VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
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Manufacturers

Total Manufacturer
187,133MODERNA
33,878JANSSEN
2,321PFIZER\BIONTECH
1,091GLAXOSMITHKLINE BIOLOGICALS
983UNKNOWN MANUFACTURER
363MERCK & CO. INC.
229SEQIRUS, INC.
45DYNAVAX TECHNOLOGIES CORPORATION
41NOVARTIS VACCINES AND DIAGNOSTICS
29SANOFI PASTEUR
18EMERGENT BIOSOLUTIONS
8PAXVAX
7TEVA PHARMACEUTICALS
4PFIZER\WYETH
3BERNA BIOTECH, LTD.
2SMITHKLINE BEECHAM
2INTERCELL AG
2PROTEIN SCIENCES CORPORATION
1CSL LIMITED

Incidents per State

State Total
77,548
AK1,869
AL5,581
AR3,688
AS47
AZ14,288
CA61,984
CO11,665
CT8,149
DC1,663
DE1,807
FL37,749
FM5
GA15,058
GU120
HI2,453
IA4,625
ID2,692
IL20,334
IN24,007
KS4,615
KY7,696
LA4,887
MA14,654
MD12,514
ME3,129
MH11
MI18,739
MN12,528
MO9,710
MP29
MS2,790
MT2,375
NC16,368
ND1,356
NE2,880
NH3,100
NJ17,634
NM3,916
NV4,239
NY34,355
OH19,081
OK6,195
OR8,636
PA23,083
PR2,370
QM2
RI2,088
SC6,411
SD1,212
TN9,131
TX35,174
UT4,273
VA14,937
VI64
VT1,676
WA14,909
WI11,259
WV2,388
WY861
XB5
XL1
XV2

ID: 1464501
Sex: F
Age: 71
State: NY

Vax Date: 04/07/2021
Onset Date: 07/12/2021
Rec V Date: 07/12/2021
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:

Allergies: blue food coloring

Symptom List: Dysphagia, Epiglottitis

Symptoms: Pt was admitted to the hospital on 7/9/21 c/o pleuritic chest pain and was diagnosed with a Left sided pulmonary emboli. Because of her history of cerebral aneurysms she was treated cautiously with lovenox/Coumadin bridging at the direction of neurology. She was discharged home on 7/12/21 to follow up with her primary care with close blood work monitoring. Her venous dopplers were negative for deep vein thrombosis. She has no prior history of blood clots, does not take birth control, no family hx of blood clots, does not smoke, has had no recent/prolonged immobility or travel and no recurrence of cancer that has been in remission for 8 years, no obesity.

Other Meds: Esomeprazole, Lisinopril, simvastatin, Topamax, ambien

Current Illness: none

ID: 1464502
Sex: F
Age: 54
State: OH

Vax Date: 06/22/2021
Onset Date: 06/22/2021
Rec V Date: 07/12/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, Nickel, Gluten and normal indoor/outdoor allergens to dust, pollen.

Symptom List: Anxiety, Dyspnoea

Symptoms: After 4 hours of 1st injection started to feel heat and swelling of face. In the morning woke up to red swollen cheeks and eyes. Itching sporadic over entire body. Eczema that was dormant flared on legs and upper arms. Severe headache which did not respond to Tylenol.

Other Meds: paxil cr, singulair, asthmanex twist inahler, melatonin.

Current Illness: none

ID: 1464503
Sex: F
Age: 41
State: KY

Vax Date: 12/19/2020
Onset Date: 06/01/2021
Rec V Date: 07/12/2021
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: NKA

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

Symptoms: Muscle Weakness, Extremely tired, high blood pressure, Muscle aches and bone aches

Other Meds: Buspirone, Testosterone Cream, Ropinirole, Vitamin D supplements, Omeprazole

Current Illness: None

ID: 1464504
Sex: F
Age: 41
State: FL

Vax Date: 07/09/2021
Onset Date: 07/11/2021
Rec V Date: 07/12/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Hives all over body.

Other Meds: Celexa

Current Illness: None

ID: 1464505
Sex: M
Age: 79
State: GA

Vax Date: 03/09/2021
Onset Date: 03/21/2021
Rec V Date: 07/12/2021
Hospital:

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

Lab Data:

Allergies: coidene/ synthetic , asprin

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

Symptoms: eyes distorted, couldnt see, migraine daily, legs weak, arms weak

Other Meds: glyposol 10mg, pioglitazone 10mg, imloadapine 5mg, analopryll 10mg, metopryloll 100mg, trelycity injection 1.5 ubequinol 100mg, chromiom suffulinate 200 micrograms, vitamin d3 400 units

Current Illness:

ID: 1464506
Sex: F
Age: 39
State: UT

Vax Date: 07/01/2021
Onset Date: 07/09/2021
Rec V Date: 07/12/2021
Hospital:

Vax Type: FLUC4
Manufacturer: SEQIRUS, INC.
Vax Name: INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)
Lot: 276563
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Hard bump under skin, red itchy spot on arm at injection site, warm to the touch, swollen. Visible for about 48 hours.

Other Meds: montelukast 10mg

Current Illness:

ID: 1464507
Sex: F
Age: 29
State: CA

Vax Date: 07/08/2021
Onset Date: 07/08/2021
Rec V Date: 07/12/2021
Hospital:

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

Lab Data:

Allergies: Penicillin (Rash)

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: After Moderna shot on 7/8/21 around 6:55p.m., patient complained throat swelled up, numbness of face and tongue, airway closing up, fast heart rate (heart rate went from 80 to 144bpm in a few minutes). Benadryl 50mg was given around 7:05pm but patient did not feel better. Epinephrine 0.3mg was injected around 7:15p.m. Patient felt better. Around 9 p.pm, patient felt hurt in stomach and dizzy that she could not walk and needed to be escort on wheelchair. With patient's agreement, I called 911 and ambulance came. BP measured 140/90mmHg. Patient was escorted her to the hospital. On 7/9/21, pharmacy manager called to follow up and patient was doing fine with no symptom. On 7/12/21@12:31p.m, pharmacist called to follow up, patient complained patient has mild rash on skin and leg, light cough, chest pain, slight tingling on tongue and weird taste. Patient will visit her primary care doctor on 7/13/21.

Other Meds: NA

Current Illness: UTI on Macrobid 100mg

ID: 1464508
Sex: F
Age: 65
State: MA

Vax Date: 03/17/2021
Onset Date: 03/19/2021
Rec V Date: 07/12/2021
Hospital:

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

Lab Data:

Allergies: penicillin, tree nuts,

Symptom List: Pharyngeal swelling

Symptoms: Extreme itchiness

Other Meds: vitamin C; d3 ; b12

Current Illness:

ID: 1464509
Sex: F
Age: 68
State: VA

Vax Date: 03/06/2021
Onset Date: 04/01/2021
Rec V Date: 07/12/2021
Hospital:

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

Lab Data:

Allergies: Procardia

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: (1) Swelling behind left knee- approximately 1 month after vaccine (2) Pain inside left thigh and leg area - recurring since taking vaccine, nothing done, just noted (3) Wake up with stiffness in left side of neck approximately 2 times per week- recurring approximately 1 month after taking vaccine (4) Developed a dry cough - present and recurring everyday, approximately 1 month after vaccine (5) Severe insomnia noted after taking vaccine - developed approximately 2 months following vaccine (5) Severe lack of energy and body tiredness

Other Meds: Centrum multivitamin

Current Illness: None

ID: 1464511
Sex: M
Age: 71
State: IL

Vax Date: 03/01/2021
Onset Date: 04/21/2021
Rec V Date: 07/12/2021
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: Shingles on the left chest, underarm and left shoulder plate. Rash and blisters heal after one month. PHN continues with severe pain, burning, and itching.

Other Meds: none

Current Illness: none

ID: 1464512
Sex: M
Age: 70
State: PA

Vax Date: 04/03/2021
Onset Date: 07/02/2021
Rec V Date: 07/12/2021
Hospital:

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

Lab Data:

Allergies: FentanylConfusion / Delirium, Headaches Doxycycline OseltamivirRash PregabalinFatigue Tetanus ToxoidOther (document details in comments) Tetanus Toxoid, AdsorbedOther (document details in comments)

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

Symptoms: ASYMPTOMATIC

Other Meds: Outpatient Medications acetaminophen (TYLENOL) 500 mg tablet ADVAIR HFA 230-21 mcg/actuation inhaler albuterol 2.5 mg /3 mL (0.083 %) nebulizer solution albuterol HFA (PROVENTIL;VENTOLIN) 90 mcg/actuation inhaler benzonatate (TESSALON) 100

Current Illness:

ID: 1464513
Sex: F
Age: 55
State: WI

Vax Date: 02/22/2021
Onset Date: 06/28/2021
Rec V Date: 07/12/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Vaccinated with Pfizer on 2/22/21 and 3/15/21. Symptom onset on 6/28/21 - cough, muscle ache, nausea, loss of smell, sore throat, headache, fatigue. Tested positive for Covid-19 on 7/9/21

Other Meds:

Current Illness:

ID: 1464514
Sex: M
Age: 58
State: FL

Vax Date: 04/14/2021
Onset Date: 04/20/2021
Rec V Date: 07/12/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

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

Symptoms: I am a migraine sufferer. After getting the first Pfizer Vaccine my migraine headaches escalated I had three headaches between the first and second vaccine shot. I have also continued to have more headaches than normal since receiving the vaccine. I have had a total of six headaches to date since receiving the first vaccine.. Normally I have less than six migraine headaches in a whole year. I have also developed a constant ringing in my ears which started the day of or the day after I got the first shot.

Other Meds: Avorstatin and Metformin

Current Illness: None

ID: 1464515
Sex: F
Age: 26
State:

Vax Date: 07/11/2021
Onset Date: 07/11/2021
Rec V Date: 07/12/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Pollen/dust allergies

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

Symptoms: At approximately 1058, patient reported feeling lightheaded in vaccination chair. Painted closed eyes and slumped over in vaccination chair. Patient was slumped over for approximately 2 seconds. Nurse supported patient in vaccination chair. Patient opened her eyes immediately. Patient was alert and oriented to person, place, time and situation. Patient reported urinating in chair. Patient reported severe needle phobia, anxiety disorder and history of urination when exposed to needles. Patient given water. Patient able to drink water. Patient offered anti-gravity chair. Two nurses assisted patient into anti-gravity chair. At 1101, nurse assessed patient vital signs: blood pressure 107/84 mmHg, pulse 70 beats/minute, and SpO2 98%. At 1110, patient vital signs reassessed: blood pressure 110/80 mmHg, pulse 80 beats/minute, and SpO2 98%. Patient reported feeling dizzy. Patient given juice. Patient able to juice. At 1120, nurse reassessed patient vital signs: blood pressure 110/82 mmHg, pulse 76 beats/minute, and SpO2 98%. Patient report she felt "better". At 1132, patient reassessed. Patient reported not feeling anxious. Patient able to stand and reported feeling "a little lightheaded". Patient offered to stay for further observation. Patient refused to stay for further observation. Lead nurse educated patient on signs/symptoms of when to seek emergency care, to sign up on v-safe, and to follow up with primary care provider. At 1133, patient left facility with steady gait and unlabored respirations.

Other Meds: Xanax

Current Illness: None reported

ID: 1464516
Sex: M
Age: 57
State: MO

Vax Date: 01/28/2021
Onset Date: 07/10/2021
Rec V Date: 07/12/2021
Hospital: Y

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

Lab Data:

Allergies: chocolate, contrast dye, fish, PCN, shellfish

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

Symptoms: Chief Complaint covid since last friday, getting more SOB, was 88% RA History of Present Illness Patient is a 58-year-old male with a history of ADHD, Depression, sleep apnea on CPAP, hypertension, hypercholesterolemia, and type 2 diabetes presenting for concerns of shortness of breath after being diagnosed with Covid. Patient first started having symptoms 10 days ago with fevers, diarrhea, and malaise. He tested positive for Covid 8 days ago, despite being vaccinated with the Pfizer vaccine in February. He states that he has been getting progressively more short of breath, to the point where he is having to take breaks while going upstairs to his bedroom. He called EMS to the scene, who state that when they arrived that he was saturating 88% on room air, so he was placed on a nonrebreather. Patient states that his fevers have stopped and the biggest issue that he is having is his shortness of breath. He does endorse some intermittent swelling in his lower extremities, which he takes furosemide for. Furthermore, patient started crying thrice during the interview, seemed depressed but had no thoughts of hurting himself. He denies any history of heart failure or heart attacks. He also denies any chest pain. Chest Xray was done in the ED and it showed severe diffuse bilateral lung consolidation, consistent with Covid 19 pneumonia.

Other Meds: unknown

Current Illness: unknown

ID: 1464517
Sex: F
Age: 49
State:

Vax Date: 07/03/2021
Onset Date:
Rec V Date: 07/12/2021
Hospital: Y

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

Lab Data:

Allergies:

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

Symptoms: Pt developed sweats, hypertension and chest pain the day after receiving the second dose.

Other Meds:

Current Illness:

ID: 1464520
Sex: F
Age: 55
State: WI

Vax Date: 03/15/2021
Onset Date: 06/28/2021
Rec V Date: 07/12/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Had Vaccine Pfizer on 2/22/21 and 3/15/21. Symptom onset 6/28- cough, muscle ache, nausea, loss of smell, sore throat, headache and fatigue. Tested positive for Covid -19 on 7/9/21

Other Meds:

Current Illness:

ID: 1464521
Sex: F
Age: 41
State: FL

Vax Date: 07/08/2021
Onset Date: 07/10/2021
Rec V Date: 07/12/2021
Hospital:

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

Lab Data:

Allergies: Gluten Reglan

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Large Grape Sized Bump at Injections Site with Swelling, Red Rash and Heat

Other Meds: Zinc Copper Pre/Pro Biotic Turmeric

Current Illness:

ID: 1464522
Sex: F
Age: 57
State: PA

Vax Date: 04/03/2021
Onset Date: 06/28/2021
Rec V Date: 07/12/2021
Hospital:

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

Lab Data:

Allergies: Egg Lactose

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Dx Cough ? Nasal Congestion ? Sore Throat ? Headache Reason for Visit

Other Meds: amoxicillin-pot clavulanate (AUGMENTIN) 875-125 mg per tablet benzonatate (TESSALON) 100 mg capsule cholecalciferol (OPTIMAL D3) 1,250 mcg (50,000 unit) capsule cyanocobalamin 100 mcg tablet Lactobacillus acidophilus 100 million cell capsul

Current Illness:

ID: 1464523
Sex: M
Age: 63
State: IL

Vax Date: 03/03/2021
Onset Date: 05/20/2021
Rec V Date: 07/12/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Artial Flutter Extreme neck and right arm pain and weakness, including collarbone pain

Other Meds:

Current Illness:

ID: 1464524
Sex: F
Age: 13
State: NY

Vax Date: 06/24/2021
Onset Date: 06/24/2021
Rec V Date: 07/12/2021
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: None

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

Symptoms: 10 days after her second vaccine, patient had bloodwork done for a previous vision problem (Visual Snow) and her TSH came back very low: 0.10. She repeated the bloodwork 11 days later, resulting in an even lower TSH level: 0.02. Her FT4 is 1.62, and her Free T3 is 5.8.

Other Meds: Multi-Vitamin

Current Illness: None

ID: 1464525
Sex: M
Age: 71
State: MO

Vax Date: 01/10/2021
Onset Date: 07/06/2021
Rec V Date: 07/12/2021
Hospital: Y

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

Lab Data:

Allergies: codeine, nickel, cardizem LA, penicillin, rituxan

Symptom List: Unevaluable event

Symptoms: Patient is a 70 year old male with RCC s/p left nephrectomy (2018), marginal zone lymphoma (2018) s/p 6 cycles chemotherapy, diabetes, HTN, CAD, esophageal strictures with multiple dilations, esophageal perforation causing constrictive carditis necessitating a cardiac window, and recurrent RCC from lymph node biopsy now on Cabozantinib who presents to the ED after one day nausea and vomiting. Patient reports he is doing well until yesterday when he begins to have some abdominal pain on his left side radiating into his back. He has chronic back pain but feels like this pain is different. He did tolerate diet yesterday. This morning, he had 3 vomiting episode and watery bowel movement. He also endorses burning pain when urinating today. He states that he had several UTIs previously. Patient has chronic productive cough from COPD history but denies increase or worsening of cough. In the ED, he was found to be tachycardic HR 106 and febrile T 38.4. Labs notable for Hgb 11.1, lactic acid 1.8, and mild transaminitis (chronic). UA showed WCC, blood, leukocyte, and RBC. Patient was given 1L IVF and started on vanc and meropenem. CXR was unremarkable. Troponin negative. Covid from RPP came back positive. Patient stated that he had Covid previously in Jan 2021 and had both Covid vaccines on January. Of note, patient was diagnosed with marginal zone lymphoma on Jan 2019 and was on 6 cycles of bendamustine and rituximab previously in 2019, with current plan of observation. He was also diagnosed with left cell renal carcinoma on Sept 2018 s/p L nephrectomy 2018, SBRT. Metastatic disease was confirmed on Jan 2020 and patient is currently on cabozantinib. He has notable side effects while on treatment including neuropathy and thrombocytopenia.

Other Meds: unknown

Current Illness: unknown

ID: 1464526
Sex: F
Age: 58
State: NM

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 07/12/2021
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: Avocados

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

Symptoms: In April I started noticing bright red dots on my legs. The dots have spread to my stomach. In May I started experiencing achy legs when I went to bed, which was grown worse and now sometimes interferes with my sleep.

Other Meds: None

Current Illness: None

ID: 1464527
Sex: F
Age: 32
State: VA

Vax Date: 02/01/2021
Onset Date: 07/06/2021
Rec V Date: 07/12/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, cephalosporins

Symptom List: Injection site pain, Pain

Symptoms: Shingles

Other Meds: Multivitamin and vitamin d

Current Illness: None

ID: 1464528
Sex: F
Age: 46
State: WI

Vax Date: 04/06/2021
Onset Date: 04/24/2021
Rec V Date: 07/12/2021
Hospital: Y

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

Lab Data:

Allergies: none

Symptom List: Injection site pain, Menorrhagia

Symptoms: Gullain Barre Syndrome

Other Meds: zyrtec, armour thyroid, duloxetine

Current Illness: none

ID: 1464530
Sex: F
Age: 40
State: UT

Vax Date: 07/01/2021
Onset Date: 07/01/2021
Rec V Date: 07/12/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: I got the shot on the first day of my menstrual cycle. About two hours after getting the shot, I experienced excessive bleeding for the next seven hours. For four of those hours I bled through a Tampon every half hour. In addition, to the bleeding, there was a lot of lower back pain, pain in the hips and general pelvic region.

Other Meds:

Current Illness:

ID: 1464531
Sex: F
Age: 42
State: LA

Vax Date: 06/30/2021
Onset Date: 06/30/2021
Rec V Date: 07/12/2021
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: SHELLFISH IODINE DILAUDID

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: WITHIN 15-20 MINUTES OF RECEIVING THE SECOND VACCINATION, SHE BECAME "HOT", FLUSHED IN THE FACE, AND FELT LIKE SHE HAD A "LUMP" IN HER THROAT. SHE DID HAVE SOME COUGHING WITH REPEATED ATTEMPTS TO CLEAR HER THROAT. A NURSE AND FELT IT BEST TO USE AN INHALER THAT WAS SUPPLIED IN THE ANAPHYLAXIS KIT BROUGHT TO THE CLINIC WITH THE VACCINES. SHE DID 2 PUFFS OF A VENTOLIN INHALER AND TOOK BENADRYL 25MG BY MOUTH. THE SYMPTOMS DID NOT WORSEN AND SHE SAID SHE FELT BETTER WITHIN AN HOUR OF TAKING THE MEDICATIONS. THE ONLY COMPLAINT THAT SHE HAD WAS EXCESSIVE DROWSINESS SECONDARY TO THE BENADRYL.

Other Meds: LOSARTAN LIPITOR CELEXA

Current Illness: HTN, HLP

ID: 1464532
Sex: M
Age: 69
State: MT

Vax Date: 04/06/2021
Onset Date: 06/10/2021
Rec V Date: 07/12/2021
Hospital:

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

Lab Data:

Allergies: cantaloupe

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: immediate rash over much of outside upper left arm, some itch, swelling, pain, not very serious or debilitating, subsided in ten days. New rash with edema in upper extremities, fever 98-103F, fluid in lungs; June 10-16, 2021. ER administered prednisone, tapering off on June 30. July 3 rash returned aggressively, no fever, no edema; taking prednisone again.

Other Meds: Benicar 40mg, ibuprofen 600mg 3x day, potassium, magnesium

Current Illness: none

ID: 1464533
Sex: F
Age: 53
State: WI

Vax Date: 05/27/2021
Onset Date: 06/15/2021
Rec V Date: 07/12/2021
Hospital:

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

Lab Data:

Allergies: penicillin

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

Symptoms: Patient experienced weakness, tingling , pain in legs for about 15 minutes 20 days after first shot, then experienced the same thing again and could not physically walk for 15 minutes and continued experiencing pain, then it subsided. and has not recurred. patient does not have a primary care provider to report to.

Other Meds: pain nighttime

Current Illness: no

ID: 1464534
Sex: M
Age: 45
State: WI

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 07/12/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: Arm pain since second injection in right arm, progressively gets worse, pain now in elbow and shoulder and back / shoulder blade area.

Other Meds: Montelukast, Atorvastatin, Ventolin Vitamin C, A, D, Multi

Current Illness:

ID: 1464535
Sex: F
Age: 55
State: AL

Vax Date: 05/21/2021
Onset Date: 05/22/2021
Rec V Date: 07/12/2021
Hospital:

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

Lab Data:

Allergies: SULFA, CODEINE, LATEX, PENICILLINS, TRAMADOL

Symptom List: Injection site pain

Symptoms: PATIENT SAYS SHE HAS BEEN SICK SINCE LAST VACCINE. SHE SAYS SHE HAS FEVER/CHILLS, NASAL CONGESTION, COUGH,HEADACHE, NAUSEA,VOMITING, DIARRHEA, CHEST PAIN, ACHES AND PAINS, AND LOSS OF TASTE ANS SMELL

Other Meds: GABAPENTIN AND METHOCARBAMOL

Current Illness: COPD

ID: 1464536
Sex: F
Age: 48
State: CA

Vax Date: 05/27/2021
Onset Date: 05/30/2021
Rec V Date: 07/12/2021
Hospital:

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

Lab Data:

Allergies: penicillin, codeine

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

Symptoms: I was not coherent, losing consciousness. I would act like I was high, my speech was slurred. I had swelling in my hands, legs, and feet, I went to the ER on June 2nd. I had a blood clot that disappeared. I had pain throughout my body. I now have high blood pressure and have been put on a medication

Other Meds: none

Current Illness: none

ID: 1464539
Sex: M
Age: 43
State:

Vax Date: 03/23/2021
Onset Date: 03/26/2021
Rec V Date: 07/12/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Severe facial, vocal and cervical twitching

Other Meds: Multi vitamins Herbs (ginger/turmeric/black seed oil)

Current Illness:

ID: 1464540
Sex: M
Age: 53
State: FL

Vax Date: 12/16/2020
Onset Date: 12/26/2020
Rec V Date: 07/12/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Tremor

Symptoms: G.I. Bleed from Ulcerative Colitis

Other Meds: Atorvastatin, mesalamine, lipitor, multi vitamin

Current Illness: Ulcerative Colitis

ID: 1464541
Sex: M
Age: 59
State: TN

Vax Date: 03/01/2021
Onset Date: 04/01/2021
Rec V Date: 07/12/2021
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: No

Symptom List: Erythema, Pruritus

Symptoms: itching on arms and legs with rash.

Other Meds: 1Citalopram 2benazepril 3Nifedipine 4Atorvastatin All med are one a day

Current Illness: No

ID: 1464542
Sex: F
Age: 61
State: NY

Vax Date: 03/12/2021
Onset Date: 05/13/2021
Rec V Date: 07/12/2021
Hospital:

Vax Type: UNK
Manufacturer: UNKNOWN MANUFACTURER
Vax Name: VACCINE NOT SPECIFIED (NO BRAND NAME)
Lot:
Dose Series: UNK
Vax Route: SYR
Vax Site: UN

Lab Data:

Allergies: None.

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

Symptoms: Lower leg down to foot had a burning, severe pain. Healthcare professional diagnosed with nerve damage. Currently seeing a Neurosurgeon. Dr.

Other Meds: Rosuvastatin 20mg, Ezetimibe 10mg, Vitamin D3, Vitamin B12, Omega 3, Vitamin C.

Current Illness: None.

ID: 1464543
Sex: F
Age: 38
State: MO

Vax Date: 04/24/2021
Onset Date: 05/22/2021
Rec V Date: 07/12/2021
Hospital: Y

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

Lab Data:

Allergies: no

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

Symptoms: Bad pin and needles in feet, having trouble walking

Other Meds: no

Current Illness: no

ID: 1464544
Sex: F
Age: 22
State: WI

Vax Date: 12/17/2020
Onset Date: 04/19/2021
Rec V Date: 07/12/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Eight hours after receiving the first dose, I experienced flu like symptoms, muscle aches, joint pain, chills, headache, and a fever. Then those symptoms went away. I had pain in the injection site for two days. In April 2021, I spent 4 nights in the hospital. I was diagnosed with Myocarditis. I was also hospitalized for 3 days in May as well. On the 8th of July, I spent 1 day in the hospital. I received blood thinners when I was in the hospital. I am currently taking anti inflammatory medication.

Other Meds:

Current Illness:

ID: 1464545
Sex: M
Age: 42
State: MI

Vax Date: 07/02/2021
Onset Date: 07/11/2021
Rec V Date: 07/12/2021
Hospital:

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

Lab Data:

Allergies: PCN

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

Symptoms: Hives/rash, itchy bumps like bugs bites. Elbows, forearms, lower legs, hand/fingers, feet.

Other Meds: None

Current Illness: None

ID: 1464546
Sex: F
Age: 64
State: NV

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 07/12/2021
Hospital:

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

Lab Data:

Allergies: Sulpha drugs

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

Symptoms: Almost immediately these symptoms appeared: Extremely achy joints, swollen index finger on right hand, feet and hands hurt, facial filler in right side of chin dissolved completely. Approximately two weeks after vaccine feet and lower legs have pins and needles feel with nerves tingling. This is a 24 hour a day problem and quite concerning. My joints pop and creak like they suddenly aged and have no lubrication. These are all NEW symptoms/issues. I?m concerned that this is a long term and/or permanent medical issue for me! I WOULD LIKE SOME ANSWERS!!!!!

Other Meds: Multiple vitamin

Current Illness: NONE

ID: 1464547
Sex: F
Age: 64
State: NY

Vax Date: 05/01/2021
Onset Date: 05/19/2021
Rec V Date: 07/12/2021
Hospital: Y

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

Lab Data:

Allergies: penicillen

Symptom List: Pain in extremity

Symptoms: On May 19th, nineteen days after my second Pfizer vaccine, I collapsed at the farmer's market. I was vomiting, sweating intensely, with my heart racing at 180 bpm. A stranger called 911 and I was given adenosine in the ambulance to stop my heart to break the cycle and reset my heart rhythm. I could have died. After multiple tests in the hospital, I was told that I had SVT supra ventricular tachycardia. A second cardiac episode occurred on June 1st, and I was once again given adenosine in the ambulance to stop my racing heart at 190 BPM and taken to the hospital where I stayed for 2 days. After speaking with several cardiologists, I was told that I had to have a heart procedure. On June 21, I had a heart ablation, and I am still recovering.

Other Meds: Vitamin C Vitamin D Magnesium Zinc

Current Illness: None

ID: 1464549
Sex: F
Age:
State: CA

Vax Date: 05/14/2021
Onset Date:
Rec V Date: 07/12/2021
Hospital:

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

Lab Data:

Allergies: walnuts ,, penicillin, morphine, phenergan, zosyn

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

Symptoms: I received the Johnson vaccine , At the time i felt tired and have been feeling since then and off and on again tired episodes my low back is constantly hurting and i feel like i need to be stretched out if i move my body to the side slightly i all of sudden feel a tingling sensation on my skin more on my stomach skin and it goes to my tongue it goes away but it stays throughout the day I suddenly feel like a metal/ acidic taste on my mouth when the tingling is happening. I also noticed that my legs are slow to respond like when i get up and walk i feel my legs heavy . Also have noticed im slurring a lot of words at times like my tongue cant move and notice a tingling sensation along with it.

Other Meds: none

Current Illness: none

ID: 1464550
Sex: F
Age: 43
State: MD

Vax Date: 04/08/2021
Onset Date: 04/24/2021
Rec V Date: 07/12/2021
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: IV contrast (dye)

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

Symptoms: Unexplained persistent dizziness that lasted for approximately 2 weeks.

Other Meds: Aspirin (daily)

Current Illness: None

Date Died: 07/09/2021

ID: 1464551
Sex: M
Age: 57
State: IL

Vax Date: 07/06/2021
Onset Date: 07/06/2021
Rec V Date: 07/12/2021
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: Unknown

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

Symptoms: Discovered dead in residence three days after vaccination. Last seen alive on day of vaccination

Other Meds: Unknown

Current Illness: None reported

ID: 1464552
Sex: F
Age: 75
State: NC

Vax Date: 05/03/2021
Onset Date: 05/17/2021
Rec V Date: 07/12/2021
Hospital:

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

Lab Data:

Allergies: codeine (vomiting) lisinopril and losartan (leg cramps)

Symptom List: Vomiting

Symptoms: Patient developed symptoms that appear like Bell's Palsy on May 17, 2021 and reported to the ED on May 18, 2021. She was treated with a short course of prednisone and Valtrex. Symptoms improved within 2 weeks, but continue to linger about 8 weeks later.

Other Meds: Aspirin, metformin, amlodipine, Probiotic OTC, omega 3 fish oil OTC, CoQ10 OTC, chromium OTC, Vitamin B12 OTC, famotidine, zinc OTC, magnesium OTC, cholecalciferol OTC, ascorbic acid OTC

Current Illness:

ID: 1464553
Sex: F
Age: 55
State: WA

Vax Date: 03/31/2021
Onset Date: 04/12/2021
Rec V Date: 07/12/2021
Hospital:

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

Lab Data:

Allergies: Gluten sensitive

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Pt. states received Phizer 1st dose 03/08/2021, sore arm, headache, and fatigue. Received 2nd Phizer shot 03/31/2021 and within a week started the fatigued, nauseous, heart palpations, stomach issues, tremors through the body, mood swings, issue with right eye (Cotton Wool Spots), weight lost, heat intolerance, weakness. Diagnosed with Graves Disease, 6 weeks of treatment. Beta-blockers prescribed. Most of the thyroid symptoms have went away, anti-thyroid medications have resolved underlining issues.

Other Meds: Low Dose of Exfester 6.25mg, Vitamin D

Current Illness: N/A

ID: 1464554
Sex: M
Age: 18
State: MO

Vax Date: 07/11/2021
Onset Date: 07/11/2021
Rec V Date: 07/12/2021
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: No known allergies

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

Symptoms: Patient fainted (vasovagal syncope) after receiving the Covid 19 vaccine. Store leadership stated patient hit his head when he fainted and therefore 911 was called. Patient was unconscious for about 30 seconds, but quickly became conscious again. He was given water and propped up. Paramedics came and took his vitals and determined he was ok. Patient stayed at pharmacy for 30 minutes following vaccination. Patient then left with his mother. Pharmacist in charge called patient the following day to make sure patient was doing ok and mother stated he is completely fine.

Other Meds: Unknown

Current Illness: No

ID: 1464555
Sex: M
Age: 63
State: ME

Vax Date: 03/12/2021
Onset Date: 03/17/2021
Rec V Date: 07/12/2021
Hospital:

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

Lab Data:

Allergies: lisinopril, hctz

Symptom List: Injection site swelling, Limb discomfort

Symptoms: about 4 days after vaccine administration patient developed rash behind right ear and periauricular area, persistent headache, scalp tender to the touch as if he had sunburn, seen 3/21/21 diagnosed with shingles prescribed valtrex rash resolved in about 3 days. 4/1/21 patient seen again continued headache, diminished hearing on right side, rash resolved. Audiologist referral placed meclizine prescription given. 4/12 seen again, dizziness, ringing in right ear, hearing loss, dizziness is not positional but emanating from the right side. Lightheaded, woozy feeling, numbness/tingling, and sunburn-like feeling around right ear down neck. Chiropractor performed epley maneuver no improvement, meclizine ineffective. Now also describing "feels like water in ear". 4/15/21 Audiogram demonstrated sloping sensorineural hearing loss right ear with STS score of 76% and type A tympanogram, symptoms persisting urgent ENT referral sent. 4/28/21 seen by ENT Right ear with hearing loss and disequilibrium prednisone 60mg once daily in the morning prescribed, repeat audiogram 1 week, MRI with contrast ordered. 5/7/21 ENT completed course of prednisone hearing has significantly improved on right side still describing equilibrium, NOT acute episodic vertigo. Audiogram SDS improved from 76% to 92% and SRT improved 30-10DB. Physical therapy offered. 5/18//21 MRI performed impression: 1-no acute findings, no acute neuroma, no abnormal enhancement temporal bones eitherside. 2-several nonenhancing white matter T2 Flair hyprintensisties bilaterally 3-giant cisterna magna 4- generalized cortical atrophy 6/7/21 follow up with ENT still experiencing disequilibrium MRI does not show any significant pathology to account for hearing loss or disequilibrium. 7/7/21 follow up with PCP patient reports he is not feeling any better, symptoms of loss of balance and tinnitus continue although hearing in right ear largely improved.

Other Meds: amlodipine, sildenafil

Current Illness:

ID: 1464556
Sex: M
Age: 83
State: PA

Vax Date: 04/12/2021
Onset Date: 07/05/2021
Rec V Date: 07/12/2021
Hospital:

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

Lab Data:

Allergies: Definity [Perflutren Lipid Microspheres] Tetanus ToxoidOther (document details in comments)

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

Symptoms: UNKNOWN ED to Hosp-Admission Discharged 7/5/2021 - 7/10/2021 (5 days) Hospital DO Last attending ? Treatment team MVC (motor vehicle collision), initial encounter

Other Meds: acetaminophen (TYLENOL) 325 mg tablet allopurinoL (ZYLOPRIM) 300 mg tablet aspirin 81 mg tablet diclofenac sodium (VOLTAREN) 1 % gel donepeziL (ARICEPT) 10 mg tablet finasteride (PROSCAR) 5 mg tablet lidocaine (LIDODERM) 5 % patch metoprolo

Current Illness:

ID: 1464557
Sex: F
Age: 15
State: GA

Vax Date: 06/01/2021
Onset Date: 07/06/2021
Rec V Date: 07/12/2021
Hospital: Y

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

Lab Data:

Allergies: None

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

Symptoms: Daughter in hospital. Not on any medications. received second vaccination on June 26th. No history of mental illness. On July 10th, they found her disoriented, barefoot, wandering the neighborhood in middle of the night near my parent's home. She was staying with them this weekend. I was worried she took 'shrooms based on behavior, but they don't test for psylocybin in standard ER drug panels. She came up negative for drugs like THC, meth, and cocaine.

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm