: F
Age: 75
State: NY

Vax Date: 10/15/2021
Onset Date: 10/15/2021
Rec V Date: 10/24/2021
Hospital:

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

Lab Data: CBC and differential for fainting, fatigue - 10/21/2021 D-Dimer, quantitative for fainting, fatigue - 10/21/2021 ECG 12 lead for fainting - 10/21/2021 - result normal CTA-Chest with contrast - 10/22/2021 - result negative

Allergies: none known

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: High fever, some dizziness, felt really awful, fatigue, couldn't get out of bed, lost consciousness

Other Meds: multivitamin, aspirin, calcium, Vitamin D3, Red Yeast Rice, Zinc

Current Illness: slight congestion in nose and ears

ID: 1814194
Sex: M
Age: 60
State: WI

Vax Date: 04/14/2021
Onset Date: 09/23/2021
Rec V Date: 10/24/2021
Hospital:

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

Lab Data: Covid test and blood work 09/24/2021, Additional blood work and second covid test and flu test 10/01/2021, Neurology appt. 10/18/2021 evaluation

Allergies: Stain medications

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Dizziness, seats, chills, weakness, numbness in legs and feet pressure behind eyes and ears

Other Meds: Venlafaxine, Bupropion, Chlorthaladone, Enalipril, Labetalol, Ezetimibe, Fenofibrate, Rapatha, Multivitamin, vitamin D, Extra strenth Tylenol

Current Illness: none

ID: 1814195
Sex: M
Age: 64
State: MO

Vax Date: 10/22/2021
Onset Date: 10/24/2021
Rec V Date: 10/24/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Patient received full dose (0.5mL) Moderna Third Dose. Patient should have received Moderna Booster Dose (half-dose, 0.25mL).

Other Meds:

Current Illness:

ID: 1814196
Sex: F
Age: 18
State: NY

Vax Date: 10/22/2021
Onset Date: 10/24/2021
Rec V Date: 10/24/2021
Hospital:

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

Lab Data: I?m going to the doctor tomorrow so am unsure of this at the moment.

Allergies: My family has a known history of having adverse reactions to penicillin.

Symptom List: Rash, Urticaria

Symptoms: My neck and chest have red splotches on them. I don?t know when they necessarily appeared, but noticed them 2 days after the vaccine. It has not gone away and I am getting concerned.

Other Meds:

Current Illness:

ID: 1814197
Sex: F
Age: 64
State: MO

Vax Date: 10/22/2021
Onset Date: 10/22/2021
Rec V Date: 10/24/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Patient received full dose (0.5mL) Moderna Third Dose. Patient should have received Moderna Booster Dose (half-dose, 0.25mL).

Other Meds:

Current Illness:

ID: 1814198
Sex: M
Age: 53
State: NV

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 10/24/2021
Hospital:

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

Lab Data: none

Allergies: None

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

Symptoms: Severe headache, fatigue, nausea, chest pain

Other Meds: None

Current Illness: None

ID: 1814199
Sex: F
Age: 68
State: MO

Vax Date: 10/22/2021
Onset Date: 10/22/2021
Rec V Date: 10/24/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Patient received full dose (0.5mL) Moderna Third Dose. Patient should have received Moderna Booster Dose (half-dose, 0.25mL).

Other Meds:

Current Illness:

ID: 1814200
Sex: F
Age: 44
State: MD

Vax Date: 10/24/2021
Onset Date: 10/24/2021
Rec V Date: 10/24/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: 25 to 35 minutes after the injection my ears started ringing. Around 5:30 p.m. my tongue stared to swell up and around 6:15 p.m. my skin feels like its on fire. The arm of the injection site continues to have blotchy/rash spots. I drove to Express care and arrived around 6:50 p.m. They gave me a shot of Solu Medrol 125mG and a prescription for Prednisone 20 mg. and told me to take over the counter Benadryl. Upon arriving home I took the Prednisone and a short while later I took a Benadryl. I continue to have my skin feel like it is burning, tongue is less swollen, still ringing in my ears, blotches on the injected arm, and am now getting a slight headache. will continue to take medication prescribed by the doctor. Nurse took my vitals and told me that my blood pressure was elevated to the point of a heart attack. she ttok it again befor I left and it was getting back to a normal level.

Other Meds:

Current Illness: Lower left bundle branch block (heart)

ID: 1814201
Sex: F
Age: 51
State: CA

Vax Date: 10/20/2021
Onset Date: 10/20/2021
Rec V Date: 10/24/2021
Hospital:

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

Lab Data: None. Have jot seen a doctor yet. Trying to get appointment

Allergies: None

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

Symptoms: Fever of 100.4 for two days, headache lasted 3 days. Difficulty breathing while laying down. Sweating profusely while wearing mask when it didn?t bother me before. Sweating non stop for three days all over body including back and legs and arms. Muscle ache all over.

Other Meds: Synthroid

Current Illness: None

ID: 1814202
Sex: M
Age: 71
State: MO

Vax Date: 10/22/2021
Onset Date: 10/22/2021
Rec V Date: 10/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Patient received full dose (0.5mL) Moderna Third Dose. Patient should have received Moderna Booster Dose (half-dose, 0.25mL).

Other Meds:

Current Illness:

ID: 1814203
Sex: F
Age: 53
State: CO

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

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

Lab Data: None

Allergies: Zythromycin

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Shot received morning of 10/21. Mild headache developed evening of 10/21. Morning of 10/22, headache became severe and fever developed. Began at 99F and climbed throughout day; reached 103.6 overnight 10/22. Chills, weakness, and very severe headache. Fever broke morning of 10/23, but severe headache continued. Nausea and vomiting during day 10/23. Severe headache and nausea continued overnight and through 10/24. Fluids, ice, and NSAIDs did not provide any relief from headache.

Other Meds: Wellbutrin Duloxetine Gabapentin Klonopin Trileptal

Current Illness: None

ID: 1814228
Sex: M
Age: 68
State: MO

Vax Date: 10/22/2021
Onset Date: 10/22/2021
Rec V Date: 10/24/2021
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: Patient received full dose (0.5mL) Moderna Third Dose. Patient should have received Moderna Booster Dose (half-dose, 0.25mL).

Other Meds:

Current Illness:

ID: 1814229
Sex: F
Age: 24
State: MN

Vax Date: 10/22/2021
Onset Date: 10/23/2021
Rec V Date: 10/24/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Amoxicillin

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

Symptoms: Lightheaded ness, fever, chills, body aches, severe ?covid arm? - rash on injection sight about 2in in diameter

Other Meds: Nexplanon implant. Escitalopram 20mg

Current Illness: Cold 1 month prior

ID: 1814230
Sex: F
Age: 73
State: MO

Vax Date: 10/22/2021
Onset Date: 10/22/2021
Rec V Date: 10/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: Patient received full dose (0.5mL) Moderna Third Dose. Patient should have received Moderna Booster Dose (half-dose, 0.25mL).

Other Meds:

Current Illness:

ID: 1814231
Sex: F
Age: 71
State: IL

Vax Date: 10/23/2021
Onset Date: 10/23/2021
Rec V Date: 10/24/2021
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: Nickel Actonel

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

Symptoms: 102 fever, chills, body aches. Started about 1800 day of injection- still going on at 10pm. next day

Other Meds: Simvastaton 10 daily Multivit daily Calcium with D daily

Current Illness: 0

ID: 1814232
Sex: F
Age: 51
State:

Vax Date: 10/21/2021
Onset Date: 10/22/2021
Rec V Date: 10/24/2021
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: Woke up next morning approximately 15 hours after Shingrix injection with fever, headache, chills, and nausea. Symptoms lasted approximately 24 hours.

Other Meds:

Current Illness:

ID: 1814222
Sex: M
Age:
State: FL

Vax Date:
Onset Date: 04/07/2021
Rec V Date: 10/25/2021
Hospital: Y

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

Lab Data: Test Date: 20210408; Test Name: Body temperature; Result Unstructured Data: 104 F; Test Date: 20210813; Test Name: Oxygen saturation; Result Unstructured Data: dropped; Test Date: 20210813; Test Name: CAT scan; Result Unstructured Data: pulmonary embolism in left lung; Test Date: 20210813; Test Name: COVID-19 virus test; Result Unstructured Data: positive; Test Date: 20210818; Test Name: CAT scan; Result Unstructured Data: clusters of clots in right lung; Test Name: Magnesium; Result Unstructured Data: low level

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: PULMONARY EMBOLISM IN RIGHT AND LEFT LUNG; CONFIRMED CLINICAL VACCINATION FAILURE; COVID-19 INFECTION; EXTREME WEIGHT LOSS; HALLUCINATING; ASTHMA LIKE SYMPTOMS; VARICOSE VEINS IN RIGHT AND LEFT CALVES; FEVER 104 F; BURNING SENSATION IN VEIN; This spontaneous report received from a patient concerned a 53 year old The patient's height, and weight were not reported. The patient's concurrent conditions included: penicillin allergy, diabetic, high blood pressure, and gout, and other pre-existing medical conditions included: Patient had complications due to a flu vaccine in the past. The patient was previously treated with glipizide, empagliflozin, dulaglutide, carvedilol and allopurinol for drug used for unknown indication. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 043A21A, and expiry: unknown) dose was not reported, 1 total, administered on 07-APR-2021 to right arm for prophylactic vaccination. No concomitant medications were reported. On 07-APR-2021, the after vaccination the patient had to be observed for the full 15 minutes and then was admitted to the emergency room for 30 minutes due to a burning sensation in his veins. On 08-APR-2021, patient had to get admitted to the emergency room again via ambulance ride for a fever of 104 F. Patient stated that in the emergency room he was given tylenol and other anti inflammatories which helped to bring the fever down. Patient reported that he might have been hallucinating because the police found him in the hospital parking lot wondering around. On 20-APR-2021, patient went to see a specialist who diagnosed him with varicose veins in his right and left calves and the patient was referred to his primary care physician. On unspecified date in JUL-2021, patient started experiencing asthma like symptoms, patient had to go to the emergency room due to the asthma like symptoms where they gave him an albuterol inhaler which he stated seemed to help with his symptoms. Patient stated that he started to experience extreme weight loss. On 06-AUG-2021, patient reported that he continued to have the difficulty breathing and continued to seek a prescription for an albuterol inhaler. On 13-AUG-2021, his oxygen saturation level dropped and he had to take an ambulance to the emergency room. Computed tomography (CAT) scan was performed and it was found that he had a pulmonary embolism in his left lung and repeated the Computed tomography (CAT) scan on the 18-AUG-2021 which revealed small clusters of clots in the right lung. On 13-AUG-2021, patient was started on Lovenox and then switched to Eliquis on 01-SEP-2021 by his pulmonologist. Patient stated that during his admission to the emergency room, nasal swabs was performed of both his nasal passages and also a blood work test confirmed that he was positive for the delta variant of Covid-19. Patient was not able to distinguish if it was antigen or antibody or polymerase chain reaction test based but did state that his doctors informed him he was positive for delta variant Covid-19 even though he received vaccine. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the burning sensation in vein, fever 104 F, hallucinating, varicose veins in right and left calves, asthma like symptoms, extreme weight loss, covid-19 infection, confirmed clinical vaccination failure, and pulmonary embolism in right and left lung was not reported. This report was serious (Hospitalization Caused / Prolonged, and Other Medically Important Condition). This report was associated with product quality complaint: 90000197999.; Sender's Comments: V0: 20211033738-covid-19 vaccine ad26.cov2.s-Confirmed clinical vaccination failure. This event(s) is considered not related. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event(s) than the drug. Specifically: SPECIAL SITUATIONS 20211033738-covid-19 vaccine ad26.cov2.s-pulmonary embolism in right and left lung, covid-19 infection, Hallucinating. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).

Other Meds:

Current Illness: Blood pressure high; Diabetic; Gout; Penicillin allergy

ID: 1814223
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 10/25/2021
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: I have numbness and tingling in leg, walking on it feels weak/ I cant put pressure on my leg/bottom part of leg; Tingling in leg; Walking on it feels weak; This spontaneous case was reported by a consumer and describes the occurrence of HYPOAESTHESIA (I have numbness and tingling in leg, walking on it feels weak/ I cant put pressure on my leg/bottom part of leg), PARAESTHESIA (Tingling in leg) and ASTHENIA (Walking on it feels weak) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced HYPOAESTHESIA (I have numbness and tingling in leg, walking on it feels weak/ I cant put pressure on my leg/bottom part of leg), PARAESTHESIA (Tingling in leg) and ASTHENIA (Walking on it feels weak). At the time of the report, HYPOAESTHESIA (I have numbness and tingling in leg, walking on it feels weak/ I cant put pressure on my leg/bottom part of leg), PARAESTHESIA (Tingling in leg) and ASTHENIA (Walking on it feels weak) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Concomitant product information was not provided. Treatment information was not provided. The patient had numbness and tingling in her leg, along with weakness. The patient wanted to know if this was a normal side effect of the Moderna COVID-19 vaccine.

Other Meds:

Current Illness:

ID: 1814224
Sex: F
Age: 58
State: NC

Vax Date: 10/15/2021
Onset Date: 10/01/2021
Rec V Date: 10/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Patient thought she had a flu; Freezing and couldn't get warm; Her arm was about to kill her; Fever of 101; Chills; Nauseated; Body aches from her toes to her head; The lymph node under her left arm; This spontaneous case was reported by a consumer and describes the occurrence of INFLUENZA LIKE ILLNESS (Patient thought she had a flu), FEELING COLD (Freezing and couldn't get warm), PAIN IN EXTREMITY (Her arm was about to kill her), PYREXIA (Fever of 101) and CHILLS (Chills) in a 58-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 076C21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 15-Oct-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. In October 2021, the patient experienced INFLUENZA LIKE ILLNESS (Patient thought she had a flu), FEELING COLD (Freezing and couldn't get warm), PAIN IN EXTREMITY (Her arm was about to kill her), PYREXIA (Fever of 101), CHILLS (Chills), NAUSEA (Nauseated), MYALGIA (Body aches from her toes to her head) and LYMPH NODE PAIN (The lymph node under her left arm). At the time of the report, INFLUENZA LIKE ILLNESS (Patient thought she had a flu), FEELING COLD (Freezing and couldn't get warm), PAIN IN EXTREMITY (Her arm was about to kill her), PYREXIA (Fever of 101), CHILLS (Chills), NAUSEA (Nauseated), MYALGIA (Body aches from her toes to her head) and LYMPH NODE PAIN (The lymph node under her left arm) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Concomitant product use was not provided. Treatment information was not provided. Patient thought she was going to die Saturday and yesterday(Friday). patient thought she had COVID. The patient states she is feeling better today 18Oct2021.

Other Meds:

Current Illness:

ID: 1814225
Sex: F
Age: 62
State: CA

Vax Date: 10/01/2021
Onset Date: 10/01/2021
Rec V Date: 10/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: FLUZONE HIGH DOSE QUADRIVALENT was administered to a patient instead of FLUBLOK QUADRIVALENT; Initial information regarding an unsolicited valid non-serious case was received from other health care professional via Agency (Reference number- 00816793) and transmitted to Sanofi on 18-Oct-2021. This case involves a 62-year-old female patient who received a 0.5 mL (once) dose of INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE [FLUZONE HIGH-DOSE QUADRIVALENT] (lot UJ747AB and expiry date 30-Jun-2022) via intramuscular route in the left deltoid on 01-Oct-2021 for prophylactic vaccination instead of INFLUENZA QUADRIVALENT RECOMBINANT VACCINE [FLUBLOK QIV] (wrong product administered). Medical history, medical treatment, vaccination, concomitant medication and family history were not provided. It was a case of actual medication error due to wrong vaccine administered (latency was on same day). At the time of report, no adverse event reported. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.

Other Meds:

Current Illness:

ID: 1814226
Sex: U
Age:
State: NY

Vax Date:
Onset Date: 10/12/2021
Rec V Date: 10/25/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: administered multiple FLUZONE QUADRIVALENT vaccines that were expired at an employee health clinic with no adverse event; Initial information received on 18-Oct-2021 regarding an unsolicited valid non-serious case received from a other health professional and non health care professional via Medical Information (MI) number: 00817224. This case involves an unknown age and unknown gender patient who was administered an expired dose of INFLUENZA QUADRIVAL A-B VACCINE [FLUZONE QUADRIVALENT] (Expired product administered). The patient's medical history, past medical treatments, vaccinations, concomitant medications and family history were not provided. On an unknown date, the patient received a 0.5 ml dose of suspect INFLUENZA QUADRIVAL A-B VACCINE Solution for injection lot number and expiry date not reported via unknown route in unknown administration site prophylactic vaccination. It was case of an actual medication error due to expired vaccine used (latency: same day). It was reported "He states that none of the employees received any other vaccines concomitantly. He does not have individual patient information or lot number at hand, accepts follow-up contact to provide details if desired." At the time of reporting, no adverse event was reported. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in the Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.

Other Meds:

Current Illness:

Date Died: 03/24/2021

ID: 1814233
Sex: F
Age: 75
State: FL

Vax Date: 03/22/2021
Onset Date: 03/24/2021
Rec V Date: 10/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: No symptoms, passed away 31 hours after vaccine

Other Meds:

Current Illness:

ID: 1814234
Sex: M
Age: 26
State: MA

Vax Date: 10/23/2021
Onset Date: 10/25/2021
Rec V Date: 10/25/2021
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: None

Symptom List: Injection site pain

Symptoms: Intense vivid dream resulting in thrashing around, yelling, screaming. Intensity of dream not typical. Woke up entire household

Other Meds: None

Current Illness: None

ID: 1814235
Sex: F
Age: 44
State: VA

Vax Date: 10/22/2021
Onset Date: 10/23/2021
Rec V Date: 10/25/2021
Hospital:

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

Lab Data:

Allergies: Reglan, Novolog insulin

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

Symptoms: Had uncontrollable muscle spasms and shivering (not fever related). After 2 hours, I took 2 benedryl tabs to force sleep. When I woke up. Muscle spasms were gone, but periodic twitching of various body parts remained.

Other Meds: Humalog insulin, synthyroid, sertraline, magnesium, vitamin B12 drops, vitamin D, blood builder iron, THC gummy at bedtime

Current Illness: None

ID: 1814236
Sex: F
Age: 37
State: OK

Vax Date: 10/22/2021
Onset Date: 10/23/2021
Rec V Date: 10/25/2021
Hospital:

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

Lab Data: None

Allergies: NKA

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

Symptoms: Extremely large lymphadenitis in left axillary region and left supraclavicular area following fever, chills and body aches. Left accolade swelling the size of grapefruit with pain and tenderness. Left supraclavicular area tender to touch and warm also.

Other Meds: Aldactone 100 mg, progesterone 100 mg, Fluoxetine 20 mg

Current Illness: None

ID: 1814237
Sex: F
Age: 37
State: TX

Vax Date: 10/22/2021
Onset Date: 10/24/2021
Rec V Date: 10/25/2021
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: Tremor

Symptoms: Swollen lymph nodes around armpit and breast on left side where shot was administered. Began 48 hours after vaccine

Other Meds: Cymbalta 90mg

Current Illness: None

ID: 1814238
Sex: F
Age: 34
State: WA

Vax Date: 04/01/2021
Onset Date: 10/15/2021
Rec V Date: 10/25/2021
Hospital:

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

Lab Data: Parents chose not to have an autopsy of their baby girl.

Allergies: N/A

Symptom List: Erythema, Pruritus

Symptoms: Baby born stillborn to vaccinated mother. Was pregnant at start of 2nd trimester when vaccine was received. Pregnancy seemed to progress uncomplicated. Due date was 10/8/21. Baby was moving around a s had a heartbeat on 10/8/21. A scheduled C-section was set for 10/15/21. Upon arrival to hospital for scheduled C-section baby was found to have no heartbeat and was born stillborn. Nothing visibly wrong with baby girl (e.g. no cord wrapped around neck, no obvious trauma or deformities not viable to life, etc.).

Other Meds: Prenatal

Current Illness: Nne

ID: 1814239
Sex: F
Age: 9
State: MN

Vax Date: 10/21/2021
Onset Date: 10/21/2021
Rec V Date: 10/25/2021
Hospital:

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

Lab Data: None

Allergies: No

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

Symptoms: Dizzy, headache, pale, flush within 10-15 mins post-injection. Resolved, then felt sleepy. Transferred to the hospital for eval. D/C'd home the following day in stable condition.

Other Meds: No

Current Illness: No

ID: 1814240
Sex: F
Age: 43
State: NY

Vax Date: 09/27/2021
Onset Date: 09/27/2021
Rec V Date: 10/25/2021
Hospital:

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

Lab Data: WENT TO DOCTOR ON 10/5/2021 WAS GIVEN ANTIBIOTICS TOLD HAD CELLULITIS

Allergies: NKA

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

Symptoms: SWOLLEN ARM, RED, HOT TO TOUCH, LIMITED RANGE OF MOTION

Other Meds: NONE

Current Illness:

ID: 1814241
Sex: F
Age: 32
State:

Vax Date: 09/25/2021
Onset Date: 09/26/2021
Rec V Date: 10/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Face swelled up (lips and cheeks), lasted 48 hours. Treated with OTC antihistamines

Other Meds: Nova log insulin, xolair shot 150mg

Current Illness:

ID: 1814242
Sex: F
Age: 36
State: AZ

Vax Date: 04/13/2021
Onset Date: 04/29/2021
Rec V Date: 10/25/2021
Hospital:

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

Lab Data: 8-Jul *CBC With Differential/Platelet $ low MCHC 8-Jul *Comp. Metabolic Panel (14) $ normal 8-Jul *Iron & TIBC normal 8-Jul Coccidiodes Panel (cocci IgG & IgM) w IMDF rflx negative 8-Jul Q-FERRITIN normal 8-Jul Q-LIPID PANEL high LDL 8-Jul Thyroid Stimulating Hormone (TSH) $ normal 8-Jul Thyroxine (T4) Free, Direct, S normal 8-Jul Vitamin B12 and Folate normal 8-Jul Vitamin D, 25-Hydroxy normal 7-Aug Pelvic/Transvaginal Ultrasound normal 18-Aug Culture, Urine negative 24-Aug H pylori Breath tek - Adult only negative 25-Aug US ABDOMEN COMPLETE normal 29-Aug Routine Bloodwork low magnesium 29-Aug CT Abdomen & Pelvis w/ contrast normal 1-Sep ANA COMPLETE negative 1-Sep Magnesium, Serum normal 1-Sep Rheumatoid factor normal 1-Sep cortisol, AM normal 2-Sep 5-HIAA,Quant.,24 Hr Urine normal 2-Sep Metanephrines, Frac, Qn, 24-Hr, Urine normal 2-Sep catecholamines, urine 24 hr low E+NE 29-Sep MRI-Brain & cervical spine normal 7-Oct Vitamin B12 normal 7-Oct ACHR Binding,Blocking and Modulating Abs normal 7-Oct Hepatic Function Panel normal 7-Oct Vitamin D normal 7-Oct 25- Hydroxy, Total normal 27-Sep MCOT Heart Monitor normal

Allergies: n/a

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

Symptoms: Apr ?21: Joint pain May ?21: Chronic fatigue, brain fog/cognitive impairment, light sensitivity Jul ?21: Abdominal bloating Aug ?21: Tachycardia upon standing, dizziness, back pain, swollen glands, decreased appetite, lightheadedness, disorientation, headaches, sweating, excess thirst/dry mouth, leg & glute pain Sep ?21: Hand tremors, finger/hand/arm pain, itchy/flaky ears & skin

Other Meds: Flonase, Liletta

Current Illness: n/a

ID: 1814243
Sex: M
Age: 52
State: OR

Vax Date: 08/01/2021
Onset Date: 08/03/2021
Rec V Date: 10/25/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: none

Allergies: None

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

Symptoms: nausea, RUQ pain, orange urine. Resolved spontaneously after two days. No hx of RUQ pain, cholecystitis previously or since.

Other Meds: Atenolol, Omeprazole, Losartan

Current Illness: no

ID: 1814244
Sex: F
Age: 34
State: CA

Vax Date: 10/11/2021
Onset Date: 10/12/2021
Rec V Date: 10/25/2021
Hospital:

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

Lab Data: Chest X-ray EEG

Allergies: N/A

Symptom List: Pain in extremity

Symptoms: None stated.

Other Meds: N/A

Current Illness: Asthma

ID: 1814245
Sex: F
Age: 62
State: HI

Vax Date: 06/11/2021
Onset Date: 06/11/2021
Rec V Date: 10/25/2021
Hospital:

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

Lab Data:

Allergies: ampicillan

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

Symptoms: severe fever, chills, body aches, nausea, vomiting, diarrhea, lack of appetite - lasted for 10 days Lack of appetite, nausea, body aches for over 1 month congestion and fluid in chest - from 6/11/21 - to present

Other Meds: levothyroxine, Prilosec, liothyronine, celesta

Current Illness: breast cancer stage 1 - diagnosed 5/2021

ID: 1814247
Sex: F
Age: 43
State: NC

Vax Date: 09/05/2021
Onset Date: 09/17/2021
Rec V Date: 10/25/2021
Hospital:

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

Lab Data: Referred to a hematologist and a neurologist. No long term effects/damage were detected.

Allergies: Allergic to beef, pork, eggs, yeast, dairy, oats & oranges. I also have seasonal allergies as well.

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

Symptoms: On day 2 & 3 of the vaccine, I experienced cramping in my right calf. I assumed it was a side effect so I ignored it. On day 12, the cramping returned and this time it also brought numbing and tingling that radiated down to my foot (top and bottom.) The tingling eventually moved to my hand and days later to my left hand as well. After following the nurse's line advice to go to the ER, we also discovered that my blood platelet count had dropped to 115,000 (normal range 150,000-500,000.)

Other Meds: Daily multi-vitamin

Current Illness: Seasonal allergies

ID: 1814248
Sex: F
Age: 62
State: CA

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 10/25/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Chills and fever, fast heartbeat, headache, body aches, syncope, projectile vomiting, nausea, intense stomach ache, tiredness.

Other Meds: none

Current Illness: none

ID: 1814249
Sex: F
Age: 63
State: PA

Vax Date: 10/21/2021
Onset Date: 10/21/2021
Rec V Date: 10/25/2021
Hospital:

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

Lab Data: My daughter is a Physican and keeping a close look in on me.

Allergies: None

Symptom List: Vomiting

Symptoms: 1st dose no side effects 2nd dose side effects consist of muscle pain, temperature, fatigue and fever over 2 days 3rd dose side effects consist of extreme muscle pain, temperature, fatigue, headache, sleep apena, runny nose still existing over 4 days now.

Other Meds: Hydroclorothiazide

Current Illness: None

ID: 1814250
Sex: F
Age: 65
State: CA

Vax Date: 10/24/2021
Onset Date: 10/24/2021
Rec V Date: 10/25/2021
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: No

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: I have a headache, severe pain in my left arm, nausea (starting about 1:30 pm), extreme tiredness and fatigue (starting at 12:30 pm) that has continued the whole day.

Other Meds: None

Current Illness: None

ID: 1814251
Sex: F
Age: 51
State: CO

Vax Date: 09/30/2021
Onset Date: 09/30/2021
Rec V Date: 10/25/2021
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, compazine, dillaudid, zoloft

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

Symptoms: Randomly smell cigarette smoke since vaccination.

Other Meds: Paxil, wellbutrin, birth control, wixela, CANDESARTAN, Acyclovir, Claritin, muscles, pravastatin

Current Illness: Flu symptoms after flu + tetanus vaccination 2 weeks prior

ID: 1814252
Sex: F
Age: 67
State: NJ

Vax Date: 04/15/2021
Onset Date: 04/18/2021
Rec V Date: 10/25/2021
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: Exams and X-ray on left middle finger. Doctor did a venous doppler on my right leg after the second shot because it felt swollen nd throbbing. I was fearful of a blood clot even with the blood thinner. I have not had blood work done. The soreness goes down form the buttocks to the upper shins in back of legs. The same pattern recurred two weeks ago.

Allergies: Latex, some unknown preservatives- brought Epi-pen and had it done.

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Vaccine 1: warts/welts developed immediately following and continuing outer upper joint left middle finger, after than same location on right middle finger, next left index finger outer upper joint , then mirrored on right joint. Now I have a little on on outer pinkie finger-right hand-not sore like the others. Left middle finger is still sore. hand ortho. X-rays it and said it was spontaneous arthritis that happened dot occur after shot. 48 hours after second shot- middle of night- I felt back of legs feel inflamed and swollen. Difficulty walking for 2 days- then left leg cleared dup and rights leg ongoing for a while. It recurred with the exact pattern two Sundays ago. u knee orthopedist says it is not his area. he is referring me to a rheumatologist. I wish there was a COVID clinic for complications. I would also like to consult with an immunologist. My sciatic nerve on right has been inflamed.

Other Meds: Flecainide, Eliquis, metoprolol, spironolactone

Current Illness: COVID 1/6/2021, flush 1/8/2021. After first Pfizer vaccination, started developing warts or bulges on upper finger joints of middle and index fingers, now on rt pinkie. After 2nd shot-middle of second night-severe inflammation down back of leg- ongoing on right back of leg and flare up recurred two weekends ago.

ID: 1814253
Sex: M
Age: 56
State: ID

Vax Date: 09/01/2021
Onset Date: 09/01/2021
Rec V Date: 10/25/2021
Hospital:

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

Lab Data: None

Allergies: Some peanut butter

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

Symptoms: The Thumb and index finger and middle finger became numb within 60 seconds of getting first Vaccine injection, still persistent, constant numbness for almost 2 full months now.

Other Meds: Tylenol,occasionally and Buproprion,Baclofen ,Divalproex.

Current Illness: No

ID: 1814261
Sex: F
Age:
State: CA

Vax Date:
Onset Date:
Rec V Date: 10/25/2021
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: cellulits of arm; arm inflammed all the way up on scapula; received her first dose a year ago; sore arm; couldn't lift arm; felt horrible, awful; felt like the flu; fever; This case was reported by a nurse via call center representative and described the occurrence of cellulitis in a 68-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis. Co-suspect products included Herpes zoster (Shingrix) for prophylaxis. Previously administered products included Moderna COVID (received dose on an unknown date). On an unknown date, the patient received the 1st dose of Shingrix and the 2nd dose of Shingrix. On an unknown date, less than a day after receiving Shingrix and not applicable after receiving Shingrix, the patient experienced cellulitis (serious criteria GSK medically significant), pain in arm, injected limb mobility decreased, feels awful, influenza like illness, fever, inflammation localized and incomplete course of vaccination. On an unknown date, the outcome of the cellulitis, inflammation localized and incomplete course of vaccination were unknown and the outcome of the pain in arm, injected limb mobility decreased, feels awful, influenza like illness and fever were recovered/resolved. It was unknown if the reporter considered the cellulitis, pain in arm, injected limb mobility decreased, feels awful, influenza like illness, fever and inflammation localized to be related to Shingrix. Additional details were provided as follows: This case was reported by the patient herself, who was also the nurse. The age at vaccination was not reported. The patient received the first dose of Shingrix exactly about a year ago (unsure of date) on a Thursday and she had a terrifically sore arm, worse than the Moderna COVID shot. Her arm was sore that night (Thursday) after receiving the shot and lasted until that Monday. She couldn't lift her arm for 2 days. She thought she had cellulitis of arm. The next morning after receiving the Shingrix shot (Friday), she felt horrible. She felt like she had the flu and had a fever. These symptoms lasted until that Sunday afternoon. Till the of reporting, the patient did not receive her second dose, which led to incomplete course of vaccination. The reporter consented to follow up. This case was liked with US2021215443 and US2021215524, reported by the same reporter.; Sender's Comments: US-GLAXOSMITHKLINE-US2021215443:same reporter US-GLAXOSMITHKLINE-US2021215524:same reporter

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am