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: 1291211
Sex: F
Age: 56
State: NY

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 05/05/2021
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: Tetracycline, Hydrocodone, Oxycontin

Symptom List: Dysphagia, Epiglottitis

Symptoms: Dizziness, mild fever, total body weakness, sweating, body aches, headache, nausea. Symptoms lasted for 48 hours

Other Meds: None.

Current Illness: None.

ID: 1291212
Sex: M
Age: 34
State: TX

Vax Date: 05/05/2021
Onset Date: 05/05/2021
Rec V Date: 05/05/2021
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: No

Symptom List: Anxiety, Dyspnoea

Symptoms: Passed out after shot

Other Meds: Ambien

Current Illness:

ID: 1291213
Sex: F
Age: 64
State: OK

Vax Date: 03/26/2021
Onset Date: 03/29/2021
Rec V Date: 05/05/2021
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: Avelox Omnicef

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

Symptoms: Began with symptoms of a pulled groin, after a week went to the doctor. Gave me meloxicam and told to have no exercise for two weeks, then within a week had same symptoms on right groin. Next both shoulders, elbows, knees, all painful. Blood work showed nothing extraordinary. Extreme pain Tuesday, May 4. Appointment to go back tomorrow, May 6 for another type of blood test. Doctor felt I should report symptoms.

Other Meds: multi vitamin Vitamin D Fish oil budesonide for nasal nebulizer

Current Illness: none

ID: 1291214
Sex: F
Age: 43
State: OH

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies: Hives with certain types of fish reported.

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Patient reports experiencing shortness of breath that started within the week after her first dose of COVID vaccination and continues to this day. (She also reports experiencing fever and chills that started the evening after vaccination and was gone within 24 hr, which was expected.) Pt has hx of COVID (June 2020). Pt talked to Dr. about her SOB and completed a steroid and antibiotic course from prescriber. She was advised to follow up w/ her Dr. concerning her continued SOB.

Other Meds:

Current Illness:

ID: 1291215
Sex: F
Age: 19
State: NV

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies: Citric acid

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

Symptoms: Hives began appearing between thirty minutes and an hour after injection was given. They were each about the size of a business card and went away a couple days later after Benadryl was taken.

Other Meds: Blisove Fe

Current Illness: N/A

ID: 1291216
Sex: F
Age:
State: AL

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

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

Symptoms: cataract; This is a spontaneous report from a contactable consumer (patient) via a sponsored program. This 59-year-old female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EN6205) via an unspecified route of administration in the left upper arm on 26Mar2021 09:30 (at the age of 59-year-old) as single dose for COVID-19 immunization. The patient did not receive any other vaccines within four weeks prior to the vaccination. She was not enrolled in the clinical trial. Medical history included ongoing diabetes mellitus for 2 years (2019), heart attack occurred 6 years ago (2015), and she has had the following conditions for probably about 5 or 6 years: ongoing blood cholesterol increased, ongoing blood potassium decreased, ongoing heartburn, and ongoing high blood pressure. Family Medical History included her mom died of cancer and her dad died of a massive heart attack. Concomitant medications included metformin (manufacturer unknown) taken for diabetes mellitus, metoprolol (manufacturer unknown) taken for heart attack, ezetimibe (manufacturer unknown) taken for blood cholesterol, prasugrel hydrochloride (EFFIENT) taken for stent placement, losartan (manufacturer unknown) taken for hypertension, potassium chloride (manufacturer unknown) taken for blood potassium decreased, omeprazole (PROTONIX) taken for heartburn; all ongoing from an unspecified start date. On an unspecified date in 2021, the patient developed cataract. As reported, the patient just had her eye cataracts removed, one at a time: she had one done 05Apr2021 for the left eye, and one done yesterday, 19Apr2021 for the right one. She had a scheduled second dose due last 16Apr2021, but she missed it, so she was asking how to re-schedule the second dose. The clinical outcome of the cataract was not reported.

Other Meds: METFORMIN; METOPROLOL; EZETIMIBE; EFFIENT; LOSARTAN; POTASSIUM CHLORIDE; PROTONIX [OMEPRAZOLE]

Current Illness: Blood pressure high; Diabetes; Heartburn; High cholesterol; Potassium low

ID: 1291217
Sex: F
Age: 58
State: LA

Vax Date: 05/05/2021
Onset Date: 05/05/2021
Rec V Date: 05/05/2021
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: n/a

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Patient was given an expired dose

Other Meds: n/a

Current Illness: n/a

ID: 1291218
Sex: F
Age: 43
State: MD

Vax Date: 04/16/2021
Onset Date: 04/21/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Pharyngeal swelling

Symptoms: Hot flashes that continue throughout the day, and at night. Started about week after taking the first dose of the vaccine. Followed by spells of tiredness that lasts from a few minutes to maybe 45 minutes and then goes away. Also, I missed my period, which was due around 4/22.

Other Meds: Aller-tec for seasonal allergies

Current Illness: Seasonal allergies/pollen

ID: 1291219
Sex: M
Age: 33
State: CA

Vax Date: 05/04/2021
Onset Date: 05/05/2021
Rec V Date: 05/05/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: Strong headache, slight fever

Other Meds: None

Current Illness: None

ID: 1291220
Sex: F
Age: 61
State: TN

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 05/05/2021
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: Penicillin Sulfa drugs

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Extreme muscle pain in my hips,knees,groin,and lower back. Basically the lower extremities of my body. I kept thinking that it would go away after a couple of days. It?s been almost three months. I also have stiffness in my neck and shoulders many days. But the lower extremity pain is every day, all day. It is difficult to go up and down stairs.

Other Meds:

Current Illness:

ID: 1291221
Sex: F
Age: 36
State: TX

Vax Date: 05/05/2021
Onset Date: 05/05/2021
Rec V Date: 05/05/2021
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 for self, breastfed baby allergic to eggs

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

Symptoms: I had the vaccine at 1pm. Exclusively Breastfed 8 month old baby had diarrhea (very smelly loose stools) around 3:30pm. (He has had diarrhea after his infant vaccinations). By evening he also had a temperature of 99.5.

Other Meds: Prednisolone eye drops and nevanac eye drops

Current Illness: None

ID: 1291222
Sex: F
Age: 59
State: IL

Vax Date: 04/27/2021
Onset Date: 04/30/2021
Rec V Date: 05/05/2021
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: none

Symptom List: Rash, Urticaria

Symptoms: The day after receiving my second Pfizer dose, I had a fever of approximately 100 degrees. Three days later, I noticed a ringing in my ears.

Other Meds: vitamin d, vitamin c,

Current Illness: none

ID: 1291223
Sex: F
Age: 39
State: MD

Vax Date: 04/04/2021
Onset Date: 04/12/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

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

Symptoms: 8 days after receiving my second dose, I had mid cycle menstrual bleeding, just like a period and have now missed my regular period. Seems to be a direct correlation to the vaccine as I have never experienced this in my life.

Other Meds: Prenatal vitamins, D3, COQ10, Claritin, flonase

Current Illness:

ID: 1291224
Sex: M
Age: 59
State: IN

Vax Date: 03/17/2021
Onset Date: 03/18/2021
Rec V Date: 05/05/2021
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: Tooth ache and gum swelling with vibrating pain and headache

Other Meds: Lisnopril 20mg Atorvastatin 20mg Hydrochlorothiazide 25mg Amlodipine besylate 5mg Potassium CL ER 10 MEQ

Current Illness: None

ID: 1291225
Sex: F
Age: 26
State: PA

Vax Date: 01/14/2021
Onset Date: 02/05/2021
Rec V Date: 05/05/2021
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: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: Symptoms began 2/5 which initially started with high blood pressure. Dizziness, motion sickness, migraines, vertigo, impaired balance followed. Diagnosis was Vestibular neuritis related to inflammation from vaccine.

Other Meds: None

Current Illness: None

ID: 1291226
Sex: F
Age: 39
State: IL

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 05/05/2021
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: Pencillin, Sulfa, Ceclor, Avocado

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

Symptoms: Fatigue, Migraines, and severe longterm vertigo every day since I got the shot. It's been 4.5 weeks. I am seeing specialists. It is a disability. I'm unable to work, do house chores, and drive as much as I need.

Other Meds: Levothyroxine, Escitalopram, Cyclobenzaprine, Multi-Vitamin

Current Illness: None. I had a full blood work up 4 days prior and was in good health.

ID: 1291227
Sex: F
Age: 35
State: KS

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

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

Symptoms: THE PATIENT CALLED THE PHARMACY ON 5/5/21 REPORTING A RASH THAT HAS DEVELOPED ON HER CHEST ABOVE THE BRA LINE AND NECK. AT FIRST SHE ASSUMED IT WAS FROM THE BEING IN THE SUN DURING THE WEEKEND (5/1/21-5/2/21), BUT REALIZED TODAY IT MIGHT BE FROM THE VACCINE. SHE HAS BEEN TREATING WITH OTC DIPHENHYDRAMINE CREAM AND TAKES A DAILY ORAL ANTIHISTAMINE. THE RASH IS NOT SPREADING AND SHE IS NOT HAVING ANY SORT OF DIFFICULTY BREATHING OR HIVES.

Other Meds:

Current Illness:

ID: 1291228
Sex: M
Age: 26
State: IN

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

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

Lab Data:

Allergies: Cefaclor

Symptom List: Ear pain, Hypoaesthesia

Symptoms: At about 8:30am the day after vaccination, I started coughing heavily and chills ensued shortly thereafter, along with a headache and what felt like a fever. I did not diagnose the exact body temperature until about 12:30pm, where it was 104.2 degrees Fahrenheit. Under the supervision of my brother and his wife, both of whom are nurses, I was prescribed drinking fluids (water) and cooling off under a fan along with rest. By the next morning, I felt recovered, minus a minor headache and some minor coughing sporadically, but not in the intensity that I faced earlier.

Other Meds: Omeprazole

Current Illness:

ID: 1291229
Sex: F
Age:
State: TX

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 05/05/2021
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: shingles type blistering, weeping, oozing and kind of on fire type of feeling; shingles type blistering, weeping, oozing and kind of on fire type of feeling; shingles type blistering, weeping, oozing and kind of on fire type of feeling; hives and a rash that continues to get worse; hives and a rash that continues to get worse; When clothes touching it hurts, it is very uncomfortable; injection site soreness; This is a spontaneous report from a contactable registered nurse, the patient. This 40-year-old female patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: EW0151; Expiration Date: 01Jul2021) via an intramuscular route of administration in the left arm on 14Apr2021 09:00 (at the age of 40-year-old) as single dose for COVID-19 immunization. Medical history included anxiety depression. Concomitant medication included bupropion hydrochloride (WELLBUTRIN XL) taken for 15 years (2006) and ongoing for anxiety depression. The patient did not have any allergies to medications, food, or other products. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 14Apr2021, the patient experienced some expected injection site soreness. On Friday evening 16Apr2021, the patient broke out in hives and rash that continued to get worse. The patient described the hives started on right side of neck and now is on her face on the right side and neck, on left breast and right lower abdomen which spread around the back down on the leg and on the left bikini line on the groin. She stated now it is like shingles type blistering, weeping, oozing and kind of on fire type of feeling. It is mostly on the right side and there are some spots on the left. When clothes touching it hurts, it is very uncomfortable. She had a friend/physician to call in for her for oral steroids but don't seem to be doing much. The patient clarified the oral steroids as a MEDROL Dose pack, methylprednisolone 4mg tablets, and she only one full-day worth so far, she took all 6 tablets for yesterday (19Apr2021) and has taken one tablet so far today with doses being titrate down daily. It is not any worse than yesterday, but it has not started getting any better either. The patient stated that she has nothing on the left arm where she got the injection, no rash on left arm. Her second dose is scheduled 05May2021 and she does not know if she should get it. The clinical outcome of the event injection site soreness was resolved on 16Apr2021 while the events "hives and a rash that continues to get worse", "shingles type blistering, weeping, oozing and kind of on fire type of feeling" and "When clothes touching it hurts, it is very uncomfortable" were not resolved.; Sender's Comments: Based on temporal association, a contributory role of BNT162b2 to the events of broke out in hives and rash, blistering, weeping, oozing and kind of on fire type of feeling cannot be excluded. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.

Other Meds: WELLBUTRIN XL

Current Illness:

ID: 1291230
Sex: F
Age: 65
State: AZ

Vax Date: 04/10/2021
Onset Date: 04/13/2021
Rec V Date: 05/05/2021
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: Woke up at 230 am ten hours after receiving 2nd dose with fever, chills feeling awful, unable to warm up. That lasted approximately fours hours. Three days later tinnitus began all day and night lasting two and a half weeks sounding like some kind of Morris code. It slowly began to fade. I have never had tinnitus!

Other Meds:

Current Illness:

ID: 1291231
Sex: F
Age: 43
State: PA

Vax Date: 04/22/2021
Onset Date: 05/02/2021
Rec V Date: 05/05/2021
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: pineapple

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

Symptoms: Lymph node near armpit swollen and red, hard and painful to the touch. Left side, same as the injection site. My doctor knows, we are monitoring it for any changes. The lymph swelling was acute, and I was alarmed, until I read that this may be one of the side effects.

Other Meds: liothyronine levoxothyroid DHEA 100 mg B-12

Current Illness: none

ID: 1291232
Sex: F
Age: 43
State: IN

Vax Date: 04/29/2021
Onset Date: 05/01/2021
Rec V Date: 05/05/2021
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: 1st dose of Moderna vaccine on Thursday April 1. Side effects for one week following 1st vaccination ranging from low grade fever, headaches, chills, and overall aches. During well visit on Tuesday April 20 discovered small swelling on right thryoid area. No previous history of thyroid issues. Blood work revealed positive TPO antibodies and regular thyroid hormone levels (TSH and T4). An ultrasound was scheduled for Friday April 30. Second dose of moderna vaccine scheduled for Thursday April 29 at 8:40am. By 5pm had 102 fever that lasted 8-10 hours. Friday April 30 receded to low grade fever and overall minor aches. Thyroid ultrasound completed on Friday April 30. On Saturday May 1, neck area was extremely inflamed. It felt like someone was applying "icy hot" on my neck every 5 minutes. Higher temperature. Relief with ice packs on neck and last through Sunday night (May 2). Extreme fatigue on Sunday. Thyroid was extermely inflamed and swollen. Monday May 3 swelling slighly receded and no longer having the icy burning feeling. Low grade fever remains with overall body aches. As of Wed. May 5, thyroid is still very swollen. Had a follow up with general practicioner with ultrasound revealing 7 thyroid nodules measuring 1.5-2 cm in size. Thyroid swelling easily visualized externally. Will follow up with an endocrinologist.

Other Meds: Multi-vitamin, vitamin D

Current Illness: 1st dose of Moderna vaccine on Thursday April 1. Side effects for one week following 1st vaccination ranging from low grade fever, headaches, chills, and overall aches. During well visit on Tuesday April 20 discovered small swelling on right thryoid area. No previous history of thyroid issues. Blood work revealed positive TPO antibodies and regular thyroid hormone levels (TSH and T4). An ultrasound was scheduled for Friday April 30. Second dose of moderna vaccine scheduled for Thursday April 29 at 8:40am. By 5pm had 102 fever that lasted 8-10 hours. Friday April 30 receded to low grade fever and overall minor aches. Thyroid ultrasound completed on Friday April 30. On Saturday May 1, neck area was extremely inflamed. It felt like someone was applying "icy hot" on my neck every 5 minutes. Higher temperature. Relief with ice packs on neck and last through Sunday night (May 2). Extreme fatigue on Sunday. Thyroid was extermely inflamed and swollen. Monday May 3 swelling slighly receded and no longer having the icy burning feeling. Low grade fever remains with overall body aches. As of Wed. May 5, thyroid is still very swollen. Had a follow up with general practicioner with ultrasound revealing 7 thyroid nodules measuring 1.5-2 cm in size. Thyroid swelling easily visualized externally. Will follow up with an endocrinologist.

ID: 1291233
Sex: F
Age: 62
State: CA

Vax Date: 04/09/2021
Onset Date: 04/15/2021
Rec V Date: 05/05/2021
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: Severe case of pink eye, in left eye, and a swollen lymph node in front of left ear. Started mildly on 04/15 and became much worse by 04/16. Both lids were swollen, itchy, discharge and RED. Started to get better by 04/23 and was almost gone by 04/25. Called the doctors office on 04/17 and they subscribed antibiotic eyedrops that I used for 7 days.

Other Meds: None

Current Illness: None

ID: 1291234
Sex: F
Age: 61
State: PA

Vax Date: 04/07/2021
Onset Date: 04/14/2021
Rec V Date: 05/05/2021
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

Symptom List: Injection site pain, Pain

Symptoms: 8 days after injection: swelling, redness, hot to the touch, and itching at the site of injection. Lasted 4 days. No other symptoms.

Other Meds: Preservision

Current Illness: none

ID: 1291235
Sex: F
Age:
State: TN

Vax Date:
Onset Date:
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: bad cold; coughing; congestion; This is a spontaneous report from a Pfizer sponsored program. A contactable consumer (patient) reported a female patient of unspecified age received dose 1 of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE) via an unspecified route of administration on an unspecified date as a single dose for COVID-19 immunization. Medical history and concomitant medications were not reported. On an unspecified date the patient experienced a bad cold, coughing, and congestion for a few days already. The patient wanted to know if she could take dose 2 of BNT162B2 even though she had a cold. The outcomes of bad cold, coughing, and congestion were unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1291236
Sex: F
Age: 54
State: MO

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 05/05/2021
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: N/a

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

Symptoms: Back pain into sciatica

Other Meds: Armour thyroid

Current Illness: N/a

ID: 1291237
Sex: F
Age: 30
State: GA

Vax Date: 04/26/2021
Onset Date: 05/04/2021
Rec V Date: 05/05/2021
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: 8 days after the vaccine I realized that I had been scratching my arm throughout the day and later realized it was the same location on my arm that the shot was received. The area is swollen, very red, and has a temperature of 102.2 F (This was yesterday). I checked my forehead and do not have a fever. Today it?s the same. I also was extremely fatigued and slept for 4 hours throughout the afternoon. Other than some tenderness the day after the shot I didn?t have side effects until yesterday. I?m only concerned because it?s been over a week and I?m just now getting these side effects.

Other Meds:

Current Illness: Epilepsy

ID: 1291238
Sex: F
Age: 39
State: CO

Vax Date: 05/01/2021
Onset Date: 05/02/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Fever, body ache, nausea, headaches, vomiting

Other Meds: None

Current Illness: None

ID: 1291239
Sex: M
Age: 19
State: AZ

Vax Date: 05/04/2021
Onset Date: 05/05/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies: NKDA

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

Symptoms: PT CALLED TODAY 5/5/21 STATED THAT HE WOKE UP ABOUT 2:30AM AND COULD NOT BREATH. HE RECEIVED HIS VACCINE ABOUT 2:55 PM ON 5/4/21.. HE SAID HE FELT LIKE HIS THROAT WAS SWOLLEN, HE HAD A FAST HEART RATE, AND FELT LIGHT HEADED.

Other Meds: NONE ; PREVIOUSLY ALBUTEROL INHALER

Current Illness: NONE

ID: 1291240
Sex: F
Age: 33
State: WI

Vax Date: 04/05/2021
Onset Date: 04/09/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies: Ceclor

Symptom List: Nausea

Symptoms: Two herpes outbreaks within two weeks of receiving Pfizer COVID-19 vaccine

Other Meds: 0

Current Illness: 0

ID: 1291241
Sex: F
Age: 33
State: TX

Vax Date: 05/03/2021
Onset Date: 05/03/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain

Symptoms: Within 3 hours had abnormally sore arm. 12 hours after injection administration I woke up with chills, fever, vomiting. Fever greater than 101 degrees lasted longer than 24 hours and reached u pl to 102.5 degrees. Vomiting lasted for approximately 12 hours from first onset. 36-48 hours later I have warmth, redness and soreness on entire upper arm where injection was given.

Other Meds: Vitamin B12, Biotin, Vitamin D3 over the counter

Current Illness: None

ID: 1291242
Sex: F
Age: 40
State: IN

Vax Date: 04/29/2021
Onset Date: 05/05/2021
Rec V Date: 05/05/2021
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: Rash with bumps left shoulder to elbow.

Other Meds: Birth Control, Duloxetine

Current Illness:

ID: 1291243
Sex: F
Age: 30
State:

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 05/05/2021
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: HPV vaccine, penicillin, walnuts, avocados, amoxicillin, azithromycin, bananas, ciprofloxacin, NSAIDS, grapes, peanuts, rye grass.

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

Symptoms: Patient developed mild itching and "knot" in throat, superficial red bumps to upper right arm near vaccination site. Patient was given 2 cups of water and symptoms resolved soon after.

Other Meds:

Current Illness:

ID: 1291244
Sex: F
Age: 73
State: CA

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 05/05/2021
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: 1. Bulging veins appeared the day following first vaccination. From inside the left nostril onto the upper lip. on right temple above end of eye brow and between hair line, legs, behind the right knee. Behind the left knew were several large clots. 1.a. Had vein work done from November 2020 to January 2021. Clots had disappeared. 1.b. Feb. 27, 2021 clot on right temple was "in" or on top of area treated. There was pain that lasted for three days. 1.c. Told primary care doctor and saw Vein Doctor. Then there was not much concern about clots. 2. Eyes: 02/26/2021 through 02/27/2021 shooting pains around and through the eyes. Started right after vaccination. 3. Two bulging painful masses Center of forehead right and left of center of nose. 4. Lega and feet swelled 5. Toes: 03/03 toes separated and cramped on feet. Each foot two toes went left stuck together and two went right. 6. Feet 03/03/21 sore spots on top of feet. Pain made it hard to walk. Pain extended toward and over ankles and wrapped around heel.. I use a walker 7. Dizzy when looking down, shortness of breath. Contacted cardiology 8. Belching and air bubbles originating in the chest area 9. Sleep: Slept almost around the clock for first 5 days. 10. Very thirsty even after drinking water 11. Urinated more than usual. some burning. Reported to doctor. 12. Vaginal etching and dryness for 2 weeks 13. Joint Dryness; All joints but very painful and extra dry rough feeling in right hip. For 3 days 14. Stubbled when waling March 11, 12, 13, and 14 2021 15. Mind and body not working to

Other Meds: Levothytoxine Sodium 50 mcg, Gabapentin 100 mg Cap, Amiodipine 2.5 mg tablet, Myrbetriq 50 mg. extended, Aspirin 81 mg tab

Current Illness: none

ID: 1291245
Sex: M
Age: 17
State: NC

Vax Date: 05/05/2021
Onset Date: 05/05/2021
Rec V Date: 05/05/2021
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: Passed out and had seizure lasting 45-60 seconds.

Other Meds: None

Current Illness: None

ID: 1291246
Sex: F
Age:
State: MO

Vax Date: 03/09/2021
Onset Date: 03/17/2021
Rec V Date: 05/05/2021
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: leg was bruised; heart spasms; Diarrhea; inflammation along the major vein in her leg; heart palpitation; light headed/dizzy; severe muscle pain; tenderness and soreness in her inner thigh of the left leg/throbbing pain; Chills; This is a spontaneous report from a contactable consumer (patient, self-reported). A 65-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number: EN6208), via an unspecified route of administration in unspecified arm on 09Mar2021 (12:00) at single dose for Covid-19 immunization. The patient's medical history included ongoing hypothyroidism. Concomitant medication included levothyroxine been taking for 10-11 years for hypothyroidism. On 17Mar2021, Wednesday, the patient received the vaccine and had chills. On 18Mar2021, the patient had tenderness and soreness in her inner thigh of the left leg. On 19Mar2021, the patient had severe muscle pain on her calf of leg to inner thigh and it was throbbing so bad behind her knee on her left leg that she called her physician, and a sonogram was performed on 23Mar2021 which had found there was not a blood clot but there was severe inflammation along the major vein in her leg. On 20Mar2021, the patient had heart palpitation, her doctor told her to drink water and propel, she had heart spasms for 6 hours and felt lightheaded and dizzy. she thought she would go to the hospital, but she lives in a rural community and felt it did not make sense to go to the hospital. Palpitations and tenderness recovering. Her doctor and she was put on a heart monitor for her heart palpitations. She had heart palpitations with her hypothyroid but, this was totally different when she has had heart palpitations in the past. On an unknown date in Apr2021, the patient had diarrhea for 6 days. Patient had not been back to the doctor, but the nurse thought it was ok for her to take the second vaccine, but the patient was not comfortable with it. No prior vaccinations within the week. The patient never taken the flu shot. She had never received the flu vaccine or pneumonia nothing, so this was new for her getting the COVID vaccine. Caller clarified the chills started the week after she received the vaccine on Wednesday 17Mar2021. Severe muscle pain: Caller stated this happened on the 19, 20, 21, and 22 as well as the throbbing pain and then the next day on Monday 22Mar2021 she went to call her doctor and had a sonogram that next day on Tuesday (23Mar2021). Caller stated she still had the muscle pain in her left leg on the inner thigh but it was more so when she was active and once in a while she felt like her leg was bruised for a day or two but then it went away and she did not have a blood clot. Left leg throbbing: Caller stated this continually got worse and then on Sunday she felt so bad she laid in bed with her knee up and it throbbed like crazy. Caller stated this stopped about 2 days after she got the sonogram and it was not that severe it was just really tender and sore. Heart palpitation: Caller clarified that the heart murmurs she referred to earlier was actually heart palpitations. Caller stated this started at 8 in the morning and then at 10 in the morning she started getting light-headed and thought about going to the emergency room and figured no she will get through this. Caller stated she called her physician for the heart palpitations on Monday and she saw her doctor the following Tuesday and that is when her doctor had given her the heart monitor. Caller stated for 6 hours she felt horrible on Saturday since she knows the difference from her normal heart palpitations from her thyroid. Diarrhea: Caller stated this last for 6 days and was last week or so. Treatment: Caller stated no she is not a medicine taker she does not even take Tylenol or Advil unless it is a necessity. Outcome of the event chills recovered on 18Mar2021, tenderness and soreness in her inner thigh of the left leg/throbbing pain was resolving, severe muscle pain and inflammation along the major vein in her leg was not resolved, heart palpitation was resolving, light headed/dizzy was resolved on 20Mar2021, diarrhea was resolved on Apr2021, leg was bruised was resolved, heart spasms was unknown. No follow-up attempts are needed. No further information is expected. follow up(20Apr2021): New information was reported from a contactable consumer (patient) included: new events (coronary spasm, pain in extremity, phlebitis lower limb and bruising of leg) and event details. Case is upgraded to serious upon this follow up. No follow-up attempts are needed. No further information is expected.

Other Meds: LEVOTHYROXINE

Current Illness: Hypothyroidism

ID: 1291247
Sex: F
Age: 34
State: TX

Vax Date: 04/11/2021
Onset Date: 05/02/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies: Augmentin

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

Symptoms: Have regular periods and carefully track them as trying to conceive. Period is 4 days late (for first time in my life) after 2nd Covid vaccine. Unknown if / when my period will start again. Multiple negative pregnancy tests.

Other Meds: Prenatal vitamin

Current Illness: None

ID: 1291248
Sex: F
Age: 30
State: WA

Vax Date: 04/21/2021
Onset Date: 04/25/2021
Rec V Date: 05/05/2021
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: I had a moderate rash on either sides of both wrists. Started with what I thought was extremely dry skin, then became raised, red, irritated, and itchy for about a week. Occurred on both wrists.

Other Meds: Mirena IUD

Current Illness: none

ID: 1291249
Sex: M
Age: 15
State: MN

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 05/05/2021
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: Patient was not 16 and received a dose of Pfizer COVID19 vaccine.

Other Meds:

Current Illness:

ID: 1291250
Sex: M
Age: 29
State: TX

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 05/05/2021
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 known.

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

Symptoms: Dizziness almost immediately after the shot, High heart rate and blood pressure, Difficulties to breath, and Disorientation. No treatment. All the symptoms dissapeared after 7 hours.

Other Meds: vitamin c, vitamin d, magnesium, curcumin, probiotics, omega 3.

Current Illness: None.

ID: 1291251
Sex: M
Age: 68
State: CA

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 05/05/2021
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: Just like COVID-19 - head ache, chills, fever, extreme weakness - seriously, I almost died (this is NOT an exaggeration) - from early Saturday morning until mid Sunday (about two days)

Other Meds: Nothing (in general), except for some basic "one a day" type vitamins/minerals

Current Illness: None

ID: 1291252
Sex: F
Age: 22
State: MN

Vax Date: 04/10/2021
Onset Date: 04/12/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies: none known

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

Symptoms: abnormally sever abdominal cramping began afternoon of 4/12/21; felt more painful than appendix bursting (~3/2015); later began menstrual bleeding, despite being on birth control with no expected period for 2 weeks (never spotted/broke through on this form of birth control in ~9 months of taking); had full period over week of 4/12-20/2021 with unusually heaving bleeding, several large clots (~diameter of quarter) and painful cramping

Other Meds: Nuvaring birth control

Current Illness: none

ID: 1291253
Sex: F
Age: 36
State: FL

Vax Date: 04/28/2021
Onset Date: 05/05/2021
Rec V Date: 05/05/2021
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: Amoxicillin

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

Symptoms: "COVID arm" slight swelling, soreness, itchiness, warm to the touch, red.

Other Meds: Happy ducts breastfeeding support tincture and prenatal vitamins

Current Illness:

ID: 1291254
Sex: F
Age: 44
State: TX

Vax Date: 04/08/2021
Onset Date: 04/10/2021
Rec V Date: 05/05/2021
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: At the time of vaccine, I was on my last day of my period 4/8/2021. My period stopped on 4/9/2021-4/10/2021. Then on 4/11/2021, I started having heavy spotting which quickly turned into a very heavy bleeding and has not stopped since. I have been bleeding heavily since 4/12/21 and it is now 5/5/21.

Other Meds: Progesterone & Testosterone

Current Illness: NONE!!!

ID: 1291255
Sex: M
Age: 60
State:

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 05/05/2021
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: NKDA

Symptom List: Vomiting

Symptoms: Patient reports he has been having an intermittent headaches since his first dose of Covid vaccine (Moderna) administered on March 17th. Patient reports headaches are now a dull ache to left temporal region that can last up to 14 hours during the day and occur daily over the past few weeks.

Other Meds: Olmesartan, ibuprofen, multivitamin, fish oil, cinnamon, vitamin B12, co-Q10

Current Illness:

ID: 1291256
Sex: M
Age:
State: NJ

Vax Date: 04/07/2021
Onset Date: 04/19/2021
Rec V Date: 05/05/2021
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: Similar symptoms to pericarditis, with debilitating pain that was exasperated while lying down; Heart palpitations; left armpit with pain radiating to entire left shoulder through the middle of the neck; low grade fever; severe fatigue; slightly dry cough; This is a spontaneous report from a contactable consumer reporting for himself. A 27-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE) (lot number EV8732/expiration date: not provided), via an unspecified route of administration, on 07Apr2021 at 13:45 (at the age of 27 years old) as a single dose in the left arm for COVID-19 IMMUNIZATION. Relevant medical history included COVID-19 on an unspecified date. The patient did not have any known allergies to medications, food, or other products. Concomitant medication (other medications taken in two weeks) were none. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 19Apr2021 at 22:00, the patient experienced similar symptoms to pericarditis, with debilitating pain that was exasperated while lying down, Heart palpitations, left armpit with pain radiating to entire left shoulder through the middle of the neck, low grade fever, severe fatigue and slightly dry cough. The events required a physician's office visit. The patient received treatment for these events. The clinical course of the events was as follows: Heart palpitations originating under left armpit with pain radiating to entire left shoulder through the middle of the neck. Similar symptoms to pericarditis, with debilitating pain that was exasperated while lying down, low grade fever, severe fatigue, and slightly dry cough. Lasted about 30 hours. Discomfort relief, like pericarditis, was only felt when sitting up and propping myself up by my arms leaning forward. Onset was rapid, occurring 13 days after the first dose of the vaccine over a period of 8 hours (palpitations came first, followed by shoulder and neck pain in the morning). Treated with Aspirin at first (low effectiveness) followed by NSAID Advil 7 hours later (high effectiveness, symptom relief was about 50%). High strength Advil recommended by MD. The outcome of the events was recovering. Since the vaccination, the patient had not been tested for COVID-19.

Other Meds:

Current Illness:

ID: 1291257
Sex: F
Age: 58
State: PA

Vax Date: 03/25/2021
Onset Date: 03/27/2021
Rec V Date: 05/05/2021
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: Penicillin Seasonal allergies Iodine

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

Symptoms: Woke up early morning on March 27, 2021 with my entire leg numb, tingly and rubbery on my right-side. Called the nurse on the back of my insurance card and was told to go to the emergency room. CT scan indicated slight bulging disc. Later that day, the numbness and tingling moved up into my stomach and ribs. The feeling of numbness was around the back of my body on my right-side in the next few days. I had tingling in my left foot which has now moved into the calf area. Also, numbness in the private areas. Was sent home with instructions to see my primary care doctor, which I did, and was sent to physical therapy. I have also been going to the chiropractor. Continue to have numbness and tingling in all these areas. I am using a cane. I am unable to drive.

Other Meds: Zyrtec Lisinopril 10 mg Paroxetine 10 mg Multi vitamin

Current Illness: None

ID: 1291258
Sex: M
Age: 30
State: WA

Vax Date: 04/29/2021
Onset Date: 05/01/2021
Rec V Date: 05/05/2021
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: Clindamyacin

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Diagnosed with DITP (Drug Induced Thrombocytopenia) after urgent care visit & ER Visit.

Other Meds: Triamterene Lexapro Losartan Atenolol Mirtazipine Oxycodone Adderall

Current Illness: None

ID: 1291259
Sex: F
Age: 25
State: CA

Vax Date: 04/07/2021
Onset Date: 04/10/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies: Penecilln and latex

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

Symptoms: I began My menstrual cycle and I was not due to begin my menstrual cycle four days after I received my initial dose. When I begin my cycle, it was out of the ordinary heavy and it lasted for approximately two weeks. This is out of the ordinary and typically my periods are not heavy and are not long. I no longer get periods as I take birth control continuously every month and so it is odd for me to get my period For a long amount of time and heavy at that.

Other Meds: Yazmin birth control

Current Illness: No

ID: 1291260
Sex: M
Age: 57
State: NJ

Vax Date: 04/08/2021
Onset Date: 04/11/2021
Rec V Date: 05/05/2021
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: Asthma symptoms develop when citrus fruits are consumed frequently.

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

Symptoms: First time experiencing internal tremors (pelvis and left thigh); 3-day duration.

Other Meds: Vitamin C, Calcium (as Carbonate).

Current Illness: None.

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm