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
46,870MODERNA
532GLAXOSMITHKLINE BIOLOGICALS
353PFIZER\BIONTECH
231MERCK & CO. INC.
221UNKNOWN MANUFACTURER
62SEQIRUS, INC.
25DYNAVAX TECHNOLOGIES CORPORATION
13EMERGENT BIOSOLUTIONS
12SANOFI PASTEUR
9NOVARTIS VACCINES AND DIAGNOSTICS
5PFIZER\WYETH
5PAXVAX
2TEVA PHARMACEUTICALS
2PROTEIN SCIENCES CORPORATION
1BERNA BIOTECH, LTD.
1INTERCELL AG
1CSL LIMITED

COVID19 Lot Number

VAX LOT Total
2S9CL1,906
1,575
289
IMM209286
252
236
229
s029456178
171
UT7065MA166
155
149
145
S034636133
107
U62828AA103
100
98
P10025327596
U6737AA85
UJ446AA79
78
78
59
57
4BH3254
4F47253
52
27656352
50
PP9L548
49TM346
42
40
38
MENVEO38
4F47237
R1B252M36
34
C5763AA30
93362229
25
300057A24
UNK24
22
CW311621
18
17
15
UH894AB15
3Y7NL12
R1B743M12
EJ168611
el128410
10
10
10
9
ARBA141A9
UNK9
8
UNK8
8
1F4EB8
Unknown7
7
No batch number6
5
5
UJ090AA5
5
5
4
4
4
UNK4
JEV18K95E4
UNK3
A115A3
Z127A3
3
3333324181073
2
2
2
TAR352
1
1
1
1
1
A739081
1
1
1
1
1
037K20A68,542
EL128447,700
133

Incidents per State

State Total
15,185
CA14,096
NY7,507
TX7,196
FL6,939
IN5,527
PA4,560
IL4,179
OH4,054
AZ3,856
MI3,771
NJ3,411
MA3,278
VA3,208
NC3,114
WA3,034
GA2,864
MD2,652
MN2,534
CO2,532
WI2,457
MO2,029
OR1,943
TN1,715
CT1,693
KY1,603
OK1,226
AL1,201
KS1,162
IA1,157
SC1,106
NM1,065
UT973
AR951
LA945
NE829
NV797
ME795
MT789
NH756
ID674
AK661
WV661
PR650
MS585
HI536
RI510
VT441
SD361
ND356
DE350
DC239
WY209
GU32
AS16
VI13
MP9
MH3
FM2
QM1
XB1

ID: 0975011
Sex: F
Age: 43
State: NY

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: vomiting, dizzy, severe headache, ?passed out?, currently remains tired with headache she has taken ibuprofen

Other Meds:

Current Illness:

ID: 0975012
Sex: F
Age: 25
State: OH

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: No

Allergies: latex

Symptoms: Estimated due date: 06/03/2021 All the common symptoms chills, body aches, nausea and fatigue started the next morning. I was a little feverish: 99.9 to a little before 100F. Then on Saturday I had a pain on my left side from my arm all the way up to my neck, and it was really hurtful. And I also had it on my right side not so strong as the left side.

Other Meds: multi vitamins, robleterol (BP medication)

Current Illness: Morning sickness

ID: 0975013
Sex: F
Age: 52
State: MO

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient has experienced a headache since receiving the vaccine. Yesterday, (12/29/2020) getting sick; vomiting, diarrhea, low grade temp. Planning to go get COVID test, no fever.

Other Meds:

Current Illness:

ID: 0975014
Sex: F
Age: 44
State: TX

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

Lab Data:

Allergies: NKA

Symptoms: Approximately 20 minutes after receiving the COVID vaccination (2nd dose), patient reported dizziness and blurred vision. Patient was walking at the time and was then sat down. Patient was clammy and diaphoretic, blood pressure was elevated from her normal and O2 was normal. Patient reported feeling a thickness in her throat, similar to mucus but no trouble breathing. Ambulance was called and she was taken to the ER by paramedics, was not able to stand to get on stretcher and was helped on by paramedics.

Other Meds: Lyrica, sertraline

Current Illness: N/A

ID: 0975015
Sex: F
Age: 40
State: NH

Vax Date: 01/15/2021
Onset Date: 01/22/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: no

Symptoms: arm swelling day 8, swollen toes

Other Meds: Adderall, Wellbutrin, Restoril, Notrel

Current Illness: headache

ID: 0975016
Sex: M
Age: 70
State: LA

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: N/A

Allergies: None

Symptoms: Headache, 101 fever, chills

Other Meds: Low dose aspirin, flucasone, advair, metoprolol, ibesarten, atorvastain, turmeric

Current Illness: None

ID: 0975017
Sex: F
Age: 50
State: IN

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: Sulfa medications

Symptoms: Fever, headache, fatigue, increased heart rate

Other Meds: Prozac, vitamin D,

Current Illness: Diarrhea and nauseous mid January

ID: 0975018
Sex: F
Age: 37
State: AZ

Vax Date: 12/30/2020
Onset Date: 01/03/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: None

Allergies: Cefdinir

Symptoms: Severe left knee pain, red splotch marks on left knee. Have not seen doctor, can?t afford to go to ED

Other Meds: None

Current Illness: None

ID: 0975019
Sex: F
Age: 68
State: CA

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: Fluorescein dye Chest pain. Respiratory distress Sensitive to Iodine and dyes

Symptoms: 3inch in diameter red mark and lump noted immediately. Two weeks out my arm was still sore to touch and arm is still red.

Other Meds: Fluticasone 100/50. I puff a day

Current Illness: None

ID: 0975020
Sex: F
Age: 73
State: NY

Vax Date: 12/24/2020
Onset Date: 12/28/2020
Rec V Date: 01/26/2021
Hospital: Y

Lab Data: Had venous doppler US on 1/8/21 which showed the DVT, CT scan of chest showed clots in the lungs, has saddle embolisms as well. Did a rapid COVID test which was also negative. Her PCP also did blood draw for antibodies which was negative. Is on Eliquis for the prevention of further blood clots. Saw Pulmonologist, and has APT with hematologist coming up.

Allergies: None.

Symptoms: Had normal side effects the day after, 12/25/20 slight fever, lethargy, not even sore arm. on the 27th, felt fine. On 12/28/20, woke up not able to breath, oxygen saturation 83%, could not walk across the room without gasping for air, which lasted for about 2 days. Could not reach her PCP due to holidays, was convinced she had COVID. Went to drive-thru facility and got the COVID test on 12/28/20, negative on 12/29/20. Then made another APT, went back on 12/30/20 had negative test again. On 12/30/20 started feeling better, was not great but her 02 SAT's were about 90. Stayed that way until 1/8/21, had FU from lumpectomy with surgeon, when she got up her left ankle/foot were very swollen and red looking. Saw that Dr., and discussed the postop business and showed her the foot/leg told her to have it looked at. Her PCP was closed, she went to radiology Dept in Hospital and found DVT in her left leg. She was then told to go to the ER and ordered a CT scan, which showed pulmonary emboli in both lungs. Put on heparin IV right away, later transferred to another hospital where CV surgeon on staff. By that evening they decided that she was walking , talking and checking blood levels, kept her overnight and sent her home the next day. Needed to be on blood thinners, and saw pulmonologist. Has APT with hematologist this week. Pulm told her to call and report adverse reaction. Today, 1/26/21 her 02 SAT's are in the 99%, leg is still swollen, and is able to breath better. On Eliquis which will prevent new clots, but the others should be absorbed. Got 2nd dose on 1/21/21 and had only the classic side-effects for about 30 hours but was then fine. Had fever, chills, nausea, sore arm, cough, but then was fine. Same lot # as dose 2.

Other Meds: Losartan, Vitamin D.

Current Illness: Had lumpectomy on 11/17/20 that showed precancerous pathology report.

ID: 0975021
Sex: F
Age: 73
State: FL

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: Penicillin, certain IV dyes.

Symptoms: Headache Fever Body Aches pain in fingers and toes and knees outside of throat felt achy and sharp pain pain in eyes hoarse throat

Other Meds: Levothyroxine (thyroid), Atorvastatin 40 mg , Carvedilol 6.25 (blood Pressure), Glimepiride 1mg (diabetes), Sertraline 100 mg (depression), Pantoprazole 40 mg (Gerd).

Current Illness: None

ID: 0975022
Sex: F
Age: 39
State: MO

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 18 HOURS POST VACCINATION HAD CHILLS AND BODY ACHES FOR APPROXIMATELY 24 HOURS.

Other Meds:

Current Illness:

Date Died: 01/25/2021

ID: 0975023
Sex: M
Age: 76
State: NY

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: SARS-CoV-2 by PCR - NEGATIVE, FLU-A./B/RSV NEGATIVE

Allergies: SULFA, IODINE-BASED CONTRAST MEDIA

Symptoms: CARDIAC ARREST THAT LEAD TO DEATH - IT WAS REPORTED BY EMS THAT THE PT HAD RECEIVED THE VACCINE ABOUT 30 MINS PRIOR. HE ARRIVED HOME, BECAME SHORT OF BREATH & COLLAPSED. 911 WAS CALLED AND HE WAS TRANSPORTED VIA EMS TO HOSPITAL (16:17) WHERE HE LATER EXPIRED (23:01).

Other Meds: ATORVASTATIN 20MG DAILY, GABAPENTIN 300MG TWICE DAILY, HYDRALAZINE 10MG 3 TIMES DAILY, LANTUS 30UNITS AT BEDTIME, LUMIGAN OPHTHALMIC SOLN BOTH EYES EVERY EVENING, METOLAZONE 2.5MG DAILY, OMPERAZOLE 20MG DAILY, PREDNISONE 15MG DAILY, TORSEMI

Current Illness:

ID: 0975024
Sex: F
Age: 68
State: TX

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: none

Allergies: latex

Symptoms: became very cold although indoors and well dressed; decided to go to bed with hot water bottle because was shivering with cold - while preparing that, had period of a minute or two of yawning; each yawn triggered violent shaking of hands and arms but could voluntarily shop the shaking (THIS was very strange to me); went to bed and chills stopped as HWB took effect; then after a while, became uncomfortably warm, threw off all covers, pj's, and turned on ceiling fan; could not sleep all night as if I had coffee late in the evening; I had take one Alleve tablet at approx 8:30 pm because arm was uncomfortably sore and I thought it would disturb my sleep; chills started about 9pm; next day felt a little weak but none of the side effects except arm was still sore but much less

Other Meds: none

Current Illness: none

ID: 0975025
Sex: F
Age: 61
State: OR

Vax Date: 01/14/2021
Onset Date: 01/20/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: None

Allergies: Sulfa, Augmentin, Benadryl

Symptoms: Lymph node in left arm pit swelled and lymph node by left shoulder blade swelled way up and was very gainful for 4 days one week after shot was administered. Week and a half later swelling hasn't gone completely away but nodes are still swollen but not to painful.

Other Meds: B12. Niacin, Metformin, Trazadone, Acyclovir, Bayer Low Dose Aspirin,

Current Illness: None

ID: 0975026
Sex: F
Age: 35
State: AL

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: immediate vasovagal reaction - sensation of warmth all over, tunnel vision, dizziness

Other Meds: OTC vitamins (C, D3, Zinc)

Current Illness: Na

ID: 0975027
Sex: M
Age: 68
State: LA

Vax Date: 01/24/2021
Onset Date: 01/25/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Upon awakening had stomach ache. When I stood noticed I was light headed at 6 a.m. Went into work starting feeling fatigue, body aches, headache. By 10a.m. my voice was weak, very light headed , and fatigued. Went home. At noon fever began 100. By 3 p.m. fever was 103. Began taking Tylenol. Fever would drop but come back. By 6 P.M. the chills were bad. 8P.M. Covered with 6 blankets and a heating pad. Fever 102. Sometime during night I soaked bed clothes and sheets. Slept and upon waking at 7: 00 a.m today fever is gone. I feel ok still little appetite. Lasted total of 36 hours. I had Covid 10 weeks ago prior to first dose of vaccine.

Other Meds: Zinc, vitamin C , vit D, Lisinopril 10 mg, Praluent injection 75 mg

Current Illness: 10 weeks post Covid

ID: 0975028
Sex: F
Age: 57
State: CA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: None

Allergies: none

Symptoms: Afternoon after receiving had fever and chills Went home to bed with 3 blankets. Awoke in middle of night high temp, nausea, vomiting, diarrhea and a terrible headache. Pretty scary.. almost called 911, could not get up from floor and did not make it to bathroom in time, felt really weak. Next day very weak, headaches, and no taste or smell, loss of appetite. Lay in bed all day weak. finally ate something and diarrhea started back, chills, fever. Forced fluids and took Excedrin Migraine. Felt better but later at night diarrhea and headache again. Next morning very weak for work. No taste with metal taste in mouth next two days and very weak with occassional chills and headache; sweating in bed. Fifth day developed some productive cough, weak, taste and smell senses returning. Now still slightly weak but getting better. I felt as though a got COVID in a vaccine, was told this is MRNA vaccine, genetically engineered but it seemed live COVID virus.

Other Meds: Multivitamin, Synthroid, HCTZ

Current Illness: none

ID: 0975029
Sex: M
Age: 54
State: MA

Vax Date: 01/16/2021
Onset Date: 01/24/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: NA

Allergies: Sulfa

Symptoms: Recurrence of erythema, edema, warmth, pain and itching at injection site at 10 days post innoculation. About 4cm diameter. No associated fever or other systemic symptoms.

Other Meds: Omeprazole

Current Illness: NA

ID: 0975030
Sex: F
Age: 84
State: NY

Vax Date: 01/17/2021
Onset Date: 01/25/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: None, yet

Allergies: antibiotics & tree pollen

Symptoms: On January 25, 8 days post vaccine, the patient developed soreness, redness, and raised rash at the site of vaccine.

Other Meds: Losartan, Nifedipine, Mitazapine, Advair, Tretioin cream. As needed: Betamethasone, Ventolin, Clidamysin, Azelastine.

Current Illness: none

ID: 0975031
Sex: F
Age: 65
State: CA

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I have been in Afib since approximately 2 hours after receiving the vaccine. I do have a diagnosis of Afib but am not currently taking medication for it. Until yesterday I have only periodic episodes.

Other Meds: Levoxyl Baby Aspirin

Current Illness:

ID: 0975032
Sex: F
Age: 45
State: NE

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: None done

Allergies: NKA

Symptoms: I had arm swelling, hives, area was hot to touch, muscle tightness in face neck and chest. Had nausea/dizziness and extreme fatigue for 5 days. Felt like heart was racing a couple times with pain in rib cage area. Also had gotten a few sores in my mouth. Was told to take Bendadryl and did that for a couple days along with Ibuprofen and tramadol for pain.

Other Meds: Sprintec, Flomax, Macrobid, Ibuprofen

Current Illness: Possible kidney stone

ID: 0975033
Sex: F
Age: 34
State: TX

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

Lab Data: NONE

Allergies: NONE

Symptoms: DIZZY, SEVERE HEADACHE, MUSCLE ACHES, FEVER, INJECTION SITE SWOLLEN APPROX 4 IN IN DIAMETER. EXACTLY ONE WEEK LATER SWELLING IN ARM REAPPEARED.

Other Meds: NONE

Current Illness: NONE

ID: 0975035
Sex: F
Age: 28
State: CA

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: Seasonal

Symptoms: Hard lump , itching at site , redness larger as days go by, lot of pain, headaches , nausea, tiredensss , body aches

Other Meds: None

Current Illness: None

ID: 0975036
Sex: F
Age: 55
State: MO

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient woke up on 12/24/20 with nausea, dry heaves, chills, headache, and general weakness.

Other Meds:

Current Illness:

ID: 0975037
Sex: F
Age: 67
State: NJ

Vax Date: 01/24/2021
Onset Date: 01/24/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: NONE

Allergies: Allergic to erythromycin

Symptoms: Immediate reaction: sore arm 12 hours post-injection: Chills Headache Bodyaches Fatigue Loss of appetite These symptoms all resolved in 36 hours Ibuprofen 600 mg every 8 hours to help with headache

Other Meds: Rosuvastatin multivitamin calcium vitamin D fish oil lutein Areds 2 vitamin C

Current Illness: NONE

ID: 0975038
Sex: F
Age: 55
State: PR

Vax Date: 01/15/2021
Onset Date: 01/17/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: DENIED

Symptoms: DEVELOPED RIGHT ARM AND SHOULDER PAIN WITH DIFFICULTY RAISING ARM. PAI 7 OUT 10 ON PAIN SCALE

Other Meds: METOPROLOL 50MG DAILY, NORFLEX , RELAFEN

Current Illness:

ID: 0975040
Sex: F
Age: 25
State:

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Caller stated she had COVID vaccine yesterday around 1:00 PM. At 2 AM this morning she stated she was dizzy, achy and had a low grade temp. This morning at 6:30 AM she took Advil and achy arm started to subside and temp was 97-99.9, as she stated she took it x4. She stated she is much less dizzy. She denies any other symptoms. RN reviewed increasing hydration, and to monitor her symptoms and if fever increases, or symptons worses or if she develops any other symptoms to call her provider She stated understanding. RN stated will follow up. Expiration date on lot above was 01/11/2021, and vaccination was given 01/25/2021.

Other Meds:

Current Illness:

ID: 0975041
Sex: F
Age: 65
State: CO

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

Lab Data: None

Allergies: Food intolerances, hay fever, skin sensitivity

Symptoms: Had vaccine on 1/7. Symptoms began on 1/15. Went to the ER on 1/16. Symptoms started on 1/15 on the right arm, between the elbow joint and the top of the arm ~ 4 inches below the infection site. Started with some itchiness, got red, presented initially with two hives (one large, one small, was red and irritated), then spread and became one large red 'blob'. A bit warm. (used cortisone topical and took Benadryl). ER doc noted that it did not present like cellulitis, though it could progress to this. MD did not know what it was, thought it was an allergic reaction to something.

Other Meds: Vit D, Ca+, pantropozole, tylenol: post vaccine

Current Illness: None

ID: 0975042
Sex: F
Age: 79
State: MD

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

Lab Data: 148/69, 68, O2 sat 98%

Allergies: No Know Allergies

Symptoms: Patient called over nurse and stated she felt like her heart was racing. Vitals taken and pulse 64-72 and regular. Patient states she is feeling very emotional and she states she thinks this is anxiety. Patient reassured and monitored until 2 :20. All symptoms resolved and patient states she felt fine prior to discharge

Other Meds: Tamoxifen, Statin

Current Illness:

ID: 0975043
Sex: F
Age: 68
State: OK

Vax Date: 01/07/2020
Onset Date: 01/08/2020
Rec V Date: 01/26/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: No appetite. Diarrhea fatigue Lasted 7 days.Then normal.

Other Meds: Heart meds diabetic meds cholesterol meds cops meds

Current Illness: Copd round of steroids

ID: 0975044
Sex: F
Age: 47
State: FL

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: NO

Symptoms: Fever, strong muscular pain, muscular weakness, headache, chills

Other Meds:

Current Illness: Hypothyroidsm

ID: 0975045
Sex: F
Age: 44
State: TX

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

Lab Data: BP 136/87 SPO2 98% Temp 98.1(oral) HR 84 Resp 16 4 Lead -NSR

Allergies:

Symptoms: Sudden onset of substernal chest pain radiating to back. Headache radiating to left shoulder and redness of hands

Other Meds: Trazidone, Crestor, Hormones

Current Illness:

ID: 0975046
Sex: M
Age: 79
State: MD

Vax Date: 01/24/2021
Onset Date:
Rec V Date: 01/26/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Moderna COVID -19 Vaccine EUA No adverse effect Mod

Other Meds: Toprol, lissinopril, vitamin D, multi vitamin, statin, vitamin C

Current Illness: None

ID: 0975047
Sex: F
Age: 63
State:

Vax Date: 01/21/2021
Onset Date: 01/23/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Temperature of 102, vomiting, shaking all over & weakness in legs

Other Meds:

Current Illness:

ID: 0975048
Sex: F
Age: 40
State: TN

Vax Date: 01/21/2021
Onset Date: 01/26/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: I got lip filler 11 months ago and today I have some swelling in my top lip.

Other Meds: Spironolactone Metformin Birth control Daily multivitamin

Current Illness: None

ID: 0975049
Sex: F
Age: 84
State: MI

Vax Date: 01/17/2021
Onset Date: 01/18/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: Basic Metabolic Panel, Blood Cultures, CBC with differential, lactic acid level, urinalysis with culture and sensitivity if indicated. All labs completed on 1/18/2021.

Allergies: Ampicillin, Lisinopril, Propoxyphene, Keflex

Symptoms: Temperature 101.1 degrees Fahrenheit on 1/18/2021 @ 1:28pm. Tylenol 650mg administered. Orders obtained to admnister one liter of normal saline via intravenous route due to resident's poor oral intake. IV fluids initiated. Temperature 98.9 degrees Fahrenheit on 1/18/2021 @ 4:35. Temperature 101.0 degrees Fahrenheit on 1/18/2021 @ 11:54pm. Cold compresses applied. Temperature 98.8 degrees Fahrenheit on 1/19/2021 @ 12:52am.

Other Meds: Biotene dry mouth mouthwashes 15mL one time daily. Coumadin 3mg one time daily. Gabapentin 200mg three times daily. Losartan potassium 100mg one time daily. Magnesium oxide 400mg one time daily. Metoprolol tartrate 25mg two times daily. Mi

Current Illness: None noted

ID: 0975050
Sex: F
Age: 58
State: MO

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient unable to work on 12/24/2020 - fever of 101.0, muscle ache, nausea, diarrhea. 12/25/2020 some better, fever persists at 99.8, and diarrhea 12/26/2020 better, no fever, still has diarrhea 12/27/2020 better, no fever, still has diarrhea 12/28/2020 better, no fever, small amount of diarrhea.

Other Meds:

Current Illness:

ID: 0975051
Sex: F
Age: 19
State: NY

Vax Date: 08/29/2020
Onset Date: 08/29/2020
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: Denies

Symptoms: Developed swelling to hands and feet as well as hives. Symptoms occurred same day as vaccine administration day. Symptoms lasted for 1 week.

Other Meds: Currently on Birth control

Current Illness: Denies

ID: 0975052
Sex: F
Age: 33
State: MI

Vax Date: 01/19/2021
Onset Date: 01/24/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: Ultra sound. USV venous upper extremity duplex left

Allergies: Amoxicillin

Symptoms: Blood clot, DVT of a ill art vein acute left

Other Meds: None

Current Illness: None

ID: 0975053
Sex: M
Age: 26
State: WA

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: Dairy approximately >150mL

Symptoms: -Swollen lymph nodes palpated on the armpit and under the injection sites -Fatigue

Other Meds: Fish oil and multivitamin supplement

Current Illness: N/A

ID: 0975054
Sex: U
Age:
State:

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

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 0975055
Sex: F
Age: 40
State:

Vax Date: 01/11/2021
Onset Date: 01/20/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: NA

Symptoms: Numbness of all 10 toes

Other Meds: Vitamin D 3x/week, Vitamin B12 3x/week, Selenium Iodine 2x/week, Spironolactone 12.5 mg 2x/week

Current Illness: NA

ID: 0975056
Sex: F
Age: 82
State: FL

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: Unknown

Symptoms: Per EMS report, within 15-minutes of vaccination, patient underwent an anaphylactic reaction. Patient's care was managed on site.

Other Meds:

Current Illness:

ID: 0975057
Sex: M
Age: 70
State: CA

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/26/2021
Hospital: Y

Lab Data:

Allergies: Erythromycin; Cefaclor; Scopolamine Tramadol

Symptoms: *Atrial fibrillation . No prior instances.* Vaccine 1/20/2021. On 1/21, 25 hours after vaccine felt slight pressure in chest and rapid heat beat. Heart rate 150. EKG in Cardiologist's office. Admitted to hospital On 1/22/2021 -- DC (Direct Current) Cardioversion Procedure Prior to the procedure, a transesophageal echocardiogram was performed which showed no evidence of left atrial appendage thrombus. The patient was successfully cardioverted on the 1st attempt after administration of 150 joules using a bi-phasic defibrillator. A post cardioversion EKG was obtained and reviewed. The patient tolerated the procedure well with no complications. Post-procedure vitals: HR 65 BP 119/71 O2 sat 99%

Other Meds: Finasteride 5 mg oral tablet- Brand Name: PROSCAR 1 tablet daily. Terazosin 5 mg capsule- Brand Name: HYTRIN. 1 capsules 2 times daily. Rosuvastatin 10 mg oral tablet- Brand Name: CRESTOR 1 tablet daily. Aspirin 81 mg oral tablet 1 tab

Current Illness: N/A

ID: 0975058
Sex: M
Age: 69
State: CA

Vax Date: 01/24/2021
Onset Date: 01/26/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: 1/26/2021 Xray left wrist and forearm wnl

Allergies: none

Symptoms: acute spasmodic pain in left forearm

Other Meds: none

Current Illness: left wrist injury 11/16/2020

ID: 0975059
Sex: F
Age: 32
State: MN

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

Lab Data:

Allergies: morphine, Tylenol, others

Symptoms: Pt received vaccine. She was sitting in the observation area after vaccine. About 10 minutes after vaccine, Pt reported feeling numbness in hands and feet, chest tightness and slight difficulty breathing. Pt was offered and ingested diphenhydramine 25mg at 1230 and another 25mg at 1238. Pt continued with same symptoms (not better and not worse). 911 ambulance was called. Pt remained conversing with full sentences with one breath during observation. Radial pulse was strong and regular. No rash. No apparent swelling. Respirations were quiet (no stridor). Ambulance arrived and took over care and eventually transported pt to the ETC.

Other Meds: unk

Current Illness: unk

ID: 0975060
Sex: F
Age: 44
State:

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Rash / Headache / Fatigue / Muscle weakness

Other Meds:

Current Illness:

ID: 0975061
Sex: F
Age: 54
State: NY

Vax Date: 01/15/2021
Onset Date: 01/22/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient developed an infection 7 days post-injection. Patient experienced arm redness/swelling/pain and fever of 100f. Patient also had chest pain.

Other Meds:

Current Illness:

ID: 0975062
Sex: F
Age: 50
State: MO

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Employee experienced pretty bad achiness, within 48 hours developed rash, still has at time message left (12/28/2020), injection site pain.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm