VAERS 2021 Database www.vaers.hhs.gov

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VAERS Updated: 11/12/2021
** VAERS DATABASE Last updated: November 12, 2021**
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Manufacturers

Total Manufacturer
199,106MODERNA
36,710JANSSEN
5,381PFIZER\BIONTECH
2,555GLAXOSMITHKLINE BIOLOGICALS
1,469UNKNOWN MANUFACTURER
897MERCK & CO. INC.
627SEQIRUS, INC.
112DYNAVAX TECHNOLOGIES CORPORATION
91SANOFI PASTEUR
75NOVARTIS VACCINES AND DIAGNOSTICS
40EMERGENT BIOSOLUTIONS
14PAXVAX
12TEVA PHARMACEUTICALS
12PROTEIN SCIENCES CORPORATION
9PFIZER\WYETH
4BERNA BIOTECH, LTD.
4SMITHKLINE BEECHAM
3INTERCELL AG
1MEDIMMUNE VACCINES, INC.
1CSL LIMITED

COVID19 Lot Number

VAX LOT Total
2S9CL7,949
7,473
2,547
1,506
1,187
1,051
1,049
s0294561,043
866
IMM209861
816
UT7065MA766
657
579
U62828AA563
557
538
U6737AA516
515
S034636506
4F472471
458
P100253275449
444
276563436
429
418
4BH32414
MENVEO404
PP9L5362
UJ446AA337
319
306
290
271
49TM3270
R1B252M253
4F472179
933622147
C5763AA144
CW3116134
3Y7NL126
UNK114
113
ARBA141A105
104
103
96
300057A90
79
1F4EB73
R1B743M62
56
UJ090AA55
51
UH894AB46
45
UNK44
UNK42
42
EJ168638
Unknown36
35
34
32
32
26
el128424
24
A115A22
22
EN620222
21
UNK20
20
19
Z127A19
19
17
JEV18K95E15
12
111798PI12
10
A739088
No batch number8
3333324181078
6
6
TAR356
5
5
U6935AA5
UNK5
4
unknown4
3
2
55RB72
2
2
2
2
2
U7124AA2
JEV18A68E2
2
ABYB05BA1
1
1
1
1
AMVA436A1
1
1
TJ3521
A130A; VIS give1
1
U7140BB1
1
1
SP UP016AA1
1
1808P08802/ESV01
037K20A300,947
EL1284288,578
57,766
1,432

Incidents per State

State Total
82,750
CA62,821
FL38,209
TX36,512
NY34,921
PA23,646
IN23,622
IL20,597
MI19,590
OH19,426
NJ18,413
NC16,769
GA15,932
WA15,351
VA15,234
MA14,876
AZ14,206
MN12,940
MD12,656
CO11,908
WI11,425
MO10,240
TN9,685
OR8,768
KY8,437
CT8,300
SC6,700
OK6,293
AL5,692
LA5,025
IA4,825
KS4,821
UT4,637
NV4,374
NM3,967
AR3,807
ME3,161
NH3,096
NE2,918
MS2,859
ID2,785
WV2,469
HI2,459
PR2,417
MT2,414
RI2,076
DE1,868
AK1,830
VT1,734
DC1,715
ND1,388
SD1,269
WY866
GU118
VI69
AS47
MP29
MH8
XB6
FM4
QM3
XV2
XL1

ID: 1271918
Sex: F
Age: 19
State:

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 04/29/2021
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: A FEW MOMENTS AFTER ADMINISTERING THE COVID VACCINE PATIENT APPEARED TO HAVE FAINTED. THE EPISODE LASTED A FEW SECONDS AND RESCUE WAS CALLED RIGHT AWAY. PATIENT CAME TO CONCISOUNESS AND STATED SHE WAS STARTING TO FEEL BETTER AND DID NOT WANT TO GO TO THE HOSPITAL. SHE DENIED RESCUE AND A FRIEND DROVE HER HOME AFTER SITTING IN THE PHARMACY FOR ABOUT 1 HR UNDER OBSERVANCE.

Other Meds:

Current Illness:

ID: 1271919
Sex: M
Age: 28
State: WI

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data: None

Allergies: none that I know of

Symptom List: Anxiety, Dyspnoea

Symptoms: Patient basically passes out temporarily after immunizations. He knows it is going to happen and he says it is like a nap. He had a little shaky hand, seizure like, and his head tipped down and seconds later he was talking and fine. Said they gave him water last time it happened, so I got him some water and he felt fine.

Other Meds: None that I know of

Current Illness: None that I know of

ID: 1271920
Sex: M
Age: 63
State: MI

Vax Date: 03/16/2021
Onset Date: 04/08/2021
Rec V Date: 04/29/2021
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: 3 weeks after Patient got this shot he got blood clots in his leg and amputated next week .The problem is he has ITP platelets were 12,000 He can't make blood clots!!!

Other Meds: Pantoprazole 40mg 1 2x a day ? Ropinirole 1mg 1 1x a day? Ursodiol 300mg 1 2x a day ? Tamsulosin 0.4mg 1 1x a day?. Spironolactone 50mg 1 1x a day? Xifaxan 550mg 1 pill 2x a day ? Fluticasone spray Furosemide 20mg T

Current Illness:

ID: 1271921
Sex: M
Age: 45
State: TX

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/29/2021
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: Started to break out in hives later in the evening before bedtime around 10pm on 4/14/21. Over the course of two weeks, the hives began to multiply and spread over my body. Went to the ER on 4/29/21 to receive steroids and topical cream. Taking antihistamine to help as well.

Other Meds:

Current Illness:

ID: 1271922
Sex: F
Age: 48
State: TX

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data: Blood pressure and blood sugar were in normal ranges per EMS 04/29/21

Allergies: none

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

Symptoms: Patient was discovered sitting on the ground conscious and responsive. The patient experienced light-headedness and dizziness approximately 15 mins post injection as she was walking through the store. EMS was called and while we waited she was given some water and she reported skipping breakfast. When EMS arrived they examined her and her blood pressure and blood sugar were both in normal ranges. The patient was feeling better by the time the EMS responders arrived and they released her.

Other Meds: alprazolam 1 mg, clonidine 0.1mg., desvenlafaxine ER 50mg

Current Illness: none

ID: 1271923
Sex: F
Age: 63
State: TX

Vax Date: 02/26/2021
Onset Date: 03/01/2021
Rec V Date: 04/29/2021
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: None

Allergies: None

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

Symptoms: Lymph node under right arm pit swelling

Other Meds: Progesterone and Estradiol

Current Illness: None

ID: 1271924
Sex: F
Age: 39
State: CO

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data: none

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Patient was parked for the 15 obs time. When the patient was coming to the end she had her husband honk the horn. When medic arrived patient stated she felt like she was having a asthma attack. The patient had used her MDI one time trying to treat the difficulty breathing . Patient was asked to move car to 30 min obs area and her husband drove her over there. Once in the other area when medics got to her she was unable to speak and was coughing constantly. Patient was administered .3 mg Epi Im in right upper arm. Patient was beginning to develop red rash to the upper arms and chest. After the IM injection the patient stated she was having improvement. The patient was able to speak again in fully without difficulty. Patient refused transport by ambulance and after 40 plus min of obs after epi the patient was going to have her husband drive her to er.

Other Meds:

Current Illness:

ID: 1271925
Sex: F
Age: 66
State: CA

Vax Date: 02/10/2021
Onset Date: 02/20/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data: Lab results collected 04/08/2021 show +ANA, +high titer RNP and +high titer RNP/smith.

Allergies: CODEINE; HYDROCODONE ACETAMINOPHEN

Symptom List: Pharyngeal swelling

Symptoms: Approximately 10 days after receiving the first dose of the COVID vaccine, I began having worsening joint pain in my hands, shoulders, knees and ankles. I also experienced whole-body stiffness throughout the day. My hands swelled and turned red, white or sometimes blue. The symptoms worsened after receiving my second dose. At that point, I saw a rheumatoid specialist who diagnosed me with early mixed connective tissue disease (MCTD) and placed me on hydroxychloroquine and prednisone.

Other Meds: GLUCOSAMINE + CHONDROITIN, MULTIVITAMIN SUPPLEMENTS

Current Illness: HEARTBURN

ID: 1271926
Sex: F
Age: 68
State: AZ

Vax Date: 04/12/2021
Onset Date: 04/28/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data: None

Allergies: None

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Second day after vaccine had fever, chills, aches & fatigue for 2-3 days. Two weeks after vaccine had intractable nausea, vomiting repeatedly over a 14 hour span, accompanied by diarrhea and headache. 48 hours in, still feeling weak and unable to eat much.

Other Meds: Wellbutrin Levothyroxin Liothyronine

Current Illness: None

ID: 1271927
Sex: F
Age: 17
State: TX

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 04/29/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: none

Allergies: NONE

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Patient put on consent being 18 years old but calculating the year of birth, patient is 17 years old

Other Meds: NONE

Current Illness: NONE

ID: 1271928
Sex: F
Age: 70
State: TN

Vax Date: 04/20/2021
Onset Date: 04/27/2021
Rec V Date: 04/29/2021
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: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: 4/20/21, after vaccine I was sleepy/tired. 4/21 I was fine. 4/27/2021 10:30 p.m. I begin to feel extremely fatigued & coughing. Went to bed. Woke up at approx 12:30 a.m. with high fever, chills, aches, coughing, racing heart, shortness of breath. Took 1 extra strength Tylenol. Tossed & turned. Got up 1 hr later. Drank about oz of apple cider vinegar with water & took 1 1000mg vit C. Tossed & turned until approx 5 a.m. then fell asleep. Woke up at 7:00 a.m. feeling better but still achy & slight fever. Woke up at 9:00 a.m. All symptoms gone slightly weak. Ate pack of instant oatmeal. Could only taste the sweet not the oatmeal. By noon I was completely back to myself and taste had returned.

Other Meds: 1000 mg Vitamin C, 400 IU Vitamin E, Turmeric, Vit D, Cinnamon tablet, Losartan 12.5mg tab

Current Illness: none

ID: 1271929
Sex: M
Age: 15
State: VA

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/29/2021
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:

Symptom List: Rash, Urticaria

Symptoms: Patient came in for 2nd dose of Pfizer vaccine on 4/29/2021. Prior to second vaccine, DOB was confirmed and patient was only 15 years of age. Pt. had already received dose by RN on 4/7/2021 with parent present and permission received, according to documentation. Mother of patient was told by Lead to reschedule 2nd dose for vaccine after 16th birthday, and he explained the situation.

Other Meds:

Current Illness:

ID: 1271930
Sex: M
Age: 50
State: MA

Vax Date: 04/01/2021
Onset Date: 04/22/2021
Rec V Date: 04/29/2021
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: none

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

Symptoms: starting have shortness of breath/difficulty breathing and back and chest pain. light headed, pain unbearable. Saturday April 23rd Went to er was treated for kidney stones but they could only find one small one, Was sent home with pain medication. Shortness of breath persisted as did bloody cough and pain in chest and all over. Went back to the er on 4/28 as pain was unbearable (chest pain) once given a cat scan and diagnosed with blood clots in my lungs and then an ultra sound and found a blood clot in my leg (just above knee). It is thought that I was mis-diagnosed on the original trip to the er with kidney stones. I have been put on blood thinners and pain medication and will be following up with my doctor.

Other Meds: lisinopril 10 mlg

Current Illness: none

ID: 1271931
Sex: F
Age: 72
State: CA

Vax Date: 04/02/2021
Onset Date: 04/21/2021
Rec V Date: 04/29/2021
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: Severe virtigo

Other Meds: Losartan Potassium HCTZ Amlodipine Besylate Buproprion

Current Illness:

ID: 1271932
Sex: M
Age: 53
State: CA

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data: CT scan done in ER showed no bleed. EKG and lab work (unknown which ones) also done.

Allergies: none

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

Symptoms: two days after receiving vaccine arm became really swollen. On day 3 pt. had slight headache which continued. On 4/25/21, headache became worse and on 4/26/21 pt. checked BP and noticed it was rising. On 4/26/21 pt. was sent home from work. Pt. was taken to Urgent Care that evening where BP was recorded as 205/89. Pt. was given unknown shot and instructed to take Ibuprofen. on 4/27/21 pt. followed up with PCP, who prescribed Hydrochlorothiazide daily and Norco prn for pain. On afternoon of 4/27/21 after taking HCT and BP remained elevated at 190/93. Pt. instructed to go to ER. Per wife upon arrival to hospital BP was 129/90. On the morning of 4/28/21 BP was down slightly to 189/90's

Other Meds: Metformin, Tylenol, baby aspirin

Current Illness: none

ID: 1271933
Sex: M
Age: 64
State: CA

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data: X

Allergies: None known.

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

Symptoms: No effects on day of vaccination, nor into the evening. Morning of 27th woke with headache. Symptoms worsened as the day progressed. Body and muscle aches, extreme fatigue, sleepiness, some difficulty moving around, heart seemed to be pounding harder as I moved, so stayed put in my chair. About 8 o'clock I had a fever of 101. Drank lots of water. Took Tylenol. Fever faded away. In bed by 9pm. Alternately hot, then cold for several hours but did not have chills. Around 1am temperature stabilized and I slept well. Today, the29th, symptoms gone. Arm not even sore.

Other Meds: Red yeast rice, COQ10, Move Free joint supplement, Prostate Heath supplement (herbal) One a day multi vitamin.

Current Illness: None

ID: 1271934
Sex: F
Age: 57
State: AL

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data: I saw an ophthalmologist for the orbital trauma resulting from the episode, but included no further treatment.

Allergies: None

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

Symptoms: After receiving the second dose of the Moderna vaccine, I developed a fever of 101.5 around 11:30 pm. I got up to use the restroom, and experienced a syncopal episode resulting in head trauma. My other symptoms included muscle aches, flu-like symptoms and pain in my calves.

Other Meds: None

Current Illness: None

ID: 1271935
Sex: F
Age: 68
State: VA

Vax Date: 02/28/2021
Onset Date: 04/12/2021
Rec V Date: 04/29/2021
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: Redness in bend of the right arm and redness on the outer portion of the under arm also right arm used cortazone didnot help now using a RX cream betamethasone dipropionate until dermatologist appt. The area is still red and looking like a burn.

Other Meds: apple cider vinegar,biotin,b12,turmeric,vitiamin d3,amlodipine.tylenol

Current Illness: None

ID: 1271936
Sex: F
Age: 43
State: PA

Vax Date: 04/19/2021
Onset Date: 04/19/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data: na

Allergies: Previous hive reactions to Tdap, flu shots

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Within 30min of receiving Moderna covid vaccine patient felt intense burning pain under skin that moved from arm to face and torso, over the next week it spread to back of head, upper back, bilateral upper extremites. Described as intense sunburn pain, severe and excruciating without skin rash, hives, blistering. No neurologic deficits of weakness, motor dysfunction.

Other Meds:

Current Illness: denies

ID: 1271937
Sex: F
Age: 32
State: CA

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data: N/A

Allergies: Metronidazole, pentosan polysulfate sodium, ciprofloxacin, latex

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

Symptoms: Patient c/o tongue swelling & lips swelling. Pt was assessed by physician. Pt was given benadryl. Symptoms resolved.

Other Meds: Seasonique. ferrous sulfate, folic acid, fexofenadine, nasacort, acetaminophen (as needed), stelara

Current Illness: unknown

ID: 1271938
Sex: F
Age: 21
State:

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 04/29/2021
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:

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

Symptoms: Swollen left upper arm about 10 hours after shot and continuing next day.

Other Meds:

Current Illness:

ID: 1271939
Sex: F
Age: 63
State: NY

Vax Date: 04/09/2021
Onset Date: 04/20/2021
Rec V Date: 04/29/2021
Hospital: Y

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

Lab Data: Elevated Troponin 45 & 49, Normal ECG, CXR, D-Dimer, CBC, Chemistry. In-patient CT angiogram with contrast. Normal other than in LAD there was a questionable superficial myocardial bridge and mixed plaque <40% with mild stenosis. Calcium score 22.

Allergies: None

Symptom List: Unevaluable event

Symptoms: First experience in life of severe chest pain, 2 waves in a row, < 30 seconds. No shortness of breath, no radiating pain, no other symptoms. Admitted for 1 night through ER 4/20-21/2021. Continued to have mild chest pain in hospital and since discharge. Suspected issue is coronary artery spasms. Visit to private Cardiologist scheduled for 5/3/21 for follow up.

Other Meds: Albuterol prn; Vit D with Vit K, magnesium, zinc, calcium, astaxanthin, collagen

Current Illness: None

ID: 1271940
Sex: F
Age: 65
State: PA

Vax Date: 02/23/2021
Onset Date: 02/26/2021
Rec V Date: 04/29/2021
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: Saw ENT in March with reportedly normal exam.

Allergies: Amoxicillin, penicillin, cats, tomatoes, Maalox

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

Symptoms: Patient developed anosmia post vaccine. She has not gotten her sense of smell back.

Other Meds: albuterol 2.5 mg /3 mL (0.083 %) nebulizer solution, Take 3 mL (2.5 mg total) by nebulization 4 (four) times a day as needed for wheezing or shortness of breath (cough)., Disp: 360 mL, Rfl: 2 ? cetirizine (ZyrTEC) 10 mg tablet, 1 tablet; 1

Current Illness: No

ID: 1271941
Sex: F
Age: 45
State: NC

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/29/2021
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 began to experience side effects the day after vaccine (4/1): shortness of breath, severe nausea and vomiting, abdominal pain, and constipation. Pt was unable to hold down water and was send to the hospital to help with hydration, pain, and shortness of breath. Pt reports she is not starting to get back to her normal breathing and eating habits almost 4 weeks later.

Other Meds:

Current Illness:

ID: 1271942
Sex: F
Age: 57
State: NY

Vax Date: 04/16/2021
Onset Date: 04/25/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data: blood work done by dr

Allergies: sulfur, effexor, mums

Symptom List: Injection site pain, Menorrhagia

Symptoms: Rash on upper arm. Painful, hot about 8"x4. Platelets dropped to 66K down from 99K

Other Meds: none

Current Illness: ITP

ID: 1271943
Sex: F
Age: 47
State: NY

Vax Date: 04/25/2021
Onset Date: 04/26/2021
Rec V Date: 04/29/2021
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: It started with body ache and then terrible headache, chill, nauseous, tiredness, and overall weakness. Not so much fever (about 100) but felt cold. I was Covid positive in November 2020, and felt the symptoms were very similar to what I had back then. It lasted two full days and especially the headache was persistent and went on the morning on the 3rd day. Spent two full days in bed. Took Advil on the 1st day and 2nd day but it took 3-4 hours to start feeling the effect. I switched to Tylenol on the night of the 3rd day, but didn't feel it worked. Felt almost normal in the afternoon of the 3rd day, but the headache came back the same night and couldnt sleep. Finally felt recovered in the morning of the 4th day but minor headache. The 4th day afternoon was fine.

Other Meds: none

Current Illness: none

ID: 1271944
Sex: F
Age: 27
State: CA

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 04/29/2021
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: None.

Allergies: NKDA prior

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: 20 minutes after moderna vaccine pt reported flushing and dizziness, and then 5 minutes later she broke out in hives on her face.

Other Meds: Fexofenadine 180 mg. Fluoxetine 20mg.

Current Illness: No acute illness

ID: 1271945
Sex: M
Age: 41
State: IL

Vax Date: 04/19/2021
Onset Date: 04/24/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: nka

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: urticaria trunk; no respiratory complaints. Rx diphenhydramine and prednisone.

Other Meds: ciprodex otic drops Ibuprofen

Current Illness: ruptured tympanic membrane

ID: 1271946
Sex: M
Age: 16
State: IA

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: The needle disengaged from the syringe during administration of the vaccine. I estimated that the patient did receive 0.2ml of the 0.3ml dose and did not re-administer.

Other Meds:

Current Illness:

ID: 1271947
Sex: M
Age: 27
State: AL

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data: EKG, CBC

Allergies: None

Symptom List: Nausea

Symptoms: Vasovagal syncope Pt fell face first out of the chair approximately 10 minutes post covid vaccine. Pt became pale,diaphortic , pupils dilated and non-responsive. No chest rise/fall noted. Nurse could not palpate a pulse. Epi pen administered in right thigh. Pt responded to epi pen and sat up on his own . Emergency alert called overhead on the PA System. ED staff responded and transported pt via stretcher to ED. Pt discharged to home.

Other Meds: None

Current Illness: None

ID: 1271948
Sex: F
Age: 69
State: IL

Vax Date: 03/15/2021
Onset Date: 03/16/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data: none

Allergies: none known

Symptom List: Injection site pain

Symptoms: Shortly after receiving the moderna first shot I began experiencing extreme pain and stiffness in my left hip. By the next day the pain spread to my right hip. 2 days after that I could not move my right arm for the pain and weakness which gradually spread to my left arm where I received the shot. Both arms are very weak and shakey and burn like fire and are extremely painful when trying to lie down or sleep. This has been going on ever since March 16, 2021. I contacted my health care provider and was told to try tumerich and tylenol, none of which helped. Is there anything I can do to counteract this joint and muscle attack by this vaccine?

Other Meds: flovent, flonase, flutisone, omeprezol

Current Illness: none

ID: 1271949
Sex: M
Age: 50
State: MS

Vax Date: 04/13/2021
Onset Date: 04/14/2021
Rec V Date: 04/29/2021
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 induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Patient reports that there was no pain at injection site the day of injection. Reports feeling a "crook in the neck" the evening of receiving the vaccine. States he woke up the next morning, 4/14/21 with a very painful L arm, couldn't lift it and no strength. Left arm is still painful and with reduced strength as of 4/28/2021. States arm is still swollen but has improved. Patient saw his primary care provider (not at our clinic) on 4/23/2021 and was given a shot of Toradol for pain. Patient also kept existing appointments with neurosurgery and pain management for failed back surgery. Neurosurgeon advised it could be nerve injury and that it will heal over time. Told patient that nerve in arm could be in a different location due to his history as a body builder. Patient states arm is better but still painful and weak.

Other Meds:

Current Illness:

ID: 1271950
Sex: F
Age: 33
State: CA

Vax Date: 04/02/2021
Onset Date: 04/04/2021
Rec V Date: 04/29/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data: Ana test came back negative ( collected 4/12) Cyclic citrullinated peptide <16 (collected 4/12) Rheumatoid <14 ( collected 4/12) Immunoglobulin ( collected 4/12)

Allergies: None

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

Symptoms: Rash started on Sunday 4/4, two days after my second dose of Pfizer. Went to doctor on 4/7 and was prescribed with 10mg of prednisone, steroid shot and triamcinolone cream. Rash is itchy especailly at night. Rash never went away and 4/21 went to ER, received another steroid shot and 20mg of prednisone for 5 day treatment. Past Monday was my last day of medication. Rash was significantly lighter but never went away. Two days later today the rash started again and it?s all red.

Other Meds: None

Current Illness: None

ID: 1271951
Sex: M
Age: 39
State: OH

Vax Date: 04/08/2021
Onset Date: 04/12/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data: not disclosed

Allergies: not disclosed

Symptom List: Tremor

Symptoms: Monday after his vaccine he had pain in his lower neck to his ear on his Right side of his face. The pain persisted through the week and on Thursday his face had muscle drooping. They went to the urgent care and that is what he was diagnosed with as he had a previous episode 15 years ago.

Other Meds: not disclosed

Current Illness: not disclosed

ID: 1271952
Sex: M
Age: 74
State: TX

Vax Date: 03/30/2021
Onset Date: 04/01/2021
Rec V Date: 04/29/2021
Hospital: Y

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

Lab Data: Left heart catheterization 4/2/2021: nonobstructive stenoses < 50% in LCX and RCA, unchanged from 2014 Cardiac enzymes 4/1/2021: CK MB 10, Troponin-I 2.16, CPK 145 Echo: 4/2/2021: inferior hypokinesia, low normal LVEF 56%, normal LV filling pressure.

Allergies: penicillin

Symptom List: Erythema, Pruritus

Symptoms: Patient presented to ER with substernal chest pain, normal ECG and positive cardiac enzymes (CPK 145, CK-MB 10, trop-I 2.16 peak), chest pain relieved with nitroglycerin SL and heparin. Observed overnight and taken for R transradial left heart cath next day, where 2 vessel nonobstructive (<50%) coronary plaquing unchanged from 2014 cath (MINOCA) with no observe plaque ulceration, spasm, thrombus or coronary slow flow (endothelial dysfunction) with normal LV systolic function and wall motion/EF 70%. By exclusion, MI was felt to be most likely a hypercoagulability event, although spasm /endothelial dysfunction could not be excluded as contributors. Discharged at 24 hours s further adverse events after adding clopidogrel and ranolazine for 90 days. Seen in follow up today (4/29/2021) and doing well.

Other Meds: losartan, pravastatin, fish oil, aspitrin

Current Illness: None

ID: 1271953
Sex: M
Age: 62
State: FL

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 04/29/2021
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: None.

Allergies: None.

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

Symptoms: Patient arrived to clinic in no acute distress for his scheduled vaccine. Shortly after receiving vaccine today he reported feeling faint, ERT was called and his BP was found to be low (90/60) all other vital signs were stable. No loss of consciousness, dizziness, fever, chest pain, sob, or rash. It was recommended by ERT MD that the patient go to ER, 911 call was offered by patient and family refused.

Other Meds: Unknown.

Current Illness: None.

ID: 1271954
Sex: F
Age: 25
State: MI

Vax Date: 04/11/2021
Onset Date: 03/14/2021
Rec V Date: 04/29/2021
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: Severe bleeding and menstrual blood clots during menstrual cycle. Doctor treated with tranexamic acid. Next period April 2021 was normal.

Other Meds: None

Current Illness: None

ID: 1271955
Sex: F
Age: 44
State: MD

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 04/29/2021
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: Difficulty swallowing Vitals stable PT discharged home at 1715 Seen by EMT on site

Other Meds:

Current Illness:

ID: 1271956
Sex: M
Age: 35
State: PA

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data: NONE

Allergies: NONE

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

Symptoms: POST VACCINE, C/O HEART RACING, SWEATING. BROUGHT BACK TO OBS TO LAY DOWN. VSS, SLIGHTLY ELEVATED HR. OFFERED WATER, REFUSED SNACK. ESCORTED TO EXIT ONCE S/S RESOLVED AT 1500. 1435 BP 153/80 HR 113 SATS 96% RA 1442 SITTING BP 130/87 HR 111 SATS 97% RA

Other Meds: LANTUS, LEVEMIR

Current Illness: NONE

ID: 1271957
Sex: F
Age: 51
State: LA

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 04/29/2021
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: n/a

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

Symptoms: panic attack, sweating, feeling faint

Other Meds: n/a

Current Illness: n/a

ID: 1271958
Sex: M
Age: 40
State: MD

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Pain in extremity

Symptoms: patient felt dizzy and came to pharmacy counter to let pharmacy know that he was not feeling well. He collapsed in chair while trying to sit back down. ended up kneeling position facing the chair. Retired sheriff and paramedic from a different county were on site and assisted in asking questions of the patient until paramedics arrived. Patient contacted his wife. Paramedics left and said that patient was fine.

Other Meds: none

Current Illness: none

ID: 1271959
Sex: F
Age: 40
State: CA

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: Septra and contrast

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

Symptoms: Client received the 1st dose of Moderna COVID vaccine lot # 017C21A and expiration date 5/23/21 at 12:49pm. At 12:51pm client reports to EMT feeling dizziness. Nurse provided client with a water bottle and took vitals. At 12:50pm text Lead to come assist. At 12:51 pm vitals: blood pressure:158/188, pulse:90, and oxygen:98%. Client is sitting up in chair alert and oriented x 4. Client reports her medical history includes fibromyalgia. Client reports taking no medications. Client reports having a slight fear of needles and allergic to Septra and contrast and environmental allergies. Client reports feeling a little sweaty. Client denies having any chest pain or blurred vision. Client reports having a mild headache of 1/10. At 12:56 pm vitals: blood pressure:175/113 and immediately retake 160/120, pulse:77, and oxygen:99%. Client reports dizziness is not resolving. Client reports no trouble breathing and no other symptoms. Offer client to sit in gravity chair or to put feet up and client declined. PHN calls 9-1-1 at 1:01 pm PHN continues speaking to the client while following assessment questions by operator. At 1:05pm vitals: blood pressure:164/120, pulse:93, and oxygen: 97%. Client reports continued dizziness. At 1:06 pm client reports feeling nauseous, provide client with an emesis bag. At 1:10pm client reports feeling shaky. At 1:10pm vitals: blood pressure: 164/118, pulse:100 and oxygen:97%. Client reports feeling her headache pain level is getting worse. PHN encouraged client to follow up with provider within 24 hours about blood pressure. At 1:13pm paramedics arrived. Client was wheeled out on stretcher at 1:20pm. Client was taken to hospital.

Other Meds: none

Current Illness:

ID: 1271960
Sex: F
Age: 32
State: CA

Vax Date: 04/21/2021
Onset Date: 04/29/2021
Rec V Date: 04/29/2021
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: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: 4/29/21 patient reported rash, swelling, and itching at injection site (left deltoid)

Other Meds:

Current Illness: none

ID: 1271961
Sex: M
Age: 46
State: CO

Vax Date: 04/27/2021
Onset Date: 04/28/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: body aches, foggy head, mild fever

Other Meds: Supplements - Vitamin B and D, immune support, Fish oil, selenium

Current Illness:

ID: 1271962
Sex: F
Age: 22
State: MT

Vax Date: 02/20/2021
Onset Date: 04/05/2021
Rec V Date: 04/29/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data: Chest x-ray: noncontributory Chest CT: 3 PE's and a pleural effusion Labs: elevated WBC's, elevated neutrophils, low Hgb, elevated D-dimer

Allergies: Penicillin, Amoxicillin, Sudafed, Guaifenesin

Symptom List: Vomiting

Symptoms: On April 5th, 2021 I went to the E.D. , for shortness of breath and severe right shoulder pain. While there they got a chest x-ray, ran labs, and did a chest CT. The CT revealed that I had one blood clot in my left lung and two blood clots in my right lung, as well as slight pleural effusion in the right lower lobe. They put me on Xarelto for the next 3-6 months and monthly follow up visits with my primary care provider. I was also given Hydrocodone as need. I experienced extreme pain with breathing and sort of movement for a week and half but currently only have occasional shoulder and back pain usually at the end of the day.

Other Meds: Camrese Lo, Vitamin D, Lexapro

Current Illness:

ID: 1271963
Sex: M
Age: 34
State: IL

Vax Date: 04/12/2021
Onset Date: 04/16/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data: MRI Shoulder 4/28/2020

Allergies: None

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: 4 days after injection patient had left shoulder pain. Severe pain and decreased ability to move. Had MRI of shoulder. Has had treatment with tylenol/NSAIDs/Opioids/glucocorticoids with ER visit. Patient received subacromial bursa injection 4/29/2020 in my clinic

Other Meds: None

Current Illness: None

ID: 1271964
Sex: F
Age: 49
State: KS

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 04/29/2021
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: None at this time

Allergies: Eggs, Shellfish, fish, Iodine, prior reaction to the flu shot

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

Symptoms: About 15 minutes after recievieng the vaccine I developed hives on my hands and arms, feet and legs. I also had some swelling of my lip and some mild chest tightness. I was treated with oral Pepcid and Oral Zyrtec. My hives resolved after about 15 minutes as did my mild chest tightness. I was observed for an hour. Later that evening about 8, my face and lip began to swell, I had significant chest tightness, with severe coughing and wheezing. I also had hives again on my hands, neck and face. I used my Epipen and albuterol inhaler. My chest was still very tight and my cough was very bad. I went to the emergency room. I was given DuoNeb, Pepcid, Benedryl, and Prednisone. They were unable to start an IV so gave me oral medications. Over the next hour my symptoms resolved and I felt much better. I was discharged about midnight. Today I have a very sore throat from coughing so much and my body is very achy and I have diarrhea. I have had this same issue however the last time I needed to use Epi when I accidentally ate Shrimp.

Other Meds: Centrum, Benicar, Metformin, Nexium and Advil

Current Illness: None

ID: 1271965
Sex: M
Age: 20
State: NC

Vax Date: 03/31/2021
Onset Date: 04/07/2021
Rec V Date: 04/29/2021
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: None.

Allergies: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Atopic Dermatitis of both elbows (Psoriatic in nature). Onset 1 week post Covid 19 vaccine. Started as small blisters and has now become a thick, scaly rash. Itches and is painful to touch.

Other Meds: None

Current Illness: minor seasonal allergies

ID: 1271966
Sex: F
Age: 37
State: PA

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/29/2021
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: Patient stated she felt the need to cough and had an instant headache after the vaccine. She also had pain in her left arm and left leg for 7 days after the vaccine.

Other Meds:

Current Illness:

ID: 1271967
Sex: F
Age: 16
State: MI

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data: N/A

Allergies: None

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

Symptoms: patient developed moderate to severe rash on her face and neck starting 1 1/2 hours after the vaccine. This lasted several hours. The rash came back the evening of 4/27 and on her legs the evening of 4/28.

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am