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: 1271881
Sex: F
Age: 50
State: KS

Vax Date: 02/18/2021
Onset Date: 02/19/2021
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: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: To Whom It May Concern: Dear Sir/Ma?am: Good day. I am emailing to report a possible adverse event/s for the COVID-19 Vaccine(Moderna), that I had last February 18, 2021, at 8:45 am. I was fine the entire day of Thursday, February 18, 2021, until Friday afternoon, but on Friday evening of March 19, I had chest pain, palpitations(reached 130), my lips, legs, and arms trembled, and my b/p reached 188/89. Because of muscle pain localized in the chest, and as I just had the vaccination less than 48 hours earlier, I was compelled to rush to the ER to make sure it was not a heart attack. During the ER Consult, my Potassium Level was low. I feel that we have to look into the causality if the vaccine could also cause hypokalemia. Additionally, I had the same symptoms last Saturday evening(February 20) evening around 8pm. I had to call a friend to stay with me as my b/p reached 193/93. It subsided around midnight:116/72. Last night and today, I still feel mild chest pains. I am looking forward to hearing from you. Thank you. Yours sincerely, P.S. I sent an email last February 22, 2021, but I did not receive a reply.

Other Meds: Levothyroxin, Baby Aspirin

Current Illness:

ID: 1271882
Sex: M
Age: 32
State: CA

Vax Date: 04/20/2021
Onset Date: 04/20/2021
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:

Allergies: unknown

Symptom List: Anxiety, Dyspnoea

Symptoms: The patient inadvertently received a dose of 0.51 to 0.52 mL as opposed to 0.5 mL. The manufacturer instructed us to reach out to the patient to let them know that there is a potential for increased adverse events locally and/or systemically. The patient reported a sore arm but no serious adverse reactions were experienced.

Other Meds: unknown

Current Illness: unknown

ID: 1271883
Sex: M
Age: 28
State: IN

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: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: NO

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

Symptoms: patient had no issue at moment of injection. moved to waiting area in about 2 minutes, he said I think I'm going to pass out. he then lost consciousness and was not responding to verbal commands. over the course of the next few minutes, he "came to" and said he sometimes has passing out issues when he gives blood. we gave water and asked a family member to come and pick him up.

Other Meds: NO

Current Illness: NO

ID: 1271884
Sex: F
Age: 32
State:

Vax Date: 04/20/2021
Onset Date: 04/20/2021
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: Pt. c/o shortness of breath with chest tightness 10 minutes after 1st COVID injection. Pt describes it as squeezing and a little bit of swelling in the bottom of her throat, reports symptoms are persisting. Pt. has a history of asthma and high blood pressure which she takes medication for. Vitals reviewed and BP higher than reported home readings, pt. reports taking home medication. Pt given Benadryl 50mg/mL IM to left gluteal. After Benadryl, pt. reports symptoms improved and BP also improved. Pt. prescribed EpiPen to go home with and instructed to bring it to 2nd vaccine appt.

Other Meds:

Current Illness:

ID: 1271885
Sex: M
Age: 42
State: NY

Vax Date: 04/28/2021
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:

Allergies: NKA

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

Symptoms: Patient received her second dose of the Pfizer vaccine on 4/28/21 at approximately 7pm. While waiting in the waiting area for 15 minutes after getting the vaccine, she reported feeling chest pain and dizziness. She agreed to have us call the ambulance for her, they came quickly and took her to the hospital. I asked the EMT worker which hospital they were taking her to, but he said he cannot disclose the information. Patient also mentioned that she has hypertension and is on blood pressure medications.

Other Meds: Patient on HBP medications but unware of which ones.

Current Illness: None

ID: 1271886
Sex: F
Age: 25
State: FL

Vax Date: 04/08/2021
Onset Date: 04/21/2021
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:

Allergies: none

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

Symptoms: Around after the 2nd week of having the vaccine, I started to develop joint pain. Bones cracked more often and it hurt to walk a bit. This joint pain then resulted in tingling in my hands, which made my arm feel weird. Almost numb. Sometimes my face feels a bit numb too. My heart rate was elevated.

Other Meds: Tri-Nessa Lo Birth Control Pills

Current Illness: none

ID: 1271887
Sex: F
Age: 48
State: CT

Vax Date: 04/26/2021
Onset Date: 04/27/2021
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: No

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: I had chills. Body aches, nausea and vomiting and headache

Other Meds: Gabapantin , melatonin, trazadone, flexeral. Motrin, tylenol

Current Illness: No

ID: 1271888
Sex: F
Age: 39
State: CA

Vax Date: 04/07/2021
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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: My period came about a week early, which never happens. I wanted to report it in case the data is helpful.

Other Meds:

Current Illness:

ID: 1271890
Sex: M
Age: 62
State: CO

Vax Date: 03/17/2021
Onset Date: 03/24/2021
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: Succinylcholine chloride

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Patient reports that a posterior headache that radiated down into his cervical spine, lasting several hours each day. Not present at night. Getting better with time.

Other Meds: Aspirin 81 mg

Current Illness: none

ID: 1271891
Sex: F
Age: 53
State: IN

Vax Date: 04/20/2021
Onset Date: 04/21/2021
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:

Allergies: Had a similar reaction to the shingles vaccine.

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Fatigue, body aches

Other Meds: None

Current Illness: None

ID: 1271892
Sex: M
Age: 41
State: CA

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: SYR
Vax Site: LA

Lab Data:

Allergies: Unknown

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

Symptoms: The patient was given vaccine that was past the storage date

Other Meds: Unknown

Current Illness: None

ID: 1271893
Sex: F
Age: 54
State: CO

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: fish, penicillin

Symptom List: Rash, Urticaria

Symptoms: Janssen COVID-19 Vaccine: patient presents to clinic six days after vaccination reporting fever, elevated blood pressure, blistering rash from chin to toes, muscle cramping, and disequilibrium starting soon after immunization. Vital signs within normal ranges. Patient referred to emergency department (ED) immediately.

Other Meds: rosuvastatin

Current Illness: none reported

ID: 1271894
Sex: F
Age: 67
State: TN

Vax Date: 04/24/2021
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: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: 2:00 p.m. began with pain in right ear and jaw, dizziness, nausea and tinnitus, Pain alleviated with warm compresses. Next two days dizziness and nausea continued with tinnitus. Tinnitus continues.

Other Meds:

Current Illness:

ID: 1271895
Sex: F
Age: 53
State: AL

Vax Date: 02/24/2021
Onset Date: 04/01/2021
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: Left Thalamic Infarction, headache and visual changes noted about April 12th

Other Meds: Effexor XR, Losartan, Trazodone

Current Illness:

ID: 1271896
Sex: M
Age: 50
State: CA

Vax Date: 04/01/2021
Onset Date: 04/12/2021
Rec V Date: 04/29/2021
Hospital: Y

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

Lab Data:

Allergies: Bee sting

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

Symptoms: Started with red rash which progressed to being warm to the touch. Initially managed by hydrocortisone cream and antihistamine. By day 3, progressed to whole arm swelling, rash, and hit to the touch. No pain. Went to ER for fear of cellulitis. IV vancomycin and ceftriaxone given (3 doses and 2 doses respectively). Discharged on oral doxycycline and cephalexin.

Other Meds: Metformin, Ozempic, Jardiance, Lipitor, Fenofibrate, aspirin, omega3, propecia, multivitamin, Nexium

Current Illness: None

ID: 1271897
Sex: M
Age: 73
State: MI

Vax Date: 04/01/2021
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:

Allergies: None

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

Symptoms: He had a stroke

Other Meds: Amaryl 4 mg , Metformin Hcl 500, Pravastatin 40mg, Timolol maleate ophthalmic 5MLand Bayer aspirin 81mg

Current Illness: None

Date Died: 04/15/2021

ID: 1271898
Sex: M
Age: 52
State: AL

Vax Date: 04/12/2021
Onset Date: 04/15/2021
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:

Allergies: No known Drug allergies

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

Symptoms: Patient was found unresponsive on 4/15/2021. Patient seemed to pass in his sleep per family member. The coroner deemed myocardial infarction. No autopsy completed.

Other Meds: Prescriptions: oxymorphone 10mg, lyrica 150mg, metoprolol ER 100mg, Novolog 100units/ml, tresiba flextouch 200units/ml, metformin 1000mg, furosemide 40mg, spironolactone 100mg, famotidine 40mg, omeprazole 40mg, lactulose 10gram/15ml, trazod

Current Illness: NA

ID: 1271899
Sex: M
Age: 71
State: PA

Vax Date: 04/24/2021
Onset Date: 04/25/2021
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:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Patient stood up and started to walk. Passed out. Found lying face-down on floor. He hit his face on a stand and seemed to blackout. He remembers feeling dizzy. He may have fainted or was knocked out by fall. Has a black eye; and swelling on eye and cheek.

Other Meds:

Current Illness: pace maker

ID: 1271901
Sex: F
Age: 79
State: AZ

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

Allergies: NKA

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Patient called and complained of swallowen arm, redness and hard as a rock. She said swelling is spreading and she feels warm inside her skin.

Other Meds: Losartan, Xarelto, Metformin and Multivitamins.

Current Illness: None

ID: 1271902
Sex: F
Age: 24
State: MA

Vax Date: 04/27/2021
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:

Allergies: None known

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

Symptoms: 24 hours after first shot, started to develop a rash on face and shoulder. It spread over the course of the next day to the entire body and included both ears turning red and swelling up. Skin hot to the touch and slightly numb. Documented progression of redness and rash on face. Went to see doctor approximately 48 hours after initial shot, advised to take Benadryl and if that does not work or if it gets worse to call back. Advised not to take second dose of vaccine as it is likely an allergic reaction.

Other Meds: Kyleena IUD

Current Illness: Tonsillitis a week prior.

ID: 1271903
Sex: F
Age: 29
State:

Vax Date: 04/28/2021
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: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Claritin

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

Symptoms: Anaphylaxis (wheezing, throat swelling, rash) nearly 24 hours after vaccination

Other Meds:

Current Illness:

ID: 1271904
Sex: F
Age: 50
State: CA

Vax Date: 02/04/2021
Onset Date: 02/05/2021
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: Lexapro

Symptom List: Unevaluable event

Symptoms: Woke up on 2/5/21 feeling extremely fatigued with not much strength, with chills and body aches and no appetite. Started feeling better towards the end of the day and by the next morning, 2/6/21 I was 90% better.

Other Meds: Wellbutrin and Ortho Tricyclene

Current Illness: None

ID: 1271905
Sex: F
Age: 71
State: NJ

Vax Date: 04/19/2021
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:

Allergies: Penicillin

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

Symptoms: She felt the loss of strength on the right-side of her body, from arm to leg. She was standing and almost fell because of that. She moved her arms around immediately and finally "woke" them up. It took much longer for her leg to return to normal (after massaging the whole leg). This incident lasted about a half-hour. We are closely monitoring her and will go to the hospital if this happens again.

Other Meds: ATORVASTATIN Calcium 10MG MESALAMIME 1.2GM

Current Illness: No

ID: 1271906
Sex: F
Age: 47
State: FL

Vax Date: 04/22/2021
Onset Date: 04/22/2021
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: Penicillin, pineapple, scallops, dairy, eggs, seasonal and I carry epi pen since they could not figure out what i was allergic to 2 years ago when I had staph infection and they thought it was DVT's but then diagnosed me with lymphedema

Symptom List: Injection site pain, Pain

Symptoms: It's 7 days later and I am still not well - face swelling, hot to the touch (similar to when I had staph infection) Nausea is new as of today, migraine has come back (was present up until yesterday afternoon and started to dissipate and now back in full force). I have had 17 concussions in my lifetime so it feels like that a bit, foggy, can't stand for long, fatigue. Here are my symptoms by days. Would have sent this sooner but couldn't function or look at screen- really sick. I am still sick and not sure if this is normal or I should be going to the ER or some type of doctor. 4/22/21 ? 2nd Shot at 10:35 am - @ 1:45 pm arm really started to get soar and hard to lift. Chills. Drossy. 4/23/21 ? After I awoke from the 1st night, I couldn't move my entire body's left side, I was dragging my left leg with me and couldn't lift my arm from my body or move it. exhausted felt drugged, like hangover, migraine and getting in car accident all in one. Kept dozing off. Slept a lot. Head felt similar to concussion. Unable to really walk. 4/24/21 ?Slept a lot during day. Arm and leg mobility better and I could finally feel my left fingers. So much pain so I finally took my 1st Tylenol muscle 8 hr at 9:38 am. Took another at 10:30pm. It helped for about 5 hours and then woke up with sharp pains again. At night, shooting pains in legs especially back of legs and burning I?m in a lot of pain so while I can now feel my left side and move my arm a bit better my legs are still in a constant state of shooting spasm and I can?t lay down, sit up, recline or anything. Nothing brings comfort. It?s like taking an electrical prod to my body. Arm still hurts (NOT at injection site) but can move it better now still feels like sinus infection. It?s like muscles are pizza dough and someone is pulling them, stretching them painfully with electrical current when you aren?t moving. Massive spasm all over back of legs hips from bottom down. Eyes really swollen. Did Sinus Rinse. Under my arm put and beside/behind my breast rib cage sore. 4/26/21 - Pain wakes as usual throughout the night but it?s 4:40am and the Tylenol has worn off. Pizza dough pulling and spasms in the legs. I?ve taken more Tylenol in the last 4 days than I have taken in the last 40 years. I felt like I didn?t have a headache when I got up but my legs were still streaming so I took another Tylenol and I have a headache and don?t feel good. I now am able to move arm but extremely painful like a log, I can lift it only 1.5 inches from my body which is more than I could before so it must be getting better. Head still feels similar to concussion with migraine. The headache is causing me to clinch teeth and the headache is not at the level it was but still pretty bad. None of this pre -2nd shot. When I was about 12yrs old I had Rheumatoid arthritis (or that was the drs explanation) and this is what it felt like, I couldn?t move my legs or my arms then. I did not take any Tylenol tonight. Shoot pains only wake me up 3 times although they are constantly there just the strength differs Dr?s have always said I have extremely high threshold for pain. I was finally able to brush my hair, afterwards my arms were shaking muscle wise and fatigued. Rash inside my ear and face blotchy. 4/27/21 ?No real change in symptoms except now I am seeing my face swell and eyes are still burning and painful. My face only on the left side more than right looks like a cabbage patch doll- swelling. Eyes sore and front of head hurts. Stuffy nostril only left one ? so I do another sinus rise today. Still feel drugged. Body is sore. Hard to move neck. Still in pain take Tylenol at 9:20pm. The pain woke me up multiple times and kept me up. It?s like someone is pulling my muscles like pizza dough. It is so painful. No position is comfortable. Woke up at 10:30, 11:45, 12:15, 2:21, 3:52, 4:05 and that was it couldn?t get back to sleep because of this pain. Don?t have a foam roller here but maybe an olive oil bottle I could use in the same manger or a tennis ball. I have to do something I can?t take this pain. 4/28/21 ? 8:32 am having trouble lifting my arm, very heavy fingers numb fatigued like I just lifted something really heavy by myself. I was finally able to move arms enough to was the dishes. Left side of face still swollen. Under my arm put and beside/behind my breast rib cage still sore. Finally, was able to take bath. Not hot because I didn?t want any more swelling. 4/29/21 ? Only woke up a couple of time and slept better so thought I would try to go for a walk outside today. My headache I thought was pretty much gone. I didn?t last more than 8 mins. I felt like I couldn?t stand, exhausted, not strong enough and needed to sit down. My migraine is back and I feel nausea, not hungry, face is swollen still. I have lymphedema and use my machine every night, but it?s almost like the shot increases inflammation all over my body, find the places that have been affected before and gets in there. I only drink water, no coffee, tea or juice and no alcohol since 3 days before my 1st shot and was planning to continue that until 2 months after my 2nd shot.

Other Meds: Fluticasone Propionte Nasal Spray 50mg 1 puff per nostril per day, 1x day: Prenatal Multi + 200 mg DHA, 1400 mg/980mg Omega 3 Fish Oil, Magnesium 500mg, Evening Primrose oil 1,000mg, B2 100mg, Allegra 180 mg

Current Illness: None

ID: 1271907
Sex: F
Age: 51
State: IA

Vax Date: 02/08/2021
Onset Date: 02/14/2021
Rec V Date: 04/29/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: 4 days after second dose patient had excruciating abdominal pain, and since has had ongoing issues like weakness, shortness of breath and chest pain. Patient is a health care worker.

Other Meds:

Current Illness:

ID: 1271908
Sex: M
Age: 25
State: KS

Vax Date: 03/10/2021
Onset Date: 03/24/2021
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: 25-year-old Caucasian male with no significant past medical history, he was seen in the hospital on the 24th of March for right facial weakness, prescribed a week of steroid and antiviral, his symptoms started with an ear infection on the right side a month and a half ago, he did not have a rash in or around the ear but it was beet red, [he had the zoster vaccine as a child], 1 week later, he had drooping of the right side of the face, went to urgent care where he was given 3 days of amoxicillin, it did not help and he developed nausea, it was stopped, then he went to the hospital and was treated, there was no improvement, hence went to ENT where he was given a 12 day dose of tapering p.o. prednisone 60 mg and decreasing by 10 mg every 2 days to nothing and 14 days of repeat antiviral therapy, he finished them 3 days ago, right-sided facial weakness has not improved, there is no pain, when all this started, he had vertigo with spinning sensation all the time for about a week and a half with decreased balance, both have resolved, he had a brain MRI in the hospital that was unremarkable, his hearing is normal, denies any problems with speech, he thinks the right eye closes when he sleeps, he does not patch it or use artificial tears, no headache, no numbness or weakness reported, no facial pain, no prior history of similar problems, left side of the face is fine, 2 weeks prior to symptom onset, he had the first dose of the Pfizer Covid vaccine. No history of COVID-19.

Other Meds: spironolactone

Current Illness: none

ID: 1271909
Sex: M
Age: 17
State: AZ

Vax Date: 03/05/2021
Onset Date: 03/05/2021
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:

Allergies: N/A

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: PATIENT WAS OUTSIDE OF RECOMMENDED AGE.

Other Meds: N/A

Current Illness: N/A

ID: 1271910
Sex: F
Age: 25
State: PA

Vax Date: 01/07/2021
Onset Date: 03/29/2021
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: Muscle or body aches Congestion or running nose

Other Meds: acetaminophen (TYLENOL) 325 mg tablet albuterol HFA (PROAIR HFA) 90 mcg/actuation inhaler calcium carbonate (TUMS) 500 mg (200 mg calcium) chewable tablet fexofenadine (ALLEGRA) 60 mg tablet FLUoxetine (PROzac) 10 mg capsule methocarbamol (

Current Illness: NONE

ID: 1271911
Sex: F
Age: 32
State: CA

Vax Date: 04/19/2021
Onset Date: 04/26/2021
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: RA

Lab Data:

Allergies: no.

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

Symptoms: 7 days after the shot I experienced the following at the site of the injection: -Noticeable swelling -Itching -Redness -Heat at site -Soreness

Other Meds: no.

Current Illness: no.

ID: 1271912
Sex: F
Age: 38
State: CA

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: RA

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: Patient was given an shot that was outside of storage range

Other Meds:

Current Illness:

ID: 1271913
Sex: M
Age: 15
State: WI

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:
Dose Series: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: When signing up to schedule for a vaccine appointment, they have to attest that the person receiving the vaccine is 16 years of age or older. When the patient arrived to vaccine clinic, the date of birth was overlooked not realizing the patient was only 15 years old; therefore, the patient recieved the 1st dose of the pfizer vaccine.

Other Meds:

Current Illness:

ID: 1271914
Sex: F
Age: 51
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:

Allergies: NKA

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

Symptoms: Patient reported to clinic today for Covid Vaccination and denied having had previous vaccination. After the administration of her vaccine and upon entry to the EMAR it was realized that she had already obtained a J&J vaccine on 4/9/2021. Upon reviewing her medical record she was given a J&J Vaccine from lot #201A21A in her Left Deltiod IM by our staff at an off-site community vaccination clinic on 4/9/2021. She completed paperwork for the first vaccination under one name and upon presentation today completed paperwork under a different name. She was contacted and advised that she had received a duplicate dose when only 1 dose is recommended. Upon being contacted she did state that she now remembered getting the first vaccine. She was advised to report to the clinic or ER with any concerning adverse reactions.

Other Meds: atenolol, cyclobenzaprine, ferrous sulfate

Current Illness: No acute illnesses

ID: 1271915
Sex: F
Age: 62
State: IL

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: RA

Lab Data:

Allergies: depakote, lithium, wellbutrin

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

Symptoms: Patient complained of headache; itching in eyes, upper and lower extremities and perineal area.

Other Meds: levothyroxine 180mcg daily; Lipitor 100mg daily; atorvastatin 40mg daily

Current Illness: covid 19 infection October 2020

ID: 1271916
Sex: F
Age: 50
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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: NONE

Symptom List: Tremor

Symptoms: POST VACCINE, C/O CRAMPING IN LEGS AND ARMS, REPORTS DID NOT EAT OR DRINK WATER ALL DAY, GIVEN COLD WATER AND CRACKERS. VSS. ESCORTED TO EXIT WITH NO ISSUES ONCE S/S RESOLVED AT 1530. 1519 BP 119/81 HR 81 SATS 97% RA 1529 STANDING BP 119/81 HR 83 SATS 97% RA

Other Meds: NONE

Current Illness: NONE

ID: 1271917
Sex: F
Age: 70
State: NY

Vax Date: 02/05/2021
Onset Date: 02/05/2021
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: none

Symptom List: Erythema, Pruritus

Symptoms: I had pain and difficulty raising my left arm for 3 days after the first injection. Gradually mobility improved somewhat. After the second shot I once again had mobility issues and pain . I had some mobility improvement, but now 2 months later I still cannot completely raise my left arm and have pain when I perform some movements,

Other Meds: atorvastatin vitamin d3 centrum silver caltrate

Current Illness: none

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: 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:

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

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: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none that I know of

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

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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: CODEINE; HYDROCODONE ACETAMINOPHEN

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

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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

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

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: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: NONE

Symptom List: Vomiting

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: 037K20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: penicillin

Symptom List: Headache, Limb discomfort, Nasal congestion

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: 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: 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: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

Symptom List: Injection site swelling, Limb discomfort

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:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

Symptom List: Chills, Diarrhoea, Fatigue, Feeling abnormal, 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: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: none

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

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

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm