VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
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Manufacturers

Total Manufacturer
187,133MODERNA
33,878JANSSEN
2,321PFIZER\BIONTECH
1,091GLAXOSMITHKLINE BIOLOGICALS
983UNKNOWN MANUFACTURER
363MERCK & CO. INC.
229SEQIRUS, INC.
45DYNAVAX TECHNOLOGIES CORPORATION
41NOVARTIS VACCINES AND DIAGNOSTICS
29SANOFI PASTEUR
18EMERGENT BIOSOLUTIONS
8PAXVAX
7TEVA PHARMACEUTICALS
4PFIZER\WYETH
3BERNA BIOTECH, LTD.
2SMITHKLINE BEECHAM
2INTERCELL AG
2PROTEIN SCIENCES CORPORATION
1CSL LIMITED

Incidents per State

State Total
77,548
AK1,869
AL5,581
AR3,688
AS47
AZ14,288
CA61,984
CO11,665
CT8,149
DC1,663
DE1,807
FL37,749
FM5
GA15,058
GU120
HI2,453
IA4,625
ID2,692
IL20,334
IN24,007
KS4,615
KY7,696
LA4,887
MA14,654
MD12,514
ME3,129
MH11
MI18,739
MN12,528
MO9,710
MP29
MS2,790
MT2,375
NC16,368
ND1,356
NE2,880
NH3,100
NJ17,634
NM3,916
NV4,239
NY34,355
OH19,081
OK6,195
OR8,636
PA23,083
PR2,370
QM2
RI2,088
SC6,411
SD1,212
TN9,131
TX35,174
UT4,273
VA14,937
VI64
VT1,676
WA14,909
WI11,259
WV2,388
WY861
XB5
XL1
XV2

ID: 0991266
Sex: F
Age: 57
State: NY

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
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: Low grade fever, headache, nausea and chills on 1/29, then on 1/30 developed injection site reaction that is red and swollen and about three inches in diameter

Other Meds:

Current Illness:

ID: 0991267
Sex: F
Age: 19
State: NC

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
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: Gluten, molds, smut

Symptom List: Anxiety, Dyspnoea

Symptoms: lymph node swelling started at 8hrs after injection; arm swelling and pain began >48hrs after injection and gradually worsening; mild redness to the area as well

Other Meds: Advil, Tylenol, Lexapro

Current Illness: none

ID: 0991268
Sex: F
Age: 42
State: OH

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
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: Zithromax, adhesive

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

Symptoms: fever x 24 hours. fatigue, headache x3 days and continues but has improved.

Other Meds: none

Current Illness: none

ID: 0991269
Sex: F
Age: 23
State: IA

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 02/01/2021
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: on 01/08/2021 got a bruise and redness around the injection site, redness went away on 01/11/2021. The redness came back on 01/15/2021 and a fever of 99.4 and the site was very itchy. The redness went away on 01/17/2021

Other Meds: Omega 3 and multivitamin

Current Illness: none

ID: 0991270
Sex: F
Age: 35
State: NC

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: Percocet, Bactrim, cantaloupe

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

Symptoms: Runny Nose and cough for one week since vaccine was given

Other Meds: Buspirone 10mg, Vitamin D3, Emgality pen 120mg/ml PnIj, Epinephrine 0.3mg/0.3ml pen injector, indomethacine 50mg, nortriptyline 10mg

Current Illness:

ID: 0991271
Sex: M
Age: 91
State: IN

Vax Date: 01/31/2021
Onset Date: 02/01/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Res did state that he vomited this AM.

Other Meds:

Current Illness:

ID: 0991272
Sex: F
Age: 36
State: OH

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
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: Cephelxin

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Joint and Muscle aches, chills

Other Meds: Claritin D Celexa Amlodipine Premerine

Current Illness: Minor Sinusitis with ear pressure and headache

ID: 0991273
Sex: M
Age: 45
State: IL

Vax Date: 01/22/2021
Onset Date: 01/31/2021
Rec V Date: 02/01/2021
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: Moderna COVID-19 Vaccine EAU

Other Meds: None

Current Illness: None

ID: 0991275
Sex: F
Age: 23
State: AL

Vax Date: 01/19/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Starting 3 days ago (approximately 10 days after vaccine) I started having muscle soreness in the arm the vaccine was given in similar to the soreness right after the vaccine was given. A few hours after the soreness was noticed I noticed red-raised hives in the injection site. Over all symptoms (soreness to touch same as the soreness right after vaccine was given, itching, redness, raised hives, and warm to touch in the area of redness). The next day the symptoms remained about the same but area of raised-red-hives now seems to be a more defined 4-5 inch long red oval in the area the vaccine was given. 3rd day redness seemed lighter in color but still a pretty defined oval with warmness to touch the soreness was a little better by the 3rd day. I started taking Amoxicillin 500 mg that I had at home on the 3rd day. Today, 4th day, overall seems to be getting better still some soreness, still a red oval but is getting lighter, still soreness but defiantly better than it was. My doctor had me start Keflex 500 mg Q 6 hours for 7 days I started taking that today.

Other Meds: None

Current Illness: None

ID: 0991276
Sex: F
Age: 66
State: NC

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: codeine, wool, feathers

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Pain, swellig, redness, itching at injection site started the first evening. knot in arm went from dime size to fist size by the next evening. redness spread to an area of about 5 inches. itching was mild. by 3rd day all symptons started to subside. day 5 and 6 redness and swelling were gone. on day 7 slight itching started again and by next day arm was red and swollen again. today swelling is gone but still faint outline of red patch on arm of about 3inches.

Other Meds: multi vitamin

Current Illness: none

ID: 0991277
Sex: F
Age: 69
State: MD

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: N/A

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

Symptoms: I am concerned they injected high, above the muscle. They had trouble getting the injection in, it burned a lot, she kept asking me to relax my muscle (which was relaxed) and when I took the Band-Aid off it looked high. I took a photo at the time, because of my concern. My shoulder joint was quite sore and stiff the next few days. 3 1/2 weeks later I still have an aching burning pain; it feels as if they hit the shoulder capsule or the periosteum. My questions are as follows: Do you think this is too high to inject? Do you think I will have gotten enough absorption anyway? Is there a way to get measured for the antibody response in this situation? Should this be reported as an adverse event? ( I hate to get anyone upset at our hospital, as I am grateful I got the vaccine and intend to get the booster Will this affect the booster?

Other Meds: N/A

Current Illness: N/A

ID: 0991278
Sex: F
Age: 41
State: UT

Vax Date: 01/28/2021
Onset Date: 01/31/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: gluten and lactose intolerance

Symptom List: Rash, Urticaria

Symptoms: I took my first dose of the Covid vaccine on Thursday, 01/28/2021 a 6:05 pm. Then on Friday afternoon, my temperature was around 100. I had chills, a sore arm, and weakness. It continued on Saturday as well. On Sunday morning, I woke up with chills on my chest, shoulders, and back. The rash was pink colored and it was itchy. Around Sunday afternoon, the color turned to bright red and spread to my belly and arms. Then I took a shower and Benadryl. Monday morning, it is still itchy and fades away. I contacted my primary physician. They told me to take another Benadryl.

Other Meds: Doctor's Best Vitamin C, Now Magnesium Citrate, mykind Organics Whole Food Women's Multivitamin

Current Illness: irritable bowel syndrome

ID: 0991280
Sex: F
Age: 63
State: IN

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: No

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

Symptoms: Extreme chills, nausea/vomiting, headache

Other Meds: Lipitor, Lisinopril

Current Illness: No

ID: 0991281
Sex: F
Age: 83
State: CT

Vax Date: 01/16/2021
Onset Date: 01/25/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Large (around two inches in diameter) red lesion occurring on left arm at about eight days after injection. Still there after 16 days. No pain. Somewhat itchy.

Other Meds: Apixaban, Calcium, Magnesium, Levothyroxine, Fosamax , rouvastatin

Current Illness: None

ID: 0991282
Sex: M
Age: 83
State: MI

Vax Date: 01/13/2021
Onset Date: 01/15/2021
Rec V Date: 02/01/2021
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: Low grade fever 100.2 , Headache, Chills, body aches Took Tylenol once effects lasted about 12 hours

Other Meds: Isosobide/Tamsolosin/Eliquist/TOPERAL

Current Illness:

ID: 0991283
Sex: F
Age: 67
State: NY

Vax Date: 01/16/2021
Onset Date: 01/23/2021
Rec V Date: 02/01/2021
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Hive developed at injection site one week after injection. Rash spread over upper arm. Was red; bumpy; itchy and sore.

Other Meds: Various vitamins

Current Illness: None

ID: 0991284
Sex: F
Age: 62
State: IN

Vax Date: 01/27/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
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: Pain swelling redness at injection site. Dizziness, Body Aches. headache stomach distress, tiredness

Other Meds: Bystolic 10 mg; Norco 10/325; Furosemide 40; Diazepam 10 Metaxalone 800 ; Levothyroxine 100 mcg; Amlodipine 5 mg; Zyrtec 10; Citalopram 40; Elavil 75 mg

Current Illness:

ID: 0991285
Sex: F
Age: 33
State: MN

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Injection site pain lasting longer than 24h, limited range of motion, pain radiating to neck and back muscles, pain with movement

Other Meds: Citalopram buspirone Concerta

Current Illness: None

ID: 0991286
Sex: M
Age: 81
State: FL

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: extreme chills and joint pain. jaw pain. still have joint and jaw pain

Other Meds: plavix, glucosamine&condroitin, Crestor , coQ10 calcium,

Current Illness: none

ID: 0991287
Sex: F
Age: 30
State: IL

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Axillary Swelling on vaccinated arm from evening 1/18/21 to 1/21/21

Other Meds: unknown

Current Illness: none

ID: 0991289
Sex: F
Age: 71
State: FL

Vax Date: 01/20/2021
Onset Date: 01/25/2021
Rec V Date: 02/01/2021
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: Keflex Codeine Calamari

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

Symptoms: 5days after receiving vaccine broke out in rash on upper torso. 9days after receiving vaccine injection site was red and covered a 4"diameter/ still red after 3 more days. No pain

Other Meds: Atorvastatin 20mg; Trazodone100mg; Restasis eye drops Citracal; Centrum Silver; Lutein ; Bio-Curcumin

Current Illness: None

ID: 0991290
Sex: F
Age: 42
State: AR

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: PCN

Symptom List: Unevaluable event

Symptoms: Pfizer-BioNTech COVID-19 vaccine EUA- night of 1/5/21 began having joint and muscle pain with sore throat & HA. These symptoms continued and nausea, dizziness, fever and mild nasal congestion start 1/6/21

Other Meds: Motrin, Tylenol, Wellbutrin XL 300

Current Illness: none

ID: 0991291
Sex: F
Age: 32
State: NY

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 02/01/2021
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: Miconazole

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

Symptoms: Lightheadedness for at least 10 days that is constant but can be worse after a short period of standing

Other Meds:

Current Illness:

ID: 0991292
Sex: F
Age: 17
State: MI

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: Error: Too Young for Vaccine

Other Meds:

Current Illness:

ID: 0991293
Sex: F
Age: 31
State: IL

Vax Date: 01/12/2021
Onset Date: 01/20/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: Ondansetron (itchy)

Symptom List: Injection site pain, Menorrhagia

Symptoms: ON 1/12 got covid vaccine, moderna. Few days later got red and since then its larger. Painful to touch and sl warm. No fever. . NO fever.

Other Meds: ZyrTEC, buPROPion, Vraylar, Gabapentin

Current Illness:

ID: 0991295
Sex: F
Age: 88
State: IN

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
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: iv dye, penicillin, sulfa, darvon, codeine, zantac,betadine, coumadin, aggranox, eggs, pregnisone, motrin, ordis, vioxx, all statins

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

Symptoms: terrible pain in the shoulder and arm, difficulty with arm movement, inability to raise arm to the left, needed a small pillow to support shoulder to go to sleep that night

Other Meds: Lantus 17 units, plavix 75 mg, lisinopril 12.5 mg, synthroid 50 mcg, combigan drops, lumigan drop, premarin cream, coated aspirin 81 mg, folic acid 1 mg, vitamin d 2,000 units, centrum vitamin

Current Illness:

ID: 0991297
Sex: F
Age: 42
State: CA

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: SEVERE HEADACHES, BODY ACHES AND PAINS, FEVER OF 103.9, CHILLS, SHORTNESS OF BREATH AND CHEST TIGHTNESS NAUSEA, VOMITING.

Other Meds: phentermine and metformin

Current Illness: none

ID: 0991299
Sex: F
Age: 37
State: OK

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: I have alpha-gal I'm allergic to all mammal products and byproducts. Glycerine, gelatin, natural flavors , careegeen , ect .

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: After a few hours I got hot and red splotches all over and very itchy , my throat felt funny like when I come into contact with mammal products. I felt achy the next next and less itchy after equate benadryl and unisom sleep melts.

Other Meds: Birth control, Claritin, lansoprazole ,

Current Illness: No

ID: 0991305
Sex: F
Age: 46
State:

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
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: Patient called to report that after receiving her vaccine on Friday: during the middle of the night she starting feeling chills and had a temp of 101. She took some ibuprofen and her fever broke around 9030 or 1000 on Saturday because she became very diaphoretic. She reports that she slept approx 19 hours on Sat and she had chills and sweats off on during this time period. She just felt weak and tired. On Sunday she felt better, just tired. Today, Monday 2/1 she did not come to work due to being tired and feels dehydrated due to the fever and being weak and sweating spells she had. She also states that her Right arm pit is swollen

Other Meds:

Current Illness:

ID: 0991308
Sex: F
Age: 68
State:

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/01/2021
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: BEGAN SHIVERING CONSTANTLY UNTIL ASLEEP. WOKE UP ABOUT 8 HOURS LATER FEELING WEAK AND DIZZY. LEANING ON COUNTER PREPARING FOOD THEN SUDDENLY WOKE UP LYING ON FLOOR. RESTED IN CHAIR MOST OF DAY. PUSHED GATORADE FOR HYDRATION AND ATE LIGHTLY AND REGULARLY. FELT NORMAL BY 11;00 PM.

Other Meds: NOVOLOG, PRAVASTATIN, RALOXIFENE. RAMIPRIL, CITALOPRAM ASPIRIN, MULTIVITAMIN, VITAMIN C, CALCIUM

Current Illness:

ID: 0991309
Sex: F
Age: 96
State: IN

Vax Date: 01/31/2021
Onset Date: 02/01/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: Resident reports that she is not feeling well this morning. Reports cold chills, nausea. Stated that she vomited around 4am.

Other Meds:

Current Illness:

ID: 0991312
Sex: U
Age:
State: IL

Vax Date:
Onset Date: 01/25/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Improperly stored vaccine was administered on 25-JAN-2021 - GARDASIL 9; This spontaneous report was received from a registered nurse, referring to a patient of unknown age and gender. The patient's historical drugs, medical history, concomitant therapies, drugs allergies and concurrent conditions were not reported. On 25-JAN-2021, the patient was vaccinated with an improperly stored dose of HPV rL1 6 11 16 18 31 33 45 52 58 VLP vaccine (yeast) (GARDASIL 9) 1 injection, lot # T026954, expiration date 13-APR-2022, for prophylaxis (strength, route and frequency were not reported). The temperature excursion was above 9 Centigrade degrees (?C)(13.4?C), during 2 hours 9 minutes. A previous temperature excursion was not reported. A digital data logger was involved. No PQC reported. combinationproductreport: Yes; brandname: GARDASIL 9 SYRINGE (DEVICE); commondevicename: HPV rL1 6 11 16 18 31 33 45 52 58 VLP vaccine (yeast); productcode: FMF; devicetype: SYRINGE, PISTON (FMF); manufacturername: Merck Sharp & Dohme Corp.; devicelotnumber: T026954; expirationdate: 13-APR-2022; deviceage and unit: 0 ; malfunction: Unknown; deviceusage: Initial; reasonfornoneval: 81 Other; labeledsingleusedevice: No; mdcpreportability: No; mdcpreprationale: Case information does not meet the criteria for Reportability

Other Meds: GARDASIL 9 SYRINGE (DEVICE)

Current Illness:

ID: 0991313
Sex: F
Age: 55
State: OH

Vax Date: 12/11/2020
Onset Date: 12/12/2020
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Got lump on neck / pufffiness around it; lump feels like a little nodule; This case was reported by a other health professional and described the occurrence of local swelling in a 55-year-old female patient who received Herpes zoster (Shingrix) (batch number 4922J, expiry date 27th August 2022) for prophylaxis. On 11th December 2020, the patient received the 2nd dose of Shingrix (intramuscular). On 12th December 2020, 1 days after receiving Shingrix, the patient experienced local swelling and nodule. On an unknown date, the outcome of the local swelling and nodule were not recovered/not resolved. It was unknown if the reporter considered the local swelling and nodule to be related to Shingrix. Additional information was provided as follows: The patient received 2nd dose of Shingrix and got a lump on the neck. The reporter mentioned that the lump felt like a little nodule and there was puffiness around it. The lump was not getting any bigger but was actually slightly getting smaller. It was there at the bottom of her neck. The reporter consented to follow up.

Other Meds:

Current Illness:

ID: 0991314
Sex: M
Age: 59
State: MO

Vax Date: 01/26/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Tremor

Symptoms: Hives all over my body, swollen hands with feelings of bruising at the palm next to wrist, severe itching

Other Meds: None

Current Illness: None

ID: 0991315
Sex: M
Age: 83
State: ID

Vax Date: 12/08/2020
Onset Date: 12/09/2020
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: Severe shivering / become worse; This case was reported by a pharmacist via and described the occurrence of shivering in a 83-year-old male patient who received Herpes zoster (Shingrix) (batch number 97PL2, expiry date 8th October 2022) for prophylaxis. On 8th December 2020, the patient received the 1st dose of Shingrix (intramuscular) .5 ml. On 9th December 2020, 1 days after receiving Shingrix, the patient experienced shivering. On an unknown date, the outcome of the shivering was not recovered/not resolved. It was unknown if the reporter considered the shivering to be related to Shingrix. Additional details were provided as follows: The patient received the dose of Shingrix in the right arm and experienced severe shivering and it became worse. The reporter consented to follow up.

Other Meds:

Current Illness:

ID: 0991316
Sex: F
Age: 55
State: FL

Vax Date: 12/03/2020
Onset Date: 12/01/2020
Rec V Date: 02/01/2021
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: tingling in both hands; sore arm; chills; "stomach thing"; This case was reported by a consumer via call center representative and described the occurrence of tingling of extremity in a 55-year-old female patient who received DTPa (Reduced antigen) (Boostrix) for prophylaxis. On 3rd December 2020, the patient received Boostrix. On 10th December 2020, 7 days after receiving Boostrix, the patient experienced tingling of extremity. In December 2020, the patient experienced pain in arm, chills and gastric disorder. On an unknown date, the outcome of the tingling of extremity, pain in arm, chills and gastric disorder were unknown. It was unknown if the reporter considered the tingling of extremity, pain in arm, chills and gastric disorder to be related to Boostrix. Additional details were provided as follows: The patient reported for herself. The patient received Boostrix vaccine and a week later had some tingling in both hands. In December 2020, less than 2 weeks after vaccine administration, the patient had sore arm which to the patient was normal, chills and a stomach thing. The reporter consented to follow-up.

Other Meds:

Current Illness:

ID: 0991317
Sex: F
Age:
State: NY

Vax Date:
Onset Date:
Rec V Date: 02/01/2021
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: itchy egg size lump on her right arm at the injection site; itchy egg size lump on her right arm at the injection site; feeling bad; fever; nausea; This case was reported by a consumer and described the occurrence of feeling bad in a adult female patient who received Herpes zoster (Shingrix) for prophylaxis. On an unknown date, the patient received the 1st dose of Shingrix (intramuscular). On an unknown date, less than a week after receiving Shingrix, the patient experienced feeling bad, fever, nausea, injection site lump and injection site itching. On an unknown date, the outcome of the feeling bad, fever, nausea, injection site lump and injection site itching were recovered/resolved. It was unknown if the reporter considered the feeling bad, fever and nausea to be related to Shingrix. The reporter considered the injection site lump and injection site itching to be related to Shingrix. Additional details were reported as follows: The age at vaccination was not reported. The reporter reported the case for herself. The first dose was given in fall of 2018 in right arm. The patient felt bad and reported nausea, fever that resolved one day after the injection. The reporter also reported an egg size lump on her right arm at the injection site that lasted for several weeks before resolving. More than 2 years after vaccination the patient experienced injection site lump and injection site itching. No other information was available. The reporter did not consent to follow-up and declined to contact health care professional.

Other Meds:

Current Illness:

ID: 0991318
Sex: F
Age: 43
State: OH

Vax Date: 12/31/2020
Onset Date: 01/03/2021
Rec V Date: 02/01/2021
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: No

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: I had a sore arm for first couple days. On the following Sunday I woke up with chills, body ache and low grade fever (flu like symptoms).

Other Meds: No

Current Illness: No

ID: 0991319
Sex: F
Age:
State: MD

Vax Date: 09/19/2020
Onset Date:
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: bursitis; shoulder pain; This case was reported by a other health professional and described the occurrence of bursitis in a 59-year-old female patient who received Herpes zoster (Shingrix) (batch number 5CB4K, expiry date 23rd August 2023) for prophylaxis. On 19th September 2020, the patient received the 1st dose of Shingrix (intramuscular). On an unknown date, less than 3 months after receiving Shingrix, the patient experienced bursitis and shoulder pain. The patient was treated with ibuprofen (Advil). On an unknown date, the outcome of the bursitis and shoulder pain were not recovered/not resolved. It was unknown if the reporter considered the bursitis and shoulder pain to be related to Shingrix. Additional details were reported as follows: The age at vaccination was not reported. The patient received dose in the left arm. She reported that several unspecified days later, she experienced shoulder pain that was not resolved. She followed up with her orthopedic specialist who took X-Rays and MRI and diagnosed Bursitis. The patient alleviated the pain with Advil, but symptoms still present at time of report. The reporter consented to follow up. For 2nd dose tolerance refer case US2020AMR249346. Note: She noted that she received correspondence from GSK from Consumer Health and had case number 01438803 but Hub could not find this physician or patient or reference number in any data base.; Sender's Comments: US-GLAXOSMITHKLINE-US2020AMR249346:Same reporter

Other Meds:

Current Illness:

ID: 0991321
Sex: F
Age: 58
State: MS

Vax Date: 12/12/2020
Onset Date: 12/12/2020
Rec V Date: 02/01/2021
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:

Allergies:

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

Symptoms: sore arm / soreness; large, hard, red area at the injection site; large, hard, red area at the injection site; This case was reported by a other health professional and described the occurrence of pain in arm in a 58-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis. On 12th December 2020, the patient received the 1st dose of Shingrix (intramuscular) .5 ml. On 12th December 2020, less than a day after receiving Shingrix, the patient experienced pain in arm, injection site induration and injection site erythema. On an unknown date, the outcome of the pain in arm, injection site induration and injection site erythema were not recovered/not resolved. It was unknown if the reporter considered the pain in arm, injection site induration and injection site erythema to be related to Shingrix. Additional details were reported as follows: The reporter was the patient. The patient developed sore arm, a large hard and red area at the injection site. The symptoms were improving but still remained at the time of reporting. The reporter consented to follow.

Other Meds:

Current Illness:

ID: 0991323
Sex: M
Age: 81
State: IL

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: arm swelling, itching, redness (elbow to shoulder of arm that received shot)

Other Meds: Ofev

Current Illness:

ID: 0991324
Sex: F
Age:
State: NC

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

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

Lab Data:

Allergies:

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

Symptoms: Tiredness; Soreness; This case was reported by a consumer via call center representative and described the occurrence of tiredness in a female patient who received Flu Seasonal QIV Dresden (Influenza vaccine Quadrivalent unspecified season) for prophylaxis. On an unknown date, the patient received Influenza vaccine Quadrivalent unspecified season (intramuscular). On an unknown date, unknown after receiving Influenza vaccine Quadrivalent unspecified season, the patient experienced tiredness and pain. On an unknown date, the outcome of the tiredness and pain were unknown. It was unknown if the reporter considered the tiredness and pain to be related to Influenza vaccine Quadrivalent unspecified season. Additional details were reported as follows: The age at vaccination was not reported. The patient reported the case for herself. The patient experienced tiredness and soreness after receiving the flu vaccine. No additional information was available. The reporter did not consent to follow-up.

Other Meds:

Current Illness:

ID: 0991325
Sex: F
Age:
State: VA

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

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

Lab Data:

Allergies:

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

Symptoms: Fever; This case was reported by a consumer and described the occurrence of fever in a female patient who received Herpes zoster (Shingrix) for prophylaxis. On an unknown date, the patient received Shingrix. On an unknown date, 1 day after receiving Shingrix, the patient experienced fever. On an unknown date, the outcome of the fever was not recovered/not resolved. It was unknown if the reporter considered the fever to be related to Shingrix. Additional details were provided as follows: The age at vaccination was not reported. The patient received Shingrix and experienced fever. The reporter did not consent to follow up. The reporter did not provide any other information.

Other Meds:

Current Illness:

ID: 0991326
Sex: F
Age:
State: AZ

Vax Date:
Onset Date:
Rec V Date: 02/01/2021
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: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: developed shingles; She is still with some itches; but everything is dry; This case was reported by a nurse and described the occurrence of shingles in a 75-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis. The patient's past medical history included pain (Patient is not immunocompromised but she takes severals pills for example, opioid for pain). On an unknown date, the patient received the 2nd dose of Shingrix. On an unknown date, less than 3 months after receiving Shingrix, the patient experienced shingles, pruritus and dry skin. On an unknown date, the outcome of the shingles, pruritus and dry skin were unknown. It was unknown if the reporter considered the shingles, pruritus and dry skin to be related to Shingrix. Additional details were provided as follows: The age at vaccination was not reported. The patient received Shingrix in September 2020 or earlies october 2020 no info about date due it was in a pharmacy and after that, patient developed shingles and was still with some itches but everything was dry. The reporter consented to follow up. There was no data available about lot number or expiration date from Shingrix first dose and HCP not had the exact date about that shot.

Other Meds:

Current Illness:

ID: 0991327
Sex: F
Age: 42
State: TX

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/01/2021
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

Symptom List: Vomiting

Symptoms: Chills, fever, muscle aches for about 24 hours

Other Meds: none

Current Illness: none

ID: 0991328
Sex: F
Age:
State: FL

Vax Date: 11/01/2020
Onset Date:
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: sore arm; chills; itching on legs; rash on legs; This case was reported by a consumer and described the occurrence of pain in arm in a adult female patient who received Herpes zoster (Shingrix) for prophylaxis. Concomitant products included Herpes zoster (Shingrix). In November 2020, the patient received the 2nd dose of Shingrix. On an unknown date, less than 2 months after receiving Shingrix, the patient experienced pain in arm, chills, itchy legs and rash. Rechallenge with Shingrix was positive. On an unknown date, the outcome of the pain in arm, chills, itchy legs and rash were unknown. It was unknown if the reporter considered the pain in arm, chills, itchy legs and rash to be related to Shingrix. Additional details were provided as follows: The patient reported for herself. The age at vaccination was not reported. The patient received the 2nd dose of Shingrix and experienced sore arm, chills, itching on legs, and rash on legs. The reporter did not consent to follow-up. For tolerance of 1st dose refer case US2020AMR251388.; Sender's Comments: US-GLAXOSMITHKLINE-US2020AMR251388:same reporter

Other Meds: Shingrix

Current Illness:

ID: 0991330
Sex: F
Age: 69
State: NY

Vax Date: 11/01/2020
Onset Date:
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: mild case of shingles isolated to her left arm; This case was reported by a physician and described the occurrence of shingles in a 69-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis. In November 2020, the patient received the 1st dose of Shingrix (intramuscular). On an unknown date, 2 weeks after receiving Shingrix, the patient experienced shingles. On an unknown date, the outcome of the shingles was recovered/resolved. It was unknown if the reporter considered the shingles to be related to Shingrix. Additional details were provided as follows: The physician called on behalf of spouse of patient. The patient received the first dose of Shingrix in the right deltoid. In 2020, the patient developed a mild case of shingles isolated to her left arm. The reporter did not consent to follow-up.

Other Meds:

Current Illness:

ID: 0991331
Sex: F
Age:
State: FL

Vax Date: 01/12/2021
Onset Date: 01/01/2021
Rec V Date: 02/01/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: My white blood count went really high; The first dose was on 28Dec2020 and the Lot: EH9899. The second dose 12Jan2021 at 7am, Lot: EL1284; Extremely achy/Body aches; Chills; Back hurts so bad that she can't lay down; Sweating; The first round of the vaccine she had flu like symptoms. This time, with the second dose, it is more severe; The first round of the vaccine she had flu like symptoms. This time, with the second dose, it is more severe; This is a spontaneous report received from a contactable consumer (patient). A 30-year-old female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL1284, expiry date: unknown), via an unspecified route of administration in the right arm, on 12Jan2021 07:00, at single dose, for COVID-19 immunization, in the hospital. The patient medical history and concomitant medications were not reported. The patient had no allergies. Historical vaccine included the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EH9899, expiry date: unknown), via an unspecified route of administration, on 28Dec2020, for COVID-19 immunization and the patient had flu-like symptoms. The patient reported that with the first round of the vaccine, she had flu like symptoms. This time in Jan2021, with the second dose, it was more severe and if she didn't keep up with Tylenol, she was extremely achy, had chills, her back hurts so bad that she couldn't lay down, and sweating. The patient wanted to know if that was normal. The patient mentioned she called out of work for the rest of the week and left early on Tuesday. The patient stated that she had not been to the doctor at this point but when Tylenol wears off it was really ugly and would consider going. The patient stated that she was almost on septic. Her white blood count went really high on 12Jan2021 and was hospitalized from 16Jan2021. She was put on Cefepime, 2 gm per vial, gotten maybe 4 of them so far. Body aches was ongoing. Her blood work was getting better. The outcome of events white blood count went really high, extremely achy/body aches was not recovered.The outcome of other events was unknown. Follow-up (17Jan2021): New information from a contactable consumer (patient) includes: Reaction data (add event white blood count went really high, outcome of event extremely achy/body aches updated). This case has been upgraded to serious.

Other Meds:

Current Illness:

ID: 0991332
Sex: M
Age: 65
State: FL

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs

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

Symptoms: My blood sugar spiked to 200 the next morning and 226 by noon. I normally Ron between 100 and 120.

Other Meds: Januvia 100mg 1 daily Norvasc 5mg 1 daily Eliquis 5 mg 2 daily Metoprolol Tartrate(100) 200mg 2 daily Lisinopril 40mg 1 daily Glimepiride 4mg 2 daily Loavstatin 20mg 1 daily Metformin(500) 1000 mg 2 daily Hydrochlorot 25 mg 1 daily

Current Illness: None

ID: 0991334
Sex: F
Age: 59
State: CA

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/01/2021
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: Penicillin

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

Symptoms: Markedly Enlarged/Swollen, Firm, Tender lymph node along clavicle on side of vaccine to L Deltiod

Other Meds: Losartan, Armour, vitamin D 3, aspirin

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm