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: 1258533
Sex: F
Age: 45
State: FL

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 04/26/2021
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: N/A

Symptom List: Dysphagia, Epiglottitis

Symptoms: Rash all over the body, low grade fever of 99, headaches, tiredness

Other Meds: Amox-Clav 500 mg

Current Illness: Lupus

ID: 1258534
Sex: F
Age: 25
State: IL

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/26/2021
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: PCN

Symptom List: Anxiety, Dyspnoea

Symptoms: 4/22 at 9pm - rash and swelling to eyes resolved with benadryl 4/25 at 7am -bells palsy noted

Other Meds: levothyroxine, Acyclovir, Juno

Current Illness: N/A

ID: 1258535
Sex: F
Age: 49
State: MI

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/26/2021
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: Bactrim., Kefflex, penicillin ,tetanus shot

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

Symptoms: Severe leg and muscle weakness severe tiredness eyes hurt and headach

Other Meds: No

Current Illness: No

ID: 1258536
Sex: F
Age: 34
State: NY

Vax Date: 04/07/2021
Onset Date: 04/01/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Had mmr vaccine 1 week prior. Purple swollen feet hands. Severe pain in arms and legs. Hip and joint pain. Tingling in appendages. Light headed. Migraines.

Other Meds: Lithium Prozac

Current Illness: None

ID: 1258537
Sex: F
Age: 15
State: IA

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

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

Lab Data:

Allergies: NA

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

Symptoms: Vaccine was given to patient 1 day shy of 16th birthday. No adverse events reported by the patient or patient's parents post-vaccination after a call was made to them.

Other Meds: NA

Current Illness: NA

ID: 1258538
Sex: F
Age: 31
State: UT

Vax Date: 04/07/2021
Onset Date: 04/19/2021
Rec V Date: 04/26/2021
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: 1? red spot at injection site until 04/19/2021 when it split and grew. Two 4? spots, one at injection site, one several inches higher. Has been present for a week and is now starting to fade. Slight discomfort when pressure is applied to spots. They are very warm to the touch. Muscles in shoulder have been very sore as well.

Other Meds: Sertraline 25 mg, methylphenidate ER 20 mg

Current Illness: None

ID: 1258540
Sex: F
Age: 17
State:

Vax Date: 04/25/2021
Onset Date: 04/25/2021
Rec V Date: 04/26/2021
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:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Patient had flushing/sweating, dizziness, anxious, sweating. Low BP 84/46 -- > 116/75 -- > 121/82. Patient stated did not eat since 4/24/21 6PM. Patient stable, released from vaccination site.

Other Meds:

Current Illness:

ID: 1258542
Sex: F
Age: 75
State: NY

Vax Date: 02/23/2021
Onset Date: 02/25/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: Penicillin; Bee stings

Symptom List: Pharyngeal swelling

Symptoms: Full body muscle, joint and bone pain. Joint inflammation, stiffness., storeness. Inability to stay in sitting or standing position for long periods of time. Difficult to walk for more than a few minutes.

Other Meds: Diovan

Current Illness:

ID: 1258543
Sex: F
Age: 48
State: NJ

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Ringing in the ears. Started the day after the 1st dose. Ranges from high pitch sound to a constant buzzing sound.

Other Meds: None

Current Illness: None

ID: 1258544
Sex: F
Age: 52
State: MS

Vax Date: 04/14/2021
Onset Date: 04/18/2021
Rec V Date: 04/26/2021
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: Phenergan pcn levaquin

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Ringing in ears, loss of some hearing

Other Meds: None

Current Illness: None

ID: 1258545
Sex: F
Age: 66
State: WA

Vax Date: 03/03/2021
Onset Date: 03/06/2021
Rec V Date: 04/26/2021
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: Diarrhea (persisting) Fatigue (persisting) Vomiting (resolved) Sore arm (resolved) Decreased stamina (persisting)

Other Meds:

Current Illness: Diabetes Mellitus

ID: 1258546
Sex: M
Age: 62
State: IN

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 04/26/2021
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: N/A

Symptom List: Rash, Urticaria

Symptoms: Insomnia, Aching Joints / Muscles, low grade fever

Other Meds: Atorvastatin, Losartan, Omazeparole, hydrochlorothiazide

Current Illness: N/A

ID: 1258547
Sex: F
Age: 42
State:

Vax Date: 04/24/2021
Onset Date: 04/25/2021
Rec V Date: 04/26/2021
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: stomach cramps, nausea

Other Meds:

Current Illness:

ID: 1258548
Sex: F
Age: 80
State: TX

Vax Date: 03/26/2021
Onset Date: 04/07/2021
Rec V Date: 04/26/2021
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: pcn

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

Symptoms: I do not have vaccine details. Patient developed acute knee swelling and pain requiring drainage. She has subsequently developed L wrist inflammation with swelling and warmth. She also had acute neck and lumbar spine pain. These are acute polyarthritis sxs that are new for her.

Other Meds: Calcium +D, losartan hct 100/12.5, metoprolol ER 25mg, prednisone 1mg, levothyroxine 125mcg

Current Illness: n/a

ID: 1258549
Sex: M
Age: 63
State: OR

Vax Date: 03/27/2021
Onset Date: 04/03/2021
Rec V Date: 04/26/2021
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:

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

Symptoms: Tinnitus became noticeable one week after receiving the first dose. Pursued recommended treatments, reducing NSAIDS and ear wax removal. No improvement since symptoms began.

Other Meds: NSAIDS, tylenol, ibroprophen

Current Illness:

ID: 1258550
Sex: F
Age: 80
State: IA

Vax Date: 03/17/2021
Onset Date: 04/24/2021
Rec V Date: 04/26/2021
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:

Allergies:

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

Symptoms: Pt was admitted to the hospital on 4/24/2021, tested positive for COVID 19 on admission, non ICU

Other Meds:

Current Illness:

ID: 1258551
Sex: F
Age: 54
State: TX

Vax Date: 04/22/2021
Onset Date: 04/23/2021
Rec V Date: 04/26/2021
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: Penecillian, bactrim

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

Symptoms: I started feeling really bad about 10:15 on the 23rd. I had fever, chills, body aches. I could barely touch my own skin. I left work around 3 :30 and I have zero memory of driving home at all. I cant remember one thing other than my friend helping me into bed. The scary part was I cant remember driving at all. Today is the 26th and I still have no energy, sore throat and extremely tired.

Other Meds: Cholestrymaine

Current Illness: none

ID: 1258552
Sex: M
Age: 70
State: PA

Vax Date: 04/09/2021
Onset Date: 04/14/2021
Rec V Date: 04/26/2021
Hospital: Y

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

Lab Data:

Allergies: Penicillin

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Patient became unconscious the evening of 4/14/21. This event occurred five days after his second Covid vaccination. Patient had just gotten up from a living room chair and was walking over to the stairs to go to the second floor when he became rigid, lost consciousness and fell backward. 911 was called by his girlfriend. He was unconscious for a couple of minutes. When EMT's arrived he was conscious but very groggy. His blood pressure was 250/157. He knew his name and year and SSN but did not correctly answer several other questions. He was taken to ER. After numerous tests over the course of several days, he was diagnosed as having a stroke. In the ER, they performed CAT scans, EKG, blood work, urine test and chest xray. Blood pressure remained high. Complained of headaches. Patient was also having trouble voiding urine in the ER so a foley catheter was inserted. He was admitted to the hospital. After admission, an MRI, echocardiogram and EEG were performed. The MRI showed three small blood vessels had burst in his brain. Echocardiogram showed functions were normal. The EEG showed some slowing but no signs of seizure. The conclusion was a stroke. Physical and occupational therapy examined patient. No need for further therapy. Blood pressure remains slightly elevated but he does not appear at this time to have lost any physical or mental functions. Patient does NOT have a history of high blood pressure or heart issues. Tests showed his heart was functioning properly. Per his family doctor, his BP ran approximately 124/64 when tested during the previous 12 months.

Other Meds: Atorvastatin (20 mg), Co Q 10, PreserVision, Tylenol Ex Stgth

Current Illness: None

ID: 1258553
Sex: M
Age: 44
State: NY

Vax Date: 04/25/2021
Onset Date: 04/25/2021
Rec V Date: 04/26/2021
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: This is sharing a concern / reporting a concern. This is not a complaint against anyone. This is not reporting side effect. The adverse effect date and time is a mandatory field. This is the reason I filled adverse date and time. I had my 2nd dose of vaccine on April 25, 2021 at campus at 1.20 PM. I just felt the syringe just touched the peripheral of my skin. I told the nurse that I do not feel I get the shot. Later, I do not feel any side effect any effect. I had no pain, or the site of injection was not swollen. I am worried I did not get the 0.3ml dose. During the first shot on April 4, 2021 at 1.43 PM, I felt pain on shoulders. I felt my tongue got thickened/ some tingling sensation on tongue and a little slur in speech. After 6 hours, I felt headache, a little chill, light head, nausea, more pain on shoulders and the next day, I felt light headedness and I felt tired for few days. I consider these as normal side effects and nothing unusual from what I read in internet and what I heard from others. So, I did not report it and it was a normal thing for me. Since I experienced this in first dose, I expected a more severe reaction than first dose. But I did not even feel pain at the site of injection nor any usual symptoms that usually appear. This made me to doubt I got required dose or the vaccine was correctly withdrawn from the vile. I do not know how to confirm that I got correct dosage. If I have not received the full dose, I am ready to take an additional shot and I would be flexible to take the shot at the available time near to my living place on any day. Again, I am not complaining anything. Probably the nurse is very proficient in taking shot with no pain. I do not know why my body does not react to the second dose.

Other Meds:

Current Illness:

ID: 1258554
Sex: M
Age: 46
State: CO

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

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

Lab Data:

Allergies:

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

Symptoms: Rash bilateral lower extremities and groin, face swollen (but not throat) and red, fatigue

Other Meds:

Current Illness:

ID: 1258555
Sex: F
Age: 51
State: NY

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 04/26/2021
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: advil

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

Symptoms: patient had throat/tongue/mouth tingling, swelling, throat closing sensation within 15 minutes of administration of vaccine. She tells me she was administered benadryl, "steroid" and epi-pen and was transported to Hospital ER for observation where she was discharged home with epi-pen prescription.

Other Meds: none

Current Illness: none

ID: 1258556
Sex: M
Age: 54
State: AZ

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 04/26/2021
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: Unevaluable event

Symptoms: Fever (101.7 F), chills/sweats, body aches

Other Meds: Omeprazole

Current Illness: None

ID: 1258557
Sex: M
Age: 31
State: FL

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 04/26/2021
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:

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

Symptoms: Vaccine error I stuck the needle in his deltoid muscle and as I was pushing the plunger the syringe came apart and the vaccine spilled on his arm. I cleaned his arm with an alcohol swab. I explained to the patient that I wasn't sure how many mLs actually went in but from what he felt, and I saw, we believe anywhere from 0.1 to 0.2 mL was actually injected.

Other Meds:

Current Illness:

ID: 1258558
Sex: M
Age: 59
State: OR

Vax Date: 03/31/2021
Onset Date: 04/21/2021
Rec V Date: 04/26/2021
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: none known

Symptom List: Injection site pain, Pain

Symptoms: I noticed the sounds of cicada while laying in bead early in the morning just prior to the second shot. I do not recall hearing this earlier. The sounds have continued . After reading a little about tinnitus and the sounds that are constantly ringing - I found that is this is a possible side effect of the vaccination

Other Meds: lisinopril 5mg-daily; acetaminophen 1000mg-daily; acetaminophen PM 1000mg-daily; Valerian root 1000mg - daily; probiotic - daily, multivitamin - daily

Current Illness: nkone known

ID: 1258559
Sex: F
Age: 67
State: FL

Vax Date: 04/11/2021
Onset Date: 04/14/2021
Rec V Date: 04/26/2021
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: Injection site pain, Menorrhagia

Symptoms: Date and time adverse event started: On Wednesday pain started, notably worsened on Thursday night into Friday, unable to clarify exactly the time. Adverse events experienced and are they still occurring now: Pain on left side mostly on moving, unable to describe the nature of the pain (ex unable to clarify if aching, sharp, etc), not in the arm, but generalized all over mostly on the left side, no numbness no tingling, pain comes and goes, not getting any better or worse, APAP helps. APAP to treat (Q 6 hours 500 mg x 2). I adv APAP is fine but don't exceed this amount. Can also alternate with other OTC pain relievers as needed. Also try a heating pad for the pain. Advise that if pain doesn't start to feel better in the next few days and resolve in a week, consider this may be unrelated. FU with HCP if pain worsens/persists. Provided phone # for FU. I asked if ok to follow with her, but pt. declined us calling her. However she would like to call us back herself, and speak directly to me. I adv to call back Friday after 7 PM in that case when I'm back. I'll put in a FU for Friday at 10:15 AM in case she doesn't reach out. 4/25-Pt calling back, pain is improved by about 50% since we last talked but persists. No fever. Had been recommended some acetaminophen but it doesn't work. Left leg "feels soft" and tries to put the leg up and it hurts. Didn't see her long time PCP in person, just gave him a call and is expecting a call back on Monday. Is "100% confident" that this issue isn't medical and is related to the shot. Got the shot at hospital. Still doesn't have the CDC card unable to provide lot number. 93 lb wt. Pain was very severe on the first half of the week starting on Monday. Should she still get the second shot? I adv the second shot wouldn't be contraindicated in this case, but adv to discuss this with her doctor more to discuss risks and benefits. Informed the patient that there are no existing case reports with this type of severe or persisting pain so would recommend an in person evaluation with either PCP, urgent care, ortho, etc. Agreed with caller to discontinue the IBU and APAP if it doesn't work, can try some heat to try and help relief. She will reportedly call back this same time next week late sat night/Sunday with the CDC card.

Other Meds: none

Current Illness:

ID: 1258560
Sex: F
Age: 66
State: WA

Vax Date: 04/17/2021
Onset Date: 04/19/2021
Rec V Date: 04/26/2021
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: unknown

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

Symptoms: Got a large hard red raised rash on arm about an inch below the injection site, which started 36 hours after the injection. On the first day (4/19) it was about 2" X 2", then grew to cover a 4" X 6" area on the upper arm over the next two days. I called my insurance advice line and Nurse said to continue to take antihistamine and ice the arm. I had a routine annual Dr. appointment on 4/21 and she said to continue both. The hardness started going away on 4/22 and the redness faded to nothing by 4/24.

Other Meds: Verapamil, Vitamin D

Current Illness: none

ID: 1258562
Sex: F
Age: 17
State: VA

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 04/26/2021
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:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Administration Error: Moderna given to 17 year old.

Other Meds:

Current Illness:

ID: 1258563
Sex: F
Age: 16
State:

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

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Patient had syncope (BP 85/52 -- > 106/68, RR 14 -- > 14), flushing/sweating, not alert for 9 minutes. BP dropped after passing out, put patient in Trendenburg position, gave orange juice. Patient alert & ate crackers. Advised to give second dose lying down. Patient stable, released from vaccination site.

Other Meds:

Current Illness:

ID: 1258564
Sex: M
Age: 51
State: NY

Vax Date: 03/24/2021
Onset Date: 03/26/2021
Rec V Date: 04/26/2021
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 known

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

Symptoms: State opened Covid vaccines to 50 and over on Mon, March 22. I immediately scheduled my appointment for a first shot at a Dept of Health site near me for Wed, March 24. I had no immediate negative side effects. When I woke on Fri, March 26 and commenced my day of remote work from home, I noticed my left eye vision was blurry. I proceeded to work that day and continued my normal activities into the weekend assuming my vision would self-correct. By Sunday, March 26, my left eye vision was still noticeably problematic so I scheduled to see an optometrist whom I had seen before. I saw him at 12:15pm on Tues, March 30. After running numerous vision tests, optometrist let me know my vision loss in the left eye seemed to be the result of a stroke that had cut blood flow in the optic nerve and damaged my vision in the lower portions of the left eye. The center and upper portions of my left eye were generally unaffected at that time. He suggested I see my primary care physician to check for vitals, such as blood pressure and do other blood work, and more importantly see a neuro ophthalmologist urgently. The next morning, Wed, March 31 I saw my PCP, who informed me my blood pressure was normal, requested blood work, and gave me a prescription for an MRI of my brain, with and without contrast. I am 6'2" and I weighed at 239, about where it has been for most of last 15 years. I also complained of pain and stiffness in my front right thigh and lower right back. She said if I didn't get an appointment to see a neuro ophthalmologist that same afternoon, she recommended I go to an ER. With the help of Optometrist's office, I was able to get an appointment that day with Dr., neuro ophthalmologist at 2:15pm on Wed, March 31. His office repeated numerous vision tests and confirmed the left eye vision loss (essentially the lower half excluding the center) and diagnosed it as a NAION - non arthritic ischemic optic neuropathy. With this diagnosis, there was no treatment, and I scheduled a follow-up for May 12. He said that my optic nerve into my left eye would slowly reduce its swelling over the next 6 to 8 weeks and in that time, my vision could remain the same, or improve. At that point, I didn't think it would worsen, but sadly that later happened. In addition to the the first MRI that PCP prescribed, Neuro ophthalmologist prescribed a second MRI of orbits, with and without contrast. He also suggested I begin taking a low dose Aspirin daily, which I did. The next week, the blood work revealed a very slightly elevated cholesterol reading. I was told by my PCP on April 5 that this would normally not be considered as a problematic level of high cholesterol, but should be improved or lowered. The blood tests taken at Lab on Fri, April 2 revealed a LDL Chol, Calculated as 111, whereby <100 was considered desirable range. Other than that, there was nothing of concern in my blood work. The two MRIs were done on April 9 and April 20, and did not reveal findings which doctors felt would have impacted my optic nerve swelling or had caused the eye stroke. Out of precaution, I scheduled to see a cardiologist on Tues, April 13. She recommended I start taking Crestor for cholesterol, and do a series of tests which I completed on Friday, April 23 - echocardiogram; holter monitor; transesophageal echocardiogram; and ultrasound carotid bilateral. As of today, Mon, April 26 I do not know the results of the cardio work-up, but both neuro ophthalmologists I saw felt that a problem related to my heart would not have caused this stroke in my eye. Finally, on Fri, April 23 I had a consultation with a second highly recommended neuro ophthalmologist. After a series of vision tests, she agreed with other doctor's diagnosis of NAION - non arthritic ischemic optic neuropathy. She also said there was nothing I could do to treat except wait for the next 4 or more weeks for the optic nerve swelling to go down. She also confirmed my fear which was that my left eye vision had worsened since March 31 as my vision loss was no longer limited to the lower portion of my left eye, but now included blind spots throughout the upper range of my left eye vision, making my loss of peripheral vision worse and more widespread. She said in some cases with NAION, a patient's vision could remain the same, could improve or could worsen in the 6 to 8 weeks after the event. Four weeks after the March 26 event, by April 23 my left eye vision had worsened. I still hold out hope that it can improve some in the next four weeks... My right eye vision was not affected in any way, although one risk of NAION is that there is a 20% (?) chance it may recur in the next 5 years, and if it does, it most commonly affects the other, good eye. None of the doctors I saw directly attributed my vision loss to the Moderna vaccine taken on March 24; however, there has also not been a clear cause determined by my doctors. While most of the doctors I saw seemed to think it coincidental, none also was able to absolutely rule it out either as a cause or a trigger. Dr. suggested I follow through with this idea, which other medical professionals suggested, to submit this vaccine adverse event report. Without a doubt, this was an adverse effect and/or problem that occurred soon after (36 hours approximately) taking the first dose of the Moderna vaccine.

Other Meds: lithium carbonate, occassional ibuprofen or ibuprofen PM

Current Illness: none

ID: 1258565
Sex: M
Age: 27
State: NY

Vax Date: 04/19/2021
Onset Date: 04/19/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: The patient was given second dose of Moderna Covid-19 vaccine 21 days after receiving the first dose.

Other Meds:

Current Illness:

ID: 1258566
Sex: M
Age: 22
State: CT

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/26/2021
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: Upon administration the needle came off and pt only received part of the dose while the rest spilled onto his arm. He was my last vaccine for the day, so I was able to use the eleventh dose in the vial to re-administer. Pt seemed to be doing well while in the waiting area. The needle was never removed from the syringe after the dose was drawn up--the same needle was used (Carepoint Safety 1ml 23G 1").

Other Meds:

Current Illness:

ID: 1258567
Sex: F
Age: 44
State: WI

Vax Date: 04/20/2021
Onset Date: 04/22/2021
Rec V Date: 04/26/2021
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: 4/22/2021 PATIENT NOTICED LIPS WERE DRY, RED, AND PEELING 4/23/2021 PATIENT LIPS STARTED ITCHING AND BUMPS DEVELPED IN THE CORNERS OF HER MOUTH 4/24/2021 LIPS GETTING WORSE WITH BUMPS, TICHING, AND REDDNESS. STARTED TAKING ABREVA FOR CORNER BUMPS 4/25/2021 LIPS GETTING PUFFY, SORE, TINGLY, AND MORE BUMPS NOTED 4/26/2021 LIPS VERY SWOLLEN, UPPER WORSE THAN LOWER. OUTER RIM OF LIPS VERY RED. BUMPS NOTED AS HIGH AS HALFWAY BETWEEN NOSTRILS AND UPPER LIP LOOKING BACK ON START OF PFIZER COVID VACCINE SERIES (3/30/2021) PATIENT ALSO REPORTS ECZEMA GOT WORSE ESPECIALLY ON TOP OF HANDS. HAS ITCHINESS ALL OVER BODY SINCE MID APRIL. LASTLY, AFTER DOSE 1 SHE DEVELOPED A COLD SORE 3 DAYS AFTER DOSE 1 AND STARTED GENERIC VALTREX. COLD SORE RESOLVED A FEW DAYS LATER. SHE HAS STARTED BENADRYL ON A NIGHTLY BASIS AND RESTARTED GENERIC VALTREX ON 4/26/2021. SHE ALSO HAS BEEN APPLYING LAVENDER AND PEPPERMINT LIP BALM THAT SHE MAKES HERSELF (AND HAS USED FOR A LONG TIME), CURELL LOTION, ANTI-ITCH CREAM, AND ICE PACKS. NOTHING SEEMS TO BE PROVIDING MUCH RELIEF AT THIS POINT.

Other Meds: BIRTH CONTROL PILLS, LISINOPRIL, PROBIOTIC, MAGNESIUM, MULTIVITAMIN, VITAMIN D 4/19/2021 ALSO STARTED TAKING COLLAGEN AND APPLE CIDER VINEGAR TABLETS

Current Illness: ECZEMA

ID: 1258568
Sex: F
Age: 60
State: MN

Vax Date: 03/30/2021
Onset Date: 04/08/2021
Rec V Date: 04/26/2021
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: Shingles like rash on L side of face 8 days after immunization.

Other Meds: estradiol 1 mg tab Lunesta 2 mg tab Valtrex 1 g tab Ambien 10 mg tab meloxicam 15 mg tab levothyroxine 100 mcg tab

Current Illness: None known

ID: 1258569
Sex: F
Age: 55
State: FL

Vax Date: 04/01/2021
Onset Date: 04/16/2021
Rec V Date: 04/26/2021
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: extreme fatigue, disorientation, confusion, anxiety spike, depression low, sleeplessness, no appetite, lack of muscle strength

Other Meds: calcium supplements, multi vitamins, lexapro 10 mgs

Current Illness: first covid shot 03/12/2021 - ran fever to 101, flu like symptoms

ID: 1258570
Sex: F
Age: 46
State: HI

Vax Date: 03/19/2021
Onset Date: 03/21/2021
Rec V Date: 04/26/2021
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: I got Moderna Covid 19 vaccines on 03/19 & 04/16. I have been having hives since a few days after the first dose. I have had history of hives before but pretty rare, once or twice a year if any, and they go away in an hour or two. However, this time, they would repeat 2-4 times per week, 1-3 hours each time. Most time in the evenings, in my mid section but also on my legs and neck at times. Severe itches and some anxieties. I have taken zurtek a few times. I noticed no differences. I got severe hives again this morning. It is lasting longer than usual and still spreading, now all the way to my legs. I would say in the past 5 weeks since I got the vaccine, I have been having hives about every other day. I can?t find any online articles talking about this side effect.

Other Meds: None

Current Illness: None

ID: 1258571
Sex: F
Age: 21
State: MN

Vax Date: 04/25/2021
Onset Date: 04/25/2021
Rec V Date: 04/26/2021
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: No

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

Symptoms: Headache, body soreness, vertigo

Other Meds: Augmentin, Sertraline

Current Illness: Dog bite on 4/23/21

ID: 1258572
Sex: M
Age: 15
State: IA

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 04/26/2021
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: NA

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

Symptoms: Patient received shot before 16th birthday. Called patient/parents and no report of adverse events.

Other Meds: NA

Current Illness: NA

ID: 1258573
Sex: F
Age: 37
State: CA

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 04/26/2021
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: None

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Client felt dizzy 20 mins after receiving vaccine. Client did not eat breakfast and drank coffee before coming to her appointment. Client also stated that she "drank very little water this morning." Client offered water and she drank one bottle. Client monitored for 15 more minutes. Client stated that she "feels better and the dizziness is gone." Client left facility without assistance with a steady gate.

Other Meds: None

Current Illness: None

ID: 1258575
Sex: M
Age: 55
State:

Vax Date: 04/21/2021
Onset Date: 04/22/2021
Rec V Date: 04/26/2021
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:

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

Symptoms: Moderna COVID-19 Vaccine EUA Onset 15 hours after 1st dose. Bloating, nausea, constipation, cramping, sweats, headache, fatigue, lethargy. no fever Symptoms persist for 5+ days

Other Meds:

Current Illness:

ID: 1258576
Sex: M
Age: 70
State: AR

Vax Date: 04/09/2021
Onset Date: 04/21/2021
Rec V Date: 04/26/2021
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: None

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

Symptoms: Heart went into Atrial fibrillation causing blood clotting. He has no prior heart condition. A blood clot traveled to his brain causing a Posterior Cerebral Artery Stroke. He has been in ICU since 04/22/2021.

Other Meds: There are several for the long term conditions listed below. I can submit that information a little later today.

Current Illness: None

ID: 1258577
Sex: F
Age: 52
State: PA

Vax Date: 04/21/2021
Onset Date: 04/22/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: NA

Symptom List: Pain in extremity

Symptoms: Post-menopausal woman as of April of 2018. I had a four day menstrual cycle start Thursday April 22 (day after first vaccine) completing April 25.

Other Meds: gabapentin, aimovig , ubrelvy

Current Illness: none

ID: 1258578
Sex: F
Age: 52
State: CA

Vax Date: 04/22/2021
Onset Date: 04/23/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: Penicillin; Sulfa; Shrimp; Gluten; Soy.

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

Symptoms: Fever; muscle aches; nausea; loss of appetite; foggy headed; weak; pain in injection site; exhaustion.

Other Meds: Estrodial patch .05 mg; .5 mg. Amitryptaline

Current Illness: None

ID: 1258580
Sex: F
Age: 67
State: FL

Vax Date: 02/19/2021
Onset Date: 03/31/2021
Rec V Date: 04/26/2021
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: none

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

Symptoms: Continuous irritation and redness of left eye along with excessive tearing/watering of left eye. Initially treated for traditional conjunctivitis, however, treatment has not been effective. Concerned vaccine has caused permanent damage to my eye.

Other Meds: Lunesta, multiple vitamins

Current Illness: none

ID: 1258581
Sex: F
Age: 23
State: MA

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

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

Symptoms: Systemic: Dizziness / Lightheadness-Medium, Systemic: Nausea-Medium, Additional Details: pt felt very dizzy and nauseaous immediately after the vaccine, had her sit with head down for about 30 minutes, blood pressure and pulse low (95/50, pulse 63 ) but pt was concious and said she was feeling better. told her to go to ER if feeling worse and will reach out to check in with pcp and patient

Other Meds:

Current Illness:

ID: 1258582
Sex: F
Age: 17
State: MN

Vax Date: 04/21/2021
Onset Date: 04/26/2021
Rec V Date: 04/26/2021
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: Amoxicillin

Symptom List: Vomiting

Symptoms: Pt woke up this morning, 5 days post vaccine, with rash on right arm, 3 lesions from 4x2 to 4x6cm, irregular borders, raised, slightly warm to touch, non-pruritic. Right arm has been sore since vaccination, no increase in pain today. Has tried ibuprofen but not helpful. Rx'd trial of cetirizine 10mg PO QD, will have her f/u in clinic in 2 days. Discussed importance of f/u sooner if sx's worsen. If she experiences troubles breathing, swelling of lips/tongue/throat will need to call 911/be seen in ER. Pt was seen at health clinic w/in school by physician assistant. PA called her mother and discussed plan as well. Both patient and mother understand and are agreeable to plan.

Other Meds: Levonorgestrel-ethinyl estradiol 0.1-20 MG-MCG oral tablets

Current Illness: No known

ID: 1258583
Sex: F
Age: 81
State: TX

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 04/26/2021
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: We came to the facility to give 1st doses of Moderna. Patient was non-verbal. Facility staff stated she had not received a vaccine. When system was checked after vaccination, it was discovered that patient had already received 2 doses of Pfizer.

Other Meds:

Current Illness:

ID: 1258584
Sex: M
Age: 48
State: TN

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 04/26/2021
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: N/A

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

Symptoms: The patient was immunized with the Pfizer COVID19 vaccine that had expired (already been in fridge for longer than 6 hours following drawing up).

Other Meds: N/A

Current Illness: N/A

ID: 1258585
Sex: F
Age: 71
State: DE

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 04/26/2021
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: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: - No Adverse effects w/ Shot #1 - 24 hrs after Shot #2 I experienced headache and rising fever that eventually spiked to 101. At 2am, the fever finally broke and I was fine the next day. - CURRENT SYMPTOM began several weeks later, in late March, early April. I have developed Tinnitus and have made appointment with an ENT specialist for help. I have never had this condition before and frankly don't know if it is related to the vaccine or high fever I had from the vaccine. It may be stress-related. I pray it will resolve at some point. Maddening does not begin to describe living w/ constant ringing in the ears.

Other Meds: Atenolol, 25 mg 2x daily, plus Vitamins, all in normal dosage amounts: Vit-D, B-12, Omega-3, Folic Acid, Probiotic, Potassium, Magnesium

Current Illness: Oral surgery prior week to remove failed dental implant. Recovered quickly and took antibiotics.

ID: 1258586
Sex: F
Age: 45
State: TX

Vax Date: 04/22/2021
Onset Date: 04/25/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Report dizziness, tunnel vision, nausea started on 4/25 and blurred vision of the right eye started today 4/26/21. Treatment: checked blood glucose which was normal. Outcome: Currently at work, Slight improvement in symptoms. Will follow-up with primary care doctor.

Other Meds:

Current Illness:

ID: 1258587
Sex: F
Age: 43
State: CA

Vax Date: 04/18/2021
Onset Date: 04/18/2021
Rec V Date: 04/26/2021
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: Intense ringing in ears(tinnitus), unable to sleep-nightmarish flash images during rest- first 2 nights, joints swollen and aching (over 1 week), onset of seasonal allergies for 1st time( sneezing 20x row, sinus pressure-over 1 week).

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm