VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 11/12/2021
** VAERS DATABASE Last updated: November 12, 2021**
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Manufacturers

Total Manufacturer
199,106MODERNA
36,710JANSSEN
5,381PFIZER\BIONTECH
2,555GLAXOSMITHKLINE BIOLOGICALS
1,469UNKNOWN MANUFACTURER
897MERCK & CO. INC.
627SEQIRUS, INC.
112DYNAVAX TECHNOLOGIES CORPORATION
91SANOFI PASTEUR
75NOVARTIS VACCINES AND DIAGNOSTICS
40EMERGENT BIOSOLUTIONS
14PAXVAX
12TEVA PHARMACEUTICALS
12PROTEIN SCIENCES CORPORATION
9PFIZER\WYETH
4BERNA BIOTECH, LTD.
4SMITHKLINE BEECHAM
3INTERCELL AG
1MEDIMMUNE VACCINES, INC.
1CSL LIMITED

COVID19 Lot Number

VAX LOT Total
2S9CL7,949
7,473
2,547
1,506
1,187
1,051
1,049
s0294561,043
866
IMM209861
816
UT7065MA766
657
579
U62828AA563
557
538
U6737AA516
515
S034636506
4F472471
458
P100253275449
444
276563436
429
418
4BH32414
MENVEO404
PP9L5362
UJ446AA337
319
306
290
271
49TM3270
R1B252M253
4F472179
933622147
C5763AA144
CW3116134
3Y7NL126
UNK114
113
ARBA141A105
104
103
96
300057A90
79
1F4EB73
R1B743M62
56
UJ090AA55
51
UH894AB46
45
UNK44
UNK42
42
EJ168638
Unknown36
35
34
32
32
26
el128424
24
A115A22
22
EN620222
21
UNK20
20
19
Z127A19
19
17
JEV18K95E15
12
111798PI12
10
A739088
No batch number8
3333324181078
6
6
TAR356
5
5
U6935AA5
UNK5
4
unknown4
3
2
55RB72
2
2
2
2
2
U7124AA2
JEV18A68E2
2
ABYB05BA1
1
1
1
1
AMVA436A1
1
1
TJ3521
A130A; VIS give1
1
U7140BB1
1
1
SP UP016AA1
1
1808P08802/ESV01
037K20A300,947
EL1284288,578
57,766
1,432

Incidents per State

State Total
82,750
CA62,821
FL38,209
TX36,512
NY34,921
PA23,646
IN23,622
IL20,597
MI19,590
OH19,426
NJ18,413
NC16,769
GA15,932
WA15,351
VA15,234
MA14,876
AZ14,206
MN12,940
MD12,656
CO11,908
WI11,425
MO10,240
TN9,685
OR8,768
KY8,437
CT8,300
SC6,700
OK6,293
AL5,692
LA5,025
IA4,825
KS4,821
UT4,637
NV4,374
NM3,967
AR3,807
ME3,161
NH3,096
NE2,918
MS2,859
ID2,785
WV2,469
HI2,459
PR2,417
MT2,414
RI2,076
DE1,868
AK1,830
VT1,734
DC1,715
ND1,388
SD1,269
WY866
GU118
VI69
AS47
MP29
MH8
XB6
FM4
QM3
XV2
XL1

ID: 1474362
Sex: M
Age: 14
State: CA

Vax Date: 07/12/2021
Onset Date: 07/13/2021
Rec V Date: 07/15/2021
Hospital: Y

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

Lab Data: Admission to PICU

Allergies: Chlorhexidine gluconate-wipes cause skin rash

Symptom List: Dysphagia, Epiglottitis

Symptoms: Approximately 22 hours after receiving Pfizer vaccine #1, he became febrile to 100 degrees fahrenheit, and desaturated down to mid 80% on RA requiring O2 via NC at 2l. Was taken and admitted with impending respiratory failure.

Other Meds: Calcium Carbonate Onfi Depakene Pulmicort Proventil Albuterol Atroprine Atrovent PhosMak Packets Miralax Sodium Chloride via nebs Melatonin

Current Illness: 12P Partial Trisomy Syndrome Generalized Convulsive Epilepsy Restrictive Lung Disease Scoliosis Hypotonic cerebral palsy Spastic Quadriparesis History of aspiration events Global Developmental dely

ID: 1474363
Sex: F
Age: 61
State: TX

Vax Date: 05/05/2021
Onset Date: 05/19/2021
Rec V Date: 07/15/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data: She was found to have a new (last hemoglobin in 2019 was 14) macrocytic anemia on June 1, 2021 , hemoglobin 10.2, with hyperbilirubinemia, 1.6, MCV 111, further testing performed June 4, 2021: normal folate 4.6, B12 397, Intrinsic factor antibody negative June 4 1.0, July 2 methylmalonic acid normal 167, Homocysteine normal 13.1, ANA negative July 2021, July 3, 2021 Reticulocyte count 13.4, July 9 2021: LDH high 520, Haptoglobin low < 10, positive Coombs direct test and positive anti-IgG and Anti-complement

Allergies: none known

Symptom List: Anxiety, Dyspnoea

Symptoms: The patient complained of some shortness of breath and dizziness beginning approximately 2 weeks after receiving the second Moderna Covid vaccine (first dose April 2, 2021, second dose May 5, 2021)

Other Meds: none known

Current Illness: Impaired fasting glucose, obese BMI 30.1

ID: 1474364
Sex: F
Age: 48
State: LA

Vax Date: 07/01/2021
Onset Date: 07/01/2021
Rec V Date: 07/15/2021
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: Sulfa

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

Symptoms: I am experiencing lower back pain and muscle spasms she. Standing for longer than 10-15 minutes. I did not include it in my vsafe check in because it wasn?t constant and I didnt think it was related to the vaccine. It wasn?t until I was making a note of when it started to make an appointment with my doctor that I realized that the first instance was within hours of me getting the vaccine.

Other Meds: Nexium, vitamin d, xyzal, Flonase sensimist all taken within 24 hours of vaccine

Current Illness: Nasal congestion

ID: 1474365
Sex: F
Age: 46
State: IL

Vax Date: 04/12/2021
Onset Date: 04/13/2021
Rec V Date: 07/15/2021
Hospital:

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

Lab Data: Urgent Care Clinic visit on April 18th. Doctors visit on July 13th. EMG on my arm on July 21.

Allergies: Penicillin

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Starting within 24 hours after the injection I developed "covid arm". Extreme swelling from shoulder to elbow, extremely hot to touch, very painful, bright red, throbbing pain. While the redness and swelling have went down I still experience elbow pain with numbness and tingling in my forearm and fingers.

Other Meds: Metformin, Sertraline, Lisinopril HCTZ, prilosec, zyrtec, Skyrizi, Amitza, ezetimibe, levothyroxine

Current Illness: None

ID: 1474366
Sex: F
Age: 69
State: SC

Vax Date: 04/08/2021
Onset Date: 05/11/2021
Rec V Date: 07/15/2021
Hospital:

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

Lab Data: Labs, reflected that I have inflammation in my body but not sure exactly where. I can't remember the exact date, but it was in May 2021.

Allergies: Celebrex; Zoloft

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

Symptoms: The adverse event was joint pain, all of my joints. I called my physician and he prescribed me prednisone and suggested I see a rheumatologist. I'm in the process of waiting to see that doctor, I am waiting for the referral to go through.

Other Meds: Doxepin HCL; Valacyclovir HCL

Current Illness: Brain fog

ID: 1474367
Sex: F
Age: 33
State: OR

Vax Date: 05/16/2021
Onset Date: 05/23/2021
Rec V Date: 07/15/2021
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: 6/11/2021 - ER - chest CT scan; Chest x-ray; Metabolic components/ bloodwork and blood counts CBC etc - Troponin - check the level of it - and EKG - They told me some none specific abnormality in the EKG but that was it

Allergies: No

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

Symptoms: Initially, right after the vaccine, I had some sore arm and a little bit of chills - it was similar to what I had for my first dose of the COVID vaccine. Seven days later, I woke up feeling real light headed - like I might faint or pass out. I was having some chest pain as well. It sort of increased and I went to Emergency Medicine ER on 6/11 but they didn't find anything and they said everything was normal. After that, my chest pain is still there and my lightheadedness is still there from time to time but it not as often. I have some ibuprofen for the general pain to use for the chest pain if I need it. I still have the lightheadedness and general dizziness that is not fully gone. I have followed up with my primary care doctor. I am monitoring my blood pressure - it has been more or less normal now. It was high a few times before when the symptoms were more. Note: Three weeks prior to the Pfizer Covid Vaccine - Dose 1 (which was April 25th) I had a Tetanus shot (April 2nd - Medical Center - By injection left arm)

Other Meds: Ibuprofen; Naproxen

Current Illness: I was having pelvic pain - uterine fibroid - I had a flare up right before or around the time of vaccination

ID: 1474368
Sex: F
Age: 73
State: VA

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 07/15/2021
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: Extreme fatigue continuing for 2 months until acpuncture treatments. Painful muscle aches all over body beginning about a week after fatigue dissipated.

Other Meds:

Current Illness:

ID: 1474369
Sex: F
Age: 52
State: MO

Vax Date: 04/09/2021
Onset Date: 06/26/2021
Rec V Date: 07/15/2021
Hospital:

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

Lab Data: None

Allergies: None

Symptom List: Pharyngeal swelling

Symptoms: On June 26th started to feel sick and had chills for 24 hours and it went away. On July 5th found out she had covid.

Other Meds: Atheronal; Fluoxetine; Multi Vitamin; and Zyrtec

Current Illness: None

ID: 1474370
Sex: M
Age: 51
State:

Vax Date: 07/14/2021
Onset Date: 07/14/2021
Rec V Date: 07/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Strong body aches, possible fever. Considered going to urgent care but realized they wouldn't be able to really do anything . 12 hours later I still feel minor body aches, stiffness, fatigue, drowsy

Other Meds:

Current Illness:

ID: 1474371
Sex: F
Age: 38
State: CA

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 07/15/2021
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: about 9 hours after receiving first dose of COVID19 vaccine, I experienced severe abdominal cramps for ~2 hours. The pain was extremely intense and felt very similar to contractions during childbirth, only without relief between them - an ongoing very intense cramp / pain. Movement was severely limited due to pain. A bath didn't offer any relief. Pain subsided after taking extra strength Tylenol. No bleeding was observed. The following day there was till a weak pain. I didn't experience a similar event at the second dose.

Other Meds:

Current Illness: none

ID: 1474372
Sex: M
Age: 30
State: CO

Vax Date: 07/14/2021
Onset Date: 07/14/2021
Rec V Date: 07/15/2021
Hospital:

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

Lab Data: 1745 HR 43 BP 80/60 RR 30 02 SAT 95% RA BGL 93 1755 RR 16 O2 SAT 99 RA BP 120/80

Allergies: Amoxicillin

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

Symptoms: Syncope, hypervetilating, numbness in hands, chest tightness

Other Meds: Marijuana

Current Illness: NA

ID: 1474373
Sex: F
Age: 75
State: WI

Vax Date: 03/01/2021
Onset Date: 03/11/2021
Rec V Date: 07/15/2021
Hospital:

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

Lab Data: none

Allergies: unknown

Symptom List: Rash, Urticaria

Symptoms: 1st dose of COVID vaccine was Pfizer brand. It was discovered after the fact that the second dose given was Moderna. Patient was called at home. No adverse effects reported. Advised that she should consider her vaccination series complete. Time between doses was 21 days. #1 - 2/18/21 #2 3/11/21

Other Meds: unknown

Current Illness: unknown

ID: 1474374
Sex: M
Age: 63
State: TN

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 07/15/2021
Hospital: Y

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

Lab Data: EKG 04/01/2021 Ultrasound 04/01/2021

Allergies: N/A

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

Symptoms: Pt.'s girlfriend states after receiving the 1st dose of Phizer 03/31/2021, 24hrs after vaccination experienced a massive heart attack, emergency stent surgery preformed 04/01/2021. Has recovered from heart attack.

Other Meds: N/A

Current Illness: N/A

ID: 1474375
Sex: M
Age: 14
State: UT

Vax Date: 07/02/2021
Onset Date: 07/15/2021
Rec V Date: 07/15/2021
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: none

Allergies: KNDA

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

Symptoms: Patient is only 14 years of age, he was given the Moderna vaccine at a pharmacy/store, yet it is not approved for anyone under 18 years at this time.

Other Meds: none

Current Illness: none

ID: 1474376
Sex: M
Age: 31
State: CA

Vax Date: 03/31/2021
Onset Date: 06/01/2021
Rec V Date: 07/15/2021
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: Injection site occasionally has dull pulsating pain. Will go away but returns every few days for about a couple minutes.

Other Meds:

Current Illness:

ID: 1474377
Sex: F
Age: 44
State: TX

Vax Date: 07/08/2021
Onset Date: 07/10/2021
Rec V Date: 07/15/2021
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: Flagyl, Dairy

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

Symptoms: Rash consisting of red bumps on arms, face, between breasts, and a little bit on legs and feet. Also a terrible migraine-type headache on the left side with an unusual (for me) ocular disturbance. The rash seemed to appear first on my left arm, and the rash was worse on my left side (left arm worse than right, left side of face more covered than right). I cannot say exactly when on Saturday I noticed it. The bumps on my face itched terribly. I took Benedryl at night, by Tuesday morning it began to fade. The migraine appeared at approximately 2 PM on Saturday, July 10. I took my usual migraine medication, Sumatriptan. The headache presented with a sudden blurring and sense of pressure in the left eye. This headache and change in vision also persisted until Tuesday morning, July 13.

Other Meds: Benlysta, Mycophenolate Mofetil, Topiramate, Hydroxychlorquine, Eliquis, Cevimeline, Prednisone, Pregabalin, Allergy Injections, Folic Acid, Tramadol, Emgality, Sumatriptan, Omeprazole, Restasis, Calci Citrate, Vitamin D3

Current Illness:

ID: 1474378
Sex: F
Age: 41
State: MI

Vax Date: 04/18/2021
Onset Date: 04/19/2021
Rec V Date: 07/15/2021
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: Thrombectory, ateriogram, IR surgery, multiple rounds of bloodwork, CT Scans, Xrays, etc.. These occurred between April 19 - May 28th.

Allergies: Bactrim

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

Symptoms: On April 10th, I developed unprovoked pain in my lower left calf. I went to my primary doctor April 12th, who sent me for a doppler scan to rule out DVT. It came back negative. I was told it was likely a calf muscle strain & to rest it. The pain was still active when I received my second vaccine dose on April 18th. On April 19th, I fainted at home, had several seizures, and difficulty breathing. I was sent by ambulance to the emergency room. There I suffered a massive pulmonary embolism, cardiac arrest, and numerous cascading issues affecting my liver, lungs, kidneys. I underwent a thrombectomy and several other procedures. I was told by doctors that less than 10% of people survive what I went through. con't

Other Meds: Gabapentin (100 mg/day), Apri (28 day)

Current Illness: Suspected Calf Strain (but revealed to be misdiagnosed DVT)

Date Died: 07/10/2021

ID: 1474379
Sex: M
Age: 54
State: KY

Vax Date: 05/05/2021
Onset Date: 06/11/2021
Rec V Date: 07/15/2021
Hospital: Y

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

Lab Data:

Allergies: NKA

Symptom List: Ear pain, Hypoaesthesia

Symptoms: No immediate adverse reaction, however, began developing nightly fevers/profuse sweating on June 11. This continued for two weeks with increasing symptoms of loss of appetite, nausea, abdominal pain, tingling sensation on scalp before going to ER. Visited urgent care on June 16 and bloodwork results indicated elevated white blood cell count and eosinophil count. There was a question as to whether patient had been subjected to a tick bite, so doxycycline was prescribed. After several days, patient returned to urgent care for follow-up bloodwork (June 20th). Results showed WBC and eosinophil count continued to escalate. He went to ER on June 25th and was admitted to the hospital for 5 days. During his visit at Hospital, he was seen by a team of specialists: cardiologist, pulmonologist, hematologist, infectious disease doctor. Multiple tests were run, as the doctors started broad to eliminate certain diagnoses - i.e., bone marrow biopsy, heart cath, CT scans, x-rays, thoracentesis, etc. Patient had fluid around his heart and lungs and was diagnosed with myocarditis. He had no previous heart issues nor family history of heart issues. Test results indicated no abnormal blockage or other issues, other than inflammation and his heart strength was at 27%. I am unable to access his account, as it was disabled after his death. An autopsy is being performed and results are pending; however, the question(s) at large: what was the condition of his heart at the time of his death and was this vaccine-related? Did his myocarditis get worse? Did his heart muscle weaken further and rupture? Please let me know if the autopsy results are needed and where to send them.

Other Meds: Dulera, Albuterol, Multi-Vitamin, Ubiquinol, Vitamin D

Current Illness: None

ID: 1474380
Sex: F
Age: 65
State: WA

Vax Date: 03/08/2021
Onset Date: 03/09/2021
Rec V Date: 07/15/2021
Hospital:

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

Lab Data: ANA test at PCP's office to test for autoimmune conditions - pt reported it was normal. Unsure of date.

Allergies: none

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Pt reports to have developed muscle aches 5 days after 2nd dose which lasted a month. She says she had a fall as a result of these muscle aches. After 1 month, she developed skin blisters on her hands that lasted 2-3 weeks. At time of reporting to me (7/11/21), she said the skin on her fingertips still "felt thickened". She also developed a rash on her neck and flaking, psoriasis like plaques on her ear lobes, the latter of which present at time of reporting to me. The rash had mostly healed at time of reporting. Pt reports that she went to her PCP and they ran tests but couldn't find any underlying issue. Her PCP thought that the immune reaction to the vaccine may have caused an underlying autoimmune condition to flare. The pt said she has never had any autoimmune issues before, but they did run in her family.

Other Meds: unknown

Current Illness: none

ID: 1474381
Sex: F
Age: 11
State: OH

Vax Date: 07/13/2021
Onset Date: 07/01/2021
Rec V Date: 07/15/2021
Hospital:

Vax Type: RV1
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: ROTAVIRUS (ROTARIX)
Lot:
Dose Series: 1
Vax Route: PO
Vax Site: MO

Lab Data: N/a

Allergies: no known allergies

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

Symptoms: No symptoms reported, but pt is 11yr and 9 months old.

Other Meds: No medications prescriptive or otherwise taken.

Current Illness: None reported.

ID: 1474382
Sex: F
Age: 30
State: DE

Vax Date: 07/07/2021
Onset Date: 07/07/2021
Rec V Date: 07/15/2021
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: No known allergies.

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

Symptoms: Patient returned to the office stating "my heart Is beating to fast and I feel like I am on fire." patient stated that she just left our office after receiving her second moderna vaccine. Patient stated that she felt fine when she left the office at after waiting 15 minutes after vaccine, but was driving home and did not feel like herself. Reports not feeling well. Lightheadedness, Palpitations and Rapid Heart Rate, headaches. Increased warmth is noted, normal skin texture, normal skin thickness. Oriented x3. Patient came back to office after moderna vaccine 2nd dose. Stating she feels as if she us on fire and it was hard for her to swallow and she is experiencing chest tightness. Patient denies shortness of breath. Patient was communicating to me in complete sentences without respiratory excretion. Patient had a body wide red rash and she was warm to the touch. Patient denies stopping off any where to eat or drink fluids. Patient stated that she was driving home and noticed she was not feeling well. Patient was administered 50 mg of Benadryl in the right deltoid muscle. 911 was called and patient agreed to go to the nearest emergency room for further evaluation and treatment. 19:20 a unit arrived. patient was stable however, the patient stated that she it is hard for her to swallow. Patient body wide red rash had decreased. patient ambulated to the stretcher without any signs of respiratory distress.

Other Meds: Apri 0.15-30 MCG-MG Oral tablet daily.

Current Illness: None.

ID: 1474383
Sex: M
Age: 78
State: MO

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 07/15/2021
Hospital:

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

Lab Data: None

Allergies: none

Symptom List: Unevaluable event

Symptoms: Left arm injection: Left nipple pain in 6 hours: Pain in both nipples after 24 hours: swelling in area behind nipples: Pain and swelling has continued to this date.

Other Meds: Lisinopril, Spironolactone, Triamcinolone Acetonide Cream,

Current Illness:

ID: 1474384
Sex: F
Age: 62
State: OR

Vax Date: 06/05/2021
Onset Date: 06/06/2021
Rec V Date: 07/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Patient called 7/15/21 to report that she will not be getting the second dose due to experiencing blisters of the upper lip that spread to her nose. She spoke with her provider and was instructed to take Benadryl, which she said did help. The provider recommended against getting the second dose. The blistering has since resolved.

Other Meds: cyclobenzaprine, duloxetine, naproxen

Current Illness:

ID: 1474386
Sex: M
Age: 23
State: MD

Vax Date: 05/25/2021
Onset Date: 06/01/2021
Rec V Date: 07/15/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: negative strep and covid tests. viral studies negative, including mono

Allergies: penicillin

Symptom List: Injection site pain, Pain

Symptoms: 2weeks of non infectious pharyngitis and cough

Other Meds: none

Current Illness: none

ID: 1474387
Sex: M
Age: 65
State: AL

Vax Date: 07/03/2021
Onset Date: 07/03/2021
Rec V Date: 07/15/2021
Hospital:

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

Lab Data: N/A

Allergies: N/A

Symptom List: Injection site pain, Menorrhagia

Symptoms: PT PRESENTED TO PHARMACY FOR 2ND DOSE AT 2 WEEKS INSTEAD OF THE RECOMMENDED 4 TO 6 WEEKS. FIRST DOSE GIVEN 6/19/2021. SECOND 7/3/21. PT EXPERIENCED MILD SYMPTOMS AFTER SECOND DOSE (LOW GRADE TEMP, FATIGUE FOR APPROXIMATELY 24 HOURS). NO FOLLOW-UP CARE NECESSARY.

Other Meds: N/A

Current Illness: N/A

ID: 1474388
Sex: M
Age: 59
State: NE

Vax Date: 02/18/2021
Onset Date: 03/12/2021
Rec V Date: 07/15/2021
Hospital:

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

Lab Data: Positive CTA chest; Doppler US legs

Allergies: NKMA

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

Symptoms: DVT/PE

Other Meds: Metoprolol, amlodipine, levothyroxine, citalopram, allopurinol, omeprazole, hydroxyurea, atorvastatin, Flomax, albuterol

Current Illness: nothing

ID: 1474389
Sex: M
Age: 17
State: MA

Vax Date: 07/06/2021
Onset Date: 07/06/2021
Rec V Date: 07/15/2021
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: None

Allergies: NKA

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Pain, swelling and redness at injection site Headache Chills Fever (Temp 100.6) Muscle Aches Fatigue

Other Meds: None

Current Illness: None

ID: 1474390
Sex: F
Age: 39
State: CA

Vax Date: 05/26/2021
Onset Date: 05/26/2021
Rec V Date: 07/15/2021
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: I have had a runny nose since the first injection and powerful sneezing. The second injection caused painful swelling the size of half a golfball for a day and general I?ll feeling, fatigue, tiredness. The sinus issue has morphed into what I believe is a sinuses infection. Face pain, sore throat, ear ache.

Other Meds:

Current Illness:

ID: 1474391
Sex: F
Age: 34
State: NY

Vax Date: 06/21/2021
Onset Date: 06/28/2021
Rec V Date: 07/15/2021
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: walnuts and bee stings

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

Symptoms: Developed a rash on 6/28/2021 on her neck and under her right arm, she went to Dermatologist, Dr. at and was prescribed an 8 day regime of Prednisone. The rash did not resolve, it spread to her arms, stomach and legs,went back to Dr. on 7/12/2021 and was prescribed a second round of Prednisone and told to report her reaction to the Health Department as a reaction to her second COVID 19 vaccine.

Other Meds: Dayquil

Current Illness: a cold

ID: 1474392
Sex: F
Age: 45
State: CA

Vax Date: 07/15/2021
Onset Date: 07/15/2021
Rec V Date: 07/15/2021
Hospital:

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

Lab Data: NONE

Allergies: NONE

Symptom List: Nausea

Symptoms: PATIENT CAME TO THE PHARMACY ON 7/14/21 TO REPORT THAT HER RIGHT UPPER EYELID IS RED AND SWALLEN AND ON 7/9/21 HER PHYSICIAN TOLD HER ON VIDEO CONSULTATION THAT IS AN ALLERGIC REACTION TO THE COVID-19 VACCINE. PATIENT DID NOT SEEK ANY MEDICAL ATTENTION, SHE WAITED UNTIL 7/12/21 FOR HER PHYSICIAN TO MAIL HER EYE DROP (TOBRAMYCIN/DEXAMETHASONE). PATIENT STARTED TREATMENT ON 7/12/21. ON 7/14/21 WHEN PATIENT CAME TO THE PHARMACY TO REPORT THE INCEDENT, SHE WAS ALREADY GETTING BETTER.

Other Meds: NONE

Current Illness: NONE

ID: 1474393
Sex: F
Age: 49
State: TN

Vax Date: 04/25/2021
Onset Date: 04/28/2021
Rec V Date: 07/15/2021
Hospital:

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

Lab Data: N/A

Allergies: N/A

Symptom List: Injection site pain

Symptoms: Pt. states after receiving 2nd dose of Phizer 04/25/2021, shortly after 04/28/2021 started to experience stroke-like symptoms (facial sag, slurred speech, lost of limb control), ER visit seizure activity (tongue rolled back to throat), screaming. Was not seen by a Physician/RN. Still continuing to experience symptoms.

Other Meds: Wellbutrin, Atorvastatin, Lisinopril, Matrasipein, Metaphorim

Current Illness: N/A

ID: 1474394
Sex: M
Age: 34
State: CA

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 07/15/2021
Hospital:

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

Lab Data:

Allergies: NKDA

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

Symptoms: bottom lip mass

Other Meds: None

Current Illness: None

ID: 1474395
Sex: F
Age: 43
State: NC

Vax Date: 04/06/2021
Onset Date: 06/24/2021
Rec V Date: 07/15/2021
Hospital:

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

Lab Data: Covid test=negative 6/30 and Strep test=negative on 6/30.

Allergies: Penicilin and Sulfur

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

Symptoms: head congestion, sore throat, severe cough, chills,low grade fever, lower back pain and fatigue. I had been having these symptoms that started with the sore throat on 6/24 and by 6/30 it was getting worse so I went to Urgent care and received a negative covid and strep test. Diagnosed with sinus infection and double ear infection. Antibiotic and cough syrup given. Felt better by 7/6 or 7/7 and cough nearly gone by 7/12 and returned to office. By 7/6 husband had same symptoms with same start with sore throat and congestion/cough that got worse. Family member visited with inside his home for 2-3 hours reported he became sick around 7/5 or 7/6 and was beginning to feel better by 7/10 when I checked on him. He also had the J&J vaccine he mentioned during that visit.

Other Meds: Paroxetine, Zyrtec, D3, Flonase

Current Illness: Sinus congestion and seasonal allergies that are year round for me.

ID: 1474396
Sex: M
Age: 79
State: MT

Vax Date: 02/06/2021
Onset Date: 06/12/2021
Rec V Date: 07/15/2021
Hospital:

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

Lab Data: ekg and cat scan on 06/13/2021 - showed normal carotid artery exam and echocardiogram on 06/14/2021 - showed normal

Allergies: thiazide

Symptom List: Tremor

Symptoms: Ischemic Optic Neuropathy in left eye

Other Meds: vitamin C, calcium carbonate, carvedidol, celecoxib, levothyroxine,prednisone, sandostatin LAR depot, simvaststin, androgel, warfarin

Current Illness: none

ID: 1474397
Sex: F
Age: 93
State: PR

Vax Date: 06/18/2021
Onset Date: 06/18/2021
Rec V Date: 07/15/2021
Hospital:

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

Lab Data: UNKNOWN

Allergies: UNKNOWN

Symptom List: Erythema, Pruritus

Symptoms: NOT KNOWN BEFORE THE ADMINISTRATION TO THE VACCINATOR, SUBJECT HAD PREVIOUSLY BEEN VACCINATED WITH MODERNA ON 05/21/2021 LOT#036C21A

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1474398
Sex: F
Age: 58
State: TX

Vax Date: 04/28/2021
Onset Date: 05/01/2021
Rec V Date: 07/15/2021
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: Allergy to penicillin

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

Symptoms: I have had neuropathy pain in feet for two years. It has never changed during that time. I had my Pfizer vaccine on April 28. Within a couple of days, I had shooting pains up my feet, legs, and into my arms. It has continued to progress, and now I have constant shooting pains, shocking nerve pains, and burning throughout my feet, legs, hips, back, arms and hands.

Other Meds: Vitamin D

Current Illness: None

ID: 1474399
Sex: F
Age: 32
State: MI

Vax Date: 03/30/2021
Onset Date: 03/01/2021
Rec V Date: 07/15/2021
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: Constant fatigue, brain fog, heart palpitations and dizziness since having the first vaccine.

Other Meds: None

Current Illness: None

ID: 1474400
Sex: M
Age: 64
State: KS

Vax Date: 05/05/2021
Onset Date: 05/05/2021
Rec V Date: 07/15/2021
Hospital:

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

Lab Data: Bloodwork was completed by my primary care provider on June 17, 2021; the results came back normal.

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Beginning 1.5 hours after the 2nd Moderna dose, my hands began shaking, and my arm was sore. These symptoms continue today and have not gotten better. Beginning 2 days after the shot, my left foot from my toes to my ankle turned black and green. Beginning 1 week after the shot, my toes turned purple; this has continued on and off since May 5, 2021. Beginning 2 weeks after the shot, the lymph nodes in my neck, roof of my mouth, nose, and ears were swollen and tender. At random times, I would get hot and begin to sweat profusely 2-3 times per day, and my ears would get extremely red. At this time, my temperature would be between 100F and 101F, and my blood pressure was elevated. These symptoms lasted about 4 weeks. Beginning 3 weeks after the shot, I developed a walnut-sized, squishy knot on the inside of the joint of my left elbow. I also began losing the hair in my armpits and have since completely lost all the hair in my armpits and on my legs. Beginning 4 weeks after the shot, I developed a golf-ball-sized, squishy knot on the inside of my right knee, similar to the one that appeared on my elbow. I also developed a walnut-sized, squishy knot on my left knee just below the kneecap. Beginning 5 weeks after the shot, I developed shin splints but had not completed any running or other activities that could explain the tenderness in my shins. Beginning 6 weeks after the shot, I noticed a loss of muscle mass in my arms and legs. Beginning 7 weeks after the shot, I have had severe chest pain three times. Each felt like I was having a heart attack; 2 times were in the middle of the night and 1 time was early in the morning. Beginning 8 weeks after the shot, I began getting lightheaded at random which has caused me to fall multiple times. In addition, I have begun bruising very easily; the bruises take weeks to heal. My left eye is also extremely tender and waters more than normal. Beginning 9 weeks after the shot, I notice that I have begun drooling even though I have never drooled in the past. My gums occasionally feel tender when I brush my teeth.

Other Meds: Aleve; prednisone

Current Illness:

ID: 1474401
Sex: F
Age: 25
State: MD

Vax Date: 03/29/2021
Onset Date: 03/30/2021
Rec V Date: 07/15/2021
Hospital:

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

Lab Data: none

Allergies: dairy intolerance, MMR vaccination, varicella vaccination, penicillin

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

Symptoms: extreme dehydration beginning the next morning after vaccination; lasted approximately two days

Other Meds: zyrtec, fluticasone, montelukast

Current Illness: none

ID: 1474402
Sex: F
Age: 32
State: AL

Vax Date: 07/12/2021
Onset Date: 07/14/2021
Rec V Date: 07/15/2021
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: None yet

Allergies: None

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

Symptoms: jaw bone bilateral area of face "jolting sensation" and then right side of lower back tingly, kinda like when foot falls asleep. Have not seen a doctor

Other Meds:

Current Illness: None

ID: 1474403
Sex: M
Age: 41
State: CA

Vax Date: 03/05/2021
Onset Date: 04/01/2021
Rec V Date: 07/15/2021
Hospital:

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

Lab Data: Xray Mri blood work

Allergies: none

Symptom List: Pain in extremity

Symptoms: About two weeks after second dose. I started having pain in one leg, after a few days it was both legs, then the numbness from waist down, tingling and burning sensation on both feet. Muscle spasms, nerve pain. Since then its been really hard to do my job. I completely stop working on May 18. Doctors orders. I been going to physical therapy, but not helping, My doctor recommended me to report , because, of all the testing and Xrays have got, nothing comes up. He referred me to see a Neurologist and Allergist to further make exams, to make sure its not Guillen Barre Symdrome. I have been in medication for pain , disinflamatory medication, but until now everything is the same.

Other Meds: Prednisone Diclofenac Cymbalta Doxycycline

Current Illness: none

ID: 1474404
Sex: M
Age: 68
State: CA

Vax Date: 03/13/2021
Onset Date: 03/20/2021
Rec V Date: 07/15/2021
Hospital:

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

Lab Data: Doctor visit and medical evaluation

Allergies: Sulfa drugs

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

Symptoms: Spike in blood pressure starting several days after the second injection. Blood pressure recorded at 163/106

Other Meds: Amlodipine Besylate 10mg once daily Benazapril 40mg once daily Hydrochlorothiazide 12.5mg once daily Aspirin 81 mg once daily Allopurinol 100 mg once daily Vitamin D 250mcg daily Fish Oil 1000mg Ubiquinol 100 mg daily Glucosamine 400mg/Cho

Current Illness: none

ID: 1474406
Sex: F
Age: 24
State: CA

Vax Date: 07/15/2021
Onset Date: 07/15/2021
Rec V Date: 07/15/2021
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:

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

Symptoms: Pt feeling light headed, nauseous, urge to empty bowel. Speaking clear sentences. Provider rec. pt to continue observation for 30 min Denies, CP, SOB, HA, palpitations

Other Meds:

Current Illness:

ID: 1474407
Sex: F
Age: 51
State: FL

Vax Date: 03/11/2021
Onset Date: 03/18/2021
Rec V Date: 07/15/2021
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: allergic to sulfur

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

Symptoms: Constant twitching with inside nerves and physical weakness

Other Meds: vitamins

Current Illness:

ID: 1474408
Sex: F
Age: 73
State: VA

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 07/15/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data: In process - 6/30/21 and 7/9/21 High Inflammation throughout body

Allergies: sensitive to dairy and gluten

Symptom List: Vomiting

Symptoms: Extreme fatigue continuing for 2 months until acpuncture treatments. Painful muscle aches all over body beginning about a week after fatigue dissipated. Brain Fog

Other Meds: Celebrex 100mg/day, Evista 60mg,Folic Acid,

Current Illness: Vertigo

ID: 1474409
Sex: F
Age: 33
State: CA

Vax Date: 07/06/2021
Onset Date: 07/07/2021
Rec V Date: 07/15/2021
Hospital: Y

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

Lab Data: 7/07/21 - CT SCAN OF HEAD WITHOUT CONTRAST - NEGATIVE, LACTOSE LEVEL - 4/H 7/08/21 - CT SCAN OF HEAD WITHOUT CONTRAST - NEGATIVE

Allergies: LATEX

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: INCREASED SEIZURE ACTIVITY - TRANSPORTED TO ER VIA AMBULANCE AND ADMITTED FOR OBSERVATION

Other Meds: LORAZEPAM, MUPIROCIN 2% OINTMENT, ALBUTEROL SULFATE HFA, LAMOTRIGINE, IBUPROFEN

Current Illness: NONE REPORTED

ID: 1474410
Sex: F
Age: 52
State: MD

Vax Date: 01/12/2021
Onset Date: 03/01/2021
Rec V Date: 07/15/2021
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: No test

Allergies: Codeine; Latex

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

Symptoms: Numbness extremities fingers, arms and toes on both sides.

Other Meds: Tylenol - am and pm - one pill each

Current Illness:

ID: 1474411
Sex: F
Age: 36
State: TX

Vax Date: 06/27/2021
Onset Date: 06/30/2021
Rec V Date: 07/15/2021
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: Blood work - Normal Urine Test - Normal

Allergies: I am allergic to latex, swiss cheese, and Teflon.

Symptom List: Injection site swelling, Limb discomfort

Symptoms: I experienced a knot in my arm which spread to a large section. My speech became blurry and I passed out at work along with a lot of shaking, twitching, and head numbness. I was rushed to the ER and I was transferred to another hospital that placed me on Prednisone and a Muscle relaxer for 5-days and finally was able to get a doctor's appointment. My doctor put me on Meclizine and Clonazepam to help with anxiety and dizzy spells. I am taking Tylenol to help with the headaches until I can see the Neurologist on 08/10/2021.

Other Meds: No

Current Illness: No

ID: 1474412
Sex: M
Age: 20
State:

Vax Date: 04/01/2021
Onset Date: 05/01/2021
Rec V Date: 07/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: seizure

Other Meds:

Current Illness:

ID: 1474413
Sex: F
Age: 58
State: CA

Vax Date: 02/15/2021
Onset Date: 02/25/2021
Rec V Date: 07/15/2021
Hospital:

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

Lab Data: EMG nerve conduction tests results were normal

Allergies: Latex

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

Symptoms: Approx 1.5 weeks after 2nd dose, pain returned to injection arm and remained for a month. Following this it transitioned into numbness with touch-sensitivity/pain. This continued for 5 mos (and still continues as of this report date) with decreasing area. Started with arm below injection site and over time the affected adverse event area shrunk distally. Currently it is just affecting the distal areas of the left pointer and middle finger from the last joint to tips of fingers.

Other Meds: Duloxetine, levothyroxine

Current Illness:

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am