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**
PLEASE CHECK BACK SOON
Download the files above while you wait.






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: 1369567
Sex: U
Age: 30
State:

Vax Date: 05/17/2021
Onset Date: 05/17/2021
Rec V Date: 06/02/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Salty taste in mouth.

Other Meds:

Current Illness:

ID: 1369568
Sex: F
Age: 35
State:

Vax Date: 05/16/2021
Onset Date: 05/16/2021
Rec V Date: 06/02/2021
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:

Symptom List: Anxiety, Dyspnoea

Symptoms: Pt c/o difficulty breathing and dizziness 12 minutes after receiving second dose of vaccine. She was assessed and monitored by NP, EMT and paramedic. Initial BP 143/95 repeated BP 128/86, HR 80, RR 14, O2 saturation 99% on RA. She has history of anxiety. She had mod anxiety, she was instructed on relaxation measures, given water, allowed to remove mask and taken outside for fresh air. She was kept at site until she was calm and had no complaints. She was at site with her husband and her father. They were given the Vaccination information sheet, reinforced instructions on ADRs/ SEs to call 911 and go to the ED, follow up with her PCP and register with V-safe. They verbalized understanding and willingness to comply. Pt left site with husband and father in no acute distress, calm, no complaints, awake, alert and oriented to person, place, time and situation.

Other Meds:

Current Illness:

ID: 1369569
Sex: F
Age: 51
State:

Vax Date: 05/15/2021
Onset Date: 05/15/2021
Rec V Date: 06/02/2021
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:

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

Symptoms: Nausea 2nd vaccine. Reported same with first vaccine lasted 2 HR. Feels OK to go home.

Other Meds:

Current Illness:

ID: 1369570
Sex: F
Age: 39
State: WA

Vax Date: 06/01/2021
Onset Date: 06/02/2021
Rec V Date: 06/02/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Nausea, Vomiting, Fever Chills Sore muscles and joints

Other Meds: Bupropion, Paxil

Current Illness: None

ID: 1369571
Sex: U
Age: 39
State:

Vax Date: 05/09/2021
Onset Date: 05/09/2021
Rec V Date: 06/02/2021
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 erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: 39 y/o female c/o dizziness and tongue numbness 6 mins after receiving the 2nd dose of the vaccine. She reported Hx of anxiety disorder and that she had similar symptoms with the 1st dose and her BP was elevated. She was assessed and monitored by NP, EMT, and paramedic. BP - 145/78, 139/83, HR - 87, resp - 16, O2 sat 86% on RA, SR w/o ectopy, pupils size 5, PERRL, MAE, has mild anxiety. Instructed on relaxation techniques, given snacks and H2O, took outside for fresh air with mask off. She was kept at site until she reported that she felt better, had no complaints. She was given the Vaccination information sheet, reinforced instructions on ADRs/SEs to call 911 and go to the ED, follow up with her PCP, register with V-safe. She verbalized understanding and willingness to comply. She left with husband and family members in no acute discuss, awake, alert, oriented to person place, time and situation.

Other Meds:

Current Illness:

ID: 1369572
Sex: F
Age:
State:

Vax Date: 05/25/2021
Onset Date: 05/25/2021
Rec V Date: 06/02/2021
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: Left sided facial numbness within 2 hours of 2nd dose of vaccine

Other Meds: Propylthiouracil

Current Illness:

ID: 1369573
Sex: M
Age: 16
State: NM

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 06/02/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Patient is 16 years old but the minimum age is 18 years old

Other Meds:

Current Illness:

ID: 1369574
Sex: F
Age: 28
State: HI

Vax Date: 04/27/2021
Onset Date: 05/07/2021
Rec V Date: 06/02/2021
Hospital:

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

Lab Data:

Allergies: Sulpha, dairy

Symptom List: Pharyngeal swelling

Symptoms: I have been on my period for 27 days now and it doesn't look like it's about to stop. I have never had any issues like this in the past, I believe it is related to the vaccine.

Other Meds: Birth control: yaz (1 pill a day, I have been on this same birth control since I was 16 and have never experienced any issues like this) Amitriptyline: 20 mg a night for migraines

Current Illness: none

ID: 1369575
Sex: F
Age: 57
State: MI

Vax Date: 06/02/2021
Onset Date: 06/02/2021
Rec V Date: 06/02/2021
Hospital:

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

Lab Data:

Allergies: sulfur, iodine......chicken, zucchini, cashews, pecans

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: swelling and numbness in lip and chin area of face. fingers on right hand numb, tingling sensation, and swelling. symptoms have lessened since this morning but still prevalent.

Other Meds: oncce week prescription vitamin d3

Current Illness: arthritis

ID: 1369576
Sex: M
Age: 35
State: NH

Vax Date: 06/02/2021
Onset Date: 06/02/2021
Rec V Date: 06/02/2021
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: Medium-strength Muscle Ache at injection site. Muscle Tightness and Hindered mobility at injection site. Started a few hours after injection, continued for 6 hours, until now.

Other Meds: None

Current Illness: None

ID: 1369578
Sex: F
Age: 38
State: LA

Vax Date: 03/01/2021
Onset Date: 03/02/2021
Rec V Date: 06/02/2021
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: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: Persistent Leg/calve pain (4 months)persistent headache/migraine (4 months), tinnitus (4 months)

Other Meds: Cellcept/ and hydrochloriquine

Current Illness: None

ID: 1369579
Sex: F
Age: 76
State: NC

Vax Date: 03/03/2021
Onset Date: 03/05/2021
Rec V Date: 06/02/2021
Hospital: Y

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

Lab Data:

Allergies: Not sure.

Symptom List: Rash, Urticaria

Symptoms: After second Moderna vaccine I could not walk; the pain is excruciating on my ankles and heels. I have not walked since March 5, 2021.

Other Meds: No.

Current Illness: None

ID: 1369580
Sex: F
Age: 17
State: NM

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 06/02/2021
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: 17 year old patient vaccinated but the minimum age is 18 years old

Other Meds:

Current Illness:

ID: 1369581
Sex: F
Age: 32
State: CA

Vax Date: 06/02/2021
Onset Date: 06/02/2021
Rec V Date: 06/02/2021
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:

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

Symptoms: Client received 1st dose of COVID vaccine of Pfizer (Lot #EW0187, expiration 06/27/21). At 1806, Client reported a minor burning sensation at injection site (left arm). At 1807, EMT and EMT responded to this event. At 1807, vital signs are blood pressure 112/78, heart rate 75, oxygen saturation 99%. At 1808, RN responded to this event. Client reported in taking a Benadryl this morning for a runny nose. Client reports no past medical history and no medications taken routinely. Client reports no blurred vision, no chest pain, no shortness of breath, no dizziness, no nausea, no headache. RN educated Client about ED precautions and common adverse effects of COVID vaccine. RN provided ice pack compress to injection site (left arm). At 1827, vital signs are blood pressure 110/80, heart rate 73, oxygen saturation 100%. Client reports burning sensation is subsiding. Client stood up with no complains and walked out of facility with a steady gait at 1832.

Other Meds: None

Current Illness: None

ID: 1369583
Sex: F
Age: 51
State:

Vax Date: 05/27/2021
Onset Date: 05/28/2021
Rec V Date: 06/02/2021
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: The pt's son call to say that his mom experienced itching on both arms and legs and also little red spots that seems to change locations. He said that it started the day after she received the vaccine and is ongoing. she has not taking any medication to treat the AE

Other Meds:

Current Illness:

ID: 1369584
Sex: M
Age: 14
State: OR

Vax Date: 06/02/2021
Onset Date: 06/02/2021
Rec V Date: 06/02/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: pt mom yelled for help. other employee dialed 911. mom reporting that patient keeps fainting/feeling nausea. used smelling salt x 2. then had patient have small sips of orange juice. patient began feeling nausea again and threw up. pt started breathing heavy/flushed/wheezing administered epi-pen (1st dose incomplete- bent needle) 2nd dose successful in muscle of right thigh. patient reported feeling better. took bp 94/54 pulse 88. ems arrived and took over. patient left with ems

Other Meds: not known

Current Illness: none

ID: 1369585
Sex: F
Age: 79
State: WA

Vax Date: 04/15/2021
Onset Date: 05/15/2021
Rec V Date: 06/02/2021
Hospital: Y

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

Lab Data:

Allergies: chlorhexidine-rash, hives, blisters Clindamycin- possible rash Vancomycin - possible rash

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

Symptoms: Swelling injection site, rash, the septic shock starting after second vaccine

Other Meds: FOLFIRI plus Avastin, arimidex, insulin

Current Illness:

ID: 1369586
Sex: M
Age: 32
State: MN

Vax Date: 04/09/2021
Onset Date: 04/11/2021
Rec V Date: 06/02/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Became unconscious and collapsed onto the floor. Unconscious for approximately 3 minutes. After waking, patient reported feeling hot.

Other Meds: None

Current Illness: None

ID: 1369587
Sex: F
Age: 17
State: NM

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 06/02/2021
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: 17 year old patient received Moderna vaccine at a mass vaccination event but the minimum age is 18 years old.

Other Meds:

Current Illness:

ID: 1369778
Sex: M
Age: 15
State:

Vax Date: 06/02/2021
Onset Date: 06/02/2021
Rec V Date: 06/02/2021
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: Patient received 2nd pfizer vaccination 7 days earlier than intended date.

Other Meds:

Current Illness:

ID: 1369780
Sex: M
Age: 57
State: NY

Vax Date: 05/29/2021
Onset Date: 06/02/2021
Rec V Date: 06/02/2021
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: Penicillen

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

Symptoms: I developed a red itch rash on my arm 4 days after I received the 2nd dose of the Moderna Covid-19 vaccine. I treated it with topical antihistamine lotions and cortisone creams.

Other Meds: None

Current Illness: None

ID: 1369781
Sex: F
Age: 51
State: CA

Vax Date: 06/02/2021
Onset Date: 06/02/2021
Rec V Date: 06/02/2021
Hospital:

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

Lab Data:

Allergies: N/A per patient

Symptom List: Unevaluable event

Symptoms: Patient started coughing and complained of difficulty breathing 15 minutes after getting the vaccine. Observation room nurse checked her vital signs immediately. BP 170/100; HR 75; O2 sat 99%; RA pain 0/10. No signs of allergic reaction noted at this time. No major medical problem, history or any type of allergic reaction per patient. Patient was instructed to remove the mask and try to inhale through the nose; exhale through the mouth (to help with breathing) and decrease anxiety level. Did not notify the paramedic since patient vitals were stable and stated she is feeling better. Patient was instructed to lay down and checked her BP again. BP was 150/97. Patient was monitored for 15 minutes in the observation room; educated on symptoms of allergic reaction and encouraged to follow up with her HCP regarding high BP.

Other Meds: N/A per patient

Current Illness: N/A per patient

ID: 1369782
Sex: M
Age: 18
State: PA

Vax Date: 05/28/2021
Onset Date: 05/31/2021
Rec V Date: 06/02/2021
Hospital: Y

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: nkda

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

Symptoms: myocarditis

Other Meds:

Current Illness:

ID: 1369783
Sex: F
Age: 62
State: MD

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 06/02/2021
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: Ibuprofen

Symptom List: Injection site pain, Pain

Symptoms: Fever, sore arm, headache for 2 days then 3 days later started having a chill symptom every evening from around 4 or 5 pm through the evening, feeling dizziness, for 2.5 weeks. Symptoms stopped just 3 days before I was to take the 2nd doze on 03/25/2021. Same symptoms started again within 24 hours and worse than after 1 shot. Blurred vision, lost balance sometimes. Still having symptoms few days a week.

Other Meds: Lisinopril 10mg daily, Atorvastatin 10mg twice a week, vitamin D 5000IU daily,

Current Illness: None

ID: 1369784
Sex: M
Age: 17
State: NM

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 06/02/2021
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: 17 year old patient was immunized at a mass vaccination clinic but the minimum age is 18 years old.

Other Meds:

Current Illness:

ID: 1369785
Sex: M
Age: 34
State: WA

Vax Date: 05/21/2021
Onset Date: 05/21/2021
Rec V Date: 06/02/2021
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: Tropical Fruits, most tree nuts, peanuts

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

Symptoms: I am a healthy individual with no pre-existing conditions. I had Covid-19 in August of 2020. I was in bed for 5 weeks with most of the symptoms and regularly had fever exceeding 104. When I was allowed to return to work, the Dr. gave me light duty orders to not exceed 5 hours worked per day for 2 months. After receiving the first vaccination dose, my arm became incredibly sore. These symptoms lasted for almost 2 weeks. The morning following vaccination, my body began to ache and hurt on touch to the point where the cover woke me up in pain. These symptoms lasted nearly three days during both day and night. I became nauseous about 24 hours following the vaccination. These symptoms lasted almost 4, 24 hour days. I became dizzy, periodically, about 24 hours after receiving the vaccination. These symptoms lasted for almost 7 days. I had low grade fever on three occasions that I knew about, I treated with Tylenol. These symptoms lasted 3 days after vaccination. I had a horrible headache (I never have had headaches before) I could not open my eyes or expose them to light. Most of the pain was concentrated on the left side of my head. These headaches started 3 days after receiving the vaccination and lasted 5 days later until day 8. I used Tylenol, which seemed to have little effect and slept all day.

Other Meds: N/A

Current Illness: N/A

ID: 1369786
Sex: F
Age: 55
State: FL

Vax Date: 05/09/2021
Onset Date: 05/11/2021
Rec V Date: 06/02/2021
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: Amoxicillin, Sulfa, over the counter cough med

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: day after: tired; felt a little "off" 2 days later: rash all over trunk and both arms. Swollen, sore and itchy at site/general area of injection, little headache.

Other Meds: fish oil, over 50 yr Women's Multi vitamin, Calcium Citrate, B complex

Current Illness:

ID: 1369787
Sex: F
Age: 30
State: VA

Vax Date: 05/12/2021
Onset Date: 05/15/2021
Rec V Date: 06/02/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Felt sharp stabbing pain in chest about three days after I received the first dose of the vaccine.

Other Meds: Nexplanon

Current Illness:

ID: 1369788
Sex: M
Age: 19
State: PA

Vax Date: 05/22/2021
Onset Date: 05/23/2021
Rec V Date: 06/02/2021
Hospital: Y

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

Lab Data:

Allergies: None

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

Symptoms: Patient started having generalized body weakness and fatigue few hours after vaccination on 05/22/2021. He subsequently developed chest pain on 05/23/2021 which progressively worsened and resulted in his presentation at the emergency room on 05/25/2021. While in the ED, Troponin was elevated at 17.22. EKG done had revealed ST elevations with PR depression. Cardiac MRI done showed myocardial edema involving the mid/apical lateral wall suggestive of acute myocarditis/inflammation. Patient received a loading dose of Colchicine and Ibuprofen as anti-inflammatory agents. Troponin was trended and peaked at 23.60 and slowly down-trended to 1.84 on 5/28/21 and he was subsequently discharged to follow up as outpatient.

Other Meds: Not applicable

Current Illness: None

ID: 1369789
Sex: M
Age:
State: WA

Vax Date:
Onset Date: 04/01/2021
Rec V Date: 06/02/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Nausea

Symptoms: After second vaccine had body aches and joint pain. Three week later had swollen feet and high heart rate.

Other Meds: Carvildol, metformin, warfarin, bentyl and vitamin D.

Current Illness: None

ID: 1369790
Sex: M
Age: 14
State:

Vax Date: 06/01/2021
Onset Date: 06/01/2021
Rec V Date: 06/02/2021
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: Client received his 1st Pfizer vaccination (Lot# EW0187, EXP 08/31/21) in his left arm at 19:15 from RN. Client?s parents and sister were with him. Client?s parents only spoke Spanish and an interpreter was present. After receiving his shot, client sat in a chair next to his sister while RN administered a shot to her. Five minutes later client stated he felt nauseous. RN immediately called out to Vaccine Runner RN and Check-in Nurse who were in the hallway to get an EMT. Check-in Nurse radioed for an EMT to come to station 3 while Vaccine Runner RN rushed to the EMT room to ensure an EMT got the call. Check-in Nurse stayed with the client and placed a trash can next to him in case he vomited. RN stated the client looked pale and clammy. At 19:26 EMT1 arrived at station 3 and collected the client?s medical history. Interpreter was also translating the EMT?s questions and statements to the client?s parents. Client stated he had no known allergies, no underlying conditions, and is not currently taking any medications. Client also stated he was not experiencing shortness of breath, chest pain, or having trouble breathing. EMT2 arrived at station 3 at 19:27 and brought the client a vomit bag. The client had not vomited, but still felt nauseous. EMT1 gave the client a bottle of water and juice, and took client?s vitals at 19:28 (HR: 64, BP: 120/70). Client stated he felt a lot better. While walking out of station 5 Lead RN saw individuals grouped together at station 3 with the EMT and arrived at station 3 at 19:28. Lead RN was updated on client?s status. Lead RN observed that the client was mildly pale and clammy and asked client?s mother if his current coloring was normal for the client. Interpreter translated to both parents and client?s mother stated that the client did look a little pale. Client stated he felt better and was just nervous about getting the shot. At 19:30 Lead RN asked client to try and stand up. Once client was standing, Lead RN asked client if he felt dizzy and client stated no. Client stated he felt just fine. Lead RN and EMT?s directed the client to the observation room to sit in a zero-gravity chair for additional monitoring of 30 minutes. EMTs walked the client and his family to the observation room and sat him in the zero-gravity chair. Client stated he felt much better and at 19:47 EMT1 took client?s vitals (HR: 66, BP: 100/70, SpO2: 98). EMT1 stated client?s color was returning. EMT1 took client?s vitals again at 20:04 (HR: 67, BP: 104/78, SpO2: 99). Lead RN arrived in observation room at 20:10 with Lead Ancillary to check on client who stood up and stated he felt good. Lead RN observed that client was no longer pale or clammy. Lead RN educated parents and client on potential side effects vs adverse effects of the vaccine. Lead RN further instructed client and parents to see the client?s HCP or visit urgent care if client started to experience additional common side effects for more than 24-48 hours and to call 911 if the client began to experience trouble breathing, shortness of breath, or chest pain. Lead Ancillary translated all the information to the client in Spanish. Lead RN observed the client leaving with his family at 20:15. Client left walking with a steady gate.

Other Meds:

Current Illness:

ID: 1369791
Sex: M
Age: 19
State: CA

Vax Date: 04/01/2021
Onset Date: 05/25/2021
Rec V Date: 06/02/2021
Hospital: Y

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

Lab Data:

Allergies: None

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

Symptoms: Increased anxiety, leading to hospitalization. Hearing voices, from 5/25 - present. Shortness of breathe. Headaches. Brain fog and general confusion. Treatments included anti depressant Lexapro 10mg. Hydroxyzine 50mg 4 times daily. Abilify, 1mg daily.

Other Meds: Melatonin

Current Illness: Depression, ADHD

ID: 1369792
Sex: M
Age: 27
State: CA

Vax Date: 06/02/2021
Onset Date: 06/02/2021
Rec V Date: 06/02/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Patient received expired vaccine. No signs of adverse reactions. Patient & Janssen notified.

Other Meds: None just an albuterol inhaler

Current Illness: Asthma

ID: 1369793
Sex: F
Age: 49
State: NY

Vax Date: 05/21/2021
Onset Date: 05/23/2021
Rec V Date: 06/02/2021
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: n/a

Symptom List: Tremor

Symptoms: Sunday morning,(5/23) I woke up with severe back pain, vomitting and low grade fever. Monday, vomitting and fever was gone but severe back pain still present. I was unable to roll over in bed, stand or sit. The pain was present on the right low back radiating into the hip. Skin pain and sensitivity is present on right side of my lower stomach and groin area. I was unable to stand or sit for over a week. (the following tuesday). No pain medication, massage, accupuncture, chiropractor gave any relief. As of today 6/2, I still have pain but I am able to sit with minimal discomfort, but standing and walking still difficult and uncomfortable.

Other Meds: synthroid 75 mcg

Current Illness: n/a

ID: 1369795
Sex: F
Age: 17
State: NM

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 06/02/2021
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: Erythema, Pruritus

Symptoms: 17 year old was immunized at a mass vaccination clinic but the minimum age is 18 years old.

Other Meds:

Current Illness:

ID: 1369796
Sex: M
Age: 22
State: WI

Vax Date: 05/07/2021
Onset Date: 05/29/2021
Rec V Date: 06/02/2021
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: None

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

Symptoms: I have always had low grade tinnitus and migraine related visual issues, so this could be a completely a coincidence. However I feel the need to report it just in case. On the night of May 29, I had begun to hear a low noticeable hum in my right ear and a feeling of fullness. This humming disappeared and returned on Tuesday, June 1st 2021, and then continued on and became worse upon waking up on Wednesday June 2nd, 2021. I am scheduling follow ups with an ENT specialist in order to understand the root cause.

Other Meds: None

Current Illness: None

ID: 1369797
Sex: F
Age: 33
State:

Vax Date: 05/24/2021
Onset Date: 05/31/2021
Rec V Date: 06/02/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Itchy, swollen arm at injection site, 3 days.

Other Meds: Multi vitamin

Current Illness: None

ID: 1369798
Sex: M
Age: 54
State: CA

Vax Date: 05/08/2021
Onset Date: 05/09/2021
Rec V Date: 06/02/2021
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: Animal products. I have been vegan for 30 years. I have adverse physical reactions to all animal products: rash, nausea, headaches, vomiting

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Saturday-- Day of vaccination--odd feeling in evening, Sunday--fatigue, continuing odd feeling, Monday--dizziness, headache, fatigue. Following weeks--usually dizziness, headaches off and on, fatigue often. Symptoms vary from day to day in severity. Feels like a concussion that doesn't go away.

Other Meds: Valacyclovir, multivitamin, vitamin d, omega 3, magnesium/calcium/zinc, melatonin

Current Illness:

ID: 1369799
Sex: F
Age: 27
State: CA

Vax Date: 06/02/2021
Onset Date: 06/02/2021
Rec V Date: 06/02/2021
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: N/A

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

Symptoms: Patient received expired vaccine.

Other Meds: N/A

Current Illness: Asthma

ID: 1369800
Sex: M
Age: 17
State: CA

Vax Date: 06/02/2021
Onset Date: 06/02/2021
Rec V Date: 06/02/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Vaccinating nurse noticed patient became pale and fixating his eyes after receiving first dose of pfizer covid-19 vaccine. Vaccinating nurse asked patient if he was okay and the patient responded "I feel lightheaded. I think I will faint." Vaccinating nurse guided patient to the floor and elevated legs on chair. Lead nurse and EMT responded to the patient in nurse station. Patient was alert and oriented x 4 during whole interaction and stated he felt better within two minutes. Patient was able to sit up against wall and was offered water. Vitals were taken: BP 130/90, HR 67, O2 SAT 98%. Patient offered gravity chair and patient stated he was ready. Patient was stood up with two person assist and after 10 seconds of standing patient was able to verbally state "I feel fine now, I can walk to the room." Lead nurse directed EMT to monitor for 30 minutes in gravity chair and take final vital signs and escort patient with father to car.

Other Meds: None

Current Illness: None

ID: 1369801
Sex: F
Age: 33
State: AR

Vax Date: 04/03/2021
Onset Date: 04/04/2021
Rec V Date: 06/02/2021
Hospital:

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

Lab Data:

Allergies: Gluten Allergy (likely Celiac, given sister is diagnosed and can be hereditary) and amoxicillin

Symptom List: Pain in extremity

Symptoms: Right eye lid swelled up within 24 hours of the shot and is still an issue as of this submission. Some days the swelling has been severe some days and less severe, but the swelling has never fully gone away in the last two months. The swelling can include the eyelid, the skin between the lid and the brow, and below the eye . The eyelid and skin near brow will often turn pink/purple. Beyond the swelling pain, no major main. Some pain on outer eye bone for both eyes. The swelling seems to get worse when I sleep longer or lay down horizontal. When I go to sleep propped up, the swelling is less severe. Or, if I sleep for 7 or less hours, sometimes the swelling can be less.

Other Meds: Olly Active Immunity Berry Brave Gummy (Vitamins); Spring Valley Vitamin C Gummy (Vitamins); Spring Valley Advanced Probiotics; Triamcinolone Acetonide (cream; applied to face as needed),

Current Illness: None

ID: 1369802
Sex: M
Age: 12
State: TX

Vax Date: 06/01/2021
Onset Date: 06/01/2021
Rec V Date: 06/02/2021
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

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

Symptoms: After half an hour after i had left the pharmacy after the first dose of Covid Pfizer vaccine, Hamza(12 yrs) started clutching his neck saying its on fire, tears were coming from his eyes and he started choking and coughing. He barely managed to say that his throat felt like something burning hot was pouring down. I immediately gave him cold water to drink. He drank and continued to drink in small sips for the next hour and was feeling normal in an hour. He had not eaten or drank anything after his vaccine. He had also had lunch at 3 pm, a full 2 hours before the vaccine.

Other Meds: None

Current Illness: None

ID: 1369803
Sex: F
Age: 41
State: OR

Vax Date: 05/26/2021
Onset Date: 05/26/2021
Rec V Date: 06/02/2021
Hospital:

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

Lab Data:

Allergies: Codeine (and other opiods), Pneumovax 23, Bee Venom, Nuts, Cat dander, Dogs, mold.

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

Symptoms: Severe dizziness ( started at around 15 minutes after injection), cold followed by hot burning sensation on upper parts of both arms. Numbness in both hands, low back pain (sciatica flare up, especially on right side). Right side of right leg (calf into foot) numbness, with constant "nerve zaps". Entire right arm and right leg experience complete numbness (and the sensation of sharp "pins and needles"). This has been going on now for over a week (started night one after receiving shot). Deep muscular pain on underside of right leg. Dizziness is recurrent and random. Random itchiness throughout body (hives appeared once on right foot). Pain and tightness of chest (pain occurred 3 days after shot, tightness immediately when reactions occurred).

Other Meds: Zyrtec 10mg, Flonase 50mcg, Lisinopril 40mg, Triamterene 75mg, Atorvastatin 80mg, Montelukast 10mg, Aspirin 81mg, once daily women's vitamins, coQ10.

Current Illness: None.

ID: 1369804
Sex: F
Age: 47
State: KS

Vax Date: 03/03/2021
Onset Date: 03/04/2021
Rec V Date: 06/02/2021
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: none

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

Symptoms: 3/5/21: Fatigue Fever Headache Nausea Brain fog body Aches Pain at injection site Armpit lymph node swelling (left side) Sore throat Upper neck pain (left side) Hives 3/12/21: heart/chest pain 3/17/21: Sharp chest pain, coughing, constant heart pain and pressure, painful breathing, loss of appetite PCR COVID test = Negative 3/18 all of the above symptoms...felt really odd, fatigued, achy joints in knees and ankles 3/19: Swelling in upper lip Hives on left buttock and inner thigh PCR Covid Test = Negative 3/22/21: Chest tightness, Heart pain, loss of appetite, chills fatigue 3/22/21: Telehealth appt. and continued symptoms to varying degrees 3/31/21: noticeable and strong heart arrhythmia began early morning 4/1/21: continued heart arrhythmia with nausea, cough and rapid pulse, went to ED and diagnosed with PVC bigeminy. Labs were normal. 4/2/21: Continued PVC?s w/bigeminy. Saw Dr. (Cardiologist) outpatient and he ordered a stress echo and holster monitor. 4/3/21: Continued PVCs w/bigeminy 4/4/21: Continued, persistent PVCs w/bigeminy, racing pulse and increased blood pressure while resting. Went to medical Center ED, was assessed and admitted. 4/6/21: Diagnosed with Myocarditis, Discharged to home 4/11/21: Chest pain, arm numbness, left side pain. Assessed at ED and sent home 4/28/21: Seen by Cardiologist 5/8/21: Chest pain, fatigue, left arm pain, Assessed at ED 5/11/21: FDG PET Scan showed bilateral mild atelectasis, myocarditis has cleared To present date: continuing extreme fatigue and chest pain Disconnect to cosmic rhythm...hearts are all connected...measure the pulsation of the blood in the veins. Breathing soul in/out...3rd breathing...breath soul into incarnation and out of it. Space inbtween this and the new birth...new cosmos jourey...soul takes in planetary...take in ...return into incarnation...inspiration...inhaling. Yourself back...archangels/angels until tickle ba k in to mommy?s tummy take over controls..journey is expressed in to blood circulation...upper loop and lower loop...figure 8 realigned the cosmi original RH thing into your constitution...rhythm instead of dissonance...paradox and putting them together was often difficult...dissonance into feeling so love and rhythm of life...got a reboot. Start trickling into into me as a rise of joy and hope and later enter into each cell of my body. Speaking to: His health and redefinition of our relationship...contributed thought I see jovial and happy and emotional fragile...in concerns with other stressors...aspect of stability that shifted that I?m still redefining...self identity. Aspect with the children...affluent...growth..expanded who/how what we are...virus into my heart. Virus can be kicked Call in own angles and guides...clear presence and guidance and enough Flip top water bottle Black Slippers (in closet I think) Black Pj - top drawer on right. There are shorts, a top and pants Travel size liquid body wash....all sorts of samples in my drawer to the left of my sink

Other Meds: Magnesium Niacin Krill Oil Probiotic Vitamin D Zinc

Current Illness: None 2/16/21: Concussion

ID: 1369805
Sex: M
Age: 17
State: NM

Vax Date: 02/28/2021
Onset Date: 02/28/2021
Rec V Date: 06/02/2021
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:

Symptom List: Vomiting

Symptoms: 17 year old was immunized at a mass vaccination event but the minimum age is 18 years old

Other Meds:

Current Illness:

ID: 1369807
Sex: F
Age: 33
State: IL

Vax Date: 05/26/2021
Onset Date: 05/30/2021
Rec V Date: 06/02/2021
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: None

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Severe arm and shoulder pain, pain with movement of extremity, extremity weakness

Other Meds: Mirena, adult multivitamin

Current Illness: None

ID: 1369808
Sex: F
Age: 60
State: CA

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 06/02/2021
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: Latex, tetracycline, Codeine

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

Symptoms: At. 10 PM I rolled over in bed and had right hip pain. At about 11:30 PM, developed severe spasm in the pyriformis region that ran all the way down to my foot. The pain was so severe, I thought I was going to faint. Stood up to try to relieve the "cramp". The nerve going down my leg to my foot felt like it was being strangled to death. My husband was trying to help me stand up and rubbing the leg. There was an additional cramp on the lateral side of my calf and it felt like it was squeezing the nerves in my foot. By the next morning I had numbness in my right foot in the big toe, in the area underneath the toes and the skin on top of my foot around my big toe. Took a cyclobenzaprine and norco with no relief. The pain and spasm continued until some relief on 1/24/2021. Tried heating pad, vibrating massager, and muscle rubs also. I could not walk even 20 feet without having to sit down as the pain was so bad. Called my employer who is a physician on the 22nd and she prescribed prednisone, and gabapentin 300 mg tid. Nothing stopped the pain until mid day on the 24th. Went to work on the 25th and 26th but on the 27th the pain came back. During this time I am even taking my heating pad and massager to work. The pain on the 27th wasn't as bad and was able to work on the 28th but spent the rest of the weekend on the heating pad in the recliner. I was sleeping in the recliner the whole time as it was more comfortable. This is related to the first shot. Was driving home from work on 2/1/2021 and had a nose bleed that was so bad and I couldn't get it to stop so I had to call my husband to come pick me up as I couldn't drive and hold pressure and add tissues. It took us an hour to get it to stop. My car both the inside and where I got out of the car to get more tissues looked like a blood bath. My last nose bleed before that was probably age 6. I started seeing a chiropractor on 2/2/21 and have spent a fortune since then with PT, medications, chiropractor visits-(the only thing that gives some relief), and other expenses. I still have problems with my right hip and leg pain and numbness on the right lateral area of my calf and my right foot. It is changing the way I walk and I have developed 3 corns that I am treating due to not being able to feel my foot in areas and causing friction on the side of my foot. I got my second Moderna shot on 2/18/2021 and that weekend some on the pain in my leg returned but not as severe. The major side effect was an electric like jolt going off continuously in my right big toe. Interesting as that is about the only thing I have felt in my right big toe since the first vaccine. I again experienced an attack like the first but far worse on 5/6/2021. I stood up after eating dinner and my back had started hurting. I took a cyclobenzaprine and my usual medications, muscle rub, and went to bed. When I awoke on the 7th and tried to stand up my right leg was in excruciating pain when I tried to walk on it. The pain was worse than the first time. I could not walk. Started back on prednisone and was taking norco with absolutely no relief. I could not walk even 5 steps to try to go to the bathroom. I literally had my husband help me into a crawl and I crawled to the bathroom. We then got a wheelchair and I was in the wheel chair for about 10 days. I saw the chiropractor and my physician. He gave me percocets and increased my neurontin to 400 mg tid and prednisone. This was in addition to the cyclobenzaprine tylenol and ibuprofen. I knew I could not go to work. My doctor gave my three weeks off and I applied for temporary disability. Little did I know I would need every day of it. I was referred to pain management and on 5/26/2021, I had my first spinal injection. It reduced the pain by about half. I have another injection scheduled for 6/16/2021. I went back to work on 6/1/2021 but by the time I came home I was in pain even though I am still taking the neurontin, cyclobenzaprine 5 mg, tylenol arthritis, and ibuprofen. I don't take the percocet if working. I am concerned that this pain may be permanent and my employer is not going to be happy if I need 3 weeks off of work every 6-8 weeks. My plan right now is to try to work but I do realize that I very well may need to apply for permanent disability. I work as a nurse practitioner and it is really hard when my foot is numb and I ham having such severe nerve pain, hip pain and sometimes back pain to recommend getting COVID shots.

Other Meds: losartan, HCTZ, metoprolol, estradiol, medroxyprogesterone, ibuprofen, metformin, atorvastatin, B super complex, Vitamin B6, melatonin, magnesium oxide, biotin, tylenol arthritis, MVI, focus factor, Vitamin C, vision formula, loratadine, Vi

Current Illness: none

ID: 1369809
Sex: F
Age: 32
State: NY

Vax Date: 04/03/2021
Onset Date: 04/12/2021
Rec V Date: 06/02/2021
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: No

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Breast swelling and pain Point tenderness Sharp pain and burning left breast.

Other Meds: No

Current Illness: No

ID: 1369810
Sex: F
Age: 60
State: CA

Vax Date: 03/11/2021
Onset Date: 03/19/2021
Rec V Date: 06/02/2021
Hospital:

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

Lab Data:

Allergies: latex penicillin amoxicillin

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

Symptoms: Approximately one week after second injection, my shoulders became very painful and range of motion was severely restricted. Pain extended down both arms and into wrists.

Other Meds: fish oil, 5HTP, L-Theanine, zirtec, flonase

Current Illness: seasonal allergies fibromyalgia

Date Died: 05/01/2021

ID: 1369811
Sex: M
Age: 54
State: OH

Vax Date: 04/30/2021
Onset Date: 05/01/2021
Rec V Date: 06/02/2021
Hospital:

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

Lab Data:

Allergies: None.

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

Symptoms: Patient went swimming at a fitness center the day after he had his 2nd COVID-19 vaccine and was found unresponsive at the bottom of the shallow 4.5 deep pool while exercising. He was not able to be revived. The death certificate says that the immediate cause of death was Arrhythmia resulting from Hypertensive Atherosclerotic Cardiovascular Disease.

Other Meds: None.

Current Illness: None.

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm