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: 1069504
Sex: M
Age: 71
State: CA

Vax Date: 02/21/2021
Onset Date: 02/21/2021
Rec V Date: 03/03/2021
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: No Known Allergies

Symptom List: Dysphagia, Epiglottitis

Symptoms: No adverse events. Reporting due to the incorrect timing of the vaccination.

Other Meds: Amlodipine, Aspirin, Atorvastatin, Clopidogrel, Furosemide, Lisinopril, Metformin, Metoprolol Patient received Bamlanivimab 700mg on 1/15/2021

Current Illness: Covid-19 virus infection on 1/11/21

ID: 1069505
Sex: F
Age: 73
State: WI

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 03/03/2021
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: lisonopril - uncontrollable coughing triggering RAD/SOB, biaxin (vomiting), dust (tickle in throat), lorabid (puruitius).

Symptom List: Anxiety, Dyspnoea

Symptoms: Patient alerted staff after 30 minute wait time that she was feeling some fullness/swelling to throat and some minor itching. Patient denies any difficulty breathing, no rash or systemic itching noted. Treatment/intervention VSS - patient appears in no acute distress is calm. VS at 0955 Pulse 93, BP 142/82 spo2 93% RA. Patient given 50mg PO Benadryl per protocol with sips of water. Patient denies any issues with swallowing. Lungs are course however, patient significant hx of COPD. Patient able to take deep breath without overt difficulty. Patient states after 10 minutes that her s/sx have subsided and she is feeling better. Advised to wait at least 15 minutes longer to ensure she is feeling better. Patient agreed to additional observation at clinic. VS remained stable after administration of PO Benadryl. 1015 - bp 138/76, P 92, spo2 95 percent. Patient stated no intention to go to walkin or ED - plans to go home, feels well. Patient counseled to report to ED with new or worsening s/sx and to contact PCP to update. Patient verbalized understanding.

Other Meds: citalopram, amlodipine, pantoprazole, fexofenadine, fluticasone, albuterol HFA, asa, tiotropium-oldaterol, calcium/vit D, MVI

Current Illness: unknown

ID: 1069507
Sex: F
Age: 41
State: IL

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

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

Symptoms: I have a rash on my face. Itchy face and top of the head.

Other Meds: n/a

Current Illness: N/A

ID: 1069508
Sex: M
Age: 70
State: TX

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

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

Lab Data:

Allergies: NKDA

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: First vaccine was administered 1/29/2021 and second dose was administered on 2/9/2021. No adverse event per patient when contacted.

Other Meds:

Current Illness:

ID: 1069509
Sex: F
Age: 31
State: OH

Vax Date: 02/21/2021
Onset Date: 02/23/2021
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies: Penicillins

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

Symptoms: 2 days after 2nd dose, developed headache feeling pressure behind eyes and vision out of focus at random. Headache is current and has lasted longer than 8 days

Other Meds: Estradiol

Current Illness: None

ID: 1069510
Sex: F
Age: 77
State: FL

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 03/03/2021
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: Latex High Doses Codeine

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

Symptoms: Next day severe heat, swelling and pain at site. 2nd day severe heat, swelling and pain of entire upper arm 3rd day difficulty breathing, wheezing 4th day spasmodic coughing 5 - 12 day continued pneumonia like symptoms PLEASE NOTE: I HAD PNEUMONIA IN BOTH LUNGS AND WAS HOSPITALIZED FOR FIVE DAYS IN JUNE 2017. I HAD EMBOLISMS IN BOTH LUNGS, FLUID ON THE LUNGS, AND WAS ON OXYGEN FOR ABOUT 6 MONTHS, DAILY INITIALLY AND OCCASIONALLY AFTER 4 MONTHS. Treatment: I could not reach my physician despite repeated attempts. My pulmonologist had previously prescribed a protocol of prednisone and a z-pack should those symptoms recur. Day 6 after vaccine I began the protocol. Day 10 saw improvement in breathing and coughing. Day 14 symptoms resolved. Day 14 (Feb. 16) to Present (March 3) no unusual symptoms. Some nasal congestion and mild occasional wheezing, consistent with pollen season and my usual COPD symptoms. Thank you.

Other Meds: Fluoxetine Hydrochlorothiazide Gabapentin Montelukast Albuterol Glucosamine Triple Strength Omeprazole Occuvite Preservision Vitamin D Oxycodone

Current Illness: None

ID: 1069511
Sex: F
Age: 59
State:

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 03/03/2021
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: Lightheaded, facial pressure, "feeling like something stuck in throat" - Evaluated by EMS-Cleared

Other Meds:

Current Illness:

ID: 1069512
Sex: F
Age: 73
State: NY

Vax Date: 02/14/2021
Onset Date: 03/01/2021
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Pharyngeal swelling

Symptoms: Localized irritation at injection site

Other Meds: Metformin, Jardiance, Ferrous Sulfate, Lisinopril and aspirin

Current Illness: Type 2 Diabetes

ID: 1069513
Sex: F
Age: 68
State: HI

Vax Date: 01/26/2021
Onset Date: 02/25/2021
Rec V Date: 03/03/2021
Hospital: Y

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

Lab Data:

Allergies: Erythromycin Tramadol Visken

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: None at the time of vaccination. Pt admitted to ER on 2/25 with chest pain.

Other Meds: Metformin Gentamicin eye drops Irbesartan Ibuprofen Vascepa Atorvastatin

Current Illness: Aortic stenosis Asthma BMI 26-26.9 Calculus of L ureter Colitis Diabetes Essential tremor H/O tubal ligation HTN Hx appendectomy Hx degenerative disc disease Hyperlipidemia Nephrolithiasis Obesity Polycythemia

ID: 1069514
Sex: F
Age: 63
State: OK

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

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Received injection on 02/23/2021. Left arm painful red and warm to touch for 4 days. On day 8, redness and pain returned with clavicular lymph node edema on left side.

Other Meds: Benazepril/hctz 20/12.5 Estradiol 0.1mg CA DHEA 10 mg SR Progesterone 200 mg SR Buffered Ascorbic Acid B- complex plus Vitamin D3 25mcg Saw palmetto Hylauronic acid Amino acid Probiotic GI Zinc 30

Current Illness:

ID: 1069516
Sex: F
Age: 73
State: AZ

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

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

Lab Data:

Allergies: Sulfa

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

Symptoms: Swelling and redness, warm and painful to the touch, in 2 inch diameter around injection site

Other Meds: Alendronate Vitamin B3

Current Illness: none

ID: 1069517
Sex: F
Age: 66
State: MI

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

Symptom List: Rash, Urticaria

Symptoms: Started around 1 p.m. with flu-like symptoms, i.e., fatigue, body aches, neck pain, headache. Around 3-4 p.m., developed facial rash, face redness. Flu symptoms dissipated the next day, but facial rash appears to be morphing to hives. Other note - I had COVID-19 in February 2020.

Other Meds: Proliera, multi-vitamin, fish oil, calcium, COQ10, 2.5 Ambien, GluCosamine, Magneseum

Current Illness: No

ID: 1069518
Sex: F
Age: 79
State: VA

Vax Date: 01/16/2021
Onset Date: 01/18/2021
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies: No

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

Symptoms: Initial tissue reaction with erythema to us change, swelling, and pain on injected site and place, left arm has not subsided even in 6 weeks duration. Second shot on the rt. arm didn?t cause any problem. No warm sensation on injection site. She feels heavy on lifting her left arm and pain on motion of left arm above injection site. She has used arm sling to support lt. arm and took Advil occasionally, but no help. No fever elicited. I am very curious . Not sure what specialty dr to take her for further assessment. Similar repoRt?

Other Meds: No

Current Illness: No

ID: 1069519
Sex: F
Age: 25
State: OH

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 03/03/2021
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: Penicillin and sulfa meds

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

Symptoms: The day after I received my vaccine, I had extreme fatigue, chills, body aches, and felt feverish. I also had severely painful swollen axillary lymph nodes on the same side that I received my injection. I was not able to work or do any of my daily activities for almost three days. Then on day 7 after receiving my first vaccine dose, I developed a itchy, painful, red rash and hives surrounding the injection site (about a two to three inch radius around the injection site. I also got hives and red itchy painful skin on my face. I went to an urgent care and was prescribed prednisone and a week of pepside and zyrtec. After a week I stopped taking the allergy meds and then the hives came back, so I kept taking the allergy meds until my second vaccine dose.

Other Meds: Oral contraceptive pills

Current Illness: None

ID: 1069520
Sex: F
Age: 52
State: LA

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 03/03/2021
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: Morphine, Ciprofloxacin, Bactrim

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

Symptoms: Anaphylaxis. 2 EpiPens, 50 mg Benadryl PO. Was with patient for 2 hours before ambulance arrived. Tingling and numbness to lips, tongue and mouth. Swelling of lips. Pruritis of throat. Dry unproductive cough. "Feel like I'm being strangled". Grogginess (may have been due to Benadryl). Disorientation. Increase in blood pressure. Increased respiratory rate and labored breathing. Left chest discomfort (non-radiating). Hoarseness. Appeared syncopal and weak.

Other Meds: Advair Diskus albuterol sulfate cephalexin doxycycline hyclate fluconazole fluoxetine fluticasone propionate methylprednisolone nitrofurantoin monohyd/m-cryst phenazopyridine promethazine gel 25mg/ml

Current Illness:

ID: 1069522
Sex: F
Age: 49
State: FL

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 03/03/2021
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, Chlorhexidine

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

Symptoms: I exp rash in the same area as the injection site required a prescribed cream medication.

Other Meds: Omeprazole, Atenolol, Vit D, Vit C,Vit A, Creel Oil?,Baby Aspirin, Benadryl,Emgality

Current Illness: No

ID: 1069523
Sex: F
Age: 55
State: MN

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

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

Symptoms: The day after the second dose, I felt flu-like symptoms including body aches, lack of energy, and nausea. The following day, the body aches and lack of energy persisted. By day three these symptoms had disappeared. I had a very sore arm (around site of the injection) for the first three days then a slightly sore arm for another three days. Unlike the first dose, I did not have a rash around the injection site with the second dose.

Other Meds: Levothyroxine Estrogen Progesterone

Current Illness: None

ID: 1069524
Sex: M
Age: 41
State: TX

Vax Date: 03/01/2021
Onset Date: 03/02/2021
Rec V Date: 03/03/2021
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: Patient was vaccinated with Pfizer #1 on Monday 3/1/2021. He received a second invitation for vaccine in error, signed up, and was vaccinated a second time with Pfizer #2 on 3/2/2021. Patient could not give a reason why he thought the vaccine was due the next day. No adverse outcomes or symptoms reported. Patient was advised to check wiht his regular doctor.

Other Meds:

Current Illness:

ID: 1069525
Sex: F
Age: 61
State: CA

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies: Mustard, pysillium

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Severe malaise for 5 days, fever with chills 48 hours, headache for 36 hours, shortness of breath 4 days, hard grapefruit size lump on injection site, generalized muscular pain x e days

Other Meds:

Current Illness: None

ID: 1069526
Sex: M
Age: 58
State: MA

Vax Date: 02/25/2021
Onset Date: 02/28/2021
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies: Latex, sulfonamides

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

Symptoms: 02/28/2021 9:30PM onset of fever 99.8-102F lasting to morning of 03/01/2021, onset of numbness in the oral cavity with numbness and swelling of the tongue on until end of 03/02/2021, onset of pain in the left deltoid injection site with traveling pain and numbness to left fingers 03/01/2021 until 03/02/2021. On 03/03/2021 symptoms are resolved.

Other Meds: aspirin, atorvastatin, Boost Oral supplement, vitamin D3, clonazepam, combivent respimat, vitaminB12 injection, dulcolax, flucanazole, lactobacillus acidophilus, lactulose, lisinopril, magnesium citrate, Tylenol extra strength, miralax, ola

Current Illness: Chronic abdominal pain

ID: 1069527
Sex: F
Age: 75
State: PA

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 03/03/2021
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: None

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

Symptoms: Patient experienced chills and flushing minutes after vaccine administration. Vital Signs stable. Spontaneous improvement. No medications offered.

Other Meds: Unknown

Current Illness: History of cancer and transplantation

ID: 1069528
Sex: F
Age: 45
State: CA

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 03/03/2021
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 prior to vaccine. Noted 1-2 weeks after vaccine, having allergy symptoms to shrimp, fish, and beef.

Symptom List: Unevaluable event

Symptoms: Day after 2nd dose COVID19 vaccine, patient reports feelings cramps/pain in both legs/calves. Still persisting daily 1 month after 2nd dose vaccine. Did not have reaction after 1st dose COVID19 vaccine.

Other Meds: Nexplanon birth control implant

Current Illness: Headache for 2 weeks after 1st COVID19 vaccine dose

ID: 1069529
Sex: M
Age: 41
State: TX

Vax Date: 03/01/2021
Onset Date: 03/02/2021
Rec V Date: 03/03/2021
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: Patient was vaccinated with Pfizer #1 on Monday 3/1/2021. He received a second invitation for vaccine in error, signed up, and was vaccinated a second time with Pfizer #2 on 3/2/2021. Patient could not give a reason why he thought the vaccine was due the next day. No adverse outcomes or symptoms reported. Patient was advised to check wiht his regular doctor.

Other Meds:

Current Illness:

ID: 1069531
Sex: M
Age: 69
State: AZ

Vax Date: 02/16/2021
Onset Date: 02/20/2021
Rec V Date: 03/03/2021
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: None

Symptom List: Injection site pain, Pain

Symptoms: Extremely high blood sugars and becoming insulin resistant four over two weeks after the shot

Other Meds: Insulin

Current Illness: None

ID: 1069532
Sex: F
Age: 72
State: TX

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies: Codeine.

Symptom List: Injection site pain, Menorrhagia

Symptoms: Chills beginning the night of the injection and continuing to today.

Other Meds: PreserVision, Baby Aspirin, Multivitamin, sleep-aid Diphenhydramine HCI 25 mg.

Current Illness: None.

ID: 1069533
Sex: F
Age: 45
State: MO

Vax Date: 03/02/2012
Onset Date: 03/03/2021
Rec V Date: 03/03/2021
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: wasp

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

Symptoms: pt stated stated she woke up vomiting the next morning after receiving the vax. She also has developed flu like symptoms. Body aches, headache, chest pain, chills, abdominal cramps and diarrhea. Pt states she has not contacted her PCP at this time.

Other Meds: estradiol .5mg, losartan 25 mg, vitamin B12 1000 mcg, biotin 5000 mcg, multivitamin

Current Illness: no

ID: 1069534
Sex: F
Age: 52
State: IL

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 03/03/2021
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: Medication - Sulfa

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Headache, fatigue, and slight dizziness.

Other Meds: Perscriptions - Triamterene 37.5 Mg, Estradiol 1 Mg Supplments - B12 1000mcg, D3 2000 IU 50mcg, Biotin 1000 mcg, Turmeric Curcumin 1500mg, One a Day +50 Multivitamin. E 180 mg.

Current Illness: None

ID: 1069535
Sex: F
Age: 77
State: NJ

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 03/03/2021
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 CLYNDOMYACIN SHELLFISH

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: PAIN IN ARM VACCINATION SITE - TO DATE. RUNNY NOSE - TO DATE HEADACHE - TWO DAYS SHORTNESS OF BREATH - TO DATE RASH AND HIVES ON HANDS, RIGHT ARM, AND FACE. TO DATE

Other Meds: NONE, TOOK MEDICATION AFTER THE SHOT.

Current Illness: DIABETES HYPOTHYROIDISM ALLERGIES

ID: 1069536
Sex: F
Age: 47
State: ID

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 03/03/2021
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: Penicillins: anaphylactic shock

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

Symptoms: SEVERE swelling of tongue, lips, mouth lining, throat; "waxy coating feeling" in lungs - began 20 minutes after vaccination to 4 days after - went to Emergency Department at 30 minutes after vaccination and received IV medication and epipen shot to R thigh. Subsided before leaving ED, but returned in more mild state the next day - managed by OTC Benadryl and allergy meds. Symptoms returned again at approx 39 hours and returned to Emergency Department again for more IV medications. Asthma attacks - started in the Emergency Department on first day and have continued to today 3/3/2021. Prior to vaccination, I used inhaler approx 1x every 60 days at most. Have gone more than a year without using one. After vaccination, used inhaler the same evening and then 12 times the next day, and several times before going to ED again, and have had to use it daily since. This morning 3/3/2021, woke at apprise 2:30-3:00 am with an attack that needed 2 doses to subside, and then again at 8:30 this am about 1.5 hours after waking. Burning on tongue with sores on outer sides, metallic/burning/no taste - began 20 minutes after vaccination continuing to today. Rash on face - began in Emergency Department on first day and continues to today. Began using Cortizone yesterday 3/3/2021. Rash and hives on neck, chest - began in Emergency Department on first day and subsided next day after allergy medications in ED and OTC allergy medications that night. Headache - sudden onset 25 minutes after vaccination. Returned that evening after first ED visit. Returned the following day. Returned the third day. Subsided the fourth day. Used ibuprofen and acetaminophen to manage.

Other Meds: All of these stopped that same day because of adverse reaction. Last taken the night before. Valsartan 160mg Trazodone 50mg Vitamin E 1000u Flaxseed 1000u Vitamin D3 10,000u Multivitamin 1 cap

Current Illness: None

ID: 1069537
Sex: F
Age: 68
State: TX

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

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: First dose administered 1/29/21 and second dose was administered on 2/9/21. No adverse reaction reported by patient.

Other Meds:

Current Illness:

ID: 1069538
Sex: F
Age: 40
State: NC

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

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

Lab Data:

Allergies: Latex (angioedema)

Symptom List: Injection site pain

Symptoms: 10 minutes after getting her first COVID-19 vaccine, patient experienced L sided numbness and tingling of her face, 5 minutes later this was followed by a globus sensation. Patient had CN 2-12 grossly intact and 5/5 muscle strength of the upper extremity. She had a patent airway without stidor. She was able to swallow liquids. Due to her history of angioedema, she was evaluated by EMS and sent to ED for further evaluation.

Other Meds: -WelChol 625mg - two tablets by mouth 2x per day (for IBS) - Zyrtec 10mg - 1 tablet by mouth once per day - Prilosec 20mg - 1 tablet 2x per day by mouth -Zofran 4mg - as needed for nausea -Zoloft 50mg - 2 tablets by mouth daily - Vitam

Current Illness:

ID: 1069539
Sex: F
Age: 25
State: OH

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies: Penicillin and sulfa meds

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

Symptoms: I had severe nausea, a low grade fever, aches, chills, and moderate fatigue that prevented me from working or daily activities for two days. By day 1 after the vaccine I also had hives and a rash at the injection site. A week after my second dose, I also had more hives pop up on my face and a bit at the injection site. And every few weeks, I have a few come up at the injection site and on my face, and then they go away.

Other Meds: Oral contraceptive pills, zyrtec, pepsid, benedryl

Current Illness: Just my adverse reaction to the first vaccine dose which I reported in a separate report

ID: 1069540
Sex: F
Age: 70
State: NJ

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 03/03/2021
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: gluten, honey, strawberries, fragrances, food coloring, tapioca, ice cream, red meat, chemical additives, pollen, melon, tomatoes

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

Symptoms: fever, chills, itching at injection site followed by severe pain in upper and lower left arm, no urine output for 24 hrs, vertigo, fatigue, severe stabbing pains in face and head, stiff neck, no appetite, difficulty swallowing, pain in joints, chest pain, pain across upper back, stomach pain,. Symptoms lasted for 3 to 4 days. Severe head pain lasted 4 days. Could not raise left arm for 24 hrs after injection. After 6 days fatigue and general malaise still present. Stomach pain still comes and goes.

Other Meds: none

Current Illness: none

ID: 1069542
Sex: F
Age: 50
State:

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: "The shot itself was very unpleasant, the vaccine stung. The nurse was concerned about this since it shouldn?t cause any discomfort at all. Other than immediate onset of a painful injection site no other symptoms occurred until later in the evening. I started feeling kind of yucky before I left work but nothing specific. By the early evening I was running a low grade fever and having muscle and joint pain. I didn?t sleep very well due to body aches and severe organ pain. At one point I woke up because my heart was beating so hard and fast I could feel it in my forehead. My lips and eyes were swollen and my neck was visibly swollen as well, I think due to the lymph nodes in my neck. My throat was some swollen but not enough to cause a breathing issue. The heartbeat issue didn?t last terribly long. I took a Benadryl to try and stop the reaction. I ran fever of a 102 give or take a few degrees either way for 2 ? days. In addition, the injection site and whole shoulder area was swollen and hot with redness that wrapped around the front of my arm."

Other Meds:

Current Illness:

ID: 1069543
Sex: F
Age: 56
State: NM

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

Symptom List: Erythema, Pruritus

Symptoms: Sensation of throat swelling/closing and shortness of breath

Other Meds: Citracal D3 slow release, Potassium Chloride, Ferrous Sulfate, Prenatal Vitamin

Current Illness: N/A

ID: 1069544
Sex: M
Age: 72
State: NC

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 03/03/2021
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: None

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

Symptoms: Sore arm, achiness and low-grade fever the afternoon following the date of second shot. Took Advil. Felt better by evening.

Other Meds: Zetia, Pravastatin, Omeprazole, Aspirin 81 mg, Omega 3Sildenafil Tab

Current Illness: Fluid build-up in left ear, took Amoxicillin and Flonase during month prior to second dose

ID: 1069546
Sex: F
Age: 49
State: FL

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 03/03/2021
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: Adhesive,Chlorhexidine,Blood test allergic to Shellfish

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

Symptoms: I had extreme nausea, bone crushing pain, fever 100.2,chillshot flashes,sweats headaches, joint pain and chest pain. Also exp arm rash right arm at the injection site. The symptoms lasted 36 hrs.

Other Meds: the same as Dose 1 Pt stated

Current Illness: No

ID: 1069547
Sex: M
Age: 52
State: NC

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 03/03/2021
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: Amoxicillin

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: 52-year-old male reports developing multiple HSV simplex lesions around his upper lips within 24 hours of receiving the second Covid 19 vaccine. Patient has had HSV-1 lesions before but never to this extent; patient is otherwise stable and afebrile. He has no radicular pain. Labs are ordered for CBC and a CMP. The vaccine support center was called at approximately 3:35 PM and message left. The vaccine support center was called again on February 26, 2021 at approximately 9:20 AM. Provider spoke with NP for consultation. VAERS CDC report advised. No further action required. Antiviral medication was not offered due to the fact that patient was on day 6 post outbreak and out of the window of opportunity to treat acutely.

Other Meds: cholecalciferol (vitamin D3), 2,000 unit, TABLET, ORALTAKE ONE TABLET BY MOUTH EVERY DAY. - Metformin 500mg 24 Hr sustained release tablet, Oral TAKE TWO TABLETS BY MOUTH EVERY DAY WITH EVENING MEAL - Lipitor 40mg Oral Tablets; Take o

Current Illness: Fever and headache within 24 hours of second dose of COVID vaccine (2/20/21)

ID: 1069548
Sex: F
Age: 46
State: MD

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 03/03/2021
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: Foods- Peanuts, Tree Nuts, Shrimp, Crab, Mango and pit fruits

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

Symptoms: Swelling, burning, pain and rash at the injection site Delayed hypersensitivity reaction- angioedema of the eyes and nose, redness and rash, nausea and GI distress

Other Meds: Junel FE B-Complex Vitamin Vitamin D 5000 IU

Current Illness:

ID: 1069549
Sex: F
Age: 84
State: CT

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

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

Symptoms: CHEST TIGHTNESS, CHEST PAIN, DYSPNEA, MYALGIA BEGINNING 48 HRS AFTER VACCINE WAS GIVEN, LASTING > 48 HOURS. GRADUAL DISSIPATION IS NOTED.

Other Meds:

Current Illness:

ID: 1069550
Sex: F
Age: 67
State: IL

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

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

Lab Data:

Allergies: Gluten, Metronidazole, Furosemide, Cephalexin Monohydrate, Prednisone, Bee Sting, Cat Dander, Environmental

Symptom List: Pain in extremity

Symptoms: Immediate burning sensation to left deltoid. Patient given ice for application with positive effect. Patient remained in observation for 30 minutes and was without discomfort at discharge.

Other Meds: Famotidine, Montelukast, Rachel's Digestive Tea, Goli Apple Cider Vinegar Gummy, Vitamin C, Vitamin D3, Calcium-Magnesium-Zinc, Ipatropium Nasal Spray

Current Illness: Allergic rhinitis, IBS, pancolonic diverticulosis, GERD, sore throat, anxiety

ID: 1069551
Sex: M
Age: 35
State: CO

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 03/03/2021
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 reports that he got the first COVID-19 vaccine on 2/9/2021 By that night some pain in injection site Around noon the next day he got hives everywhere, all over. +itchy They were super raised swollen and everywhere. There was swelling face and neck were starting to get puffy No shortness of breath or inside mouth swelling He took benadryl several times Took over 24 to 48 hours for the hives to resolve

Other Meds: RETIN-A 0.1 % Top Crea Apply a pea size amount to face daily at bedtime for cosmetic use FLUTICASONE 50 MCG/ACTUATION NASL SPSN inhale 2 sprays in each nostril once daily for allergies/nasal congestion

Current Illness: None

ID: 1069553
Sex: F
Age: 65
State: WA

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Started having fatigue, low grade fever, headache, injection site pain and body aches 1 day after vaccination that lasted for three days. She had two days of feeling normal and symptoms started again yesterday with the addition nausea and diarrhea.

Other Meds:

Current Illness:

ID: 1069554
Sex: F
Age: 69
State:

Vax Date: 01/31/2021
Onset Date: 02/04/2021
Rec V Date: 03/03/2021
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: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: 5 days after receiving the first vaccine patients psoriasis flared up. Hands and feet were still itching at the time of this call (2/15/2021).

Other Meds:

Current Illness:

ID: 1069555
Sex: M
Age: 70
State: WA

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: Low level flu like feelings-5 days. Persistent headache for 7 days. Blurred vision-7 days.

Other Meds: Prednisone, Atenolol, Felodipine, Plumicort, Certirizine, Montelukast Sodium, Spironolactone, Hydrocodone Acetaminophen, Albuterol Inhaler.

Current Illness: Liver Cancerous lesions, Cirrhosis, High Blood Pressure, COPD, severe environmental allergies-grasses-tree pollens.

ID: 1069556
Sex: F
Age: 31
State: WI

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 03/03/2021
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 known drug allergies. Sneezing with some environmental allergies -- details not available.

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Background on first covid-19 vaccine dose: Patient received her 1st dose of Pfizer covid-19 vaccine at vaccine clinic on 1/12/21 (this clinic is outside of the Health- system). Pfizer vaccine lot# EN3249 left deltoid. She was sent to an emergency department due to dizziness, nausea (ondansetron given in route). Given diphenhydramine in ED. Work up in the ED suggested anxiety reaction/stress response surrounding vaccine rather than an allergic reaction to the vaccine itself. Reported incident related to 2nd dose: Patient received 2nd dose of Pfizer coivd-19 vaccine lot #EN6206 on 2/25/21 at Vaccine Clinic (seen there instead of Center) to allow for closer monitoring. She pre-medicated with 50mg of diphenhydramine on 2/25/21 at 1200 per her PCP's recommendation. She was monitored in the covid vaccine clinic waiting area where at 1310, she felt shaky, pressure headache, and body feeling tight. BP 155/110, HR 90, RR 24, SpO2 100%. had patient lie down. 1325: BP 155/103 HR 90, RR 24, O2 99%. same symptoms as listed above. 1340: BP 150/101. patient reports shorter quicker breathing. O2 WNL and RR 24. 1400: BP 143/98. Patient reports body feeling very exhausted which is what happened with the first shot. No other change in symptoms. 1430: patient up the bathroom using wheelchair, able to stand on own two feet to void, but reports feeling weak. 1445: BP 135/91. Pt not feeling better, but states she feels ok to go home. encouraged patient to continue to rest and find a ride home. Pt is in agreement. 1515: BP 135/99. Patient rested until 1615 and a friend came to pick her up. Wheeled out in wheelchair and able to get into car on own two feet. Seen in PCP clinic on 2/26/21 for BP monitoring/follow up. Pt?s BP 130/80. Pt reports feeling fine. Denied shortness of breath/chest pain/pressure/palpitations. Pt has never had this type of reaction to other vaccines. BPs in clinic over the past year have mostly been 120-130s/70-80s.

Other Meds:

Current Illness:

ID: 1069558
Sex: M
Age: 38
State: NY

Vax Date: 02/23/2021
Onset Date: 03/03/2021
Rec V Date: 03/03/2021
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: Dust mites

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

Symptoms: 1 week after the vaccine my left arm/shoulder was sore and I noticed a firm itch welt at the site of the injection.

Other Meds: Descovy for prep, melatonin, antacids

Current Illness: Na

ID: 1069559
Sex: F
Age: 66
State: SC

Vax Date: 02/22/2021
Onset Date: 03/02/2021
Rec V Date: 03/03/2021
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: NONE

Symptom List: Injection site swelling, Limb discomfort

Symptoms: 8TH DAY AFTER THE INJECTION, MY ARM FELT HOT, ITCHY AND A LARGE 3-4 INCH HARD LUMP DEVELOPED. OVER THE REST OF THE DAY, THE SITE TURNED DEEP RED & BLOTCHY AND HOT TO THE TOUCH.

Other Meds: CALCIUM, VIT D, ALEVE, OSTEO BIFLEX, MULTI VITAMIN PROLIA FOR OSTEOPOROSIS EVERY 6 MOS

Current Illness: NONE

Date Died: 02/20/2021

ID: 1069560
Sex: M
Age: 61
State: NY

Vax Date: 01/15/2021
Onset Date: 01/31/2021
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies: Iodine ? hives Shellfish - hives

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

Symptoms: Hospital course 1/31 ? 2/20/21 1/31 in ED pt was at home when children noticed his lips were blue, ems arrived and found him to be 50% on RA, on Non-rebreather pt got to 78%, covid on 01/26 Shortness of Breath 61-year-old male presents with EMS for evaluation of shortness of breath hypoxia. History is limited due to the patient's current clinical condition and so is primarily obtained from EMS. EMS reports that he tested positive for COVID-19 5 days ago. He began developing shortness of breath yesterday and his family called because his lips and fingers were blue today and he appeared short of breath. On EMS arrival he had a room air saturation of less than 50% so he was placed on nonrebreather with improvement in his saturation to 70% and he was transported to the emergency department. Patient does admit to shortness of breath. He denies any chest pain. He is noted to have a cast on his left ankle and said that he broke his left ankle on 23 December but has not had surgery. He denies any new pain or swelling of the leg. In the ED he was placed on 15L nasal cannula and NRB mask with improvement in SPO2 to low 90s. Additional work up revealed troponin of 1.35, lactic acid 5.8, and d-dimer 14.4. He received dexamethasone and was placed on heparin gtt. 1/31 admitted to ICU Acute hypoxic respiratory failure due to COVID-19 vs heart failure vs PE. CXR with bilateral hazy infiltrates more pronounced in the bases and left periphery and suspected multifocal pneumonia. At risk for PE given LLE immobility in the setting of COVID-19 with significantly elevated d-dimer. RISK of CTA outweighs benefit given AKI and iodine allergy. Continue with empiric treatment with heparin gtt. Admitted to ICU with SO2 in 60s-70s on 15L and NRB. Attempted 50L 95% FIO2 high flow and nasal cannula. Given lasix 40mg IV with good diuresis however SPO2 still remained low 80s with RR 40s and PO2 42 so the decision was made to intubate. Oxygenation improved following intubation, with further improvement following recruitment maneuver and increase in PEEP. FIO2 weaned to 90% with SPO2 remaining in mid 90s. Will continue to wean FIO2 as able. ARDS net protocol as much as possible. Consider prone ventilation and/or epoprostenol if unable to improve . VAP Bundle: HOB >30 degrees; Oral care per nursing standard and on DVT/PPI prophylaxis Sedation: Target Richmond Agitation and Sedation Scale (RASS) of 0 to -2 with propofol and fentanyl. Check baseline TG levels. COVID - 19: Convalescent plasma: Not indicated Steroids: Dexamethasone 6 mg / day for 10 days Remdesivir: Not indicated d/t AKI IL-6 inhibitor: Meets criteria for tocilizumab Systemic AC: Heparin gtt. No signs of bleeding (Platelets and Hb stable). Antibiotics: Start 3 and 7 day course of azithromycin and ceftriaxone, respectively. Elevated troponin Suspect demand ischemia d/t hypoxia; EKG does not show any ischemic changes AKI: Suspect d/t hypoxia in the setting of COVID infection. Urine output and electrolytes acceptable. Closed fracture of left ankle Suffered fracture following a fall on ice in December. Cast was placed on 12/30 by SOS. He was due to be re-evaluated this week for possible cast removal. Inhaled epoprostenol started Considered for ECMO but not initiated due to not a candidate Vasopressors required at times Antihypertensive infusion required at times severe hypoxia with position changes switched from heparin drip to enoxaparin prophylaxis 2/20 discharge summary 61 y/o male admitted to Hospital on 1/31 with hypoxia. He was diagnosed with COVID 19 5 days prior to admission, and had worsening respiratory status. He was intubated after arrival, and was on ventilator for the entire intervening time, until he was extubated on 2/20 at the time of transition to Comfort measures only. Prior to developing COVID 19, he had received his first dose of the Pfizer vaccine, as a member of the school system. He had a fractured L ankle after a fall on 12/31/20, and had a cast in place at the time of admission. He received Tocilizumab on 1/31, and underwent several cycles of prone positioning, beginning on 2/2. He completed a course of Decadron, he received Ceftriaxone and azithromycin beginning on admission, and completed a course of these. Anticoagulation with enoxaparin was utilized due to coagulopathy associated with COVID 19. Vasopressor support was required at times, as well as diuresis for fluid management. He required high levels of sedation to maintain ventilator synchrony, and high levels of ventilator support with high oxygen levels throughout his stay. Tracheostomy was being considered, but family decided that since he was not going to have good recovery, withdrawal of support, and allowing death was the appropriate choice for the patient and for them. He was extubated at 2100 on 2/20/2021. Death was pronounced at 2123 on 2/20/2021. Children were at bedside.

Other Meds: Albuterol MDI Robitussin DM TheraFlu cough & cold

Current Illness: Ankle fracture

ID: 1069562
Sex: F
Age: 28
State: CO

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Patient experienced throat tightness after injection. No respiratory distress, rash, vomiting or diarrhea. Treatment with IM epinephrine, prednisone, diphenhydramine and Cetirizine. Patient was observed in the emergency department and was able to be discharged to home.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm