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: 1135774
Sex: U
Age:
State:

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

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: patient ended up in the hospital from an allergic reaction; Initial information was received on 11-Oct-2020 regarding an unsolicited valid serious case from a consumer/non-healthcare professional (patient) via social media. This case involves a patient of unknown age and gender who ended up in the hospital from an allergic reaction (hypersensitivity), after patient receiving INFLUENZA VACCINE. Medical history, medical treatments, vaccinations, concomitant medications and family history were not provided. On an unknown date, the patient received a dose of suspect INFLUENZA VACCINE produced by unknown manufacturer (batch number and expiry date not reported) via an unknown route in unknown administration site for prophylactic vaccination. On an unknown date, the patient experienced an allergic reaction (hypersensitivity), (unknown latency) following the administration of INFLUENZA VACCINE. The patient was hospitalized for this event (seriousness). No laboratory data was provided. It was not reported if the patient received a corrective treatment. At the time of report, the outcome of event was unknown. Information on the batch number was requested for this case.; Sender's Comments: This case concerns a patient of unknown age who presented with allergic reaction (latency: unknown) after vaccination with INFLUENZA VACCINE. The time to onset is compatible. There is, however, no information regarding patient's condition at time of vaccination, history and lab tests do not rule out alternate etiologies. Based upon the reported information, the role of the suspect vaccine cannot be assessed.

Other Meds:

Current Illness:

ID: 1135776
Sex: M
Age: 55
State: PA

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 03/26/2021
Hospital: Y

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: Varices in his throat ruptured; A spontaneous report was received from a consumer concerning a 55-years-ol male patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced varices in his throat ruptured (oesophageal varices haemorrhage). The patient's medical history included Diabetes 2 and throat varices diagnosed in 2019. Concomitant medications reported included metformin, glipizide, sitagliptin phosphate, empagliflozin and propranolol. On 13 Feb 2021, prior to the onset of the symptoms, the patient received his first of two planned doses of mRNA-1273 (Batch number: unclear) intramuscularly for prophylaxis of COVID-19 infection. On an unspecified day in Feb 2021, the varices in his throat ruptured. He went to the hospital and was in ICU for 5 days. His physician told him that it has nothing to do with vaccine.Treatment information was not provided. Action taken with mRNA-1273 in response to the event was not provided. The outcome of the event, varices in his throat ruptured, was unknown.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.

Other Meds: METFORMIN; GLIPIZIDE; JANUVIA [SITAGLIPTIN PHOSPHATE]; JARDIANCE; PROPRANOLOL

Current Illness: Diabetes; Esophageal varices

ID: 1135777
Sex: F
Age: 77
State: FL

Vax Date: 03/04/2021
Onset Date: 03/01/2021
Rec V Date: 03/26/2021
Hospital: Y

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: potassium level was dangerously low (2.5); broken out in a rash that itches like crazy - from skull to toes; throat is closing up; can't swallow, drink or eat anything; Can't get the second dose; exhausted/tired; really sick; dry heaving so bad that her rib cage hurt; couldn't really eat for about a week; allergic to vaccine; Rib cage hurt; pink blotches in whole body; A spontaneous report was received from consumer, who was the husband of a 77-years-old patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced events really sick (vaccine complication), exhausted/tired (fatigue), dry heaving so bad that her rib cage hurt (retching), couldn't really eat for about a week (feeding disorder), potassium level was dangerously low (2.5) (blood potassium decreased), broken out in a rash that itches like crazy - from skull to toes/rash which almost looks like shingles, but it is not (rash pruritic), allergic to the vaccine (vaccination complication), throat is closing up (throat tightness), can't swallow, drink or eat anything (dysphagia),rib cage hurt (chest pain), can't get the second dose (intentional dose omission), and pink blotches in whole body (rash macular). The patient's medical history included allergy to morphine. Concomitant medications reported were hydrochlorothiazide, topiramate, tramadol, amlodipine, acetylsalicylic acid, alendronate sodium, and vitamins. On 4 Mar 2021, prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 (lot/batch: 027A21A) Intramuscularly for prophylaxis of COVID-19 infection. On 4 Mar 2021, a few hours after the injection, the patient was really sick and exhausted. The husband stated, "you name it, she had it". She was dry heaving so bad that her rib cage hurt. Also, she couldn't really eat for about a week. Her husband (the reporter) "tried to help with electrolytes". The patient was also broken out in a rash that itched like crazy-from skull to toes. The rash almost looked like shingles, but it was not (per the husband). On 09 Mar 2021 (reported as after 5 days), he insisted the patient go to the walk-in clinic. There, they drew up blood. After a few hours they called back and told her to immediately go to the emergency room since her potassium level was "dangerously low" (2.5). They told them that the patient could have a stroke so she was admitted until they could get her levels back up again. In the hospital, they told the patient to take diphenhydramine hydrochloride "but they were worried about her levels, so they didn't pay attention to the rash." They told her she was allergic to the vaccine and "can't get the second dose." The husband said he had "never seen her so sick." The patient was in the hospital until 10 Mar 2021 (reported as 2 days in the hospital) with intravenous (IV) potassium. The reported said she was "still tired" after all that. The husband called back a few minutes after his first call and said his wife told him her throat was closing up and she couldn't swallow, drink or eat anything. He also reported that she had pink blotches in her whole body. Treatment for the events included IV potassium and methylprednisolone 4 mg for 6 days. Action taken with mRNA-1273 in response to the events was unknown. The events of really sick, dry heaving so bad that her rib cage hurt, couldn't really eat for about a week, rib cage hurt, and potassium level was dangerously low (2.5) were considered resolved on 11 Mar 2021. The events of exhausted/tired, broken out in a rash that itches like crazy-from skull to toes/ rash which almost looks like shingles, but it is not, pink blotches on body, allergic to vaccine, throat is closing up, can't get the second dose, and can't swallow, drink, or eat anything were considered not resolved at the time of this report.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.

Other Meds: HYDROCHLOROTHIAZIDE; TOPIROL; TRAMADOL; AMLODIPINE; ASPIRIN [ACETYLSALICYLIC ACID]; ALENDRONATE SODIUM; VITAMINS NOS

Current Illness: Drug allergy (morphine)

Date Died: 03/12/2021

ID: 1135778
Sex: F
Age: 78
State: CA

Vax Date: 03/08/2021
Onset Date: 03/10/2021
Rec V Date: 03/26/2021
Hospital: Y

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: Breathing issues; Death; A spontaneous report was received from a consumer concerning a 78 years old, female patient who experienced breathing issues/dyspnoea. The patient's medical history was not provided. Concomitant product use was not provided by the reporter. On 08 Mar 2021, prior to the onset of the symptoms, the patient received their first of two planned doses of mRNA-1273 (Batch number not provided) intramuscularly in an unknown arm for prophylaxis of COVID-19 infection. The patient experienced breathing difficulty on 12 Mar 2021. The patient died on 12 Mar 2021. Treatment information was not provided. Action taken with the drug in response to the events is not applicable. The patient died on 12 Mar 2021. The cause of death was not reported. The reporter wanted to conduct a autopsy to find out if the death was caused by the vaccine.; Reporter's Comments: This is a case of death in a 78-year-old female subject with unknown medical history, who died 4 days after receiving first dose of vaccine. Very limited information has been provided at this time. Further information has been requested.; Reported Cause(s) of Death: Unknown cause of death

Other Meds:

Current Illness:

ID: 1135780
Sex: M
Age:
State:

Vax Date: 02/03/2021
Onset Date: 02/28/2021
Rec V Date: 03/26/2021
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: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Moderate heart attack; A spontaneous report was received from a consumer concerning a male patient of an unspecified age, who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced moderate heart attack/myocardial infarction. The patient's medical history was not provided. Concomitant medications were not provided. On 03 Feb 2021, prior to the onset of the events, the patient received their first of the two planned doses of mRNA-1273 (Batch number: unknown) for prophylaxis of COVID-19 infection. On 28 Feb 2021, the patient experienced a moderate heart attack On 03 Mar 2021, the patient received their second of the two planned doses of mRNA-1273 (Batch number: unknown) for prophylaxis of COVID-19 infection. The event, moderate heart attack, was deemed medically significant. Treatment information was not provided. Lab tests were not provided. Action taken with mRNA-1273 in response to the event was not applicable as patient took both doses of the vaccine. The outcome of the event, moderate heart attack, was considered resolved as of 28 Feb 2021.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded. Further information has been requested.

Other Meds:

Current Illness:

ID: 1135784
Sex: F
Age: 76
State: FL

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/26/2021
Hospital: Y

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: Troponin over 4000; Blood pressure over 300; Flushing beet red/erythema; Feeling groggy; Difficulty with cognition; Arm swelling; feeling hot/overheating; A spontaneous report was received from a consumer who is a 76-year-old, female patient who experienced blood pressure over 300 (blood pressure increased), troponin over 4,000 (troponin increased), flushing beet red (flushing), overheating (body temperature increased), grogginess (somnolence), difficulty with her cognition (cognitive impairment) and arm was swollen (peripheral swelling). The patient's medical history included breast cancer in the right breast. Products known to have been used by the patient, within two weeks prior to the event, included cholesterol medication and once weekly Fosamax with calcium and vitamin D. On 10-MAR-2021, the patient received a dose of mRNA-1273 (Batch number: 026A21A) intramuscularly in the left arm for prophylaxis of COVID-19 infection. On 10 Mar 2021, immediately following the vaccination, the patient reported she experienced overheating, became beet red and her blood pressure was over 300. An ambulance took her to the emergency room. She had her troponin levels checked which were over 4000 that lead to a hospital admission and required a unspecified catherization. The patient was discharged home on unspecified date. She reported still feeling groggy and having difficulty with her cognition but it was improving throughout the day. The patient also reported her arm was still swollen, but improving. Treatment for the event included diphenhydramine and other unspecified medications and treatments. Action taken with mRNA-1273 in response to the events was unknown. The events, blood pressure over 300 and troponin over 4,000, were considered recovering. The events, flushing beet red, overheating, and grogginess were considered not recovered.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.

Other Meds: FOSAMAX; CALCIUM; VITAMIN D NOS; CHOLESTEROL HEALTH

Current Illness:

ID: 1136284
Sex: F
Age: 70
State: PA

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 03/26/2021
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: Codiene

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Since receiving 2nd vaccine I have had severe joint & muscle pain along with extreme fatigue

Other Meds: Valsartan 160 mg rosuvastatine Calcium 40 mg Lorazepam 1mg Preservision areds 2

Current Illness:

ID: 1136285
Sex: M
Age: 41
State: UT

Vax Date: 03/12/2021
Onset Date: 03/21/2021
Rec V Date: 03/26/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Dizziness, vertigo

Other Meds: Multi vitamin Zyrtec Fluoxetine Vitamin b12 Vitamin e

Current Illness:

ID: 1136288
Sex: F
Age: 28
State: TN

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/26/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: Immediately after this vaccination, the patient asked us to call 911 because her heart was racing and she felt dizzy. We told her to sit down and try to stay calm and we took her blood pressure. Blood pressure was 171/134 and her resting heart rate was 156 bpm. We told her to take some deep breaths and wait 5 minutes. We took it again, it was still high, hypertensive crisis level and heart rate was still elevated in the 120s. We took another pharmacists blood pressure to make sure monitor was accurate and it was normal/accurate. The patient refused to go to the ER even though she was strongly advised to.

Other Meds:

Current Illness:

ID: 1136289
Sex: F
Age: 57
State: WA

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/26/2021
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 known

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Loud ringing in my ears

Other Meds: None

Current Illness: none

ID: 1136290
Sex: F
Age: 70
State: WA

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/26/2021
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: patient complained about dizziness and rapid heart rate 15 minutes after vaccine administration. BP was 145/88, 143/95, 131/87- pulse 72,71,69 every 10 minutes. felt better after 1/2 hour and left home. called her 5 hours later, she was doing fine

Other Meds: none

Current Illness: unknown

ID: 1136291
Sex: F
Age: 60
State: FL

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 03/26/2021
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: *Penicillin *Latex

Symptom List: Rash, Urticaria

Symptoms: Nausea, Vomit/Diarrhea, Chills (very cold head to toes), body/joints ache, stiff throat

Other Meds: *Methylprednisonole 4 MG Tablets: 1 tablet by mouth twice daily * Hydroxychloroquine 200 MG Tablets: 1 tablet by mouth twice daily *Diovan 320MG Tablets: 1 tablet by mouth daily *Metoprolol ER Succinate 50 MG TABS:1 tablet by mouth daily *I

Current Illness: None

ID: 1136292
Sex: F
Age: 35
State: CA

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/26/2021
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: Dry heave. BP 132/111 (pulse 82). Benadryl 25 mg PO given.

Other Meds:

Current Illness:

ID: 1136293
Sex: M
Age: 62
State: FL

Vax Date: 03/08/2021
Onset Date: 03/14/2021
Rec V Date: 03/26/2021
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: bee sting

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

Symptoms: Tinnitus - Left Ear - plus some hearing loss . The tinnitus comes and goes, and seems to also be related to my neck position

Other Meds: Daily multivitamin

Current Illness: none

ID: 1136294
Sex: M
Age: 34
State: UT

Vax Date: 03/22/2021
Onset Date: 03/24/2021
Rec V Date: 03/26/2021
Hospital:

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

Lab Data:

Allergies: Allergic to iodine

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

Symptoms: Severe tremor and chills; near fainting; blood in urine and stool.

Other Meds: Tamoxifen, Sulindac, Turmeric, Quercetin

Current Illness:

ID: 1136295
Sex: F
Age: 51
State: MD

Vax Date: 03/23/2021
Onset Date: 03/24/2021
Rec V Date: 03/26/2021
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: No

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

Symptoms: Woke up in the morning about 7:45 with a terrible Headache that lasted for about 3 hours and returned again about 5pm for about 1hr. My body felt exhausted, tired and drained the entire day. I was also extremely sleepy all day. I experience muscle aching pain for about 1 hour starting about 4pm. Also had pain on the arm that injection was given on.

Other Meds: Women's Multiple vitamin

Current Illness: None

ID: 1136296
Sex: F
Age: 43
State: TX

Vax Date: 03/17/2021
Onset Date: 03/25/2021
Rec V Date: 03/26/2021
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: Na

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

Symptoms: Circular rash under the injection site , also while taking a bath felt sudden pain on my shin which later on turned into a big bruise . Also bruise on the injection site. All appeared after a week of getting the vaccine.

Other Meds: Asmanex

Current Illness: Na

ID: 1136297
Sex: F
Age: 67
State: PA

Vax Date: 03/17/2021
Onset Date: 03/26/2021
Rec V Date: 03/26/2021
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

Symptom List: Ear pain, Hypoaesthesia

Symptoms: COVID-19 arm per personal research online. Itchy raised welt like area at injection site.

Other Meds: Metformin, Synthroid, Urosol, Gabapentin

Current Illness: Diabetes

ID: 1136298
Sex: M
Age: 45
State: CA

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/26/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Nausea, denies chest pain, SOB, no difficulty swallowing. Initial BP 143/87 (pulse 64), 100% O2 sat. Final BP 133/89 (pulse 63), 100% O2 sat.

Other Meds:

Current Illness:

ID: 1136299
Sex: F
Age: 37
State: AZ

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

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

Lab Data:

Allergies: Rash from ibuprofen;

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

Symptoms: Almost immediate pain in right hip area followed by rapid heart rate. Then experienced sweating and overheating followed by chills and inability to get warm. Arms and hands started tingling and feeling numb and then it moved to my legs. Took Tylenol and tried to drink water and eat a little. Slept for several hours and then had a bad headache causing a little bit of nausea and still very sensitive in right hip area, took more Tylenol.

Other Meds: 5 mg Amlodipine 50mg Spironolactone

Current Illness: None

ID: 1136300
Sex: F
Age: 56
State: FL

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

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

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

Symptoms: Fever, chills, sweating, body aches, headache, nausea

Other Meds: none

Current Illness: none

ID: 1136301
Sex: F
Age: 47
State: AK

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 03/26/2021
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 known

Symptom List: Unevaluable event

Symptoms: Day 1: Chills, fatigue, aches, low grade fever (under 100). Day 2: Intense fatigue Day 3: Some fatigue Day 4: Light fatigue Day 5: Sore neck on left side, as if in muscle or lymph node, slight swelling along neck, intermittent recurring rash, extreme skin sensitivity, periodic itching various sites Day 6: Same as above. Last day reported. Symptoms still existing as of writing.

Other Meds: Magnesium, Vitamin B1, Vitamin D, Vitamin A, Zinc, NAC

Current Illness: None

ID: 1136303
Sex: F
Age: 67
State: FL

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 03/26/2021
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: Sulfa. MSG

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

Symptoms: While I was waiting outside the clinic for 30 minutes, I first felt I ringing on my ears. It was very low level; high pitched sound low down at the back of my head. Unfortunately this ringing/Tinitus has continued every day and periodically gets worse. It has never gone away since the first day of my first dose. It seems worse at night when I am quiet. No additional tinitus with the 2nd dose.

Other Meds: Levothyroxine

Current Illness: No

ID: 1136304
Sex: M
Age: 20
State: AZ

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/26/2021
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: No allergies per patient

Symptom List: Injection site pain, Pain

Symptoms: Approximately 10 minutes after receiving the Moderna vaccine, this writer was called to the patient room by other staff. The patient was extremely confused and not speaking to anyone. He was gazing to the left and not making eye contact with this writer, who was loudly talking to the patient. Multiple attempts were made to get the patient's attention with no success. The patient then began to involuntarily raise his bent left arm in front of his face and then back down to his side. In this writer's opinion, the patient was having a silent seizure. This writer sat with the patient, who became aware approximately 15 seconds later. He was able to answer questions and was quickly reoriented. At this point this writer had the staff call 911 for further evaluation. After answering basic questions appropriately., this writer gathered vital signs on the patient . The first set of vitals were: bp 88/48, pulse 60, respirations 14/min, oxygen saturation 93% on room air, temp 98.5. After small conversation with the patient, another set of vitals were taken: bp 94/70, pulse 68, respirations 15/min, oxygen saturation 95% on room air, temp 98.8. We then had the patient drink some water, then had him lie down in the patient room until EMS arrived. By the time they arrived, the patient was completed reoriented and laughing with office staff. EMS evaluated the patient and deemed him safe to go home with his friend driving. This writer walked the patient to the car to assess balance and coordination. This writer informed the patient and his friend to call 911 if symptoms returned. The patient agreed.

Other Meds: Patient is prescribed Abilify and Effexor.

Current Illness:

ID: 1136305
Sex: F
Age: 39
State:

Vax Date: 03/22/2021
Onset Date: 03/22/2021
Rec V Date: 03/26/2021
Hospital:

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

Lab Data:

Allergies: Pesticides. Bee venom, penicillan, food sensitivities to tomatoe, wheat, cheese, sometimes nuts

Symptom List: Injection site pain, Menorrhagia

Symptoms: Dizziness Right after, fatigue, chills, racing heart, sore arm, pins and needles and numbness in limbs

Other Meds: Thyroid

Current Illness:

ID: 1136307
Sex: F
Age: 49
State: CA

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/26/2021
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: Throat tickling, BP 111/80 (pulse 65), 100% O2 sat.

Other Meds:

Current Illness:

ID: 1136308
Sex: F
Age:
State: CA

Vax Date:
Onset Date: 08/01/1977
Rec V Date: 03/26/2021
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: Cipro

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Hard red patchy skin around injection site. Area is warm to the touch and itchy

Other Meds: Vitamin D, MultiV gummies, fish oil, vita C, turmeric

Current Illness: None

ID: 1136309
Sex: F
Age: 65
State: SC

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

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

Lab Data:

Allergies: Clindamycin and penicillin .

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Within 3 hours I was achy, headache, very very dizzy (room spinning around, sick on my stomach and cold sweats for about 48 hours. Arm swollen and extremely sore. No fever, no lose of taste or smell.

Other Meds: At hardy XR 5-1,000 mg twice a day: Glipizide 10mg twice a day; Fenofibrate 130 mg 1 x day; Pravastatin sodium 49 mg 1x day; Metoprolol Succ ER 75 mg 1 x day; Telmisartan HCTZ 40-12.5 mg 1 x day;Bupropion Hcl XL 150 mg 1 C day; Desvenlaf

Current Illness: None.

ID: 1136310
Sex: F
Age: 70
State: OR

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/26/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Started to not feel well 10 hours after injection. About 12 hours after the injection I had nausea, vomiting, fever, headache. Symptoms ended about 24 hours after injection.

Other Meds: none

Current Illness: none

ID: 1136311
Sex: F
Age: 71
State: CA

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 03/26/2021
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

Symptom List: Nausea

Symptoms: Patient states right arm became hard after receiving first dose of Pfizer and is still feels hard when she came in for her second dose. She states no pain.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1136312
Sex: F
Age: 26
State: CA

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/26/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: Dizziness. BP 133/71 (pulse 78). Stabilized.

Other Meds:

Current Illness:

ID: 1136313
Sex: F
Age: 36
State: UT

Vax Date: 03/17/2021
Onset Date: 03/25/2021
Rec V Date: 03/26/2021
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: Rash, redness, swelling and itchy at injection site

Other Meds: None

Current Illness: None

ID: 1136314
Sex: F
Age: 45
State: WA

Vax Date: 03/17/2021
Onset Date: 03/24/2021
Rec V Date: 03/26/2021
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: None

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

Symptoms: On 3/24 I woke up feeling swollen in my armpits. It felt more swollen on the left arm (same arm as the injection) than on the right. The swelling lasted all day and went down by the next morning (3/25). On the evening of 3/25 I noticed that my arm at the injection site felt itchy. When I scratched it I noticed it was hard surrounding the site. The diameter of the itchy hard area is about 2.5 inches.

Other Meds: None

Current Illness: None

ID: 1136315
Sex: F
Age: 61
State: WA

Vax Date: 03/22/2021
Onset Date: 03/23/2021
Rec V Date: 03/26/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: Tinnitus Ringing

Other Meds: Zoloft Multivitamin Tylenol

Current Illness:

ID: 1136316
Sex: F
Age: 37
State: NC

Vax Date: 02/24/2021
Onset Date: 03/02/2021
Rec V Date: 03/26/2021
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: Erythema, Pruritus

Symptoms: Experienced painful lumps in breast. After ultrasound and mammogram, Mondor?s Disease.

Other Meds: Losartan, Cetirizine

Current Illness:

ID: 1136317
Sex: M
Age: 59
State: UT

Vax Date: 03/24/2021
Onset Date: 03/25/2021
Rec V Date: 03/26/2021
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: Nausia, vomiting

Other Meds: januvia, Fenibibrrate, Atorvastatin, Clopidogril, Levemir, Gabapentin, Glipizide, Amlodopine Besylate, Low Dose Aspirin, Cologen, MSM

Current Illness: Non

ID: 1136318
Sex: F
Age: 55
State: TX

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/26/2021
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: Itching throughout body.

Other Meds: None

Current Illness: None

ID: 1136319
Sex: F
Age: 40
State: CA

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/26/2021
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: Asthenia, Chills, Headache, Myalgia

Symptoms: Dry throat, cough. BP 133/88 (pulse 61).

Other Meds:

Current Illness:

ID: 1136320
Sex: F
Age: 68
State: MA

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/26/2021
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: Some NSAIDs; hydrochlorothiazide

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

Symptoms: A few hours after receiving the vaccination, I noticed that food had a metallic taste. I did not lose my sense of taste or my sense of smell; it was only that the sense of taste was altered. The metallic taste had greatly diminished within 24 hours and continued to abate until I was no longer aware of it by 36 hours after injection.

Other Meds: Statin, 10 mg; lorazepam, .5mg; lisinopril, 2.5 mg

Current Illness: None

ID: 1136322
Sex: F
Age: 26
State: CA

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/26/2021
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: Fuzzy. BP 132/104 (pulse 101), O2 sat 97%. Final BP 123/87 (pulse 93).

Other Meds:

Current Illness:

ID: 1136323
Sex: F
Age: 65
State: WV

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

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

Lab Data:

Allergies: Zestril, Keflex

Symptom List: Pain in extremity

Symptoms: Extreme swelling of both legs

Other Meds:

Current Illness:

ID: 1136324
Sex: F
Age: 66
State: WA

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/26/2021
Hospital:

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

Lab Data:

Allergies: hydro and oxycodone, a bunch of antibiotics

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

Symptoms: has been feverish, weak, temperature of 99.8 on 3/25 10:33 PM PDT, neck, and throat hurts, sore muscles, very sore at the injection site, diarrhea, nausea, headache, tender scalp These symptoms are unchanged after 24 hours (started approx 10 pm 3/24 is is now after 10pm 3/25.

Other Meds: Valacyclovir, Metformin, hydrochlorothiazide, lisiniprol, amlodopine, potassium, Vitamin-B, C, D, spirulina, chlorella, CoQ10, glucosamine, jarrosil, sam-e

Current Illness: constant recurring herpes outbreaks

ID: 1136325
Sex: F
Age: 60
State: NC

Vax Date: 03/13/2021
Onset Date: 03/26/2021
Rec V Date: 03/26/2021
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: Sulfa Penicillin Black pepper

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

Symptoms: Hallucinations Possibly fever, fatigue & dehydration 1-2 days ago Mild headache

Other Meds: None

Current Illness: None

ID: 1136326
Sex: F
Age: 39
State: MA

Vax Date: 03/24/2021
Onset Date: 03/25/2021
Rec V Date: 03/26/2021
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: Sulfa

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

Symptoms: Large red lesion around infection site, somewhat itchy and painful.

Other Meds: Warfarin, Zoloft, Modafinil, Dupixent

Current Illness: None

ID: 1136327
Sex: F
Age: 60
State: CA

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/26/2021
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: Initially, mild nausea, immediately (with 15 minutes of administration) . Resolved promptly within 30 minutes of injection. Then, three hours after administration (at approx. 12.30 p.m.), the following symptoms in order of severity: 1. Severe tiredness/fatigue. Lasted 4 hours. Resolved when I took a half hour nap. 2. Sore throat. Still present at 10.30 pm. 3. Swollen lymph nodes (lymphadenopathy). Significant improvement after 4 hours from onset (3 hours after administration). However, still present at 10.30 p.m. 4. Feeling unwell/malaise. Resolved after I took a nap. 5. Dry eyes. I had to remove my contact lenses and put on eyeglasses when I got home at approx. 2pm. 6. Dry mouth. Unresolved, even with drinking a lot of water and tea. Symptoms were fairly severe. I had to leave work and go home to rest. I was unable to drive myself home.

Other Meds: Multi-vitamins only

Current Illness: None

ID: 1136328
Sex: F
Age: 53
State: CA

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 03/26/2021
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: Severe depressive episode that lasted two days, and then repeated 7 days later for one day.

Other Meds:

Current Illness:

ID: 1136329
Sex: F
Age: 36
State: CA

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/26/2021
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: NKDA

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

Symptoms: Left arm pain at injection site started 3/17/21. The pain got worse 3/18/21, having trouble lifting arm sideways. Improved 3/19/21, resolved by 3/20/21. Starting 3/24/21, developed a few hives at left arm injection site, no treatment given. Better on 3/25/21 but not yet completely resolved.

Other Meds: No prescriptions on the day of vaccination, but on day after (3/18/21), started Gonal F 200 units SC daily and Menopur 150 IU SC daily for IVF.

Current Illness: None

ID: 1136330
Sex: F
Age: 40
State: CA

Vax Date: 03/20/2021
Onset Date: 03/25/2021
Rec V Date: 03/26/2021
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: Keflex, Septra-DS, Minocycline, Elidel, MAYBE pertussis vaccine

Symptom List: Injection site swelling, Limb discomfort

Symptoms: ADVERSE REACTION TODAY: hot, itchy rash on forearms made up of tiny blisters -- > no tx thus far -- > OTHER SIDE EFFECTS: Immediate onset: muscle pain at site of injection Onset about 11 hours post-vaccination: fever, chills, muscle aches, site of injection red and in worse pain, headache Onset about 24 hours post-vaccination: earache off and on Onset about 48 hours post-vaccination: fever spiked at 101.8 Onset about 96 hours post-vaccination: lethargic, headache

Other Meds: Venlafaxine, Amitriptyline, Iron, Multi-Vitamin, Busiprone

Current Illness: No other illnesses

ID: 1136331
Sex: M
Age: 38
State: CA

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/26/2021
Hospital:

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

Lab Data:

Allergies: NKDA

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

Symptoms: Starting 3/17/21: left arm pain at injection site, resolved 3/19/21 Starting 3/17/21: mild fatigue which became severe on 3/18/21, had to take half day off work. Completely resolved 3/19/21.

Other Meds: none

Current Illness: none

ID: 1136332
Sex: F
Age: 57
State: CA

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 03/26/2021
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: Right after the injection my heart started pounding. Hard pounding. I told the nurse. Did not stop the whole time I was there. I didn?t go to work after the shot because my heart wasn?t stopping. I went home and took my blood pressure and it was sky high. 198/103. I sometimes have anxiety but this was completely different. I went straight to bed to try and calm my body down. Stayed extremely high for a couple of hours. Dropped to 158/90 something. I have had up and down blood pressure ever since. I can feel it. Go take it and it?s higher than normal. Shooting up. I?m afraid to get the second shot. Normally my blood pressure is around 127/81 controlled by small amount of benazepril. It now feels like it is out of control. Up and down all day. I have not gone to the doctor yet but am extremely worried about the next shot next week.

Other Meds: Benazepril HCI 5mg

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm