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: 1103516
Sex: M
Age: 37
State: OR

Vax Date: 02/01/2021
Onset Date: 02/05/2021
Rec V Date: 03/15/2021
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: NA

Symptom List: Dysphagia, Epiglottitis

Symptoms: At the administration site in my left deltoid my muscle feels numb/weak. Having difficulty with pain, range of motion and lifting anything including the weight of my arm.

Other Meds: NA

Current Illness: NA

ID: 1103517
Sex: F
Age: 23
State: AK

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/15/2021
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: History of allergy to Tamiflu, pet dander, garlic, wasp venom, dust mites. Present allergy to cold temperature

Symptom List: Anxiety, Dyspnoea

Symptoms: Moderna COVID-19 Vaccine EUA I received the vaccine on 3/13 at 3:45pm and began experiencing symptoms on the day at 5:30pm including dizziness, nausea, fatigue and wiped-out exhaustion, drunk-like dazed and confused, body heaviness, and developed soreness in the muscle of the right arm where the injection had been administered. The symptoms progressed at 6:30pm to include general muscle soreness, muscle twitching on the right side of the body especially on the right upper thigh, increased appetite, malaise, headache, and chills in addition to the aforementioned symptoms. At 7:30pm the nausea and increased appetite improved with food and fluid intake but sleepiness, yawning, confusion, chills, and fatigue worsened at 8:30pm. Temperature at 9:30pm was 95.7 degrees Fahrenheit and a pale, green-like, clammy appearance was visible on the general skin. At 10:30pm the sleepiness reversed to restlessness and insomnia to the point of hyperactivity, and the appetite increased four-fold along with rash up and down the injected arm, numbness and tingling in the injected arm, chest discomfort with palpitations, anxiety, headache, stomach pain, malaise, and general limb edema which all persisted until I was able to fall asleep at 6:30am on 3/14. Many of the aforementioned symptoms improved upon wakeup time at 4pm on 3/14, but extreme sleepiness with nausea, dizziness, fatigue, head pain and right eye pain, and palpitations with chest discomfort persisted until 10am on 3/15, during which time only the nausea, dizziness, and fatigue persisted.

Other Meds: Ramelteon taken 18 hours before vaccination injection

Current Illness: Chronic migraine with migraine attack experienced two weeks prior to vaccination

ID: 1103518
Sex: M
Age: 51
State: IN

Vax Date: 03/07/2021
Onset Date: 03/08/2021
Rec V Date: 03/15/2021
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: Amoxicillin

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

Symptoms: Low grade fever... aches...tired

Other Meds: Licenapril, metformin,

Current Illness: None

ID: 1103519
Sex: F
Age: 76
State: NC

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: Sulfa many years ago

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: On day four 1/2 vaccine site is itchy and red almost all around arm and 2-3 inches high. Day after shot had slight headache and fatigue.

Other Meds: Carvedilol, HTZ, Allporinol, Euthyrox Multi vitamin, calcium flaxseed oil fish oil turmeric vitamin d, 80 mg aspirin

Current Illness: None

ID: 1103520
Sex: F
Age: 37
State: CA

Vax Date: 03/09/2021
Onset Date: 03/15/2021
Rec V Date: 03/15/2021
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: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Itchy rash near injection site - shaped like a long bandaid, 3 inches long, 1 inch wide. Warm to the touch. Kind of swollen (does not protrude too far up from my arm, more like when you get a slight bump on your head after you hit it). Feels firm when I press on it. Left armpit also feels a little sore.

Other Meds: Necon

Current Illness: None

ID: 1103521
Sex: F
Age: 37
State: CA

Vax Date: 03/11/2021
Onset Date: 03/13/2021
Rec V Date: 03/15/2021
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: Itchy and warm at site of injection

Other Meds:

Current Illness:

ID: 1103522
Sex: F
Age: 67
State: SD

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 03/15/2021
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: Allergic to Lisinopril (made the back of my throat "tickle" all day, all night, every day), that's why I was switched to Candesartan. No other allergies know (and I've been tested twice for allergies because I get post nasal drip a lot and had nosebleeds)

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Moderna COVID-19 Vaccine EUA. Thurs., Feb 25, my left arm became very sore a couple of hours after the injection. By next morning it was still very sore, including armpit and down to left side of my breast. Stayed that way until lunchtime on Saturday, Feb 27. Then, on Friday, March 5, I woke up with a rash on the upper part of my left arm (but not wrapped around), very itchy, and still have it today, Monday, March 15. No other side effects so far. Second injection will be Thursday, Mar 25.

Other Meds: 4000 IU Vitamin D3 daily; 500 mg daily; 16mg Candesartan daily; 10mg Lipitor every other day; 325mg Bayer aspirin as needed for seasonal allergy/sinus headaches.

Current Illness: Nose bleed that lasted an hour the day before vaccine.

ID: 1103523
Sex: F
Age: 60
State: AZ

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: inderal

Symptom List: Pharyngeal swelling

Symptoms: The patient experienced a bright red rash that extended from her upper left ear to the upper chest that has not reduced in size. This began about 30 minutes after receiving her vaccine. She described it as broken capillaries. She has no other symptoms at this time. She spoke with the manufacturer and they told her to see her primary care physician. However, she said she does not want to do this. She still has the rash currently.

Other Meds: benazepril, levothyroxine, liothyronine, women's 50+ vitamin, zinc, hctz, atorvastatin

Current Illness: none

ID: 1103524
Sex: F
Age: 66
State: MN

Vax Date: 03/05/2021
Onset Date: 03/07/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: Trazadone, enviromental

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: constant ringing of both ears for the past nine days

Other Meds: propranolol, meloxicam, sinvistatin, duloxetine, flax seed, tumeric, vit D, calcium, ocuvite, magnesium

Current Illness: none

ID: 1103525
Sex: F
Age: 51
State: NE

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 03/15/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: After the first 24 hrs, arm was sore for 48 hours, score of a 7

Other Meds: Tamoxifen for Cancer, Apple cider vinegar, grapefruit

Current Illness: Cancer, Breast, Low Vision eye sight

ID: 1103526
Sex: F
Age: 21
State: IL

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: 10 hours after shot: arm soreness, body weakness, fatigue, 12 hours after shot: continued weakness, continued fatigue, continued arm soreness, mild fever 99 degree fahrenheit, 24 hours after shot: gone fever, no weakness, arm soreness

Other Meds:

Current Illness:

ID: 1103527
Sex: F
Age: 61
State: NJ

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 03/15/2021
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 current, prior severe reaction to peanuts and lesser reaction to other foods

Symptom List: Rash, Urticaria

Symptoms: Tacycardia and shortness of breath, followed by chills. Duration of 10 minutes until resolved. Subsequent abdominal pain with mild diarrhea and then extreme fatigue for 5 hours. Similar to a food allergy reaction

Other Meds: Vitamin D 4000IU, low potency multi vitamin

Current Illness: None

ID: 1103528
Sex: F
Age: 19
State: NV

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

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

Lab Data:

Allergies: NONE

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

Symptoms: AFTER RECEIVING VACCINE PT. FELT LIGHT HEADED, SHE SAT DOWN AND APPROACHED PHARMACY AND ASKED IF SHE SHOULD FEEL COLD AND SWEATY. SHE THEN PASSED OUT AND GINGERLY FELL TO THE FLOOR. PHARMACIST RAN OUT TO ASSIST, ELEVATED LEGS AND SPOKE TO HER, SHE WAS SEMICONSCIOUS. PHARMACY WAS INSTRUCTED TO GRAB ICE PACK AND QUICKLY DID. ICE WAS APPLIED TO PT. WRIST AND SHE IMMEDIATELY REGAINED CONSCIOUSNESS. PT. WAS INSTRUCTED TO REMAIN ON FLOOR AND CONTINUED CONVERSATION TO MEASURE ALERTNESS. AFTER A FEW MINUTES SHE SAID SHE FELT FINE. PHARMACIST AND ASSISTED HER TO CHAIR, AND SHE REMAINED FOR 20 MORE MINUTES. DISCUSSED IF SHE HAD ANY INJURIED FROM FALL. SHE SAID SHE FELT FINE. PTS LEFT WITH INSTRUCTIONS TO CONTACT PHARMACY OR SEEK MEDICAL HELP IF ANY REOCCURRENCE.

Other Meds: VYVANSE 50MG, MICROGESTIN 1.5/30, ZOLOFT 50MG

Current Illness: NONE

ID: 1103529
Sex: F
Age: 16
State: AZ

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/15/2021
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: ---RECIEIVED FIRST DOSE BY MISTAKE DURING A BUSY CLINIC DAY.. THIS REPORT IS FOR THE SECOND DOSE PER THE GUIDELINES FOR PATIENT TO STILL RECEIVE SECOND DOSE

Other Meds:

Current Illness:

ID: 1103530
Sex: M
Age: 70
State: NV

Vax Date: 02/01/2021
Onset Date: 02/15/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: 8 hours after shot developed very strong cough, persisted all night, not too bed during day, bad could not sleep at night, persisted for all week, Went to care facility on 02/22 and got pretneson for 5 day dose,it worked. then cough came back. went back to care facility 03/12, got antibiotics and more pretneson and narcotic cough syrup, I feel much better as of 03/15, Very little cough and sleeping well. This has worked. Just got 2nd does of moderna today. I was diagnosed with covid 11/302020, did ok with advil cold and sinus for 2 weeks, then cough started and 01/03/2021 was in hosptal with blood ox 83, 2 doses of antibiotics and pills to make me cough and I was out of there in 1 day, back up to 92 on blood ox, They gave very strong steriod for 7 days at home, it worked until events above. I felt good until 02/15/2021.

Other Meds: vit D 1000IU, temsulosin .4mg , sinvastatatin 20 mg, losartin 100 mg all 1 time daily

Current Illness: none

ID: 1103531
Sex: M
Age: 37
State: IN

Vax Date: 03/13/2021
Onset Date: 03/14/2021
Rec V Date: 03/15/2021
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Received 2nd COVID shot (Moderna) on Satuday, March 13th at 2:40pm. By 8:00am the next morning (Sunday, March 14th) I experienced the following symptions: extreme fatigue, dizziness, massive headache, sharp back pains in lower back, and nausea. The symptoms did not subside until late Monday (March 15th).

Other Meds: N/A

Current Illness: N/A

ID: 1103532
Sex: F
Age: 51
State: NJ

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/15/2021
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: codeine , tramadol ,shellfish,Dairy

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

Symptoms: Right arm swelling very warm itchy redness painful

Other Meds:

Current Illness:

ID: 1103533
Sex: F
Age: 64
State: NC

Vax Date: 03/13/2021
Onset Date: 03/15/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, sulfur drugs

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Large red, hot to touch, itchy blotch below injection site. 3-4? in diameter

Other Meds: Multivitamin, b-12, B complex, magnesium, probiotic, curcumin/fish oil, Clear Tinnitus (homeopathic med)

Current Illness: N/A

ID: 1103534
Sex: F
Age: 58
State: NC

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, stadol

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: 9 hrs after second dose, around 7pm on 2/1, the skin on my back began hurting. Within an hour, i had severe joint pain in my hips and my backbone hurt up into my neck. For the next 10-11 hours every inch of my body was in severe pain. It was excruciating. My bones felt fractured. I could barely walk to the bathroom. I couldnt push myself upright in bed to take tylenol. My husband had to pull me up and hold the glass of water for me to drink. I ran a high fever for several hours, around 101, and I truly thought i might die. By 9 am the following day, 2/2, i began to feel better. I could walk slowly without much difficulty and fever was gone. The next day, 2/3, i went back to work but still had hip pain and neck pain. That day around 4 pm, all side effects were completely gone and I had alot of energy. I do have pain on left side of my head periodically but it isnt bad.

Other Meds: Olmesartan, singulair, omeprazole, advair, albuterol

Current Illness:

ID: 1103535
Sex: F
Age: 55
State: HI

Vax Date: 02/20/2021
Onset Date: 03/08/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

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

Symptoms: Impaired hearing started on 3/8/2021 in left ear only. Ringing in ear all day on 3/11/2021. Loss of hearing progressed each day in left ear. Had doctor appointment on 3/15/2021. Per Doctor, PCP, both ears look clear. Gave referral to see a specialist to check middle ear.

Other Meds: None

Current Illness: None

ID: 1103536
Sex: F
Age: 48
State: CA

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 03/15/2021
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: Shellfish

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

Symptoms: 1st Dose vaccine given on 01-28-2021. Symptoms of only headache that night. 2nd Dose given 35 days later on 3-4-2021 instead of the 28th day due to vaccine shortage. Headaches that evening and continued to next day 3-5-2021. Took Motrin. Chills developed at around 330pm next day followed by low grade fever 99 F. Headaches worsened by 5pm. Took 400mg Motrin. Tachycardia around 530pm. BP taken read 153/97. P:116. Took 10mg Propranolol I had on hand. BP dropped in 2 hrs. All symptoms subsided by 9pm that night. Did not seek medical help as I was able to manage with propranolol. Just wanting to report increased BP/tachycardia as possible side effects and symptoms occured the next day.

Other Meds: Zoloft, Prazosin

Current Illness: Vestibular Migraine

ID: 1103537
Sex: F
Age: 70
State: CA

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/15/2021
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: A huge red bump on the site of jab tender and sore to touch size increase 3x from the date of the jab

Other Meds: Lisinopril 5 mg, herbal powder for Diabetes, Vit D3 , one day multivitamin for senior adult, biotin10,000 IU

Current Illness: None

ID: 1103538
Sex: F
Age: 57
State: HI

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Swelling, pain, and rash on upper arm followed by approx 36 hours of intense flu-type symptoms: headache, body ache, high fever, and finally swelling of lymph node in left arm (which is the only ongoing symptom five days later).

Other Meds: None

Current Illness: None

ID: 1103539
Sex: F
Age: 42
State: CO

Vax Date: 03/08/2021
Onset Date: 03/15/2021
Rec V Date: 03/15/2021
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: Zithromax

Symptom List: Injection site pain, Pain

Symptoms: Swollen, circular and red area around injection site.

Other Meds: Bentyl, Zofran, GABA Vitamins, Multivitamin and Biotin

Current Illness:

ID: 1103540
Sex: F
Age: 64
State: NJ

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Headache, nausea, joint pain-especially legs, chills and severe fatigue. Lated over 3 1/2 days.

Other Meds:

Current Illness: Fibromyalgia

ID: 1103541
Sex: F
Age: 68
State: CO

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 03/15/2021
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: Z Pac

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

Symptoms: one day after 1st vaccine everything I ate tasted like salt. My mouth tasty salty 24/7. Symptom lasted 1.5 weeks. Did not have same reaction with the second vaccine

Other Meds: synthroid, lisinopril, HCTZ, Vit D, Centrum

Current Illness: none

ID: 1103542
Sex: M
Age: 63
State: NY

Vax Date: 03/11/2021
Onset Date: 03/14/2021
Rec V Date: 03/15/2021
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: Docycyclin and seasonal allergies.

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Approximately three days of my first Moderna dose, I began to have difficulty rinsing and spitting from my mouth after brushing my teeth. There is a some what dull pain above the left side of my top lip. I do not get full pressure when spitting and the left side of my mouth does not seem to move when I spit. It almost feels like it was shot up with Novacaine. I went swimming on March 14 and when I blew air out of my mouth none came out of the left side.

Other Meds: Lipitor, Cialis, Terbinafine and Astepro (as needed)

Current Illness: Being treated with Terbinafine for foot fungus since 11/12/2000.

ID: 1103543
Sex: F
Age: 50
State: NJ

Vax Date: 03/08/2021
Onset Date: 03/15/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: Erytheomyeson, doxycycline and penicillin

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Seven days exactly after my first injection I developed an itchy rash at the injection site. The rash was raised and look like long , narrow hives. The itchiness eventually subsided but it turned sore and swollen. My arm hurts similarly to the 2nd day after my first dose of the Moderna vaccine.

Other Meds: Plaquinel for lupus; daily aspirin; women?s multivitamin; vitamin D, magnesium, zinc, vitamin C, B12, biotin and a daily probiotic.

Current Illness: None

ID: 1103544
Sex: M
Age: 37
State: PA

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 03/15/2021
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: None

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

Symptoms: Patient felt like he was going to "go down", he has a history of vasovagal response. Patient has a second vasovagal and EMS was contacted. Patient then stated he had been standing for the last 5 hours during a swim meet and did not take his Norvasc that was to be taken daily.

Other Meds: Norvasc

Current Illness:

ID: 1103545
Sex: F
Age: 58
State: CA

Vax Date: 03/05/2021
Onset Date: 03/13/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: sulfa drugs, ace inhibitors

Symptom List: Nausea

Symptoms: Eight days after injection a half dollar-sized rash developed at injection site after an intital small red welt had disappearded two days after injection. Treating with antihistamine. Appears less inflamed after two days.

Other Meds: Cetrizine 10 mg/ daily, Fluoxetine 40 mg/daily, montelukast 10 mg/daily, oxybutynin 5 mg/daily, amlodipine 5 mg/daily, bupropion 300 mg/daily

Current Illness: none

ID: 1103546
Sex: F
Age: 70
State: PA

Vax Date: 03/13/2021
Onset Date: 03/14/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: Codeine This was my 2nd dose when this happened .

Symptom List: Injection site pain

Symptoms: Right upper arm very inflamed hot.branching out almost to elbow.

Other Meds: Mybertrig, prosaic, Tekturna

Current Illness: None

ID: 1103547
Sex: M
Age: 17
State: MT

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 03/15/2021
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 known allergies

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

Symptoms: Patient received vaccine prior to age approved for use. The vaccine is approved for emergency use in persons age 18 and older. This patient received the vaccine at age 17.

Other Meds: none known

Current Illness: none known

ID: 1103548
Sex: F
Age: 42
State: OK

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/15/2021
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: Seasonal/Pollen allergies only

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

Symptoms: Soreness throughout the entire body, headache, some trouble with regulating breathing-throat felt like it was closing up, fever, nausea, vomiting bile, fatigue

Other Meds: None were taken at the time of the vaccine, but regularly I take Metformin, Tylenol, Fluoxetine. I do Cosentyx injections every month.

Current Illness: Psoriasis, arthritis

ID: 1103549
Sex: F
Age: 77
State: CA

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 03/15/2021
Hospital: Y

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

Lab Data:

Allergies: Codeine

Symptom List: Tremor

Symptoms: Ache in back of left leg. Thought it was a muscle strain from working in yard. Did not go away so went to Clinic February 2nd, 2021. They asked me my symptoms and then sent me for a Sonagram and discovered a DVT and later a Pulmonary Embolism in my right lower lung. I am now on Eliquis.

Other Meds: calcium, multivitamin, B12 1000mg, allergy, omaprazole DR 20mg,

Current Illness: None

ID: 1103550
Sex: F
Age: 83
State: WA

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/15/2021
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 known

Symptom List: Erythema, Pruritus

Symptoms: 6 hr. after shot, felt unwell, went to bed, awoke after 12 hours with chills, fever, nausea, arm so sore I could not move it without excruciating pain. Began forcing fluids as symptoms persisted. Slept almost all of the following two days and nights. Now 3 days have passed, much better now but no appetite, still forcing water and juice. Worse than any flu I have ever had! This was my 2nd shot. After my first shot I had slight fatigue and a sore arm only.

Other Meds: lisinopril - 5mg. daily Atorvastatin - 10 mg. daily Breo - 200/25 one puff daily

Current Illness: Fully controlled blood pressure Slightly elevated cholesterol Asthma Rheumatoid Arthritis

ID: 1103551
Sex: M
Age: 72
State: FL

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/15/2021
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: Ampicillin

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

Symptoms: Head ache and temperature of at least 101.8*. extreme relactation, meditation, deep breathing and soft music.

Other Meds: Vitamin C, zinc, vitamin D3

Current Illness: None

ID: 1103552
Sex: F
Age: 48
State: TX

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: No

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

Symptoms: puffy eyes and a little face / this happened on Saturday

Other Meds: Venlafaxine 150 mg/Omega 3/Propranolol 80mg/Lisinopril 40mg/Pantoprazole 20mg/Levothyroxine 50 mg/Tacrolimus 1mg/Atorvastatin 40mh/Fenofibrate 67mg/Ergocalciferol 1,250mg/ February 09 at 10am they gave me 33 injections of Botox 5u / 0.1ml.

Current Illness: High blood pressure, Hypothyroidism, heartburn, Diarrhea, Kidney problems

ID: 1103553
Sex: M
Age: 41
State: UT

Vax Date: 03/04/2021
Onset Date: 03/10/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: After first shot of Moderna, I had light headaches during the first 5 days. Then I start hearing noise in the right hear... when walking every steps is resonating in my ear. I can clearly hear a degradation of my hearing. Driving a car makes some noise in the hear.

Other Meds: none

Current Illness: none

ID: 1103554
Sex: F
Age: 53
State: LA

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 03/15/2021
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: The next day (Friday), I felt sluggish and slightly dizzy. That night (Friday) I awoke to a feeling of the room spinning. On Saturday I was extremely dizzy and threw up. I felt like I had hot flushes, then I would have chills. The dizziness was the most uncomfortable side effect. I went to my local doctor twice- once that Monday, then on that Thursday. The dizziness lasted until the following Monday. I saw an ENT whose office performed a treatment for vertigo.

Other Meds: Zolofot- generic

Current Illness: None

ID: 1103555
Sex: F
Age: 70
State:

Vax Date: 03/14/2021
Onset Date: 03/14/2021
Rec V Date: 03/15/2021
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: penicillin, ACE inhibitors, statins

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

Symptoms: Symptoms are still ongoing: severe headache, joint pain, chills, fatigue

Other Meds: losartin, exetimbe, aleve

Current Illness: none

ID: 1103556
Sex: M
Age: 38
State: AL

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 03/15/2021
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: - Pronounced fatigue and full-body muscular soreness. - Persistent headache. - Felt both clammy and feverish, though temperature measured low: high 96s and low 97s. - Trouble sleeping. Symptoms started within 12-24 hours of injection, peaked within 36-48 hours of injection, and fully subsided within 72-96 hours of injection. Self-treated with periodic ibuprofen 200mg approximately 8 times, which provided noticeable pain relief.

Other Meds:

Current Illness:

ID: 1103557
Sex: F
Age: 57
State: TX

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, pencillin

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

Symptoms: Severe itching, hives, facial and neck swelling, breathing trouble

Other Meds: Amlodipine, valsartan and hydrochlorothiazide combination

Current Illness: None

ID: 1103558
Sex: F
Age: 56
State: IN

Vax Date: 03/03/2021
Onset Date: 03/05/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: None that I am aware of

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

Symptoms: Swollen lymph nodes under arm, small red, dry area on arm, pimple style sores

Other Meds: Diovan HCT, doTerra On Guard, DoTerra Mito2Max, Essential Oils - Serenity, Peppermint, Balance & Frankincense

Current Illness: COVID Long Hauler

ID: 1103559
Sex: M
Age: 64
State: FL

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 03/15/2021
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: If you need the results of my RAST test, please email me

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

Symptoms: ADVERSE EVENT REPORT: MODERNA VACCINE 1 of 2 Dates: Feb. 17 to March 16, 2021 1. I received the first dose of the Moderna Anti-COVID19 vaccine at the Outpatient Clinic on Feb. 17, 2021 at 1:31PM. I have been suffering from Gulf War Illness (GWI) for over four years. a. My condition is a combination of ME/CFS and Fibromyalgia. Please review these CDC pages for details: https://www.cdc.gov/me-cfs/index.html and https://www.cdc.gov/arthritis/basics/fibromyalgia.htm. b. GWI a neuro-immunologic disease that is still not well understood by the medical community. 2. Feb. 17, 2021. I received the FIRST MODERNA VACCINE SHOT on my right arm on Wednesday, Feb. 17, 2021. The injection site hurt for two days (Feb. 17 & 18, 2021). I had the following side effects on Feb.17, 2021: chills, headache, joint pain (arthralgia), muscle pain (myalgia), fatigue, nausea, and swollen glands. 3. Feb 18, 2021. I had no side effects. 4. Feb. 19, 2021. I had a headache. 5. Feb. 20, 2021. On Saturday, Feb. 20, 2021, I walked one mile in 29 minutes. I felt tired, weak, short of breath, and I had to stop walking on 4 separate occasions. I produced phlegm. The phlegm secretions were white, very thick, and extremely sticky. I started Mucinex 1200MG (guaifenesin) and Neil-Med Saline Solution nose irrigations this day. 6. Feb. 21, 2021. On Monday, Feb. 21, 2021 between 1AM to 7AM, I had itching at the injection site (right arm), chills, headache, arthralgia, myalgia, fatigue, nausea, and swollen neck glands. 7. Feb. 22, 2021. From 8AM to 4PM my side effects were itching at the injection site (right arm), chills, headache, arthralgia, myalgia, fatigue, nausea, swollen neck glands, coughing, and stomachache. At 5PM I had difficulty breathing. It lasted until 8PM. I took albuterol via nebulizer and was observed by my wife and son to ensure that I did not get worse. 8. Feb. 23, 2021. No side effects. 9. Feb. 24, 2021. I had a headache and a runny nose. 10. Feb. 25, 2021. It has been 8 days since I received the first dose of the Moderna COVID19 EUA. The side effects have been chills, cough, shortness of breath (oxygen saturation of 95%), and thick white and sticky phlegm. Today my neck glands and tongue are swollen. My throat, and the inside of my ears hurt. My nose is runny, like if I had a cold, and I sneezing often. My chest congestion has moved from my chest to my nose sinuses. I have no nausea today. I have no fever. My injection site does not hurt. My Rosacea became active today. Today, I wore an N95 mask to ensure that I did get anyone in my family sick. They all wore their N95 masks. At 6:35 PM, I had a Gulf War Illness ?crash? and was bedridden until 9:06 PM. At 9PM both my malaise and nausea were back. 11. Feb 26 to Mar 2, 2021. I had no Moderna vaccine side effects. 12. Mar 3, 2021. I had four explosive vomiting episodes starting at 10AM. Initially, I thought that the vomiting had nothing to do with the Moderna vaccine. However, my son ate the same food that I did and he did not vomit. I vomited so hard that my son wanted to take me to the Emergency Department, but I refused. I vomited four times today Saturday, March 3, 2021. Every time I vomited it sounded horrible to my family members. The vomit had an extraordinarily strong nasty smell. 13. March 4, 2021 to the present. I have not experienced any Moderna vaccine side effects side March 3, 2021. In conclusion, for any questions regarding this Adverse Event Report please email me. Thank you. Very respectfully,

Other Meds: If you need a list of medication and supplements email me

Current Illness: Gulf War Illness, ME/CFS, IBS, Fibromyalgia, neuropathy, arthritis, PTSD, BPH, GERD, HPB, and Asthma.

ID: 1103560
Sex: F
Age: 37
State: CA

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 03/15/2021
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: 1 week after Moderna vaccine, my left deltoid started itching. Skin colored raised bumps appeared, 1 at first, then quickly spread to a 2x3 inch area. I took Benadryl orally and applied Benadryl cream. The next day, a 2x3 inch red, slightly raised mark was there. Itchy, painful like a burn, and deep muscle soreness that was there immediately after the shot and had gone away, returned. The red spot was under the vaccine injection site, not around it. Almost like where gravity brought the vaccine fluid after the injection. It lasted 3 days and then went away.

Other Meds: None

Current Illness: None

ID: 1103561
Sex: M
Age: 76
State: VA

Vax Date: 03/03/2021
Onset Date: 03/04/2021
Rec V Date: 03/15/2021
Hospital: Y

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

Lab Data:

Allergies: none

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Fever, chills, very tired, extensive redness and swelling at injection site, large fluctuations in blood pressure and heart rate for at least a week, requiring hospitalization

Other Meds: Wellbutrin, daily vitamin, turmeric, Flomax, Plavix, Lipitor, 81 mg baby aspirin

Current Illness: Cardiac Bypass Arterial Graft

ID: 1103562
Sex: F
Age: 62
State: CA

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/15/2021
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: NKA

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

Symptoms: Fatigue, headache, chills, and bodily achiness for 2 days following receipt of 2nd dose of Moderna Covid vaccine.

Other Meds: None

Current Illness: None

ID: 1103563
Sex: F
Age: 52
State: RI

Vax Date: 03/05/2021
Onset Date: 03/11/2021
Rec V Date: 03/15/2021
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: Sulfa

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Covid arm: injected area started getting swollen, tighten, and itchy after 5-6 days.

Other Meds: None

Current Illness: None

ID: 1103564
Sex: F
Age: 20
State: IN

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: Latex, soul-medrol

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

Symptoms: Diarrhea, fatigue, headache, weakness, fever lasting roughly 36 hours

Other Meds: Venlafaxine, doxycycline

Current Illness:

ID: 1103565
Sex: F
Age: 59
State: GA

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/15/2021
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: Demerol codeine morphine

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

Symptoms: fever 101+ degrees for 24 + hours; extreme headache

Other Meds: quinapril zocor primadone zoloft klonipin

Current Illness: n/a

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm