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: 0979104
Sex: M
Age: 64
State: IL

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: developed a rash on both forearms. rash resolved by 1700 on 1/5/21.

Other Meds:

Current Illness:

ID: 0979105
Sex: F
Age: 31
State: OH

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: None

Allergies: Penicillin Ammoxicillan

Symptoms: On injection site, red, swollen and hard. The site is very swollen and looks as if a golf ball is under my skin. It is irritated and very painful. I have had a fever of 104 and the worst headache of my life.

Other Meds:

Current Illness: None

ID: 0979106
Sex: F
Age: 49
State: MI

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: See above.

Allergies: Patient had a penicillin allergy, compazine. Patient states she had an allergic reaction to a blood transfusion in the past but could not provide any more details about the situation.

Symptoms: Was performing a COVID vaccine clinic at a skilled nursing facility. The patient states that at approximately 5 minutes after admin of her second shot, she started feeling short of breath. The nurse ran over to monitor her and take her BP. I arrived as well to monitor. Her breathing appeared fast and labored but patient was alert and oriented. She had no localized reaction to the vaccine. The patient's lungs were auscultated and were clear. Her glucose was checked, it was "low" for the patient at 80. She stated the center of her chest was radiating pain and her hands went numb. Her BP was 161/93 and HR 65 and OSAT was 94 but this was close to her normal range. Epinephrine was not administered - but instead diphenhydramine 25 mg. The patient reported feeling better at 12 minutes post immunization and her breathing improved. Her chest pain went away and numbness went away. The patient also ate a donut and drank a glass of water at this time and stated she felt much better. Her BP again at 15 minutes post immunization was 158/96 and HR was 61 and OSAT was 100. Monitored patient for 20 more minutes and no other issues were experienced. The patient is being paired with a nurse from the facility to monitor the rest of the day. After discussing with the pharmacist who reviewed the consent forms, it was noted that the patient marked yes on the portion that asks the patient if they've received a blood transfusion in the last year.

Other Meds: Atenolol, Insulin, Adderall

Current Illness: Patient states that she had nausea/vomiting for one day 5 days prior but denied any further symptoms.

ID: 0979107
Sex: F
Age: 57
State: NY

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Reported shortness of breath, cough, headache, muscle pain and fatigue.

Other Meds:

Current Illness:

ID: 0979108
Sex: F
Age: 20
State: CA

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: none

Allergies: bee stings

Symptoms: Pt reported to feel subjective fever, chills, diarrhea, nausea and vomit, fatigue since receiving COVID vaccine yesterday. She vomiting clear x5 since yesterday and is unable to hold food down. She had x6 episodes of mild diarrhea.

Other Meds: none

Current Illness: none

ID: 0979109
Sex: F
Age: 66
State: WA

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: Clearing airway, cut off clothing, epi pen, Oxygen, steroids, blood tests after stabilization, chest compressions, in public waiting room at hospital where other patients were waiting for their 15 minute waiting period.

Allergies: Sulfur, sulfates, peanut butter, milk, coconuts, penicillin, amoxicillin, reglan, vicodin, latex, codeine, morphine

Symptoms: Unable to breath within 27 minutes, coded, rushed to emergency after crash cart medical trestment

Other Meds: Vitimin, B12,D, D3, Chewable Women's Multivitamin, Benazepril HCL, 10mg., Levothyroxine, 75MCG, Amlodipine Besylate 5 Mg, (took morning of appt) did not take prescribed mef of Dextroamp Amphetamine 10 mg or 20 mg that day.

Current Illness: Graves Disease, anemia, foot fungus, wart removed, anxiety

ID: 0979110
Sex: F
Age: 33
State: CA

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: na

Allergies: na

Symptoms: pt c/o light headedness vss b/p 116/78 64n18 99 % ra monitored pt no other reactions

Other Meds: na

Current Illness: na

ID: 0979111
Sex: F
Age: 88
State: FL

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: N/A

Allergies: SULFUR AND CODINE

Symptoms: THE CLIENT HAS BRUISING AT THE INJECTION SITE. DENIES ANY OTHER SYMPTOMS.

Other Meds: ELIQUIS

Current Illness:

ID: 0979112
Sex: F
Age: 48
State: CA

Vax Date: 01/21/2021
Onset Date:
Rec V Date: 01/27/2021
Hospital:

Lab Data: EKG XRay

Allergies: Morphine

Symptoms: Left arm pain Hand pain left hand Numbmess from shoulder to hand left side Neck pain left side Chest pain left side Jaw pain left side Kidney pain left side Headache Was given Nitro pill and 3 1/2 baby aspirin by paramedics at testing site. Another Nitro pill in ambulance on the way to hospital. Treated for heart attack dueto Vaccine

Other Meds:

Current Illness: Covid

ID: 0979113
Sex: F
Age: 50
State: KY

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: 12 hours after receiving the second shot I experienced all over body aches, 99.7 fever, chills, headache, nausea, fatigue. These symptoms lasted about 12 hours until the following day when I took ibuprofen and a hot bath. This relieved the body aches. Alka seltzer relieved the nausea. The headache lasted for a full 3 days despite continuing to take ibuprofen.

Other Meds: Atorvastatin

Current Illness: None

ID: 0979114
Sex: F
Age: 42
State: GA

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: none

Allergies: NONE

Symptoms: left facial swelling (periorbital to cheek) and face flushed/hot

Other Meds: BIRTH CONTROL TRAZODONE

Current Illness: NONE

ID: 0979115
Sex: F
Age: 19
State: MN

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Vaccine clinic held on 1/21/21. Vaccination provided by pharmacist. Patient received a vaccination at this clinic. On 1/22/21 patient reported to her supervisor she went to the doctor because her injection site became hard, hot and red and was given an antibiotic for an possible infection.

Other Meds:

Current Illness:

ID: 0979116
Sex: F
Age: 26
State: MD

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: unknown

Symptoms: Patient complained of about 5 minutes of her bicep twitching . It started about 2:25 pm subsided approximately 2:33 pm. No other complaints. BP 125/88, P-100 and RR 20. Feels well enough to leave.

Other Meds: unknown

Current Illness: none

ID: 0979117
Sex: M
Age: 34
State: MI

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: fever 101.1, body aches, chills, abd pain, diarrhea

Other Meds: losartan

Current Illness: none

ID: 0979118
Sex: F
Age: 43
State: MD

Vax Date: 01/12/2021
Onset Date: 01/18/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: PCP sent me out for bloodwork and CT Scan with contrast, all came back normal.

Allergies: ERYTHROMYCIN PENICILLIN

Symptoms: SWOLLEN SUPRACLAVICAL LYMPH NODE

Other Meds: B12

Current Illness:

ID: 0979119
Sex: F
Age: 28
State: IN

Vax Date: 01/06/2021
Onset Date: 01/18/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: I got the first dose of Moderna on 1/6/21. I had very minimal side effects, limited basically to pain in my arm. Then I woke up on 1/18/21 and had erythema and edema in a circle on my left arm where the injection had been given almost 2 weeks prior. This was not painful, I just noticed it was there. It lasted about 24-36 hours after that and has since resolved. I got the vaccine when I was 16+3 weeks pregnant. The reaction appeared when I was 18+1 weeks pregnant. I am now 19+3 weeks pregnant. I am due 6/20/21.

Other Meds: Prenatal vitamin Probiotic Daily aspirin

Current Illness: None

ID: 0979120
Sex: M
Age: 19
State: AZ

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: HR 69 BP 120/80 RR 16 SpO2 100

Allergies: Accutane

Symptoms: Patient received his vaccination, within 5 minutes or so, his throat felt "itchy". Patient has no increased work of breathing and no other complaints.

Other Meds: blood transfusions, Jadu

Current Illness: None

ID: 0979121
Sex: F
Age: 31
State: NY

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: EST. date of my delivery is 5/11/2021 30 hours after the dose had adnominal pain. Several episode of diarrhea. Also had nausea and chills.

Other Meds: None

Current Illness: None

ID: 0979122
Sex: F
Age: 81
State: CO

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: none

Allergies: lisinopril, verapamil hydrochoride, cipro

Symptoms: My shot was Saturday at 2 PM. Monday night I developed a VERY tender, sore achilles tendon. I could barely walk Tuesday. I kept working it up and down and I do not excercise, so it's certainly NOT from overuse. I have never had this problem before I can remember at one time taking some meds that the warnings said they could cause problems with tendons. . so , I'm wondering if this could be because of my shot on Monday. Hence, the report.

Other Meds: albuterol, fluticasone fluconazole, losartan,meprazle,lopressor,rosuvastatin, advair diskus, lasix,,,,,,,,

Current Illness: none

ID: 0979123
Sex: F
Age: 44
State: IA

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever; chills; sweats; muscle tension; headache

Other Meds:

Current Illness:

ID: 0979124
Sex: F
Age: 71
State: CA

Vax Date: 01/17/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: None

Allergies: Vicodin

Symptoms: Injected below deltoid. Redness 2-3 days after. Disappeared returned redness 9 days after injection mild itching at site

Other Meds: Metformin lipitor enalapril levothyroxine Pepcid bit D aspirin

Current Illness: None

ID: 0979125
Sex: F
Age: 44
State: NC

Vax Date: 01/19/2021
Onset Date: 01/21/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: Singulair

Symptoms: Received allergy immunotherapy on 1/21/21 and had itching, difficulty breathing, tightness in throat/chest, flushed skin and tachycardia after. Received Antihistamines, Albuterol treatment and steroid for treatment.

Other Meds: Allegra D, Calcium/Vitamin D, Multi Vitamin, Zyrtec

Current Illness: None

ID: 0979126
Sex: F
Age: 62
State: GA

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/27/2021
Hospital:

Lab Data: no

Allergies: Sulfur drugs

Symptoms: The next day after the vaccine my arm was red and really painful. Each day the redness got larger and by friday it was near my elbow so I went to an Urgent Care. I was given a prescription for an antibiotic because they states infection had set in it and I also took tylenol and antihistimines to help with the pain.

Other Meds: Prolia Injection, fluvoximine 50mg., fotomodine 20mg. Omeprazole 40mg, Citrical Tablets 4 daily, Centrum Vitamin, Vit E 200units, Vit. D 1000 units, probiotic daily, glucosomine daily

Current Illness: no

ID: 0979127
Sex: M
Age: 37
State: TN

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: I have blistering/peeling of skin on my finger tips.

Other Meds: None

Current Illness: None

ID: 0979128
Sex: F
Age: 67
State: PA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: Bactrim Macrodantin Paper Tape Sulfa drugs Biaxin Fetacaine Eggs Flu vaccine Hydroxycholorquine Lisinopril

Symptoms: Raspy voice started 15 minutes after vaccine given. Went to the ED. Patient has history of throat swelling after flu vaccine. Premedicated with Benadryl 50 mg PO. VS 153/77, HR 86 O2 97% on room air, Denied SOB or rash. At ED stated sor throate and some difficulty breathing. Feels like a tickle and need to cough to clear. In ED given Solu-Medrol 125 mg IV once and Pecid 20 mg IV once. Discharged from ED.

Other Meds: unknown

Current Illness: unknown

ID: 0979129
Sex: F
Age: 42
State:

Vax Date: 01/12/2021
Onset Date: 01/18/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Heart issues, palpitations, shortness of breathe. Seeing physician. reported this on 1/27/2021.

Other Meds:

Current Illness:

ID: 0979130
Sex: F
Age: 91
State: CO

Vax Date: 01/24/2021
Onset Date: 01/25/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: Penicillin, sulfa, Valium,

Symptoms: Fever (102.5), dizziness, nose bleed (2),

Other Meds: Warfarin, cefuroxime, calcium,, magnesium, iron, b12, potassium, furosemide, bisoprolol, lovastatin, levothyroxime , allopurinol, omeprazole, tramadol,

Current Illness: A-fib, UTI, kidney failure

ID: 0979131
Sex: F
Age: 82
State: MI

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: None

Allergies: Antihistamines, chlorpheniramine-type, Ceftin, Naproxen, Zithromax, Augmentin, Bactrim

Symptoms: Patient reported being very weak and in bed. She reports that she experienced nausea, vomiting, fever, chills, and a headache as well as a localized reaction at the injection site which included hives, redness and swelling.

Other Meds: Mobic, Norvasc, Synthroid, Lipitor, Detrol, Tylenol, Cranberry, Fibercon, Multivitamin, Vitamin D3

Current Illness: Patient diagnosed with COVID over Thanksgiving and was sick for two weeks.

ID: 0979132
Sex: F
Age: 42
State: CA

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Sore Arm, itching on spot of Inj, headache , sore throat, chills, body ache, feeling very weak. Still have headache not as severe and weakness a little less but still have all symptoms except chills.

Other Meds:

Current Illness:

ID: 0979133
Sex: F
Age: 52
State: NY

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: None

Allergies: NKDA

Symptoms: A timing error occurred for a patient who got their second dose of Moderna COVID-19 vaccine 19 days after their first dose instead of 28 days after their initial dose. The error was realized after the patient's appointment was completed. At our hospital we allow a window of at least 24 days from the initial Moderna dose and this was early in terms of this allowance as well. A huddle occurred at the vaccination location where all staff (registrars, pharmacy, nurses/vaccinators) were informed of the acceptable time frame indicating the minimum date. Signs were created for daily use.

Other Meds: Unknown

Current Illness: N/A

ID: 0979134
Sex: F
Age: 71
State: FL

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Sore muscles, joints, strange tingling down the arm, nausea, chills, fatigue

Other Meds: citalopram clopidogrel metformin irbesartan pantoprazole simvs

Current Illness:

ID: 0979135
Sex: F
Age: 65
State: NY

Vax Date: 01/17/2021
Onset Date: 01/25/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: Pertussis, Sulfa, Biaxin

Symptoms: Red raised rash developed beneath injection site. Swelling, warm to touch and very itchy. First appeared 8 days after injection. Had video visit on 1/27 because rash & swelling getting worse. She said that this reaction has been reported and rash should resolve in several days. OK to apply a little hydrocortisone cream to help with itching and discomfort.

Other Meds: Vitamin D3, Calcium Citrate, Prolia (injection 2x year - last dose in August 2020), Colace

Current Illness: Mantle Cell Lymphoma SIBO

ID: 0979136
Sex: F
Age: 60
State: MN

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/27/2021
Hospital: Y

Lab Data: IV SALINE .....BLOOD PANEL URINE PANEL ULTRASOUND BLADDER ADOMEN COVID TES ALL ON 01/18/2021

Allergies: PENICILLIN

Symptoms: ER ROOM........... DIAHARREA AM 600PM TO 300 AM VOMITING SAME TIME HEADACHE ER ROOM 1100 AM

Other Meds: NONE

Current Illness: NONE

ID: 0979137
Sex: M
Age: 67
State: FL

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: n/a

Allergies: aspirin

Symptoms: Swelling at the injection site.

Other Meds: midodrine and metropolol

Current Illness: n/a

ID: 0979138
Sex: F
Age: 43
State: KS

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: n/a

Allergies: iodine

Symptoms: Soon after receiving this vaccination, she started reporting that her mouth was itching. The itchiness progressed to various places mostly around her head and upper torso. She took 50 mg diphenhydramine about 10 minutes after first reporting the symptoms. She reported feeling fine about 1 hour later.

Other Meds: unknown

Current Illness: unknown

ID: 0979139
Sex: F
Age: 69
State: WA

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: first 24hours nothing, second night was woke by pain in arm, swelling, redness, slight fever, headache, felt under the weather. Third day more swelling, redness and headache. Today, forth day, swelling going down still red, no headache and feeling better in general. Took tylenol for headache and pain.

Other Meds: Metformin, atorvastatin, probiotic, magnesium , potassium , multi vitamin, biotin

Current Illness:

ID: 0979140
Sex: F
Age: 61
State: MD

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: 1453: complained of tingling to tongue; Dr. examined, ordered Benadryl 25 mg IM, temp: 98.1, BP 135/61, HR: 59 1456: Benadryl given 1508: reports tongue feels better, examined by MD, MD released to home after 30 more mins of observation Assessment: lungs clear, no SOB, VS stable, no rash, resolving after 15 mins post benadryl

Other Meds: n/a

Current Illness: n/a

ID: 0979141
Sex: F
Age: 69
State: IL

Vax Date: 01/05/2021
Onset Date: 01/12/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: None.

Allergies: Seafood, Tetanus in the past.

Symptoms: A week after vaccine felt a pain on her arm, no redness. Had lumps on the arm initially did compressions and no reaction. Pain is similar to shingles pain. When she works on it it comes down but it's still there. Pain is tolerable but is annoying due to it lingering. Still has the discomfort today.

Other Meds: Vitamin B6, B2, calcium, magnesium, Losartan, Zyrtec as needed, garliq.

Current Illness: None.

ID: 0979142
Sex: F
Age: 35
State: NJ

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: had to be covid tested which was negative. had to be out of work for 2 days

Allergies: penicillin, amoxil, bactrim

Symptoms: fatigue, muscle aches, joint pain, chills, fevers to 102 F, chest pain, nausea, stomach pain

Other Meds: sexenda vitamin d 5000 IU vit c 500 mg

Current Illness: none

ID: 0979143
Sex: M
Age: 56
State:

Vax Date: 01/07/2021
Onset Date: 01/18/2021
Rec V Date: 01/27/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Patient was hospitalized on 1/24/2021 with COVID-19. He reports symptoms started on 1/18/21, 7 days prior to admission, and 11 days after receiving his first dose of the Pfizer/BioNTech COVID19 Vaccine. During this time he experienced shortness of breath and non-radiating, pressure-like chest pain, the latter prompting him to go to the Emergency Department. Upon admission his oxygen saturation was 90% and was put on 2 L nasal cannula with oxygen saturation, increasing oxygen saturation to 95%. On 1/26/2021 oxygen was increased to 4 L nasal cannula with oxygen saturation at 94%. On 1/27/21 oxygen requirements improved and pt is now on 2 L nasal cannula with oxygen saturation at 99%.

Other Meds:

Current Illness:

ID: 0979144
Sex: F
Age: 75
State: KS

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Progress Notes 1/26/2021 Patient: Date: 1/26/2021 a 75 y.o. female who was seen at COVID Vaccine Clinic today for her first dose of the COVID 19 vaccination. She was given the Pfizer vaccination in the right deltoid muscle. During her 30 minute waiting period after the injection, the patient began to experience scratchy throat. She denied difficulty breathing, difficulty swallowing and throat tightness. This provider was notified of patient reaction and she was then assessed in the emergency bay area. ALLERGY REVIEW OF SYSTEMS: Patient denies facial swelling, chest tightness, shortness of breath, wheezing and dizziness Previous Reactions: Patient reports a history of previous reaction after receiving an allergy shot many years ago. She is unsure of entire course of events but states she did need medical treatment including a shot. Objective Vitals Vitals: 01/26/21 1412 01/26/21 1439 BP: 135/78 137/63 BP Location: Right arm Patient Position: Sitting Pulse: 90 80 SpO2: 95% 98% Blood Sugar 88 collected at 1415 Physical Exam Vitals signs and nursing note reviewed. Constitutional: General: She is not in acute distress. Appearance: She is well-developed. She is not ill-appearing or diaphoretic. HENT: Head: Normocephalic and atraumatic. Mouth/Throat: Pharynx: Oropharynx is clear. No pharyngeal swelling or oropharyngeal exudate. Cardiovascular: Rate and Rhythm: Normal rate and regular rhythm. Heart sounds: Normal heart sounds. Pulmonary: Effort: Pulmonary effort is normal. No tachypnea or respiratory distress. Breath sounds: Normal breath sounds and air entry. No stridor or decreased air movement. Skin: General: Skin is warm and dry. Neurological: Mental Status: She is alert and oriented to person, place, and time. Gait: Gait (with cane assist) normal. Psychiatric: Speech: Speech normal. Behavior: Behavior normal. Thought Content: Thought content normal. Judgment: Judgment normal. Assessment/Plan Treatment included: no therapy. Patient was observed for 65 minutes s/p injection. She states only symptom of itchy throat improved. Patient accompanied to building exit . Patient discharge: Stable to go home and follow up with PCP. Differential Diagnosis: Systemic reaction (hypoglycemia, hypotension, generalized rash)

Other Meds:

Current Illness:

ID: 0979145
Sex: F
Age: 52
State: MI

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: Cymbalta, pneumonia vaccine, HCTZ, Levaquin

Symptoms: The day after my vaccine went into A-fib and had to go home then on Saturday 01-23-2021 the A-fib was gone

Other Meds: Tylenol

Current Illness: none

ID: 0979146
Sex: F
Age: 58
State: FL

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: None

Allergies: Iodine

Symptoms: Chill and high fever up to 103F, generalized muscle ache and enable to stand on feet for several hours, generalized joint pain, diarrhea and nasal congestion. Symptom started 18 hours after the injection, lasted for 18 hours, improved for a few hours, and recurrent on day 3 of vaccination. Lethargy and dehydration. Symptoms do not alleviate much by constant use of Motrin.

Other Meds: None

Current Illness: none

ID: 0979147
Sex: M
Age: 75
State:

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt felt dizzy 10 minutes after receiving the vaccine and had some vision impairment. Vitals taken and were WNL and orange juice given to pt. Pt discharged 20 minutes after incident and was back to baseline.

Other Meds:

Current Illness:

ID: 0979148
Sex: F
Age: 34
State: TX

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: none.

Allergies: no known drug allergies, no known food allergies

Symptoms: local site injection reaction- swelling, induration, erythematous, tender to touch. Other symptoms noted include- body aches, fatigue, malaise.

Other Meds: tylenol, zyrtec, flonase

Current Illness: none

ID: 0979149
Sex: F
Age: 47
State: NM

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: a blood pressure medication (do not remember the name)

Symptoms: about 30 minutes after injection i got light headed and nauseous. stuck with me for the whole day. within 24 hours you started running a fever. then within 48 hours fever went to 101. really nauseous and stuck with me over a week. Arm was very panful and couldn't lift it. after that i felt OK but very exhausted and body felt sore, like i had been hit by a car. couldn't eat much during the week. After about a week still felt nauseous, but pain went away. then a few days later arm started to swell. get red, and itchy, lasted until Sunday 01/24 then last night the swelling came back, not as bad as it was but still a little swollen.

Other Meds: cytomel, Synthroid

Current Illness:

ID: 0979150
Sex: F
Age: 26
State: PA

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: N/a

Symptoms: Over the course of 5 days I broke out in hives all over my body

Other Meds: Apri- birth control pill

Current Illness: N/a

ID: 0979151
Sex: M
Age: 77
State: NY

Vax Date: 01/20/2021
Onset Date: 01/23/2021
Rec V Date: 01/27/2021
Hospital: Y

Lab Data: Covid PCR 1/23 positive CSF studies negative

Allergies: none

Symptoms: Patient received unknown covid vaccine 1/20/21, sometime before or after became Covid PCR+. 3 days later developed encephalopathy, was quite agitated, walking around hospital naked. He had LP which ruled out infection and CT imaging to rule out CVA. Improved after 24 hrs with supportive care, pt returned to mental status baseline

Other Meds: pravastatin

Current Illness: lymphoma,

ID: 0979152
Sex: M
Age: 87
State: FL

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: A cat scan of the head 01/27/2021, EKG 01/27/2021, urine test 01/27/2021, and bloodwork 01/21/2021. We will get those results February 3rd

Allergies:

Symptoms: The day after vaccine 01/14/2021, he had no strength once so ever in his body. We had to have help from a man and a women to help get him on the toilet, off the toilet, to sit him up on the couch, getting in and out of bed. He could not function on his own. It effected him mentally. Right now he couldn't even that this happened. On the 15th he seemed normal. But now like a week later his memory and strength was bad. Today he is not that bad. It seems to be coming and going with the problem mentally. I took him to the doctor today.

Other Meds: Alfuzosin 10MG daily, Aspirin 81 MG, Calcium, Fish Oil, Miralax , Multivitamin

Current Illness:

ID: 0979153
Sex: F
Age: 17
State: CA

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Administered the Moderna COVID-19 vaccine to a patient under the age limit according to the EUA. Minimum age reported by EUA is 18 years-old and the patient was 17 years-old when the vaccine was administered. Patient is a healthcare provider (medical intern) and had a letter from Dr. who works at her clinic with a note authorizing vaccination.

Other Meds: N/A

Current Illness: N/A

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm