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: 1132484
Sex: F
Age:
State: NY

Vax Date: 03/06/2021
Onset Date: 03/07/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Bell's palsy facial paralysis right side of face was droopy with no control on eye, nasal, and mouth; This is a spontaneous report from a contactable consumer. A 35-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), dose 1 via an unspecified route of administration, administered in Left Arm on 06Mar2021 18:15 (Batch/Lot Number: EN6201) as single dose for COVID-19 immunisation. Medical history included COVID from Dec2020 to an unknown date. There were no concomitant medications. The patient previously took cefalexin (KEFLEX) and experienced known allergies to KEFLEX. The patient experienced Bell's palsy facial paralysis right side of face was droopy with no control on eye, nasal, and mouth on 07Mar2021 18:00 with outcome of not recovered. The event resulted in doctor or healthcare professional office/clinic visit. The patient underwent lab tests and procedures which included blood labs: unknown results on an unknown date. Therapeutic measures were taken as a result of the event.

Other Meds:

Current Illness:

ID: 1132485
Sex: F
Age:
State: FL

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/25/2021
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: Neuropathy type sensation in feet, lower legs, hands; difficulty breathing; tongue felt tingly and swollen; raised red itchy rash on neck, chest and abdomen; swollen lymph glands in throat; diarrhea; sore throat; site soreness; achy joints; headache; nausea; fatigue; Racing heartbeat; throat felt lujeir was closing; tongue felt tingly and swollen; This is a spontaneous report from a contactable healthcare professional (the patient). A 66-year-old non-pregnant female patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Lot number EN6205), via an unknown route of administration in the left arm on 06Mar2021 at 16:30 (at the age of 66-years-old) as a single dose for Covid-19 immunization. Medical history was included celiac sprue, Crohns, chronic pancreatitis, psoriasis, osteoporosis, and ulcerative colitis, all from an unknown date and unknown if ongoing. The patient was allergic to penicillin and codeine. The patient previously received dose 1 of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Lot number EL9269) on 13Feb2021 at 11:30 in the left arm. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient's concomitant medications were not reported however it was reported the patient had other medications in two weeks. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 06Mar2021 at 16:30, within 5 minutes of injection, the patient experienced Racing heartbeat, difficulty breathing, tongue felt tingly and swollen, throat felt lujeir was closing, and neuropathy type sensation in feet, lower legs, hands. The patient also experienced the typical side effects of site soreness, achy joints, headache, fatigue, nausea, sore throat, diarrhea, swollen lymph glands in throat, and raised red itchy rash on neck, chest and abdomen. Treatment of Benadryl was given for the events as recommended by paramedic which was still being taken on day 4. The clinical outcome of the events racing heartbeat, difficulty breathing, tongue felt tingly and swollen, throat felt lujeir was closing, and neuropathy type sensation in feet, lower legs, hands was recovered on 06Mar2021 (reported as 'last about 10 minutes'); outcome of site soreness, achy joints, headache, fatigue, nausea, sore throat, diarrhea, swollen lymph glands in throat and raised red itchy rash on neck, chest and abdomen was not recovered. It was reported that since the vaccination, the patient had not been tested for COVID-19.; Sender's Comments: Based on chronological connection to the vaccine a causal relationship between reported events and BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE) cannot be excluded. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

Other Meds:

Current Illness:

ID: 1132486
Sex: F
Age:
State: TX

Vax Date: 03/07/2021
Onset Date: 03/09/2021
Rec V Date: 03/25/2021
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: This is a spontaneous report from a contactable consumer. A 66-year-old female patient received her second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EN6206) at the age of 66-years-old, via an unspecified route of administration in left arm on 07Mar2021 at 11:00 at single dose for COVID-19 immunization. Medical history included high blood cholesterol and triglycerides. The patient was allergic to medications, food, or other products (unspecified). She was not pregnant. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient's concomitant medications were not reported. She received her first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiration date were not provided), via an unspecified route of administration on an unspecified date at single dose for COVID-19 immunization. The facility where the most recent COVID-19 vaccine was administered was at a hospital. On 09Mar2021 at 15:00, the patient presented with Bell's palsy which required a doctor or other healthcare professional office/clinic visit and was treated with BETAMETASONA 5.0 mg. Since the vaccination, the patient has not been tested for COVID-19. The outcome of the event was not recovered.

Other Meds:

Current Illness:

ID: 1132487
Sex: F
Age:
State: IL

Vax Date: 02/27/2021
Onset Date: 03/06/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Bell's palsy; This is a spontaneous report from a contactable Nurse (patient). A 64-year-old Female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 27Feb2021 at single dose in left deltoid for COVID-19 immunisation at the age of 64-year-old. Lot number was EN6200. Relevant medical history and concurrent conditions included Herpes zoster/ shingles, Bells palsy, overweight. Concomitant medications included ergocalciferol (Vitamin D) for her bones and that kind of stuff. First dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) was received on 21Jan2021 for COVID-19 immunisation at the age of 64-year-old. Historical vaccine included typhoid, malaria and yellow jacket. Patient initially confirmed she has had no reactions after prior vaccinations. On 06Mar2021 at 02:30, the patient experienced Bells palsy; the event was considered Medically significant; the patient visited emergency room; the patient was given Zanamivir, antiviral in the Emergency Room. The patient had been told by other people that she should get started on a steroid, so she started prednisone, prescribed by the NP at her primary care. Patient had right facial paralysis right at the time of report, it was slightly worse than when she first noticed it. The patient did not think she has reached the maximum of the Bells Palsy and she had to drink coffee out to of a straw and issues with her words. The patient did not recover from the event. The reporter mentioned that she has had several family members who have had Bells Palsy. The odds that she received something that could trigger some kind of immune response, the time frame, the fact she got the vaccine, also fact she has a history of shingles she would have to associate with the vaccination. The reporter had done mission work and has never had a reaction to any of the vaccines that she received for that.; Sender's Comments: Based on temporal association, the causal relationship between BNT162B2 and the event facial paralysis cannot be excluded. The information available in this report is limited and does not allow a medically meaningful assessment. This case will be reassessed once additional information becomes available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees, and Investigators, as appropriate.

Other Meds: VIT D

Current Illness:

ID: 1132488
Sex: M
Age:
State: KY

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/25/2021
Hospital: Y

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

Lab Data:

Allergies:

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

Symptoms: struggling to catch my breath; swinging from 120+ BPM to 50 BPM in an instant; pass out; racing heart; big rush of the room spinning; I could feel the medicine in my body, almost to my toes; This is a spontaneous report from a contactable consumer. A 37-year-old male patient received the first dose of BNT162B2 (Pfizer-BIONTECH COVID-19 Vaccine; lot number: EL9267) on 26Feb2021 and the second dose of BNT162B2 (Pfizer-BIONTECH COVID-19 Vaccine; lot number: EN6202) on 12Mar2021, via an unspecified route of administration on Left Arm at single dose for COVID-19 immunisation. The administration of first dose of BNT162B2 resulted in Palpitations, dizziness, hyperhidrosis and Syncope the same day of administration. Relevant medical history included allergy to penicillin. Relevant concomitant medications included testosterone cipionate (TESTOSTERONE CYPIONATE). During second dose of vaccine the patient stated that he feels the medicine in his body, almost to his toes. The patient was fine for a minute or two but then he reported a big rush of the room spinning, struggling to catch my breath, racing heart. EMS personnel was called over and they monitored my heart rate. It was swinging from 120+ BPM to 50 BPM in an instant and during the low BPM was when he passed out. The patient was treated with Epinephrine due a potential reaction and transported to hospital. The reported events were feeling abnormal, vertigo, dyspnoea, palpitations, heart rate irregular and loss of consciousness. All events were serious as hospitalization and Life-threatening illness (immediate risk of death from the event).

Other Meds: TESTOSTERONE CYPIONATE

Current Illness:

ID: 1132489
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 03/25/2021
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: Patient developed a pericardial effusion and PE within 2-3 days of vaccine. Unclear if related.; Patient developed a pericardial effusion and PE within 2-3 days of vaccine. Unclear if related.; This is a spontaneous report from a non-contactable physician. A 72-year-old male patient received bnt162b2 (COVID-19, Solution for injection, Batch/Lot number was not reported) via an unspecified route of administration on an unspecified date at single dose for covid-19 immunisation. The patient medical history and concurrent medications were not reported. The patient was unclear if related. The patient experienced pericardial effusion and PE (Pulmonary embolism) within 2-3 days of vaccine on an unspecified date. The outcome of event was unknown. Information on the lot/batch number has been requested.; Sender's Comments: Based on known drug safety profile, there is reasonable possibility of causal association between the events pericardial effusion and pulmonary embolism and the suspect drug. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate.

Other Meds:

Current Illness:

ID: 1132490
Sex: M
Age:
State: CA

Vax Date: 02/10/2021
Onset Date:
Rec V Date: 03/25/2021
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:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: He was in a hospital now having an emergency due to complications that had something to do with a prostate procedure; he experienced having seizures; This is a spontaneous report received from the Pfizer sponsored program . A contactable consumer (patient himself) reported that a male patient of an unspecified age received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot number and Expiration date was unknown), via an unspecified route of administration on 10Feb2021 as a single dose for COVID-19 immunization. The patient's medical history and concomitant medications were not reported. It was reported that, initially, caller wants to cancel his second vaccine dose which according to him was today, 11Mar2021. He said that he was in a hospital now (on an unspecified date in 2021) having an emergency due to complications on an unspecified date in 2021 that had something to do with a prostate procedure he had 2 days ago. He had his first vaccine shot on 10Feb2021. That's more than 21 days if his next schedule was today, 11Mar2021. Consequently, during the call, he experienced having seizures on an unspecified date in 2021. The event "he was in a hospital now having an emergency due to complications that had something to do with a prostate procedure" was considered as serious (hospitalization) by the consumer. The outcome of the event he experienced having seizures was not recovered and unknown for the other event. Information on the lot/batch number has been requested.; Sender's Comments: Based on temporal relationship the causal relationship between BNT162B2 and event, post prostate procedural complications, seizures cannot be completely ruled out.

Other Meds:

Current Illness:

ID: 1132491
Sex: M
Age:
State: WV

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 03/25/2021
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:

Symptom List: Pharyngeal swelling

Symptoms: Lose of blood found to be from small intestine; Cardiac arrest; Going into shock; Rash all over face; Hemoglobin low; This is a spontaneous report from a contactable consumer. A 70-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number unknown) dose 1 via an unspecified route of administration on 05Feb2021 as single dose for covid-19 immunisation. The patient medical history was not reported. Concomitant medications in two weeks included atorvastatin 40 mg, gabapentin 300 mg, amlodipine 5 mg, losartan 100 mg, aspirin [acetylsalicylic acid] 81 mg and potassium. The patient previously took tylenol and codeine and both experienced allergies. No other vaccine in four weeks. The patient experienced rash all over face, lose of blood found to be from small intestine, hemoglobin low, cardiac arrest, going into shock on 05Feb2021. Events resulted in Emergency room/department or urgent care, Hospitalization, Life threatening illness (immediate risk of death from the event). The patient was hospitalized for 6 days due to above events. Covid test post vaccination included Nasal swab with Negative result on 11Mar2021. Treatment included blood transfusion. The outcome of events was not recovered. Information on the lot/batch number has been requested.

Other Meds: ATORVASTATIN; GABAPENTIN; AMLODIPINE; LOSARTAN; ASPIRIN [ACETYLSALICYLIC ACID]; POTASSIUM

Current Illness:

ID: 1132628
Sex: F
Age: 51
State: CO

Vax Date: 03/23/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
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, shrimp

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: At 10am crashed. Fatigue, body aches, chills, fever (101.6), headache, and ringing in ears.

Other Meds: Advair, phytoestrogen, multivitamin, Bupropion, Citalopram, Omega complex, bone nutrient, vitality complex hair/skin/nail supplement,

Current Illness: None

ID: 1132629
Sex: F
Age: 64
State:

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/25/2021
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: Patient experienced shortness of breath and itching after receiving first dose of Pfizer vaccine. Was administered Benadryl 25 mg, P.O. Onsite provider recommended EMS transport for eval, but patient refused.

Other Meds:

Current Illness:

ID: 1132630
Sex: F
Age: 66
State: IN

Vax Date: 03/23/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: Proplylene Glycol, bronopol, bacitracin, propolis, benadryl

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

Symptoms: Chills, achy, sweats, headache, diahrea, general fatigue

Other Meds: Hydrochlorothiazide, Zyrtec, Fish Oil, Multivitamin, Tumeric, probiotic, Biotin Total JT Plus, CoQ10

Current Illness: None

ID: 1132631
Sex: F
Age: 54
State: MS

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 03/25/2021
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: Prednisone, Cipro (causes anaphylactic)

Symptom List: Rash, Urticaria

Symptoms: The day after my second dose of the Pfizer vaccine, I experienced chills, severe body aches, stomach upset, vomiting. I had loss of sensitivity in my right thigh area that comes and goes. I also have brain fog, joint aches that overwhelming. Subsequently, I had Covid tests through my PCP which were negative but I had symptoms that mimicked Covid symptoms. My PCP recommended I go to the ER and I was admitted for two and a half days. They monitored my heart, did lab work, liver test. I continue with headaches that are more profound. I still have loss of strength in my right thigh, which is intermittent, comes and goes. I still have itchiness on my right thigh and leg with loss of sensation lasting from three to five hours. I will be seeing a neurologist next month.

Other Meds: Blood pressure medication

Current Illness:

ID: 1132632
Sex: F
Age: 32
State:

Vax Date: 03/18/2021
Onset Date: 03/25/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: Peanut allergy

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

Symptoms: Firm red circle (about 1.5 inch in diameter) appeared around injection site, on upper left arm, about one week after the injection.

Other Meds: Zyrtec

Current Illness: N/A

ID: 1132633
Sex: F
Age: 46
State: KS

Vax Date: 03/11/2021
Onset Date: 03/15/2021
Rec V Date: 03/25/2021
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: Patient received her first vaccine Thursday, March 11 and noticed on Monday (4 days later) the injection site and down her upper arm became warm, itchy, red, and swollen. She used hydrocortisone cream starting Tuesday to relieve symptoms and it was resolved 2 days later on Thursday.

Other Meds:

Current Illness:

ID: 1132634
Sex: F
Age: 67
State: NY

Vax Date: 03/23/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
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: Patient has multiple drug hypersensitivity disorder.

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

Symptoms: On evening of 3/24/21 patient has weird sensation in mouth, altered sensations like tingling. Patient woke up 3/25/21 with more pain and lesions in mouth. Patient called PCP and is being prescription magic mouthwash for symptoms.

Other Meds: Toprol XL, Synthroid, Klonopin. Ventolin, Duoneb, OTC probiotic

Current Illness: None

ID: 1132635
Sex: F
Age: 38
State: DE

Vax Date: 03/13/2021
Onset Date: 03/14/2021
Rec V Date: 03/25/2021
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: tramadol, Bactrim ds

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

Symptoms: I have a lump at the injection site that hurts, and feels warm to touch. also I have what feels like nerve pain in my arm when I move it a certain way

Other Meds: Lexapro 10 mg, hydrochloride 25mg

Current Illness: none

ID: 1132636
Sex: M
Age: 44
State: MI

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/25/2021
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:

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

Symptoms: Patient experienced very low blood pressure and fainted. He came to quickly, but was transported to hospital by ambulance as a precaution

Other Meds:

Current Illness:

ID: 1132637
Sex: F
Age:
State: IN

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

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

Lab Data:

Allergies: Omeprazole Amoxicillin Aspirin

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Skin and stomach felt on fire Felt light headed Broke out in blotchy rash, but went away and did not itch a week out. Light headed

Other Meds: Atorvastatin 20mg. Pepcid Align Zyrtec Flonase

Current Illness: None

ID: 1132639
Sex: M
Age: 79
State: OH

Vax Date: 03/23/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: None.

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Got the vaccine, and yesterday 3/24/21 somewhere around 3:30 he started feeling weak, tried to walk and had weakness. By 6:30 he could not get up. He was on the floor as he slid off the bed and could not push himself up on his arms, and got worse and worse. He went up to bed, and his son had to come over and help him into bed as he was not even able to lift his legs to get into bed. Then at 3:00 AM this morning he could start walking again. Now this morning he is a little wobbly and otherwise getting better. He did take 2 Tylenol. No soreness around the injection site, just the extreme weakness.

Other Meds: Tamsulosin, Atorvastatin, multivitamin.

Current Illness: None.

ID: 1132640
Sex: F
Age: 30
State:

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 03/25/2021
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: 1/15 vaccination That night I felt tired. Went to bed, woke up with rash on torso, breasts, armpit. It was warm to the touch, it was not hive, raised slightly. I kept eye on it, called dr and monitored size. Within 24 hours it started to fade and slowly went away over the next week. *I took Tylenol the night before the vaccination.

Other Meds: zoloft

Current Illness: n/a

ID: 1132641
Sex: F
Age: 70
State: NY

Vax Date: 02/06/2021
Onset Date: 02/10/2021
Rec V Date: 03/25/2021
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: Sulfa antibiotics; shellfish and fish; mushrooms; iodine(?); animal allergies (dog, cat, horse, etc.)

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

Symptoms: Right breast: nipple initially intensely itchy for about 12-24 hours; then tender; then breast feeling a little full; didn't feel tender exactly, just different. Bra felt slightly tighter fitting. Seemed to get better, then right breast tenderness again after second COVID shot, also in right arm on 27 Feb 2021, lot # EN 6202. Very mild discomfort diffuse through breast; 25 days after second shot (and after mammogram) nipple tender again, breast mild discomfort, including vague sensation of warmth in breast.

Other Meds: triamterene/HCTZ 37.5/25mg; zyrtec 10 mg; travatan (eyedrops); betimol (eyedrops); pepcid; Gaviscon; vit. B; magnesium, vit. D

Current Illness: none

ID: 1132642
Sex: F
Age: 23
State: AZ

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

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

Lab Data:

Allergies: N/a

Symptom List: Unevaluable event

Symptoms: Running a fever of 101.25 soreness at the injection site Fatigue

Other Meds: Daily women?s vitamin

Current Illness: N/a

ID: 1132643
Sex: M
Age: 13
State: TX

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/25/2021
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: NKA

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

Symptoms: 13 Y.O. TOO YOUNG FOR VACCINE TO BE USED.

Other Meds: UNKNOWN AT THE TIME OF REPORT

Current Illness: UNKNOWN AT THE TIME OF REPORT

ID: 1132644
Sex: F
Age: 62
State: LA

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/25/2021
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: VACCINATION WAS GIVEN 5 DAYS EARLY. DUE DATE FOR SECOND VACCINATION IS 3/30

Other Meds: ELIQUIS, CYCLOBENZAPRINE, TRAMADOL

Current Illness:

ID: 1132646
Sex: M
Age: 80
State: DC

Vax Date: 02/17/2021
Onset Date: 02/21/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: penicillin

Symptom List: Injection site pain, Menorrhagia

Symptoms: 4 days after second dose patient has noted a feeling of heaviness and unsteadiness when walking. He also feels sweaty in the morning

Other Meds: lisinopril, aspirin, crestor, Synthroid, Vit d, vitamin b12

Current Illness: none

ID: 1132647
Sex: F
Age: 70
State: PA

Vax Date: 03/10/2021
Onset Date: 03/12/2021
Rec V Date: 03/25/2021
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: NO

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

Symptoms: HIVES ON BOTH ARMS/LEGS/TRUNK, THICK TOUNGE

Other Meds: ACETAMINOPHEN

Current Illness: NO

ID: 1132651
Sex: F
Age: 30
State: GA

Vax Date: 03/15/2021
Onset Date: 03/23/2021
Rec V Date: 03/25/2021
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: Nausea, Pain in extremity, Pyrexia

Symptoms: Upon receiving the first dose, I had the usual reaction of a sore arm which faded after two-three days. Five-six days later, exactly eight days after I received my injection, I developed Covid arm. Pain at the injection site, a rash on the arm, skin was warm to the touch, and the area was swollen. The pain, rash, warmth and swelling are going down.

Other Meds: Sertraline 200mg Bupropion 75mg melatonin 5mg vitamin C

Current Illness: None

ID: 1132652
Sex: M
Age: 50
State: IN

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: Bananas, "Chemo drug"

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Described throat tightness, itching of face/skin. BP 160/110 with medium BP cuff. HR 85 SPO2 97%. Describes feeling shaky. Reports history of anaphylactic reaction to allergy shot for bee stings. Reports history of feeling "panicky". After 30 minutes at rest, reports throat tightness improved. Reports never had difficulty breathing, just a tightness in the throat. Reports increase in skin itching, but has a history of similar reaction when exposed to mold in buildings.

Other Meds: Lisinipril, Trulicity, Prozac, Cholesterol med, Benadryl and T

Current Illness: None

ID: 1132653
Sex: F
Age: 40
State: PA

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/25/2021
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: Food only Glutin, Walnuts, Cinnamon

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

Symptoms: Classic vasovagal reaction without syncope Warmth, clamminess, dizziness, partial tunnel vision Self resolving symptoms with BP, pulse, O2 sat all within acceptable ranges with 60 minute observation No orthostasis and comfortable ambulation at discharge from observation unit

Other Meds: Flonase Flovent

Current Illness: None

ID: 1132654
Sex: F
Age: 49
State: CA

Vax Date: 12/19/2020
Onset Date: 12/21/2020
Rec V Date: 03/25/2021
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

Symptom List: Nausea

Symptoms: Inability to move arm to full capacity. Left arm with limited range of motion after first injection and worsened after second injection

Other Meds: None

Current Illness: None

ID: 1132655
Sex: F
Age: 46
State: IN

Vax Date: 03/24/2021
Onset Date: 03/25/2021
Rec V Date: 03/25/2021
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, Levaquin

Symptom List: Injection site pain

Symptoms: Left arm soreness, shoulder joint pain, neck pain, migraine, nausea, diarrhea, upset stomach, dizziness, sleeplessness, tiredness

Other Meds: Adderall, sertraline, pantoprozole, levothyroxine, topiramate, multi vitamin, vitamin B complex, vitamin D , flaxseed oil, fish oil

Current Illness:

ID: 1132656
Sex: F
Age: 38
State: IN

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/25/2021
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: fever >102, chills, aches, headache, nausea, insomnia. Started 6 hours after vaccine administration and last about 18 hours

Other Meds: prenatal vitamins

Current Illness: none

ID: 1132658
Sex: F
Age: 39
State: NC

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/25/2021
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: K flex, Penicillin, Erythamiacin

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

Symptoms: I was 35 weeks pregnant at the time. I am due April 25. I?m not sure this was an adverse effect, but I had a high fever of 103.5 and some kind of restless leg syndrome. Both were short term - less than five hours.

Other Meds: Prenatal

Current Illness: N/a

ID: 1132659
Sex: M
Age: 20
State: GA

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/25/2021
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: Peanuts/all nuts Eggs Seafood

Symptom List: Tremor

Symptoms: Besides arm pain that went to my pinky, I was fine. Later that night, I started to get chills and was really cold. The next day, I developed a fever of 100.2 and was really cold. For about a week, I would be fine during the day and would get really tired by the evening and extremely cold. I also started feeling tightness in my chest about 2 days after I got the vaccine. I contacted my doctor and she told me to take Tylenol and Albuterol.

Other Meds: Claritin (told by doctor to take before) Asmanex

Current Illness:

ID: 1132661
Sex: F
Age: 59
State: VA

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 03/25/2021
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: pennicillian, shampoos

Symptom List: Erythema, Pruritus

Symptoms: March 10 - onset with dizziness March 11 - 12:45 PM while sitting symptoms progressed to vertigo, tingling throughout body, ear pitching sounds, tunneling vision, total blackout and falling from chair. Upon coming to, symptoms of weakness, in and out of alertness, confusion and diminished responsiveness. Remained on floor for an hour and my symptoms contined for 5 hours until about 6pm. Had severe hypotension: no readings upon reaction, but three hours later they were: 4pm - 84/48, 6pm - 94/54, 7pm - 97/58, 9pm - 100/60. Regular readings are 110/90.

Other Meds: HRT, calcium, vitamin D, infrequent hydrocortizone

Current Illness: NA

ID: 1132663
Sex: F
Age: 59
State: PA

Vax Date: 03/16/2021
Onset Date: 03/18/2021
Rec V Date: 03/25/2021
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: Dilaudid

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

Symptoms: Body aches, vertigo, headache, tiredness

Other Meds: Humalog, Tresiba, Trulicity,Venlafaxine, Ranolazine, Lisinopril, Rosuvastatin, Clonazepam, Baby Asprin, , Omeprazole, Magnesium, D3, Benadryl

Current Illness: None

ID: 1132664
Sex: M
Age: 54
State: MI

Vax Date: 03/20/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Swelling of Lymph nodes under left arm

Other Meds:

Current Illness: None

ID: 1132665
Sex: M
Age: 77
State:

Vax Date: 02/13/2021
Onset Date: 02/15/2021
Rec V Date: 03/25/2021
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:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Hospitalization within 6 weeks after receiving vaccine

Other Meds:

Current Illness:

ID: 1132666
Sex: F
Age: 63
State: PA

Vax Date: 03/24/2021
Onset Date: 03/25/2021
Rec V Date: 03/25/2021
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: Keflex

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

Symptoms: Sore arm, low-grade fever, sore throat, muscle & joint aches, headache and fatigue

Other Meds: Myrbetric, Amlodipine Besylate, Meloxicam and daily multi-vitamin

Current Illness: None

Date Died: 03/05/2021

ID: 1132667
Sex: F
Age: 81
State: PR

Vax Date: 02/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/25/2021
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: None reported

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

Symptoms: She was transferred to the hospital on 3/4/2021 due to low blood pressure, she understands that due to heart failure. The death certification information is unknown.

Other Meds: Atorvastatin 20 mg, Buspirone 10 mg, Clonazepam 2 times a day, Docusate, Donepezil 10 mg, Lisinopril 2.5 mg, trazondone 50 mg, Venlafaxine 75 mg, Risperidone 0.5 mg, Levothyroxine 100 microgram

Current Illness: None reported

ID: 1132669
Sex: F
Age: 44
State: PA

Vax Date: 03/14/2021
Onset Date: 03/14/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List: Pain in extremity

Symptoms: 3/14 - Cold feet, headache at 3pm; by 6pm severe chills, nausea, throbbing headache, extreme fatigue 3/15 - 2am woke up drenched in sweat; tired all day; headache; pain and itching at injection site 3/16 - fatigue; pain and itching at injection site itching at injection site still has continued through today 3/25; also today a square rash has developed on my forearm of the arm I received the injection

Other Meds:

Current Illness:

ID: 1132670
Sex: F
Age: 29
State: MN

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

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

Lab Data:

Allergies: None

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

Symptoms: Patient became dizzy and fainted approximately 15 minutes following vaccination. Fell and hit forehead on tile floor in hallway outside clinic room. Brief loss of consciousness. Patient continued to have periods of dizziness, spotted vision and weakness as well as developed nausea. Ambulance was called and patient was transported to the hospital for further evaluation. Patient was given water and a snack, but continued to have symptoms. Later determined patient had not eaten breakfast prior to vaccination.

Other Meds:

Current Illness:

ID: 1132671
Sex: M
Age: 21
State: MA

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin

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

Symptoms: Patient received Moderna #1 on 3/18/2021 at Hospital. The next day he developed a rash on his face and chest that was not itchy or painful. It lasted less than 24 hours. Then developed dizziness and vertigo for 3-4 days, episodes lasted a few seconds and noted that it happened more when looking at screens, had the sensation of spinning and a feeling like he may fall over. He has also complained of bilateral ear ringing and a dull pain in his left ear.

Other Meds: None

Current Illness: N/A

ID: 1132672
Sex: M
Age: 57
State: WA

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/25/2021
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: Iodine-based contrast dye

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

Symptoms: Hives appeared about 15 minutes after injection - tingly & slightly itchy skin, feeling flush, hands slightly red. Symptoms lasted about 24 hours.

Other Meds: Multivitamin, Vitamin D, magnesium+calcium, 81mg aspirin, citrucel

Current Illness:

ID: 1132673
Sex: M
Age: 53
State: MA

Vax Date: 02/17/2021
Onset Date: 02/24/2021
Rec V Date: 03/25/2021
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: Rocking tremors back and forth in pelvis

Other Meds: Levothyroxine, Omeprazole, Finesteride, Cialis, Zolpidem, Astralagus, Multivitamin

Current Illness: Lyme Disease (treated and in remission). Hashimodo's Thyroid (normal TSH)

ID: 1132674
Sex: F
Age: 54
State: PA

Vax Date: 03/17/2021
Onset Date: 03/22/2021
Rec V Date: 03/25/2021
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: Sulfa - hives Cipro - breathing difficulty

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Vertigo/dizzines with associated nausea and vomiting beginning on day 5. It is not as severe on day 8 but still there.

Other Meds: Spironolactone 100 mg qd Bupropion 150 mg bid

Current Illness:

ID: 1132675
Sex: M
Age: 58
State: MI

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/25/2021
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: KNDA

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

Symptoms: Patient received his first dose of COVID 19 vaccine Moderna on 3/11/2021, and then inadvertently was given a dose of Janssen on 3-23-2021.

Other Meds:

Current Illness:

ID: 1132677
Sex: M
Age: 39
State:

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
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: iodonated contrast, peanuts, reglan, shellfish, doxycycline

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Patient received first dose of Pfizer vaccine and reported lip tingling and numbness as well as "a funny feeling in his stomach" and light headedness. individual was taken to private stretcher area. Vital signs stable: BP 145/88, HR 64, RR 18, O2 Sat 100%. Observation continued for 30 additional minutes and symptoms resolved. No medications provided. Patient reports allergies and brought epi pen with him.

Other Meds:

Current Illness:

ID: 1132678
Sex: F
Age: 17
State: MN

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
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 reported

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

Symptoms: This is a 17 y.o child care provider that received Moderna due to her employment for first dose. Because of receiving dose #1, allowed to give dose#2 by protocol for off-label use. Pt is aware and consents to proceed. Parental consent was also noted.

Other Meds: Unknown, none reported

Current Illness: none reported

ID: 1132679
Sex: F
Age: 43
State: TX

Vax Date: 03/22/2021
Onset Date: 03/23/2021
Rec V Date: 03/25/2021
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: Cephalexin, Zithromycin/Z-pak, Amoxicillan, Erythromycin, Doxycycline, cherries, cayenne pepper

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

Symptoms: Starting hours after the injection on 03/22/2021 my right upper arm became hot & swollen around the injection site. By the next morning (03/23/2021) I had a fever of 101.3 and it stayed at that level for nearly 24 hours. I had to stop work halfway through my normal work day. Triggered a massive migraine headache. Groggy, lethargic, minimal appetite, diarrhea, arm more swollen now, extending beyond injection site, swollen lymph nodes in neck & left armpit. Took 600mg ibuprofen every 5 hours. Drank lots of water. rested. Went to bed by 9pm. Woke up the following morning (03/25/2021) covered head-to-toe in a red rash. Assume this to be a heat rash, as my fever had broken by then & I've had a heat rash reaction post-fever in the past. However, never one to this extreme. Rash intensified throughout the day, despite multiple cool showers. Dressed as lightly as possible. Itchy. Took only ibuprofen during day to allow me to work. Took 2 Benadryl approaching bedtime to stop the itching & try to sleep. Left upper arm still swollen, sore, and hot to the touch. Woke up this morning (03/26/2021) with rash still covering body, but reduced to a much lighter pink. Still quite itchy. Left upper arm still quite swollen & sore; definitive difference in how left arm feels vs. right arm that was not injected. Arm is still quite hot in that area. Rash in that area is much redder, extending several inches outward from the original injection site.

Other Meds: OTC Zyrtec, OTC Omeprazole, OTC Pregnenolone, Biest cream (estrogen/progesterone compound, hormone therapy for post-hysterectomy), Ajovy (once monthly injection for migraine prevention)

Current Illness: None.

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm