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: 1333252
Sex: F
Age: 61
State: WA

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 05/20/2021
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: The day after the vaccine, participant had low grade fever of 101 F and vertigo-no medications taken. At night patient got night sweats. Fever and night sweats lasted 24 hours. However, vertigo continued for 3 to 4 more days. Participant decided to seek treatment for vertigo and did a phone consult with the doctor. The doctor prescribed Meclizine 25mg every 6 hours. Patient took the medication for 2 days. Vertigo went away after a week.

Other Meds: levothyroxine (strength unknown) take 1 daily for thyroid

Current Illness: none

ID: 1333253
Sex: F
Age: 49
State: PA

Vax Date: 05/07/2021
Onset Date: 05/18/2021
Rec V Date: 05/20/2021
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: Penicillin

Symptom List: Anxiety, Dyspnoea

Symptoms: Covid arm, A rash around the injection site, started about 9 days after the shot.

Other Meds: PREGABALIN 150 MG 3x a day (lyrica) HYDROCHLOROTHIAZIDE 12.5 MG TB 1x a day (Diuretic,BP) IRBESARTAN 300 MG 1x a day (BP) JARDIANCE 25 MG 1x a day (diabetes) GLIPIZIDE 10 MG 2x a day (diabetes) LEVOTHYROXINE 200 MG 1x a day (Thyroid) ATORVA

Current Illness:

ID: 1333254
Sex: F
Age: 57
State: HI

Vax Date: 05/14/2021
Onset Date: 05/16/2021
Rec V Date: 05/20/2021
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: Penicillin, Amoxicillin, Macrobid

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

Symptoms: Have had a little, very light, tinnitus before, but it became noticeably louder after 2nd Moderna Vaccine. I am 6 days post 2nd vaccination and it is still very loud. Still thankful for the Covid vaccine and would do it again, but would have a little concern if booster might make it worse. Might consider Pfizer for a booster.

Other Meds: Nexium, Vitamin D, Vitamin C

Current Illness:

ID: 1333255
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 05/20/2021
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: had both doses of Shingrix/ 18 months ago/ come down with shingles/ suspected vaccination failure; come down with shingles; This case was reported by a consumer via media and described the occurrence of suspected vaccination failure in a adult patient who received Herpes zoster (Shingrix) for prophylaxis. Co-suspect products included Herpes zoster (Shingrix) for prophylaxis. On an unknown date, the patient received the 1st dose of Shingrix and the 2nd dose of Shingrix. On an unknown date, less than 2 years after receiving Shingrix and Shingrix, the patient experienced vaccination failure (serious criteria GSK medically significant) and shingles. On an unknown date, the outcome of the vaccination failure was unknown and the outcome of the shingles was recovered/resolved. It was unknown if the reporter considered the vaccination failure and shingles to be related to Shingrix and Shingrix. Additional details were provided as follows: The case was reported by the patient for himself/herself. The age at vaccination was not reported. The age group was not reported but was captured as an adult as per vaccine indication. The patient received both doses of the Shingrix vaccine about 18 months prior to the reporting date and came down with shingles at the time of reporting. The reporter asked if there was any problem with this vaccine. This case was considered as suspected vaccination failure, since the details regarding completion of primary vaccination schedule, time to onset and laboratory test confirming shingles were not provided.

Other Meds:

Current Illness:

ID: 1333256
Sex: F
Age: 74
State: NC

Vax Date: 05/16/2021
Onset Date: 05/19/2021
Rec V Date: 05/20/2021
Hospital: Y

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

Lab Data:

Allergies:

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

Symptoms: Patient made appointment, came in, answered all questions on VAR form as her first dose. No records in our systems of any previous vaccine and verbally verified with patient prior to giving vaccine. We were notified by a family member after the fact that the patient had already received her Pfizer series earlier in the year and that patient is forgetful. Family reported three days post vaccine that patient was hospitalized

Other Meds:

Current Illness:

ID: 1333257
Sex: F
Age: 18
State: IL

Vax Date: 05/19/2021
Onset Date: 05/19/2021
Rec V Date: 05/20/2021
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: penicillins

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

Symptoms: Burning, tingling down the right arm immediately. After a few hours, involuntary twitching of same arm.

Other Meds: unknown

Current Illness: unknown

ID: 1333258
Sex: F
Age: 43
State: DE

Vax Date: 05/14/2021
Onset Date: 05/17/2021
Rec V Date: 05/20/2021
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: Penicillin

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Rash on thigh and spots over body

Other Meds: Venlafaxine, loratadine, vitamins

Current Illness: None

ID: 1333259
Sex: F
Age: 37
State: PA

Vax Date: 05/04/2021
Onset Date: 05/07/2021
Rec V Date: 05/20/2021
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: No menstrual cycle. Late which is highly unusual by more than 2 weeks. I experience cramps, insomnia, emotional imbalances essentially PMS but no actual bleeding.

Other Meds:

Current Illness:

ID: 1333260
Sex: M
Age: 24
State:

Vax Date: 05/18/2021
Onset Date: 05/19/2021
Rec V Date: 05/20/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: Day after vaccine patient had chills and body aches. Patient also noticed arm swelling, redness, and warmth at the injection site that has persisted.

Other Meds:

Current Illness:

ID: 1333261
Sex: F
Age: 32
State: CA

Vax Date: 04/21/2021
Onset Date: 04/28/2021
Rec V Date: 05/20/2021
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: NONE

Symptom List: Diarrhoea, Nasal congestion

Symptoms: PT CAME IN FOR 2ND MODERNA VACCINE AND STATED SHE HAD A RASH APPEAR 7 DAYS AFTER 1ST INJECTION EXACTLY. SHE STATED THE RASH WAS IN A CIRCLE AROUND THE INJECTION SITE AND ONLY LASTED 2 DAYS. IT ITCHED SOMEWHAT BUT NO OTHER ISSUES EXCEPT HEADACHE.

Other Meds: NONE

Current Illness: NONE

ID: 1333262
Sex: M
Age: 60
State: WI

Vax Date: 03/31/2021
Onset Date: 05/19/2021
Rec V Date: 05/20/2021
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: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: Client admitted to Medical Center on 5/19/2021 due to fever, chills, and nausea. Covid plus admitted for further assessment.

Other Meds:

Current Illness:

ID: 1333263
Sex: U
Age:
State:

Vax Date: 05/17/2021
Onset Date: 05/18/2021
Rec V Date: 05/20/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Shingles in my left eye; This case was reported by a consumer and described the occurrence of ophthalmic herpes zoster in a adult patient who received Herpes zoster (Shingrix) for prophylaxis. On 17th May 2021 11:30, the patient received Shingrix. On 18th May 2021, 1 days after receiving Shingrix, the patient experienced ophthalmic herpes zoster (serious criteria GSK medically significant). On an unknown date, the outcome of the ophthalmic herpes zoster was unknown. It was unknown if the reporter considered the ophthalmic herpes zoster to be related to Shingrix. Additional details were provided as follows: The age at vaccination was not reported. The age group was not reported but was captured as adult as per vaccine indication. The patient received Shingrix vaccine and developed Shingles in left eye.

Other Meds:

Current Illness:

ID: 1333264
Sex: F
Age: 30
State: MO

Vax Date: 05/19/2021
Onset Date: 05/19/2021
Rec V Date: 05/20/2021
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: Starting with slight muscle aches, general blah feeling. at 1 am running fever, aches in joints and muscles. Next day (currently) some nausia, joint and muscle aches, headache, bad taste in mouth, tired.

Other Meds:

Current Illness:

ID: 1333265
Sex: M
Age: 48
State: NC

Vax Date: 05/19/2021
Onset Date: 05/20/2021
Rec V Date: 05/20/2021
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: The adverse event began with a sudden rash on the face, arms, neck, ears, chest and back, accompanied by a mild headache, dizziness, aching at the injection site, and a sub-dermal "burning" sensation in the skin and upper extremities. There was no rash that presented below the waist. The rash was accompanied by a low-grade fever of 99 to 100 Fahrenheit and lasted for over an hour from the time the adverse event presented. Once the low-grade fever dissipated, the rash symptoms and low-grade fever dissipated as well.

Other Meds: None.

Current Illness: None.

ID: 1333266
Sex: M
Age: 19
State:

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 05/20/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Reports "difficulty of breathing", chest tightness 1-2 hours post vaccination on 4/27/2021. Had fever, chills, headaches, rhinorrhea, and watery eyes. Resolved with allegra and Dayquil. Pt came for dose #2 on 5/18. Held dose #2. Need pcp clearance. Question of Allergic reaction vs. covid infection.

Other Meds:

Current Illness:

ID: 1333267
Sex: F
Age: 48
State: FL

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 05/20/2021
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: Cogentin

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

Symptoms: Pt started complaining of being dizzy and dry mouth about 10 minutes after vaccination. Denies SOB/ difficulty breathing, increased HR, chest pain. No rash or hives. Patient vitals: HR 84, Resp 18, B/P 160/70, O2 94%, BG 191. Patient specified dizzy when her legs are crossed. Expressed she has not eaten since 6 AM and was sitting in the sun for 1 hour prior to arriving for vaccine. After drinking 2 bottles of water , and resting, patient denied EMS services. PT released.

Other Meds: unknown

Current Illness: n/a

ID: 1333268
Sex: F
Age: 17
State: ID

Vax Date: 05/19/2021
Onset Date: 05/19/2021
Rec V Date: 05/20/2021
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: Amoxicillin

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

Symptoms: Patient received COVID19 vaccination and within 30 seconds experienced nausea and vomiting 2:03 PM Vital Signs: BP 104/62 HR 77 Resp 16 O2Sat 92% Skin Signs: Warm and dry Circulation: Cap refill <2sec Respiratory: Breath sound clear bilaterally Initial Treatment: Patient monitored, Nausea resolved. Provided water 2:18 PM Vital Signs: BP 108/71 HR 71 Resp 16 O2Sat 97 Skin Signs: Warm and dry Circulation: Cap refill <1sec Respiratory: Breath sound clear bilaterally BP 120/84 HR 87 Resp 17 O2Sat 99 Skin Signs: Warm and dry Circulation: Cap refill <1sec Notes: Patient advised to follow up with medical provider if other symptoms occur. Patient released with parent. Patient and parent instructed to keep well hydrated and to re-introduce food initially as per a BRAT diet.

Other Meds: Birth Control

Current Illness: None

ID: 1333269
Sex: F
Age: 53
State: NC

Vax Date: 05/14/2021
Onset Date: 05/18/2021
Rec V Date: 05/20/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Patient called on Tuesday with complaints of left swollen painful, itchy warm to the touch arm.

Other Meds: Amlodipine, Trulicity, Duloxetine,Lasix, Metoprolol, Omeprazole, Sprinolactone, Benicar,

Current Illness: NONe

ID: 1333271
Sex: M
Age: 23
State: IN

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 05/20/2021
Hospital:

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

Lab Data:

Allergies: Na

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: patient experiencing difficuly breathing, numbness in arms, nausea, shakiness ,light headed

Other Meds: N/a

Current Illness: na

ID: 1333272
Sex: M
Age: 25
State: WA

Vax Date: 05/08/2021
Onset Date: 05/08/2021
Rec V Date: 05/20/2021
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: There is no adverse event, this is reported due to administration error. Patient received Moderna COVID vaccine dose #1 at another facility on 4/3/21. Patient came to our facility on 5/8/21 for Moderna COVID vaccine dose #2, but received Pfizer (instead of Moderna).

Other Meds:

Current Illness:

ID: 1333273
Sex: F
Age: 60
State: GA

Vax Date: 04/22/2021
Onset Date: 04/26/2021
Rec V Date: 05/20/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Tingling no pain feels like my arm going to sleep

Other Meds: MY LEFT ARM KEEP TINGLING FEEL LIKE SOMETHING CRAWLING ON MY ARM OR LIKE IT GOING TO SLEEP NO PAIN

Current Illness: THYROID,

ID: 1333274
Sex: F
Age: 48
State: PA

Vax Date: 04/13/2021
Onset Date: 04/14/2021
Rec V Date: 05/20/2021
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: Fatigue, headache, severe pain at injection site, chills, elevated heart rate (especially at night), difficulty sleeping,, chest tightness. Symptoms lasted about 1 week post-vaccination. Also, Period came 1 week early, lasted 10 days and was very light. Very unusual

Other Meds: Synthroid, multivitamin, D, C, zinc

Current Illness: None

ID: 1333275
Sex: F
Age: 20
State: ID

Vax Date: 04/13/2021
Onset Date: 04/15/2021
Rec V Date: 05/20/2021
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: PCN Sulfa

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

Symptoms: LARGE AREA OF SWELLING WITH CELLUITIS ON BACK OF ARM. WAS PLACED ON A COURSE OF ANTIBOTICS. HAD CELLUITIS FOR A TOTAL OF 6 DAYS. totally RESOLVED WITH NO MORE REDNESS. EDEMA OR DISCOMFORT.

Other Meds: None

Current Illness: No illness

ID: 1333276
Sex: F
Age: 30
State: WA

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 05/20/2021
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: Diarrhea, cold sweat at night, headache, eyes slightly swollen. At first was abdominal pain coupled with diarrhea. For the past week, I have been having cold sweats at night but no fever that I have been able to record. Sore throat, slight cough, and headaches also in this past week.

Other Meds: Fluoxetine 10 mg daily

Current Illness: No

ID: 1333277
Sex: F
Age: 53
State: IN

Vax Date: 05/14/2021
Onset Date: 05/14/2021
Rec V Date: 05/20/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Injection site pain, Menorrhagia

Symptoms: Woozy and stumbled that evening. Next day extreme body aches and fatigue requiring bed rest. Same for the day after (Sunday). Bedridden for majority of the two days after second dose of vaccine. Miserable suffering. I've experienced the flu with a sinus infection. This felt more than twice as bad.

Other Meds: Levothyroxin, multivitamin, calcium, glucosamine, fish oil, vitamin D

Current Illness: none

ID: 1333278
Sex: F
Age: 57
State: TX

Vax Date: 05/05/2021
Onset Date: 05/05/2021
Rec V Date: 05/20/2021
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: Flu shot, gadolinium contrast dye and latex.

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

Symptoms: Tightness in throat, dizziness, Neck pain, Headache and high blood pressure. She states she has continuing HTN 146/80 "Never had before", nausea, ,headache and neck pain; working with Dr., PCP in a state who is listed as a contact on prior page.

Other Meds: Ibuprofen; biotin, Krill fish for high cholesterol.

Current Illness: Hypercholeresteremia

ID: 1333279
Sex: M
Age: 37
State: IN

Vax Date: 05/07/2021
Onset Date: 05/08/2021
Rec V Date: 05/20/2021
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: No

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Soreness in arm and shoulder constant and continuous radiating for weeks after vaccination

Other Meds: Testosterone Allegra

Current Illness: None

ID: 1333281
Sex: F
Age: 33
State: NY

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 05/20/2021
Hospital:

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

Lab Data:

Allergies: Hydrocodine

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: When vaccine was administered, 4/6/21 - I passed out. Within 24 hours - i was vomiting and had severe nausea. I had extremely bad headaches that went away for 2 days then started up again extremely bad the Monday (4/12/21) after my vaccine. Visited my primary care doctor on Wednesday (4/14) as they wouldnt go away. advised to take motrin. On friday (4/17) they still had not gone away and went to Urgent care due to fear since the vaccine had been pulled for preventative measures. they did blood work and advised to take some decongestants as the weather had been strange (Snow and 80degrees in the same week) that helped.

Other Meds: Prescription - venlafaxine

Current Illness: none

ID: 1333282
Sex: M
Age: 26
State: OH

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 05/20/2021
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: PATIENT RECEIVED MODERNA COVID-19 VACCINE ON 3-29-21 AND THEN RECEIVED PFIZER COVID-19 VACCINE ON 4-20-21. UNABLE TO REACH THE PATIENT TO DETERMINE AND SYMPTOMS, SIGNS, ETC.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1333283
Sex: F
Age: 17
State:

Vax Date: 05/19/2021
Onset Date: 05/19/2021
Rec V Date: 05/20/2021
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: While waiting for 15 mins monitoring after getting Pfizer covid vaccine, she fainted and fell off the chair. She fell on the ground and hit her head. Nurse and pharmacy staff rushed to her aid. She appeared to have convulsions for about a couple seconds but regained conciousness right away. We checked vital signs : low blood pressure but high heart rate, oxygen level was good. We placed ice pack on her head where said was hurting. She and her mother refused to call 911. She felt better, however we recommended her mom to take her to urgent care for further evaluations

Other Meds:

Current Illness:

ID: 1333284
Sex: F
Age: 31
State: CA

Vax Date: 05/19/2021
Onset Date: 05/19/2021
Rec V Date: 05/20/2021
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: pt dizziness/ sweating BP: 78/46 Pulse 78 o2SAT 99% Advised patient to drink water and lay down. Patient stated her baseline BP is 100/58 or 110/60 BP: checked after 15 minutes 104/64 pulse 80 Patient recovered from adverse effects. Advised oatient to consult with her gynecologist before second shot regarding symptoms. Est, Expected date of delivery is 6/15/2021. #21 left for home

Other Meds:

Current Illness: n/a

ID: 1333285
Sex: F
Age: 35
State: HI

Vax Date: 05/01/2021
Onset Date: 05/07/2021
Rec V Date: 05/20/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: A week after the shot, my arm from shoulder to elbow had a lot of pain where I can't lift it very well or carry anything without significant pain.

Other Meds: none

Current Illness: none

ID: 1333286
Sex: F
Age: 38
State: CA

Vax Date: 05/17/2021
Onset Date: 05/20/2021
Rec V Date: 05/20/2021
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: Penicillin

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

Symptoms: Vaginal bleeding 72 hours after injection

Other Meds: Lexapro, Vitamin D, Vitamin C, Vitamin B & Zinc

Current Illness: None

ID: 1333287
Sex: M
Age: 51
State: CA

Vax Date: 04/12/2021
Onset Date: 04/16/2021
Rec V Date: 05/20/2021
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: Constant Ringing in my ears...tinnitus

Other Meds: None

Current Illness: None

ID: 1333288
Sex: M
Age: 60
State: MN

Vax Date: 04/15/2021
Onset Date: 04/17/2021
Rec V Date: 05/20/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: Patient presented to the ED and was subsequently hospitalized within 6 weeks of receiving COVID vaccination. Diagnosis was orthostatic hypotension

Other Meds:

Current Illness:

ID: 1333290
Sex: M
Age: 64
State: MI

Vax Date: 05/05/2021
Onset Date: 05/20/2021
Rec V Date: 05/20/2021
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: Patient admitted 5/20/21. Self reported vaccination > 14 days prior, however, reporter does not have access to vaccination dates

Other Meds:

Current Illness:

ID: 1333291
Sex: F
Age: 75
State: MI

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 05/20/2021
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: Ultram Asmatic reaction to Quorn- Micro Protein

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

Symptoms: 97% pulse 145/78 93 regular

Other Meds: Dyazide L. Thyroxine Albuoral

Current Illness: MS Asthma Kidney Disease RBB LAB Ostio Arthritis Fibromyalgin

ID: 1333292
Sex: F
Age: 65
State: PA

Vax Date: 03/10/2021
Onset Date: 03/26/2021
Rec V Date: 05/20/2021
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: NKA

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Sore throat, Fever, unspecified fever cause, Exposure to COVID-19 virus ED to Hosp-Admission Discharged 4/1/2021 - 5/14/2021 (43 days) Hospital MD Last attending o Treatment team COVID-19 Principal problem Discharge Summary MD (Physician) o o Internal Medicine HOSPITAL DISCHARGE SUMMARY HOSPITALIST GROUP . Patient: Date: 5/14/2021 DOB: Admission Date: 4/1/2021 MRN: Length of stay: 43 Days PCP:MD Discharging provider: MD Admission diagnosis: Primary Admission Diagnosis Medical Problems Hospital Problems Hospital Course HPI: Past medical history significant for type 1 diabetes mellitus, essential hypertension, obstructive sleep apnea, peripheral vascular disease status post femoropopliteal bypass 2016, status post multiple toe amputations on left foot, history of right foot osteomyelitis, left foot osteomyelitis in November 2020 who presented to ER on 4/1/2021 with shortness of breath. She was diagnosed with acute hypoxic respiratory insufficiency in the setting of Covid pneumonia with AKI, hyponatremia, troponin elevation, LFT elevation admitted to regular floor on high flow nasal cannula oxygen. Patient was intubated on 4/2/2021 for increased work of breathing and worsening hypoxemia and hypercapnia. Later patient was found to have persistent Candida fungemia. Hospital Course: Persistant Candida fungemia, now improving Blood cultures positive for Candida albicans from 4/12, 4/14 and 4/17/2021. Cardiology was consulted for TEE, done on 04/30 which was negative for vegetations. Ophthalmology was consulted and there was no evidence of fungal endophthalmitis. Blood cultures from 4/23/2021 so far no growth. PICC line has been placed. ID recommendations appreciated. -Currently patient on 6 weeks of IV micafungin, to be continued through 6/7/2021 as per ID recommendations. ID has therapy plan in system Moderate to severe pharyngeal dysphagia Post extubation SLP and modified barium swallow demonstrated aspiration with thin and thickened liquids. S/p PEG tube on 5/7/2021. CT head did not reveal any infarct. Repeat modified barium swallow done today , patient now advanced to level 3 soft diet with thin liquids. -Continue with tube feeds and alter tube feeds based on patient's diet advancement Type I Diabetes mellitus: Labile blood sugars in the setting of changes done to tube feeding. Patient currently on tube feeding and diet has been advanced today. Regimen at the time of discharge Lantus twice daily: With sliding scale insulin and standing dose of short-acting insulin with tube feeds bolus. -Patient will need close monitoring of her blood sugars given changes being done to tube feed and diet advancement, will need titration of insulin based on blood sugars. Lower extremity edema, improved Likely dependent lower extremity edema. Echo April 2021 reviewed: Normal EF, no diastolic dysfunction. -Elevate legs while patient is seated -Ace wraps -Restarted home dose of hydrochlorothiazide Acute on chronic anemia Received 1 unit of blood transfusion during this hospitalization Monitor hemoglobin Vitamin B12 and folate level normal. Hb on last check was 8.0 COVID-19 pneumonia Acute hypoxic and hypercapnic respiratory failure -resolved Status post extubation 04/06/2021 Treated with Remdesivir,convalescent plasma, Decadron as well as Tocilizumab. Treated with IV vancomycin, Levaquin and cefepime in the setting of possible secondary bacterial pneumonia. CT chest ruled out PE but showed extensive infiltrates on admission. Patient is off Covid precautions Currently saturating well on room air and stable from respiratory standpoint. Elevated d dimer, POA : Patient had elevated D-dimer on presentation. Lower extremity ultrasound 4/3/2021 was negative for DVT. CT chest ruled out PE. She was initially placed on intermediate dose of anticoagulation. D-dimer eventually trended down. Currently patient is on subcu heparin for prophylaxis. AKI POA now resolved Creatinine stable. -Continue to monitor renal function, electrolytes and urine output. Hypernatremia : resolved Acute Urinary retention, now resolved. Foley catheter was placed on 4/24 after patient had multiple straight cath done. DC'd Foley catheter on 5/3/2021. Patient is currently voiding without any issues. Chronic medical issues : o Essential Hypertension: On amlodipine, Coreg and hydrochlorothiazide. o Peripheral vascular disease status post femoropopliteal bypass: Restarted home aspirin, statin. _ Admission Current 5/14/2021 - present (6 days) Hospital MD Last attending o Treatment team COVID-19 with multiple comorbidities Principal problem Physical Medicine and Rehabilitation History and Physical Date: 5/14/2021 Admission Date: (Not on file) PCP: MD DOB: Hospitalist: MD Assessments Patient is a 65 y.o. female on hospital day number 0 Active Problems: No Active Hospital Problems: There are no active hospital problems currently on the Problem List. Please update the Hospital Problem List and refresh. IMPRESSION / PLAN: 1. Covid pneumonia/sepsis with hypoxic respiratory failure Received remdesivir, dexamethasone, convalescent plasma Received IL-6 inhibitor Intubation 4/1/2021?extubated, O2 weaned and now tolerating room air CTA chest 4/22/2021?extensive consolidation in both lungs C/W Covid pneumonia, no PE 2. Diabetes mellitus type 1 Lantus scheduled dose twice daily Humalog every 6 hours scheduled and sliding scale Insulin to be adjusted as PEG feedings decrease 3. Diabetic peripheral neuropathy arterial insufficiency Status post femoropopliteal bypass 2016? Status post right common femoral and mid popliteal bypass 9/28/2020 Dr. ?no use of synthetic graft Status post remote history of multiple toe amputations left foot osteomyelitis Acute necrotic areas of feet being treated locally 4. Candida albicans fungemia On 6-week course of IV micafungin Weekly CBC, LFT, sed rate, CRP and BMP 5. Essential hypertension On amlodipine, carvedilol, HCTZ, 6. Dysphagia PEG tube placed 5/7/2021?Dr. Cleared for dysphagia level 3 soft diet thin liquids 5/14/2021 Aspiration precautions Speech and Language Pathology 7. Decreased ambulation and functional mobility and functional ability for activities of daily living Physical therapy, Occupational Therapy Plan Patient is admitted for comprehensive inpatient rehabilitation program consisting of physical therapy, Occupational Therapy, speech and language pathology, rehabilitative nursing, psychology, and case management support. Goals will be aligned with patient family goals and directed to improving functional mobility, functional interaction, and activities of daily living to allow the patient to return home safely and continue his rehabilitation as an outpatient or at a home health basis. Estimated length of stay is 16 days. Patient has a good prognosis History of Present Illness Patient is an 65 y.o. female with history of diabetes mellitus type 1 hypertension and sleep apnea who became febrile with shortness of breath over several days. Her PCP, Dr, ordered Covid test which was positive. She presented to Hospital on 4/1/2021 for further work-up. On admission she was found to be in hypoxic respiratory failure requiring high flow oxygen which progressed to requiring a nonrebreather and eventually intubation with ICU care. She received remdesivir, dexamethasone, and convalescent plasma. Patient also received IL-6 inhibitor Tocilizumab recommendation of pulmonary critical care. Procalcitonin level was 35.32. Because of concern of superimposed bacterial pneumonia she was also treated with broad-spectrum antibiotics. Patient had a prolonged complicated acute care hospital course. On 4/12/2021 ENT evaluation showed poor phonatory effort but mobile true vocal cord without lesions. Patient was found to have a fungemia from cultures

Other Meds: Outpatient Medications acetaminophen (TYLENOL) 325 mg tablet a

Current Illness:

ID: 1333293
Sex: F
Age: 19
State: VA

Vax Date: 03/10/2021
Onset Date: 03/31/2021
Rec V Date: 05/20/2021
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: 19 yr female overweight, received SARS - Pfizer vaccine on 3/10 and 3/31. Presenting headaches and visual disturbace the first week of April. Seen by ophthalmology DX papilledema. Referred to IFH on 4/16, DX pseudotumor cerebri and abnormal thyroid test.

Other Meds:

Current Illness:

ID: 1333294
Sex: M
Age: 41
State: TX

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 05/20/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: N/A

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

Symptoms: Felt severe burning/stinging pain in injection site upon injection. Left pinky and ring finger were pretty numb shortly thereafter for about a day or two. Numbness still comes and goes, but not as bad as after the initial injection. After about day 2 started to have severe pain in joint of left shoulder along with impingement, popping. Uncomfortable to sleep on left shoulder as it starts to hurt and "feels" as if it will pop out. Range of motion seems pretty normal, but still getting some pain, popping, and impingement with certain movements/actions throughout the day. I believe it to be SIRVA.

Other Meds: Cetrizine, Fluticansone, Vitamin D, Multi Vitamin

Current Illness: N/A

ID: 1333295
Sex: F
Age: 28
State: VA

Vax Date: 05/19/2021
Onset Date: 05/20/2021
Rec V Date: 05/20/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: Very strong menstrual bleeding starting the following day

Other Meds:

Current Illness:

ID: 1333296
Sex: F
Age: 22
State: PA

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 05/20/2021
Hospital:

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

Lab Data:

Allergies: Naproxen, peanuts, almonds, shrimp, corn, wheat, pollens

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

Symptoms: Around 6pm I noticed a rash surrounding the area where the bandaid was. I initially thought it was due to the adhesive. The next day I had hives all over my back that persisted for 48 hours even with Benadryl.

Other Meds: Birth control pill, xhance nasal spray

Current Illness: None

ID: 1333297
Sex: F
Age: 30
State: CT

Vax Date: 01/28/2021
Onset Date: 03/10/2021
Rec V Date: 05/20/2021
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: Avelox- hives

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

Symptoms: Rec'd 2nd COVID vaccine on 01/28/21. Positive pregnancy test on 2/14/21 with estimated due date 10/26/21. On 3/5/21 scant spotting noted. Contacted OBGYN on 3/8/21, seen in the office. Ultrasound confirmed intrauterine pregnancy with gestation sac, yolk sac and possible fetal pole although measuring smaller than estimated due date. HCG/Progesterone levels drawn. Repeat HCG/progesterone levels drawn on 3/10/21 showed decline. Started miscarrying 3/10/21 morning following blood work. Seen again in OBGYN office 3/16/21 which confirmed complete spontaneous miscarriage.

Other Meds: Prenatal

Current Illness: none

ID: 1333298
Sex: F
Age: 35
State: IN

Vax Date: 05/18/2021
Onset Date: 05/18/2021
Rec V Date: 05/20/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Arm pain Headache Slightly high temperature Fatigue

Other Meds:

Current Illness:

ID: 1333299
Sex: M
Age: 74
State: MO

Vax Date: 03/30/2021
Onset Date: 04/05/2021
Rec V Date: 05/20/2021
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: sulfa

Symptom List: Vomiting

Symptoms: Given at hospital in a city. Then on 4/5/21, 6 days after his 2nd Pfizer dose, had Shingles rash appear, clinically confirmed at office visit 4/7/21. Some post herpetic neuralgia as of 5/20/21, improving.

Other Meds: tamsulosin, lisinopril-hydrochlorothiazide, atorvastatin, aspirin, MVI

Current Illness: CAD, HTN, h/o colon cancer

ID: 1333300
Sex: F
Age: 92
State: MD

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 05/20/2021
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: PT REPORTS NUMBNESS AND ITCHING TO THE VACCINATION SITE. SHEE WAS ABLE TO MOVE HER ARM AND FINGER WITHOUTH DIFICULTIES. ICE PACK PLACED ON THE SITE. PT WAS FINE HALF HOUR LATER AND WAS ABLE TO DRIVE HOME

Other Meds:

Current Illness:

ID: 1333301
Sex: M
Age: 54
State: WV

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 05/20/2021
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: After the 15 minute post shot waiting period patient said he felt "confused" with clammy hands. He sat in the chair and was slow to talk. I asked him if he was diabetic, and he responded that he was, but he never feels this way and had eaten before coming in. After talking a while longer, I was going to ask him if he'd like us to check his sugar, he asked me if we had a blood pressure cuff. I said we did, but he wanted to use the machine in front of the store because he felt well enough to get up and wanted to walk. I walked to the machine with him. He sat and answered the many questions tapping on screen with no issues at all. The confusion was not evident. The maching reported 111/68 or very close, with a pulse of 48. He said, "that's the issue, my pulse is down. I need to walk around." I said he could stay back at the pharmacy where we could see him, or we could call someone for him. He said staying back here would not help his pulse. I told him there was no hurry, he'd been here for his 15 minutes, but we could keep an eye on him or help him and call whatever he needed. He said no, he'd be fine, he just needed to walk around. He now had pressure in his head, not really a headache just pressure, he said it was all related to his pulse. He said if he needed help later he could always go to an Urgent Care, I offered again to call anywhere for him or call for assistance, he was not interested.

Other Meds: topamax,metformin, paxil,singulair, protonix, ventolin,lipitor, trazodone,potassium, furosemide,metoprololl

Current Illness:

ID: 1333302
Sex: M
Age: 83
State:

Vax Date: 04/29/2021
Onset Date: 05/03/2021
Rec V Date: 05/20/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: 4 days after receiving the vaccine the patients arm swelled up and was painful. Arm is bruised from deltoid to above the elbow . Purple and yellow bruises are still visible 3 weeks later. Patient did see physician and physician advised patient to receive the second dose

Other Meds:

Current Illness:

ID: 1333303
Sex: F
Age: 17
State: NY

Vax Date: 05/17/2021
Onset Date: 05/18/2021
Rec V Date: 05/20/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: customer states she took her second shot of the vaccine and she has been having eye inches and running noise and not feeling well. Called her and she is ok.

Other Meds:

Current Illness:

ID: 1333304
Sex: F
Age: 18
State: TX

Vax Date: 05/06/2021
Onset Date: 05/08/2021
Rec V Date: 05/20/2021
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: no drug allergies, no food allergies

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

Symptoms: 18 year old female presents with complaints of Moderna COVID-19 vaccine still present two weeks after receiving her first vaccine. Received on the left Deltoid Intramuscular. Complaint of reduced EOM movement on the left side of body. was referred to: Emergency Room was referred to: Neurology

Other Meds: none

Current Illness: no illness at time of vaccination

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm