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: 1025040
Sex: F
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Did not receive the full dose of the vaccine; The needle was not completely locked in; A spontaneous report was received from a consumer concerning a female patient, who received Moderna's COVID-19 Vaccine (mRNA-1273) and experienced did not receive the full dose of the vaccine and the needle was not completely locked in. The patient's, medical history was not provided. No relevant concomitant medications were reported. On an unknown date, the patients received the first dose of two planned doses of mRNA-1273 intramuscularly for prophylaxis of COVID-19 infection. On an unknown date, the patient did not receive full dose of vaccine and some came out from injection site. The needle was not completely locked in. Action taken with the second dose of Moderna vaccine in response to the events for these 2 patients was not reported. The outcome of the events, did not receive the full dose of the vaccine and the needle was not completely locked in, was resolved on an unknown date.; Reporter's Comments: This report refers to a case of Incorrect dose administered and needle issue for mRNA-1273, lot # unknown with no associated AEs.

Other Meds:

Current Illness:

ID: 1025041
Sex: M
Age:
State: NJ

Vax Date:
Onset Date:
Rec V Date: 02/12/2021
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: Received the second dose 18 days later; A spontaneous report was received from a pharmacist concerning a 35-year-old, male patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and received the second dose 18 days later (inappropriate schedule of vaccine administration). The patient's medical history was not provided. No relevant concomitant medications were reported. On an undisclosed date, the patient received his first of two planned doses of mRNA-1273 intramuscularly for prophylaxis of COVID-19 infection. On an undisclosed date 18 days later, the patient received his second of two planned doses of mRNA-1273 intramuscularly for prophylaxis of COVID-19 infection 18 days after his first dose. No treatment information was provided. Action taken with mRNA-1273 in response to the event was not reported. The event, received the second dose 18 days later, was resolved on unknown date.; Reporter's Comments: This report refers to a case of received the second dose 18 days later (inappropriate schedule of vaccine administration) for (mRNA-1273, lot # unknown ) with no associated adverse events.

Other Meds:

Current Illness:

ID: 1025042
Sex: F
Age:
State:

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 02/12/2021
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:

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

Symptoms: I am concerned that I didn't get a full dose; injection pushed hard drawing blood; liquid trickled all the way down arm; A spontaneous report was received from a female patient (age unknown), who received Moderna's COVID-19 vaccine and experienced incorrect dose administered, injection site bleeding, and exposure via skin contact. The patient's medical history was not provided. Concomitant product use was not provided. On 16 Jan 2021, prior to the onset of symptoms, the patient received their first of two planned doses of mRNA-1273 (Batch number not provided) for prophylaxis of COVID-19 infection. The patient received the vaccine on 16 Jan 2021 and stated that the person who gave the injection pushed hard drawing blood. She also noted liquid trickled all the way down her arm causing concern that a full dose was not administered. Treatment information was not provided. Action taken with second dose of mRNA-1273 in response to the event was not provided. The event, incorrect dose administered and exposure via skin contact was considered resolved and the outcome of the event injection site bleeding was unknown.; Reporter's Comments: This case concerns a female patient of unknow age who received their first of two planned doses of mRNA-1273 (Lot unknown), reporting Incorrect dose administered, Exposure via skin contact and associated non-serious adverse event of Injection site haemorrhage.

Other Meds:

Current Illness:

ID: 1025043
Sex: F
Age: 65
State: TX

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Injection went into subcutaneous tissue; Redness; Headache; Fatigue; A spontaneous report was received from a consumer, concerning herself, a 65-year-old, female patient, who received Moderna's COVID-19 vaccine and injection went into subcutaneous tissue, experienced redness, headache and fatigue. The patient's medical history reported included hypertension and sleep apnea (CPAP machine). Concomitant medications reported included metformin, pravastatin and fluticasone propionate, salmeterol xinafoate. On 28-Jan-2021, prior to the onset of events, the patient received the first of two planned doses of mRNA-1273 (lot number 004M20A) subcutaneously in her right arm for COVID-19 infection prophylaxis. On 28-Jan-2021, the patient reported that the injection went into her subcutaneous tissue and developed redness, headache and fatigue. Treatment information was not provided Action taken with mRNA-1273 in response to the events were not reported. The outcome of the event, injection went into subcutaneous tissue was considered to be resolved on 28-Jan-2021. The outcome of the event, headache was considered to be resolved on 29-Jan-2021. The outcome of the event, redness and fatigue was considered unknown.; Reporter's Comments: This case concerns a 65-year-old, female subject with medical history of Hypertension and Sleep apnea, who experienced nonserious expected events of Erythema, Headache, and Fatigue. The events occurred after the first dose of the mRNA-1273 administration on the same day. Based on the current available information and temporal association between the use of the product and the start date of the events of Erythema, Headache, and Fatigue a causal relationship cannot be excluded.

Other Meds: METFORMIN; PRAVASTATIN; ADVAIR

Current Illness:

ID: 1025044
Sex: U
Age:
State: NY

Vax Date: 01/06/2021
Onset Date: 12/29/2020
Rec V Date: 02/12/2021
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 erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Temperature excursion; A spontaneous report was received from a nurse concerning 100 patients who received Moderna's COVID-19 Vaccine (mRNA-1273) that was affected by a temperature excursion. The patients' medical history was not provided. No relevant concomitant medications were reported. On 06 Jan 2021, the patients received their first of two planned doses of mRNA-1273 (Lot number: 639K20A) intramuscularly for prophylaxis of COVID-19 infection. On 29 Dec 2020, the refrigerator temperature reached 35.6 Fahrenheit for 4 minutes. 100 doses were administered after the temperature excursion. No adverse events were reported following the vaccinations. A visual inspection was completed at the time of excursion and there was no product complaint reported. No treatment information was provided. Action taken with mRNA-1273 in response to the event was not reported. The event, temperature excursion, was considered resolved on 29 Dec 2020.; Reporter's Comments: This report refers to a case of Product storage error for mRNA-1273, lot # 639K20A with no associated AEs.

Other Meds:

Current Illness:

ID: 1025045
Sex: U
Age:
State: PA

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/12/2021
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: Liquid seemed to leak out most of vaccine from the syringe, and didn't appear to be injected into the patient; Liquid seemed to leak out most of vaccine from the syringe, and didn't appear to be injected into the patient; A spontaneous report was received from a pharmacist concerning a consumer (age, gender and ethnic origin were not reported) who was scheduled to receive Moderna's COVID-19 vaccine but liquid seemed to leak out most of vaccine from the syringe and stated "it doesn't appear any was injected into the patient" (syringe leak and underdose). The patient's medical history was not provided. No relevant concomitant medications were reported. On 01 Feb 2021, the patient presented to the pharmacy for their first of two planned doses of mRNA-1273 (Lot number: 012M2OA) intramuscularly for prophylaxis of COVID-19 infection. On 01 Feb 2021, during attempted administration, liquid seemed to leak out most of vaccine from the syringe and didn't appear to be injected into the patient. No treatment information was provided. Action taken with mRNA-1273 in response to the event(s) was not reported. The events, liquid seemed to leak out most of vaccine from the syringe and didn't appear to be injected into the patient, were considered resolved on 01 Feb 2021.; Reporter's Comments: This case concerns a patient of unknown age and gender who received their first of two planned doses of mRNA-1273 (Lot number: 012M2OA) intramuscularly for prophylaxis of COVID-19 infection and reported by pharmacist that liquid seemed to leak out most of vaccine from the syringe and didn't appear to be injected into the patient. There were no reported adverse events in this case of underdose and syringe issue.

Other Meds:

Current Illness:

ID: 1025046
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 02/12/2021
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: Pyrexia, White blood cell count decreased

Symptoms: Patient was given Moderna 1st shot accidentally; A spontaneous report was received from a consumer's mother concerning female patient who received Moderna's COVID-19 vaccine (mRNA-1273) accidentally. The patient's medical history was not provided. Concomitant product use was not provided. On an unknown date, the patient received their first of two planned doses of mRNA-1273 (Lot number: unknown) for prophylaxis of COVID-19 infection. On the unknown date the patient was accidentally administered the vaccine. The mother was concerned whether she should be administered the Moderna vaccine for the second dose or try the Pfizer vaccine at this point. She is also asking to see if her daughter can be enrolled in Moderna's teen clinical trial. Action taken with second dose of mRNA-1273 in response to the events was not reported. The event, was accidentally given Moderna first shot was considered resolved.; Reporter's Comments: This case concerns a female patient who received their first of two planned doses of mRNA-1273 (Lot number: unknown) for prophylaxis of COVID-19 infection. There were no reported adverse events after the vaccine was administered in this case of product administered to patient of inappropriate age

Other Meds:

Current Illness:

ID: 1025047
Sex: F
Age:
State: OK

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/12/2021
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: Pharyngeal swelling

Symptoms: was given Pfizer's vaccine 21 days ago and yesterday i was given Moderna's; was given Pfizer's vaccine 21 days ago and yesterday i was given Moderna's; A spontaneous report was received from a consumer concerning a 93-year-old female, patient, who was administered Pfizer vaccine as 1st dose and Moderna covid-19 vaccine as second dose in 21 days apart. The patient's medical history was not provided. No relevant concomitant medications were reported. On 03 Feb 2021, patient received 2nd of the two planned doses of Moderna covid-19 vaccine. Her first dose is Pfizer vaccine which was given 21 days ago. Action taken with mRNA-1273 in response to the events was not reported. The outcome of the events "Pfizer's vaccine 21 days ago and yesterday i was given Moderna's" was considered as resolved on 03 Feb 2021.; Reporter's Comments: This report refers to a case of inappropriate schedule of product administration and product substitution issue for mRNA-1273. There were no reported adverse events associated with this case.

Other Meds:

Current Illness:

ID: 1025048
Sex: U
Age:
State: VA

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/12/2021
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: Needle separated from hub; Partial dose; A spontaneous report was received from a pharmacist, concerning a patient of unspecified age and gender, who received Moderna's COVID-19 vaccine and where in needle separated from hub and received partial dose. The patient's medical history was not provided. Concomitant product use was not provided by the reporter. On 26-Jan-2021, prior to the onset of events, the patient received the first of two planned doses of mRNA-1273 (lot number unknown) intramuscularly for COVID-19 infection prophylaxis. On 26-Jan-2021, while patient was receiving vaccine, in the middle of administration the needle got separated from the hub and patient received partial dose. The exact volume was unknown. Treatment information was not provided. Action taken with mRNA-1273 in response to the events were not reported. The outcome of the events, needle separated from hub and partial dose was considered resolved on 26-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 Device connection issue and Underdose without any associated adverse events.

Other Meds:

Current Illness:

ID: 1025049
Sex: M
Age:
State:

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 02/12/2021
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:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Received Pfizer brand on first dose and second dose was Moderna; A spontaneous report was received from a nurse concerning a male patient who received Moderna's COVID-19 Vaccine (mRNA-1273) and received Pfizer brand on first dose and second dose was Moderna (wrong vaccine administered). The patient's medical history was not provided. Concomitant product use was not provided by the reporter. On an unknown date, the patient received a dose of the Pfizer COVID vaccine. On 07 Jan 2021, the patient received a dose of mRNA-1273 intramuscularly for prophylaxis of COVID-19 infection. On 07 Jan 2021, the patient was administered mRNA-1273 vaccine for second dose instead of Pfizer COVID vaccine. Treatment information was not provided. Action taken with mRNA-1273 in response to the events was not provided. The outcome of the events, received Pfizer brand on first dose and second dose was Moderna (wrong product administered), was resolved on 07 Jan 2021.; Reporter's Comments: This case concerns a male patient of unknown age who received their second of two planned doses of mRNA-1273 (Lot unknown), reporting Wrong product administered without any associated adverse events.

Other Meds:

Current Illness:

ID: 1025051
Sex: M
Age: 33
State: IL

Vax Date: 01/13/2015
Onset Date: 01/13/2015
Rec V Date: 02/12/2021
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: shortness of breath; tongue swelling; Initial information regarding an unsolicited valid non-serious case was received from a physician via agency (Reference number- 00457437) and transmitted to Sanofi on 02-Feb-2021. This case involves a 33 year old male patient who experienced shortness of breath (dyspnoea) and tongue swelling (swollen tongue), while he received DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE [ADACEL] and INFLUENZA QUADRIVAL A-B VACCINE [FLUZONE QUADRIVALENT]. Medical history, medical treatment(s), vaccination(s), concomitant medications and family history were not provided. On 13-Jan-2015, the patient received a dose of suspect INFLUENZA QUADRIVAL A-B VACCINE (lot UI232AA, expiry: 30-Jun-2015) via intramuscular route in the right arm for prophylactic vaccination. On 13-Jan-2015, the patient received a dose of suspect DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE lot number not reported via intramuscular route in unknown administration site for prophylactic vaccination. On 13-Jan-2015, the patient developed a non-serious shortness of breath (dyspnoea) and tongue swelling (swollen tongue) 2 hours following the administration of INFLUENZA QUADRIVAL A-B VACCINE and DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE. Physician stated the patient is scheduled to have the Coronavirus disease (COVID-19) vaccine tomorrow and she was hoping to get an answer to her question before then. The caller was asking for ingredients of Fluzone Quadrivalent (she is not sure which one) and Adacel from 2015 No laboratory data was provided It was not reported if the patient received a corrective treatment. At the time of report, the outcome of events was unknown.

Other Meds:

Current Illness:

ID: 1025053
Sex: F
Age: 31
State: NY

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
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: None

Symptom List: Rash, Urticaria

Symptoms: Fast heart beat, chest tightness and pain, dizziness and weakness 2hours after got shot Chills, muscle and join pain, headache the second day

Other Meds: Omeprazole

Current Illness: None

ID: 1025054
Sex: F
Age: 59
State: IL

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/12/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Excruciating pain in left arm starting at shoulder - no movement or feeling - weakness - numbness - tingling

Other Meds: Atorvastatin 10 mg a day

Current Illness: None

ID: 1025055
Sex: F
Age: 46
State: OH

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
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: Rocephin, amoxicillin

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

Symptoms: Severe fatigue, severe body aches, fever up to 103, chills, headache, brain fog

Other Meds:

Current Illness:

ID: 1025056
Sex: F
Age: 21
State: GU

Vax Date: 02/04/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: After 8 days of my shot (today), I noticed I was pretty itchy on my arm at the injection site. When I finally got a good look at it, it was red and had, what seems to be, little hives around it. It?s also a little tiny bit swollen at that area. Very warm to the touch and I can now feel this continuous, residual heat around it now that it?s later on in the day. Since it?s only the first day I noticed it, the size of the area is still rather small. I don?t know if it will progress to be any bigger than it is now or if its appearance will change in the future.

Other Meds:

Current Illness:

ID: 1025057
Sex: F
Age: 46
State:

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/12/2021
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: Allergic to numerous antibiotics, including penicillin, cephalosporins, sulfa drugs, and quinolones

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

Symptoms: The first dose vaccination on Jan 8, 2021 very mild symptoms of arm soreness about 12hrs after injection. Lasted only a few hrs. Second dose vaccination on Jan 29, 2021 had more symptoms. Arm pain again about 10hrs after, lasted longer, about a day. About 18 hrs after injection was very fatigued and had a headache. This lasted about 24 hrs. Also had episodes of chills and slight fever. All symptoms were better a day later, though have noticed more headaches the following week.

Other Meds: Basic multivitamin

Current Illness: None

ID: 1025058
Sex: F
Age: 39
State: IA

Vax Date: 01/24/2021
Onset Date: 02/07/2021
Rec V Date: 02/12/2021
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

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

Symptoms: "39yo Patient c/o left upper arm rash x 1d a/w redness, warm to touch had COVID vaccine 2 wks ago (1/24/21) in left arm no swelling, itchiness, pain, sob/wheeze, throat swelling, drooling; no new foods, products, lotions, pets, hiking, biking, camping; no known exposure, gardening, new medications;"

Other Meds: buPROPion 150 mg/24 hours tablet, extended release, DULoxetine 60 mg delayed release capsule, DULoxetine 60 mg delayed release capsule, buPROPion 150 mg/24 hours tablet, extended release

Current Illness: none

ID: 1025059
Sex: M
Age: 35
State: MD

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

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: 99.8 F fever, body aches, headache, chills, fatigue, trouble sleeping

Other Meds: Testosterone cypionate, albuterol, flovent, buspirone, Lexapro, vitamin D

Current Illness:

ID: 1025060
Sex: M
Age: 73
State: OH

Vax Date: 02/08/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies: bactrim trees, grass, dustmites,

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Torso, arms and upper legs covered in red, raised rash

Other Meds: accolade, albuterol, advaire, flonase,

Current Illness: asthma

ID: 1025061
Sex: F
Age: 46
State: NY

Vax Date: 12/23/2020
Onset Date: 02/04/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

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

Symptoms: Lichen striatum on right buttocks

Other Meds: None

Current Illness: None

ID: 1025062
Sex: F
Age: 57
State: CA

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
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: Salmon, sesame seeds, penicillin

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

Symptoms: -Large swollen hot area the size of a small grapefruit at site of injection. -Itching feet, arms, chest - headache - nausea - fatigue

Other Meds: Atenolol Chl , potassium, b12, vit d, calcium, iron, multivitamin

Current Illness: Hypertension

ID: 1025065
Sex: F
Age: 45
State: VA

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

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

Lab Data:

Allergies: N/A

Symptom List: Unevaluable event

Symptoms: I woke up a little afraid 2:00 AM with a headache, body chills and vomiting. It is now 6:57 AM, I still have the headache, chills and get hot. I have no fever.

Other Meds: N/A

Current Illness: N/A

ID: 1025066
Sex: M
Age: 45
State:

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
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: NKDA

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

Symptoms: FEVER, CHILLS, MYALGIAS, HA, INJECTION SITE TTP

Other Meds: TOPICAL TESTOSTERON FLONASE

Current Illness: NONE

ID: 1025067
Sex: F
Age: 47
State: PA

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
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: Aspirin

Symptom List: Injection site pain, Pain

Symptoms: Pfizer BioNTech COVID 19 Vaccine EUA 20 hours later Headache. Tired. Body aches. redness and swelling at the site. 1 pm. At 630 pm low grade fever 100, took Tylenol. Took a second round at 1 am. Illness ended. Swelling and redness grew around site and left armpit. Continues to grow 2-12-2021

Other Meds: Klonopin .25 mg once per day

Current Illness: None

ID: 1025068
Sex: M
Age: 51
State:

Vax Date: 02/10/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
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: Injection site: pain and tenderness, swelling, lymph node swelling, redness General: Fatigue, headaches, muscle/joint pain, feverish and chills without an actual fever All side effects have been very manageable.

Other Meds: Losartan, lamotrogine, fluoxitine, Januvia, crestor, metformin

Current Illness: None

ID: 1025069
Sex: F
Age: 62
State: MA

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
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: Prior hx. of anapylaxis from ferrlicit, hives from gallalinium, sulfa drugs and clindamycin. Received Trastuzubam yesterday. Individual from pharmacy called and approved vaccine administration. At 11:37 am patient noted tingling in both arms and legs and slight light-headedness. Denied any trouble swallowing, facial or tongue swelling. states a little chest tightness but not enough to take her inhaler. Vital signs at 12:09pm BP 149/75, pulse 90, Pulse ox. 100%.At 12:20pm patient still admits to bilateral leg and arm tingling, no facial/tongue swelling or difficulty swallowing. No change in chest tightness.

Other Meds:

Current Illness:

ID: 1025070
Sex: F
Age: 79
State: MA

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

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Patient reported burning sensation at injection site after vaccine

Other Meds:

Current Illness:

ID: 1025071
Sex: F
Age: 37
State: NY

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies: Grass

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Warmth, redness and swelling at the injection site developed the next day. I was prescribed Keflex to treat cellulitis.

Other Meds: Daily vitamin

Current Illness:

ID: 1025072
Sex: F
Age: 60
State: NH

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
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: Bactriban

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

Symptoms: Low grade temperature, shaking chills, muscle aches, headache, fatigue, nausea

Other Meds: Lisinopril Baby aspirin Vitamin D Tums

Current Illness: None

ID: 1025073
Sex: F
Age: 58
State: GA

Vax Date: 02/01/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
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: Left arm immobilized due to painfully soreness and stiffness with nerve in left arm involuntarily jerking.

Other Meds: Toprol, lisinopril, multi vitamin, l-lysine, vitamin D3,

Current Illness: Painfully sore and extremely stiffness of the arm to the point of immobility. Also unexplained jerking of the nerve in the hand of the vaccinated arm .

ID: 1025074
Sex: F
Age: 62
State: NY

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
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: Injection site pain

Symptoms: Chills, fever (102), nausea, headache, 24 hours

Other Meds: Metopolol Omeprazole Water pill Synthroid

Current Illness: None

ID: 1025075
Sex: F
Age: 50
State: NJ

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies: Trimethoprim Avelox Levaquin

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

Symptoms: Aside from the more common side effects, I experienced severe nausea and vomiting. I vomited every 30 minutes for approximately 8 hours. I went to the ER and requested IV fluids and meds to stop the vomiting. This worked wonders.

Other Meds: None

Current Illness: None

ID: 1025076
Sex: F
Age: 65
State: IN

Vax Date: 02/04/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
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: food

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

Symptoms: Covid arm. Red, itchy circle at injection sight. https://www.health.com/condition/infectious-diseases/coronavirus/covid-arm-rash-moderna

Other Meds: Vitamin D, Digestive enzyme, melatonin

Current Illness: Gastritis

ID: 1025077
Sex: F
Age: 57
State: MN

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: Moderna COVID-19 Vaccine EUA

Other Meds:

Current Illness:

ID: 1025078
Sex: F
Age: 54
State: NY

Vax Date: 12/29/2020
Onset Date: 01/06/2021
Rec V Date: 02/12/2021
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: redness in arm, extending from deltoid to elbow, raised, hive. Fever 100.3, lightheadedness, headache, brain fog (hard to think),fatigue, chills achiness, loss of appetite and energy

Other Meds: Levothyroxine, BREO, Cetirizine, Azelastine, Fluticasone, Montelukast

Current Illness: none

Date Died: 02/10/2021

ID: 1025079
Sex: M
Age: 90
State: NE

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
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: No known allergies

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

Symptoms: Patient found by family in his home deceased on the morning of 02/10/2021.

Other Meds: albuterol-ipratropium 2.5mg-0.5mg/3mL nebulizer QID amiodarone 100mg PO daily amlodipine 2.5mg PO daily PRN high blood pressure aspirin 81mg PO daily Symbicort 160mcg-4.5mcg/inh 2 puffs BID calcitriol 0.25mcg PO on M-W-F carvedilol 12.5m

Current Illness: None known

ID: 1025080
Sex: F
Age: 43
State: CA

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/12/2021
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: NSIDS

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

Symptoms: Swollen, hot, sore for more than 3 weeks

Other Meds: Tylenol

Current Illness: None

Date Died: 02/06/2021

ID: 1025081
Sex: M
Age: 61
State: VA

Vax Date: 02/04/2021
Onset Date: 02/06/2021
Rec V Date: 02/12/2021
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: Bactrin, NSAIDS

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: No reported adverse reactions from 1st or 2nd vaccine doses Patient died on 2/6/2021 at Correctional facility- autopsy was performed at medical examiner's office. The COD was artherosclerotic cardiovascular disease

Other Meds: Amlodipine 5mg, asprin 81mg, atorvastin 10mg, cinacalet 120mg daily, sevelamer 800mg, Nephrocaps (MVT)

Current Illness:

ID: 1025082
Sex: F
Age: 45
State:

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
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: Benadryl sulfa

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

Symptoms: nausea, light headed queasy

Other Meds:

Current Illness:

ID: 1025083
Sex: F
Age: 47
State: OH

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
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: IVP dye

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

Symptoms: Approximately 15 minutes after receiving the first dose of Moderna vaccine, the patient reported her tongue feeling a little numb and slight difficulty in swallowing. Denied shortness of breath and was able to hold a conversation easily. She was given 30 milliliters of Children's liquid Diphenhydramine orally. She was closely monitored. After another 15 minutes she reported that her tongue felt fine but she could still feel slight difficulty in swallowing. She was then given another 30 mililiters of Children's liquid Diphenhydramine. She was calm and continued to deny shortness of breath . After 30 minutes, she reported that her swallowing had returned to normal and that she felt fine. She was dismissed from clinic and advised to contact her Provider is symptoms returned or worsened. She verbalized understanding of instructions and said her son was at home so she would not be alone

Other Meds: unknown

Current Illness: unknown

ID: 1025084
Sex: F
Age: 72
State: IN

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

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

Lab Data:

Allergies: Levithyroxine sodium

Symptom List: Pain in extremity

Symptoms: Piercing headache 5 hrs after injection. Used heated rice pack and took 2 ibuprofen. Subsided after 4-5 hrs. Following morning woke and severely nauseous and dizzy. Layed down and up a 1/2 hr later and gone. Very tired all day. Next day feeling fine. Sore arm for several days.

Other Meds: Armour and Metoprolol. Garlic, omega 3, vitamin D, biotin, eye promise, calcium citrate, multi vitamin and mineral supplement

Current Illness: None

ID: 1025085
Sex: M
Age: 29
State:

Vax Date: 02/05/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
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: about 4-5 days after the vaccination I developed a painful lump in my right armpit (same side of the vaccine)that is about the size of a marble . I has been there for 2 days and is becoming less painful and slightly smaller, but is still there currently.

Other Meds: none

Current Illness: none

ID: 1025087
Sex: F
Age: 66
State: NC

Vax Date: 02/04/2021
Onset Date: 02/06/2021
Rec V Date: 02/12/2021
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: N/A

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

Symptoms: Initially within a hour slight headache, slight nausea. Lasted 2 days after injection. Two days after injection, only at night when laying down, severe localized pain near shoulder blade and spine. Deep throbbing and sharp pain. Very difficult to sleep. Lasted 3.5 days, started at night. During day, moving around, working with horses was not noticed. Still have that localized pain going on 7 days. As of 2/12/21. But not to the extent stated earlier. When pain first started, took 800 milligrams ibuprofen each night and 400 milligrams for two nights. Medicine took about 2.5 hours to actually work enough to be able to sleep. Have not taken any meds for 2 nights now. Occasional throbbing but staying away from meds.

Other Meds: BP, calcium, vitamin D

Current Illness: None

ID: 1025088
Sex: F
Age: 32
State: TN

Vax Date: 02/05/2021
Onset Date: 02/09/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Firmness and itching at injection sight. Itching strong enough to distract from everyday activities. Injection site is still sore to the touch 7 days after the shot.

Other Meds: None

Current Illness: None

ID: 1025089
Sex: M
Age: 57
State: FL

Vax Date: 02/09/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
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: Facial Swelling, throbbing and tenderness on right side to include bridge of nose. Right side neck lymph node swelling and tenderness. Treating with Motrin and Benadryl

Other Meds: Lipitor, Lantus, Novolog, Multi Vitamin

Current Illness: None

ID: 1025090
Sex: M
Age: 22
State:

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
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: NKDA

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Mild fever, moderate headache, moderate dizziness, full body aches, mild nausea and anorexia, generalized malaise

Other Meds: Lisinopril 10mg, buspirone 40mg, multivitamin

Current Illness: None

ID: 1025091
Sex: F
Age: 73
State: FL

Vax Date: 02/03/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
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: Lactose intolerant

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

Symptoms: 8 days after shot, the shot site became swollen, red and a bit itchy

Other Meds: Multivitamins, biotin, B 12

Current Illness: None

ID: 1025092
Sex: F
Age: 72
State: FL

Vax Date: 01/29/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
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: wasp stings

Symptom List: Injection site swelling, Limb discomfort

Symptoms: light rash on upper chest within an hour of inoculation-went away next day . THIRTEEN days later rash on left arm 3 inches by 1 inch.

Other Meds: celebrex, pravastatin

Current Illness:

ID: 1025093
Sex: F
Age: 39
State: VA

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies: Ciprofloxacin chlorhexidine gluconate adhesive tape lactose

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

Symptoms: I got the vaccine in the morning and late that evening I started getting hives again on my abdomen, fever of 102.0, body aches, extreme right arm pain (to the point where I could not raise it), localized swelling and heat. The next day body aches and nausea.

Other Meds: triamcinolone acetonide 0.1% azelaic acid 15% gel ketoconazole 2% cream multivitamin

Current Illness:

ID: 1025094
Sex: F
Age: 41
State: OK

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

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

Symptoms: Severe, debilitating muscle cramps all over the body beginning 8 hours after vaccine administration and lasting for 30 hours. Also, extreme swelling and tenderness of underarm lymph nodes and at clavicle on the left side of the body, side vaccine was administered to.

Other Meds: Wellbutrin, Zyrtec, Flonase, Ibuprofen, Pepcid

Current Illness: No

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm