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: 1062633
Sex: M
Age:
State: NV

Vax Date:
Onset Date:
Rec V Date: 03/01/2021
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: hives / little red itchy spots; hives / little red itchy spots; hives / little red itchy spots; This case was reported by a consumer and described the occurrence of hives in a elderly male patient who received Herpes zoster (Shingrix) for prophylaxis. Co-suspect products included Flu Seasonal QIV Dresden (Influenza vaccine Quadrivalent unspecified season) for prophylaxis. Concurrent medical conditions included heart disorder. On an unknown date, the patient received the 1st dose of Shingrix and Influenza vaccine Quadrivalent unspecified season. On an unknown date, less than 5 months after receiving Shingrix and Influenza vaccine Quadrivalent unspecified season, the patient experienced hives, pruritus and red rash. Shingrix was discontinued. On an unknown date, the outcome of the hives, pruritus and red rash were not recovered/not resolved. It was unknown if the reporter considered the hives, pruritus and red rash to be related to Shingrix and Influenza vaccine Quadrivalent unspecified season. Additional details were provided as follows: The case was reported by patient himself. Age at vaccination was not reported. The patient did not have lot number. The patient received shingles shot in September or October of 2020, along with a flu shot. The patient had hives. They break out with little red itchy spots it was ok during the day but at night he must get up and put gel on the spots to stop the itching. The patient got a shot for itching but they were still itching. The patient spots moved to his legs and arms, the patient did not plan on getting the second shot. The reporter did not consent to follow-up. This case was linked with US2021025209 reported by same reporter.; Sender's Comments: US-GLAXOSMITHKLINE-US2021025209:same reporter

Other Meds:

Current Illness: Heart disorder

ID: 1062634
Sex: F
Age:
State: NV

Vax Date:
Onset Date:
Rec V Date: 03/01/2021
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: hives / red itchy spots; hives / red itchy spots; hives / red itchy spots; This case was reported by a consumer and described the occurrence of hives in a elderly female patient who received Herpes zoster (Shingrix) for prophylaxis. Co-suspect products included Flu Seasonal QIV Dresden (Influenza vaccine Quadrivalent unspecified season) for prophylaxis. On an unknown date, the patient received Shingrix and Influenza vaccine Quadrivalent unspecified season. On an unknown date, less than 5 months after receiving Shingrix and Influenza vaccine Quadrivalent unspecified season, the patient experienced hives, pruritus and red rash. On an unknown date, the outcome of the hives, pruritus and red rash were not recovered/not resolved. It was unknown if the reporter considered the hives, pruritus and red rash to be related to Shingrix and Influenza vaccine Quadrivalent unspecified season. Additional details were provided as follows: The case was reported by patient's husband. Age at vaccination was not reported. The patient received shingles shot in September or October of 2020, along with a flu shot. The reporter did not have lot number. The patient had hives. They break out with little red itchy spots it was ok during the day but at night he must get up and put gel on the spots to stop the itching. The patient got a shot for itching but they were still itching. The patient spots moved to his legs and arms, the patient did not plan on getting the second shot. The reporter did not consent to follow-up. This case was linked with the case US2021025208, reported by same reporter; Sender's Comments: US-GLAXOSMITHKLINE-US2021025208:same reporter

Other Meds:

Current Illness:

ID: 1062638
Sex: M
Age: 82
State: ME

Vax Date: 02/04/2021
Onset Date: 02/01/2021
Rec V Date: 03/01/2021
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: Lost his appetite; He thinks he got the shot very high in his arm; Arm was sore for a couple of days; Feeling down and has been resting in bed a lot; Feels weak; Chills; Muscle pain; A spontaneous report, was received from a consumer (patient), an 82-year-old male patient, unknown race and ethnicity, who was administered Moderna's COVID-19 vaccine, and experienced arm was sore for a couple of days (pain in extremity), loss of appetite (decreased appetite), feeling down and has been resting in bed a lot (depressed mood), feels weak (asthenia), chills, muscle pain (myalgia), and patient thinks he got the shot very high in his arm (product administered at inappropriate site). The patient's medical history was not reported. Concomitant medications included insulin, dulaglutide, and unspecified statins for cholesterol. On 04 Feb 2021, prior to the onset of events, the patient received their first of two planned does of mRNA-1273 (Lot number: 013L20A), intramuscularly very high in arm for the prophylaxis of COVID-19 infection. On the same day, the patient questioned the placement of his vaccination and reportedly thinks that he got the first dose of vaccine very high in his arm. Since the injection on 04 Feb 2021, the patient reported that his arm was sore for a couple of days, and loss of appetite for the last 8-10 days since 06 Feb 2021. The patient also experienced that he was feeling down in the last days and resting in bed a lot associated with chills, feels weak, and muscle pain since an unknown date in Feb 2021 after the Moderna vaccine. Treatment medication included was dextromethorphan hydrobromide; doxylamine succinate; ephedrine sulfate; ethanol; paracetamol which was given three times. Action taken with the second dose of mRNA-1273 in response to the events was not reported. The outcome for the events, arm was sore for a couple of days, loss of appetite, feeling down and has been resting in bed a lot, feels weak, chills, muscle pain, were not provided, and that of event patient thinks he got the shot very high in his arm, was recovered on 04 Feb 2021.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded. The causality for the event of vaccine administered at inappropriate site is assessed as Not Applicable.

Other Meds: INSULIN; TRULICITY

Current Illness:

ID: 1062639
Sex: U
Age:
State: NY

Vax Date:
Onset Date:
Rec V Date: 03/01/2021
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: patient did not get the full dose; syringe malfunction; A spontaneous report was received from a healthcare professional concerning a patient, of unknown age and gender, who was administered Moderna's COVID-19 vaccine but due to syringe malfunction/ PT: device connection issue, the patient did not get the full dose/ PT: underdose. The patient's medical history was not provided. No relevant concomitant medications were reported. On an unknown date, prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 (Batch/Lot number: not provided) intramuscularly for prophylaxis of Covid-19 infection. It was reported that due to a syringe malfunction that day, the patient didn't get the full dose. No treatment information was provided. Action taken with the second dose of mRNA-1273 in response to the event was not reported. The events, syringe malfunction and patient did not get the full dose, were considered resolved.; Reporter's Comments: This report refers to a case of Vaccine underdose and Device connection issue for mRNA-1273 (Batch/Lot number: not provided) with no associated AEs.

Other Meds:

Current Illness: No adverse event (No reported medical history.)

ID: 1062640
Sex: F
Age:
State: MI

Vax Date:
Onset Date:
Rec V Date: 03/01/2021
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: Vaccine given on 19th day; A spontaneous report was received from a nurse concerning a 93-years-old, female patient to whom Vaccine was given on the 19th day. The patient's medical history was not provided. Concomitant product use was not provided by the reporter. The patient received their first of two planned doses of mRNA-1273 (Lot number not provided) on an unknown date. On unknown date, the patient received their second of two planned doses of mRNA-1273 (Lot number not provided) intramuscularly for prophylaxis of COVID-19 infection. On an unknown date, the patient was administered the second dose of the vaccine on the 19th day. Reporter to call back with additional information. Treatment information was not provided/unknown. The patient received both scheduled doses of mRNA-1273 prior to the event; therefore, action taken with the drug in response to the event is not applicable. On an unknown date, the event vaccine given on the 19th day, was considered recovered/resolved.; Reporter's Comments: This report refers to a case of inappropriate schedule of vaccine administered for mRNA-1273 (lot #unknown) with no associated AEs reported.

Other Meds:

Current Illness:

ID: 1062641
Sex: F
Age: 56
State: CA

Vax Date: 01/16/2021
Onset Date: 02/13/2021
Rec V Date: 03/01/2021
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; Hard knot in subcutaneous layer; Chills; Body aches; Redness; Believes second dose was administered wrong, didn't feel the needle entered the muscle.; Arm was hot to touch; A spontaneous report (United States) was received from a health care professional who is a 56-year-old, female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and arm was hot to touch/vaccination site warmth, had hard knot in the subcutaneous layer/vaccination site induration, chills, body aches/myalgia, redness/vaccination site erythema, nausea and believes second dose was administered wrong, didn't feel the needle enter the muscle/incorrect route of product administration. The patient's medical history was not provided. No concomitant product use was reported. On 13 Feb 2021, the patient received their second of two planned doses of mRNA-1273 (Lot number: 015M20A) intramuscularly for prophylaxis of COVID-19 infection. On 13 Feb 2021, post vaccination, the patient reported her arm was hot to touch. The patient believed the injection was administered incorrectly. She reported that she did not feel the needle enter the muscle. On 14 Feb 2021, the patient reported she had a hard knot in the subcutaneous layer, she had chills, body aches and redness. On 15 Feb 2021, the patient reported she had nausea. On 16 Feb 2021, the patient reported she still had redness. Treatment for the event included acetaminophen. Action taken with mRNA-1273 in response to the events was not provided. The outcome of the events, arm was hot to touch/vaccination site warmth, had hard knot in the subcutaneous layer/vaccination site induration, chills, body aches/myalgia, nausea and believes second dose was administered wrong, didn't feel the needle enter the muscle/wrong technique in product usage process, were considered recovered/resolved. The outcome of the event, redness/vaccination site erythema, was considered not recovered/not resolved.; Reporter's Comments: This case concerns a 56-year old female patient who received mRNA-1273 and experienced non-serious events vaccination site warmth, induration, myalgia, erythema, nausea and believes second dose was administered wrong /incorrect route of product administration. 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:

Current Illness:

ID: 1062642
Sex: F
Age: 65
State: WI

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 03/01/2021
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: Injection site mass; Injection site swelling; Tenderness at the injection site; Joint ache; Muscle ache; Fever; Injected twice with the same syringe; A spontaneous report was received from a consumer concerning a 66 year-old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced injected twice with the same syringe, injection site mass, injection site swelling, tenderness at the injection site, muscle ache, joint ache and fever. The patient's medical history was not provided. No relevant concomitant medications were reported. On 12 Feb 2021, 0 days prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 (batch: unknown ) intramuscularly in the left arm for prophylaxis of COVID-19 infection. On 12 Feb 2021, the patient was injected twice during vaccination. She reported the vaccinating pharmacist made a mistake and had to start over using the same syringe. On unknown dates following vaccination, the patient experienced injection site swelling, tenderness at the injection site, muscle ache, joint ache and fever. She reported the fever is now gone. Treatment for the events included ibuprofen. Action taken with mRNA-1273 in response to the events was not reported. The outcome of the event, injected twice with the same syringe, was resolved on 12 Feb 2021. The outcome of the event fever, was resolved on an unknown date. The outcome of the events, injection site mass, injection site swelling, tenderness at the injection site, muscle ache and joint ache were unknown.; Reporter's Comments: This case concerns a 66-year-old female who had NS unexpected Product administration error, injection site mass and NS expected fever, arthralgia, myalgia, injection site swelling, injection site pain. She was injected twice with the same syringe. Events occurred the same day as first dose mRNA-1273. Treated with ibuprofen. Fever resolved. Based on current available information and temporal association between use of the product and the start date of the event, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1062643
Sex: M
Age: 61
State: NY

Vax Date: 02/24/2021
Onset Date: 02/26/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Pharyngeal swelling

Symptoms: Shoulder Pain starting 48+ hours after injection. Initial arm soreness went away in less than 24hours. At time of injection the shot was given high on my shoulder and sent pain through my back an up my neck. The shot was administered into my shoulder not my muscle This is problem from the injection not the vaccine. SIRVA type injury

Other Meds: Losartan 100mg, Esopemprozole 20mg

Current Illness: None

ID: 1062644
Sex: M
Age: 85
State: AZ

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 03/01/2021
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: red rash

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Thick congestion in back of nose and throat; pounding rapid irregular pulse; heavy breathing; no sleep that night. Next morning all symptoms rapidly disappeared. No further problems.

Other Meds: losartan 50mg 1/day; vitamin D 5000u 3/week; 'Preservision' 2/day.

Current Illness: none

ID: 1062645
Sex: F
Age: 74
State: MI

Vax Date: 02/10/2021
Onset Date: 02/21/2021
Rec V Date: 03/01/2021
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: Bactrim

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Patient recieved intial dose of COVID Moderna vaccine on 2/10/21 and on 2/21/2021 developed symptoms of COVID. Tested positive on 2/25/2021. Currently not hospitalized.

Other Meds: unknown

Current Illness: Unknown

ID: 1062646
Sex: F
Age: 30
State: IN

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 03/01/2021
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: Day after vaccine (about 18 hours after) body aches, chills, headache. Lasted for about 24 hours. About 12 hours later, nausea and lightheaded.

Other Meds: Birth control

Current Illness: None

ID: 1062647
Sex: M
Age: 55
State: TX

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 03/01/2021
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: 2 fingers on m left hand are cold to the touch. Taking a touchless thermometer reading the temperature read 78?. There is no pain but the fingers are cold.

Other Meds: BP Medication, Cholesterol, Blood thinner, baby aspirin 81mg

Current Illness: none

ID: 1062648
Sex: F
Age: 55
State: MA

Vax Date: 02/19/2021
Onset Date: 02/23/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: Singular, morphine, Compazine

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

Symptoms: Red rash at injection site becoming more red and warm. raised.

Other Meds: Advair, Albuterol, Synthroid, Naproxen, Omepraol, Buspar, Rstradoil cream, Linzess, Propranolol, Vitamin D, MVI, Spirolactone.

Current Illness:

ID: 1062649
Sex: F
Age: 18
State: IL

Vax Date: 02/27/2021
Onset Date: 02/28/2021
Rec V Date: 03/01/2021
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: Pfizer-BioNTech COVID-19 Vaccine EUA Headache, lasted around 2 days. Sore throat and post-nasal drip, 2 days fever cough

Other Meds:

Current Illness:

ID: 1062650
Sex: M
Age: 74
State: NH

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

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

Lab Data:

Allergies: gluten

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

Symptoms: At approximately 24 hours after his vaccine, Pt started to have problems with his vison and headache on the right side. It took 2 calls to 911 before I could convince him to go the the ER. While there, he suffered 2 grand mal seizures and he was transferred to another hospital for further treatment.

Other Meds: Spiriva, Symbicort, Albuterol inhaler and nebulizer, multivitamin, D-3, aspirin 81mg,Lisinopril 5mg, Torsemide 80 mg, metroprolol Succinate 25 mg. Apixaban 5mg, twice daily, tylenol 1000mg twice daily, Rosuvastatin 40mg, melatonin 12 mg, D

Current Illness:

ID: 1062651
Sex: F
Age: 67
State: SC

Vax Date: 02/13/2021
Onset Date: 02/20/2021
Rec V Date: 03/01/2021
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Swollen arm and hives, for 5 days

Other Meds: None

Current Illness: None

ID: 1062652
Sex: F
Age: 63
State: MI

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

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

Symptoms: 63 year old complained of headache and sweating. She ate breakfast took her medications this morning . Onsite EMS was called Vitals BP 176/82 HR 73 released to go home.

Other Meds: Blood Pressure

Current Illness:

ID: 1062653
Sex: M
Age: 71
State: MO

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Ear pain, Hypoaesthesia

Symptoms: I received the shot in my left arm. By the next morning, I was having pain in my left shoulder area, front and back, with the pain radiating down my arm. This pain has persisted for 6 days.

Other Meds: Tamsulosin Atorvastatin

Current Illness: None

ID: 1062654
Sex: F
Age: 66
State: OH

Vax Date: 02/17/2021
Onset Date: 02/24/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: mold, cat, dog; and shellfish and pork sensitivities

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Loss use of right arm, Vaccine was given high up on arm near shoulder to the inside. Had trouble taking off t-shirt in the evening, Arm had been very sore around injection site for days but by the 24th could barely raise right arm to remove shirt. Felt like two torn muscles. Since then, barely any use of arm, stays limp by my side. Painful and very warm. Have been resting and icing arm, very little improvement so far (total 12 days since vaccine)

Other Meds: vitamins only flaxseed oil, vitimin c, vitamin e, beta-carotene, multi- vit

Current Illness: none

ID: 1062655
Sex: F
Age: 66
State: FL

Vax Date: 02/28/2021
Onset Date: 02/28/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: Animals, shellfish

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

Symptoms: Client c/o general flush feeling dryness of mouth and sweating. Client verbalized that symptoms occurred immediately after receiving vaccine. Client seen and assessed by EMS an Vital signs are B/P 147/82, HR 80, O2 100%. Pt. voice that her anxiety level increased when receiving vaccine but now has decreased and symptoms decreased during observation. Second round of vitals B/P 139/82, HR 76, O2 99%. Client then verbalized that she is no longer having the sensation and asked to go home after 45 minutes of observation. Client denied the need to go to or be taken to the hospital and was cleared to go home by EMS. No physical reaction noted.

Other Meds: Advair, Lisinopril, Symvasttin, Xanax.

Current Illness: none

ID: 1062656
Sex: F
Age: 64
State: PA

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

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

Symptoms: Within 2 hours of the shot I started with chills, arm started to ache and by midnight my whole body ached. I continued with all those symptoms and have a fever over 100 most of Sunday along with feeling sick to my stomach and head hurt. Today is Monday March 1 and I feel weak at 10:15 AM but otherwise doing better than the last two days at the moment.

Other Meds: Zestril, Hydrochlorothiazide, Amlodipine,Montelukast and Premarin

Current Illness:

ID: 1062657
Sex: F
Age: 66
State: GA

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 03/01/2021
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: Urine had a reddish dye not quite blood and loose bowel movement the next day following the first dose. After eliminating the waste my urine and bowles was back to the normal. It was quite scary.

Other Meds: Propanol and lisinopril

Current Illness: none

ID: 1062658
Sex: F
Age: 68
State: OK

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 03/01/2021
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: Has allergies, can't remember what they are

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

Symptoms: Started at 2:00 AM with severe chills, and then throwing up and diarrhea and no appetite, and I couldn't do anything, so I slept. I wasn't able to hold down any fluids. And about 2:00 in the afternoon that day, I was feeling better.

Other Meds: Xarelto metroprol zinc b-complex zyrtec vitamin D3

Current Illness: No

ID: 1062659
Sex: F
Age: 55
State: MD

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 03/01/2021
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: Tetnus,paxil,benadryl

Symptom List: Injection site pain, Pain

Symptoms: Tingling arms,lips, headache,chills fatigue

Other Meds: Ziac, lexapro,simvastatin, vitamin d

Current Illness: Sore throat

ID: 1062660
Sex: F
Age: 79
State: FL

Vax Date: 02/18/2021
Onset Date: 02/26/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: Penicillin and Bactrim

Symptom List: Injection site pain, Menorrhagia

Symptoms: On day 8 after the vaccine I experienced a very red, warm, somewhat itchy, raised area (oval shaped and about the size of a large orange) at the injection site. It was that way for two days and then began dissipating with day 4 being barely noticeable.

Other Meds: No prescriptions. Supplements: Gugilipids, Nattokinase, B12, MultiVitamin, fish oil (mostly Krill oil), calcium, D3, NAC, CoQ10 & Vit. C

Current Illness: None

ID: 1062661
Sex: F
Age: 66
State: NY

Vax Date: 01/29/2021
Onset Date: 02/08/2021
Rec V Date: 03/01/2021
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: Covid arm: redness, swolleness and itching in area where vaccine was injected

Other Meds: None

Current Illness: None

ID: 1062663
Sex: F
Age: 77
State: CA

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

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: No effects until 8 hours later. Then swelling of shoulder muscle, and pain, that has lasted 3 days. Does not appear to be an injury, feels more like an adverse reaction or infection.

Other Meds: none

Current Illness: none

ID: 1062664
Sex: F
Age: 35
State: MD

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

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

Lab Data:

Allergies: opioids, latex, dairy

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: pain in arm a few hours after receiving injection, the following day had low grade fever 100 and chills that both lasted until 4pm Saturday, nausea, could not lift left arm more than a few inches, extreme fatigue that lasted until 4pm Saturday, red swollen mark on arm by injection site.

Other Meds: none

Current Illness:

ID: 1062665
Sex: F
Age: 19
State: MN

Vax Date: 02/25/2021
Onset Date: 02/27/2021
Rec V Date: 03/01/2021
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: Bactrim

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

Symptoms: Pt received vaccine on 2/25/21. Presented to emergency department on 2/28/21 with c/o hives (generalized) and arm burning sensation starting 2/27/21. Pt received famotidine, methylprednisolone, and diphenhydramine in the ED; was discharged to home.

Other Meds: Unknown

Current Illness: Unknown

Date Died: 02/25/2021

ID: 1062666
Sex: M
Age: 68
State: TX

Vax Date: 02/22/2021
Onset Date: 02/25/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: NO KNOWN DRUG ALLERGIES

Symptom List: Nausea

Symptoms: 2-24-21 patient with development of cough, fatigue, increasing on chronic disability worsening debility and falls. scheduled for office visit 2-25.21 0900 call from spouse 0210 am patient was not breathing and lvad alarming low flow alarm on arrival of ems confirm asystolic not breathing and dead

Other Meds: AMIODARONE, DOXYCYCLINE, LACTULOSE, OCTREOTIDE, POTASSIUM CHLORIDE, TORSEMIDE, WARFARIN

Current Illness: CONGESTIVE HEART FAILURE ON LEFT VENTRICULAR ASSIST DEVICE MALNUTRITION, DEBILITY

ID: 1062667
Sex: F
Age: 69
State: TX

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: Sulpha

Symptom List: Injection site pain

Symptoms: The second Moderna intramuscular injection felt different from the first injection. This one hurt when injected. About 3:15p.m. that same day, I noticed the arm started hurting. It later became very painful and I had lost strength in the arm and I could not lift my arm. This was alarming to me and I thought there may have been nerve damage. The fatigue, fever and headache came the next day and the arm was painful and unusable. At 2:30pm on Saturday, Feb. 27th, I took 3 Aleve to relieve the pain in my arm. I had hoped to not take anything after getting the vaccine, but I could not stand the pain any longer. I researched online and read about SIRVA. I thought that was responsible for the pain. The Aleve helped. By Sunday, Feb. 28, 2021, the pain had abated and I could use my arm. My fever, fatigue and headache had gone too. My intention in submitting this is to request that more explicit reactions be listed so that someone like me, living alone, would know that this is a possible reaction and to let it run its course. This caused me undue stress, on top of feeling lousy and being in a great deal of pain, not the mention my fear of never being able to use that arm again. That may sound like an overreaction, but until you have had a limb rendered useless, no matter how hard you try to move it, it is frightening. I would appreciate any feedback on my experience and I would like to know if others have experieinced this too. Thank you.

Other Meds: Armour Thyroid 22mg Effexor XR 37.5mg

Current Illness: none

ID: 1062668
Sex: F
Age: 42
State: VA

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

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

Lab Data:

Allergies:

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

Symptoms: 1208 Patient received vaccine and was in her 15 min. wait time when she began to taste a metallic taste and flushing skin / hot flashes.EMS was on site and present with the patient. 1208- 147/85,81,20, 97%. rescue drugs were not given. 1217 -147/78,84,18. 97% patient feeling better and symptoms resolved. 1225- 147/85,85,89,18,98%. Again all symptoms have resolved. Patient was released and instructed to call 911 if symptoms come back.

Other Meds:

Current Illness:

ID: 1062669
Sex: F
Age: 80
State: MI

Vax Date: 01/26/2021
Onset Date: 02/27/2021
Rec V Date: 03/01/2021
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: PCN, Sulfa, Aspirin, Antibiotics

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

Symptoms: Woke up at 2:30 am and was incoherant, difficulty walking and was assisted to bathroom, chills, headache. Next morning had soaked through pajamas with sweating.

Other Meds: Singular, gabepetein, synthroid, wellbutrin, naprosyn, morphine,

Current Illness: None

ID: 1062670
Sex: M
Age: 61
State: OK

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 03/01/2021
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: Adalot, Mycardis, Lisinopril, Zocor, Plavix, Verlenta, IV contrast dye.

Symptom List: Tremor

Symptoms: After the vaccine he came home, felt a little less sore than a flu shot. The next day when he took a shower, and when he went to wash under his armpit was very swollen, and very tender. He put some ice on it which did not help the swelling. It bothers him when his T-shirt touches the area, so he tried to wear a regular shirt. He also had achy pain in his back, weakness in his arms, sore throat and a little cough, no fever. The armpit still hurts and is still swollen. Other than the ice he did not take anything else as he takes a lot of medications as it is. He has not called his doctor because it happened over the weekend, but is going to call her today. He did have a COVID test yesterday drive through facility at the community hospital as he has a surgery coming up, and they were going to call him if it was positive. He is scheduled for surgery on his right knee on Thursday.

Other Meds: Aldactone, Bisoprolo, Diltiazem, Crestor, Janumet, Glipizide, aspirin 81, Protonix, Singulair, Effexor, Vitamin D, Cholecalciferon, Finesteride, Trazedone, Mobic, Neurontin, Centrum silver, Vitamin C, Latanaprost, Omega fish oil.

Current Illness: None.

ID: 1062671
Sex: F
Age: 61
State: TN

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 03/01/2021
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: Latex band aids, Prilosec. Had (1) reaction to dye during surgery (20 yrs ago) but have not had a reaction since.

Symptom List: Erythema, Pruritus

Symptoms: COVID19 (moderna) Shot was taken at 11:00 in the left arm on Saturday Feb 27 At 5:00 PM On Feb 27 my left eye began having black swirlies. They were like black strings. I have NEVER had swirlies in my life. At 8:00 PM Feb 27 on top of the swirlies that had moved to my peripheral vision left side of the left eye, I began having bright flashes like lightening. On Sunday Feb 28 the swirlies stayed just as peripheral vision and the bright flashes were noticed more in the late evening. Today March 1 they are still there and were more noticeable as I was driving to work. As I am typing this the swirlie moves from the center to the left side of the eye.

Other Meds: Prozac, Vit D, Allegra, AZO

Current Illness: NA

ID: 1062672
Sex: F
Age: 77
State: GA

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 03/01/2021
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 severe allergic reactions. Other not assessed.

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

Symptoms: Moderna COVID-19 vaccine EUA. Needle loose on syringe, approximately 1/2 of dose not injected and dripped down patient's arm.

Other Meds: Not assessed. Not an adverse reaction.

Current Illness: Not assessed. Not an adverse reaction.

ID: 1062673
Sex: M
Age: 43
State:

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 03/01/2021
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: hx of vasal vagal response with shots in general

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

Symptoms: Pt received their second dose of the vaccine in a recliner from a physical therapist at approximately 08:50am. Pt reported Hx of vasal vagal response with shots in general. A RN took over monitoring the pt. The pt reported feeling light headed. Vitals were obtained and showed the patient was hypotensive. The team lead was notified and 911 was called. Pt vitals were obtained frequently, water was provided, and feet were elevated. EMS arrived at 09:07 and took over. Pt refused EMS care and went home after waiting an additional 10 minutes.

Other Meds: N/A

Current Illness: N/A

ID: 1062674
Sex: F
Age: 65
State: NC

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

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: bad case of the HIVES!!!

Other Meds: that morning: ( 1) Diclofenac 75 mg tab ( 1) Floraster probiotic

Current Illness: none

ID: 1062675
Sex: F
Age: 54
State: VA

Vax Date: 01/31/2021
Onset Date: 01/31/2021
Rec V Date: 03/01/2021
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: none

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

Symptoms: Arm pain and large bruise at injection site. Pain traveling up shoulder and neck in that arm. joint pain and muscle cramps. Severe headache and lethargy. Bruise is still present on 3/1/2021 though faint and some slight tenderness at injection site.

Other Meds: Zyxal. HTC25 mg, vit D and B

Current Illness: none

ID: 1062676
Sex: F
Age: 63
State: SC

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

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

Symptoms: Patient experienced twitching in her arm following injection. BP readings 150/110 and 130/100 HR 64 95% O2 on RA BGL 90

Other Meds:

Current Illness:

ID: 1062677
Sex: F
Age:
State: FL

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

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

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: arm soreness, unable to lift left arm but able to move forearm, hand and fingers. pt has good circulation and sensation to left extremity.pt has taken ibuprofen, acetaminophen and applied ice pack on and off with minimal response.

Other Meds:

Current Illness:

ID: 1062678
Sex: F
Age: 60
State: CT

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: Morphine, Sulfa drugs, Narcotics, Z-pack (Azithromycin)

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

Symptoms: About an hour after receiving the vaccine my arm was very sore, it felt like someone punched me in my arm. That night I couldn't lift my arm. I took Tylenol and put on ice on it. The next morning, I was going to the bathroom and I almost passed out. I was able to catch myself before I passed out. I felt nauseous and dizzy, I felt like I was going to throw up but I couldn't. I had chills. I went downstairs to try and drink some orange juice, I seat here and was gasping to catch my breathe. I kept thinking it was just my anxiety and kept trying to catch my breathe. I kept drinking the orange juice and the dizziness seemed to go away. I went to work, I was tired, chills and this lasted for 2 days. on Friday the 12th the rash (the rash which I developed from the 1st dose) seemed to get worse, when I took a shower, the heat from the water seemed to make the rash redder. I continued Hydrocortisone cream and then switched to Lubiderm. Neither seemed to help much so I kept switching between the two, eventually the rash did get lighter, it went away under my breast area but it is still there on my stomach. I filed a VAERS report for the first dose as well. About 8 days after receiving the vaccine, I have a tattoo on my right thigh and a red bump appeared on my tattoo, it was hurt. It was a bump and the next day the bump burst, it was hard and crusty. Then a rash developed around the tattoo. I have also had on and off fluttering of my eyelid since receiving the vaccine. I had made a dermatology appointment but I canceled it because it seems like the rash is going away and my deductible is to high. 2/26/2021 My right arm from the shoulder from down to fingers, is numb and hurting. Yesterday 02/28/2021, I got up in the morning and felt like I was going to pass out, I came downstairs and I got some orange juice. I got dizzy and couldn't catch my breathe, I told my husband to call 911,because I thought I was having a stroke. My husband said I passed out, my eye and my mouth were open, he shook my shoulders and called my name no response this lasted for about 3-5 seconds, then I take a deep gasp and came back. I was sweating profusely and pale. EMS arrived, transported me to hospital. My blood pressure was high while I was sitting and it was low when I tried to stand. I went to hospital 02/28/2021. The ER diagnosed with my syncope and wanted me to follow with a cardiologist. They believe since it was 2 weeks out since the vaccine, they do not believe it was the vaccine.

Other Meds: Women's Multivitamin, two Calcium Magnesium, Vitamin E 400 MCG, Omega 3 690 MG, Osteo Bi-flex triple strength twice a day, Vitamin C 1000 MG, Calcium Boron, Acidophilus, Vitamin D3 1000 units, Black Cohosh, Ezetimibe 10 MG daily,

Current Illness: rash was still there from the 1st dose of the vaccine

ID: 1062679
Sex: M
Age: 69
State: MI

Vax Date: 02/10/2021
Onset Date: 02/21/2021
Rec V Date: 03/01/2021
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: hydrochlorthiazide, nyquil, vytorin

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

Symptoms: Patient recieved vaccination on 2/10/21. Was exposed to COVID and on 2/21/21 developed. tested positive on 2/25/21. Patient is currently not hospitalized.

Other Meds: unknown

Current Illness: unknown

ID: 1062680
Sex: F
Age: 83
State: FL

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 03/01/2021
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

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

Symptoms: Six hours after administration patient was feverish (temp over 101), nausea, vomiting, exhausted and chills that lasted for 2 days. Then last Friday February 26, 2021 exact same symptoms recurred that lasted 2 days as well. Called doctor both times to get nausea medication. Doctor prescribed 25 mg of Promethazine.

Other Meds: Sotolol 160 mg 2x day; Eliquis 2.5 mg 2 x day; Levothyroxine 0.88 1 x day; Tylenol as needed; omepracole 20 mg 1 x day

Current Illness: Acid Reflux

ID: 1062681
Sex: M
Age: 72
State: OH

Vax Date: 02/27/2021
Onset Date: 02/28/2021
Rec V Date: 03/01/2021
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: None stated.

Other Meds: Low dose Aspirin; Centrum Silver for Men +55; Isosorbide Mono ER 60mg; Metoprolol Succinate ER 50mg; Amlodipine Besylate Tabs 2.5mg; Furosemide Tabs 40mg; Klor-Con M20 ER 20mg; Colcrys .6mg/ 2 a day; Omeprazole caps 40mg -2 a day; Praluent

Current Illness: none

ID: 1062682
Sex: F
Age: 40
State: MO

Vax Date: 01/14/2021
Onset Date: 01/22/2021
Rec V Date: 03/01/2021
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: No food allergies Allergic to Famvir

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: On January 22nd, I began to develop left upper quadrant pain. I was started on Cipro and Flagyl and took that for 7 days. After a couple days I was no better, pain was worse. I underwent a CT scan of abd/pelvis and was found to have Colitis. I have no history of this. I still was not improving so I was started on steroids (prednisone). Pain improved somewhat, but did not resolve. I then underwent a colonoscopy that demonstrated active and focal colitis in multiple areas of my colon. Again, I have no history of this. I spoke with my PCP who recommended that I not take the second dose, and report this to CDC as a possible hyper immune response.

Other Meds: Cymbalta 30mg daily Wellbutrin 150mg daily Dexilant 60mg daily Buspar 10mg daily Valtrex 1gram daily

Current Illness: None

ID: 1062683
Sex: F
Age: 62
State: NY

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 03/01/2021
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: Tape wound dressing adhesive

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

Symptoms: dizziness and arm numbness

Other Meds: N/A

Current Illness: N/A

ID: 1062684
Sex: F
Age: 70
State: FL

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 03/01/2021
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: Statins: for high cholesterol

Symptom List: Injection site swelling, Limb discomfort

Symptoms: High fever with chills, aches all over body, especially in places an injury occurred anytime in my life. Injection arm tender & sore to touch from elbow to shoulder & was slightly red around the injection site. It felt like my body had been cut up into pieces & scotch taped back together with all the pain everywhere. Thirsty , mildly nauseated. Thursday morning I ate 5 bites of cream of wheat made with water. I was mostly bedridden until Thursday 18th night; I was able to eat broth & noodle soup. Continued in bed most of the time, began eating solid food Fri., mashed potatoes, crackers & vegetable salad. Still very tired. By Fri. 2/19/2021 I was beginning to regain my strength to more normal levels. I still needed 2 hour naps & slept 9-10 hours nightly. Still seemed I'd get a low fever, then break it for several days. I started sleeping on the sore arm side, cuz it was so painful on the other side & on my back after several days in bed. My arm stopped hurting after 5 days3/1/2021 Today is my best day yet. Happy to have the vaccine, no regrets!!! Thank you so much for that.

Other Meds: None

Current Illness: None

ID: 1062685
Sex: M
Age: 30
State: TN

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

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

Lab Data:

Allergies: Sunflower seeds.

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

Symptoms: Fever and chills, debilitating headache, weakness and muscle aches, joint pain, nausea, and fatigue. Local swelling and pain at injection site. Also felt unusually anxious, though unsure if that was directly due to the vaccine or to the inability to sleep for a number of days because of the feverish chills. Acute symptoms lasted for 48 hours, and prohibited me from being able to work from home. I still have what feels like a lingering sinus headache (with no actual sinus symptoms) as well as some fatigue. Lingering headache is not debilitating, but it is irritating. Feels a bit like a sensation of pressure in my forehead.

Other Meds: 1-a-day multivitamin.

Current Illness: none.

ID: 1062686
Sex: M
Age: 36
State: FL

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 03/01/2021
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: NKA

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

Symptoms: Joint pain throughout body followed by spasm in my lumbar region. This is the first spasm I've had since I got the spinal cord stimulator implanted over a year ago.

Other Meds: Diltiazem, welbutrin

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm