VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
PLEASE CHECK BACK SOON
Download the files above while you wait.






Manufacturers

Total Manufacturer
187,133MODERNA
33,878JANSSEN
2,321PFIZER\BIONTECH
1,091GLAXOSMITHKLINE BIOLOGICALS
983UNKNOWN MANUFACTURER
363MERCK & CO. INC.
229SEQIRUS, INC.
45DYNAVAX TECHNOLOGIES CORPORATION
41NOVARTIS VACCINES AND DIAGNOSTICS
29SANOFI PASTEUR
18EMERGENT BIOSOLUTIONS
8PAXVAX
7TEVA PHARMACEUTICALS
4PFIZER\WYETH
3BERNA BIOTECH, LTD.
2SMITHKLINE BEECHAM
2INTERCELL AG
2PROTEIN SCIENCES CORPORATION
1CSL LIMITED

Incidents per State

State Total
77,548
AK1,869
AL5,581
AR3,688
AS47
AZ14,288
CA61,984
CO11,665
CT8,149
DC1,663
DE1,807
FL37,749
FM5
GA15,058
GU120
HI2,453
IA4,625
ID2,692
IL20,334
IN24,007
KS4,615
KY7,696
LA4,887
MA14,654
MD12,514
ME3,129
MH11
MI18,739
MN12,528
MO9,710
MP29
MS2,790
MT2,375
NC16,368
ND1,356
NE2,880
NH3,100
NJ17,634
NM3,916
NV4,239
NY34,355
OH19,081
OK6,195
OR8,636
PA23,083
PR2,370
QM2
RI2,088
SC6,411
SD1,212
TN9,131
TX35,174
UT4,273
VA14,937
VI64
VT1,676
WA14,909
WI11,259
WV2,388
WY861
XB5
XL1
XV2

ID: 1190596
Sex: F
Age: 59
State: CA

Vax Date: 03/16/2021
Onset Date: 03/20/2021
Rec V Date: 04/10/2021
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: Penicillin Codeine Sulfa

Symptom List: Dysphagia, Epiglottitis

Symptoms: Shingles on face

Other Meds: Progesterone 100mg Estradiol 1mg Trokendi XR 25mg Lisinopril 10mg Gabapentin 300mg Cymbalta 90 mg Synthroid 88mg Atorvastatin 20mg Novalog Insulin Pump

Current Illness: Type 1 Diabetes

ID: 1190597
Sex: F
Age: 42
State: IN

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Anxiety, Dyspnoea

Symptoms: Felt tightening in left arm from wrist to shoulder in the first five minutes. Lost sensation in first three fingers of left hand within ten minutes, however I?ve experienced this with previous vaccinations (usually the next day) and did not consider it to be an immediate concern. Waited the required fifteen minutes and then proceeded to leave the vaccination area to do some shopping. As I was looking for an item, I began to notice a tightening in my chest and in my throat. I waited several minutes to confirm that it tightening in my throat still was a problem and proceeded back to the front of the store to let the pharmacist know. We then took my blood pressure - it was 163/85. I typically have low blood pressure in the low 90s over high 50s (asymptomatic), so this caused immediate concern. Even in more stressful scenarios in which I?ve felt extremely anxious (rushing to doctor?s appts with young children in tow, having a ruptured ovarian cyst and experiencing high levels of pain), my blood pressure has never exceeded 128/70. This reading was the exception and not the norm. EMTs confirmed that I was not in anaphylaxis, but I was picked up in an ambulance and taken to the ER. After my blood pressure decreased, my initial symptoms resolved. The next day I experienced more typical vaccine reactions - aching, fatigue, soreness, tingly of hand/fingers, headache - but those are what I experience with many other vaccines and they raised no cause for concern. The high blood pressure and immediate tightness in arm, chest, and throat from Covid vaccine was new.

Other Meds: Novolog, Synthroid

Current Illness: None

ID: 1190598
Sex: F
Age: 39
State: NY

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 04/10/2021
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: Headache, exhaustion, extreme arm pain, extreme joint pain, muscle aches, arm bruising, nausea, fever, chills

Other Meds:

Current Illness:

ID: 1190599
Sex: M
Age: 27
State: MI

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Mild headache and following mild fever

Other Meds: None

Current Illness: None

ID: 1190600
Sex: F
Age: 62
State: VA

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: 8April 10:00AM-11:00AM prickly warm sensation on shoulder, face, near injection site also arms and hands 11:15AM-1:00PM Itchy bumps on both forearms, heart jumps, headache, metalic taste 1:10PM sudden fatigue, sleeping and drinking water for the next 40hours through to 7:00am 9April 3AM severe headache wakes me, I have a fever. 99.1 fever continue to rise throughout all of 9April and head ache does not lessen until after 7am 10 April 4:15AM vomiting 4:49AM HeadAches in every brain cell and in eyes, Temp 99.7 8:20 am temp 99.8 12:00pm temp 99.9 7:00pm temp 100.8 took 2 tylenol 8:40pm temp 100.0 10April 1:11AM temp 97.4 headache persists 7:00am Headache starts to lessen, fatigues persists 1:00pm fatigues abates

Other Meds: none

Current Illness: none

ID: 1190601
Sex: F
Age: 63
State: FL

Vax Date: 04/03/2021
Onset Date: 04/06/2021
Rec V Date: 04/10/2021
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: None

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

Symptoms: Ringing in ears. Ongoing

Other Meds: Losartan Metoprolol tartrate

Current Illness: Some Congestion

ID: 1190602
Sex: F
Age: 27
State: IN

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/10/2021
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: Sulfa drugs

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Within five minutes: racing heart beat, full body flush, tingling and burning mouth and tongue, itching on chest and arms.

Other Meds: Try-estarylla, singulair, Qnasl, Lexapro

Current Illness:

ID: 1190603
Sex: F
Age: 55
State: TX

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: Garlic

Symptom List: Pharyngeal swelling

Symptoms: Fever, chills, nausea, light headed

Other Meds: Synthroid multi vitamin

Current Illness: None

ID: 1190604
Sex: F
Age: 39
State: MN

Vax Date: 04/08/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
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, comparing, permanent, reglan

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Vertigo, began 29 hours after vaccination, prescribed Meclizine

Other Meds: Humalog, Cymbalta

Current Illness: None

ID: 1190605
Sex: F
Age: 28
State: TX

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/10/2021
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: sulfa based drugs

Symptom List: Diarrhoea, Nasal congestion

Symptoms: "Covid arm" inflamed and red area surrounding injection site, hot to the touch. sore for the first few days but still red irritated and inflamed, puffy and somewhat itchy 4/10/21

Other Meds: Birth control

Current Illness: n/a

ID: 1190606
Sex: M
Age: 28
State: VA

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: NA

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

Symptoms: Fatigue, aches over body, severe chills. Symptoms started about 5-6 hours after vaccination and were severe after 8-9 hours. Less intense symptoms the following day. Treated with Tylenol and Motrin for aches and chills which help with pain, but symptoms would return after medicine wore off

Other Meds: Sertraline 25mg once daily

Current Illness: NA

ID: 1190607
Sex: F
Age: 35
State: WA

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
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: Sulfa drug, NSAIDs, grains, nuts, seeds, avocado, banana, tomato.

Symptom List: Rash, Urticaria

Symptoms: Full body hives, treated with comfort measures, currently unresolved.

Other Meds: Vitamin D3, Vitamin C, Vitamin B complex, Probiotic supplement, Magnesium, Smarty Pants Women?s multi vitamin.

Current Illness:

ID: 1190608
Sex: M
Age: 74
State: WA

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

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

Lab Data:

Allergies: nka

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

Symptoms: Pt here for 2nd dose of Moderna. No complications with first dose. Pt started to have SOB while using the restroom. Clinical staff transported Pt from bathroom to Post observation area using wheelchair. Pt has hx of COPS, asthma, DM, and HTN. Pt states he did not bring his inhalers with him and does not know what his normal O2 sat is. Initial pulse O2 sat was 71% on RA. Pt placed on 4L of O2 via NC and Aid called. Pt diaphoretic and reports not having eaten or taken his insulin this morning. Medics arrived and took over care. Pt o2 sat increased to 93% on 4L O2 NC. Pt posturals checked and after standing for 2 min on RA, Pt O2 sat decreased to 79% on RA. Pt then became diaphoretic again, and "could not stand safely" per the medics. Medics called for an ambulance to transport Pt to Medical Center. Pt placed back on 4L O2 NC and O2 sat maintained at 90% on 4L O2 NC. Pt and wife agreed to transport to medical center. Pt was transported to MC via ambulance. Other vitals to note BG 256. HR 108 BP 142/palp RR 20

Other Meds: unknown

Current Illness: unknown

ID: 1190609
Sex: F
Age: 58
State: TX

Vax Date: 03/28/2021
Onset Date: 04/04/2021
Rec V Date: 04/10/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: none

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

Symptoms: I received. the second dose of the Pfizer vaccine on 3/28/21 (first dose on 3/7/21). On the following Sunday, 4/4/21, I developed what I thought was a rash on my legs, but predominately on my left leg and forearm . The rash was red and purple spots, covering about 1/2 of my leg. On Thursday, 4/7/21, I visited my PCP for a check. He diagnosed the rash as purpura, most likely a result of my COVID vaccine. In addition, he ordered a platelet count . The platelet count came back as normal on 4/8/21 . I have no underlying health conditions .

Other Meds: Omeprazole Temazapam Calcium, magnesium, zince Vitamin C Vitamin D Multivitamin

Current Illness: none

ID: 1190610
Sex: F
Age: 42
State: WI

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
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: Multiple allergies per patient and significant other

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

Symptoms: Vaccine given at 1039. At 1051, pt complained of increased facial swelling, redness, and throat itching. Rapid response called. Pt evaluated- O2 95% room air., resp rate 24, HR 136, and BP 148/104. Per pt, she has multiple allergies and this happens often. Her blood pressure is always elevated like this. Her face was swollen already as she was evaluated in the ER and monitored in the hospital overnight on 4/9/21. Pt able to hold a conversation without difficulty. Liquid Benadryl (25mg) given by mouth as pt denied any swallowing difficulties. EpiPen ready for administration. in the meantime, rapid response team arrived and transferred patient immediately to ER. RN had EpiPen with her to give if needed.

Other Meds:

Current Illness: Evaluated in ER on 4/9/21 and monitored in hospital overnight for facial swelling, allergic reaction

ID: 1190611
Sex: M
Age: 43
State: NM

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/10/2021
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Persistent abdominal pain, diarrhea, nausea, back pain, fatigue and dizziness starting 4 hours after shot and still continuing 5 days later.

Other Meds: Venlafaxine Buproprione

Current Illness: None.

ID: 1190612
Sex: F
Age: 19
State: IN

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/10/2021
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: n/a

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

Symptoms: Upon resting later the day of my vaccine at home, my left arm because extremely painful and sore. Which I found to be normal and expected. However, I became very exhausted suddenly and ended up falling asleep 2-3 hours before my normal bedtime. I woke up 12 hours later unable to motivate myself to get out of bed. Finally, I did and went to go take a shower. I had chills as soon as I got out of bed and had to sit down in the shower for 10 minutes out of exhaustion and had the water running extremely hot but I was still cold. My arm was still in extreme pain. Finally, I arose from the shower floor and began showering when I started to feel as if I was going to puke right away. I laid down in the shower quickly becoming dizzy, and tried to puke. I dry heaved once to no avail. Immediately after dry heaving, my ears went numb and the shower noise was barely audible. My hands went completely numb. Home alone, I knew I needed to get out of the shower before I passed out. I managed to step out of the shower before immediately falling and possibly blacking out for some seconds and fell to the floor and laid there for a minute. Finally, I was somehow able to grab a towel and struggle to my bedroom and laid there numb for about 10 minutes. This episode ended at about noon but for the rest of the day, I had to sleep on and off, it exhausted me to try and eat, I had hot flashes, more dizziness, arm pain, and nausea. I called the doctor and they said there was nothing they could do and my symptoms were normal since I had COVID-19 in December.

Other Meds: Low estrogen birth control

Current Illness: n/a

ID: 1190613
Sex: F
Age: 70
State: MA

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: Multiple drugs allergies

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Pt reports that she got the covid vaccine. Pt reports extreme fatigue- states that she got the vaccine on 4/8/21 went to sleep on same day Thursday night starting at 8pm until Saturday morning at 6:55am. pt reports that she does not remember waking up to use the bathroom. pt reports that her daughter called her on Friday but does not remember having that conversation with daughter. reports that her daughter reported that her speech was incoherent and told daughter that she wants to sleep.

Other Meds: no medication taken the day of vaccination.

Current Illness: sickle cell, pulmonary fibrosis, diabetes mellitus

ID: 1190614
Sex: M
Age: 34
State: AZ

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

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

Lab Data:

Allergies: Pineapple, large amounts of strawberries

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: ?Covid arm?. Swelling and itching in left arm at injection site one week after injection. Felt a sharp pain/?pinch? in left armpit starting two days prior to appearance of swelling. Swelling currently feels the size of a small chicken egg. Armpit still feels slightly ?pinched? and movement in that armpit feels very slightly restricted. Swelling sore is itchy and red, although it is currently hard to tell if the redness is from scratching or inherent to the area.

Other Meds: Testosterone cypianate, Stratera

Current Illness: Possible seasonal allergies

ID: 1190615
Sex: M
Age: 35
State: PA

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

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

Lab Data:

Allergies: NKDA

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

Symptoms: Pt reported weakness with flushing. Denies LOC. Administered crackers and water and placed pt in lying position in stretcher in med obs #1. VS at 0843: BP 160/93, HR 89, RR 18, O2 sat 99% on RA. VS at 0906: BP 137/89, HR 78, RR 17, O2 sat 99% on RA. Pt sent home independently after recovering, VSS at time of discharge. Escorted to facility exit.

Other Meds: Effexor

Current Illness: none

ID: 1190616
Sex: M
Age: 61
State: CA

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/10/2021
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 known.

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

Symptoms: Dizziness and light headedness beginning approximately four (4) hours after injection. Currently (04/10/2021) experiencing mild light headedness and impaired ability to mentally concentrate and focus. Mild pain with palpation at injection site.

Other Meds: Losartan, Diltiazem, Doxazosin, Multivitamin/ mineral supplement, Aged garlic extract supplement.

Current Illness: None

ID: 1190617
Sex: M
Age: 72
State: NY

Vax Date: 03/18/2021
Onset Date: 03/22/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: shellfish

Symptom List: Unevaluable event

Symptoms: eczematous rash to dorsum of right foot 4 days after 2nd vaccine dose spreading caudally to mid-shin

Other Meds: metoprolol, atorvastatin, albuterol, tylenol-codeine

Current Illness: none

ID: 1190618
Sex: F
Age:
State: NY

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 04/10/2021
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: Allergic to sulfa drugs. Allergic to many fresh fruits- pears, apples, peaches, plums, raw nuts

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

Symptoms: About 12 hours after injection, I started feeling achey 13 hours later, I had a spell where I could not hear anything and felt as if I wasn?t in control of my body- in talking to medical personnel they say what I?m describing is what happens right before one passes out. I came out of it within 10 minutes. 16 hours later I had a 102 fever. Took Tylenol Felt fine 24 hours later 32 hours later I started to get a headache and light sensitivity. Fever back to over 99- low grade for me. 35 hours later I had such a bad headache and light sensitivity. I couldn?t watch tv, be on my phone, or look at a computer screen. I also started to get bouts of nausea. 38 hours later, I vomited for the first time. Same symptoms as what I described last. 42 hours later, I vomited again. 48 hours later - 5 days later, light sensitivity and migraine symptoms continued , but improved slowly each day. 6 days later, all previous symptoms were gone. I woke up with a bump in my inner eye. Slowly went away throughout the day, then developed a itchy, red bump in between my lips and nose, that progressively got bigger throughout the day and made my lip swell. Bump was about 2 inches in diameter at its biggest. Took Claritin, cleaned face with alcohol, and by 24 hours later it was not noticeable. 8 days later, the bump appeared again in between lip and nose on the opposite side of my face. Took Benadryl, bump slowly went down throughout the day. By 24 hours later it was gone

Other Meds: None

Current Illness: None

ID: 1190620
Sex: M
Age: 37
State: ME

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
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: Patient was administered the COVID vaccine and felt fine. He relocated to our pharmacy waiting area for observation. Once there he started to read the provided material (EUA, V-Safe) and started to feel anxious. He said the next thing he knew he was sweating and had tunnel vision. He wasn't 100% sure he passed out. A fellow associate helped him to the ground and elevated his feet. We got ice for behind his neck, and a cold cloth for his forehead. We took his blood pressure and it started to come back up. He waited for about 30 minutes before leaving. His color had returned and he stated he felt fine.

Other Meds:

Current Illness:

ID: 1190621
Sex: F
Age: 54
State: CA

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
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: Left arm numbness

Other Meds: None

Current Illness: none

ID: 1190622
Sex: F
Age: 20
State: OR

Vax Date: 04/07/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
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: none

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

Symptoms: About 10 red, slightly irritated dots on the abdomen. Mildly itchy, not painful. Mosquito bite-sized.

Other Meds: Hydroxyzine Pamoate (took 1 on 4/7/21 for anxiety), daily multivitamins and vitamin D3

Current Illness: none

ID: 1190623
Sex: F
Age: 64
State: AZ

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
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: sore arm, nausea, loss of appetite, fatigue

Other Meds: none

Current Illness: none

ID: 1190624
Sex: F
Age: 68
State: IN

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: High fever. Chills, severe body aches, severe headache, nausea, diarrhea, ring in my ears

Other Meds: None

Current Illness: None

ID: 1190625
Sex: M
Age: 69
State: MO

Vax Date: 04/06/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
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: NA

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

Symptoms: Second Immunization given at 21 days; or fewer than the 24 day interval and the ideal 28 day interval. No ill effects. Patient notified R,BSN recommended this form be completed. RN, BSN Health Consultant Nurse

Other Meds: NA

Current Illness: NA

ID: 1190626
Sex: F
Age: 30
State: KS

Vax Date: 03/03/2021
Onset Date: 03/04/2021
Rec V Date: 04/10/2021
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: First Dose: dizzy, tired Second dose: headache, fever, aches, tired, rash

Other Meds: Lexipro, birth control, all day allergy pill, women?s daily vitamin, Xanax because of fear of shots.

Current Illness: None

ID: 1190627
Sex: M
Age: 82
State: IN

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: 0

Symptom List: Injection site pain

Symptoms: BLEEDING BEFORE AND AFTER URINATING FROM URETHRA

Other Meds: lisinopril amlodipine

Current Illness: 0

ID: 1190628
Sex: F
Age: 50
State: WA

Vax Date: 04/08/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: Walnuts (not severe)

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

Symptoms: I woke to my eyes looking weird. The whites of both eyes are not white as they normally are. It appears that all the small blood vessels in both my eyes are bloodshot. No pain or itching so I?m reporting as a side effect of the vaccine. I was very fatigued and achy post injection so remained inside and resting until this morning. I am currently more fatigued than normal but not enough to cause concern. I checked my body and there is no bruising or unusual discoloration to my skin. I have no ?hot sports? or irregular limb swelling. My temperature is normal for me at 97.54. Post injection, yesterday, I was very achy, headache and back of neck pain lasting 24 hours and a slight fever. I did not take any medication.

Other Meds: None

Current Illness: Depression. Overweight but healthy and active (strength training i.e. 135# squats 3 sets of 5, 3-6mi walking 3-4x week) but I have abdominal fat and a large waist measurement.

ID: 1190629
Sex: F
Age: 35
State: CO

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
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: N/A

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

Symptoms: 7 pm (about 7 hours after vaccine), very nauseated, dry heaving a few times, pounding headache, legs below knees had sharp shooting pains, nearly uncontrolable shivering, severe arm pain from injection. Took Ibuprofen, rubbed "cramp cream" on legs, used heating pad under multiple blankets to keep warm. Had trouble sleeping because of the throbbing, but woke up with a headache and some arm pain. Feeling a lot better on day 2.

Other Meds: Oxybutynin Zolpidem

Current Illness: N/A

ID: 1190630
Sex: F
Age: 40
State: TX

Vax Date: 03/16/2021
Onset Date: 03/17/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Tremor

Symptoms: I went to bed that night 6 hours after vaccine, and woke up with extreme flu 8 and half hours after vaccine. High fever chills, vomiting, body aches. The next morning 15 hours after vaccine my arm started to hurt so badly I could barely move. The nerves in the injected arm running up and down with shooting and pulsing, lack of feeling in hands and extreme pain through the the arm and shoulder on the injected side. The pain was extreme for 13 days I lost work time. I saw several doctors who sent me on my way. My arm still hurts right now 24 days since vaccine. The pain is not extreme but the nerves still shoot pain and oils and there is often extreme pain by the end of the day.

Other Meds: Sertraline

Current Illness: None

ID: 1190632
Sex: M
Age: 36
State: FL

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: dizziness and lightheaded with nausea

Other Meds:

Current Illness:

ID: 1190633
Sex: M
Age: 57
State: AZ

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/10/2021
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: Cutaneous hypersensitivity. A large red lesion around the injection site roughly 3 inches in diameter. Very sensitive to the touch the first 3 days. Skin felt hot and became progressively itchy on day 2 and 3. Redness is starting to fade a little on day 4.

Other Meds: Centrum multi-vitamin, Krill Oil

Current Illness: None

ID: 1190634
Sex: F
Age: 40
State: PA

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
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: augmentin

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

Symptoms: After receiving vaccine, pt reported she began to feel as though her throat was closing up. Denies SOB, no wheezing noted upon auscultation. Pt given water before transfer to med obs #1. Pt arrived swallowing water without difficulty, but reported, "throat hurts" without further elaboration on quality of discomfort. VS at 0950: BP 154/83, HR 85, RR 17, O2 sat 99% on RA. VS at 1005: BP 152/99, rechecked BP 136/91, HR 87, RR 18, O2 sat 99% on RA. VS at 1015: BP 149/99, HR 86, RR 18, O2 sat 99% on RA. Pt recovered without further complaints. VSS at time of discharge to home. No s/s of distress noted at time of discharge. Pt escorted to exit.

Other Meds: certraline, trazadone

Current Illness: none

ID: 1190635
Sex: F
Age: 77
State: TX

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Severe ongoing vertigo. Treated with meclizine 12.5 mg as needed, augmentin 500 mg every 12 hours for ten days, and prednisone 20 mg once daily for five days.

Other Meds: Ativan nighttime, Losartan morning, Metoprolol night, Meloxicam. Centrum, vitaminD3.

Current Illness: Arthritis

ID: 1190636
Sex: F
Age: 69
State: GA

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 04/10/2021
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: Quinolone family of drugs

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

Symptoms: 102.6 temp, nausea, vomiting, severe chills, weak, severe fatigue, achy, shortness of breath Lasted 5 days

Other Meds: Tamoxifen, gabapentin, vitamin D & B, probiotic, calcium/mag/zinc, Zrytec, AHCC

Current Illness: None

ID: 1190637
Sex: M
Age: 58
State: VA

Vax Date: 03/27/2021
Onset Date: 03/28/2021
Rec V Date: 04/10/2021
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: Dust, Cats, Dogs

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

Symptoms: On the morning after the second vaccine, I awoke with a bad headache. I was expecting something like this so I didn't worry about it. Within a couple of hours, however, the headache began to include migraine-like visual disturbances primarily in the left eye field of vision. The pain got worse. I took Tylenol as I was advised not to take ibuprofen. The headaches and visual disturbances continued intermittently for a couple of weeks. (The headaches are still here at a low level. The visual disturbances/flashes disappeared after 12 days.) While I was having the migraine-like symptoms, after about two or three days, I developed additional visual problems in my left eye. There was like a gray nebula of strands in my visual field. I went to the ophthalmologist on 4/6/21, 10 days after the shot. She diagnosed Posterior Vitreous Detachment (PVD). While she knew of no mechanism for the vaccine to cause this, I am reporting this as the headaches, visual disturbances/flashes, and the PVD developed immediately after the second Pfizer shot, headache rolling into flashes rolling into PVD nebula. The doc said this may or may not go away after a while. We shall see.

Other Meds: Prescription: Dexilant 60 mg, once per day (breakfast), Ranitidine, 300mg, once per day at bedtime, Losartan, 100mg, once per day, for high blood pressure, Zaleplon 10-20mg, as needed, ~15 days per month, for insomnia, Colcrys 0.6mg, once o

Current Illness: None, other than those in the next section

ID: 1190638
Sex: F
Age: 32
State:

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: Onset of lightheadedness, vertigo, nystagmus, and struggling to walk straight ~12 hr after vaccine. Took Claritin every 4 hr, Antivert every 8 hr, and ibuprofen 800 mg every 8 hr to reduce side effects. Required almost full 24 hr of lying down to prevent falls and nausea.

Other Meds:

Current Illness: Upper respiratory cold 15 days prior Vertigo/nausea/vomiting episode due to vestibular neuronitis 7 days prior

ID: 1190639
Sex: M
Age: 61
State: TN

Vax Date: 04/07/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Morning of 4/9/2021, mild headache. Also cough that lasted about 10 minutes. That night, headache become more severe, swelling, inflammation in right eye. Also burning in right eye, similar to peeling onions. Damp clothe to eye provided relief. Acetaminophen relieved pain.

Other Meds: Amlodopine, Lisinopril, Metformin, Low dose aspirin, B complex vitamin

Current Illness:

ID: 1190640
Sex: F
Age: 77
State: ME

Vax Date: 03/20/2021
Onset Date: 03/28/2021
Rec V Date: 04/10/2021
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: PCN, Sulfa

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

Symptoms: 2 by 2 inch raised, red and itchy area at injection site. Used cortisone cream with swelling gone by next AM. Redness lasted for 5 days. "

Other Meds: Flecainide, Digoxin, Lisinopril, Pravastatin,

Current Illness: None

ID: 1190641
Sex: F
Age: 55
State: VT

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
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: Allergies: hornet, yellow jackets

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

Symptoms: Ringing in my ears! Tinnitus. Started a couple of hours after the first shot. It?s loud, almost a hissing sound.

Other Meds: Tamoxifen 20mg/day Chlorthaladone 25mg/day Diclofenac 75mg as needed up to 2x/day Xolair 1 ml subcutaneously every 14 days. Mixed Vespid allergy shots every 7 days

Current Illness: None

ID: 1190642
Sex: F
Age: 19
State: MN

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
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: n/a

Symptom List: Vomiting

Symptoms: I woke up with a headache at 7:30 am and a dry mouth. I got out of bed to get my water bottle, which exacerbated the headache. I tried to go back to sleep but kept waking up to drink water every half hour or so, until 10:18 am. I got out of bed to fill my now-empty waterbottle. The headache rotated and became more intense as I got up. I could only walk very slowly and tried to keep my eyes closed. Around 12:00 pm I took one tylenol. The headache is still present. It is not located in any specific part of the brain but moves around depending on if I'm sitting, standing, or laying down. During that time I also felt nauseous, but I no longer do.

Other Meds: n/a

Current Illness: n/a

ID: 1190643
Sex: F
Age: 52
State: TX

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
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: Nkda

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Subconjunctival hemorrhage, left eye

Other Meds: Loratadine, MVI, Vit D3, Mg

Current Illness: None

ID: 1190644
Sex: F
Age: 24
State: NC

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: 7 AM (about 21 hours after I received the second dose) I woke up having the most intense nausea I have ever experienced. I went to my kitchen to get water and passed out, dropping the glass I was in the process of getting from the cabinet, and I crashed. I felt so horrible I just tried to get back to my bed at that point without getting water. I passed out again trying to get back to my bed, bruising my right knee and my ribs. One the most horrible feelings I have experienced. I stayed on the floor for a bit recovering the second spell. My sister heard the commotion and quickly brought me water and Tylenol. My head felt full of pressure that I couldn?t get rid of by holding my nose and blowing. Eventually that went away. I stayed in bed for the rest of the day drinking water and Gatorade. I felt like I had an intense flu for the remainder of the day with chills and fever. The following day I needed more sleep but felt better. Now today, Saturday I feel better, but I still feel shocked at how intense my body?s reaction was to the second dose.

Other Meds:

Current Illness:

ID: 1190645
Sex: F
Age: 16
State: IL

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Systemic: Fainting / Unresponsive-Mild, Systemic: passed out for less than 1 minute immediately after shot given-Mild, Additional Details: passed out immediately after shot given for less than 1 minute, after coming to, had her lay on floor with legs up, blood pressue and pulse normal 111/88 , 70bp, was okay. had her stay over 30 minutes for obeservation, her dad with her

Other Meds:

Current Illness:

ID: 1190646
Sex: F
Age: 66
State: WA

Vax Date: 03/13/2021
Onset Date: 03/20/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: 7 days after shot, hot, itchy, red, swollen rash appeared at injection site. First small, then primary patch grew to 2x4 inches the next day. Then grew to 3x5 inches by day 6. General, same rash covered arm from elbow to shoulder. Smaller, pencil eraser rash sites on forehead, trunk and thighs. Plus "overspray light rash" on both thighs. Itchiness pain level 7 or 8. I wanted to rip the skin off. Couldn't sleep. No relief from: Benedryl, Hydrocortisone, Triamcinolone, Ice. Bad headache (pain level 5 or 6) and no relief from Ibuprofen, Acetaminophen, Imitrex. Headache relief from Excedrin on day 8, but unsure if it was due to the Excedrin or the headache just run its course. No pharmacy, doctor, or the clinic that sponsored the vaccine injection wanted to see/talk with me or even report my side effect symptoms. I would not describe these symptoms as "mild" and thought they should be reported for the benefit of future users of this vaccine. If "professionals" don't want to report, "How to Report Side Effects" should have been broadly distributed/advertised...it was not. Please change this for the future. How else will we learn about the vaccine?

Other Meds: Multi-vitamin, Vitamin B2, Vitamin D, Magnesium Citrate, Ocusight, Guaifenesin,

Current Illness:

ID: 1190647
Sex: F
Age: 29
State: MS

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
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: N/A

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

Symptoms: The chin area of my face started to feel puffed up and full. I had no other issues. I could still breath and I had no itchiness or redness. My blood pressure was fine as well. The doctor on site gave me Advil, Zyrtec, and an H2 Blocker. After about ten minutes my face felt back to normal. They monitored me for about an hour and checked my blood pressure again twice and then I was free to go.

Other Meds: Metformin 850MG, Losartan 25MG, Norethindrone acet/eth 1/20 tb21's, Megafood multivitamin for women, Nature's Bounty Apple Cider Vinegar 480 mg

Current Illness: N/A

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm