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: 1011915
Sex: M
Age: 66
State: FL

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
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: n/a

Symptom List: Dysphagia, Epiglottitis

Symptoms: fever, headache, chills, pain all over body

Other Meds: tafinlar, mcakenist

Current Illness: n/a

ID: 1011916
Sex: F
Age: 63
State: NV

Vax Date: 02/03/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Anxiety, Dyspnoea

Symptoms: Day 1 - 02/03/21 - sore arm Day 2 - sore arm, slight redness at injection site Day 3 - sore arm, more redness and hard lump at injection site Day 4 - in the morning, more redness and a few small red spots near the site - by the afternoon slight rash on torso and at injection site Day 5 - Rash all over - mainly on torso, but also arms - very light on legs and feet and only a few on face - Very itchy and tingly - Day 6 - 02/08/2021 (today) I have an appointment with primary care doctor today

Other Meds: OTC Omeprazole, Vitamin D, Aspirin, Folic Acid, Calcium, Multivitamin RX - Lumigan eye drops, Atorvastatin, Clindamycin (last dose 02/07/2021)

Current Illness: Cellulitis

ID: 1011917
Sex: F
Age: 58
State: TX

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 02/08/2021
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: Morphine, Demerol, Tape/Band aides, Cephalosporins, Various trees & grasses: seasonal allergies(ragweed, fir, pine)

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

Symptoms: Edema / swelling from chest down to feet. 1st day after vaccine I noticed some swelling in my feet, 2nd day after vaccine I had 2+ edema in my legs & feet, 3rd day after vaccine I had 3+ pitting edema in my feet and swelling from my chest/abd down to my feet. I initially did not contribute this to the Covid vaccine but thought I was having complications from my surgery. However, I had not had any adverse reactions from my surgery and I had been going to follow up visits weekly with the surgeon. I went to the ER on 1/24/21 because I had gained 13 lbs. in fluid over a 3 day period and thought it could be a DVT or CHF.

Other Meds: Multi vitamin, Vit. D, Vit. C, Probiotics, Vit. E, Sea Moss, Black Elderberry, Protein Powder, Fiber powder, claritin, flonase, zyrtec prn

Current Illness: Surgery on 1/8/21 Abdominoplasty

ID: 1011918
Sex: F
Age: 37
State: WA

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/08/2021
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: 12 hours of vaccine spot swelling (all of shoulder), 48 hours of intense/constant headache, and general muscle aches/malaise, with periodic chills, and nausea.

Other Meds: Levothyroxine, fluoxetine, clomid, pre-natal multi-vitamin, asprin

Current Illness: None

ID: 1011919
Sex: M
Age: 62
State: CA

Vax Date: 12/21/2020
Onset Date: 01/18/2021
Rec V Date: 02/08/2021
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: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: fever, skin peeling off my hands ever since second dose, rash on stomach, lips are chapped,

Other Meds: none

Current Illness: none

ID: 1011920
Sex: M
Age: 47
State: CA

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
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: Nausea, low blood pressure, fainted, body pain, adverse reaction to cosmetic filler.

Other Meds:

Current Illness:

ID: 1011921
Sex: F
Age: 32
State: VA

Vax Date: 01/31/2021
Onset Date: 02/03/2021
Rec V Date: 02/08/2021
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: Penicillin

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Heart palpitations lasting about 2 days (normal sinus rhythm on EKG, irregularities auscultated by MD)

Other Meds: Zyrtec 10mg Qday

Current Illness:

ID: 1011922
Sex: F
Age: 75
State: CA

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: Bactrim, Keflex, Augmentin, Amoxycillin, Zithromax

Symptom List: Pharyngeal swelling

Symptoms: Extremely itchy red rash with tiny raised bumps on chest & around breasts beginning about 28 hours after injection. Topical Ciclopirox & Benadryl ointment did not help. Took one Benadryl tablet at bedtime on Feb. 1 which calmed the itching. Discontinued Ciclopirox on Feb. 1. Began treatment with Triamcinolone evening of Feb. 2. Red rash began to fade around Feb. 4. Continuing to use 1 Benadryl tablet per day and Triamcinolone since then.

Other Meds: Atorvastatin, Lisinopril, Prolia, Estradiol, Vesicare, Myrbetriq, Miralax, CVS brand stool softener, Tylenol, Singulaire, Ciclopirox, Fish Oil, NeilMed Sinus rinse with Budesonide, Vitamin D, Women's Daily Multivitamin Supplement, Vitamin

Current Illness: Recovering from balloon sinuplasty since Jan. 7, 2021. Had used Prednisolone & Doxycycline temporarily , recently used Advair inhaler

ID: 1011923
Sex: F
Age: 73
State: IN

Vax Date: 01/30/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: Penicillin Contrast media.....iodine Adverse reaction to 1970?s flu shot

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: One week after shot a bump of red turned into red rash with some swelling Tender to touch and Rash still present today. Self medicated with Benadryl

Other Meds: Prolia Restasis Levothroxine Vitamins

Current Illness:

ID: 1011924
Sex: F
Age: 38
State: CO

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
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: banana, cats, horses

Symptom List: Diarrhoea, Nasal congestion

Symptoms: inflammation of my arthritis (particularly in my thumbs and hip) fatigue, headache

Other Meds: Escitalopram, Daily vitamin, iron, vitamin D, calcium

Current Illness: sinus infection 3 weeks prior with antibiotic us

ID: 1011925
Sex: F
Age: 45
State:

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Right upper arm red, warm, and some swelling.

Other Meds:

Current Illness:

ID: 1011926
Sex: F
Age: 72
State: NJ

Vax Date: 01/14/2021
Onset Date: 01/26/2021
Rec V Date: 02/08/2021
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: zetia pnc; Compazine; tenormin norvasc lisinopril

Symptom List: Rash, Urticaria

Symptoms: Extreme diarrhea 12 day after vaccine.

Other Meds: hydrochlorothiazide; doxazosin; cholestyramine powder; Prilosec famotidine aspirin mvi; amitriptyline

Current Illness:

ID: 1011927
Sex: F
Age: 69
State: IN

Vax Date: 02/04/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: fatigue, nausea, headache, vomiting

Other Meds: omeprazole, naproxen, benezonate

Current Illness:

ID: 1011928
Sex: F
Age: 26
State:

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
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: NA

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

Symptoms: Felt fine until 12 hours after 2nd dose - extreme nausea and vomiting, high fever, alternating chills and sweats for ~6 hours. 40 hours after dose, woke up and had several painful bumps on vulva and labia- small and white, slight redness around them. No history of STDs, more than a year since last sexual activity. Did some googling to figure out what it was and closely matched what was described/photos in this paper .Searched "aphthous ulcers vulva" to confirm using more photos, and determine treatment/if I needed a doctor, and came across a web site, which then led me to believe they bumps were related to the vaccine. Treated with over the counter hydrocortisone 1% every 12 hours for a total of 4 applications, and bumps are mostly painless and reduced in size.

Other Meds: Junel; Spironolactone; Collagen powder; Multivitamin; vitamin b-12 and D

Current Illness: NA

Date Died: 02/04/2021

ID: 1011929
Sex: F
Age: 85
State: PA

Vax Date: 01/21/2021
Onset Date: 01/27/2021
Rec V Date: 02/08/2021
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: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: Within a few days, my mother started reporting profound fatigue and shortness of breath while conducting routine household activities. She no longer had to energy for her daily exercise walks and became increasingly lethargic. She died in her sleep while taking an afternoon nap on Thursday, February 4th. I am highly concerned this could be a vaccine related.

Other Meds: none

Current Illness: none

ID: 1011930
Sex: F
Age: 40
State: NJ

Vax Date: 01/29/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
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: Levoquin

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

Symptoms: Painful rash on backside, that felt like a burn. Rash on arm where vaccine was issued and on Back.

Other Meds: 10 mg Fluoxetine

Current Illness: NONE

ID: 1011931
Sex: F
Age: 56
State: NY

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
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: History of angioedema to unknown substance

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

Symptoms: 02/04/2021 Patient c/o feeling hot and throat itched. h/o angioedema to unknown substance, carries epi pen. h/o allergies to sulfa 1.0ml Diphenhydramine given IM in right deltoid (50mg per 1ml). administered at 1650. BP 140/80, pulse 80 and regular. Pt. reports that she feels like her airway is "opening up" after the Diphenhydramine. A&O x3, c/o headache. 1715: Spoke to physician via phone. Explained course of patient. Physician asked that patient remain for an additional 10 minutes. Patient agrees. Responding appropriately. Has slight cough, reports h/o well controlled Asthma. 1722 - BP 140/86 Pt. reports this reaction as somewhat normal for her. Airway open and Breath Sounds normal. Has dry cough, patient requested and received two 16 oz. bottles of water. RR currently 18 (was 22). Pt. reports being anxious and nervous. 1750 - BP 180/90 (patient reports BP always runs high), P - 72, RR 18 and regular. Pt. reports slight h/a and feels stable and requests permission to leave. Ambulated greater than 100 feet and was not SOB. Patient managed by RN's

Other Meds: Unknown

Current Illness: n/a

ID: 1011932
Sex: F
Age: 35
State: CA

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
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, ibuprofen, grapes, peaches

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Fatigue, excessive thirst, muscle soreness, headache within 1 hour of receiving vaccine. Symptoms subsided within 24 hours

Other Meds: Zoloft, prenatal vitamins, Allegra

Current Illness: n/a

ID: 1011934
Sex: M
Age: 75
State: TX

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital: Y

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: Began to feel numbness, lack of sensation and loss of strength to the left limb from the waist down. Also noted weaker grip strength to the left hand. Loss of bladder and bowel control. This persisted throughout 2/5. On saturday 2/6 the right leg began to feel weak and numb as well although not as severe as the left limb. He was admitted to the hospital on Saturday evening, 2-6

Other Meds: Simvastatin 20mg daily

Current Illness: none

Date Died: 02/08/2021

ID: 1011935
Sex: M
Age: 81
State: TX

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: No known drug/food allergies

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

Symptoms: Patient received his second dose of Moderna COVID vaccine on 2/6 at 12:40PM. Patient was observed for 15 minutes post-vaccination with no adverse events. On the evening of 2/6 (time unknown) the patient began to develop dry cough and fatigue. He was checked by a physician at that time (who was a family member). Patient continued to feel unwell into Sunday. His lungs were clear when checked Sunday afternoon (time unknown). At approximately 5:30pm on 2/7 the patient began experiencing sudden onset shortness of breath. A pulse ox was conducted at that time and it was 92%, and again shortly thereafter and it was 90% (as reported by family member). 9-1-1 was contacted at this time. CPR was initiated when he arrived at the emergency department, pulse ox was 60% (as reported by family member). The patient passed away shortly thereafter on 2/8/2021.

Other Meds: Unknown

Current Illness: Unknown

ID: 1011936
Sex: F
Age: 36
State: AR

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 02/08/2021
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: Pt reports having severe nausea for the first 24 hours, one week later her arm knotted up, had redness, heat, was itchy and painful to injection site that lasted for one week. Then started having constant pain in upper arm area since then (from shoulder to elbow area), pain becomes worse with use, throbbing pain and also shooting pain down entire arm at times. Did not call her doctor or seek medical attention. Arrived at appointment time on 2/1/21 for second dose but refuses second dose, reports she came only to report her symptoms.

Other Meds:

Current Illness:

ID: 1011937
Sex: F
Age: 47
State: MN

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/08/2021
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: Unevaluable event

Symptoms: Rash on body

Other Meds: Gemfibrozil Levothyroxin

Current Illness: None

ID: 1011940
Sex: F
Age: 44
State: MO

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 02/08/2021
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: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: Itching and swelling on hands and feet.

Other Meds: Extra Strength Tylenol

Current Illness: None

ID: 1011941
Sex: F
Age: 48
State: WA

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 02/08/2021
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: Chest pain, burning in back and front of chest, headache

Other Meds: probiotics, vitamin C, Vitamin D, magnesium, fish oil, vitamin B12

Current Illness:

ID: 1011942
Sex: F
Age: 34
State: MO

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain, Menorrhagia

Symptoms: Intense chills, uncontrollable shaking & teeth chattering for 2 hours (hours 12-14 after injection), leg aches so great unable to stand. Fever measured up to 100F while on 400mg ibuprofen, temperature not taken during the intense chills. Ongoing fever of around 100F from hours 14 - 24, chills, exhaustion, and general malaise. continued treatment with 400mg ibuprofen. Headache and exhaustion from hours 24 post vaccine through day 5. Ibuprofen and tylenol taken to mitigate symptoms with marginal benefit. Minimal muscle soreness at injection site.

Other Meds: None

Current Illness: None

ID: 1011945
Sex: F
Age: 42
State: OK

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
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: n/a

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

Symptoms: Patient returned at 9:36am after receiving first dose at 8:41 complaining of nausea and dizziness. Vital signs taken and assessment determined Benadryl needed. Patient was given 0.4mL =(20mg) . Patients vitals checked every 5 minutes. At 10:16 patient felt better and reposted symptoms better and no dizzy spells. Pt released at 10:38. Patient called for update on 2/5/21. Patient reported feeling better this day but reports that nausea returned with cramping and lasted until 2:30 pm day of shot. Dizziness and confusion lasted until 9:00pm day of injection, disoriented until 6pm day of injection and diarrhea that lasted until 4pm day of injection. Per medical director, Dr, patient should not get second dose of Pfizer vaccine.

Other Meds: n/a

Current Illness:

ID: 1011946
Sex: F
Age: 30
State: AL

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
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: NA

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Incredible arm/shoulder/lymph node pain starting 10 hours post-vaccination lasting about 60 hours. About 12 hours post-vaccine, uncontrollable muscle spasms began and lasted approximately 2 hours. In this time, arm/shoulder/lymph node were extremely swollen. During the muscle spasms, I experienced my first or two "attacks". Speaking and thinking became difficult - at times I felt as though I was trapped in my own head unable to speak or move how I wanted (motor function was possible but sluggish and requiring assistance to become ambulatory). The worst of this lasted about 4 hours, though my brain remained some level of "foggy" 48 hours post-vaccination. 1-2 hours into these neurological issues, I lost the ability to feel throughout my whole body. I could tell there was a sensation on my skin, but I could not tell if it was hot/cold/pain/pressure. I could not feel if I was swallowing, drinking water, or breathing, though I could move enough to perform these activities. Vision was hazy during these attacks and for a while after. The worst of all these effects lasted 3-4 hours. It then took about 5-6 hours to regain all feeling, though my brain was still foggy/hazy. Heavy swelling lasted several hours, then became moderate swelling, and after 48 hours, there was little to no swelling. About 22 hours post-vaccination, I had another one of these "attacks", not including the muscle spasms. This second attack was identical to the first in every way, except it was slightly less severe. Recuperation time was again 5-6 hours. It is currently about 70 hours post-vaccination and most symptoms except moderate arm soreness are gone. During both attacks, BP and temperature were normal, heart rate slightly elevated (80-85 bpm). Other non-severe effects included fatigue, slight chills/flush.

Other Meds: Nikki (birth control)

Current Illness: NA

ID: 1011947
Sex: M
Age: 50
State: TX

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: Garlic/onion sensitivity Allergic to Cipro

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Fever, hives, flu-like symptoms including joint pain lasting two+ days. Pain at injection site including entire shoulder. Only mild symptoms with first injection.

Other Meds: Armour Thyroid Testosterone Cyprionate Losartan Amolodipine Metformin ER Rosuvastatin Anastrazole Diclofenac

Current Illness: None

ID: 1011949
Sex: F
Age: 71
State: FL

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
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: Tetracycline.

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

Symptoms: The morning following the vaccine, she had a fever, chills, felt really sick. Also had a headache, a lot of muscle and joint pain. She was nauseous, no appetite, and abdominal pain. Very tired as well. She did not take anything for it, just slept and by the morning of 2/6/21 was still tired, but not sick anymore and able to eat some, was not able to prior to this.

Other Meds: Simvastatin, calcium, low dose aspirin, B12.

Current Illness: None.

ID: 1011950
Sex: F
Age: 34
State: IL

Vax Date: 02/07/2021
Onset Date: 02/08/2021
Rec V Date: 02/08/2021
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

Symptom List: Nausea

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA Beginning at 3 am, I became exceedingly nauseated; followed by violent vomiting and extreme diarrhea. Unable to keep down water until now 11:45 am, 2/8. Fatigue and fogginess throughout.

Other Meds: None

Current Illness: Mild cold

ID: 1011952
Sex: F
Age: 52
State: TX

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

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

Lab Data:

Allergies: Denies

Symptom List: Injection site pain

Symptoms: At about 12 pm day of immunization patient began having the following symptoms: redness to neck and front chest, injection site ( right arm) redness , itching, rash below and above injection, reports blood pressure 169/96 ( checked at site ) , dizziness with standing, denied shortness of breath or chest pain at that time. En route home began having mid sternal chest pain , radiated to left side of chest, checked blood pressure at home 175/100. Patient states took additional Benadryl 25mg PO . After Benadryl chest pain subsided. At this time reports headache, dizziness, vertigo, chills , and fever. Vital signs stable, patient aaox3, report to Occupational Health provider. No obvious distress noted.

Other Meds: Benadryl 25mg, / Tylenol 1000 mg

Current Illness: Denies

ID: 1011955
Sex: F
Age: 50
State: TX

Vax Date: 01/27/2021
Onset Date: 01/29/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: Robitussin, PCN, mosquitos, citrus fruit

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

Symptoms: Local reaction to COVID vaccine. 11 cm length x 14 cm width circular "bulls eye" circular area to left upper arm, warm, red, raised, non tender, pt reports some/minor itching. TX: hydro-cortisone cream 1% BID x 1 week, benadryl 25mg PRN itching - no scratching, F/U if no improvement.

Other Meds: Metformin, celexa, wellbutrin, gabapentin, HCT

Current Illness:

ID: 1011957
Sex: F
Age: 56
State: IL

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
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: Extra Large Watery stool

Other Meds: N/A

Current Illness:

ID: 1011958
Sex: F
Age: 33
State: WI

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
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: penicillin & bee stings

Symptom List: Tremor

Symptoms: Approximately 24 hours after receiving the vaccine, left arm punctured area became red, hot, tight and sore. The 2nd day after vaccination the area was somewhat itchy for that day. Area is increasing in size daily. Currently 5 & 3/4 inches in height by 7 & 1/2 inches in width. 18 hours after vaccination began feeling general fatigue, chills and body aches which continue. Benadryl is not really helping. Tylenol & Ibuprofen help for the body aches. When she gets bee stings it's almost the same reaction. When she takes Penicillin she developed hives and rashes. She has never been prescribed an epi-pen. Denies any breathing or vision changes. No recent changes in medication. Advised consult w/ her M.D. A.S.A.P.

Other Meds: escitalopram

Current Illness: none

ID: 1011959
Sex: F
Age: 67
State: MI

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 02/08/2021
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: Patient had an increase in heart rate and anxiety post administration of vaccine. EMS was called on site.

Other Meds:

Current Illness:

ID: 1011962
Sex: F
Age: 44
State:

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 02/08/2021
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: Itching and swelling in hands and feet.

Other Meds: Extra Strength Tylenol

Current Illness:

ID: 1011963
Sex: M
Age: 79
State: AZ

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
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: asprin

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

Symptoms: dark all black stool for day of vaccine shot and Sunday again

Other Meds: prasugrel , carvedilol , atorvastatin , lisinopril

Current Illness: Heart attack Nov. 8, 2020

ID: 1011964
Sex: F
Age: 72
State: MD

Vax Date: 02/04/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
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: Lactose intolerant, sulfa, mold; opioid sensitivity

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: On 1st day after shot (Fri), felt achy, tired and feverish. I was recovering from that when I broke out in a very itchy rash with several blisters on torso Saturday night. Thinking that it might be an allergic reaction, I took Zyrtec and went to bed. It was about the same on Sunday but by today (Monday) it is clearing up.

Other Meds: Toprol XL, Pantoprazole, baby aspirin, vitamins

Current Illness: vertigo 2 weeks prior

ID: 1011965
Sex: F
Age: 18
State: NC

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/08/2021
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: pt did not have a reaction after first dose of moderna 12/28/2021 025j20a. Today, 02/08/2021: 11:57am moderna shot given. 12:00pm 25mg Benadryl given to patient to chew, and one EpiPen 0.3mg given to patient on right lateral thigh. Patient complains of severe trouble breathing, swollen lips, and swollen tongue, patient was given oxygen through a mask. Patient did not improve, and needed a re-dose of 0.3mg EpiPen into the left lateral thigh, and another 25mg Benadryl for patient to chew. 12:06pm patient has not improved, 98% o2 sat, 73bpm, and another 0.3mg EpiPen administered to right lateral thigh. 12:07pm 96% o2 sat, 106bpm, 152/98mmHg, and ambulance arrived and took patient to ER.

Other Meds:

Current Illness:

ID: 1011966
Sex: F
Age: 66
State: CO

Vax Date: 02/04/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
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: Shellfish; iodine dye; codeine; all narcotic pain releivers

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

Symptoms: Approx. 36 hours after injection, fever spiked very quickly. Eyes became blood red; severe stomach cramps; for 24 more hours had diarrhea, watery, bloody, uncontrolled; 104F fever; severe body aches; Dizzy. 3" red oval on left arm at injection site; hives at site as well. Three days after injection, still itchy, very sore in abdomen, fever of 101.2F Still achey and missing work due to symptoms.

Other Meds: Effexor, Venlafaxine, Lisinopril (40 mg); Tizanidine, Trazadone

Current Illness: None

ID: 1011967
Sex: M
Age: 40
State: MT

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital: Y

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

Lab Data:

Allergies: NKA

Symptom List: Pain in extremity

Symptoms: 3:15 - Pt was leaning against wall c/o being dizzy and going to pass out - Pt was moved to reclining position - BP 144/100, RR 44, HR 120 - No itching ect. - Respirations rapid - O2 62 - Cannula applied - Pt continued c/o thinking he would pass out - Color pink - 3:15 1 cc Benedryl administered in R arm - 3:27 Epi 1 dose (0.7 cc) administered in R thigh - 3:30 EMS arrived - 3:34 EMS transferred pt to Medical Center

Other Meds: Zoloft for reflux

Current Illness: 1/15/2021: swollen lymph nodes

ID: 1011968
Sex: F
Age: 49
State: TX

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
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: Red itchy firmness in my left arm

Other Meds:

Current Illness:

ID: 1011969
Sex: F
Age: 56
State: NC

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
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: PCN, Keflex, Cipro, Avelox, Sulfa, Zithromax (causes cough)

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

Symptoms: Bells Palsy, we to PCP and received a steroid dose pack and Valcyclevaier.

Other Meds: Synthroid, Dexilant, Folic Acid, Multi Vitamin

Current Illness: Had a fever blister. Had a UTI 10 days prior to vaccine

ID: 1011970
Sex: M
Age: 79
State: IN

Vax Date: 01/26/2021
Onset Date: 02/03/2021
Rec V Date: 02/08/2021
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: no known allergies

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

Symptoms: Developed a minor red itchy rash within inches of the injection site. After 2 days applied 1% hydrocortisone to the affected area 3 times a day. Today, 02/08 2021, the itching and redness have substantially declined to the point that I have discontinued the hydrocortisone treatment.

Other Meds:

Current Illness: none

ID: 1011972
Sex: F
Age: 34
State: MO

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/08/2021
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: Intense chills, uncontrollable shaking & teeth chattering for 2 hours (hours 12-14 after injection), leg aches so great unable to stand. Fever measured up to 100F while on 400mg ibuprofen, temperature not taken during the intense chills. Ongoing fever of around 100F from hours 14 - 24, chills, exhaustion, and general malaise. continued treatment with 400mg ibuprofen. Headache and exhaustion from hours 24 post vaccine through day 5. Ibuprofen and tylenol taken to mitigate symptoms with marginal benefit. Minimal muscle soreness at injection site.

Other Meds: None

Current Illness: None

ID: 1011976
Sex: M
Age: 78
State: NJ

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
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: Cipro, Pollen

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Felt fine after the shot, shoveled some snow mid to late afternoon. Felt woozy around nine, check BP and recorded results below. 2nd shot scheduled for 2/22,. Apparently this could have been a rare reaction, any input re the second dose would be appreciated. Per website, " Among the 21,621 people in the trial who received BNT162b2, four related serious adverse events were reported: shoulder injury related to vaccine administration, right axillary lymph adenopathy, paroxysmal ventricular arrhythmia and right leg paresthesia."

Other Meds: Medication Size-Mg AM PM Bed Furosemide 20 2 1 x Ramipril 2.5 1 x x Metoprolol Succinate 50 x x 1 MetFORMIN HCl ER 750 1 1 x Terazosin HCl 5 x 1 x Coated Asprin 325 x 1 x Shark Cartlidge 740 2 2 x GlucChondMSM 1347 1 1 x CO CQ-10 120

Current Illness: None

ID: 1011978
Sex: U
Age:
State: NJ

Vax Date: 10/19/2020
Onset Date: 01/29/2021
Rec V Date: 02/08/2021
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: The patient is a 14 year old who received the first dose of GARDASIL9 on 19-OCT-2020 and the second dose today, 29-JAN-2021, but the patient should have received the second dose 6 months from the first dose; This spontaneous report was received from a medical assistant regarding a 14-year old patient of unknown gender. The patient's concurrent conditions, medical history, drug reactions, allergies, and concomitant therapies were not provided. On 19-OCT-2020, the patient was vaccinated with the first dose of HPV rL1 6 11 16 18 31 33 45 52 58 VLP vaccine (yeast) (GARDASIL 9) (route of administration, vaccination scheme, anatomical site, lot number and expiration date were not provided). On 29-JAN-2021 (reported as "today"), the patient received the second dose of HPV rL1 6 11 16 18 31 33 45 52 58 VLP vaccine (yeast) (GARDASIL 9) 0.5 milliliter for prophylaxis (route of administration, vaccination scheme, anatomical site was not reported) the lot number 1867291 with a expiration date of 11-SEP-2022 was confirmed to be non valid. However, the patient should have received the second dose six months form the first dose (Inappropriate schedule of product administration). No additional adverse event details.

Other Meds:

Current Illness:

ID: 1011979
Sex: F
Age:
State: NV

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/08/2021
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: No additional AEs reported; GARADASIL 9 given to a 5 year old female; This spontaneous report was received from a nurse and refers to a 5 years old female patient. No information regarding the patient's medical history, concurrent conditions, drug reactions or allergies and concomitant medications was provided. On 29-JAN-2021, the patient was vaccinated with hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) 1 injection, prefilled syringe, 0.5 milliliter, lot # 1586749 was confirmed to be valid, expiration date was 13-FEB-2021 (route of administration and anatomical location were not reported) for prophylaxis (product administered to patient of inappropriate age). No additional adverse events was reported. No further information was provided. 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: 1586749; expirationdate: 13-FEB-2021; 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

Current Illness:

Date Died: 11/13/2020

ID: 1011981
Sex: M
Age: 21
State: FL

Vax Date: 11/13/2020
Onset Date: 11/13/2020
Rec V Date: 02/08/2021
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: Suicide

Other Meds:

Current Illness:

ID: 1011982
Sex: M
Age:
State:

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

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

Lab Data:

Allergies:

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

Symptoms: autistic; Seizures; bad reactions after injections; This spontaneous report was received from a patient's mother and refers to an 18-month-old male patient. It was reported that the patient was adult at the time of the report. No information regarding the patient's medical history, concurrent conditions, concomitant medications and previous drug reactions or allergies was reported. On an unknown date, the patient was vaccinated with measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (manufacturer unknown) for prophylaxis (strength, dose, route of administration, lot number and expiration date were not provided. On an unknown date, the patient experienced bad reactions and seizures after injection. It was also reported, that the patient was autistic from an unknown date. The outcome of the events was unknown. The causality assessment between the events and measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (manufacturer unknown) was not provided. It was reported that the events occurred due to thiomersal (reported as thimerosal). Upon internal review, the events of autism spectrum disorder and seizures were considered to be medically significant.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm