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: 1033143
Sex: F
Age: 35
State: MN

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: Penicillin - history of rash

Symptom List: Dysphagia, Epiglottitis

Symptoms: Moderna COVID-19 Vaccine EUA. Vaccine given at 2040 and waited 15 minutes before leaving site. On my drive home, between 2100-2110 started feeling tingly and numb around mouth and it spread to entire face. Tongue and inside of cheeks also felt tingly/numb. No visual swelling of face and breathing was ok. I didn't feel any airway obstruction. Heart rate also increased. I continued driving to the nearest store to get Benadryl (about an additional 20-25 minutes). Took 50mg at approximately 2145 and my symptoms slowly got better. As of today (02/16/2021) my face does not still feel 100% back to normal, very minimal numbness/tingly but more so on the left side which was also the same side as injection. I have had no facial drooping.

Other Meds: No medications/supplements taken at the time of vaccination.

Current Illness: None

ID: 1033144
Sex: F
Age: 52
State: AZ

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
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: Penicillin, Sulfa, Morphine; Fennel seed

Symptom List: Anxiety, Dyspnoea

Symptoms: (during the night of sleep only) Fever, violent shaking, head ache, charlie horse in calves; (daytime) achy, sore joints, head ache, fever

Other Meds: Lisinopril 40mg, Atenolol 50mg, Amlodipine Besylate 2.5mg, Atorvastatin 20mg, Citalopram 40mg, low dose aspirin

Current Illness: none

ID: 1033145
Sex: F
Age: 67
State: WI

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/16/2021
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: Penicillin

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

Symptoms: Headache, fever 100?, tired and chills. This lasted 2 days

Other Meds: Astra vista

Current Illness: None

ID: 1033146
Sex: F
Age: 75
State: MN

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin Azithromycin Cipro Cefaclor Codeine Darvon Tobramycin-dexamethasone

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Pt was instructed to wait 30 minutes for observation following vaccination due to history of allergic reaction and anaphylaxis. About 33 minutes following injection, pt began feeling tightness and scratching of the throat and feeling the need to cough/clear throat frequently. Pt refused Epi-pen administration, but accepted Benadryl 50mg orally. EMS was called. Pt refused transport via ambulance but drove self to the ED for eval/monitoring.

Other Meds: Synthroid Combivent inhaler

Current Illness: none

ID: 1033147
Sex: M
Age: 42
State: MN

Vax Date: 12/21/2020
Onset Date: 01/01/2021
Rec V Date: 02/16/2021
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 erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Tremors, feeling hot. Diagnosed with autoimmune disorder graves disease.

Other Meds: Multivitamin, aspirin 81mg

Current Illness: None

ID: 1033148
Sex: F
Age: 47
State: IL

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/16/2021
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: Sulfa

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

Symptoms: Starting on 2/6/21, I felt fatigued, and had soreness at injection site, along with hot flashes. Fatigue, sluggish and joint pain 2/7/21. Continued fatigue, hot flashes and joint pain since. On 2/11/21 at 10am, felt stiffness on back of my neck that travelled to the front of my neck. By noon, it felt like the muscles in the front of my neck were tightening. By 1pm my head was tilting to the left. I went to Hospital, ER where I was given a muscle relaxer, lidocaine patch, and Tylenol. Symptoms were improved and was discharged home with medication. ER staff stated neck stiffness d/t working with telephone at work. Continued to have some neck stiffness through the weekend. On the evening on 2/14/21, left side of face and jaw swollen, hard to touch, painful. Have been taking muscle relaxer prescribed by ER Physician, and have appointment with PCP on 2/17/21.

Other Meds: Estroven, Vitamin D3, vitamin B 12, Multi-vitamin, Atvorstatin, Fish Oil

Current Illness: None

ID: 1033149
Sex: F
Age: 83
State: AZ

Vax Date: 02/10/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
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: First day following vaccine, very tired. some blurred vision the next few days. on fourth day following vaccination, blurred vision, unstable walking felt like having Vertigo. Today the 16th, all adverse symptoms are gone

Other Meds: 3 in the am and 3 in the pm heart and blood pressure meds

Current Illness: no

ID: 1033150
Sex: F
Age: 82
State: VA

Vax Date: 01/28/2021
Onset Date: 02/04/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: All antibiotics, All antihistamines, all synthetics

Symptom List: Pharyngeal swelling

Symptoms: Covid-19 Vaccine EUA; severe rash and itching over entire body except face and neck; no treatment possible; still on-going

Other Meds: Levothyroxine, Digoxin, Metformin, Buspirone, Vascepa, Valsartan, Forcus select vitamin/mineral supplement, Mirtazapine, Gabapentin, Ariprazole, Muprirocin, Centrum silver multi vitamin

Current Illness:

ID: 1033151
Sex: M
Age: 57
State: NE

Vax Date: 12/22/2020
Onset Date: 01/02/2021
Rec V Date: 02/16/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: sore throat, congestion, fever. 01/02/2021: COVID positive. Given Balmlinivimab and Decadron. Admitted to hospital through ER on !/5/2021 with chest tightness and shortness of breath. Throughout stay given Cardizem, Amiodarone without conversion. 1/5/2021 1800 transported by ambulance to medical center. Cardioverted at medical center.

Other Meds:

Current Illness:

ID: 1033152
Sex: F
Age: 53
State: CA

Vax Date: 01/21/2021
Onset Date: 02/03/2021
Rec V Date: 02/16/2021
Hospital: Y

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

Lab Data:

Allergies: Shellfish, whey, multiple fruits,

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Chills, aches, post dose 2 and left sick within 24 hours of receiving the injection but was fine approximately 16 hours post injection. On or about 2/03/2021 felt intense itching deeply in left flank area. On 2/52011 the pain became so intense that I missed work and went to the hospital, and had concerns there was a problem with my kidneys. On 2/9 itching, urning and pain in left flank area and later developed shingles for the first time.

Other Meds: Antihistamine Zyrtec,Singular, cyclosporine, lasix, potassium, cetirizine, fluoxetine,fenofibrate...daily regimen for both dose 1 and 2

Current Illness: Chronic autoimmune urticaria with angeoedema

ID: 1033153
Sex: F
Age: 48
State: CO

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: Sulfa flexerill

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

Symptoms: Sore throat fever body aches chest tightness headache

Other Meds: Lamictal Wellbutrin trazadone estradial vitamin D

Current Illness: None

ID: 1033154
Sex: F
Age: 61
State: NY

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/16/2021
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: N/A

Symptom List: Rash, Urticaria

Symptoms: vomiting, weakness, fever, chills, dizziness, pain

Other Meds: Levothyroxine

Current Illness: N/A

Date Died: 02/11/2021

ID: 1033155
Sex: M
Age: 64
State: SD

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/16/2021
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 known allergies

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

Symptoms: Vaccine given in clinic per protocol - patient monitored for 15 minutes, no adverse reactions noted at the time. Patient stated he felt fine following 15 minute monitoring time. Patient left facility- it was later reported that pt had a fall at home. Upon review of pt's medical record - Pt's wife had to initiate CPR and call EMS for transportation and life saving measures enroute to the Emergency Room. Pt was intubated as pt was in asystole upon arrival to the ER, ACLS was continued, pt was noted to have a traumatic brain injury from his fall at home, and pt was pronounced dead at 1620.

Other Meds: Amiodarone, Rosuvastatin, Prevacid, Zetia, ASA, MVI, Nitroglycerin, Metformin, Potassium, Bumex, Apixaban, Omega 3, Metoprolol, Midodrine,

Current Illness: Generalized ischemic myocardial dysfunction, lower leg edema with cellulitis

ID: 1033157
Sex: F
Age: 76
State: CA

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Patient experiencing a red rash below the injection site. She said this developed 12-24 hours post vaccine. She describes it as red, hot, and "a little firm." Patient did take some acetaminophen 2/12/2021 but has not taken any since. I advised to take IBU or acetaminophen, ice, and rest to help with symptom management. Advised that if symptoms worsen to come in to be seen at the clinic.

Other Meds:

Current Illness:

ID: 1033158
Sex: F
Age: 24
State: NJ

Vax Date: 02/08/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
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: Hay fever, Bactrim when taken as child

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

Symptoms: Developed severe itching overnight Feb 15 into 16th. Woke up to red, raised, circle rash 3-4 inches long around injection site.

Other Meds: Wellbutrin, Larin FE birth control, women's multivitamin

Current Illness:

ID: 1033159
Sex: F
Age: 34
State: FL

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
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: Augmentin Cipro

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

Symptoms: Within 5 minutes of vaccine-Metallic taste, Tingling tongue, burning throat, coughing, lump in throat when swallowing, hot flushed feeling. Elevated blood pressure, elevated blood sugar. 1 hr after vaccine itchiness all over and itch welt on forehead

Other Meds: None

Current Illness: None

ID: 1033160
Sex: F
Age: 70
State: MI

Vax Date: 02/04/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
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: sulfa and other antibiotics (unknown names)

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

Symptoms: Stated she woke up this morning and her arm itched. Shoulder had multiple bumps at site of vaccine. States the "bumps" looked like welts not blisters. Stated the bumps went under left breast near bra line and around to her back. No pain, just itching. States she is taking Benadryl which seems to be helping. No c/o chest tightness or difficulty breathing. Discussed to see her doctor if worsens or the ER if she has any difficulty breathing, chest pain or tightness, swelling of throat.

Other Meds: none

Current Illness: none

ID: 1033161
Sex: F
Age: 74
State: NY

Vax Date: 02/04/2021
Onset Date: 02/11/2021
Rec V Date: 02/16/2021
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: Initially, some soreness in the arm for about 24 hours. Then, eleven days after the injection, upper arm swollen, red, itchy and hot to the touch. Worse on the twelfth day following injection

Other Meds: Atorvastatin, levothyroxine, estradiol, Medroxyprogesterone , biotin, l-lysine, vitamins C, D3, B12

Current Illness: None

ID: 1033162
Sex: F
Age: 56
State: RI

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: PCN, Augmentin, Cipro

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: 2/4 Headache, dizziness, neck and shoulder aches, left hand and foot numbness which continued into 2/5.

Other Meds: IVIG infusions every three weeks, Irbesartan, Nortriptyline, Trazadone, Tumeric, Magnesium, MVI, Vit C, Vit D, Vit B complex, Zinc, Zyrtec

Current Illness: Guillain-Barre Syndrome (CIDP)

ID: 1033163
Sex: M
Age: 79
State: NV

Vax Date: 01/25/2021
Onset Date: 02/07/2021
Rec V Date: 02/16/2021
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: Unilateral sensory peripheral neuropathy- ongoing

Other Meds: Acalabrutinib, Levothyroxine, losartan, Eliquis, flecainide, Ezetimibe, Tamsulosin

Current Illness:

ID: 1033164
Sex: F
Age: 40
State: NC

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
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: Penicillin, hives

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

Symptoms: 102-degree fever 1st day after the vaccine, continued low-grade fever next day with excessive aches, the third day after vaccine extreme headache and lethargy. Recovered day 4.

Other Meds: N/A

Current Illness: N/A

ID: 1033165
Sex: F
Age: 47
State: ID

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List: Unevaluable event

Symptoms: Approximately 12 hours after I received the injection, I started to experience muscle and joint pain. Soon after the pain started, I began feeling short of breath and feverish. Vitals were checked and I did not have a fever, but heart rate was elevated and oxygen saturation was low. Around 9:00 am, I began having restless leg symptoms in addition to other symptoms. I took oral Benadryl around 10:00 am and restless leg, tachycardia and low oxygen saturation began to subside. Muscle/joint pain and exhaustion continued for a couple days.

Other Meds: Levothyroxine, Simvastatin, Benadryl, Famotidine, Glucosamine Chondrointin, Probiotic

Current Illness: None

ID: 1033166
Sex: F
Age: 86
State: FL

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/16/2021
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: Sulfa

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

Symptoms: Pain. Swelling (hard area, size of lemon), redness, fatigue, headache, muscle pain joint pain , 4 hours of chills on and off,) nausea. loss of appetite, fever of low grade, duration, some lasted 1 week small vesicles on R face above R lip and R shoulder sutured area. Took tylenol and Benadryl which decreased pain and curbed itching.

Other Meds: Eliquis, levothyroxine, nadolol,Flecainide, Fammotidine. Ca

Current Illness: 2 small areas face and R shoulder removed for basal cancer

ID: 1033167
Sex: F
Age: 49
State: MN

Vax Date: 02/04/2021
Onset Date: 02/12/2021
Rec V Date: 02/16/2021
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: allergic to penicillin

Symptom List: Injection site pain, Pain

Symptoms: Pt described redness, itching, warmth peaking on 2/13/21 with fairly intense itching. Symptoms improved with a cold compress. Pt felt that the reaction may have had an impact on her mood or mental health. She felt fatigued in the week before the reaction and "cried all day" on 2/13/20 when the reaction was strongest. She acknowledged other factors in her life that might also impact her mood and did not feel certain it was related to the vaccine. Physical symptoms have improved but the redness is still visible.

Other Meds:

Current Illness:

ID: 1033168
Sex: F
Age: 32
State: PA

Vax Date: 02/08/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: Omnicef

Symptom List: Injection site pain, Menorrhagia

Symptoms: Red, raised rash/welt at vaccine injection site.

Other Meds: Multivitamin, iron, b12, lactation supplements, magnesium, calcium, Reglan

Current Illness:

ID: 1033169
Sex: M
Age: 46
State: NY

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
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: SULFA, PENICILLIN, BERRIES AND NUTS

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

Symptoms: After 14 minutes in observation patient reported itching on the right arm, there was no visible rashes on the arm or the body at the time or any time later. Took patient to a stretcher for further observation and about 5 minutes later he said felt dizzy, his pulse was 84 and chest was clear but he then complained of chest pain and headache for which I called EMS at 2:31 PM. During the entire time in observation patient appeared well, not pale, no sweating, talking clearly and no visible rashes. Denies itchy throat and did not complained of pruritus again

Other Meds:

Current Illness:

ID: 1033170
Sex: F
Age: 40
State: CA

Vax Date: 01/04/2021
Onset Date: 01/07/2021
Rec V Date: 02/16/2021
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: Dairy

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Weakness and Pain in muscles and nerves in legs. Swollen lymph node in right arm pit.

Other Meds: Acyclovir/Tylenol

Current Illness:

ID: 1033171
Sex: F
Age: 65
State: NC

Vax Date: 02/06/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: COVID19 Vaccine EVA; Seven days post vaccination Left deltoid skin: hives, redness, swelling, painful to the touch and itchy. As of today continues to be red (decrease area), decrease itchy & swelling, and minimal/trace pain to touch.

Other Meds: Multivitamins

Current Illness: NONE

ID: 1033172
Sex: F
Age: 61
State: MS

Vax Date: 02/01/2021
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
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: Rash at injection site

Other Meds:

Current Illness:

ID: 1033184
Sex: F
Age: 53
State: OH

Vax Date: 12/24/2020
Onset Date: 12/25/2020
Rec V Date: 02/16/2021
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: Vasculitis on her head, at the back of the brain; Horrible pain in the neck; Pain on the back; Feeling dizzy; Motion sickness; Vertigo; Horrible headaches; raging headache; Nausea; awful nausea; feeling tired, fatigue; Sore arm; Body aches; A spontaneous report was received from a 53-year-old, female, patient who was also a physician who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced vasculitis on her head, at the back on the brain, sore arm, feeling tired; fatigue, body aches, awful nausea; nausea all day long, horrible headaches, motion sickness, feeling dizzy, horrible pain in the neck, vertigo, and pain on the back. There was no medical history provided. There were no concomitant medications reported. On 24 Dec 2020, the patient received the first of two planned doses of mRNA-1273 intramuscularly in the left arm, for prophylaxis of COVID-19 infection. On 25 Dec 2020, the patient experienced sore arm, feeling tired, body aches, and fatigue, which continued through Sunday, 26 Dec 2021. On 27 Dec 2020, she began experiencing awful nausea, horrible headaches, vertigo, and motion sickness in addition to the ones she suffered before. On 28 Dec 2020, the patient experienced nausea all day long. On 29 Dec 2020, she went to the emergency room (ER) as she was feeling dizzy, had nausea, and had a raging headache. In the ER, she was given IV fluids, diphenhydramine hydrochloride, and other non-specified medications that helped with her symptoms. The patient went home with prescriptions and the next day she had results from lab work done, which included sedimentation rate was 44 (doubled) and her plaquette count was above normal. Treatment form her primary care physician included steroids, acetylsalicylic acid, meclizine hydrochloride, and prednisone. The patient reported an MRI was done and her physician told her she had vasculitis on her head, at the back on the brain. She was referred to a neurologist and was asked to do more bloodwork. On 12 Jan 2021, the patient reported she was still experiencing horrible pain in the neck, nausea, vertigo, dizziness, and pain on the back, with symptoms beginning on an undisclosed date. Action taken with mRNA-1273 to the events was not provided. The outcome for the events, vasculitis on her head, at the back on the brain, sore arm, feeling tired, fatigue, body aches, horrible headaches, and motion sickness, was unknown. The events, pain in the neck, nausea, vertigo, dizziness, and pain on the back, were considered not resolved.; Reporter's Comments: This case concerns a 53 year old female patient experienced a serious unexpected event of Central nervous system vasculitis and NS events of sore arm, feeling tired; fatigue, body aches, awful nausea; nausea all day long, horrible headaches, motion sickness, feeling dizzy, horrible pain in the neck, vertigo, and pain on the back. The events occurred few days after first dose of the study medication administration. Treatment included IV fluids, diphenhydramine hydrochloride, steroids, acetylsalicylic acid, meclizine hydrochloride and prednisone. Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1033185
Sex: M
Age: 63
State: VA

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 02/16/2021
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: Diarrhea with blood; Headache; Insomnia; A spontaneous report was received from a 63-year-old male patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced diarrhea with blood, headache, and insomnia. The patient's medical history was not included. Concomitant medications were not reported. On 07 Jan 2021, the patient received their first of two planned doses of mRNA-1273 (batch number: 012L20A), intramuscularly for the prophylaxis of COVID-19 infection. On 07 Jan 2021, the patient experienced diarrhea with blood, headache, and insomnia for couple days. Treatment included aspirin for the headache after 3-4 days from getting the vaccine. Action taken with mRNA-1273 in response to the event was not reported. The outcome of the event, diarrhea with blood was resolved on 08 Jan 2021 and the outcome of the events insomnia and headache was resolved on unknown dates. ; Reporter's Comments: Very limited information regarding this event has been provided at this time. Based on temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1033186
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 02/16/2021
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: sick; Initial information received on 19-Jan-2021 regarding an unsolicited valid non-serious case received from a consumer/non-health care professional. This case involved patient who was sick (illness), while patient received INFLUENZA VACCINE [Flu shot]. The patient's past vaccination(s) included INFLUENZA VACCINE for prophylactic vaccination and had sickness. It was unknown if the patient had any medical history, concomitant disease or risk factor. Medical treatment and family history were not provided. On an unknown date, the patient received a dose of suspect INFLUENZA VACCINE (produced by unknown manufacturer) [lot number and expiry date not reported] via an unknown route at an unknown administration site for prophylactic vaccination. On an unknown date, the patient developed a non-serious sick (illness) unknown latency (for duration 1-2 week) following the administration of INFLUENZA VACCINE. It was reported that, patient asked why should patient get something they just made less than 1 years. It was unknown if the patient experienced any additional symptoms/events. There were no lab data/results available. It was not reported if the patient received any corrective treatment. At the time of reporting, the event outcome reported as unknown for event. There will be no information available on the batch number for this case.

Other Meds:

Current Illness:

ID: 1033187
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 02/16/2021
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: felt ill for a day or two following every flu shot when he/she ever got; Initial information was received on 04-Feb-2021 regarding an unsolicited valid non-serious case from a consumer/non-healthcare professional (patient). This case involves a patient (unknown demographics) who felt ill for a day or two (malaise) while he/she received INFLUENZA VACCINE. The patient had no medical history, concomitant disease or risk factor. Past medical treatment(s), vaccination(s), concomitant medications and family history were not provided. On an unknown date, the patient received a dose of suspect INFLUENZA VACCINE (produced by unknown manufacturer) (lot number and expiry date not reported) via an unknown route in an unknown administration site for prophylactic vaccination. On an unknown date, the patient felt ill for a day or two (malaise) (unknown latency) following the administration of INFLUENZA VACCINE. This event is non-serious. It was unknown if the patient experienced any additional symptoms/events. There were no lab data/results available. It was not reported if the patient received a corrective treatment. On an unknown date, the patient recovered from the event. There will be no information available on batch number for this case.

Other Meds:

Current Illness:

ID: 1033188
Sex: F
Age: 72
State: SC

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/16/2021
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 that I know of

Symptom List: Tremor

Symptoms: Fluctuating blood pressure, Premature Atrial Contractions, Shingles. Metoprolol Tartrate 25 mg. 2 times a day along with the Lisinopril 40 mg. for blood pressure issues. Antibiotic for Shingles for 7 days. Finished antibiotic and threw bottle in trash

Other Meds: Lisinopril 40 mg, Levothyroxine 50 mg, Folic Acid 1 mg, Orencia 125 mg, Donepezil Hyd 5 mg, Vit. D 2,000, Vit. E 800 325 Aspirin, Atorvastatin 10 mg., Dicyclomine 10 mg., Ondansetron 4 mg

Current Illness: Sinus infection, risen. bladder infection

ID: 1033189
Sex: M
Age: 70
State: TX

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
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: Erythema, Pruritus

Symptoms: Stomatitis, raw mouth, pain eating and drinking worse yesterday and today ( day 3 and day 4 )

Other Meds: Praluent, cartia xt, atorvastsin, zaleplon, valsartin, hydrochlorthiazide

Current Illness: None

ID: 1033190
Sex: F
Age: 54
State: MD

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
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: avocado, raspberry, shellfish, Cashews, Bacitracin, Tobradex

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

Symptoms: c/o sob, CP, throat tightness, tongue tingling minutes after administration of vaccine. Vitals were within normal limits. Alert and oriented. Given IM benadryl and Epi. Transported to ED.

Other Meds:

Current Illness:

ID: 1033191
Sex: F
Age: 59
State:

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 02/16/2021
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: Individual developed palpitations and then high blood pressure on the day she received the COVID-19 vaccine (1/4/21). She started having joint pain on the fourth day (1/7/21) and it lasted until 1/11/21. On 1/10/21, she couldn't stand to do dishes. She went to Urgent Care on 1/12/21.

Other Meds:

Current Illness:

ID: 1033192
Sex: M
Age: 81
State: WA

Vax Date: 01/30/2021
Onset Date: 02/10/2021
Rec V Date: 02/16/2021
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: Covid-19 arm - raised rash type swelling, itching, light redness. Currently treating with generic Benadryl, which seems to be resolving issue.

Other Meds: Metformin HGI 500mg, Atorvastatin 40mg, Tradjenta 5mg, Glimepiride 1mg, Losartan 25mg, Vitamin D3 2000IU, Fish oil 1000mg, Ozempic pen 9.5-1mg, Stelara syringe 1ml

Current Illness: None

ID: 1033193
Sex: F
Age: 74
State:

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/16/2021
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: About 15 minutes after vaccination, patient began to experience acute pyrexia and nausea. No vomiting. No syncope. Vital signs within normal limits. Borderline tachy. No hypertension, but some shortness of breath and some lightheadedness.. After 1st vaccination , developed body aches and wrist burning on 2nd day. Taken to ED where BP 129/77, HR 80, O2 sat 97%. EKG showed NSR. Symptoms resolved on own.

Other Meds:

Current Illness:

ID: 1033194
Sex: F
Age: 53
State: NJ

Vax Date: 02/07/2021
Onset Date: 02/10/2021
Rec V Date: 02/16/2021
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: almonds

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

Symptoms: 1 vaccine 4 days later i ended up in the ER; chills beyond my control, feeling of dying, could not breathe, anxiety, shaking so bad i could not control it for days i was sick, really back at the ER blood work was done showed i had thyroid 4 days later went to my PCP doctor more blood work done at my results i had no thyroid issues days later. 2nd vaccine was even worse, went to the ER on the 3rd day, left side of my neck was stiff, left ear ache, left side of my head pounding, cold, shaking was horrible, nauseous, pain and numbness on my legs, my PCP said the vaccine is on overdrive in my body 9 days later and i'm overcoming it it was the worse experiences of my life

Other Meds: metphormin, valtasar

Current Illness: none

ID: 1033196
Sex: F
Age: 56
State: CA

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/16/2021
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: Body aches, fever, chills, fatigue. Improved.

Other Meds:

Current Illness:

ID: 1033197
Sex: F
Age: 47
State: MI

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Joint aches, headache, fatigue- Motrin. Lasted 3 days

Other Meds: Levothyroxine, Paxil,

Current Illness: None

ID: 1033198
Sex: F
Age: 5
State: IN

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/16/2021
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: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Patient woke up with facial swelling >10 hours after vaccination. Family took her to the ER and she was given benadryl which resolved the swelling within three days

Other Meds: None

Current Illness: No illness at the time before the vaccination

ID: 1033199
Sex: F
Age: 29
State: AZ

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
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: Sulfa, Shellfish, Iodine

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

Symptoms: N & V x 3, tightening of throat

Other Meds:

Current Illness:

ID: 1033200
Sex: F
Age: 34
State: PA

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/16/2021
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: fever, body aches, chills, headache relieved with Motrin.

Other Meds:

Current Illness:

ID: 1033201
Sex: F
Age: 76
State: CA

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
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: Codeine sulfate

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Fever (max 102.7), chills, headache, sore arm for 36 hours.

Other Meds: Fosamax Metformin

Current Illness: None

ID: 1033202
Sex: M
Age: 71
State: CA

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 02/16/2021
Hospital: Y

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: Pneumococcal Vaccine Quinine NSAIDs

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

Symptoms: Patient was hospitalized for Guillain-Barre syndrome

Other Meds: ? clonazePAM (KLONOPIN) 0.5 mg Oral Tab Take 1 and one-half tablets by mouth daily at bedtime ? Mirtazapine (REMERON) 15 mg Oral Tab Take 1 tablet by mouth daily at bedtime ? metFORMIN (GLUCOPHAGE XR) 500 mg Oral 24hr SR Tab Take 2 tablets

Current Illness: STROKE. 2008 ? ATHEROSCLEROSIS OF AORTA cxr 8/11 ? BIPOLAR 1 DISORDER, UNSPECIFIED EPISODE ? ? CAD (CORONARY ARTERY DISEASE) ? ? DM 2 ? ? GERD (GASTROESOPHAGEAL REFLUX DISEASE) ? ? HYPOTHYROIDISM ? ? PPD POSITIVE. s/p cataract surgery s/p tonsillectomy

ID: 1033203
Sex: F
Age: 51
State: OH

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/16/2021
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: Codeine No food allergies

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Initially felt fine. Got lightheaded, nauseous, dizzy. Brain felt foggy. Wanted to lie down but kept her upright. Doesn't recall ride to emergency department. Next recalls her husband in ER and physician pushing on her chest (sternal rub). Extreme exhaustion

Other Meds: Humulog - sliding scale Trulisity weekly Glyburide 10 mg daily Albuterol as needed Nebulizer as needed Levothyroxine daily Emprazaprole daily Carafate tablets as needed Lyrica Muscle relaxer (4 hip replacements) Cyclobenzaprine at night Nor

Current Illness: None

ID: 1033204
Sex: F
Age: 79
State: CA

Vax Date: 01/28/2021
Onset Date: 01/30/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: None known

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

Symptoms: Large red spot at injection site which was hot to the touch and itchy. It remained that way for 3 weeks

Other Meds: Losarten - 50mg Athorvastatin - 20mg Calcium supplement Vit D supplement AREDS - for eyes

Current Illness: None

ID: 1033205
Sex: F
Age: 63
State: IL

Vax Date: 02/07/2021
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
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: Levoquin

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

Symptoms: 7 days after injection there is a raised patch that is hot, itchy and firm under the skin. The patch is approximately 3 x4 and is spreading on upper left arm at injection site.

Other Meds: Lisinopril

Current Illness: none

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm