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: 0964723
Sex: F
Age: 48
State: IN

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Dysphagia, Epiglottitis

Symptoms: I experienced a low grade fever for 24 hours, body aches

Other Meds: Multivitamin, allergy medication

Current Illness: none

Date Died: 01/15/2021

ID: 0964724
Sex: M
Age: 76
State: AK

Vax Date: 12/18/2020
Onset Date: 01/15/2021
Rec V Date: 01/22/2021
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: NKDA, NKFA

Symptom List: Anxiety, Dyspnoea

Symptoms: Death 1-15-21

Other Meds: prozac, olanzapine, alendronate, divalproex, mirabegron, metoprolol, proair,

Current Illness: Dementia, Bipolar, COPD, HTN, Schizoaffective

ID: 0964725
Sex: F
Age: 53
State: FL

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/22/2021
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: None

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

Symptoms: Swelling, pain and itching at injection site (3"x2") Started a few hrs after injection and still persists

Other Meds: None

Current Illness: None

ID: 0964726
Sex: F
Age: 42
State: VI

Vax Date: 12/30/2020
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: 12/30/2020 Four hours after vaccination - left arm soreness, mild headache above right eye. Client improved that evening. 1/20/2021 Four hours after second vaccine dose - Body aches, intense headache over right eye, The evening of the same day - Heaviness to left arm, increased pain to left arm radiating to hands, tightness to the left arm with a feeling of "electricity" in the arm. The pain increased in intensity to the left arm during the night. Unable to sleep due to intense pain to the left arm and axilla. 1/21/2021 In the morning, client experienced abdominal pain and diarrhea once (loose stool). She noted swelling to the left axilla, intense pain, swelling below the left jawline. 1/22/2021 Early morning nausea without emesis, itching of the right forearm and nape of the neck, throbbing pain to left axilla with itching, throbbing to the left ear, which has not been sensitive to pain due to deafness.

Other Meds: Topiramate 50mg one tab PO daily Oxcarbazepine 300mg one tab PO twice a day Levetiracetam 500mg one tab PO twice a day Dexamethasone 4mg 2 tabs PO every 8 hours for three days then 1 and 1/2 t

Current Illness: Trigeminal neuralgia right side of face Meniere's disease with deafness to left ear Carpal tunnel syndrome left hand

ID: 0964727
Sex: F
Age: 54
State: MD

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/22/2021
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: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Pt called the office stating she had received the first dose of Moderna's COVID vaccine around 0830. Pt called at 0941, c/o band-like headache with significant pain, a metallic taste in her mouth, and feeling like parts of her mouth were numb similar to when she has dental work done and is numbed with lidocaine.

Other Meds: topiramate, symbicort, spiriva, quetiapine, proair, lisinopril, famotidine, diazepam, dextroamphetamine-amphetamine, desipramine, amlodipine, acetaminophen

Current Illness: 1 week prior had diarrhea, vomiting, nausea

ID: 0964728
Sex: F
Age: 36
State:

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
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: cashew, gold, pistachio

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

Symptoms: After the first dose 12/30/2020, I experienced significant fatigue and increased joint pain the following 2 days. Hours after receiving the second dose, I experienced vomiting, nausea, fatigue, severe joint pain. I was unable to stay at work or work at all the following day. I slept almost the whole time. At 2 days later, I still have significant joint pain and moderate fatigue.

Other Meds: Lisinopril, seasonique

Current Illness: none

ID: 0964731
Sex: F
Age: 30
State: NY

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/22/2021
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: Pyrexia, White blood cell count decreased

Symptoms: Sharp shooting pain from neck to head which resulted in loss of consciousness. 10 hours after incident head and neck pain continues, is less in severity.

Other Meds: Virtussin Qvar Azelastine Fluticasone Famotidine Pantoprazole Montekulast Nortryptaline Clindamycin Magnesium Vitamin d B vitamin complex Probiotic Vitamin c Zinc

Current Illness: Chronic cough with unknown etiology Infected root canal

ID: 0964733
Sex: F
Age: 59
State: ID

Vax Date: 01/12/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
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

Symptom List: Pharyngeal swelling

Symptoms: Moderna COVID-19 Vaccine EUA - Developed a rash around the injection site on the left arm. Also noticing some slight swelling in the area around the rash. This rash developed 9 days after the vaccination.

Other Meds: Calcium and ibuprofen

Current Illness: None

ID: 0964734
Sex: F
Age: 51
State: CA

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
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: CHills Fever Body Aches Headache

Other Meds:

Current Illness:

ID: 0964735
Sex: F
Age: 73
State: MO

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
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: Reports none

Symptom List: Diarrhoea, Nasal congestion

Symptoms: 11:48. Patient received vaccination at 11:45. In observation area, she reports to RN she has developed Blotchy red spots on her arms and her face feels hot. Patient moved to treatment area. She is exhibiting erythemic macular anular areas to the inner aspects of both forearms measuring approximately 2-4 inches in size. There is no elevation of the reddened area. No hives, rash or itching noted. Denies shortness of breath. Lung sounds are clear bilaterally. Heart rate is 78 BPM, Resp. Rate 16/min. B/P 178/100, Pulse ox 97% on room air. 12:53 Recheck vital signs: B/P 170/96, Pulse 76 BPM, RR 16/min, Pulse ox 94% RA. She denies SOB. Redness and blotchy appearing area's persist. Noted redness to palms of hands. Patient states they do not feel tight or swollen. Will continue to monitor. It does not appear that this reaction is anaphylactic in nature. Continues to have clear breath sounds through all lung fields. Denies any sensations of tightness or swelling to throat, tongue, lips or eye lids. 13:15: B/P 160/96. Pulse 77, RR 16 Pulse ox 97% on Room Air Patient states she is feeling better. Redness appears to be fading slightly. Will continue to monitor 13:55: B/P 154/86. Pulse 77, RR 16 Pulse ox 97% on Room Air. Blotches faded. Palms of hands returned to flesh tone. Denies any SOB, swelling to face, lips, tongue. 14:00: Patient states she feel fine. She does have a friend here who will driver her home. She will come back later for her car as a matter of precaution. Pt states she will take OTC Benadryl at home. Recommend no more than 25 mg by mouth every 4-6 hours for next 24 hours. If she starts have a return of symptoms or worsening symptoms, she is instructed to call 911 and go to the nearest emergency room. Patient verbalizes agreement. Leaves ambulatory, in satisfactory condition accompanied by friend.

Other Meds: Reports none

Current Illness: None

ID: 0964736
Sex: M
Age: 49
State: AZ

Vax Date: 01/13/2021
Onset Date: 01/18/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Moderna COVID-19 Vaccine EUA My underarm, shoulder and inner bicep became sore 5 days after vaccination, and remains sore 1 week later. I became swollen at the injection site 8 days after vaccination and the swollen area has turned red and is warm to touch.

Other Meds: Vescepa Atorvastatin Lisinopril

Current Illness: None.

ID: 0964737
Sex: M
Age: 16
State: TX

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/22/2021
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: This event is a vaccination administration error due to patient's age as opposed to what the suggested appropriate age range is.

Other Meds:

Current Illness:

ID: 0964738
Sex: F
Age: 58
State: CO

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: chest pain that resolved after 2 nights, SOB , fatigue

Other Meds: maxzide, zocor, Zyprexa, oxycocodone PRn , doxepin, Xanax prn , mvi

Current Illness: none

ID: 0964739
Sex: F
Age: 38
State: IN

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
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: Vistril

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

Symptoms: About 9 am on 1-21-2021 started to ?feel off?, between this time and 11am I would get light headed at random. At 11am I started to see ?black floaters? and developed a slight headache. Coworker (another ICU RN) took blood pressure: 234/148 and tachycardia. Was made to rest while arrangements could be arranged and given 4 chewable baby aspirin. Was then sent to urgent care.

Other Meds: N/A

Current Illness: N/A

ID: 0964740
Sex: F
Age: 36
State: MD

Vax Date: 01/15/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
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: penecyllin and ceclor

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

Symptoms: 1st day got soreness and redness and headache, headache went away by next day redness increased but went down by day 3. On day 6 headache returned and had chills and lowgrade fever (ranged from 99-100). Day 7 redness on arm returned by headache and fever subsided. Going to dr this afternoon.

Other Meds: prenatal vitamins camila (birth control)

Current Illness: mastitis a couple months ago

ID: 0964741
Sex: F
Age: 55
State: NY

Vax Date: 01/13/2021
Onset Date: 01/22/2021
Rec V Date: 01/22/2021
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 tramadol, perfume, soap and cleansers

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

Symptoms: Started with a headache about 6 hours after the vaccine which has lasted 9+ days, Right arm with swelling and redness that did not start until 8 days after vaccine administration, joint pain and fatigue

Other Meds: Xanax, celexa, Vitamin B 12, Trileptal, protonix, propranolol

Current Illness: none

ID: 0964742
Sex: F
Age: 34
State: OH

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/22/2021
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: None

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

Symptoms: Began menses the morning of 12/23 prior to receiving vaccine. Had my vaccine and menses became unusually heavy, with more cramps than usual lasting a full 8 days when normally my cycle is 2-3 days total. This has never happened to me before. Also, had headaches daily (frontal, ache) for 4 days beginning on day two or three.

Other Meds: Prenatal 81 mg ASA

Current Illness: None

ID: 0964743
Sex: F
Age: 35
State:

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Patient broke out in rash down arm following vaccination. Arm was red, itching, and swollen at injection site.

Other Meds:

Current Illness:

ID: 0964744
Sex: F
Age: 37
State: NJ

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: STARTED FEELING CHILLS, BODY ACHES, HEADACHE, AND NAUSEA. LOSS OF APPETITE. TOOK TYLENOL EVERY 4 HRS AND PLENTY FLUIDS.

Other Meds: NONE; MULT VIT

Current Illness: NONE

ID: 0964745
Sex: F
Age: 40
State: KY

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: seasonal allergies

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

Symptoms: pt stated that she woke up w/ chills, body aches, flu like symptoms, entire body has muscle soreness , swelling and hot to ouch on the injection site, and swollen lymph nodes.

Other Meds: Celexa (Citlopram) 40 mg , Pepcid 25 mg, Buspar 5mg- these are all taken 1 X per day in the morning.

Current Illness:

ID: 0964746
Sex: M
Age: 50
State: OR

Vax Date: 01/19/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
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: Fever up to 101.7 ? F briefly, muscle and body aches, slight nausea, headache. took DayQuil to combat symptoms and helped. Symptoms totally gone by 1/22/21.

Other Meds: None

Current Illness: None

ID: 0964747
Sex: F
Age: 40
State: PA

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: PCN, Morphine, Latex, monistat

Symptom List: Unevaluable event

Symptoms: on 1/8/21 approximately 14 hours after being vaccinated developed rash, itching,lump under arm, muscle weakness.

Other Meds: Amlodipine, Iron, potassium

Current Illness: none

ID: 0964748
Sex: F
Age: 62
State: PR

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
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: The Patient reports general malaise, fever and pain in the R+ deltoid arm.

Other Meds:

Current Illness:

ID: 0964749
Sex: F
Age: 59
State: IN

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
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: n/a

Symptom List: Injection site pain, Pain

Symptoms: fever managed by ibuprofen; high of 99.9

Other Meds: Levothyroxine

Current Illness: n/a

ID: 0964750
Sex: F
Age: 76
State: CA

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: cipro, ultram, red-foods (migraine)

Symptom List: Injection site pain, Menorrhagia

Symptoms: Pt well until approximately 2:55am when she passed out in bathroom according to her husband. Pt was diaphoretic. Denied dyspnea, chest pain, fever, redness, or difficulty breathing. Patient: Age: 76 Years Additional information for Item 18: Date/Time: 01/22/21 03:19 Time of my initial contact with patient: 0319 Mode of Arrival: Ambulance Private Medical Doctor: Triage Narrative: Pt. bib medics from home after near syncopal event in bathroom, lowered herself ot the ground, no LOC/trauma. BP on medic arrival was 86/50 HR in 50s, improved to 100/68 w/ lying down and 250ml bolus. Received 1st covid vax today, has felt weak w/ diarrhea since then. Denies pain, skin pale/w/d, AxOx3, resp e/u. Chief Complaint: Syncope/Near syncope History of Present Illness: This is a 76-year-old female with history of CAD status post remote PCI, previous CVA on Plavix, hysterectomy, migraines who presents ER today for a syncopal event. Patient was given her first dose of Covid vaccine earlier today, per patient's primary doctor found in prior to arrival she had been very hesitant because she was concerned for triggering migraines, this was clear with her neurologist that she was pretreated with Benadryl, she states that she initially felt fine after vaccine administration, she states however later in the evening she developed 4 episodes of loose watery bowel movements and crampy abdominal pain, she states she was feeling tired and so she laid down to go to bed, she states that she woke up feeling as if she had to have another diarrheal episode, she reports that when she stood up and went to the bathroom she was not feeling well, she reports feeling very lightheaded while on the toilet and trying to have a bowel movement, she attempted to stand up however felt acutely lightheaded, she states that she sat back down the toilet and slumped down and woke up on the ground. She denies any pain other than her abdominal pain and a sensation that she has had further bowel movements. Per EMS patient was noted to be hypotensive on arrival 86/50 with heart rate in the 50s, this improved with laying flat on the gurney and given a 250 cc bolus. Patient has been seen in the past for syncopal events with postural changing. She denies any new medication changes, she states that she had been drinking water throughout the day but has had a poor appetite no dysuria frequency urgency no headache head injury neck pain back pain new numbness tingling or weakness in arms or legs no difficulty with speech Problem List & Past Medical/Surgical History: CAD (coronary artery disease) Dysuria Hysterectomy Migraine Potential stroke Stent Family History: No related illness Social History: The patient does not smoke tobacco or abuse alcohol. Allergies: Imitrex morphine (Nausea) shellfish traMADol Medications: Available Med List Reviewed Review of Systems: All other systems reviewed and are negative except per HPI Physical Exam: Vital Signs BP: 151/93 mmHg Temp (Oral): 36.4 DegC ( 97.5 DegF) HR: 73 bpm Resp: 18 br/min SpO2: 97 % GENERAL: Patient appears well developed, well nourished. HEENT: Normocephalic and atraumatic. EOMI. No scleral icterus. Airway is patent NECK: Supple Trachea is midline. No midline tenderness full range of motion without pain or discomfort RESP: Lungs are clear to auscultation bilaterally. No wheezing, rhonchi, rales CARDIOVASCULAR: Regular rate and rhythm 2+ radial and DP pulses symmetric bilaterally GASTROINTESTINAL: Abdomen is soft, mild diffuse tenderness and nondistended. No rebound, no guarding. No pulsatile mass appreciated. BACK: No CVA or spinal midline tenderness to palpation MUSCULOSKELETAL: No clubbing, cyanosis, or edema. No calf tenderness to palpation. SKIN: Warm and dry. No external evidence of trauma NEURO: The patient is alert and oriented x3, not confused. Speech not slurred. Normal facial symmetry. No subjective facial numbness. No vision changes. EOMI. Upper and lower extremitites with 5/5 strength globally. Normal sensation noted over all extremities. No subjective dizziness. Finger-to-nose testing normal. Normal gait. PSYCHIATRIC: Alert and appropriate. Test Results: Labs Results 01/22/21 03:38 134 L 102 9 109 4.2 23 0.6 01/22/21 03:38 12.9 9.6 355 37.8 01/22/21 05:20 Cardiac Studies Troponin-HS <2.0 01/22/21 03:38 Hematology WBC 9.6 HGB 12.9 HCT 37.8 PLT 355 MCV 94 RBC 4.03 MCH 32 MCHC 34.2 RDW 13.1 MPV 6.1 L Neutrophils 55 Lymphocytes 34 Monocytes 8 Eosinophils 2 Basophils 1 Neut Absolute 5.2 Lymph Absolute 3.3 Mono Absolute 0.8 Eos Absolute 0.2 Baso Absolute 0.1 Cardiac Studies Troponin-HS <2.0 Chemistry Calcium Lvl 8.1 L Anion Gap 9 Sodium Lvl 134 L Potassium Lvl 4.2 Chloride 102 CO2 23 Glucose Lvl 109 BUN 9 Creatinine 0.6 Alk Phos 75 ALT 13 AST 15 Bili Total 0.4 Total Protein 5.8 L Albumin Lvl 3.5 LAB >60 LAB >60 01/22/21 03:17 Chemistry Gluc POC 106 Gluc POC 106 (01/22/21 03:17) Diagnostic Results Preliminary CT head reveals no acute intracranial abnormality Preliminary CT abdomen pelvis revealed no acute intracranial abnormality other than hiatal hernia Chest x-ray is negative for acute pulmonary pathology EKG Results EKG obtained at 0323 interpreted by me reveals normal sinus rhythm, patient has diffuse T wave flattening which appears similar to previous no STEMI, no ectopy no heart block no WPW Brugada prolonged QTC Emergency Department Course and Procedures: Medications, IV's and Blood Products Ordered Sodium Chloride 0.9% (Sodium Chloride 0.9% Bolus) 1,000 mL once IV Bolus, Reason for Infusion = Abnormal fluid losses Other Orders Nursing to Initiate Saline lock Insertion Careset (Stat) Oxygen Therapy (Titrate for SaO2 > 95%) Reexamination/Reevaluation: Critical Care Note The high probability of sudden, clinically significant deterioration in the patient's condition required the highest level of my preparedness to intervene urgently. Critical care was necessary to treat or prevent imminent or life-threatening deterioration of the following conditions: cardiac failure, circulatory failure, CNS failure or compromise, dehydration, hepatic failure, endocrine crisis, metabolic crisis, renal failure, sepsis, respiratory failure, shock, toxidrome and trauma. I provided critical care services requiring my management in the following manner: chart data review, documentation time, medication orders and management, re-evaluations, vital signs assessments and reviewing monitor data, and ordering and reviewing lab tests. Aggregate Critical care time was 30 minutes. My time did not include minutes spent treating any other patient simultaneously or on activities that did not directly contribute to the patient's treatment. It did not include time spent performing other reported procedures. Medical Decision Making: This is a 76-year-old female who presented ER today for evaluation of syncope. Patient was reportedly mildly hypotensive which improved with IV fluids. I suspect that patient had dehydration given 4 episodes of large watery stools. Patient had no recent antibiotic use and has no C. difficile risk factors, suspect this may be related to her Covid vaccine, she had no evidence to suggest anaphylactic shock, patient felt better after IV fluid bolus was able to ambulate around the emergency department without lightheadedness or n

Other Meds: plavix, Ca, Mg, D, botox q 90d for mig, coreg, repatha, fosama

Current Illness: Migraine Headaches

ID: 0964751
Sex: F
Age: 16
State: TX

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/22/2021
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: Redness, swelling to injection site, worse on second day, swelling and redness went down some by third day.

Other Meds:

Current Illness:

ID: 0964752
Sex: F
Age: 62
State: NY

Vax Date: 01/11/2021
Onset Date: 01/18/2021
Rec V Date: 01/22/2021
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: Sulfa

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: After 2 day arm soreness about a week later got a rash with redness and itchy about an inch down from injection site. Dermatologist said an allergic reaction to put muciprine ? On it. It feels a little better after 2 applications

Other Meds: Metformin 1000mg,Jardiance 25 mg,amlodepine 5mg2x,nexium40mg 3xwk,calcium w/dx2,oxempic 1xwk,dupixent1xevery 2wks,topicals Halbatasol and triamcinolone and macrobid 100mg2x7days

Current Illness: Uti and drop foot

ID: 0964753
Sex: F
Age: 92
State:

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
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: Resident present with new onset fever, cough, and muscle aches. Assessment performed with V/S: T- 100.5, BP- 152/80, 78, 20, 96% RA,. Primary care provider notified. Ordered to give PRN acetaminophen 500 mg. No complications noted. Medication effective. Will continue to monitor

Other Meds:

Current Illness:

ID: 0964754
Sex: F
Age: 42
State: TX

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
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: Diluadid, feverfew, nexium, topamax and prilosec

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

Symptoms: 10 mins after receiving the vaccine, my right hand started to swell a bit and had pain in the wrist and I got the injection in my left arm. Them I went to urinate and it was painful that continued until this morning. My body became itchy all over my blood pressure was 184/107. I was having heart palpitations. I got queasy and didn't feel well. I was given benadryl and zolfran. My blood pressure went down to 151/92 after a bit then after an hour I was still itchy, blood pressure was 133/ 84 but then my throat left side tried to hurt and I Felt like something was stuck in my throat. I waited another 30 thirty mins and left. My left side of throat hurts a little and my left hand still hurts and a little itchy

Other Meds: Tynenol, migraese, multi vitamin and vitamin d

Current Illness: Lupus, shingles, herpes simplex 1 , HPV and fibromyalgia

ID: 0964755
Sex: F
Age: 33
State: TN

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Nausea

Symptoms: Severe arm pain, worse than the first shot, tender to even the touch. Fevers the next day, severe drowsiness, headache, stomach cramps and intermittent nausea.

Other Meds: Allegra, Synthroid, vyybrid.

Current Illness: None

ID: 0964756
Sex: M
Age: 60
State: FL

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: nkda

Symptom List: Injection site pain

Symptoms: Clinic calls to report adverse reaction to Shingrix Vac he received on 15 JAN. States within 24 hours he broke out in all over body rash that resembled "chicken pox" that was very itchy for 3 days. Denies anaphylatic symptoms. He states today rash has resolved. Denies need to be seen. I did give him VAERS phone number and notified that I am obligated to make a report in their database. He stayed on phone with me while I filled out online form.

Other Meds: DICLOFENAC TAB,EC 75MG

Current Illness: NA

ID: 0964757
Sex: M
Age: 42
State: IN

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Severe chills, shaking, pain in right hip, ribs, headache, fever 101.3, body aches

Other Meds:

Current Illness:

ID: 0964758
Sex: F
Age: 49
State: NC

Vax Date: 12/29/2020
Onset Date: 12/31/2020
Rec V Date: 01/22/2021
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: Sulfa

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

Symptoms: Rash pain swelling @ injection site, Hypertension, fever over 100 for several days

Other Meds: Ibuprofen

Current Illness: None

ID: 0964759
Sex: F
Age: 49
State: CA

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/22/2021
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: NO KNOWN

Symptom List: Tremor

Symptoms: CHILLS, FEVER, HEADACHE, BODY ACHES FROM 1AM ON 1/15/20 UNTIL 9PM 1/15/20 REST, TYLENOL AND MOTRIN

Other Meds: LEVOTHYROXINE 150MCG - ONCE A DAY VITAMIN D3 - 5000 IUM - ONE A DAY

Current Illness: NASAL CONGESTION AND SLIGHT COUGH FROM 12/13/20-12/20/20

ID: 0964760
Sex: M
Age: 72
State: MN

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: Shivering 12 hours after shot duration 4 hours No further problems.

Other Meds: Atenolol 50 mg Hydrochlorothiazide 25 mg Simvastatin 40mg daily

Current Illness: none

ID: 0964761
Sex: F
Age: 30
State: NY

Vax Date: 01/12/2021
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
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: 1/19/2021 developed mild chills, sore throat & itchy arm at injection site, no fever; able to perform normal daily tasks & work. 1/20/2021 chills worsened & developed headache, arm not as itchy, no fever; able to perform normal daily tasks & work. 1/21/2021 rash developed at injection site spanning the arm about 3 inches wide and 2 inches long, red, itchy, & injection site a bit swollen, eyes puffy & watery, chills continued, congestion started, headache worsened, body aches; able to perform normal daily tasks & work most of the day; developed low grade fever around 3pm 100F, ibuprofen and benadryl then 101F at 7pm, another dose of 400mg ibuprofen temp stable at 100F through the night. 1/22/2021 fever seemed to have broken through the night 98.4F morning then 100.7F at 10:30am , congestion worsened, headache & body aches continued; unable to perform daily tasks or work.

Other Meds: none

Current Illness: none

ID: 0964762
Sex: F
Age: 56
State:

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/22/2021
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Systemic: numb from the neck up

Other Meds:

Current Illness:

ID: 0964763
Sex: F
Age: 64
State: MA

Vax Date: 01/13/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
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: Penicillin, Levaquin

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Initial arm soreness resolved after two days but a week later redness, itchiness and slight hardness noted at the injection site. Redness and itching increased the next day but not the hardness.

Other Meds: Fosemax, clonazepam, multivitamins, calcium

Current Illness: N/A

ID: 0964764
Sex: F
Age: 34
State:

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: ? Chills (from 12 hours after the shot until present?33 hours so far) ? Slight fever (under 100) ? Headache ? Nausea & vomiting ? Dizziness ? Insomnia

Other Meds:

Current Illness:

ID: 0964765
Sex: F
Age: 35
State:

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
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:

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

Symptoms: Complained of redness, swelling, and itching at injection site. Arm was warm to touch.

Other Meds:

Current Illness:

ID: 0964766
Sex: F
Age: 32
State: FL

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: Zofran, Lobster, Macrolides

Symptom List: Pain in extremity

Symptoms: Pt entered observation @ 09:42 AM. At 09:52 AM, patient came up and stated that she felt "light-headed", and that her HR was 150. This nurse explained to patient that she needed to sit back down r/t the "light-headedness". Asked patient if she would like some water patient stated "no, she was ok". At 09:56 AM, the nurse noticed "red blotches" to neck of patient. This nurse walked patient to bed in observation room. Denies SOB nor troubled breathing. Benadryl 25mg was given PO @ 09:56 AM. V/S obtained @ 10:02 AM. BP-120/80, P-124, R-18, O2-99. Still voices no s/s of SOB nor troubled breathing. States to this nurse that she had an "anaphylactic reaction" to lobster years ago, in which she did not state this upon receiving the vaccinations. Also has allergies to Zofran and Macrolides. Pt remains in observation @ present time @ 10:06 AM. Redness remains to neck and upper BL arms. Remains in observation @ 10:30 AM. S/S somewhat alleviated, no lightheadness, but does voice nausea. Stated that she only at a "Granola Bar" this morning. HR remains between 97-114. V/S taken @ 10:39 AM BP-118/76, P-98, R-18, 02-99. Remains in observation @ present time. Time is 10:47 AM. S/S of feeling better @ 10:52 AM, remains in observation. Will call an Uber home, will remain in observation until Uber arrives. Denies SOB nor troubled breathing.

Other Meds:

Current Illness:

ID: 0964767
Sex: F
Age: 42
State: PA

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: morphine allergy injection

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

Symptoms: After vaccine injection today patient developed sluggish responses, unsteady gait, metaAllic taste, and "heavy head". Responses were delayed. Reports she was hospitalized in 2019 related to a flu vaccine reaction. Also reports she had an anaphylactic reaction to an allergy injection previously. Taken to exam room and assessed by CRNP. After 30 minutes patient complained of tingling in her lips and hives around her nose and mouth. Hives noted right side of nose and right side of mouth. Denies any increase sob. Initial vs 133/80, 88 O2sat100%. After 30 minutes vs 124/80 85 and O2sat 93%. Continued to deny increase sob. Reported her head was no longer "heavy". On advice of Provider, Patient was sent to ER for further evaluation.

Other Meds:

Current Illness:

ID: 0964768
Sex: F
Age: 30
State: MN

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
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: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Received shot at 0610. Started feeling cruddy around 1600 w/ severe headache, neck pain, and shoulder pain, with overall malaise. Symptoms intensified at 2000 with severe rigors until ~0400 accompanied by body aches. Intermittent fevers experienced during that time as well. Next day, general malaise and severe body aches until ~1500; then subsided to mild headache and mild malaise. Post vaccine day #2 left with mild malaise, all other symptoms subsided.

Other Meds: Wellbutrin XL 150mg once a day

Current Illness: N/A

ID: 0964769
Sex: F
Age: 49
State: FL

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Extreme chills, muscle pain/body aches, joint pain, nausea, vomiting, dizziness, fatigue, weakness.

Other Meds: Mobic, glucosamine, vitamins D C zinc

Current Illness:

ID: 0964770
Sex: F
Age: 41
State: NJ

Vax Date: 01/11/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
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: Chlorhexidine, rash

Symptom List: Vomiting

Symptoms: Rash developed in L upper arm on day 9, in a few hours turned into stable site with induration, erythema, warmth to touch and skin sensitivity. No systemic symptoms as of now, day 10.

Other Meds: Norethidrone 5 mg QD

Current Illness: none

ID: 0964771
Sex: F
Age: 66
State: IN

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
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: Calcium Channel Blockers Latex

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Hurt bad when injecting. Hurt afterwards. Still hurts 2 days later. Shoulder started hurting yesterday. Today I have a big knot under armpit.

Other Meds: Atenolol warfarin digoxin furosemide atorvastatin janumet premarin baby aspirin fish oil calcium centrum prenatal vitamins D3 iron biotin B12.

Current Illness:

ID: 0964773
Sex: M
Age: 75
State: AL

Vax Date: 01/19/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
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: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: injection site swelling the size of a golf ball and itching at and around the injection site

Other Meds: Finesteride, Trazadone, Multi-vitamin, Iron supplement

Current Illness: Chron's disease

ID: 0964774
Sex: F
Age: 24
State: IN

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
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: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Fatigue, fever, full body chills, muscle ache, headache, pain at injection site

Other Meds: None

Current Illness: None

ID: 0964775
Sex: M
Age: 59
State: CT

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: seasonal allergies

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

Symptoms: 12/30 almost immediately increase HR to 100, Increase BP 165/95, CP, light headed. Monitored for an hour. symptoms resolved within 45 minutes.

Other Meds: atorvastatin, baby aspirin

Current Illness: n/a

ID: 0964776
Sex: F
Age: 19
State: AZ

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: Penicillin - Rash

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

Symptoms: Solitary macular, ring-like facial lesion noted the night following immunization, painless, nonpruritic. No dyspnea, cough, other rash, N/V, or lip/throat/tongue swelling. No other new exposures (animals, facial products, facial procedures).

Other Meds: Blisovi FE 1/20 1-20 MG-MCG TABS

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm