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: 0997381
Sex: F
Age: 59
State: NY

Vax Date: 01/16/2021
Onset Date: 01/24/2021
Rec V Date: 02/03/2021
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: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: After the shot I did get a reaction only on my left arm. It was a burning sensation with a rash. Eventually that went away. Around 10 days later I broke out in hives all over my body which were painful. I went to urgent care and was prescribed prednisone which I took 40 mgs. for 5 days. This lasted for a week and just stopped. I still have the spots but they are fading. I also had a swollen lymph node under my left arm.

Other Meds: None

Current Illness: None

ID: 0997382
Sex: F
Age: 55
State: TX

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/03/2021
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:

Symptom List: Anxiety, Dyspnoea

Symptoms: Patient reports feeling a little dizzy, mild lightheadedness, feels a little tired. Patient reports she feels anxious a little bit. Patient was seen and cleared by EMS. Patient with a history of HTN (she did not take her BP medications this morning). . Instructed patient to call her family physician, 911, or go to the nearest emergency room for any further issues.

Other Meds:

Current Illness:

ID: 0997383
Sex: F
Age: 32
State: IN

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
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: Bee stings

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

Symptoms: Headache, body aches slight fever

Other Meds: Vitamins

Current Illness: Covid 2 weeks prior

ID: 0997384
Sex: F
Age: 75
State: FL

Vax Date: 01/21/2021
Onset Date: 01/27/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: Shrimp/crab

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Rash & itching on left arm where injection was given.

Other Meds: Multi vitamin

Current Illness: None

ID: 0997385
Sex: M
Age: 46
State: OH

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: Compazine

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

Symptoms: Recieved vaccine at 525 pm 1 Feb. Sore arm at injection site, body aches, chills, low grade fever, headache, nausea, and fatigue. Woke up at 6 am on Feb 2, with symptoms. Lasted until about 10 pm 2 Feb. Took tylenol and motrin for symptoms.

Other Meds: Tylenol, ibuprofen

Current Illness: None

ID: 0997386
Sex: M
Age: 50
State: PA

Vax Date: 01/31/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
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: None

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

Symptoms: 10 hours after receiving the vaccine I developed an acutely swollen, painful right knee, I required prednisone 20mg and symptoms subsided in about 10 hours

Other Meds: None

Current Illness: none

ID: 0997387
Sex: F
Age: 40
State: TX

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: About 1 hour after vaccine: Strange taste in mouth, strange feeling on tongue (not swollen) About 24 hours after vaccine: itchy face, headache, stiff neck and back, fatigue, low fever After 40 hours: fever gone (highest was 99.8), stiff neck and back improving, fatigue improving, face is still itchy.

Other Meds: daily vitamin

Current Illness: none

ID: 0997388
Sex: F
Age: 46
State: WI

Vax Date: 01/19/2021
Onset Date: 01/27/2021
Rec V Date: 02/03/2021
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: Injection was given subcutaneously rather intramuscularly as it should have been. As a result my entire upper arm became red, swollen, and painful/itchy. I had to take a combination of Allegra-D and Benedryl for five days to resolve the reaction.

Other Meds: Allegra-D

Current Illness: None

ID: 0997389
Sex: F
Age: 79
State: WV

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 02/03/2021
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: pain in side and front of left elbow (same arm as I had the vaccine in). and down to the wrist. Difficulty stretching or raising my arm.

Other Meds: nothing

Current Illness: Cancer in remission. Taking Tabrecta, 200 mg twice a day

ID: 0997390
Sex: M
Age: 33
State: IN

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
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: No known allergies to medications, food, or other products.

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Individual reported body aches and extreme lower back pain near the spine. Lower back pain was reported to of occurred initially as minor two hours after receiving the injection and got worse. The back pain is still on going in the person and continued for 48 hours. Curious if linked to taking valaciclovir as the person did not recall hurting their back during the course of the day. Individual is in excellent health and physically fit.

Other Meds: Valaciclovir, 1,000 mg daily

Current Illness: None

ID: 0997391
Sex: F
Age: 41
State: MN

Vax Date: 01/12/2021
Onset Date: 01/14/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: Nickel, neomycin

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

Symptoms: Large swelling (about the size of a half baseball) Large Red area Hot to the touch Pain

Other Meds: Losartan Atorvastatin

Current Illness: None

ID: 0997392
Sex: F
Age: 32
State: IN

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
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:

Symptom List: Rash, Urticaria

Symptoms: Pain and Lump in armpit

Other Meds:

Current Illness:

ID: 0997393
Sex: F
Age: 42
State: NJ

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
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 2nd dose of moderna vaccine and called to reported full body hives. she said after vaccine she did have mild fever, chills, fatigue and then developed hives. she said hives are all over her body and she took benadryl without relief. patient was contacted and instructed to reach out to occupational health for further treatment and if unable to reach them seek care at urgent care, with her pcp, or at the emergency room. current status is unknown at time of writing.

Other Meds:

Current Illness:

ID: 0997394
Sex: F
Age: 59
State: TX

Vax Date: 01/25/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
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: NKA

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

Symptoms: On Day 9 post vaccine #1, injection site was itchy, red, warm to the touch, with a raised, round lesion about two inches in diameter. Slightly enlarged axillary lymph node on left side.

Other Meds: Cytomel; Tirosint; Metformin; Protonix; low dose aspirin Nattokinase, Quercitin, Bromelain, L-Theanine, Tart Cherry Extract, Cinnamon, Milk Thistle, Calcium, Vitamin D3, MVI, Probiotic

Current Illness: None

ID: 0997395
Sex: F
Age: 80
State: GA

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: None known.

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

Symptoms: Experiencing muscle weakness in legs and arms. Feel as if I have over-stressed those muscles, and they resist by being weak and feeling as if they sort of tremble. I usually walk one mile a day and as I was walking the day after my injection my calf in my left leg shortly after I started began to tighten up. At first I thought I would press on through but the muscle tensed more something like a "Charlie Horse." I quit walking came in an rested. I have not attempted my mile walk since then because my leg muscle is still sore from the cramp. When I raise my arms they feel heavy and seem to quiver and my legs do the same as I'm doing my stretching exercises. I have been waiting to contact anyone to see if time would take care of this problem I am having. I am seeking guidance as to whether or not I should proceed with my second injection on 18 Feb 2021. I am waiting for my doctor's office to respond regarding my call about this. I did speak with a nurse at the local HD who said I should file this side effect event report with you. I have never had a reaction to any of my flu shots and I have had one each year for a number of years. One thing I do want to mention is that my mother took the flu shot the first year it was offered and she was one who experienced muscle loss due to it and never completely recovered muscle strength.

Other Meds: Atenolol (Tenormin) 25 mg.for irregular heartbeat, one tablet per day Spironolactone (Aldactone) 25 mg. 1 tablet daily Simvastatin (Zocor) 10 mg. one tablet per day Omeprazole (Prilosec) 20 mg Cap one tablet every other day Pilocarpine (

Current Illness: None

ID: 0997396
Sex: F
Age: 61
State: TX

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/03/2021
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: FATIGUE, SORENESS AT INJECTION SITE, MUSCLE ACHES, DIZZINESS, LIGHT HEADEDNESS, MUSCLE AND BODY ACHES

Other Meds:

Current Illness:

ID: 0997397
Sex: F
Age: 68
State: DC

Vax Date: 01/25/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
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: cashews

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

Symptoms: at injection site, on Day 8, itchiness, red patch, slight swelling

Other Meds: Levothyroxine, calcium, Vitamin D

Current Illness:

ID: 0997398
Sex: F
Age: 68
State: FL

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: Penicillin,amoxicillin, Quinalones, Clindamycin, ashwagandha/withaferin A

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Mild headache began a couple hours after vaccine administered, coupled with mild fatigue. 12 hours after receiving vaccine, moderate headache, moderate fatigue, and vomiting (twice in 10 minutes). 18 hours after receiving vaccine, mild headache. 22 hours after receiving vaccine only adverse symptom is slightly sore arm.

Other Meds: None

Current Illness: None

ID: 0997519
Sex: U
Age:
State: CA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Administered vials that were exposed to room temperature for more than 12 hours; A spontaneous report was received from an employee and a physician concerning a patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and was administered with product that was exposed to room temperature for more than twelve hours. The patient's medical history was not provided. No relevant concomitant medications were reported. On 04 Jan 2021, a freezer containing a vial of mRNA-1273 failed. At 1:11 A.M. the vial experienced a temperature excursion, exceeding 8 degrees Celsius. Over time the dose thawed and reached room temperature. On 04 Jan 2021, the patient received their first of two planned doses of mRNA-1273 intramuscularly for prophylaxis of COVID-19 infection and was administered with product that was exposed to room temperature for more than twelve hours. No treatment information was provided. Action taken with mRNA-1273 in response to the event was not reported. The event, administered with product that was exposed to room temperature for more than twelve hours, was resolved on 04 Jan 2021.; Reporter's Comments: This case concerns a patient of unknown gender and age who received their first of two planned doses of mRNA-1273 (Lot unknown), reporting Product that was exposed to room temperature for more than twelve hours without any associated adverse events.

Other Meds:

Current Illness:

ID: 0997520
Sex: U
Age:
State: CA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 02/03/2021
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: Administered vials that were exposed to room temperature for more than 12 hours; A spontaneous report was received from an employee and a physician concerning a patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and was administered with product that was exposed to room temperature for more than twelve hours. The patient's medical history was not provided. No relevant concomitant medications were reported. On 04 Jan 2021, a freezer containing a vial of mRNA-1273 failed. At 1:11 A.M. the vial experienced a temperature excursion, exceeding 8 degrees Celsius. Over time the dose thawed and reached room temperature. On 04 Jan 2021, the patient received their first of two planned doses of mRNA-1273 intramuscularly for prophylaxis of COVID-19 infection and was administered with product that was exposed to room temperature for more than twelve hours. No treatment information was provided. Action taken with mRNA-1273 in response to the event was not reported. The event, administered with product that was exposed to room temperature for more than twelve hours, was resolved on 04 Jan 2021.; Reporter's Comments: This case concerns a patient of unknown gender and age who received their first of two planned doses of mRNA-1273 (Lot unknown), reporting Product that was exposed to room temperature for more than twelve hours without any associated adverse events.

Other Meds:

Current Illness:

ID: 0997521
Sex: U
Age:
State: CA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Administered vials that were exposed to room temperature for more than 12 hours; A spontaneous report was received from an employee and a physician concerning a patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and was administered with product that was exposed to room temperature for more than twelve hours. The patient's medical history was not provided. No relevant concomitant medications were reported. On 04 Jan 2021, a freezer containing a vial of mRNA-1273 failed. At 1:11 A.M. the vial experienced a temperature excursion, exceeding 8 degrees Celsius. Over time the dose thawed and reached room temperature. On 04 Jan 2021, the patient received their first of two planned doses of mRNA-1273 intramuscularly for prophylaxis of COVID-19 infection and was administered with product that was exposed to room temperature for more than twelve hours. No treatment information was provided. Action taken with mRNA-1273 in response to the event was not reported. The event, administered with product that was exposed to room temperature for more than twelve hours, was resolved on 04 Jan 2021.; Reporter's Comments: This case concerns a patient of unknown gender and age who received their first of two planned doses of mRNA-1273 (Lot unknown), reporting Product that was exposed to room temperature for more than twelve hours without any associated adverse events.

Other Meds:

Current Illness:

ID: 0997522
Sex: U
Age:
State: CA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 02/03/2021
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: Administered vials that were exposed to room temperature for more than 12 hours; A spontaneous report was received from an employee and a physician concerning a patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and was administered with product that was exposed to room temperature for more than twelve hours. The patient's medical history was not provided. No relevant concomitant medications were reported. On 04 Jan 2021, a freezer containing a vial of mRNA-1273 failed. At 1:11 A.M. the vial experienced a temperature excursion, exceeding 8 degrees Celsius. Over time the dose thawed and reached room temperature. On 04 Jan 2021, the patient received their first of two planned doses of mRNA-1273 intramuscularly for prophylaxis of COVID-19 infection and was administered with product that was exposed to room temperature for more than twelve hours. No treatment information was provided. Action taken with mRNA-1273 in response to the event was not reported. The event, administered with product that was exposed to room temperature for more than twelve hours, was resolved on 04 Jan 2021.; Reporter's Comments: This case concerns a patient of unknown gender and age who received their first of two planned doses of mRNA-1273 (Lot unknown), reporting Product that was exposed to room temperature for more than twelve hours without any associated adverse events.

Other Meds:

Current Illness:

ID: 0997523
Sex: U
Age:
State: CA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Administered vials that were exposed to room temperature for more than 12 hours; A spontaneous report was received from an employee and a physician concerning a patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and was administered with product that was exposed to room temperature for more than twelve hours. The patient's medical history was not provided. No relevant concomitant medications were reported. On 04 Jan 2021, a freezer containing a vial of mRNA-1273 failed. At 1:11 A.M. the vial experienced a temperature excursion, exceeding 8 degrees Celsius. Over time the dose thawed and reached room temperature. On 04 Jan 2021, the patient received their first of two planned doses of mRNA-1273 intramuscularly for prophylaxis of COVID-19 infection and was administered with product that was exposed to room temperature for more than twelve hours. No treatment information was provided. Action taken with mRNA-1273 in response to the event was not reported. The event, administered with product that was exposed to room temperature for more than twelve hours, was resolved on 04 Jan 2021.; Reporter's Comments: This case concerns a patient of unknown gender and age who received their first of two planned doses of mRNA-1273 (Lot unknown), reporting Product that was exposed to room temperature for more than twelve hours without any associated adverse events.

Other Meds:

Current Illness:

ID: 0997524
Sex: F
Age:
State: GA

Vax Date: 12/17/2020
Onset Date: 12/17/2020
Rec V Date: 02/03/2021
Hospital: Y

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: muscle swelling; welts/hives; muscle pain; eyes swelling; tongue swelling; shut throat; blood pressure elevated; This is a spontaneous report from a contactable consumer (Patient). A 64-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number: eh9899, expiration date not reported), via an unspecified route of administration on 17Dec2020 15:15 at single dose on right arm for COVID-19 immunisation. Medical history included heart disease from an unknown date and unknown if ongoing. No Known allergies to the patient currently. The patient was not pregnant. Concomitant medication in two weeks included Rosuvastatin. The patient received the vaccine in hospital. No other vaccine administered in four weeks. The patient experienced muscle swelling, welts/hives, muscle pain, eyes swelling, shut throat/tongue swelling, and blood pressure elevated hospitalization continued symptoms now for 35 days. All adverse events (AEs) started on 17Dec2020. AEs resulted in Doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care and Hospitalization for two days. Patient received treatment (medications, IV's EKG many test) for AEs. No COVID prior vaccination. Patient did COVID tested post vaccination, COVID test post vaccination included Nasal Swab on 02Jan2021 with result of Negative. The outcome of events was not recovered.

Other Meds: ROSUVASTATIN

Current Illness:

ID: 0997525
Sex: M
Age:
State:

Vax Date: 01/04/2021
Onset Date: 01/01/2021
Rec V Date: 02/03/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Pneumonia; scan showed infiltration in the lungs; coughing; absolute eosinophils were high 22.2 and came down to 4.8 now; This is a spontaneous report from a non-contactable consumer (wife). An 81-years-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 04Jan2021 at SINGLE DOSE for COVID-19 immunisation. Medical history included Running nose from 01Jan2021. The patient's concomitant medications were not reported. The patient received Covid vaccine on the 04Jan2021. She stated on 01Jan2021 he had running nose, had negative covid test so was given the Covid vaccine. She said 7 days after the first dose on 11Jan2021, he had pneumonia, was in the hospital, scan showed infiltration in the lungs, coughing. He was on the antibiotics and prednisone. The absolute eosinophils were high 22.2 and came down to 4.8 now. She wanted to know if that was an allergic reaction to the vaccine. No follow up attempts are possible. Information about Lot and batch number could not be obtained.

Other Meds:

Current Illness:

ID: 0997526
Sex: M
Age:
State: OH

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 02/03/2021
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: it was so faint; he checked his temperature, it was 100.3; Body aches; aching in hips; Chills; little mild headache; arm started hurting/his arm was so sore; This is a spontaneous report from a contactable consumer (patient). A 37-year-old male patient received 1st dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL3249), via an unspecified route of administration in left arm on 19Jan2021 16:00 at single dose for covid-19 immunisation. The patient's medical history and concomitant medications were none. The patient on 19Jan2021 at about 4:00PM, got his first dose of vaccine, later clarified as COVID vaccine, and he was very energetic last night, he didn't feel the medicine going in, but today (20Jan2021), the more he was up, the worse he felt, and he checked his temperature, it was 100.3, and his employer said to not come in today, he knew can't get the virus from the vaccine, but this was not a side effect listed on the sheet. He had body aches, his arm, he can't hardly lift it, and last night he was so energetic and felt great, but his arm was so sore throughout the night, it woke him up, and he was aching in hips/aches primarily in his hips, he has hip issues, but was achy in that area. He was also starting to get a little mild headache, it was so faint right now, his symptoms came along the longer he was up, the more he was experiencing things. Primary care doctor's information declined, stated he didn't have one, he moved to another state, and didn't have one yet. Workplace said not to come if temperature was 100.4, but it's so borderline, so they said to stay home. Outcome: he had checked 4 times, and it kept saying 100.3. Overnight, his arm started hurting, but he got up today, and had chills and body aches. His arm was not hurting if he moved his arm, but other than that, he felt like something was there, but didn't ache or anything. The outcome of events faint, chills and headache was unknown, for events temperature was 100.3, body aches, arm hurting, and aching in hips was not recovered.

Other Meds:

Current Illness:

ID: 0997527
Sex: F
Age: 22
State:

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
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: Presented with extreme chills at first (9 hours after shot), then fatigue, lightheadedness, brief burning at injection site, and nausea. When standing up, burning feeling occurred in the head and ears. Symptom severity lessened 24 hours after the injection.

Other Meds: Lo Loestrin Escitalopram

Current Illness:

ID: 0997528
Sex: F
Age: 42
State: NY

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: Raglan, Imatrex

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Symptoms immediately following the vaccine on Wednesday; tachycardia, shortness of breath, dizziness. Symptoms the following day on Thursday; tachycardia, shortness of breath, weakness, fatigue. Symptoms on Friday; tachycardia, shortness of breath, weakness, fatigue, diarrhea, cough, loss of control of extremities, debilitating headache, nausea, dizziness. Symptoms on Saturday; chills, tachycardia, shortness of breath, weakness, fatigue, diarrhea, cough, loss of control of extremities, debilitating headache, nausea, dizziness, blurred vision, sensitivity to lighten and sound, sore throat, stuffy nose, ringing in ears. Symptoms on Sunday to current 2/3/21 tachycardia, shortness of breath, weakness, fatigue, diarrhea, cough, loss of control of extremities, debilitating headache, nausea, dizziness, blurred vision, sensitivity to lighten and sound, sore throat, stuffy nose, ringing in ears.

Other Meds: Levothyroxine, Adderall, vitamin D3, Collagen, Tumeric, probiotic, Motrin

Current Illness: None

ID: 0997529
Sex: F
Age: 60
State: WI

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 02/03/2021
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 Drugs (doesn't remember)

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

Symptoms: Injection site is warm, itchy, red rash.

Other Meds: Breo Ellipta, Pantoprazole, Albuterol, Multi Vitamin+, Losartan-Hydrochlorothiazide, Levothyroxine

Current Illness: None

ID: 0997530
Sex: F
Age: 25
State:

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: Tuna

Symptom List: Nausea

Symptoms: chills, headache, muscle soreness in arm, nausea, overall weakness; still has symptoms today, which are not subsiding redness and swelling at site about 3 hrs after the vaccine, continues to be red and swollen and very painful Has not taken any meds for the pain

Other Meds: No

Current Illness: No

ID: 0997531
Sex: M
Age:
State:

Vax Date:
Onset Date: 01/21/2021
Rec V Date: 02/03/2021
Hospital: Y

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: Narrative: Patient is a 49 year old man with past medical history of hypertension and kidney stones who presented with a chief complaint of word finding difficulties and slurred speech. Patient was last seen normal at 1230 pm on 1/21/2021. He got his covid vaccine and shortly after he developed a headache that was on both sides of his head. Felt like 8/10 pain. He then had difficulty with speaking - he didn't know what word to say so he would make a noise. He was on the phone, and that person recommended that he come to the ED to get evaluated.In the ED, a stroke code was called. BP 169/97. NIHSS 0. A CT non con did not show any acute bleed or any signs of a stroke. After the stoke code was ended, the patient has a headache severity 1/10 and did not have any word finding difficulties. Patient was non focal by the time that the stroke code was ended. In the setting of hypertension, a blood pressure of 169/97 on admission and fluctuating symptoms, most concerning on the differential is a TIA. Given his risk factors and episodic presentation, he will need to be worked up for a stroke. The differential also includes post-vaccination reaction vs complex migraine.

Other Meds:

Current Illness:

ID: 0997532
Sex: F
Age: 48
State: KY

Vax Date: 01/25/2021
Onset Date: 01/27/2021
Rec V Date: 02/03/2021
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: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: I received my first injection of the Moderna Covid-19 vaccine on Monday evening (1/25/2021) and my arm became very sore. The next day, I could not lift my arm. By Wednesday (1/27/2021) morning, I had a terrible migraine type headache, chills, muscle aches and nausea. I went to bed and sleep the whole day. I took ibuprofen which helped ease symptoms. The headache went away by Friday but I had lingering nausea & tiredness for several days and food tasted strange to me. I felt better by Monday, Feb 1, but then on Tuesday, February 2 in the evening, I developed a large hive and swelling on my left arm where I had received the injection. I also had smaller hives on my chest and neck. I took Benadryl and the swelling went down and by Wednesday morning (2/3)- the hives were gone and feel somewhat normal again.

Other Meds: none

Current Illness: none

ID: 0997533
Sex: F
Age: 69
State: NC

Vax Date: 01/25/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
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: sulfa drugs, formaldehyde (skin)

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

Symptoms: Moderna COVID-19 Vaccine EUA arm swelling, redness, itchiness ... 9 days after the shot! also dizziness. arm fine before then had a backache like a pulled muscle for 3-4 days after the shot, but might have been a coincidence - but don't recall doing anything

Other Meds: Ramipril, Simvistatin, Centrum Silver, COQ10, Calcium

Current Illness: none

ID: 0997534
Sex: F
Age: 15
State: FL

Vax Date: 01/06/2021
Onset Date: 01/18/2021
Rec V Date: 02/03/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List: Tremor

Symptoms: Patient developed clots/DVT in the RUE over 1-2 weeks after the Meningococeal injection. She presented to my office with large swollen arm and was sent to ED where an ultrasound showed large Subclavian DVT's on the right

Other Meds: None

Current Illness: None

ID: 0997535
Sex: F
Age: 21
State: TX

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/03/2021
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: SORE THROAT, COUGHING, LETHARGY, FATIGUE

Other Meds:

Current Illness:

ID: 0997536
Sex: M
Age: 71
State: IN

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
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: Pt states he got his second Covid vaccine yesterday. Pt states he can hardly get his arm to the level of his chest. He says his arm from his scapula to his elbow is swollen 2x the size. He says around the injection site it is red, swollen, hard/firm and warm to touch. Pt states he feels terrible, with nausea, sore throat, diarrhea, chills. He says he is "breathing ok", but also has some "difficulty breathing". He says his O2 sat is running 85 to 90% on RA. His temp is 101.8 to 104. His pulse is 100 to 104, RR 22 to 24, BP 140 to 160 over 100.

Other Meds:

Current Illness:

ID: 0997537
Sex: F
Age: 71
State: NY

Vax Date: 01/29/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
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: no

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

Symptoms: pt stated she had a regular appt w/ her Cardiologist on 2/1/2021 which did blood work. She was told her platelets were high. They are usually normal but after taking the covid vax they were elevated with a reading of 605.

Other Meds: aspirin, vitamin C, D3, Magnesium, Fish Oil, Calcium, Airborne, Lisinopril, Pravastatin,

Current Illness: no

ID: 0997538
Sex: F
Age: 41
State: IN

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
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: Asthenia, Chills, Headache, Myalgia

Symptoms: Extremely fatigued, sore and groggy.

Other Meds: none

Current Illness: none

ID: 0997539
Sex: F
Age: 28
State: CA

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
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: Swollen lymph nodes in her arm pit area on the left side. Noticed it last night in her sleep.

Other Meds:

Current Illness:

ID: 0997540
Sex: F
Age: 39
State: FL

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
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: None

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

Symptoms: 11pm- severe rigors/chills, lasted 2-3 hours until I could fall asleep. 5pm- arm soreness- ongoing

Other Meds: Lexapro Wellbutrin Seasonique Cosentyx Famotidine

Current Illness: None

ID: 0997541
Sex: F
Age: 65
State: PA

Vax Date: 01/22/2021
Onset Date: 01/29/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List: Pain in extremity

Symptoms: Hot, itchy painful rash proximal to site of injection 7 days after injection

Other Meds: Losartan, Atorvastatin, Calcium + Vitamin D, Centrum Women's Vitamin, Citalopram, Atenolol, Vitamin B-12

Current Illness:

ID: 0997542
Sex: F
Age: 70
State: IA

Vax Date: 01/23/2021
Onset Date: 01/25/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: IV Contrast Iodine dye (hives) (If injected, need 4 Prednisone 50mg combined with Benadryl 25-50mg each) Bee venom (hives, swelling) Lispinopril (constant cough), Pramipexole (bad dreams), Atenolol (weight gain), Spironolactone (irregular heartbeats), Hydrocholorothiazide (rash) Strong narcotic pain relievers with codone or codeine, Tramadol and Anesthetic cause nausea and vomiting (Sometimes tolerate Nucynta 50mg for pain with Ondansetron 8mg and Prochlorperazine 10mg for nausea) Certain foods/animals/environmental conditions (asthma and allergies)

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

Symptoms: 2 inch round red, swollen, hot, itchy spot at injection site lasted a few days after injection on 1/23/21, then went away except for faded brown bruise appearance for 1 week, then the 2 inch round red, swollen, hot, itchy spot came back again and is still there today 2/3/21. 2/3/21 started taking 50 mg Benadryl and Cortizone-10 cream.

Other Meds: Levothyroxine Hypothyroid 100mcg PM Losartan Potassium Blood pressure 100 AM Simvastatin Cholesterol 20 PM Furosemide Water retention 20 AM Potassium CL ER Supplement 20meq AM Albuterol Asthma

Current Illness: None

ID: 0997543
Sex: F
Age: 39
State: PR

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
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: Crustaceans

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

Symptoms: Slight fever, joint pain, tiredness

Other Meds:

Current Illness:

ID: 0997544
Sex: F
Age: 76
State: FL

Vax Date: 01/26/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
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: Aspirin and Sulfa

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

Symptoms: One week after shot my right arm began itching at the injection site. My arm is red almost to my elbow and still itches. Also have a hard lump in my arm.

Other Meds: Simvastatin , calcium +D, probiotics, Super B Complex, Osteo BioFlex, Ared2, Allergy Medicine (Loritain), Clopidogrel Venlafaxine Losartin Carvidilol

Current Illness: None

ID: 0997545
Sex: F
Age: 27
State: TX

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/03/2021
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:

Symptom List: Vomiting

Symptoms: SEVERE HEADACHE

Other Meds:

Current Illness:

ID: 0997546
Sex: M
Age: 72
State: FL

Vax Date: 01/02/2021
Onset Date: 01/03/2021
Rec V Date: 02/03/2021
Hospital: Y

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

Lab Data:

Allergies: no

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Jan 2, 2021 patient received his first dose of the Monderna Vaccine at the County Health Department. He woke up on Janurary 3rd with a bloated somach, severe pain and nausea. He was in the ER at 6:00 am. diagnosed with acute pancreatititis (he did not drink alchol) He conditon declined during the month of Januray as he remained in he hospital gradually being moved to higer levels of care. On January 28 he endured open surgery to remove the gallbladder. On Januray 29 he passed. Doctors belive only slight chance his condition was caused by vaccine.

Other Meds: mulit vitamins

Current Illness: obesity, diabetic

ID: 0997547
Sex: F
Age: 43
State: IN

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

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

Symptoms: I developed a fever at about 11:45 pm the night I received the 2nd covid vaccine. (2/1/21). I ran a fever until about 2 am on 2/3/21. I also had a headache and intense pain in my legs and my knee and hip joints.

Other Meds: Zoloft

Current Illness: None

ID: 0997548
Sex: F
Age: 40
State:

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: felt extreme fatigue, "couldn't move", no meds taken, but called out the next day 1/22.

Other Meds:

Current Illness:

ID: 0997549
Sex: F
Age: 60
State: MA

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/03/2021
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: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: Severe Chills, fever 102.2 degrees, muscle pain, headache, extreme thirst and fatigue for first 24 hours. Next day fever down to 100.1 degrees, fatigue, some muscle pain, dry cough and scratchy throat , lasted 24 hours. Was feeling fine by next morning.

Other Meds:

Current Illness:

ID: 0997550
Sex: F
Age: 54
State: MA

Vax Date: 01/27/2021
Onset Date: 01/30/2021
Rec V Date: 02/03/2021
Hospital: Y

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: First three days was just muscle soreness and fatigue. On day 4 I started having tight chest and SOB while snowshoeing, which I did not have the day before on same activity. That night I woke up with SOB and tightness in my chest and severe pain in area of my heart. I could not lay on my left side. It seemed like I was having heart attack symptoms. Barley slept but upon waking my heart rate was 94 and the pain remained in LT Axilla area. Took it easy for day and that night again had trouble sleeping, SOB but not as bad. Woke up with excrutiating pain radiating up the base of my RT skull. Was concerned about blood clot potential?? Had SOB when walking up stairs. My throat hurt when bending over, as if my esophagus was crushing. Friends said my face looked puffy and I felt bloated. Landed up reporting to ER at the Hospital on Monday, Feb. 1st as directed by my PCP. Hospital was told I had just had 2nd dose of vaccine, but did not think it was related. I will mention all tests below, but upon arriving home on Feb. 2nd, I discovered a rash breaking out on underside of my LT upper arm, LT inner thigh and LT lower leg.

Other Meds: verapamil-for vertigo off label usage fish oil multivitamin

Current Illness: none

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm