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

Incidents per State

State Total
92,076
AK1,880
AL6,345
AR4,151
AS46
AZ14,991
CA66,887
CO12,550
CT8,943
DC1,795
DE2,009
FL42,724
FM4
GA17,031
GU124
HI2,580
IA4,919
ID2,892
IL22,128
IN24,197
KS5,047
KY9,111
LA5,500
MA15,718
MD13,434
ME3,351
MH8
MI20,971
MN13,585
MO10,747
MP30
MS3,198
MT2,477
NC18,051
ND1,501
NE3,109
NH3,218
NJ20,216
NM4,218
NV4,728
NY37,667
OH20,793
OK6,692
OR9,244
PA25,607
PR2,588
QM2
RI2,163
SC7,261
SD1,282
TN10,445
TX39,890
UT4,618
VA15,980
VI67
VT1,830
WA16,071
WI12,042
WV2,571
WY926
XB5
XL1
XV2

ID: 1466238
Sex: M
Age:
State: MT

Vax Date:
Onset Date: 05/14/2021
Rec V Date: 07/13/2021
Hospital:

Vax Type:
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Symptom List:

Symptoms: NEUROPATHY IN FEET WAS WORSED; ARTHRITIS HE HED GOT WORSED; FELT WEAKNESS; This spontaneous report received from a patient concerned a 60 year old white and not Hispanic Latino male. The patient's height, and weight were not reported. The patient's concurrent conditions included arthritis, and neuropathy in feet, and other pre-existing medical conditions included patient had no other underlying conditions. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 203A21A, expiry: unknown) dose was not reported, frequency one total, administered at left arm on 13-MAY-2021 for prophylactic vaccination.No concomitant medications were reported. After the vaccination, patient felt weakness on 14-May-2021 and on 15-May-2021 his arthritis had got worse and the neuropathy in his feet was worse. But the weakness he had noticed was more than anything. His weakness was steady throughout since he had received the shot The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from felt weakness, arthritis he hed got worsed, and neuropathy in feet was worsed. This report was serious (Other Medically Important Condition).; Sender's Comments: V0:20210713986 - covid-19 vaccine ad26.cov2.s - Neuropathy in feet was worsed- This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).

Other Meds:

Current Illness: Arthritis; Neuropathy peripheral

ID: 1466239
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 07/13/2021
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Symptoms: BLOOD CLOTS; This spontaneous report received from a consumer via social media and concerned a multiple patients. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) 1 total administered, therapy start date were not reported for prophylactic vaccination. The batch number was not reported. Per procedure, no follow-up will be requested for this case. No concomitant medications were reported. On an unspecified date, the patient experienced blood clots. The reported, was aware of news report of blood clots in the media and mentioned 415 cases of blood clots related to both the Janssen vaccine and the AstraZeneca vaccine. The reporter would not specify the number of cases specifically related to the Johnson and Johnson vaccine and, stated that the report grouped the vaccines together when reporting the blood clot side effect and the number of patients involved. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of blood clots was not reported. This report was serious (Other Medically Important Condition).; Sender's Comments: V0:20210716712-Covid-19 Vaccine Ad26.Cov2.S -Blood Clots. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).

Other Meds:

Current Illness:

ID: 1466240
Sex: F
Age:
State: PA

Vax Date:
Onset Date:
Rec V Date: 07/13/2021
Hospital:

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Symptoms: BLOOD PRESSURE WENT UP 165 OVER 80 VERY HIGH; RED BLOOD SPOTS; BLURRING VISON; FEELS HAZY; CRAMPS IN BACK OF LEGS; PAIN ON THE CALFS OF LEGS; SKIN BLOTCHY; This spontaneous report received from a patient concerned a female of unspecified age. The patient's height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 206A21A, and expiry: UNKNOWN) dose was not reported, administered on 25-JUN-2021 for prophylactic vaccination. No concomitant medications were reported. On an unspecified date, the subject experienced blood pressure went up 165 over 80 very high, red blood spots, blurring vison, feels hazy, cramps in back of legs, pain on the calfs of legs, and skin blotchy. Laboratory data (dates unspecified) included: Blood pressure (NR: not provided) 165 over 80. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from red blood spots, and the outcome of pain on the calfs of legs, blurring vison, feels hazy, blood pressure went up 165 over 80 very high, skin blotchy and cramps in back of legs was not reported. This report was non-serious.; Sender's Comments: V0-Medical Assessment comment not required as per standard procedure as the case assessed as non-serious.

Other Meds:

Current Illness:

ID: 1466241
Sex: F
Age:
State: CA

Vax Date:
Onset Date: 07/07/2021
Rec V Date: 07/13/2021
Hospital:

Vax Type:
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Symptom List:

Symptoms: SYNCOPE/COLLAPSED; FELL DOWN; TREMBLING; HYPERVENTILATED; BLOOD PRESSURE WAS VERY DOWN; COULD NOT TALK; HIT HEAD; HIT HAND; HIT ELBOW; BUMP ON HEAD, ELBOW, AND HAND; HEADACHE; This spontaneous report received from a patient concerned a 61 year old Hispanic or Latino female. The patient's height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 2076A21A, and expiry: unknown) dose was not reported, frequency 1 total, administered on 07-JUL-2021 for prophylactic vaccination on left arm. No concomitant medications were reported. On 07-JUL-2021, after receiving vaccine, the patient felt dizzy and could not talk. The patient fell down and hit her head, hand, and elbow. Paramedics were called to help the patient and she was taken to emergency room (ER). The patient was informed that her blood pressure was very down, she was hyperventilated and was trembling. On the same day, the patient felt fine and experienced headache after going home and noted bump on her head, hand, and elbow because of the fall. The patient was diagnosed with syncope/collapsed. Laboratory data included: Blood pressure (NR: not provided) Decreased, and Laboratory test (NR: not provided) not reported. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from syncope/collapsed, trembling, hyperventilated, blood pressure was very down, and could not talk, and the outcome of fell down, hit head, hit hand, hit elbow, headache and bump on head, elbow, and hand was not reported. This report was serious (Other Medically Important Condition).; Sender's Comments: V0:- 20210718537- covid-19 vaccine ad26.cov2.s-syncope/collapsed. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).

Other Meds:

Current Illness:

ID: 1466242
Sex: F
Age:
State: GA

Vax Date:
Onset Date: 07/07/2021
Rec V Date: 07/13/2021
Hospital:

Vax Type:
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Symptom List:

Symptoms: CONFIRMED CLINICAL VACCINATION FAILURE; CONFIRMED COVID-19 INFECTION; This spontaneous report received from a patient concerned a 62 year old female. The patient's height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received Covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 205A21A, and expiry: unknown) dose was not reported, 1 total administered on 27-MAY-2021 for prophylactic vaccination. No concomitant medications were reported. On 07-JUL-2021, the patient had confirmed covid-19 infection. On an unspecified date, the patient had confirmed clinical vaccination failure. Laboratory data (dates unspecified) included: PCR (Polymerase Chain Reaction) (Result: Covid 19 positive). The action taken with Covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from confirmed covid-19 infection, and the outcome of confirmed clinical vaccination failure was not reported. This report was serious (Other Medically Important Condition).; Sender's Comments: V0-20210718595-covid-19 vaccine ad26.cov2.s-Confirmed Clinical Vaccination Failure. This event(s) is considered not related. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event(s) than the drug. Specifically: SPECIAL SITUATIONS.

Other Meds:

Current Illness:

ID: 1466243
Sex: M
Age:
State: TX

Vax Date:
Onset Date: 07/03/2021
Rec V Date: 07/13/2021
Hospital:

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Symptoms: CONFIRMED CLINICAL VACCINATION FAILURE; CONFIRMED COVID-19 INFECTION; This spontaneous report received from a consumer via a company representative concerned a 42 year old male of unspecified race and ethnicity. The patient's height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: Unknown, expiry: Unknown) dose was not reported, 1 total, administered on 13-MAR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. It was reported that the patient became aware of loss of smell and tested positive on 03-JUL-2021 (confirmed covid-19 infection and confirmed clinical vaccination failure). Laboratory data included: COVID-19 (NR: not provided) POSITIVE. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the confirmed covid-19 infection and confirmed clinical vaccination failure was not reported. This report was serious (Other Medically Important Condition). This case, from the same reporter is linked to 20210720833.; Sender's Comments: V0: 20210718648-COVID-19 VACCINE Ad26.COV2.S- confirmed clinical vaccination failure. This event is considered not related. The event has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event than the drug. Specifically: SPECIAL SITUATIONS

Other Meds:

Current Illness:

ID: 1466244
Sex: F
Age:
State: IN

Vax Date:
Onset Date: 04/28/2021
Rec V Date: 07/13/2021
Hospital: Y

Vax Type:
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Symptom List:

Symptoms: BALANCE ISSUES; HEART RATE WENT DOWN; PAIN ALL OVER THE BODY/GENERAL PAIN; VISION LOSS; HEARING LOSS; HEADACHE; This spontaneous report received from a consumer concerned a 58 year old white, not Hispanic or Latino female. The patient's height, and weight were not reported. The patient's concurrent conditions included alcohol user (glass of wine a couple times a week), and cigarette smoker (used to smoke a pack a day. She had not smoked since the incident). The patient had no known allergies and no history of drug abuse or illicit drug use. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported) dose was not reported, 1 total administered on 28-APR-2021 afternoon to right arm for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 28-APR-2021, the patient experienced headache that lasted for 7-10 days. On 12-MAY-2021, the patient lost her balance completely, was taken to the emergency room and was hospitalized (date unspecified). The doctors thought she had vertigo and had tried to treat for that. Four to five physicians worked on the patient and the patients heart rate had gone down to 36 beats per minute. The patient also experienced hearing loss and was taken to the ENT (ear, nose, and throat doctor). Treatment medications included: steroids and amoxicillin. It was reported that steroids for balance issues, steroids and amoxicillin for hearing loss, valium, Tylenol and ibuprofen for pain and no medication for headache. The patient was taken to the physical therapy for balancing trouble. On 19-MAY-2021, the patient experienced vision loss. The right eye had closed, which was treated by the doctors and then the other eye had closed and it got better. The consumer stated that the patient sometimes fails to notice him when he enters the room. On an unspecified date, Laboratory data included: computerized tomogram (NR: not provided) no blockages, and magnetic resonance imaging (NR: not provided) no blockages, no blockages. On 17-JUN-2021, the patient experienced pain all over the body. Treatment medications (dates unspecified) included: diazepam (Valium), paracetamol (Tylenol) and ibuprofen. No medication was given for the headache. The patient even experienced having a hard time riding in the car. The patient had visited emergency room three times (dates unspecified). The patient was hospitalized for 7 days. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from headache on MAY-2021, was recovering from vision loss, and had not recovered from lost balance completely, pain all over the body, and hearing loss. This report was serious (Hospitalization Caused / Prolonged, and Other Medically Important Condition).; Sender's Comments: V0:20210718839-Covid-19 Vaccine Ad26.Cov2.S -Hearing Loss, Vision Loss, Balance Issues, Heart Rate went down. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).

Other Meds:

Current Illness: Alcohol use (Glass of wine a couple times a week); Cigarette smoker (Used to smoke a pack a day. She hasn't smoked since the incident.)

ID: 1466245
Sex: M
Age:
State: CA

Vax Date:
Onset Date: 07/05/2021
Rec V Date: 07/13/2021
Hospital:

Vax Type:
Manufacturer:
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Symptoms: CONFIRMED CLINICAL VACCINATION FAILURE; CONFIRMED COVID-19 INFECTION; SINUS PRESSURE HEADACHE; This spontaneous report received from a parent concerned a 29 year old male. The patient's height, and weight were not reported. The patient's pre-existing medical conditions included none reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: Unknown expiry UNKNOWN) frequency 1 total dose was not reported, administered at right arm on 15-MAR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 05-JUL-2021, at night the patient started experiencing symptoms until next morning on 06-Jul-2021 the patient had sinus pressure headache, mild sore throat, some body aches, cough, chills, fever. On 07-JUL-2021, the patient experienced more severe sore throat, increased body aches, loss of taste. It was reported that he did not actually take his temperature but felt that he had fever. On 08-JUL-2021, Laboratory data included: COVID-19 PCR test and patient experienced confirmed covid-19 infection and confirmed clinical vaccination failure. On 09-JUL-2021 he received his positive results. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from sinus pressure headache, and the outcome of confirmed covid-19 infection and confirmed clinical vaccination failure was not reported. This report was serious (Other Medically Important Condition).; Sender's Comments: V0:20210722832-COVID-19 VACCINE AD26.COV2.S-Confirmed clinical vaccination failure. This event(s) is considered not related. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There are other factors more likely to be associated with the event(s) than the drug. Specifically: SPECIAL SITUATIONS

Other Meds:

Current Illness:

ID: 1466246
Sex: U
Age:
State:

Vax Date:
Onset Date: 07/08/2021
Rec V Date: 07/13/2021
Hospital:

Vax Type:
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Symptom List:

Symptoms: FEEL LIKE GOT RAN OVER BY A CAR/DAY BEING ROUGH; SORENESS EVERYWHERE; LIGHTHEADED; SHORTNESS OF BREATH; REALLY BAD CHILLS; This spontaneous report received from a patient concerned a patient of unspecified age and sex. The patient's height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 07-JUL-2021 for prophylactic vaccination. The batch number was not reported. Per procedure, no follow-up will be requested for this case. No concomitant medications were reported. On 08-JUL-2021, the subject experienced feel like got ran over by a car/day being rough. On 08-JUL-2021, the subject experienced soreness everywhere. On 08-JUL-2021, the subject experienced lightheaded. On 08-JUL-2021, the subject experienced shortness of breath. On 08-JUL-2021, the subject experienced really bad chills. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from feel like got ran over by a car/day being rough, soreness everywhere, lightheaded, shortness of breath, and really bad chills. This report was non-serious.

Other Meds:

Current Illness:

ID: 1466247
Sex: M
Age:
State: WI

Vax Date:
Onset Date:
Rec V Date: 07/13/2021
Hospital:

Vax Type:
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Vax Name:
Lot:
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Lab Data:

Allergies:

Symptom List:

Symptoms: HEADACHE; This spontaneous report received from a patient concerned a male of unspecified age. The patient's height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported and batch number: 043821A expiry: UNKNOWN) dose was not reported, administered on 10-JUL-2021 for prophylactic vaccination. No concomitant medications were reported. On an unspecified date, the subject experienced headache. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of headache was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1466248
Sex: F
Age: 75
State: MT

Vax Date: 03/05/2021
Onset Date: 04/02/2021
Rec V Date: 07/13/2021
Hospital:

Vax Type:
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Symptom List:

Symptoms: experiencing extra beat, high rate of beats per second; had a fierce itch for 2 weeks; flutters; having cramps like a Charlie horse in her legs more than normal; harder for her to breath; arms hurt/feet are beginning to hurt; pain is becoming more pronounced, is constant, hurts too bad to exercise, hurts so bad she doesn't want to get out of bed/has a pacemanker/defibrillator and surrounding tissue is sore; not resting well at night because of the pain; hips hurt, shoulders hurt, joint pain; thigh muscles hurt, every muscle hurts; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of ARRHYTHMIA (experiencing extra beat, high rate of beats per second) and CARDIAC FLUTTER (flutters) in a 75-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 020b21a and 014m20a) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included COVID-19, Pacemaker insertion (cardiac) and Implantable defibrillator insertion. Concurrent medical conditions included COPD, Asthma and Thrombosis arm (blood clot in her left arm). Concomitant products included FLUTICASONE PROPIONATE, SALMETEROL XINAFOATE (ADVAIR), UMECLIDINIUM BROMIDE (INCRUSE), SACUBITRIL VALSARTAN SODIUM HYDRATE (ENTRESTO), APIXABAN (ELIQUIS) and LEVOTHYROXINE for an unknown indication. On 05-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 02-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 02-Apr-2021, the patient experienced MYALGIA (thigh muscles hurt, every muscle hurts). On 09-Apr-2021, the patient experienced MUSCLE SPASMS (having cramps like a Charlie horse in her legs more than normal), DYSPNOEA (harder for her to breath), PAIN IN EXTREMITY (arms hurt/feet are beginning to hurt), PAIN (pain is becoming more pronounced, is constant, hurts too bad to exercise, hurts so bad she doesn't want to get out of bed/has a pacemanker/defibrillator and surrounding tissue is sore) and POOR QUALITY SLEEP (not resting well at night because of the pain). 09-Apr-2021, the patient experienced ARTHRALGIA (hips hurt, shoulders hurt, joint pain). On 30-Jun-2021, the patient experienced CARDIAC FLUTTER (flutters) (seriousness criterion medically significant). On an unknown date, the patient experienced ARRHYTHMIA (experiencing extra beat, high rate of beats per second) (seriousness criterion medically significant) and PRURITUS (had a fierce itch for 2 weeks). The patient was treated with HYDROCODONE for Adverse event, at a dose of 1 dosage form. At the time of the report, ARRHYTHMIA (experiencing extra beat, high rate of beats per second) and CARDIAC FLUTTER (flutters) outcome was unknown and MUSCLE SPASMS (having cramps like a Charlie horse in her legs more than normal), DYSPNOEA (harder for her to breath), PAIN IN EXTREMITY (arms hurt/feet are beginning to hurt), PAIN (pain is becoming more pronounced, is constant, hurts too bad to exercise, hurts so bad she doesn't want to get out of bed/has a pacemanker/defibrillator and surrounding tissue is sore), POOR QUALITY SLEEP (not resting well at night because of the pain), PRURITUS (had a fierce itch for 2 weeks), MYALGIA (thigh muscles hurt, every muscle hurts) and ARTHRALGIA (hips hurt, shoulders hurt, joint pain) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Blood test: normal (normal) normal. On an unknown date, Computerised tomogram: normal (normal) normal and clear. Patient reported that within one week she started hurting.She stated every muscle hurts.Her hips, arms, shoulders hurt and now her feet are beginning to hurt.She stated her thigh muscles hurt.She says it was both joint and muscle pain.She was not resting well at night because of the pain. Pain was becoming more pronounced and was constant.She also reported having cramps like a Charlie horse in her legs more than normal.She states it hurts too bad to exercise and some days it hurts so bad she doesn't want to get out of bed.She also reported that it was harder for her to breath since she got the vaccine.Her doctors have run a battery of tests and cannot find anything.She reported her autoimmune test was normal.Doctors have told the patient that everything was fine.She had a pacemaker/defibrillator and stated the surrounding tissue was sore.She had a history of a blood clot in her left arm since the pacemaker/defibrillator implantation, so she doesn't use that arm for medical procedures.She forgot to mention that she had a fierce itch for 2 weeks and the doctors told her she can use antiitch cream.She also reports she took a THC/CBD gummy which worsen her pain.She took a Hydrocodone at a different time and that made her side effects hurt even worse the next morning.She went to a cardiologist and they took a CAT scan and blood work (which came out normal and clear).She also reported that getting out of bed today was a killer.She visited her cardiologist on 30-jun-2021, since then she was experiencing extra beat.She never experienced this before, high rate beat per second.She had a pacemaker.Patient stated that this symptom started immediately after the second dose.She had a follow-up with her cardiologist reading her pacemaker.She claims that she was told that she had flutters this time. Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded. This case was linked to MOD-2021-211592, MOD-2021-211687 (Patient Link). Most recent FOLLOW-UP information incorporated above includes: On 07-Jun-2021: Additional information received on 07-Jun-2021 contain no new information. On 03-Jul-2021: Additional information received on 03-Jul-2021:Additional event of fierce itch was added, laboratory data was added, treatment information was updated and event outcome was updated. On 08-Jul-2021: Additional information received on 08-Jul-2021: Additional event flutters was added.; Sender's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.

Other Meds: ADVAIR; INCRUSE; ENTRESTO; ELIQUIS; LEVOTHYROXINE

Current Illness: Asthma; COPD; Thrombosis arm (blood clot in her left arm)

ID: 1466249
Sex: F
Age: 80
State: IA

Vax Date: 01/26/2021
Onset Date:
Rec V Date: 07/13/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
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Symptom List:

Symptoms: could not get out of bed; she felt like passed out; having episodic of blood pressure really; dizziness; Pneumonia; nausea; had a temperature; sick for five days; vomited for 3 days; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of PNEUMONIA (Pneumonia) in an 80-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 012A21A and 032L20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Thyroid disorder NOS. Concomitant products included LEVOTHYROXINE for Thyroid disorder, PRAMIPEXOLE for an unknown indication. On 26-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 23-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient experienced PNEUMONIA (Pneumonia) (seriousness criterion medically significant), VACCINATION COMPLICATION (sick for five days), MOBILITY DECREASED (could not get out of bed), PRESYNCOPE (she felt like passed out), HYPERTENSION (having episodic of blood pressure really), DIZZINESS (dizziness), VOMITING (vomited for 3 days), NAUSEA (nausea) and PYREXIA (had a temperature). At the time of the report, PNEUMONIA (Pneumonia), MOBILITY DECREASED (could not get out of bed), PRESYNCOPE (she felt like passed out), HYPERTENSION (having episodic of blood pressure really), DIZZINESS (dizziness), NAUSEA (nausea) and PYREXIA (had a temperature) outcome was unknown and VACCINATION COMPLICATION (sick for five days) and VOMITING (vomited for 3 days) had resolved. It was reported that the blood pressure intervals were high mainly during the day time. The patient stated that prior to getting the vaccine, she was healthy and was baby sitting for 10 hours. The patient said she had to do stop doing that because she felt like she may drop her grandson since she felt like passed out. Treatment information was not reported. Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded. This case was linked to MOD-2021-023313 (Patient Link).

Other Meds: LEVOTHYROXINE; PRAMIPEXOLE

Current Illness: Thyroid disorder NOS

ID: 1466250
Sex: F
Age: 81
State: IN

Vax Date: 01/11/2021
Onset Date: 01/28/2021
Rec V Date: 07/13/2021
Hospital: Y

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Symptoms: minor stroke/a small stroke in the left parietal region of the brain, tiny but visible; Have to use a cane or a walker; right leg gave up; patient fell on the floor; difficulty with balance because of their right leg; difficulty with walking because of their right leg; This spontaneous case was reported by a consumer and describes the occurrence of CEREBROVASCULAR ACCIDENT (minor stroke/a small stroke in the left parietal region of the brain, tiny but visible) in an 81-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 013L20A and 013M20A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient's past medical history included Fall (Patient had a fall in November 2020 and broke their shoulder) in November 2020 and Broken hand (Patient had a fall in November 2020 and broke their shoulder) in November 2020. Concomitant products included FISH OIL, MAGNESIUM, CALCIUM CARBONATE, COLECALCIFEROL (VITAMIN D 2000), FISH OIL (OMEGA XL), LEVOTHYROXINE SODIUM (LEVOTHYROXINE [LEVOTHYROXINE SODIUM]), DILTIAZEM, LISINOPRIL and ROSUVASTATIN for an unknown indication. On 11-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 08-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 28-Jan-2021, the patient experienced CEREBROVASCULAR ACCIDENT (minor stroke/a small stroke in the left parietal region of the brain, tiny but visible) (seriousness criteria hospitalization and medically significant), MUSCULAR WEAKNESS (right leg gave up), FALL (patient fell on the floor), BALANCE DISORDER (difficulty with balance because of their right leg) and GAIT DISTURBANCE (difficulty with walking because of their right leg). On an unknown date, the patient experienced WALKING AID USER (Have to use a cane or a walker). The patient was hospitalized from 28-Jan-2021 to 29-Jan-2021 due to CEREBROVASCULAR ACCIDENT. The patient was treated with ACETYLSALICYLIC ACID, ASCORBIC ACID (ASPIRIN [ACETYLSALICYLIC ACID;ASCORBIC ACID]) for Adverse event, at a dose of UNK, qd. At the time of the report, CEREBROVASCULAR ACCIDENT (minor stroke/a small stroke in the left parietal region of the brain, tiny but visible), MUSCULAR WEAKNESS (right leg gave up) and FALL (patient fell on the floor) outcome was unknown and BALANCE DISORDER (difficulty with balance because of their right leg), GAIT DISTURBANCE (difficulty with walking because of their right leg) and WALKING AID USER (Have to use a cane or a walker) had not resolved. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Magnetic resonance imaging: small stroke in the left parietal region of the br (abnormal) Small stroke in the left parietal region of the brain, tiny but visible. Additional concomitant medications included vit-asid for macular degeneration. Company comment: This case concerns an 81-year-old female hospitalized with a serious unexpected event of cerebrovascular accident, and nonserious muscular weakness, fall, balance disorder, gait disturbance, and walking aid user. Event latency 18 days after second dose mRNA-1273. Based on current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.; Sender's Comments: This case concerns an 81-year-old female hospitalized with a serious unexpected event of cerebrovascular accident, and nonserious muscular weakness, fall, balance disorder, gait disturbance, and walking aid user. Event latency 18 days after second dose mRNA-1273. Based on current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.

Other Meds: FISH OIL; MAGNESIUM; VITAMIN D 2000; OMEGA XL; LEVOTHYROXINE [LEVOTHYROXINE SODIUM]; DILTIAZEM; LISINOPRIL; ROSUVASTATIN

Current Illness:

ID: 1466251
Sex: M
Age: 55
State: KY

Vax Date: 01/06/2021
Onset Date: 05/12/2021
Rec V Date: 07/13/2021
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Symptoms: DIZZINESS, BLOOD SUGAR DROPPING

Other Meds: ASPIRIN

Current Illness:

ID: 1466252
Sex: F
Age: 42
State: WI

Vax Date: 06/25/2021
Onset Date: 06/28/2021
Rec V Date: 07/13/2021
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Allergies: Sulfa, Shrimp, benzocaine

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Symptoms: Intractable headache, 3 1/2 days (unsuccessfully treated with acetaminophen, ibuprofen; dark & quiet room, heating pad); hot & cold flashes, 2 days; nausea, 3 days ( successfully treated with zofran); body aches, 3 days; moderate - severe fatigue, 3 days

Other Meds: None

Current Illness: None

ID: 1466253
Sex: F
Age: 35
State: MA

Vax Date: 05/16/2021
Onset Date: 06/01/2021
Rec V Date: 07/13/2021
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Allergies: Amoxicillin

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Symptoms: 6/1 visual disturbance 6/4 ED visit for vision loss, dizziness 6/11 ED visit for dizziness, confusion, hazed vision, generalized weakness ? CT SCAN - unremarkable 6/18 opthamologoist appt to check ? all normal 6/21 dizziness still present, tingling in left fingers and toes 6/23 mri scan 6/25 PT visit for ?vertigo? 6/29 neurologist visit

Other Meds: Multi-vitamin, probiotics

Current Illness: None

Date Died: 06/08/2021

ID: 1466254
Sex: M
Age: 52
State: NV

Vax Date: 06/03/2021
Onset Date: 06/03/2021
Rec V Date: 07/13/2021
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Allergies: No

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Symptoms: Patient receive vaccine, was very sick the first 3 days after getting it started to feel better for two more days and then died suddenly around 3 p.m.

Other Meds: No

Current Illness: None..patient got vaccine and died 5 days later

ID: 1466255
Sex: M
Age: 50
State: VA

Vax Date: 04/02/2021
Onset Date: 04/03/2021
Rec V Date: 07/13/2021
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Allergies: n/a

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Symptoms: migraines, vision issues within 12 hrs. On 4-29 I had a TIA (complete loss of right side and couldnt speak for 10 min). I went to hospital and had CT, ekg, blood work, all were ok. Cardiologist determined I did have a TIA and after an Echocardiogram discovered a Patent Ovale Foramen (hole in heart) and recommended immediate closure. Surgeon also said to get the procedure but as of now my insurance has not approved payment. I have been having numbness and pain in hands and feet (mostly left side) along with vision issues, dizzyness, problem finding words and concentration, fatigue. I went to Hospital again on 6-27 due to pain and numbness in left hand and foot and doctor said he could admit me but I did'nt stay. I have gone from a healthy person who is very active to someone who is always tired and is constantly worried about having another TIA.

Other Meds: allegra 90mg, loratidine

Current Illness: n/a

ID: 1466256
Sex: F
Age: 42
State: VA

Vax Date: 05/03/2021
Onset Date: 05/17/2021
Rec V Date: 07/13/2021
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Allergies: None

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Symptoms: See description previously mentioned Saw practitioner May 24, treated for sinusitis w prednisone and antibiotic for 5 days. Cough returned on June 1. Saw practitioner again on June 7, treated with zpack and a prednisone for 5 days. Cough returned June 15 and I have not been back to the dr; waiting to be seen by PCP

Other Meds: Lexapro, Vyvanse, bactrim

Current Illness: None

ID: 1466257
Sex: M
Age: 39
State: FL

Vax Date: 06/14/2021
Onset Date: 06/14/2021
Rec V Date: 07/13/2021
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Allergies: N/a

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Symptoms: Severe culls and body aches

Other Meds: N/a

Current Illness: N/a

ID: 1466258
Sex: F
Age: 53
State: CT

Vax Date: 04/13/2021
Onset Date: 04/16/2021
Rec V Date: 07/13/2021
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Allergies: sensitive to local anasthesia

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Symptoms: I hemorrhaged for a month and had to ultimately get a D&C to stop the bleeding, despite also taking progesterone and ibuprofen to stem the flow. Nothing worked except the operation

Other Meds: n/a

Current Illness: n/a -note: I was seven months into menopause

ID: 1466259
Sex: M
Age: 67
State: MO

Vax Date: 02/26/2021
Onset Date: 03/14/2021
Rec V Date: 07/13/2021
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Symptoms: Substantial numbness in feet below ankles and hands below wrist.

Other Meds:

Current Illness:

ID: 1466260
Sex: F
Age: 59
State: CA

Vax Date: 02/01/2021
Onset Date: 03/02/2021
Rec V Date: 07/13/2021
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Allergies: None

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Symptoms: Periodic bouts of extreme fatigue typically mid day needing to sleep for an additional 4 hours after a good nights sleep. Episodes occur every week or 2. Never experienced this before Covid Vaccine. Events have not diminished 5 months later.

Other Meds: Calcium vit D

Current Illness: None

ID: 1466261
Sex: M
Age: 37
State: CT

Vax Date: 05/11/2021
Onset Date: 05/23/2021
Rec V Date: 07/13/2021
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Allergies: None

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Symptoms: Tinnitus & pressure in both ears, mostly left ear. Possible hearing loss.

Other Meds: None

Current Illness: None

ID: 1466262
Sex: F
Age: 30
State: TX

Vax Date: 04/11/2021
Onset Date: 07/06/2021
Rec V Date: 07/13/2021
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Allergies: N/A

Symptom List:

Symptoms: Muscle Weakness

Other Meds: Multivitamin , normal dosage ibuprofen

Current Illness: None

ID: 1466263
Sex: F
Age: 30
State: CT

Vax Date: 04/20/2021
Onset Date: 05/15/2021
Rec V Date: 07/13/2021
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Allergies: No

Symptom List:

Symptoms: Two weeks of severe jaw and neck pain, muscle pain and joint pain. Most severe in fingers and knees/shins but also back and arms. Rash on elbows and ankles which is still coming back. Tired and unable to work before I needed so much sleep. Loss of appetite. Still suffering from swollen joints, pain and rash resurfaced.

Other Meds: Birth control Junel fe

Current Illness: None

ID: 1466264
Sex: M
Age: 70
State: MN

Vax Date: 01/26/2021
Onset Date: 02/01/2021
Rec V Date: 07/13/2021
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Allergies: None

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Symptoms: My right check has been experiencing numbness since shortly after the first shot. I had the second shot of Moderna a month later and the frequency and intensiveness increased. It has been six months and the numbness has extended lower on my neck. It occurs several times each day.

Other Meds: Fish oil, Verapamil, Low dose Asperin and Atorvastatin.

Current Illness: None

ID: 1466265
Sex: F
Age: 38
State: FL

Vax Date: 06/10/2021
Onset Date: 06/10/2021
Rec V Date: 07/13/2021
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Allergies: Sulfa

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Symptoms: Joint, muscle, nerve pain that did not go away. Brain fog, and extreme fatigue. So difficult to even get out of bed every day. But even laying in bed I can feel my body aching and burning.

Other Meds: None

Current Illness: No

ID: 1466266
Sex: F
Age: 69
State: FL

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 07/13/2021
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Allergies: codeine

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Symptoms: My arm muscle was soar after the shot and the muscle continues to be soar four months later. I heard a news story about this situation this morning thus I am reporting my experience now.

Other Meds: none

Current Illness: none

ID: 1466267
Sex: F
Age: 52
State: NJ

Vax Date: 05/01/2021
Onset Date: 05/31/2021
Rec V Date: 07/13/2021
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Allergies: None

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Symptoms: Numbness on left arm and left leg particularly hands most evident while sleeping or sitting at desk office.

Other Meds: Zyrtec

Current Illness: Menstruation and seasonal allergy to pollen

ID: 1466434
Sex: F
Age: 25
State: NC

Vax Date: 06/13/2021
Onset Date: 06/14/2021
Rec V Date: 07/13/2021
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Allergies: no

Symptom List:

Symptoms: Immediate shooting pains throughout body (felt like electric sparks) - would feel pain for about 30 seconds, then it would subside, then the pain would move to another area of the body. After a few days, the shooting pains subsided, but there was tingling and numbness in my left arm and leg, which persisted for 3 weeks. My doctor thought it could be GBS.

Other Meds: birth control

Current Illness: no

ID: 1466435
Sex: M
Age: 58
State: PA

Vax Date: 04/08/2021
Onset Date: 05/02/2021
Rec V Date: 07/13/2021
Hospital: Y

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Allergies: N/A

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Symptoms: Bells Palsey 02May2021 Low grade fever and fatigue 12May2021 Breathing issues started 14May2021 Covid 19 Positive Test 15May2021 Covid related pneumonia 19May21 Hospital admitted 19May2021 to 24May2021 Tingling in fingers and toes started 30Jun2021 to present.

Other Meds: Prozac 20mg, Atorvastatin 40mg, Amlodipine Besylate 5mg, Fish Oil, Flaxseed Oil, 81mg aspirin, Ginkgo Biloba 60mg, CoQ10 60mg

Current Illness: N/A

ID: 1466436
Sex: M
Age: 66
State: FL

Vax Date: 05/05/2021
Onset Date: 07/09/2021
Rec V Date: 07/13/2021
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Symptoms: Admitted to the hospital after full vaccination.

Other Meds:

Current Illness:

ID: 1466437
Sex: F
Age:
State: KY

Vax Date:
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Rec V Date: 07/13/2021
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Allergies: none known

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Symptoms: I do not know which vaccine or her dates. Pt reports that shortly after vaccination she "had the worst case ever of HSV 1 on her face. It encompassed her whole chin and was just beginning to heal when she presented at Urgent care with a scattered erythematous and flesh colored rash with central hollow- Mollescum- in a 40 yo woman. Her face was extensively involved as well as trunk and upper extremities. I ordered Imiquimod, which is on back order and not yet filled.

Other Meds: Acyclovir 400 mg daily

Current Illness: none known

ID: 1466438
Sex: F
Age: 20
State: MI

Vax Date: 04/05/2021
Onset Date: 06/07/2021
Rec V Date: 07/13/2021
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Allergies: n/a

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Symptoms: So I had like unknown stomach problems right now that started around the 7th of June 2021. Any time I eat it is painful afterwards and I have to lay down. It is overall not a good time, and after about two weeks of that I went to the doctor and saw a PA who is currently treating me for gastritis but it is not helping. I am just on medications right now hoping it gets better but it is not and I go back in three weeks. The medications I am on are ondansetron, Prilosec, sucralfate. If it is not changed in three weeks then I will see another specialist.

Other Meds: Taytulla; Lexapro.

Current Illness: n/a

ID: 1466439
Sex: M
Age: 61
State: PA

Vax Date: 04/10/2021
Onset Date: 07/05/2021
Rec V Date: 07/13/2021
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Symptoms: Double vision. I also read about Guilluan Barre and respiratory and sinus infection of which I was just diagnosed w sinusitis and bronchitis, of which I've never had in my life.

Other Meds: Losarten

Current Illness:

ID: 1466440
Sex: F
Age: 45
State: FL

Vax Date: 07/10/2021
Onset Date: 07/11/2021
Rec V Date: 07/13/2021
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Allergies: Dust mite, dried fruit

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Symptoms: 07/11/2021 ~5PM: Rapid heart beat while sitting tracked by FitBit device. Device reported 3+ combined hours of high and moderate intensity activity even though no activity occurred. Was home entire time either sitting or walking leisurely within home. Highet BPM was 160+ 07/12/2021 ~10PM: Rapid heart beat up to approx. 114 beats per minute reported by FitBit device after leisurely walking around a store for approx. 15 minutes.

Other Meds: None

Current Illness: None

ID: 1466441
Sex: F
Age: 52
State:

Vax Date: 03/31/2021
Onset Date: 04/02/2021
Rec V Date: 07/13/2021
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Allergies: None

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Symptoms: When I woke up on day 2 after receiving my 2nd dose of the vaccine, I immediately noticed a ringing in my ears. It has remained constant ever since.

Other Meds:

Current Illness: None

ID: 1466442
Sex: F
Age: 34
State: KY

Vax Date: 01/13/2021
Onset Date: 03/29/2021
Rec V Date: 07/13/2021
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Allergies: None

Symptom List:

Symptoms: Numbness and tingling in hands, muscle weakness, fatigue that started in March have severely progressed since to where use of hands is limited and numbness and tingling is very severe.

Other Meds: Fluoxotine Aderall XR

Current Illness: Sinus Infection January 01, 2021

ID: 1466443
Sex: F
Age: 49
State: MA

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 07/13/2021
Hospital: Y

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Allergies: N/A

Symptom List:

Symptoms: 4 hours started to feel weak, tired, heart felt heavy, had a hard time catching my breath and progressively was getting worse. Stayed in bed, the first day and all day the second day, by the third day finally got up and went to work, still tired, weak etc. but thought it would go away, it was just a side effect from the injection which I was told would happen. At work walked about 200 yards and literally couldn't breathe, heart beating very fast and at that point knew something was terribly wrong and went to the doctors.

Other Meds: Low dose aspirin Vitamin D 2000 mg Omega 3 1200mg Melatonin 10mg Lisinopril 10mg

Current Illness: N/A

ID: 1466444
Sex: M
Age: 16
State: MD

Vax Date: 06/08/2021
Onset Date: 07/09/2021
Rec V Date: 07/13/2021
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Allergies: NO KNOWN ALLERGIES

Symptom List:

Symptoms: REPORTING ERROR ONLY BECAUSE PATIENT IS UNDER FDA APPROVED AGE FOR MODERNA (18+) PATIENT WAS 16 YEARS AT THE TIME OF VACCINATION NO ADVIRSE REACTIONS

Other Meds: N/A

Current Illness: N/A

ID: 1466445
Sex: F
Age: 77
State: OK

Vax Date: 04/06/2021
Onset Date: 04/16/2021
Rec V Date: 07/13/2021
Hospital: Y

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Allergies: Shell fish

Symptom List:

Symptoms: My mother has had her share of health problems predominantly relating to her Afib diagnosis,however after every dose she experienced side effects that have set her back in ways that were completely new,loss of memory Sluring her words, really bad head aches leading up to the first and second stroke.She was able to drive live on her own had sweet and kind,funny personality now that is all gone. She is a shell of who she was and our family just simply misses her,I truly just wish that we would have had been warned of the possible risks to patients like her prior to getting the vaccine.No matter how small the possibility of adverse reaction.We would have chosen to keep her longer.

Other Meds: My mother is a heart patients and is on Elaquis, Matropalol,Vitamin D3,lipitor. At no point was there a warning from any source that stated, "due to her/current conditions that the vaccine would put her at greater risk,for stroke and or b

Current Illness: Afib

ID: 1466446
Sex: M
Age: 48
State: IL

Vax Date: 03/31/2021
Onset Date: 04/06/2021
Rec V Date: 07/13/2021
Hospital: Y

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Allergies: None

Symptom List:

Symptoms: Guillain-Barr? Syndrome

Other Meds: None

Current Illness: None

ID: 1466447
Sex: M
Age: 43
State: MA

Vax Date: 04/29/2021
Onset Date: 06/01/2021
Rec V Date: 07/13/2021
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Allergies: Pcn, Sulfa, Compazeine, Reglan

Symptom List:

Symptoms: A little over a month after receiving the vaccine I began to have weakness in my right hand that got worse over time. I could not use my hand to unscrew a lid on anything, Squeeze anything and hold certain things at certain times. I have also got weakness in my left hand now that is progressively worse. I have random pain of various types in certain places I had not previously. I drop things all the time.

Other Meds: Lyrica, Lantus, Novalog,Levothyroxine,Lisinopril, Methadone,Seroquel, Wellbutrin, Diphahydramine, Zofran, Orajel

Current Illness:

ID: 1466448
Sex: F
Age: 51
State: CA

Vax Date: 07/09/2021
Onset Date: 07/09/2021
Rec V Date: 07/13/2021
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Allergies: None

Symptom List:

Symptoms: Throat swelling caused choking when attempt to swallow. Food was lodged in tbroat and choking occurred for appx one minute before food was dislodged preventing severe circumstance

Other Meds: None

Current Illness: None

ID: 1466449
Sex: M
Age: 72
State: MO

Vax Date: 04/30/2021
Onset Date: 05/02/2021
Rec V Date: 07/13/2021
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Symptoms: chills / hot / extreme fatigue happened 5 times in 6 weeks following second vaccination

Other Meds:

Current Illness:

ID: 1466450
Sex: F
Age: 56
State: FL

Vax Date: 03/01/2021
Onset Date: 04/01/2021
Rec V Date: 07/13/2021
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Allergies: NONE

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Symptoms: ***PATIENT STATED THAT HER VACCINATION CARD IS FADED AND SHE CAN NOT SEE LOT NUMBER FOR VACCINE!!*** 3 days after getting vaccination, I felt tired and weak. I also had a cough. I laid around for 2 days, I was aching, after those 2 days I was okay. But everything started happening again in April. I have medications for my cough. My body is stiff, and it's a little hard for me to walk. I have headaches, and I can barely eat. I have problems sleeping now. I also have a pain in my leg, and numbness in my right hand. Irritated eyes, and chest pains/ tightness, and these symptoms have been coming and going since April. I've tried to take tylenol for my pains. Patient stated that has not seen a doctor for reaction.

Other Meds: NONE

Current Illness: NONE

ID: 1466451
Sex: F
Age: 52
State: WI

Vax Date: 04/12/2021
Onset Date: 04/15/2021
Rec V Date: 07/13/2021
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Allergies: Erythromycin Base, Sulfa Antibiotics, Amoxicillin-Pot Clavulanate, Clindamycin/Lincomycin

Symptom List:

Symptoms: Since the shot, I have very hard swelling in the lower legs, with a red bumpy rash and little blisters on the front of my calves. It burns and is the worst in the mornings when I wake up. It is extremely tender to the touch. I also have a hardness in the lower legs. The other issue I started experiencing is a one day menstrual period every week since the shot. Thirdly, I have an odd peanut size bump on my left hand middle finger right under the nail that is squishy.

Other Meds: lisinopril-HCTZ 20-25 mg tablet, levothyroxine 300 mcg tablet, levothyroxine 25 mcg oral tablet, gabapentin 1200 mg , omeprazole (delayed-release) 20 mg capsule, magnesium 500 mg oral capsule, Ascorbic Acid (VITAMIN C, CHEWABLE,) 500 mg ora

Current Illness:

ID: 1466452
Sex: M
Age: 52
State: GA

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 07/13/2021
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Allergies: NA

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Symptoms: Since my J&J shot on 3/20/2021 around11:45am at the drive up parking lot. I had swelling in in ankles. My PCP changed my blood pressure medicine to correct those symptoms. But I've had a tingling sensation in my right arm, starting under my arm pit and goes straight down to my fingers. My right thumb, index, and middle finger is numb at the tips since my J&J vaccine shot.

Other Meds: Amlodophine 10mg

Current Illness: None

ID: 1466453
Sex: M
Age: 59
State: VA

Vax Date: 07/13/2021
Onset Date: 07/01/2021
Rec V Date: 07/13/2021
Hospital: Y

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Allergies: None.

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Symptoms: Immediately after injection, my arm was numb for more than 15 minutes. I waited 30 minutes before leaving. After that, all seemed good. In early April, my legs seemed heavy for a day. The next morning, I would barely walk. After visiting an orthopedic surgeon, I was sent to have an EMG and nerve conduction study which showed demylinatization in my legs and somewhat in my arms, especially my right arm. I visited a neurologist who completed extensive blood work and a lumbar puncture. The EMG, nerve conduction study, and very elevated protein in my spinal fluid confirmed Guillian Barre. I had to undergo IVIG treatments, which helped. I continue to suffer from effects today (July 2021), but am now able to walk better. I support the vaccine still. It appears to be saving millions. I just "hate" that I was adversely impacted by the vaccine personally.

Other Meds: Simvasatin Levothyroxin Losartan

Current Illness: None. Was totally well before and immediately after vaccination. Guillian Barre began suddenly in early April.

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm