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: 1054796
Sex: F
Age: 67
State: WI

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/25/2021
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: given a lesser dose; A spontaneous report was received from a consumer concerning a 67-year-old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced an accidental underdose. The patient's medical history was not provided. Concomitant medications were not provided. On 12 FEB 2021, the patient received her first dose of mRNA-1273 (lot number 031M20A) intramuscularly in the left arm for prophylaxis of COVID-19 infection. The patient was called thirty minutes after receiving her first dose of the vaccine by the pharmacist to have her come back to the facility. The pharmacist explained that there was a medication error and they wanted to make sure that the patient got the full dose. Treatment for this event was not reported. Action taken with mRNA-1273 in response to the events was not reported. The outcome of the event, accidental underdose was considered recovered.; Reporter's Comments: This case concerns a 67-year-old female patient who received their first of two planned doses of mRNA-1273 (Lot: 027L20A), reporting accidental underdose without any associated adverse events.

Other Meds:

Current Illness:

ID: 1054797
Sex: F
Age: 25
State: NV

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

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: Rapid heartbeat; Shortness of breath; Pain at injection site; Chills; Fatigue; Fever; A spontaneous report was received from a consumer concerning a 25 years-old, female patient who experienced rapid heartbeat/MedDRA PT: tachycardia, shortness of breath/MedDRA PT: dyspnoea, pain at injection site/MedDRA PT: vaccination site pain, chills/MedDRA PT: chills, fatigue/MedDRA PT: fatigue, and fever/MedDRA PT: pyrexia. The patient's medical history included anemia and low immune system. Concomitant product use was not provided by the reporter. On 23 Jan 2021, the patient received their first of two planned doses of mRNA-1273 (Lot # 025A202A) intramuscularly (injection site not provided) for prophylaxis of COVID-19 infection. On 23 Jan 2021, after receiving vaccination, the patient experienced pain at injection site, chills, fever, fatigue and shortness of breath. On 24 Jan 2021, the patient experienced rapid heartbeat. The patient was hospitalized and during hospitalization, heart rate was noted as 125 bpm which reduced down to 110 bpm. The patient was discharged on 25 Jan 2021. Following hospitalization, patient had ongoing fever and was advised to contact hospital for direction regarding readmission. Treatment included self-administered Tylenol, six times daily. Action taken with mRNA-1273 in response to the events was unknown. The events chills and shortness of breath were considered resolved on 24 Jan 2021. The events pain at injection site, fatigue, and rapid heartbeat were considered resolved on an unknown date. The event fever was considered not resolved.; Reporter's Comments: This case concerns a 25-year-old female who experienced serious expected events of tachycardia and dyspnea along with nonserious expected events of fever, chills, fatigue and vaccination site pain. The events occurred 1 day after the first dose of mRNA-1273. Treatment included Tylenol. Based on 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: Anemia; Immune system disorder NOS

ID: 1054798
Sex: M
Age: 70
State: WI

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/25/2021
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: Was given a lesser dose; A spontaneous report was received from a healthcare professional and a consumer concerning 70 year old male patient. The patient's medical history was not provided. No relevant concomitant medication was reported. On 12Feb2021, the patient received the first of their first planned doses of mRNA-1273 (lot number 031M20A) intramuscularly in the left arm for prophylaxis of COVID-19 infection. On 12Feb2021, the vaccine provider (pharmacist) performed an accidental underdose. The pharmacist informed the patient to go back and receive the full recommended dose. No treatment was reported. Action taken with the mRNA-1273 was not reported. The event, accidental underdose, was considered resolved.; Reporter's Comments: This report refers to a case of Product administration error of accidental underdose for mRNA-1273(lot number 031M20A), with no associated AEs

Other Meds:

Current Illness:

ID: 1054799
Sex: F
Age:
State: MS

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/25/2021
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 site bled; arms is swollen; Arm is painful; Arm is red; Arm is tender; not injected properly into muscle; A spontaneous report was received from a healthcare professional who was also a 63 year old, female patient who received Moderna's COVID-19 Vaccine (mRNA-1273) and the vaccine was not injected properly into muscle / incorrect route of product administration, and experienced injection site bleeding / vaccination site haemorrhage, arm was swollen / peripheral swelling, arm was painful / painful extremity, arm was red / erythema, and arm was tender / tenderness. The patient's medical history was not provided. Concomitant medication included metformin, tamoxifen, Synthroid, spironolactone, Protonic, vitamin D, and magnesium. On an unspecified date, the patient received the first of their first planned doses of mRNA-1273 (lot number unknown) for prophylaxis of COVID-19 infection. On an 12Feb2021, the patient received the second of the planned doses of mRNA-1273 (lot number 041L20A) for prophylaxis of COVID-19 infection. On 12Feb2021, the patient experienced injection site bleeding, arm swollen, painful, hot, and tender. No treatment was reported. Action taken with the mRNA-1273 was not reported. The outcome of the event, not injected properly into muscle, was resolved on 12 Feb 2021. The outcome of the events, injection site bleeding, arm was swollen, arm was painful, arm was red, and arm was tender, was not provided.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.

Other Meds: METFORMIN; TAMOXIFEN; SYNTHROID; SPIRONOLACTONE; PROTONIX [OMEPRAZOLE]; VIT D3; MAGNESIUM

Current Illness:

ID: 1054800
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 02/25/2021
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: Received a vaccine outside the six hour window; A spontaneous report was received from a consumer concerning a patient (demographics not provided) who received a vaccine outside the six hour window. The patient's medical history was not provided. Concomitant product use was not provided by the reporter. On an unknown date, the patient received dose of mRNA-1273 (Lot # unknown) (dose number, route of administration and injection site not provided) for prophylaxis of COVID-19 infection. On unknown date, the patient received mRNA-1273 vaccine outside the six hour window. Action taken with mRNA-1273 in response to the event was not provided. The event, received a vaccine outside the six hour window was considered resolved on an unknown date.; Reporter's Comments: This report refers to a case of patient of unknown age and gender who experienced Expired product administered for mRNA-1273 (lot # unknown) with no associated adverse events. The patient received mRNA-1273 vaccine outside the six hour window. Very limited information regarding this event has been provided at this time. Further information has been requested.

Other Meds:

Current Illness:

ID: 1054801
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 02/25/2021
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: extreme fatigue; inchoherence DSU; Initial information was received on 09-Feb-2021 regarding an unsolicited valid non-serious case received from a consumer or other non-professional (patient). This case involves a female patient (age unspecified) who had reaction with yellow fever shot and experienced extreme fatigue (fatigue) and inchoherence DSU (incoherent), after she received YELLOW FEVER VACCINE. It was unknown if the patient had any medical history, concomitant disease or risk factor. Past medical treatment, vaccination, family history and concomitant medication were not provided. On an unknown date, the patient received a dose of suspect YELLOW FEVER VACCINE (produced by unknown manufacturer) [lot number, expiry date and other dosing details were not reported] for prophylactic vaccination. On an unknown date, the patient developed a non-serious extreme fatigue (fatigue) and inchoherence DSU (incoherent) (unknown latency) following the administration of YELLOW FEVER VACCINE. It was unknown if the patient had any medical history, concomitant disease or risk factor. At the time of reporting patient was wanted to known if it was safe to for her to take corona virus disease (COVID)-19 vaccine [PFIZER-BIONTECH COVID-19 VACCINE]. It was unknown if there were lab data/results available. It was not reported if the patient received any corrective treatment. At the time of reporting, event outcome was reported as unknown for the reported events.

Other Meds:

Current Illness:

ID: 1054802
Sex: F
Age: 66
State: IN

Vax Date: 02/11/2021
Onset Date: 02/25/2021
Rec V Date: 02/25/2021
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: red rash around shot and another patch lower on arm

Other Meds: Pantoprazole SOD 40mg Hydrochlorothiazide 25 mg Lorsartan 50mg

Current Illness: none

ID: 1054803
Sex: F
Age: 28
State: NC

Vax Date: 12/30/2020
Onset Date: 02/18/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: Codeine, Caffeine

Symptom List: Pharyngeal swelling

Symptoms: Full body rash with hives that covers trunk, scalp, limbs, face, chest tightness and breathing issues. I have had a steroid shot on 2/18/2021 and was started on a Medrol dose pack, no relief and the rash got worse. I contacted my doctor/dermatologist over the weekend and was prescribed Prenisone 60 mg. I have been taking Prednisone 60 mg daily since Sunday 2/21/2021, with Zyrtec tid, Pepcid tid and Benadryl twice daily. I have been using my bronchodilator (Albuterol) about 3-4 times daily with my daily Brillinta (diskus inhaler) to prevent airway issues. I have had no relief. My rash and hives are not fully suppressed and I they move over my body. They burn, and get hot. Ice helps but doesn't seem to make them go away.

Other Meds: Singulair Zyrtec Cryselle (birth control)

Current Illness: none

ID: 1054804
Sex: F
Age: 71
State: FL

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

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Received injection on 2/ 16 ...on 24 have red oval hot spot on left arm.

Other Meds: None

Current Illness: None

ID: 1054805
Sex: F
Age: 70
State: WI

Vax Date: 02/03/2021
Onset Date: 02/17/2021
Rec V Date: 02/25/2021
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: ampecillan penecillan steriods erythomiacin

Symptom List: Diarrhoea, Nasal congestion

Symptoms: 2 weeks after vaccination injection site on left arm was a little itchy and then the next day had a large red area with a portion like a tail about 5 or 6 inches down my arm. It was itchy and warm to the touch.

Other Meds: vitamin d3 zyrtec meloxicam flonese omperazole cyclobenziprine voltaren

Current Illness:

ID: 1054806
Sex: M
Age: 80
State: OH

Vax Date: 02/16/2021
Onset Date: 02/19/2021
Rec V Date: 02/25/2021
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: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: 2-22-21 JOINTS ON RT SIDE PAINFUL - NECK, SHOULDER, ELBOW, WRIST, HIP AND KNEE. HAS BEEN TAKING TYLENOL AND USING ICE PACKS WITH TEMPORARY RELIEF - ADVISED TO CALL PCP FOR EVALUATION 2/23/21. 2-24-21 8:30AM TC - PT STATES HE FEELS BETTER TODAY. PCP GAVE HIM A STEROID SHOT AND RX FOR PREDNISONE.

Other Meds:

Current Illness: COVID 19 DISEASE DEC 2020 (HOSPITAL X 7 DAYS)

ID: 1054807
Sex: F
Age: 66
State: SC

Vax Date: 01/11/2021
Onset Date: 02/14/2021
Rec V Date: 02/25/2021
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: Penicillin, Codeine, Strawberries, Chocolate, Peanuts, Walnuts, Peas, Mushrooms, Lettuce, Eggs

Symptom List: Rash, Urticaria

Symptoms: 2 weeks after the 2nsd dose (February 15), I started experiencing stomach and intestinal pain. At time this wakes me up from a sound sleep. I have had some diarrhea with this. I started taking Probiotics on February 19th which has helped with the diarrhea but the stomach pain is still very real. Ibuprofen will help for about 2 hours but then it comes back.

Other Meds: Vision Multi 50+, 1 daily Glucosamine Chondroitin, Triple Strength, 2 per day Cinnamon, 1000 mg, 1 per day Vitamin C, 500 mg, 3 per day CoQ 10, 200 mg, 1 per day Vitamin D3, 125 mg, 1 per day Magnesium, 250 mg, 1 per day Beet Root, 500 mg,

Current Illness: none

ID: 1054808
Sex: F
Age: 65
State: MN

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: NA

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

Symptoms: Nearly continuous headache behind the eyes since the evening of vaccine shot (11 days as of current date). Sometimes dull throb, sometimes sharp pain usually on left side (same side as vaccine shot). Sensitivity to light. When pain is sharper causes indigestion and nausea. Pain goes away if I take ibuprofen, but always returns and persists overnight. I don't like taking ibuprofen or acetaminophen more than once a day or for continuous days. Acupuncture worked for a short time. Affects my ability to concentrate and work on computer or watch TV. What other natural treatment will help? How much longer will this last?

Other Meds: citalopram, buspirone, trazadone, folic acid, D-3, turmeric, CBD oil, Shao Yao Gan Cao Tang (peony & licorice for muscle relaxation), probiotic

Current Illness: NA

ID: 1054809
Sex: F
Age: 50
State: VA

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/25/2021
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: 1st dose was not given into RA due to needle not being tightly screwed onto the syringe. 2nd dose was given immeidately into LA per CDC guidelines after getting permission from Clinic Supervisors.

Other Meds:

Current Illness:

ID: 1054810
Sex: F
Age: 74
State: CA

Vax Date: 02/15/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: No

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

Symptoms: None stated.

Other Meds: Tylenol 500 mg, Omeprazole 40 mg

Current Illness: Headaches, Flu Like Symptoms, stomach pain, nausea, severe muscle aches, red rash over most of my body, lethargy.

ID: 1054811
Sex: F
Age: 36
State: FL

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Came back to clinic after going down to the first floor. C/o legs feeling tingly. VSS. Left with steady gait

Other Meds:

Current Illness:

ID: 1054812
Sex: F
Age: 77
State: AZ

Vax Date: 02/09/2021
Onset Date: 02/22/2021
Rec V Date: 02/25/2021
Hospital:

Vax Type: DTAPHEPBIP
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: DTAP + HEPB + IPV (PEDIARIX)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies: none

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

Symptoms: Patient reported a week after she received the vaccine she started feeling a lump above the injection site, then the lump moved down to her left hand. She reported than now the top of his left foot is swollen. She reported that this has never happened before. Patient reported that she has taken Advil, warm compressed her left foot nd she is not getting better or worse. She was advised to go to the doctor or urgent care ASAP

Other Meds: Thyroid and Cholesterol Medication

Current Illness: none

Date Died: 02/15/2021

ID: 1054813
Sex: M
Age: 82
State:

Vax Date: 01/08/2021
Onset Date: 01/29/2021
Rec V Date: 02/25/2021
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: Chest clear - Hospitalized for a UTI

Other Meds:

Current Illness:

ID: 1054814
Sex: F
Age: 23
State: IN

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: Kiwi

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Hives all over arms

Other Meds: Adderall, metoprolol

Current Illness: N/a

ID: 1054815
Sex: F
Age: 52
State: FL

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: The same day 2/9 she began with a sore arm. At the injection site she stated that it became itchy after the vaccine but resolved fairly quickly. on 2/10 she had a lot of pain in her arm at the injection site. She was at work and began to feel like she was going to pass out. After that she started with nausea and feeling hot. she left work at 1049

Other Meds:

Current Illness:

ID: 1054816
Sex: F
Age: 27
State: NM

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 02/25/2021
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: Vicodin, Percocet, TB vaccine

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

Symptoms: Sore arm, raised redness, itchy, lightheaded, dizziness

Other Meds: N/A

Current Illness:

ID: 1054817
Sex: M
Age: 81
State: AZ

Vax Date: 02/21/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: vicaden

Symptom List: Unevaluable event

Symptoms: Severe nausea and vomiting General body aches, but more severe lung/chest area pain, but with NO shortness of breath Overall fatigue

Other Meds: Humalog U-100 insulin via insulin pump daily Diltiazem (Cardizem) - 30mg. twice daily Eliquis - 5mg twice daily Memantine (Namenda) - 10 mg twice daily Omeprazole - 20 mg daiky Rivastigmine (Exelon) 13.3 mg daily (transdermal patch) Simavas

Current Illness: None

ID: 1054818
Sex: F
Age: 26
State: FL

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: developed fever chills and headache on 2/10, missed work on 2/11. TM states her fever and chill resolved on 2/11, headache is still on going but goes away with Tylenol. TM was previously positive so not set up for testing. TM reports her arm was red and hot at the infection site, still hot on 2/12, TM reports it is ?rock solid?, declined being seen for arm and attributes it to her sensitive skin, return to work on 2/12, cleared to continue working. no further care

Other Meds:

Current Illness:

ID: 1054819
Sex: F
Age: 71
State:

Vax Date: 02/21/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
Hospital: Y

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

Lab Data:

Allergies: iodinated diagnostic agents

Symptom List: Injection site pain, Pain

Symptoms: Pt noticed elevated blood pressure readings at home up to 190s systolic 3 days after vaccination. Also reporting left shoulder and neck pain which also began 3 days after vaccination.

Other Meds: amlodipine, aspirin, buspirone, clonidine patches, enalapril, famotidine, Flonase, insulin detemir, Januvia, metformin

Current Illness:

ID: 1054820
Sex: F
Age: 64
State: MO

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/25/2021
Hospital: Y

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

Lab Data:

Allergies: NONE LISTED

Symptom List: Injection site pain, Menorrhagia

Symptoms: PT BECAME UNRESPONSIVE AFTER VACCINE GIVEN, EPIPEN ADMINISTERED, 911 CALLED, PT HOSPITALIZED

Other Meds: PT WAS GIVEN SECOND DOSE OF MODERNA COVID 19 AND PASSED OUT/UNRESPONSIVE AFTER VACCINATION. EPIPEN WAS ADMINISTERED AND EMS CALLED. PT WAS HOSPITALIZED. FIRST DOSE OF MODERA COVID 19 VACCINE GIVEN 1/25/21 WITH NO REACTION.

Current Illness:

ID: 1054821
Sex: F
Age: 43
State: MO

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/25/2021
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: none

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

Symptoms: body aches, body chills, headache, fever between 9am on the day of vaccination, continuing through 6am the following morning. Had mild body aches the following day.

Other Meds: Vitamin D, turmeric, mesalamine, female probiotic

Current Illness: none

ID: 1054822
Sex: F
Age: 29
State: TX

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/25/2021
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: Penicillin

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Area soreness, muscle soreness, lower back pain

Other Meds: Levothyroxine Setraline

Current Illness: Light cold, congestion

ID: 1054823
Sex: F
Age: 67
State: NY

Vax Date: 02/14/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Clindamycin

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Covid Arm: 2" rash (width & length) around injection site. Just noticed last night, 10 days after shot. Saw online that it's nothing to worry about, so will wait a week for it to go away. (Currently no headache, fever, pain. Only slight itching.)

Other Meds: Gabapentin, Hydroxychloroquine, Pradaxa, Omeprazole, Levifloxacin, Prednisone, Atenolol, Atorvastatin, Ambien, Asprin (81mg), Calcium, Milti-Vita

Current Illness:

ID: 1054824
Sex: F
Age: 34
State: CA

Vax Date: 01/15/2021
Onset Date: 01/18/2021
Rec V Date: 02/25/2021
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: Neosporin

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

Symptoms: Allergic reaction onset 1/18/2021- intense itching noted hives to on my chest and abdomen. Took Diphenhydramine. Hives increased to larger area to chest, abdomen and thighs. Rash spread to neck, arms, lower legs, then rash spread to my face and soles of my feet.

Other Meds: None

Current Illness: None

ID: 1054825
Sex: F
Age: 82
State: PA

Vax Date: 01/29/2021
Onset Date: 02/08/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: Augmentin, Bactrim, Cipro, Clindamycin, Cozaar, Flexeril, Levaquin, Lisinopril, Mobic, Neurontin

Symptom List: Nausea

Symptoms: Got first covid vaccine on 1/29/21. no significant rash until 2/3/21 and 2/4/21. Patient stated it really did not seem to take off until 2/6/21 when the rash came around on the right side of the chest and right breast. This had a lot of associated pain. Patient went to the ER on 2/7/21 and followed up with PCP on 2/8/21.

Other Meds: Breo, Diclofenac, Eliquis, Fluticasone, Furosemide, Hydrocodone-Acetaminophen, Isosorbide, Metoprolol Succinate ER, Montelukast, Novolog, Omeprazole, Potassium, Spironolactone

Current Illness: None

ID: 1054826
Sex: F
Age:
State: MI

Vax Date: 01/25/1921
Onset Date: 02/22/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Injection site pain

Symptoms: Premature infant born at hospital after premature labor was found to have injured brain tissue (PVL) on cranial ultrasound after delivery. Timing of the injury coincides with maternal clinical illness after second Covid vaccine, about two weeks prior to delivery. The mother and father asked me whether the Covid vaccine could have contributed to the brain injury. I reassured them that the Covid vaccine is felt to be safe during pregnancy, but that I would report the concern.

Other Meds: Pre natal vit, Zofran, pepcid

Current Illness: Depression, bipolar, anxiety, panic attacks, migraines, asthma, gestational diabetes

ID: 1054827
Sex: F
Age: 27
State:

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: minocycline

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

Symptoms: sore arm - immediately following injection, worst soreness (hurt to raise arm above head) 8-10 hours after injection. Remained sore for about 36 hours, then completely normal some mild fatigue 12 hours after, resolved within 24

Other Meds:

Current Illness:

ID: 1054828
Sex: F
Age: 22
State: FL

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/25/2021
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: Reports fever, chills, headache, nausea, cough, sore throat, runny nose starting 2/10, most lasting 24 hours. TM continues to experience sore throat

Other Meds:

Current Illness:

ID: 1054829
Sex: M
Age: 76
State: ID

Vax Date: 02/12/2021
Onset Date: 02/18/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Tremor

Symptoms: Firmness and Redness around injection site on left arm. Itching and Rash which spread to shoulder, chin and chest. Gradually worsened and has subsided.

Other Meds: NA

Current Illness: None

ID: 1054830
Sex: F
Age: 73
State: CA

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/25/2021
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: Cipro, levaquin, boniva, compazine, bee venom

Symptom List: Erythema, Pruritus

Symptoms: 5-8 hours post injection, intense headache, sore arm, dizziness. 12 hours post injection, fever, sweats, neck pain on left side. 15 hours post injection, altered mental state - hallucinations - nausea - weakness - higher fever - intense thirst. 24 hours post injection, altered mental state cleared, weakness, fever, & nausea continued. 30 hours post injection, able to drink clear liquids. Fatigue, weakness, headache, body ache, intermittent fever remained. 48 hours post injection, headache subsided, mental clarity returning, fatigue & intermittent fever remain.

Other Meds: Prednisone 5 mg, Estrogen Replacement Therapy (Activella), famotidine 10 mg

Current Illness: none

ID: 1054831
Sex: F
Age: 37
State:

Vax Date: 02/16/2021
Onset Date: 02/18/2021
Rec V Date: 02/25/2021
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: Rash in body hands, below armpits, ankles, behind knees for about 2 weeks I?ve had. Got worst 2nd week

Other Meds:

Current Illness:

ID: 1054832
Sex: M
Age: 45
State: TX

Vax Date: 01/07/2021
Onset Date: 01/09/2021
Rec V Date: 02/25/2021
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: levothyroxine, Bactrim, tramadol, iodine contrast

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

Symptoms: pt stated that about 2 days after he took the covid vax he started getting vertigo symptoms. He said whether if he was standing up or laying down he was dizzy. He called his PCP and he was referred to an ENT Dr. The ENT scoped his throat, the inner ear and nose. He found everything to be normal. He will forward his results to PCP and he has an appt. on 3/4/2021. Pt had these symptoms about 4 weeks.

Other Meds: amlodipine, diclofenac, loratadine, famotidine,

Current Illness: no

ID: 1054833
Sex: F
Age: 48
State: TN

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/25/2021
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: reports none

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Reports that she had a sore achey arm about an hour after getting the COVID vaccine. The soreness and pain continued and progressed to joint pain and backache. She felt like she was having PMS all over. She began taking acetaminophen to relieve the symptoms. The red raised area on the left arm was noticed yesterday. She reports the size is a little bigger than the spot banaide used with the vaccine. She began itchy a few days ago and thought it was detergent but had not changed any products that she normallly uses. She took 25mg of Benadryl this morning and has stopped itching a little.

Other Meds: reports none

Current Illness: reports none

ID: 1054834
Sex: F
Age: 44
State: PR

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/25/2021
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: Zulfa

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

Symptoms: 2/17/2021- 02/18/2021: Chills, Headache, fever, gait instability, burning feeling and pain in the injection site. 2/24/2021 Strong throat pain, nasal drip, taste loss, chills, weakness.

Other Meds: Acetaminophen, Wellbutrin XL 150 mg, B-12, D-3 10,000 mg.

Current Illness: N/a

ID: 1054835
Sex: F
Age: 70
State:

Vax Date: 02/13/2021
Onset Date: 02/16/2021
Rec V Date: 02/25/2021
Hospital: Y

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: Amoxicillin - rash Z-pak - diarrhea NSAIDs - GI hemorrhage PCN - rash Bactrim - rash Suprax - rash

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

Symptoms: Patient received 2nd COVID vaccine on 2.13.2021. Patient's family says the patient experienced fatigue, shortness of breath, dizziness, and muscle pain after the second injection. Family says the patient was taken to the ER and airlifted on a ventilator to hospital. Family says she has not tested positive for COVID and that she does not have a diagnosis at this time. As of today, 2.25.21, the patient is out of the ICU, but still hospitalized.

Other Meds: Available if needed

Current Illness: COPD exacerbation x 2

ID: 1054836
Sex: F
Age: 74
State: CA

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 02/25/2021
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 known

Symptom List: Pain in extremity

Symptoms: See Also Temp Vaers report #285945 submitted on 2-5-2021 when red rash observed and reported 9 days after Dose 1, resolved after cold pack applications during following two days. One day after receiving Dose 2 (right arm this time), observed approx four inch in diameter red ash area, approx two inches below injection site. Upon touch, the area covered by rash is slightly swollen, warm, and firm. Rash area is more diffuse that that noticed after Dose 1. I also have slight tenderness and slight swelling in right armpit area, but no redness. Beginning 2-24-21 have been applying icepacks several times a day for 15 minutes and slight improvement, but rash remains as described.

Other Meds: 1000 IUs Vitamin D 3x's a week

Current Illness: None

ID: 1054837
Sex: M
Age: 56
State: MD

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
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: Patient possibly inadvertently received 1cc of Moderna COVID vaccine instead of 0.5cc. Patient was notified. State was notified

Other Meds: unknown

Current Illness: none at time of vaccination

ID: 1054838
Sex: F
Age: 80
State: AZ

Vax Date: 02/11/2021
Onset Date: 02/18/2021
Rec V Date: 02/25/2021
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: had shot 2/11, on 2/18, left arm was red, swollen,extreme sting, also, chills,no fever, felt tired. took tylenol. 2/19, was better, less tired no chills. arm was still same, took benadryl.arm did not settle down until 2/21. on 2/24 stinging rash appeared across upper chest, small areas on both arms, took benadryl, symptoms went away. 2/25, small area had rash, more benadryl.

Other Meds: levothyroxine 75 mcg,digoxin 0.125mg, premarin. 0.35mg, tylenol

Current Illness: none

ID: 1054839
Sex: F
Age: 86
State: NE

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/25/2021
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: Adhesive tape

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

Symptoms: Swelling at site, red dots, bruising, consistent unrelenting itching for one and a half weeks

Other Meds: Nitrofurantoin Macro, Alendronate Sodium, Clobetasol Propionate Topical Solution, Vitamin for Women, D3 1000 units, Calcium, and Cranberry Pills

Current Illness: None

ID: 1054840
Sex: F
Age: 38
State: CA

Vax Date: 01/22/2021
Onset Date: 01/30/2021
Rec V Date: 02/25/2021
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: A few days after receiving my first Madonna shot injection I started developing a fixed drug eruption in the middle of my forehead.

Other Meds: Vitamin B Complex with vitamins c, D3, Triamterene HCTZ and a hair skin and nail suppliment

Current Illness: None

ID: 1054841
Sex: F
Age: 32
State: NY

Vax Date: 01/28/2021
Onset Date: 02/04/2021
Rec V Date: 02/25/2021
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: Seasonal allergies, nuts/peanuts, cat dander, apples, kiwis , gluten & lactose intolerant

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Red, itchy, hot patch on arm developed 1 week after injection. Increased in intensity after 24 hours, then faded and disappeared after 2 days.

Other Meds:

Current Illness:

ID: 1054842
Sex: M
Age: 55
State: DE

Vax Date: 02/19/2021
Onset Date: 02/22/2021
Rec V Date: 02/25/2021
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: naproxen

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

Symptoms: fatigue, sore joints, headache, swollen around eyes, blurred vision (2-22)

Other Meds: lisinopril 40 mg, amlodapine desylape 10mg, prednisone 5mg, cipalopram 20mg, montelukast 10mg, vitamin b 2000 ui, aspirin 81mg,

Current Illness: n/a

ID: 1054843
Sex: F
Age: 46
State: IA

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
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: Antibiotics.

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Complaints of Fever, headache, vomiting, swelling of lymph node behind right ear, full body rash and itching. Took 50mg benadryl at 4pm 2/24/2021 and 50mg benadryl at 10pm on 2/24/2021. On 2/25/2021 called local public health to report reaction and states rash is fading and no longer itching. Fatigue and slight headache this morning and decreased swelling of lymph node behind right ear. Denies needs for further medical intervention.

Other Meds:

Current Illness: Recent allergic reactions to antibiotics in the 1-2 months prior.

ID: 1054844
Sex: F
Age: 78
State: MA

Vax Date: 02/12/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: augmentin, motrin, flagyl, levaquin, erythromycin

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

Symptoms: 13 days later she had hives and redness and severe itching over site of vaccination. lasted about few hours. resolved in a day

Other Meds:

Current Illness: no

ID: 1054845
Sex: F
Age: 35
State: MD

Vax Date: 02/05/2021
Onset Date: 02/23/2021
Rec V Date: 02/25/2021
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: Amoxicillin

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

Symptoms: Shingles

Other Meds: Prozac, Remeron, Spirolactone, Atorvastatin

Current Illness: N/A

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm