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: 0979458
Sex: F
Age: 59
State: IA

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

Lab Data: NONE

Allergies: POISON IVY

Symptoms: NUMBNESS AND TINGLING IN CHIN, NOSEM JAWLINE, TO EAR ON RIGHT SIDE, AND LESS ON THE LEFT ALSO HAD TIGHTNESS IN THE BACK OF THE THROAT

Other Meds: high blood pressure med-HCTZ, PREGABALIN, B12, D3, FATIMODINE

Current Illness: NONE

ID: 0979459
Sex: F
Age: 79
State: MN

Vax Date: 01/13/2021
Onset Date: 01/16/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: On 1/25/21 the following labs and tests were done: APTT (Activated partial thromboplastin time), Masic Metabolic panel, hemogram/PLTS, INR/Protime, Troponin 1, ECG 12-Lead, MR Angio Head WO IV Cont, MR Angio Neck WO IV Cont, MR Brain WO IV Cont, XR FEmur Rt 2 Views, XR Portable Chest 1 view. All results came back at normal ranges

Allergies: IVP Dye and Tegretol

Symptoms: Numbness and tingling sensation on right side of the body (leg, arm, back) Flushing in the face Higher than normal blood pressure Sensations started earlier in the day on Saturday. On Sunday at 1pm, she went to the hospital and the symptoms stayed until 6pm. She was sent home from the hospital with diagnoses of parasthesia and numbness. Sensations started again earlier today, Wednesday the 27th. Called the doctor and said there isn't much they can do because they don't know much about the vaccine.

Other Meds: Aspirin, levothroxin, miralax, omeprazole, acetamin, ibuprophen

Current Illness: no

ID: 0979460
Sex: F
Age: 66
State: TX

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

Lab Data:

Allergies: no

Symptoms: Body pain, fever 100.5, weakness, horrible headache

Other Meds: Equis, Anastrozole, Nidepredine, Calcium/Vitamin D Potassion

Current Illness: no

ID: 0979461
Sex: M
Age: 54
State: NY

Vax Date: 01/22/2021
Onset Date: 01/24/2021
Rec V Date: 01/27/2021
Hospital: Y

Lab Data: Not available now.

Allergies: none known

Symptoms: The patient lives in a group home. He has a history of seizures with occasional breakthrough. On 1/24/22 at ~4 am he had a cluster of seizures and a fever of 102.0F. The staff called 911 and he was taken to the Hospital and admitted for observation. All the details of the hospitalization and treatment are not known now. His group home staff person who was at the hospital with him reported that he was back to his baseline after 1 day. He remained in the hospital for video EEG monitoring. The studies will be reviewed by neurology to determine if medication changes are needed. His discharge is planned for tomorrow (1/28/2021).

Other Meds: Fycompa, Keppra, Vimpat, Olopatadine ophthalmic, Colace, Ketoconazole shampoo, ducolax, folic acid, multivitamin, Oscal plus D

Current Illness: ER Visit 1/11/2021 for cluster of seizures,

ID: 0979462
Sex: F
Age: 17
State: LA

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

Lab Data: n/a

Allergies: n/a

Symptoms: About 3 minutes after injection, the patient began to feel dizzy. The patient sat down and continued to feel dizzy and have blurry vision. About 5 minutes after injection the patient vomited. After vomiting, the patient began to feel better. About 5 minutes after vomiting, the patient and her mother insisted on leaving the store and going home. The patient seemed fine when she left. The patient did not have any of these symptoms after her first dose of the vaccine. I called to follow up with the patient about an hour later and she said she was fine.

Other Meds: intuniv 3mg

Current Illness: n/a

ID: 0979463
Sex: F
Age: 49
State: CA

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

Lab Data: On 1/26/2021 I visited my eye doctor who took pictures of my eyes to confirm no internal injury since pain around the sockets was still present . I have been prescribed eye drops. If the pain does not go way as of 1/28/2021 I will revisit my eye doctor.

Allergies: None

Symptoms: At the time of injection, I felt tingling in the arm. The night of the injection my arm hurt, a bruise was present and a large lump (1 inch by 2 inches) was present. Blood was also in the band aid ( 1 drop) applied to the injection site. The night of, I had shortness of breath, and severe right eye socket pain. I also had tenderness on the right and left side of the tongue. The injection site swelling and tongue pains were significantly reduced by 01/24/201. On 1/26/2021 I visited my eye doctor who took pictures of my eyes to confirm no internal injury since pain around the sockets was still present . I have been prescribed eye drops. If the pain does not go way as of 1/28/2021 I will revisit my eye doctor.

Other Meds: None

Current Illness: None

ID: 0979464
Sex: F
Age: 70
State: MA

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

Lab Data:

Allergies:

Symptoms: Patient reported feeling flushed 6 minutes after vaccine administration. Vitals at 1513 were: BP 117/60, HR 74, O2 97%. Patient reported that symptoms resolved about five minutes later. Patient was observed for 25 minutes (she declined to stay longer) and did not develop any new or worsening symptoms. Vitals at 3:24 PM BP 107/56, HR 72, O2 98%. Reviewed s/sx anaphylaxis, advised patient to call 911 if these occur.

Other Meds:

Current Illness:

ID: 0979465
Sex: F
Age: 73
State: NY

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

Lab Data: Lactic Acid high. Injection site soar. Plan: Antibiotics, Fluids and observe for 24 hours. Plan to release next day.

Allergies: None

Symptoms: Injection site pain, Nausea, light headed same day (1/25//2021) after injection. That evening, Nausea, fever and chills. Took Tylenol. Next day (1/26/2021) Nausea, fever and chills continued. On 1/27/2021 in the morning became faint and weak and fell or fainted. Due to fall hit her head. Daughter living in same house treated her with Ice Pack and brought her to Hospital ER for evaluation. Hospital identified fever and began antibiotic treatment and fluids.

Other Meds: Metoprolol, Metformin, Lisinopril, Aspirin 81mg, Lovastatin, Vitamin D 2000IU

Current Illness: None

ID: 0979466
Sex: M
Age: 78
State: CA

Vax Date: 01/15/2021
Onset Date: 01/24/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: Dermititas, cats, certain tress, penicillin

Symptoms: Upper left arm area where received vaccine broke out in a red itchy rash after a little over a week, lasted 3-4 days, red area about 2-3 inches in diameter.

Other Meds: Hytrin, lisinipril, allipuronol, toprol, Prilosec,

Current Illness: None

ID: 0979467
Sex: F
Age: 36
State: WI

Vax Date: 01/06/2021
Onset Date: 01/14/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: CBC w/o differential: 1/15/21 Comprehensive Metabolic Panel: 1/15/21 Lyme Disease Western Blot: 1/15/21 CT head w/o contrast: 1/15/21

Allergies: Latex sensitivity, outdoor allergies (hay, pollen), dust, animal dander.

Symptoms: I had no immediate symptoms other than slight redness and muscular pain at injection site for a couple days, which was tolerable. 8 days after my vaccine (1/14/21) I noticed tightness in my right cheek and my tongue feeling a little numb or burnt in the evening while relaxing watching tv. The next morning (1/15/21) when I woke up, the right side of my face was drooping. It was mild at the time, but I was worried I was having a stroke, called my doctor and she felt comfortable having me come for an office appointment. At my appointment, she diagnosed me with Bell's palsy and did 3 blood tests and had me get a head CT. Results for all were unremarkable. I am 14 days out from when symptoms started and still dealing with Bell's palsy. I did start a round of oral steroids on 1/19/21 and will finish those in the next 3 days. I did not start any antivirals or any other treatments.

Other Meds: Sertraline, oral birth control, Cetirizine, steroid inhaler

Current Illness: None

ID: 0979468
Sex: F
Age: 71
State: MN

Vax Date: 01/19/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: None

Allergies: Alendronate

Symptoms: Resident stated her arm began to itch at 3:00 am on 1-26-21. Later, it became red. Red area on arm is oval-shaped and is 7.5 cm x 5.5 cm and is indurated. Resident states she has no pain, just itching.

Other Meds: Biotin, Calcium Carbonate-Vitamin D3 1500mg (600mg calcium)-400 unit, Zocor, Carboxymethy;cellulose sodium eye gtts

Current Illness: None

ID: 0979469
Sex: F
Age: 75
State: TX

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

Lab Data: none

Allergies: sulfa

Symptoms: Vertigo, loss of appetite

Other Meds: MEDICATION DOSE FREQUENCY Allupurinol 450 mg 1 X day Claritin 10 mg 1 x day Desvenlafaxine Succ Er Tabs 100 mg 1 x day Omeprazole 40 mg 1 x day Verapamil Hcl Er Pm 300 mg 1 x day Snythroid 88 mcg 1 x day Baby Aspirin 81 mg 1 x day Furosemid

Current Illness: none

ID: 0979470
Sex: F
Age: 30
State: KY

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

Lab Data:

Allergies: vancomycin -broke out in hives

Symptoms: I started to feel bad at about 8:10 pm and I received the first round of the vaccine about 4 hours prior (4:07). I started to itch and thought it was just dry skin. Then about 20 minutes later I started to get mild hives. I took Benadryl and that calmed it down. When I woke up the next day the itching went away and I just felt pretty fatigued throughout the day.

Other Meds: Daily multi vitamin for women

Current Illness: None

ID: 0979471
Sex: F
Age: 77
State: MA

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

Lab Data:

Allergies:

Symptoms: Patient reported generalized warmth five minutes after vaccine administration that resolved within 2 minutes. She reported R finger paresthesias about 7 minutes after vaccine administration that resolved within 2 minutes. Patient did not develop any worsening symptoms throughout 15 minute observation period. She remained well appearing throughout and was reportedly asymptomatic upon leaving.

Other Meds:

Current Illness:

ID: 0979472
Sex: F
Age: 39
State: CA

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

Lab Data:

Allergies: Medication - Biaxin, penicillin Food - blueberries

Symptoms: An hour and a half after the injection I started feeling itchy at the site of injection and all over upper body/neck. I also started wheezing, had difficulty (not exptreme) breathing and was coughing . I called a medical professional that I know who has assisted at COVID19 vaccine sites about next steps and was advised to take a benadryl, so I did. About 45 minutes later felt fully recovered.

Other Meds: Zyrtec (taken night before) Collagen supplements

Current Illness: N/A

ID: 0979473
Sex: F
Age: 39
State: CO

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

Lab Data:

Allergies: kna

Symptoms: Systemic: Patient got really sweaty about an hour after the vaccine. Blood pressure was elivated and patient reported mild SOB.-Medium

Other Meds:

Current Illness:

ID: 0979474
Sex: F
Age: 80
State: MN

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

Lab Data: N/A

Allergies: Clindamycin, Morphine, Oxycodone, Penicillins, tetanus vaccine

Symptoms: Severe muscle weakness, unable to ambulate at baseline.

Other Meds: Acetaminophen 500mg Tablet 01/07/21 500 mg by mouth Daily 08:00 AM ,08:00 PM Indications: Chronic Pain MD: Take 2 tablets (1000mg) by mouth twice daily. Calcitrate 200 Mg Tablet 01/07/21 200 mg by mouth Daily 08:00 AM ,08:00 PM Indications

Current Illness: None.

ID: 0979475
Sex: M
Age: 77
State: NC

Vax Date: 01/12/2021
Onset Date: 01/25/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: Delayed cutaneous hypersensitivity reaction appeared on 1/25/2021. Disappeared 24 hours later. Redness at vaccination site. No swelling or discomfort.

Other Meds:

Current Illness:

ID: 0979476
Sex: F
Age: 35
State: UT

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

Lab Data:

Allergies: Nubain, Diflucan

Symptoms: Tingling in lips, tightness in throat and chest, dizziness, cough, warm feeling in throat.

Other Meds: None

Current Illness: None

ID: 0979477
Sex: F
Age: 29
State: CA

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

Lab Data: 1/26/2021 chest xray= normal, cbc, chem 7 = normal results 1/26/2021 Covid 19 nasal swab = negative

Allergies: none

Symptoms: fever for 12 days, with myalgia and loose watery stool

Other Meds: none

Current Illness: none

ID: 0979478
Sex: F
Age: 42
State: CA

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

Lab Data:

Allergies:

Symptoms: Fever, extreme body aches, fatigue, rash on chest and sore arm. Took day off work 01/27/21 hoping to get over the affects.

Other Meds:

Current Illness:

ID: 0979479
Sex: M
Age: 24
State: NM

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

Lab Data: Chest and shoulder xrays (unremarkable/negative for fracture) 1/25 @ 17:47, borderline EKG 1/25 @ 17:16. Left AMA

Allergies: No known allergies

Symptoms: Patient complained of pain in left shoulder radiating to left chest 4/10 and nausea immediately following injection. Response Team called. Chest pain at the side 5/10. Taken to the ED via wheelchair at 1700. No rash, no swelling of lips/tongue or throat.

Other Meds: None

Current Illness: None

ID: 0979480
Sex: F
Age: 65
State: TX

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: Sulfa Celebrex bee stings

Symptoms: Swelling, redness (about 3 inches in diameter), pain, itching at injection site This improved after about 5 days but has worsened again with more redness than before

Other Meds: Metformin Linzess Vitamin D Multivitamin

Current Illness:

ID: 0979481
Sex: F
Age: 70
State: WA

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

Lab Data:

Allergies:

Symptoms: Mild soreness at injection site. Lasted about 24 hours.

Other Meds: Amlodopine, Celexa, vitamins, glucosamine

Current Illness: None

ID: 0979482
Sex: F
Age: 47
State: CA

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

Lab Data:

Allergies: None

Symptoms: Moderate Nausea, chills, fever x 2 days, extreme fatigue x 4 days, moderate ongoing injection site pain. Headache.

Other Meds: Bupropion 125 mg

Current Illness: Covid-10

ID: 0979483
Sex: F
Age: 55
State: IL

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: ekg, rhythm strip, cbc, metabolic panel, rapid covid test

Allergies: n/a

Symptoms: fatigued, short of breath, chills, first dose had similar reactions for one to two weeks

Other Meds: n/a

Current Illness: n/a

ID: 0979484
Sex: F
Age: 73
State: FL

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

Lab Data:

Allergies:

Symptoms: Fever 102.1 chills severe joint pain congestion weakness 3 days and continues but improving

Other Meds:

Current Illness:

ID: 0979485
Sex: F
Age: 24
State: FL

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

Lab Data:

Allergies: None

Symptoms: Systemic: Nausea-Medium, Systemic: Felt faint, but no loss of conscious-Medium; symptoms lasted 1 day

Other Meds:

Current Illness:

ID: 0979486
Sex: M
Age: 63
State: NY

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

Lab Data: None.

Allergies: Penicillin, HDCV Pre-exposure Rabies vaccine.

Symptoms: Lightheaded and dizzy, and elevated BP 180-100 one hour after injection. Monitored on-site for another 1/2 hour and BP remained high. Transported by ambulance to Hospital for further observation. Head cleared and BP came down to acceptable level about 8:00 PM. Released.

Other Meds: Symbicort 160.4.5 MCG Inhale

Current Illness:

ID: 0979487
Sex: M
Age: 83
State: MN

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

Lab Data: None. Instructed patient to notify his PCP.

Allergies: Lisinopril

Symptoms: First noted itchiness over L upper arm and when he looked at the area noticed it was red and "blotchy." Area is light red in color, warm to touch with induration, and measures 8 x 3.5 cm. He has tried using hydrocortisone cream over the area but states it has not reduced the itch.

Other Meds: Some may be PRN or used infrequently: Acetaminophen, low dose ASA, atorvastatin, brimonidine, calcium citrate/vitamin D3, fluocinolone, hydrocortisone, ketoconazole cream and shampoo, latanoprost, losartan, metformin, omeprazole, sennosides

Current Illness: None noted

ID: 0979488
Sex: F
Age: 36
State: AZ

Vax Date: 12/23/2020
Onset Date: 01/17/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: n/a

Symptoms: Splotchy red skin discoloration appeared on hand on the same arm vaccination was given in. The discoloration has not resolved to date.

Other Meds: n/a

Current Illness: n/a

ID: 0979489
Sex: F
Age: 80
State: NY

Vax Date: 01/17/2021
Onset Date: 01/24/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: 7 days after first dose I experienced itching, redness and swelling at the injection site. I applied ice and took Benadryl & have continued for 4 days. Redness and swelling abating as well as itching.

Other Meds: Restasis, Vitamin D3, 1000mg

Current Illness: None

ID: 0979490
Sex: M
Age: 55
State: NC

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

Lab Data:

Allergies:

Symptoms: Scattered mild Hives to bilateral antecubital area, with macular rash to upper arms and bilateral upper chest/clavicles.

Other Meds:

Current Illness:

ID: 0979491
Sex: F
Age: 68
State: MI

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

Lab Data: None

Allergies: CT dye

Symptoms: .On the way home after receiving vaccine, began to have feeling of facial flushing and swelling. No outward sign. Symptoms continued throughout the rest of the day. Mild headache, some nausea. No difficulty breathing, no fever, no hives or rash. General uneasy feeling. Next morning awoke with "fullness "in ears, with some ringing. Facial symptoms would come and go. On Sunday, two days after vaccine, I felt much better, facial symptoms better, ears still felt plugged. Could ear fine. On Monday , symptoms pretty much gone. I was in contact with primary physician through email/phone message. No treatment was necessary.

Other Meds: Atorvastatin; Losartan; Magnesium, Biotin, Vitamin D3

Current Illness: None

ID: 0979492
Sex: M
Age: 75
State: NC

Vax Date: 01/07/2021
Onset Date: 01/09/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: x-ray

Allergies: milk based products

Symptoms: Two days after vaccine c/o swollen ankle and excruciating pain at left knee. Has hx of injury to knee years ago.

Other Meds: omeprezole, aspirin, BP med

Current Illness: none

ID: 0979493
Sex: F
Age: 39
State: CA

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

Lab Data:

Allergies: Biaxin Penacillin Blueberries

Symptoms: approx. 1.5 hours after the vaccine, i started having slight difficulty breathing, wheezing, coughing and itchiness all over the upper body. I took a benadryl and the symptoms subsided about 45 minutes after taking the benadryl.

Other Meds: Zyrtec Collagen supplements

Current Illness: N/A

ID: 0979494
Sex: F
Age: 17
State: NY

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

Lab Data:

Allergies:

Symptoms: Adverse event in vaccinating patient less than 18 years old

Other Meds:

Current Illness:

Date Died: 01/01/2021

ID: 0979495
Sex: M
Age:
State: WY

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

Lab Data: none

Allergies: Amiodarone Mild Pulmonary fibrosis

Symptoms: No adverse events noted Patient past away was notified by Public Health the record is at Vital Statistics

Other Meds: Budesonide/formoter Fish Oil Aspirin Albuterol Terazosin Potassium Pantoprazole Metoprolol Metolazone Levothyroxine Furosemide Alopurinol Apixaban Lactobacillus Acidophilus

Current Illness:

ID: 0979496
Sex: F
Age: 30
State: MA

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

Lab Data:

Allergies: Aleve, blue dye

Symptoms: On Monday, January 25, 2021, at 11:40am I received the second dose of a series for the Pfizer COVID-19 vaccine. Over the course of the rest of that day, I began to develop a headache and mild neck soreness. That night, I slept poorly. When I awoke just before 5:00am the next day, Tuesday, January 26, I did not feel well. I was experiencing headache, malaise, nausea, myalgia, arthralgia, and low-grade fever. I called my supervisor around 5:30am that day and we decided it was best that I stay home to recuperate. Throughout the day, I mostly rested and slept, took Tylenol, and began to feel better in the mid-afternoon. I did call and leave a voicemail for hospital Employee Health around 1:30pm on Tuesday the 26th, but did not hear back. Today, Wednesday, January 27, I am feeling much better, and well enough to come to work.

Other Meds: OCP, multivitamin, omega-3

Current Illness:

ID: 0979497
Sex: M
Age: 73
State: IL

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

Lab Data: Lab works just ordered at this time reported date.

Allergies: NKA

Symptoms: Fever and elevated heart rate. MD made aware with an order to do stat CBC, BMP, UA/CS, CXR- 2 views. Ferritin, procalcitonin, D-Dimer, CRP, Vit. D level on 1/28/21 and check vitals Q 4 hours.

Other Meds:

Current Illness:

ID: 0979498
Sex: M
Age: 47
State: FL

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

Lab Data:

Allergies: No

Symptoms: Systemic: Headache-Medium, Systemic: Warm, flush feeling at forehead; symptoms lasted 1 day

Other Meds:

Current Illness:

ID: 0979499
Sex: F
Age: 84
State: PA

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: N/A

Allergies: NKA per pharmacy profile

Symptoms: PATIENT REPORTS ONSET OF MIGRAINE HEADACHE TYPE SYMPTOMS BEGINNING DAY FOLLOWING IMMUNIZATION (DATE OF IMZ, 1/22/21, ONSET OF SYMPTOMS 1/23/21). PATIENT VERBALLY REPORTED SYMPTOMS OVER TELEPHONE EVENING OF 1/26/21 INDICATING THE HEADACHE HAD BEEN ON/OFF SINCE SATURDAY 1/23/21. RECOMMENDED PATIENT CONTACT HER PCP FOR FURTHER FOLLOW UP.

Other Meds: Per pharmacy medication profile: levothyroxine 88 mcg daily , lorazepam 0.5 mg once nightly prn anxiety, citalopram 20 mg once daily, simvastatin 10 mg once daily

Current Illness: Unknown, no illness at time of vaccination.

ID: 0979500
Sex: M
Age: 79
State: WI

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

Lab Data:

Allergies:

Symptoms: Writer administered vaccine using manufacturer pre-assembled needle-syringe. Upon administration, some of the vaccine leaked out between the syringe and needle hub, enough to form a drop of vaccine on patient's arm.

Other Meds:

Current Illness:

ID: 0979501
Sex: F
Age: 63
State: OK

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

Lab Data: negative flu and covid test

Allergies: Sulfa

Symptoms: Client immediately "felt like a ball was rolling up my neck, left side of face, throat pain, runny nose and trouble swallowing." She denies SOB or any breathing difficulties. 1/5/21 Seen in urgent care and dx with sinus infection. Given Amoxicillin for 10 day. Runny nose continued. Seen in urgent care on 1/23/21 and started on doxycycline and prednisone. Says today is the first day she has felt better. She was due for her 2nd vaccine today but is not going to take it.

Other Meds: None

Current Illness: none

ID: 0979503
Sex: M
Age: 48
State: AZ

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

Lab Data:

Allergies:

Symptoms: Exhaustion, chills, body aches, headache temperature oral 101-102.8

Other Meds:

Current Illness:

ID: 0979504
Sex: M
Age: 65
State: WI

Vax Date: 01/09/2021
Onset Date: 01/15/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: EKG, LABWORK, CTA, CT WITH PERFUSION

Allergies: Sulfa, (gets a rash), Gluten, Dairy

Symptoms: 1ST EPISODE, 01-15-21 10AM, it happened at the hospital where I work. I was walking flight of steps when i felt i was not getting enough air, i went to sat down and was unable to recover and went to the therapy office to sit down, where a coworker said i didn't look good, my BP 148/92. I felt sleepy, global weakness throughout my body. they took me to the ER where i had an EKG, CBC, thyroid test, angiogap glucose test. The EKG was normal and I stayed about 6hrs in the ER but went home. As the day passed my BP was 122/88 when i got home. I wore a holter monitor for 5 days but don't have results yet. I felt fine for the next 6 days. SECOND EPISODE 01-21-21; i woke up at 5am feeling so sad with despair and feelings of loneliness. I went to work 11:45am, felt fine, sat down to do some work on my computer and I could feel it come up again, went to nurse station and checked my BP 144/90, i could feel my heart pounding and went to the ER again. I felt super foggy and unable to process things. They did a CTA of my neck and chest and a CT with perfusion which was normal. They did lab work and all was normal. THIRD EPISODE 01-25-2021, i was at home happened around 9am, felt fine all morning and then i felt another episode come again. Same symptoms just not as dense as before and texted my wife. I had body aches, felt like I had the flu. I saw my PCP 01-25-2021 (same day as my third episode)and set up an appointment with a neurologist.

Other Meds: Methylphenidete extra release40mg QAM, Abilify 2mg every three days, multi-vitamins, vitamin D, focus factor supplement

Current Illness:

ID: 0979505
Sex: F
Age: 28
State: NY

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

Lab Data:

Allergies: avelox, penicillin

Symptoms: chills, shaking, fatigue

Other Meds:

Current Illness: N/A

ID: 0979506
Sex: F
Age: 53
State: MN

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

Lab Data:

Allergies:

Symptoms: Systemic: Chills-Severe, Systemic: Exhaustion-Severe, Systemic: Generalized Body Aches -Severe, Systemic: Headache-Medium, Systemic: Nausea-Medium, Systemic: Vomiting-Medium, Systemic: tachycardia, trouble breathing-Severe

Other Meds:

Current Illness:

ID: 0979507
Sex: F
Age: 34
State: MI

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

Lab Data: none

Allergies: n/a

Symptoms: Fever, Chills, body ache , headache

Other Meds: n/a

Current Illness: n/a

ID: 0979508
Sex: F
Age: 24
State: MA

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

Lab Data: None

Allergies: None

Symptoms: The vaccine was administered on the following date: 1/19/21 and at approximately the following time: 10:30 AM She works at medical and received vaccine there. She waited the 15 mins and felt fine. Left work at 1 pm. Had blood taken at health clinic for her annual clinic, no meds or testing just a routine blood draw. She was actually working out when the symptoms developed while she was boxing at her gym. She didn't really realize what was happening, felt a little bit confused. At 4:30 pm she developed difficulty breathing and wheezing, eye swelling (swollen shut), lips with burning and tingling and swelling, hands were swelling with shortness of breath and throat tightness. She noted a rash on the arm that was flat and red (looked like a pattern on her arms). This rash was not raised. She vomited 2 times at the gym. Her boyfriend picked her up and took her to the ED. ED Note: "According to the patient, she was otherwise in her normal state of health and received the moderns COVID-19 vaccine earlier this morning at approximately 1030. Reports feeling largely well over the course the afternoon, ate a salad for lunch but nothing out of the ordinary for her. Patient states that she was going to the gym at approximately 4 PM she began to develop diffuse itching and rash. Over the minutes that followed she also began develop some perioral edema and swelling around her eyes. Also states that her chest felt somewhat tight and had a dry cough. Due to concern for allergic action, called an car service was brought immediately to the emergency department for further work-up and evaluation." Initial vitals: HR 153 BP 99/56 RR 24 SpO2 96%. Exam with diffuse erythematous rash on trunk, neck and upper extremities. Peri-occular and peri-oral edema. No tongue swelling. No wheeze. Treated with epi, IV benadryl and oxygen. She was observed for 6 hours and all symptoms resolved, except for some eye puffiness. The eye puffiness lasted for 2 days. Discharged home. No tryptase level sent. She had never had a severe allergic reaction in the past.

Other Meds: lamictal wellbutrin

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm