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**
PLEASE CHECK BACK SOON
Download the files above while you wait.






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: 1104326
Sex: F
Age: 43
State: TX

Vax Date: 03/05/2021
Onset Date: 03/13/2021
Rec V Date: 03/16/2021
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: G6pD Deficiency, Latex, Lactose, Gluten

Symptom List: Dysphagia, Epiglottitis

Symptoms: Covid Arm - swollen hot painful spot at the injection site, radiating pain down arm bullseye formation, still evident but less painful today 03/16/21

Other Meds:

Current Illness: Pernicious Anemia, G6PD Deficiency, Chronic Anemia

ID: 1104327
Sex: F
Age: 68
State: FL

Vax Date: 02/10/2021
Onset Date: 02/12/2021
Rec V Date: 03/16/2021
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: none

Symptom List: Anxiety, Dyspnoea

Symptoms: 68 yo WF in excellent health with prior history of intermittent benign positional vertigo for seven years and a cerebral concussion two years ago from which she recovered uneventfully in 6 weeks with no residual neurologic or physical issues. Patient received first dose 1/19/2021 with only mild fatigue and arm soreness at injection site. 16 hours after the second dose, Patient developed a dull total cranial headache and fatigue , retiring to bed , taking no medicines. She had taken only her premarin 0.625 mg for the last week. Patient awoke at 4:30 am with severe headache, nausea and vertigo, being unable to stand without assistance. urinary incontinence also occurred, but most likely occurred as she was unable to to get to the bathroom due to vertigo and pronounced vomiting of clear yellow fluid. incontinence never occurred again throughout the illness. examination at this time showed nystagmus on bilateral lateral gaze and vertical nystagmus. no other neurological signs or symptoms were present. On return to bed, Patient continued to have vertigo headache and nausea even supine with eyes closed. Vetigo and standing instability did not respond to epley manuvers. Headache remained mild to moderate, along with persistent vertigo and nystagmus for 4 days, becoming slightly less each day. On the fifth day, Patient was able to ambulate unaided by holding onto walls furniture etc. vomiting did hot reoccur after her initial bout. Headache abated on the fifth day. Patient remained "fuzzy" and imbalanced for the next 14 days with occasional mild posterior cranial headache. Rotary nystagmus abated on the 7th day. Note is made that no abnormalities of the tympanic membranes were noted. no cardiac symptoms or irregularities were noted HR 60 BP 110/70 several attempts at epley manuvers only resulted in symptom worsening. Patient felt well enough to traveled by airplane day 8 post dose, having still some "fuzziness 'and slight imbalance, being unable to walk briskly due to gait instability..symptoms worsened slighty after air flight, and on return to home, slight barotraumatic changes were noted in the tympanic membranes, slight fluid levels and some small streaky membrane hemorrhages noted. her gait became slighty more unstable, but she was able to walk unaided. symptoms improved daily and by day 14 symptoms seemed to be much lessened, no nystagmus being noted. vertigo was present only on rapidly standing , position change and vertical looking up., vertigo abating quickly after each motion at rest. Patient traveled by plane on 3/4/21-3/8/21, vertigo escalateed to mild to moderate..no response to epley manuvers. Vertigo worsened daily and Patient again developed mild gait instability and nystagmus bilaterally and vertically. Ear exam was unchanged. no headache was present during this time. Patient was taken for balance training to a specially trained Physical therapist on 3/10/21 for evaluation , Patient being markedly symptomatic, examination showing both right and left ear abnormaities as well as vertical nystagmus. driving was prohibited. The constellation of symptoms for the even are most consistent with acute vestibular neuronitis or central vertigo.. Neuologic localizing signs suggestive of cerebral thrombosis, etc were not present , so MRI was not performed. Patient had Had a Notmal CT scan with here cerebral concussion two years prior. As the symptoms weer worsening and the result of the balance training session on 3/10/21 resulted on significant worsening on awakening on 3/11/21 with moderate gait instability, bilateral horizontal and vertical nystagmus, Prednisone 40MG po was administered. Approximately 8 hours after the prednisone dose, Patient was able to stand unaided, and vertigo was almost totally cleared. 30mg prdnisone was administered on 3/12/21 with Patient being totally asymptomatic. No nystagmus could be detected and epley manuvers done by the physical therapist resulted in no symptons or evoked nystagmus. Predinsone dose was deescalated by 10 mg daily, Patient remaining totally asymptomatic. today 3/16/21 Patient will take 5mg of prednisone, still assymptomatic, prednisone to be discontinued tomorrow.

Other Meds: premarin 0.625 mg po qd, medroxyprogesterone 10mg qood po

Current Illness: none

ID: 1104328
Sex: M
Age: 61
State: NY

Vax Date: 03/10/2021
Onset Date: 03/15/2021
Rec V Date: 03/16/2021
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: none known

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

Symptoms: I'm not 100% sure that this is related to the shot, as it developed 5 days after the shot. That said, i've never had an allergic reaction to anything and have not changed anything in my diet or hygiene habits. Beginning yesterday around 5 pm, both of my arms became splotchy and itchy. As the evening progressed, the rash was all over my body. The "splotchiness" eased after a few hours, but I remained "itchy" throughout the night. This morning it's better, but I'm still slightly "itchy" in my extremities, particularly around my ankles and hands. I have not contacted a Dr, as it appears to be getting significantly better on its own. Just thought I would let you know in case it's something that others are experiencing.

Other Meds: Iipitor, plavix, metropolol, aspirin, ezetimibe,

Current Illness: none

ID: 1104329
Sex: F
Age: 17
State: MI

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 03/16/2021
Hospital:

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

Lab Data:

Allergies: codeine

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: vaccine given prior to 18th birthday

Other Meds: Nexplanon norethindrone

Current Illness:

ID: 1104330
Sex: M
Age: 66
State: IL

Vax Date: 02/22/2021
Onset Date: 02/24/2021
Rec V Date: 03/16/2021
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: Loss of taste and smell. Things i can tastes and smell, taste and smell off

Other Meds: diabetic and bp

Current Illness: none

ID: 1104331
Sex: M
Age: 65
State: NY

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 03/16/2021
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: No

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

Symptoms: flu like symptoms chills, weakness,minor headache and body aches! from 8pm 3/15 until now about noon 3/16

Other Meds: vitamin d,B12, Levothyroxine,Breo,amlodipine benazepril, atorvastatin

Current Illness: No

ID: 1104332
Sex: F
Age: 26
State: MN

Vax Date: 01/20/2021
Onset Date: 03/15/2021
Rec V Date: 03/16/2021
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 known allergies

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Tested positive for COVID 3/15/21. Completed COVID vaccine series 1/20/21. Symptom onset 3/8/21.

Other Meds:

Current Illness:

ID: 1104333
Sex: F
Age: 65
State: WA

Vax Date: 12/30/2020
Onset Date: 01/01/2021
Rec V Date: 03/16/2021
Hospital:

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

Lab Data:

Allergies: sulfa, lactose

Symptom List: Pharyngeal swelling

Symptoms: Left arm swelled, pain at injection sight all the way down outside of arm stopping at wrist, then traveling up inside of arm to arm pit. pain subsided but arm is still swollen as of today 03/16/2021.

Other Meds: D3, Calcium, Probiotic

Current Illness: none

ID: 1104334
Sex: F
Age: 52
State: IN

Vax Date: 03/06/2021
Onset Date: 03/07/2021
Rec V Date: 03/16/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Chills, 99.9 fever, body aches, sore and stiff arm at injection site.

Other Meds: Vitamin D Multi Vitamin Liothyronine 5 mcg Amlodipine 10 mg Escitalopram 10 mg Levothyroxine 100 mg

Current Illness: None

ID: 1104335
Sex: F
Age: 54
State: MD

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 03/16/2021
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: Allergic to penicillin, red food coloring, fragrances in various products, and seasonal pollen allergies.

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Pain at injection site began at time of injection and continued. Joint pain, especially knees, began about 6:30 p.m. (two hours after injection). Flu type symptoms (all over body aches) began at 10:00 P.M. Headach and chills began at 12:00 A.M. and temperature was 100.6. Chills, shaking, and fever worsened, headache became severe, and temperature was 102.8 at 4:00 A.M. Tuesday, March 9th. Headache, body aches, and temperature varying between 100.0 - 101.3 , and continued through Wednesday night, March 10th. Wednesday afternoon, elevated heart rate and tinnitus were first noticed and fatigue continued. Checked watch and average heart rate had increased 10 beats per minute. First normal temperature of 98.6 was taken Thursday, March 11th at 8:00 A.M. On Thursday, eyes became noticeably red and face and upper chest area skin reddened (e.g. like sun exposure without sunscreen). Tinnitus continued and was very loud even with background noise. Loud tinnitus and overall fatigue continues today, Monday March 16th.

Other Meds: Zioptan. Multi-vitamin, D3, B-complex, Iron, N-Aceyl Cysteine, Lutein, Zinc, and D-Mannose supplements taken daily.

Current Illness: Eustachian tube inflammation .

ID: 1104336
Sex: F
Age: 33
State: MO

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/16/2021
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: The next day, I experienced pain in the left arm and shoulder (near injection site), severe headache, and confusion.

Other Meds: Levothyroxine, Paroxetine, Adderall, Vibrant Health Green Vibrance Vegan Superfood Powder,

Current Illness:

Date Died: 03/11/2021

ID: 1104337
Sex: F
Age: 85
State: AZ

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 03/16/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies: NKDA

Symptom List: Rash, Urticaria

Symptoms: On 3/23 at 0730 resdient non responsive with saliva foaming from mouth. BS 500. All vitals initially Ok then sats dropped to 75. (11 was called immediately upon finding resident. Taken to hospital. Completed course there and later on to rehab. She expired 3/11/2021

Other Meds: ASA Lisinopril metoprolol risperidone potassium

Current Illness: Diabetes, HTN

ID: 1104338
Sex: F
Age: 17
State: WI

Vax Date: 01/16/2021
Onset Date: 02/08/2021
Rec V Date: 03/16/2021
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: Weakness, muscle fatigue started after 1st dose. 3 days after second dose had labs and elevated ANA. Rheumatology work up unremarkable, except increased anti-thyroid. Full body Tremors and involuntary movement started 3/16. ER visit.

Other Meds: 150 mg Medroxyprogesterone

Current Illness: None

ID: 1104339
Sex: F
Age: 61
State: NV

Vax Date: 02/01/2021
Onset Date: 03/02/2021
Rec V Date: 03/16/2021
Hospital: Y

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: Statins and Tetrocyline.

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

Symptoms: I am retired handicap-MS. I was doing light housework. I started getting pain in right lung, over course of 2 hours pain became very severe. Only in right lung. Felt like blood clot or pulmonary embolism (which I had 15 yrs ago). Went to hospital, check X-ray no clot/embolisms. Blood work showed no clotting factor. Was admitted 4 days. We treated possibility of MS reaction (solu-methyl) as well as heparin in event of unknown clotting issue. Here?s why this is strange: If this was MS flare/relapse, I would have muscle lockup, drop foot, sight issues, sever balance issues ...(i always have sight issues).. with this even it was only severe lung pain. Did not appear to be MS driven issue. Being educated ?high analytic person, in reflection, My ms is very territorial, it fights anesthesia, colds/flus/covid when my husband had it. My MS gets cranky when my immune system is attacked. I suspect the second covid injection was doing its thing, dna modification, and I had some lung inflammation and my MS compounded the reaction with crippling issue. I was in hospital 4 days, IV fluids, heparin, and steriod IV. Within first 36 hours the extreme lung pain disappeared and I got better. I do have cats scan, mri, X-rays from stay. Cat scan clear, X-ray, normal, mri-classic ms history. Was this Ms event? I?m not sold as I didn?t have other normal MS flare symptoms. Was this injection aggreviated? Perhaps... I?m sharing this because I think tracking auto immune disease people is important data gathering. Feel free to call if more dialogue is necessary

Other Meds: I have MS. And cardiac hyper tension. I take Atenenol (for heart rhythm regulation), and zetia for cholesterol. I do not take disease modification drug for past 2 years for MS. (prior was avonex).

Current Illness:

ID: 1104340
Sex: F
Age: 73
State: MA

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 03/16/2021
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: n/a

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

Symptoms: Facial tingling

Other Meds: aspirin 325 MG tablet cholecalciferol (VITAMIN D3) hydrocortisone 2.5 % cream ketoconazole 2 % cream Apply topically 2 (two) times a day. multivit-minerals/folic acid (MULTIVIT WITH MIN-FOLIC ACID ORAL) nystatin (NYSTOP) powder vitamin

Current Illness: Chronic lymphocytic leukemia Breast cancer Atypical chest pain

ID: 1104341
Sex: F
Age: 55
State: NY

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 03/16/2021
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: nuts, fruit

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

Symptoms: pain muscle soreness at the injection site. Headache

Other Meds: amlodipine

Current Illness: high blood pressure

ID: 1104342
Sex: M
Age: 29
State: AZ

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/16/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Shot 2 at 730 am by noon feeling of nausea and fatigue, injection site pain. 6pm fatigue and chills. 10pm to 3am next day chills, shivering, headache, no fever. Throughout 3/10/21 headache and fatigue. Stayed in bed and hydrated, two Tylenol for headache.

Other Meds: Lisinopril - 10mg/daily, Chewable Multivitamin, 10000 IU Vit D3, 3000mcg Vit B12

Current Illness: None

ID: 1104343
Sex: F
Age: 67
State: NY

Vax Date: 03/03/2021
Onset Date: 03/15/2021
Rec V Date: 03/16/2021
Hospital:

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

Lab Data:

Allergies: onions and garlic

Symptom List: Ear pain, Hypoaesthesia

Symptoms: chill, fever, nausea, head ache , dizzy

Other Meds: no

Current Illness: none

ID: 1104344
Sex: F
Age: 72
State: NV

Vax Date: 03/10/2021
Onset Date: 03/14/2021
Rec V Date: 03/16/2021
Hospital:

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

Lab Data:

Allergies: Penicillin and sulfa drugs

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Extreme lower back pain and shortness of breath. Breathing exercises for lungs and over the counter acetaminophen for body aches Outcome symptoms still the same.

Other Meds:

Current Illness:

ID: 1104345
Sex: M
Age: 37
State: MO

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

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

Lab Data:

Allergies: None

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

Symptoms: Patient fainted from a seated position approximately 10 to 15 minutes post vaccination. The patient hit the ground and regained consciousness. He was alert to time, date, and place. Ambulance was called, the blood glucose and blood pressure were within normal ranges.

Other Meds: None

Current Illness: None

ID: 1104347
Sex: F
Age: 54
State: NC

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 03/16/2021
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: N/A

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

Symptoms: patient started complaining about arm soreness, dizziness, frequent headaches daily, and feeling sluggish starting 1 day after administration and continuing til today. patient has had some chest pain with palpitations and syncope episodes. Felt very fatigued with feeling of nausea and has had some diarrhea.

Other Meds: bubalbital/acetaminophen/caffeine-50mg/325mg/40mg xyzal- 5mg saxenda 18mg/3ml omeprazole 40 mg

Current Illness: N/A

ID: 1104348
Sex: M
Age: 24
State: NY

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/16/2021
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: 6:25 pm report: pt rec'd vaccine immediately c/o of not feeling well and had syncopal episode was given smelling salts then brought to recovery vaccinator and Dr accompanied. Pt laid on cot supine, feet elevated. Assess: AAO, + nausea - dizzy, no complaints of pain of any kind. VS 146/94, heart rate 74 regular, resps 16 reg non labored, SPO2 97% RA Mnitor 30 min. provided reassurance. Pt stated he felt better sat him at edge of cot 6:50 pm VS 152/92, heart rate 71 reg. resp 16 reg non labored, SpO2 98%. Encouraged fluids ok to exit. Encouraged him to follow up with primary MD. V-safe. 3/7/21 Followed up with phone call - pt stated he felt much better today.

Other Meds: none

Current Illness: none

ID: 1104349
Sex: F
Age: 41
State: OK

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 03/16/2021
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: Penicillins, Codeine, Sulfa antibiotics, Hydrocodone, Metronidazole, Ondansetron Hcl, Adhesive Tape-Silicones

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

Symptoms: Mild Allergic Reaction- Doctor prescribed EpinePhrine 0.3 mg injection just in case for the 2nd dose

Other Meds: Daily Multi-Vitamin, Ultimate Omega 3, CoQ10, Ashwagandha, Mulberry Leaf Extract, Vitamin C, Vitamin D3, Kyolic Aged Garlic, Probiotic, Folic Acid, 4-1 Turmeric Curcumin w Bioperine, Apple Cider Vinegar & Moringa Blend Juice

Current Illness: Seasonal Allergies

ID: 1104350
Sex: F
Age: 35
State: GA

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/16/2021
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 known

Symptom List: Injection site pain, Pain

Symptoms: About 6 hours after injection, I felt incredibly exhausted. After 12 hours, nausea and headache set in. 13-14 hours, a terrible stomachache and diarrhea. My skin felt so sensitive that it hurt to touch. Zofran treated the nausea. The day after the injection I was exhausted, was nauseous and had a headache. 48 hours after injection I woke up with a strange headache. I could look to the right pain free, but if I looked to the left or left/up, I had a piercing pain near my right eye. Excedrin/Tylenol did not relieve this headache. On Hour 72, the headache is still present, though to a lesser degree.

Other Meds: Enbrel, Wellbutrin, Previfem, Zyrtec

Current Illness: None

ID: 1104351
Sex: F
Age: 72
State: LA

Vax Date: 02/21/2021
Onset Date: 03/01/2021
Rec V Date: 03/16/2021
Hospital:

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

Lab Data:

Allergies: Tetanus vaccine and toxoids, naproxen sodium, adalimumab, Moxifloxacin

Symptom List: Injection site pain, Menorrhagia

Symptoms: Synovitis on right and left hand finger knuckles and wrist joints with evident damaged to the joints soft tissues with the formation of lumps the size of petit poi?s on both of the joints described above. Joint damaged evolved in a matter of four days. Tendinitis on all tendons on right and left forearms. between wrists and elbow. Excruciating pain on my hands and forearms. I have dealt with all kind of joint issues during my 15 years battle with rheumatoid arthritis but I have never seen joint damaged developed in such a short period of time. My concern is what other soft tissue in my body is being affected. ?????

Other Meds: Albuterol, Fluticasone, Amlodipine, Multivitamins, B12, Fish Oil, Vitamin D, Lutein, Calcium, Loratadine, Curcumin/Tumeric 500mg

Current Illness: No, just my chronic illnesses

ID: 1104352
Sex: F
Age: 74
State: OH

Vax Date: 03/14/2021
Onset Date: 03/15/2021
Rec V Date: 03/16/2021
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: naprosyn

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

Symptoms: unusual fatigue, feeling drained, no appetite

Other Meds: ? Omeprazole; ? Famotidine ; ? Montelukast (Singulair)? Atorvastatin (Lipitor) ? Fluticasone and salmeterol 250/50; ? Raloxifeve (Evista); ? Cetirizine; ? Trimethoprim ; ? Lisinopril (Prinivil)

Current Illness: none

ID: 1104353
Sex: F
Age: 44
State: TX

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 03/16/2021
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: Ibuprofen -headache

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Nausea, throat feels thick, head feels heavy.

Other Meds: Oral contraceptives, vitamins

Current Illness: None

ID: 1104354
Sex: F
Age: 50
State: PA

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 03/16/2021
Hospital:

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

Lab Data:

Allergies: Latex, Aspirin

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: AEs: Fatigue, Head Ache, Body Ache, Chills, Fever (moderate for all) Treatment: Advil, Rest, Drinking Water Outcome: 19 hours post onset > Head Ache, Fatigue, Body Ache (mild)

Other Meds: Megestrol Acetate

Current Illness: None

ID: 1104355
Sex: F
Age: 80
State: NY

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/16/2021
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: amoxicillin

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

Symptoms: With in the 30 minutes after vaccine administration, became diaphoretic, racing heart, and shaky. Sent to ED for further evaluation

Other Meds: unknown

Current Illness: unknown

ID: 1104356
Sex: M
Age: 31
State: CA

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/16/2021
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 allergies

Symptom List: Nausea

Symptoms: Patient was lying horizontal in his chair, he had lost consciousness in what appeared to be a syncopal episode. Patient was safely moved to the floor by healthcare team. Patient regained consciousness and appeared to be confused, sweaty, hot, and pale. Patient was assisted to gurney, laying flat with feet elevated until he reported his dizziness, light-headedness was resolved. patient accepted a water and snack. His color returned to his face. Patient was then alert and oriented. He was discharged from the clinic.

Other Meds: Unknown

Current Illness: None reported

ID: 1104357
Sex: F
Age: 55
State: IL

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/16/2021
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 Steroids ? Cortisone, Prednisone, etc. Sulfa

Symptom List: Injection site pain

Symptoms: Burning sensation traveling from left shoulder to left side of neck. Burning sensation traveling from under left arm down to left side of waist. Burning sensation traveling down left arm, resulting in temporary loss of use of fingers on left hand. Soreness at injection site. Weakness in left arm. Alternating chills and hotness. Muscle and joint aches from top of head to bottom of feet. Fatigue. Headache. Intermittent nausea and dizziness. Never ran a fever. Spoke to primary care physician's office, who told me to report to this website.

Other Meds: Prescriptions taken once a day 1. Atorvastatin 10 mg 2. Premarin 0.625 mg 3. Levothyroxine 75 mcg Vitamins taken once a day 1. B-12 500 mcg 2. D? 2000IU 3. C 1000mg 4. Multivitamin Over the counter taken once a day 1. Generic Mucinex 400m

Current Illness: None

ID: 1104359
Sex: F
Age: 70
State: MA

Vax Date: 03/06/2021
Onset Date: 03/08/2021
Rec V Date: 03/16/2021
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

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

Symptoms: Elevated blood pressure, which is coming down but 10 days later is still not normal; Sore arm (lasted 2 days- ice pack helped).

Other Meds: Piroxicam 20mg; Vitamin D3 50mcg; Vitamin B-12 3000 mcg; Vita fusion Women's multivitamin, Vitamin C, Zinc, Xyzal, and Tums.

Current Illness: Allergies, arthritis

ID: 1104360
Sex: F
Age: 61
State: FL

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/16/2021
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: no

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

Symptoms: pt states that the night after getting the vax she had in pain in the left arm. A couple of days later she started itching on her upper back. She doesn't see a rash but has itching that comes and goes. Pt still has these symptoms. Pt will contact her PCP regarding her symptoms.

Other Meds: no

Current Illness: no

ID: 1104361
Sex: F
Age: 20
State: IN

Vax Date: 03/14/2021
Onset Date: 03/14/2021
Rec V Date: 03/16/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Tremor

Symptoms: Extreme fatigue, headache, sweating, chills, shaking, nausea, muscle cramping, difficulty breathing, and dizziness beginning approximately 6 hours after the vaccination. It was so bad that it caused me to stay in bed all day the day following the vaccine and I had to stay home from school and work. Today I am still extremely fatigued and have a bad headache and dizziness. This was not relieved by the maximum dose of Tylenol.

Other Meds: Metformin 500 mg bid

Current Illness: None

ID: 1104362
Sex: F
Age: 91
State: IN

Vax Date: 02/08/2021
Onset Date: 03/14/2021
Rec V Date: 03/16/2021
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: ACE Inhibitors, Biaxin

Symptom List: Erythema, Pruritus

Symptoms: blood filled blisters Right hand - appeared 3/14/21

Other Meds: Acetaminophen, Milk of Magnesia, Bion Tears, buspirone, carvedilol, ferrous fumarate, levetiracetam solution, melatonin, polymuxin B sulf-trimethoprim, Risperdal, Bayer chewable ASA, Calcitonin, Citalopram, MVI, lactulose, Lasix, PreserVisi

Current Illness: None

ID: 1104363
Sex: F
Age: 39
State: IL

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 03/16/2021
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: Tinnitus in right ear, sometimes shifts to left. Tinnitus has been constant since receiving the first vaccine. It seems to be getting louder. Received 2nd vaccine dose on March 13th.

Other Meds: Daily women's Centrum multivitamin

Current Illness: None

Date Died: 03/10/2021

ID: 1104364
Sex: M
Age: 73
State: NY

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 03/16/2021
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: Penicillin

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

Symptoms: Death within 24 hours of receiving vaccine

Other Meds: Amlodipine 10 mg daily Hydrochlorothiazide 25 mg daily Lisinopril 40 mg daily

Current Illness: None

ID: 1104365
Sex: F
Age: 70
State: WI

Vax Date: 03/04/2021
Onset Date: 03/14/2021
Rec V Date: 03/16/2021
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 body rash Feb 2019

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: large red, swollen, warm and itchy patch on upper left arm at injection site. used cortisone cr for itchiness and oral Benadryl .Day 3 rash is slowly failing and still very itchy.

Other Meds: multi vitamin, calcium, vit D, Aleve

Current Illness: no

ID: 1104366
Sex: F
Age: 73
State: WA

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/16/2021
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: body aches, fatigue, chills, headache. All gone by 3/16/2021

Other Meds: Centrum Silver, Vitamin D, Fish Oil

Current Illness: none

ID: 1104367
Sex: M
Age: 40
State: IN

Vax Date: 03/12/2021
Onset Date: 03/15/2021
Rec V Date: 03/16/2021
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: Starting 3/15/21 and continuing today, 3/16/21 (the time this was authored), I have noticed that I continue to have brain-fog after the second COVID vaccine. Not sure if this is normal or will go away.

Other Meds:

Current Illness:

ID: 1104368
Sex: F
Age: 28
State: WA

Vax Date: 03/15/2021
Onset Date: 03/16/2021
Rec V Date: 03/16/2021
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: Pain in extremity

Symptoms: Fever up to 102? started around midnight - took Tylenol which lowered the fever and stopped the chills for a while Chills started at midnight Headache started next morning Muscle pain/tightness started around 3:00 AM first night Weakness started around midnight

Other Meds: None

Current Illness: None

ID: 1104369
Sex: F
Age: 33
State: OK

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 03/16/2021
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 reported

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

Symptoms: Patient reported feeling "numbing, tingling, and constriction" in her throat approx. 13 minutes after her vaccination (11:03 am) that was progressively getting worse. Patient was breathing easily, lungs were clear. Resting heart rate 95 bpm. Nursing Services Director contacted and 0.5 mg of 1:1 epinephrine and 50 mg of Benadryl were administered in the room by me in the left deltoid muscle @ 11:08am. Patient tolerated injection well and reported improvement in signs/symptoms by 11:10 am. FD in room at approx 11:15 am, assessed patient O2 saturation, blood pressure, and heart rate. Found to be within normal limits. EMS arrived shortly afterwards at approx 11:20 am. Patient was taken to nearby hospital for further evaluation in stable condition.

Other Meds: None reported

Current Illness: None reported

ID: 1104370
Sex: F
Age: 65
State: MD

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/16/2021
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: Patient called pharmacy saying that she had severe pain in left arm following administration of vaccine. She describes it as severe bursitis resulting in an inability to move rotator cuff for 2 days post administration. Consult with orthopedic surgeon resulted in prescribed physical therapy for 8 weeks.

Other Meds:

Current Illness:

ID: 1104371
Sex: F
Age: 68
State:

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/16/2021
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: Pt. states feeling light headed. pt. has a Hx of hypotension. vitals BP 122/82, HR 50, SPO2 97; Pt. stable able to drive home.

Other Meds:

Current Illness:

ID: 1104372
Sex: M
Age: 92
State: IA

Vax Date: 03/10/2021
Onset Date: 03/11/2021
Rec V Date: 03/16/2021
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 known

Symptom List: Vomiting

Symptoms: The second dose of vaccine was administered, in error, on the 22nd day (given too soon) following the first dose. The second dose should have been administered on March 17th but was given on March 10th. In the morning following the vaccination, caregiver noted individual to be very weak, fatigued and complained of body aches, requiring assistance to get out of bed and required more assistance with mobility than what is usually needed for a period of 2 days following the vaccine.

Other Meds: List of medications not available

Current Illness: Exacerbation of CHF

ID: 1104373
Sex: F
Age: 39
State: OR

Vax Date: 01/02/2021
Onset Date: 01/10/2021
Rec V Date: 03/16/2021
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: Penicillin

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: I had a sore arm, which went away about 2 days later. Eight days later, I had a rash on my arm. It was red and itchy. I had been using Benadryl and cream, but it wouldn't go away. I contacted the NP and she prescribed a cream, which resolved it the same day.

Other Meds: Multivitamin Vitamin Mirena IUD

Current Illness:

ID: 1104374
Sex: F
Age: 54
State: TX

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 03/16/2021
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 known

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

Symptoms: Diarrhea Fever = 102.9 Intense muscle and jaw pain Intense headache Loss of smell Heart felt enlarged

Other Meds: Multivitamin Biotin for menopausal hair loss Propranolol for occasional racing heart due to menopause

Current Illness: None known

ID: 1104375
Sex: F
Age: 43
State: KS

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 03/16/2021
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:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Notes Expand AllCollapse All Patient: DOB: 6/11/1977 Date: 3/15/2021 MRN: Subjective Patient is a 43 y.o. female who was seen at COVID Vaccine Clinic today for her first dose of the COVID 19 vaccination. She was given the Pfizer vaccination in the right deltoid muscle. During her 15 minute waiting period after the injection, the patient began to experience lightheadedness and "head rush", feeling dizzy and had a metallic taste in mouth (shortly resolved). Sensation of chest tightness as reported upon her arrival to bay. She denied rash, hives, welts, difficulty breathing, difficulty swallowing, wheezing, throat tightness, hoarseness, stridor, itching, facial swelling, lip swelling and tongue swelling. This provider was notified of patient reaction and she was then assessed in the emergency bay area. Monitored patient for severe reaction symptoms, including but not limited to blood pressure abnormality , drooling, rapid progression of symptoms, respiratory distress, skin changes and tongue swelling. Medical hx includes asthma and allergies, pvcs and IgG deficiency ALLERGY REVIEW OF SYSTEMS: Patient complains of dizziness (lightheaded) Patient denies chills, fever, malaise/fatigue, facial swelling, sore throat, frequent throat clearing, cough, chest tightness, shortness of breath, wheezing, rash, hives, itching of skin, vomiting, abdominal pain, muscle aches, joint pain and headaches R arm pain where injection site is. Ice pack given for site.: Previous Reactions: flu vaccine 20 years ago. She's done well with flu vaccines since then. Objective Vitals Vitals: 03/15/21 1244 03/15/21 1254 03/15/21 1310 BP: 128/85 122/65 Pulse: 86 86 86 SpO2: 100% 100% 100% Physical Exam Constitutional: General: She is not in acute distress. Appearance: Normal appearance. She is well-developed. She is not diaphoretic. HENT: Mouth/Throat: Mouth: Mucous membranes are moist. Pharynx: Oropharynx is clear. Comments: Clear airway Eyes: Extraocular Movements: Extraocular movements intact. Conjunctiva/sclera: Conjunctivae normal. Pupils: Pupils are equal, round, and reactive to light. Cardiovascular: Rate and Rhythm: Normal rate and regular rhythm. Pulses: Normal pulses. Heart sounds: Normal heart sounds. Pulmonary: Effort: No respiratory distress. Breath sounds: Normal breath sounds. No wheezing. Comments: Hyperventilating upon arrival to bay. Pt improves with deep breathing. Pt did take her levalbuterol as well during her stay which did help her chest tightness. No wheezing heard pre/post administration. O2 sats 100% Skin: General: Skin is warm and dry. Neurological: General: No focal deficit present. Mental Status: She is alert and oriented to person, place, and time. Gait: Gait normal. Psychiatric: Mood and Affect: Mood normal. Behavior: Behavior normal. Thought Content: Thought content normal. Judgment: Judgment normal. Assessment/Plan Treatment included: antihistamines, water and snacks Follow up response to treatment: excellent. Patient discharge: Stable to go home and follow up with PCP. Differential Diagnosis: Vaccine-Related Anxiety (include misc mental health), Local reaction (arm pain, bleeding/bruising, mechanical irritation, localized rash) and Red flag symptoms (CP, SOB, NVD, Visual/Neuro concerns) R arm pain; injection R arm. Ice pack placed. Anxiety: hyperventilating, relieved with instructed deep breathing and removal of mask for short time. Lightheaded/dizzy: related to anxiety and systemic stress response. She reponded well to zyrtec, water and snack. Pt able to recover and stand w/o symptoms. She was ambulated out to the front w/o difficulty accompanied by this provider. She's to follow up with pcp/allergist. Pt voiced appreciation of care today.

Other Meds:

Current Illness:

ID: 1104376
Sex: F
Age: 63
State: WA

Vax Date: 12/19/2020
Onset Date: 12/20/2020
Rec V Date: 03/16/2021
Hospital:

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

Lab Data:

Allergies: None ( that I?m aware of )

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

Symptoms: Headaches leading into very high pitch noise in my head... have seen my Dr. she had MRI DONE.... she then referred to Neurologist.. she had MRA and MRV done I?d head and neck ( With contrast ) also have appt with ENT

Other Meds: Simvastatin 40mg

Current Illness: None

ID: 1104377
Sex: F
Age: 46
State: UT

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 03/16/2021
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: None

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

Symptoms: Got shot on Thursday woke up Friday 2am with achy arm, by 7am full body aches and mild temp of 99.4 Friday all day arm ached,small rash developed right of injection site , brainfog, dizziness. Symptoms went away by Saturday Morning just had a achy arm until Sunday. still expierencing Brain fog . Also experienced Brain fog and dizziness with first dose

Other Meds: Trazadone, Lexapro, D3, Multi VIT,

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm