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: 1126598
Sex: F
Age: 56
State: IN

Vax Date: 03/15/2021
Onset Date: 03/23/2021
Rec V Date: 03/23/2021
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: Sensitive to Erythromycin but not allergic

Symptom List: Dysphagia, Epiglottitis

Symptoms: Moderna COVID-19 Vaccine Red rash near injection site, approximately 2 1/2 inches long and 2 inches wide, appeared overnight. Initially itchy. Slightly tender muscle similar to discomfort following injection. Does not feel hot. First noticed at 5:15 am. Slightly less red by 3:20 pm.

Other Meds: Lisinopril Simvastatin Glucosamine Chondroitin Vit D Magnesium Baby aspirin Omega 3

Current Illness: None

ID: 1126599
Sex: F
Age: 71
State: FL

Vax Date: 02/26/2021
Onset Date: 03/04/2021
Rec V Date: 03/23/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Patient was seen for left sided facial swelling and pain. She states this started approximately 6 days after her vaccination. Other symptoms included neuropathy in both feet, gour flare up, vomiting, diarrhea and generalized fatigue. She was seen for an evaluation on 03/17/2021 and diagnosed with polyarthropathy related to the COVID19 vaccine.

Other Meds:

Current Illness:

ID: 1126600
Sex: F
Age: 74
State: NC

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/23/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Patient reports shoulder pain that radiates up neck.

Other Meds:

Current Illness:

ID: 1126601
Sex: F
Age: 32
State: WI

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

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

Lab Data:

Allergies: Denies

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: At about 2:35pm, 15 minutes post vaccination, patient was seated and leaned forward. She did not lose consciousness, but appeared pale. She stated she felt weak and dizzy. A cot and privacy was provided for patient. Patient states she did not eat or drink that morning so 8 ounces of juice was provided along with a cereal bar. Oxygen saturation remained WNL at this time and throughout the episode. At 2:40pm BP was 145/82. 2:44pm = 142/86. 2:46 = 148/84. 2:47pm = sat up on edge of cot. 2:55pm = 142/94. 2:57 = standing. Patient walked around at 3:00pm. HR remained WNL throughout the entire episode. Patient refused hospital/ambulance transfer. 3:05 = patient states she feels well enough to drive home. Patient refused help with transportation. 5:00pm on March 19 (same day), writer called patient for follow up. Patient states she feels better but still some feelings of dizziness and weakness. Patient was advised to reach out to her PCP for his or her awareness and/or recommendations. Patient was also advised if symptoms progress to call PCP office for triage or head to ER if necessary. Follow up call was placed on 3/23/21 at 10:30am. Patient states she felt weak and dizzy throughout the weekend and Monday, but states today she is at baseline.

Other Meds: Losartan, Celebrex, Flexeril, Lithium

Current Illness: Denies

ID: 1126602
Sex: F
Age: 76
State: MD

Vax Date: 03/17/2021
Onset Date: 03/23/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: coedine, strawberries, bee stings, insect bites.

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

Symptoms: redness and slight bruise at injection site. warm to the touch. began 6 days after 2nd injection. did not notice until 6th day although not sure if it was there before. Monitored the area for side effects 2-3 days after the 2nd injection and only small, slight redness at that time. very little soreness immediately after 2nd injection.

Other Meds: metformin. verapamil, allopurinol, lovastatin, lisinopril/hydrochlorothiazide. After vaccination tylenol extra strength.

Current Illness: none

ID: 1126603
Sex: F
Age: 60
State: GA

Vax Date: 03/19/2021
Onset Date: 03/21/2021
Rec V Date: 03/23/2021
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: Penicillin and Sulfa and sensitive to Mycin antibiotics. Also Eggs.

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

Symptoms: Extreme arm pain, swelling at injection site as well as intense itching. Used extra strength Tylenol, store brand antihistamine and extra strength Benadryl cream.

Other Meds: Metformin, Bydureon, Losartan, Hydrochlorothiazide, Farxiga, and Rosuvastatin. Also Biotin, Aspirin (81mg), Chromium and Centrum Silver for Women.

Current Illness: None

ID: 1126604
Sex: F
Age: 96
State: KS

Vax Date: 01/26/2021
Onset Date: 01/30/2021
Rec V Date: 03/23/2021
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: None

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: 1/30/2021 Admit Note: Patient presents to the ED complaining of chest discomfort. Patient has a history of hypertension, congestive heart failure, COPD, afib, and multiple other medical problems. Presented to the ED with some left-sided chest pain. She had an episode of chest pain when she received her first Covid vaccine a month ago and was thought to be related to a GI symptoms she had negative EKG at that time. She received her second dose of Covid vaccine couple days ago and was woken up at 4:00 this morning with a feeling of chest discomfort that she describes as a pressure sensation with no associated shortness of breath or cough or nausea or vomiting. (cont below)She states she was given aspirin and EMS was called but the chest discomfort is resolved by arrival to the ER after the aspirin. 2/2/21 Discharge Note: Chest pain did not appear to be cardiac in nature. Old CT scans that showed some chronic lung changes and also old rib fractures. The pain that she has seems to be consistent with either GERD or hiatal hernia.

Other Meds: Tylenol, albuterol nebulizer, amiodarone, atorvastatin (cont)Buspirone, TUMS, calcium- vitamin D, carvedilol, clopidogrel, vitamin D3, diltiazem CD, duloxetine, docusate, ferrous sulfate, hydralazine,isosorbide mononitrate, culturelle, levo

Current Illness:

ID: 1126605
Sex: F
Age: 31
State: CA

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/23/2021
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 Phosphate Asthma and/or Shortness of Breath High Unspecified 3/27/2017 Covid-19 Vaccine, Mrna-1273, Lnp-s (moderna) Skin Rash and/or Hives High Allergy 3/23/2021 Grass Pollen High Allergy 2/16/2021 anaphylaxis Penicillins Class Skin Rash and/or Hives High Unspecified 3/27/2017 sob sob Soy Protein High Allergy 2/16/2021 anaphylaxis Strawberry High Allergy 2/16/2021 anaphylaxis

Symptom List: Pharyngeal swelling

Symptoms: Patient experienced severe itching 25 minutes her Moderna Vaccine. She developed diffuse redness/rash to her chest. No shortness or breath of wheezing noted. She was given 2 tablets of Benadryl and instructed to use her Albuterol inhaler (2 puffs).

Other Meds: Prosac 30 mg daily Ativan 1 mg BID Lamictal 25 mg daily Yaz 1 tablet po daily

Current Illness:

ID: 1126606
Sex: M
Age: 64
State: NY

Vax Date: 03/04/2021
Onset Date: 03/07/2021
Rec V Date: 03/23/2021
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: 3 days after vaccine --difucs throbbing pain back of head and down the back of the neck. Comes and goes. Tylenol does not help. Continues up to and including day of reporting.

Other Meds: Tresiba, Jardiance, Gabapentin, Amlodipine, Olmesartan, Pravastatin, Sildenafil, Multivitamin, Aspirin 81mg, Folic Acid, Semaglutide vs. Placebo

Current Illness: Sarcoidosis exacerbation- pulmonary

ID: 1126607
Sex: F
Age: 71
State: IN

Vax Date: 03/16/2021
Onset Date: 03/23/2021
Rec V Date: 03/23/2021
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: none

Symptom List: Diarrhoea, Nasal congestion

Symptoms: A large red, warm, slightly itchy rash appeared around the vaccination site one week after my vaccination.

Other Meds: Advair 250/50, Diclofenac Sodium DR 75, Hydrochlorothiazide 25mg, Montelukast 10, Synthroid 137 mcg, Atorvastatin 40mg,

Current Illness: none

ID: 1126608
Sex: F
Age: 48
State: OH

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

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

Lab Data:

Allergies: acetaminophen, aspirin, codeine, hydrocodone

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

Symptoms: Patient felt burning sensation to tongue and lips within minutes. Patient has had fever, chills, fatigue, left side of face drooping, muscle ache, headache, blisters to lip and tongue

Other Meds: klonpoin 0.5 prn, albuterol sulfate 0.083% solution nebulizer prn, lev albuterol hfa 45mcg/actuation prn, levothyroxine 88mcg, loperamide 2mg tablets, remeron 15 mg tablets, nasonex 50mcg/actuation

Current Illness: none

Date Died: 03/19/2021

ID: 1126609
Sex: M
Age: 62
State: MS

Vax Date: 03/17/2021
Onset Date: 03/19/2021
Rec V Date: 03/23/2021
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 known

Symptom List: Rash, Urticaria

Symptoms: CARDIOPULMONARY ARREST 2 DAYS AFTER RECIEVING SECOND MODERNA DOSE

Other Meds: none known by family who showed up at ED.

Current Illness: ETOH ABUSE, TOBACCO ABUSE, DIABETES,

ID: 1126610
Sex: M
Age: 70
State: VA

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/23/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Shortly after vaccination patient had difficulty swallowing, redness around mouth. No SOB.

Other Meds:

Current Illness:

ID: 1126611
Sex: M
Age: 25
State: OH

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/23/2021
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: None

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

Symptoms: Patient light headed and requested transport to ED. Patient did not have any food this morning and this was likely a vasovagal reaction

Other Meds: Lamictal, seroquel, inderal, ativan

Current Illness: None

ID: 1126612
Sex: F
Age: 40
State: FL

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

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

Symptoms: Within 10 minutes, I experienced tachycardia, hypertension, Sweating and shaking.

Other Meds: None

Current Illness: None

ID: 1126613
Sex: F
Age: 80
State: MT

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/23/2021
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: phenols(most allergic), sulfa, penicillin, adhesives, mineral oil, estradiol lots of foods chemically sensitive to plastic, metal(cobalt probably-blue dye), acrylic copolymer due to hip replacement

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

Symptoms: 2 pm (1 hr after vaccination...felt strange feeling in the brain ... my son did, too on his shot.) 8 pm Shook so much and teeth chattered; didn't want my teeth to chip. Jumped in a hot shower for 15 minutes and that went away. I thought maybe my blood pressure had dropped too low; had same reaction when first put on too much blood pressure lowering medication. Or sometimes allergy makes the blood pressure drop. For 24 hours after that I was on the couch or in bed lying down; brain hurt(BAD headache), stiff neck, a big effort to lift my head off the pillow so I didn't unless I had to go to the bathroom. I laid back down asap due to slight nausea. No appetite. Whites of eyes were uniformly pink, eyes glassy. 3/23 Sore spot to the touch on left temple just above the eyebrow.

Other Meds: carvedilol, statin, routine vitamins ,CoQ10

Current Illness: None

ID: 1126614
Sex: F
Age: 68
State: CA

Vax Date: 03/09/2021
Onset Date: 03/23/2021
Rec V Date: 03/23/2021
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: no

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

Symptoms: pt stated that she was good with just a little headache and some nausea that lasted about 30 hours. pt states that her symptoms have subsided.

Other Meds: metformin 1500 mg, tamoxifen 20mg,

Current Illness: no

ID: 1126616
Sex: F
Age: 64
State: GA

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

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

Lab Data:

Allergies: None known

Symptom List: Ear pain, Hypoaesthesia

Symptoms: approximately ten minutes after getting shot the patient report hives on inner thighs. Also observed hives on face. Benadryl 50 MG IM was given. Hives improved. Patient requested water due to dry mouth. Was able to drink water without any problems. Vital signs were monitors. Initial bp 153/90 hr 89 resp 15. Vital signs remained in this range. Dischage vital signs bp 146/91 hr 75 resp 15. Husband present and drove patient home. Informed to continue Benadryl 25mg every 4-6 hours today.

Other Meds: Amitriptyline, Abilify, Cymbalta

Current Illness: none

ID: 1126617
Sex: F
Age: 70
State: NC

Vax Date: 02/12/2021
Onset Date: 02/14/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: latex and penicillin

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: not quite 2 days later, i started having trouble breathing, and i had not had any symptoms of the asthma or the COPD because i only experience trouble breathing after a case of the flu or a severe cold, which always leads to congestion, and often pneumonia. There was constant coughing and gasping for air, a tightness in my chest. I went online to see if there were any other people who had experienced this, and the literature was saying the problems with breathing usually start within a few hours, but mine took longer and I know it was related to the vaccine. I was given an ADVAIR inhaler which did nothing to alleviate the symptoms, so then had 3 weeks of prednisone, to the point i did not want to go for the second dose, but my doctor talked me into it as I have so many pre-existing conditions. I had no problem at all with the second dose and am now off the prednisone and the advair

Other Meds: metformin, lisinopril, trazadone, gabapentin

Current Illness: none

ID: 1126618
Sex: F
Age: 49
State: NV

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/23/2021
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: I noticed a small section of a rash/hive on my right hip in the morning. Later that day, after the vaccine, there was a spot on my right hand, between my fingers that started to itch. Then from that time until this morning (3-22-21), I have had more locations and more intense itchiness with the hives.

Other Meds: Levothyroxine, Fluoxetine, Blisovi, Montelukast, Levocetirizine, Multi-vitamin, D3, Goli apple cider vinegar chew, probiotic and a prebotic

Current Illness: None, except small traces of hives

Date Died: 03/19/2021

ID: 1126619
Sex: M
Age: 92
State: CA

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/23/2021
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: No Known Allergies

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

Symptoms: His vitals signs was stable after vaccine was administered, but the resident was expired in 85mins after given 1st dose of Covid Moderna vaccine.

Other Meds: Folic Acid Tablet 1 MG Give 1 tablet by mouth one time a day for Anemia; Lasix Tablet 40 MG Give 1 tablet by mouth one time a day for PLEURAL EFFUSION for 3 days; Losartan Potassium Tablet 50 MG Give 1 tablet by mouth one time a day for HTN

Current Illness: METABOLIC ENCEPHALOPATHY; PERSONAL HISTORY OF TRANSIENT ISCHEMIC ATTACK (TIA); AND CEREBRAL INFARCTION WITHOUT RESIDUAL DEFICITS; NUTRITIONAL ANEMIA; UNSPECIFIED; UNSPECIFIED ATRIAL FIBRILLATION; ESSENTIAL (PRIMARY) HYPERTENSION; VASCULAR DEMENTIA WITHOUT BEHAVIORAL DISTURBANCE; OTHER ABNORMALITIES OF GAIT AND MOBILITY; MUSCLE WEAKNESS (GENERALIZED); UNSPECIFIED PROTEIN-CALORIE MALNUTRITION; PLEURAL EFFUSION, NOT ELSEWHERE CLASSIFIED; SECONDARY PULMONARY ARTERIAL HYPERTENSION, NONRHEUMATIC MITRAL (VALVE) INSUFFICIENCY; ATHEROSCLEROSIS OF AORTA; CARDIOMEGALY, CONTACT WITH AND (SUSPECTED) EXPOSURE TO COVID-19; DYSPHAGIA FOLLOWING OTHER CEREBROVASCULAR DISEASE, PRESSURE ULCER OF RIGHT BUTTOCK, STAGE 2; PRESSURE ULCER OF OTHER SITE, STAGE 2; PRESSURE-INDUCED DEEP TISSUE DAMAGE OF LEFT ANKLE.

ID: 1126620
Sex: F
Age: 65
State: MA

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: Aspirin, Codeine, Apples, Almonds, Peanuts, Shrimps, Scallops and Lobsters.

Symptom List: Unevaluable event

Symptoms: Lots of Pain in arm where shot was received, Itching & Hives for @3 days and on 3rd day after Moderna Vaccine had a slight headache.

Other Meds:

Current Illness: None

ID: 1126621
Sex: F
Age: 33
State: VA

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 03/23/2021
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: Shortly after vaccination patient reported heart racing, panic, tingling on tongue, and cold throat. Transported to ER by EMS.

Other Meds:

Current Illness:

ID: 1126622
Sex: F
Age: 62
State: OH

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

Symptom List: Injection site pain, Pain

Symptoms: On 3/23/21 patient self-reported a red rash on both wrists/hands/forearm. There was no rash present at injection site. Patient self-reported feeling hot and light headed.

Other Meds:

Current Illness:

ID: 1126624
Sex: F
Age: 79
State: MO

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Injection site pain, Menorrhagia

Symptoms: I felt very bad that evening. I couldn't eat. I felt a little nauseated. my arm was sore across my shoulders and down my left arm. I had fatigue, headache (I felt like my head was going to explode) , muscle pain and general pain all over. My heart rate was 96 and my BP was 62/36. I felt Dizzy, weak. 03/16/21 I went to the ER Still feel hazy and foggy. I feel like my limbs are disconnected and dont respond as easily as they should.

Other Meds: metoprolol as needed (25mg cut in half)

Current Illness: No

ID: 1126625
Sex: F
Age: 33
State:

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 03/23/2021
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:

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

Symptoms: Employee received .2 cc of Pfizer instead of .3 cc which was inadvertently administrated by vaccine nurse. NO ADVERSE REACTION, just reporting medication error. Our Vaccine Task Force, after speaking with CDC and local DOH, decided to offer the employee an additional COVID-19 vaccine dose. Thanks.

Other Meds:

Current Illness:

ID: 1126626
Sex: F
Age: 75
State: VA

Vax Date: 03/11/2021
Onset Date: 03/13/2021
Rec V Date: 03/23/2021
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: NKDA

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Pt. received her first dose of Moderna vaccine in her left arm on 3/11/21 and began having symptoms on 3/13/21. She noticed a heaviness feeling in her right shoulder extending to her elbow with her right arm feeling limp and her right hand cold. She spoke with her doctor's office on 3/17/21. Her symptoms have continued.

Other Meds: Takes BP med and acid reflux medication

Current Illness:

ID: 1126627
Sex: M
Age: 60
State: WA

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

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

Lab Data:

Allergies: None known

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: I have swelling in my left arm pit under the shoulder where I received the vaccine.

Other Meds: Multivitamin, vitamin D3, Oxycodone HCL 5/Acetaminophen 325mg.

Current Illness: Compressed vertebra, unknown mass on upper left neck.

ID: 1126628
Sex: M
Age: 56
State: WI

Vax Date: 03/16/2021
Onset Date: 03/17/2021
Rec V Date: 03/23/2021
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:

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

Symptoms: Patient presented to physical therapy on 03/19/2021 for routine therapy follow-up visit. Patient reported prior to the start of the session he received his first COVID vaccine on 03/16/2021 and the proceeding 24-48 hours following had nausea, diarrhea, fever, and increased redness, swelling, and warmth of the right arm. Patient had a recent right shoulder surgery and received his injection in the surgical arm. Comparing his arm from Monday's visit to when he presented on Friday there was a significant change around his incision with increased redness, warmth, and firmness of his arm tissue. Call was placed immediately to patient's surgeon office and patient was seen later in the day by his surgeon for further follow-up. Therapy was put on hold for the day. Patient seen by surgeon 3/19/2021, arm warm to the touch so oral antibiotics started. Unsure if related to covid vaccine. Patient seen again 3/19/2021, still some warmth to mid humerus area and swelling that has been present since surgery. No active infection noted.

Other Meds:

Current Illness: Surgery in arm that received injection on 2/22/2021.

ID: 1126630
Sex: F
Age: 59
State: AZ

Vax Date: 01/05/2021
Onset Date: 01/08/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: Raspberries Seasonal Allergies

Symptom List: Nausea

Symptoms: The lymph node on my collar bone on the same side, the left as both doses of my vaccine. After the second dose the lymph node became more enlarged. It is the size of a marble that is still noticeable after eleven weeks. I am due to get an Ultrasound on the area to access the problem. Besides that, I just had mild headaches and tiredness for a short period. Second dose numberEL0142

Other Meds: Aspirin-85mg Vitamins

Current Illness:

ID: 1126631
Sex: F
Age: 57
State: PA

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

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

Lab Data:

Allergies: Allergy to influenza vaccine.

Symptom List: Injection site pain

Symptoms: Patient has an allergy to influenza vaccine. Consulted with pulmonologist and advised to get COVID vaccine. She received first dose on 2/23/2021 with no adverse event or side effects. Second dose given on 3/23/2021. Began having raspy voice, hoarseness, "felt lump in throat" approximately 15 minutes after vaccination. BP 146/96. Lungs clear. No difficulty breathing or difficulty swallowing during monitoring period but taken to ED for evaluation due to history of allergic reaction to influenza vaccine. Patient was admitted to ICU.

Other Meds: None

Current Illness: Chronic asthma

ID: 1126632
Sex: F
Age: 71
State: NJ

Vax Date: 03/16/2021
Onset Date: 03/18/2021
Rec V Date: 03/23/2021
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 induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: First Itching and later rash and then hives and extreme tireness

Other Meds: Valsartan 80 mg, Lipitor 40 mg,, Metformin 500mg, montelukast 10mg, Norvasc 10 mg,

Current Illness: Sinus infection at the time of injection.

ID: 1126633
Sex: F
Age: 74
State: WA

Vax Date: 03/04/2021
Onset Date: 03/06/2021
Rec V Date: 03/23/2021
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: Aripiprazole Cephalexin Nitrofurantoin Alendronate Diphenhydramine Donepezil Primidone Propranolol D-mannose

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

Symptoms: Hot, itchy rash all over body (abdomen, arms, legs, head, inguinal region). Prescribed prednisone and triamcinolone cream.

Other Meds: Tylenol 500 mg prn Arimidex 1 mg QD Vitamin C 400 mg QD Calcium + Vit D QD Vitamin D 2000 IUs QD Colace 100 mg QD Glucosamine-Chondroitin BID Vitamin K2 QD

Current Illness: UTI

ID: 1126634
Sex: F
Age: 53
State:

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/23/2021
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: Got the shot around noon on Friday, At midnight that same day. woken up out of a sound sleep with very loud ringing in right ear (thought my fire alarm was going off). By that morning it was not as loud but still always present high pitched ringing that sometimes pulses and an ear ache. Went to CVS minute clinic on Monday. Said inner ear was inflamed and had some fluid. Prescribed amoxicillin. No change yet except ringing has also given me a headache.

Other Meds: Cosentyx, Multivitamin

Current Illness: Psoriasis

ID: 1126635
Sex: F
Age: 62
State:

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/23/2021
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: Erythema, Pruritus

Symptoms: Throat tightness, R arm tingling, Rt side facial numbness. Evaluated by EMS-Cleared

Other Meds:

Current Illness:

ID: 1126636
Sex: F
Age: 78
State: TX

Vax Date: 02/25/2021
Onset Date: 02/28/2021
Rec V Date: 03/23/2021
Hospital:

Vax Type: UNK
Manufacturer: UNKNOWN MANUFACTURER
Vax Name: VACCINE NOT SPECIFIED (NO BRAND NAME)
Lot:
Dose Series: UNK
Vax Route: SYR
Vax Site: UN

Lab Data:

Allergies:

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

Symptoms: 3ays after shot massive depressive episode, suicidal. 4 days after, exhaustion, muscle weakness (I normally walk 2 - 4 miles daily)- this continued for almost two weeks. Along with weakness, extraordinary "brain fog", vertigo, loud tinnitus (buzzing). 2 1/2 weeks in I found an elliptical itching rash at the vaccine site. almost a month later I'm still suffering from dizziness, brain fog, and exhaustion. 2nd dose due 26th March and I'm scared to proceed.

Other Meds: Provigil

Current Illness:

ID: 1126637
Sex: F
Age: 57
State: IL

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 03/23/2021
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: hayfever

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

Symptoms: Pain in muscle of at injection site, chronic chills, chest pain.

Other Meds: Vitamin D, B12

Current Illness: none

ID: 1126638
Sex: F
Age: 80
State: WA

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/23/2021
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: unknown

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Drive thru vaccine event. The Health Department gave booster Pfizer vaccine from 9:00 am until 12 noon. Pharmacy was giving booster dose Moderna from 12 noon until 3:00 pm. Patient arrived 15 minutes early for her appointment. She got in the line for vaccine and was inadvertantly given Pfizer instead of Moderna.

Other Meds: unknown

Current Illness: unknown

Date Died: 02/19/2021

ID: 1126639
Sex: F
Age: 78
State: LA

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 03/23/2021
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: NKDA

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

Symptoms: @ 6:50 pm- Resident lying in bed with signs of apnea also has o2 in progress per Nasal cannula. Call bell in reach. v/s 53/20, 12, 101.5, o2 is 92%. Family choice not to send out to hospital bc resident had HX of periods of apnea @ 9:30 pm- resident had no means of life, vitals wasnt reading at this time.

Other Meds: Amantadine HCL 100mg BID, KCL 20 meq q Day, Remeron 30mg Q HS, Hydrocodone 7.5/352mg prn

Current Illness:

ID: 1126640
Sex: M
Age: 27
State: NJ

Vax Date: 03/16/2021
Onset Date: 03/17/2021
Rec V Date: 03/23/2021
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: denies

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

Symptoms: Having muscle aches, chills, pain at injection site, NO fever. Sx coming on in waves. This is day 3 of symptoms, thinks getting better No redness or swelling around injection site.

Other Meds: tylenol prn

Current Illness: denies

ID: 1126641
Sex: F
Age: 56
State: VA

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

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

Lab Data:

Allergies: Flu vaccine in past, Bactria and voltaren

Symptom List: Pain in extremity

Symptoms: After the expected reaction of fever, chills and aches subsided. I developed a rash at injection site that spread to my right arm and right side of my back

Other Meds: Citalopram 20 mg 1 qd Pramipexole 1 mg 1 and 1/2 qn Zyrtec 10 mg 1 qn Metformin 500 mg tid Lasix 20 mg 1 qd Modafinil 200 mg 1 qd Melatonin 10 mg qn Trental 400 mg bid

Current Illness: None

ID: 1126642
Sex: F
Age: 70
State: AZ

Vax Date: 03/11/2021
Onset Date: 03/19/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, sulfa drugs.

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

Symptoms: Sore throat, sore ears, mouth and tongue swollen.

Other Meds: None

Current Illness: None

Date Died: 03/04/2021

ID: 1126643
Sex: M
Age: 94
State: IL

Vax Date: 02/03/2021
Onset Date: 03/04/2021
Rec V Date: 03/23/2021
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: NKA

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

Symptoms: Death within 30 days of vaccination

Other Meds: Unknown

Current Illness: Nursing home resident with multiple co-morbidities

ID: 1126644
Sex: M
Age: 44
State: NY

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Experienced severe pain in the right shoulder/bicep area, the opposite arm from the injection (injection was given in the left arm). Pain became worse and worse as days went on, and eventually limited what I can use the arm for. I can not raise it up past my rib cage with severe pain. After speaking with a friend who is a doctor, they mentioned Parsonage Turner Syndrome and Brachial neuritis, all the symptoms match the discriptions of those. I immediately started using a Tens unit to help stimulate the shoulder and arm area, began ice treatment and taking tylenol for the pain. The doctor in the office I work at after listening to the issue and symptoms said the same thing and started me on Gabapentin to help with the nerve pain and is going to continue to monitor the symptoms. It has been 46 days since getting the 2nd shot, and I have been at a 8 to a 9 out of 10 pain-wise almost 24/7, it has affected my ability to work and i have had to call in a few days because of the pain and being unable to use my right arm proficiently (I am right handed), it has affected my family and my ability to get things done around the house and engage my children and it has affected my ability to get a good sleep.

Other Meds: Vyvanse

Current Illness: None

ID: 1126645
Sex: M
Age: 63
State: MN

Vax Date: 03/01/2021
Onset Date: 03/16/2021
Rec V Date: 03/23/2021
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: NKA

Symptom List: Vomiting

Symptoms: on 3/16 client had fever to 100.4 with severs shakes. Ambulance called next morning 3/17. Patient had confirmed diagnosis of EColi infection and was treated and discharged 4 days later

Other Meds: Levaquin 750 mg X 5 days, vitamin D, Hydrochlorothiazide, baby ASA, Rosuvastatin, Prilosec, Metoprolol, luci lisinopril, multi vit

Current Illness: none

ID: 1126646
Sex: F
Age: 45
State: VA

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 03/23/2021
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:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: A few minutes after vaccination patient had scratchy throat and a metallic taste in her mouth. Normal vital signs.

Other Meds:

Current Illness:

ID: 1126647
Sex: M
Age: 67
State: IN

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 03/23/2021
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: Penecillin

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

Symptoms: Adverse Event: sore shoulder, body aches, headache, chills, low grade fever, severe back pain, slight cough, malaise, weak Treatment: bed rest and OTC pain relievers Length: 48 hours Outcome: back to baseline

Other Meds: OTC: Zinc, CoQ10, Vit. C, Vit. D3, Glucosamine & Chondroitin, Daily 50+ Vitamin (centrum silver generic) Prescription: Lipitor, carbidopa-levodopa, Avodart, Allegra, Proscar, Singular, Protonix, Propranolol, Benztropine

Current Illness: 1 month prior, diagnosed with Covid-19 (January 11, 2021)

ID: 1126648
Sex: M
Age: 43
State: MI

Vax Date: 03/20/2021
Onset Date: 03/21/2021
Rec V Date: 03/23/2021
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 known

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Day 1 none 3/21/21 at approx 8pm Dizziness Nausea Joint pain Light fever Dehydrated Insomnia 3/22/21 all day Joint pain Dizziness Nausea Vertigo Foot pain Insomnia

Other Meds: Adderall losartan-hydroCHLOROthiazide 100-25 potassium chloride 20 mEq CR tablet amLODIPine 10 mg tablet carvediloL 12.5 mg tablet

Current Illness: None

ID: 1126649
Sex: F
Age: 63
State: TN

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

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

Lab Data:

Allergies: only seasonal allergies listed

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

Symptoms: Patient came in complaining that she was having weakness and dizziness. She was having trouble standing up from seated position. She was also having trouble walking in a straight line. Her husband was with her and drove her to the ER after leaving the pharmacy.

Other Meds:

Current Illness:

ID: 1126650
Sex: M
Age: 33
State: TX

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

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

Symptoms: Delayed swelling at injection site

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm