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: 0984997
Sex: F
Age: 53
State: OH

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

Lab Data: Per employee, had labs through her PCP and is seeing a GI specialist. Her lab work is available through her PCP or specialist.

Allergies: morphine;Itch. clpro; n/v/d. Percocet. n/v

Symptoms: 12/29/2020 Day one; sore arm, headache, aches/pains. Worsening symptoms over serval days; developed severe abdominal cramping and diarrhea on 1/2/2021 and 1/3/2021 with more intense, myalgia/arthralgia. Saw MD. (1/8/2020) still had all symptoms. Prescirbed codeine cough medicine and prednisone. All Labs drawn 1/6/2021.. Reported elevated inflammatory markers. CT scan (1/9/2021) showed acute Ulcerative collitis.. Hx. of diverticulitis. Given antibiotics and prednisone. Still having symptoms, seeing GI specialist. Unable to work. "I thought I had COVID and was tested; it was negative." (1//4/2021) Still having abdominal pain, cramping, diarrhea and fatigue when checked on for an update on 1/15/2021.

Other Meds: synthroid 112mcg daily; estratest 1.25/2.5 daily. Omeprazol

Current Illness: none

ID: 0984998
Sex: F
Age: 42
State: WI

Vax Date: 01/12/2021
Onset Date: 01/16/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None

Allergies: PCN

Symptoms: Pt diagnosed with Bell's Palsy 3 days after receiving dose

Other Meds: Allegra 180 mg

Current Illness: None

ID: 0984999
Sex: F
Age: 44
State: MT

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

Lab Data:

Allergies: Latex

Symptoms: Lower right eye, where I received facial filler in November 2020, is grossly swollen and partially obstructing my field of vision. It?s painful, swollen and looks bruised. I also received expected side effects: fever, painful swollen joints, full body aches, migraine.

Other Meds: None

Current Illness: None

ID: 0985000
Sex: F
Age: 45
State: MO

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

Lab Data:

Allergies:

Symptoms: Severe body aches; headache; fatigue; red, lacy rash on neck, arm injection was given and stomach. Rash started 1/27 and I still have the rash today 1/28/21.

Other Meds:

Current Illness:

ID: 0985001
Sex: F
Age: 19
State: IN

Vax Date: 01/20/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: injection site swelling. 2 in by 1.5 in in diameter, red and itchy. hard to touch, visible rounded lump on R upper arm. I noticed it yesterday morning and the swelling has not gone down since.

Other Meds: daily multivitamins

Current Illness: none

ID: 0985002
Sex: F
Age: 64
State: CO

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: Wasp stings, some shellfish and Copaxone

Symptoms: Injection site soreness and urticaria beginning at 3:30pm. Took 50mg of liquid Benadryl followed with 25mg four hours later. Urticaria disappeared. Six days later, the injection site soreness is worse with tenderness and heat extending to the elbow and shoulder blade. Am taking Naproxen.

Other Meds: None

Current Illness: None

ID: 0985003
Sex: F
Age: 66
State: OH

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

Lab Data:

Allergies:

Symptoms: FEVER 101 DEGREES, CHILLS, MUSCLE ACHES, FATIGUE, HEADACHE

Other Meds: ESTRADIOL, HCTZ

Current Illness:

Date Died: 01/27/2021

ID: 0985004
Sex: F
Age: 58
State: MI

Vax Date: 01/08/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: Codeine Penicillin V

Symptoms: The week of 1/18/2021 The patient complained of Abdominal pain and called off work (we are also her employer) She was seen for constipation on 1/20/2021. Employee returned to work on 1/25/2021 Had occasional episodes during work where she would sweat and become tired but would rest until she felt better. On the Night of 1/27/2021 she was feeling fine no issues, later in the shift a co worker found her unresponsive, CPR was initiated but unsuccessful.

Other Meds: None

Current Illness: none

ID: 0985005
Sex: F
Age: 76
State:

Vax Date: 01/17/2021
Onset Date: 01/24/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Itchy rash at injection site, started one week after 1st Covid inoculation (Jan 24). Still present as of Jan. 29, 2021. Lymph node under arm is swollen and sore. Rash is not infected, only itchy. Saw doctor Jan 26 who said it was either cellulitis or shingles. Saw second doctor Jan 27 recognized it as Covid arm. I wish this had been noted as a side effect on the web. I could have saved myself both the cost and potential Covid exposure from two different doctors' visits. Also, it would be nice to know if this is a delayed allergic reaction to vaccine components or a beneficial reaction by the immune system.

Other Meds:

Current Illness:

ID: 0985007
Sex: F
Age: 42
State: IN

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

Lab Data: None

Allergies: None

Symptoms: Localized swelling, redness and warmth with intense pain at injection site. Took ibuprofen and Benadryl which helped relieved symptoms

Other Meds: Fluoxetine bupropion

Current Illness: None

ID: 0985008
Sex: F
Age: 60
State: GA

Vax Date: 01/13/2021
Onset Date: 01/22/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: Rapid Covid and Flu A-B test done on January 25 (day 12). Both were negative.

Allergies: Sulfa Drugs

Symptoms: Fatigue started on Day 10. Fever Day 11-12 (as high as 102.3). Fatigue through day 15. Rash on left art at injection site day 15. Severe headache on day 11. Mild nausea on day 12.

Other Meds: Estradiol .5mg Medroxyprogesterone 2.5 mg Tru Nature Probiotic Vit D Xyzal

Current Illness: None

ID: 0985009
Sex: M
Age: 2
State: NJ

Vax Date: 12/08/2020
Onset Date: 12/12/2020
Rec V Date: 01/29/2021
Hospital: Y

Lab Data: tons of blood work done since january 3rd, january 15th,19th,20th, and some still pending

Allergies: none known allergies

Symptoms: after the vaccine he had a fever of 104 it went away. came back exactly a week later on december 12th 2020, pediatrician advised us to have him covid tested. I took him to be tested at an urgent care and he tested positive. He was fine with only a runny nose. on December 14th he started doing thing hes never done before. He was walking on his toes, afraid when the dogs bark, but more so concerning was the new mouth movements he had been doing with his mouth almost like a lock jaw that he had no control over. He was showing more signs of reggressive autism, From December 12th on he had non stop fevers that were daily and would not go away. A new symptom would appear everyday. He was limping one day, His speech was off, He had nausea, constant head aches and back pain and muscle pain. I continued to call the pediatrician. They continued to say it was covid lingering but i new it was not and something more was going on. He had been hospitalized numberous of times only to be sent home. We have an infectious disease, cardiologist, rheumatologist, a neurologist and neurodevelopmental involved now as well to be tested for autism. He has always reacted horribly to vaccines and the pediatrician at the time made it seem like these were all normal. not knowing until now that he may have an autoimmune disease.

Other Meds: smarty pants multivitamin

Current Illness: none.

ID: 0985010
Sex: F
Age: 42
State: MO

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Nausea, temperature, weakness, and muscle pain.

Other Meds:

Current Illness:

ID: 0985011
Sex: M
Age: 58
State: UT

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache, body ache, fatigue for 24 hrs. Swollen lymph glands in left armpit still

Other Meds:

Current Illness:

ID: 0985012
Sex: M
Age: 21
State: TN

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

Lab Data: none

Allergies: lactose

Symptoms: High fever, 104 degrees Aches Chills Headache

Other Meds: none

Current Illness: none

ID: 0985013
Sex: F
Age: 33
State: MI

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

Lab Data:

Allergies: Na

Symptoms: Fever chills body aches nausea

Other Meds: Tylenol

Current Illness: Fever,chills,body aches stomach hurting, nausea

ID: 0985014
Sex: F
Age: 51
State: OH

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

Lab Data: none

Allergies: Morphine

Symptoms: low grade fever, body aches, and horrible teeth pain

Other Meds: Ibuprofen

Current Illness: None

ID: 0985016
Sex: F
Age: 31
State: IL

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

Lab Data:

Allergies: n/a

Symptoms: migraine, soreness in arm, unable to lift arm or turn head, whole body aches, extreme chills, slight nausea

Other Meds:

Current Illness: no

ID: 0985017
Sex: F
Age: 69
State: FL

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

Lab Data: None

Allergies: Idodine based contrast, inapsine, morphine, reglan

Symptoms: Profound fatigue and some shortness of breath

Other Meds: Too many to detail here.

Current Illness: None

ID: 0985018
Sex: F
Age: 34
State: IN

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

Lab Data:

Allergies: Lactose intolerant

Symptoms: Fatigue, arm pain, contractions (baby due date 7/30/2021)

Other Meds: Zyrtec, fluoxetine, levothyroxine, prenatal vitamins, low dose aspirin, amlodipine, diclegis

Current Illness: 1st COVID 19 vaccine dose

ID: 0985019
Sex: F
Age: 34
State: IN

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

Lab Data:

Allergies: Cefazolin

Symptoms: 12-16 hours after administration 102 fever, body aches and headache. Hovered between 99-102 for 24 hours with Motrin. Fever subsided after 24 hours. Still slight Headache.

Other Meds:

Current Illness:

ID: 0985020
Sex: F
Age: 31
State: MA

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None - advised nurse at OBGYN and they told me hydrate.

Allergies: None

Symptoms: 24 weeks pregnant due 5/11/21, unknown birth weight Symptoms started as sharp stomach pains around belly button which I believed to be constipation or gas due to pregnancy. I began to feel nauseous around 6-6:30 on the night of 1/21/21 (vaccine administered on 1/20/21). I then began vomiting until approximately 8:00 pm. The nausea persisted until some point in the night, but I fell asleep so I?m unsure when. Stomach pain persisted the same as the nausea.. woke up next morning feeling much better, but dehydrated. Still unsure if stomach pain is related, but positive the nausea and vomiting was from vaccine.

Other Meds: Zofran, prenatal vitamins

Current Illness: None

ID: 0985022
Sex: F
Age: 30
State: NH

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: dustmites

Symptoms: the morning following the second dose of the vaccine I awoke with a terrible headache, felt nauseated all day (didn't vomit), and felt exhausted. I had to take the day off work and slept most of the day. I also had terrible muscular pain at the sight of the injection (L deltoid). Tylenol helped with the arm pain. I had absolutely no side effects with the first dose.

Other Meds: multivitamin

Current Illness: none

ID: 0985023
Sex: F
Age: 37
State: MI

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

Lab Data: None

Allergies: Penicillin

Symptoms: Fever 102.5, body aches, chills, HA, dizziness

Other Meds: None

Current Illness: None

ID: 0985024
Sex: M
Age: 31
State: TX

Vax Date: 01/23/2021
Onset Date: 01/25/2021
Rec V Date: 01/29/2021
Hospital: Y

Lab Data: EKG = Normal Troponin = Elevated, but falling over the course of several hours. Echocardiogram = Heart structures and function normal. Cardiologist diagnosed myopericarditis. Full labs and tests available on request.

Allergies: None

Symptoms: 13 hours after injection: Typical chills, body aches, cold sweats lasting 24 hours. Relief with Acetaminophen and Ibuprofen. On 1/25/21 around 4:00 PM: Following intercourse, shortness of breath and mild chest pain. Unable to go for walk with son and wife due to fatigue and mild chest pain. Discomfort ameliorated with rest. On 1/26/21 around 6:00 AM: Shortness of breath and chest pain in shower with minimal effort. Pulse around 140 BPM. Drove to ER for workup. Transferred to hospital for admission.

Other Meds: None

Current Illness: None

ID: 0985025
Sex: F
Age: 27
State: MI

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None

Allergies: Medications: Alleve Food: Gluten Other: Latex

Symptoms: Feeling hot and flushed then suddenly so cold I was shaking. Massive headache, body aches, sore throat, cough, congestion, and sinus pressure.

Other Meds: Wellbutrin XL Cryselle

Current Illness: A slight head cold (runny nose/sore throat)

ID: 0985026
Sex: F
Age: 64
State: MI

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

Lab Data:

Allergies: Tegretol, Sulfa, Dilantin

Symptoms: She described feeling of shortness of breath and self-administered Albuterol inhaler (home med). Continues feeling short of breath, now with chest heaviness. BP 148/74, HR 123, RR 26, p.ox 100%. Sent to critical bed immediately on report of chest heaviness. Treated with Prednisone, Claritin, Famotidine

Other Meds: Albuterol

Current Illness:

ID: 0985027
Sex: F
Age: 63
State: VA

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

Lab Data: None

Allergies: Seasonal only

Symptoms: Chills, body aches, joint pain, back pain, tooth pain, lost sense of taste, headache

Other Meds: Vitamins

Current Illness: None

ID: 0985028
Sex: M
Age: 28
State: DC

Vax Date: 10/12/2020
Onset Date: 10/12/2020
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: This member received 2 doses in the same season.

Other Meds: Zyrtec 10mg PRN

Current Illness: Seasonal Allergies

ID: 0985029
Sex: F
Age: 40
State: CA

Vax Date: 01/16/2021
Onset Date: 01/24/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None

Allergies: N/A

Symptoms: Sunday (8 days after vaccine) noticed a red 1 inch round rash near injection site. No pain, no itch. Monday (9 days after vaccine) it had grown to approximately 4 inch rash on left arm. It continued to grow the next few days and seemed to slip (move) down my arm the next few days. My doctor had prescribed antibiotics and on day 12 the rash seems to be going away.

Other Meds: Mirena (IUD) Vitamins: C, Magnesium, Calcium/D, CoQ10, B-12, Collagen Complex, Turmeric Curcumin, glucosamine chondroitin , Zinc

Current Illness: N/A

ID: 0985030
Sex: F
Age: 45
State: ME

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: Observation in ED for 2 hours

Allergies: 0

Symptoms: feeling of throat closing/HTN/drop in O2 sat, itchy throat dizziness

Other Meds: 0

Current Illness: 0

ID: 0985031
Sex: F
Age: 32
State: IN

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

Lab Data: None

Allergies: None

Symptoms: Arm very sore ~12 hours after injection. Chills, hot sweats, body aches, and headache through the night unable to sleep due to side effects. Day after vaccine achy and tired. 2 days after vaccine feel back to normal.

Other Meds: Cryselle

Current Illness: None

ID: 0985032
Sex: F
Age: 26
State: IN

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

Lab Data:

Allergies: None

Symptoms: Body aches, upset stomach, mild chills: lasted ~8hrs Headache: lasted ~12hrs Sore arm (injection site): ~42+hrs (still mild discomfort at this time)

Other Meds: Birth control vaginal ring (off-brand Nuva ring)

Current Illness: None

ID: 0985033
Sex: F
Age: 72
State: GA

Vax Date: 01/19/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: One week after Covid shot, red itchy rash at injection site. It is warm to the touch. This is second day of reaction.

Other Meds: xeralto, metoprolo, lyscyipril hct, etodolac, Flonase, calcium, trazadone, sertraline, multiple vitamin

Current Illness: none

ID: 0985034
Sex: F
Age: 30
State: MA

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

Lab Data: None

Allergies: Penicillin

Symptoms: Flushed face and tingly face and neck starting 3 or 4 hours after injection. Sharp, tingly pain at each joint on the arm where I received the vaccine every time I moved it (shoulder, elbow, wrist, each join in all my fingers) starting 3 or 4 hours after the injection.

Other Meds: Birth control, woman?s daily vitamin

Current Illness: None

ID: 0985035
Sex: F
Age: 25
State: IN

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

Lab Data: none

Allergies: Clindamycin Bactrim

Symptoms: Extreme Fatigue/weakness Low Grade Fever Body aches/joint pain muscle pain/stiffness/cramping Cold chills Sensitivity to cold temperatures Abdominal Pain Severe headache/pressure Sinus pressure ear pain high Heart Rate (above 100bpm for more than 10 minutes while inactive) nausea Cognitive issues Sore arm at injection site/hot to the touch at injection site slight cough short of breath nasal congestion

Other Meds: Cephalexin Capsule Desvenlafaxine ER 100mg Oral Tablet Sprintec Birth Control Oral Tablet

Current Illness: Urinary Tract Infection

ID: 0985036
Sex: M
Age: 84
State: VT

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

Lab Data:

Allergies:

Symptoms: Utilizing the ancillary supply needle/syringe combo - while administering vaccine, vaccine noted to leak out between the needle/syringe connection. Amount that leaked out unknown, client reported, "feeling a drop run down his arm".

Other Meds:

Current Illness:

ID: 0985037
Sex: M
Age: 80
State: DE

Vax Date: 01/20/2021
Onset Date: 01/26/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None.

Allergies: None

Symptoms: Very itchy rash at injection site. Showed up 6 days after vaccine was administered. Somewhat improved three days later.

Other Meds: Quinapril Flomax Oxybutynin

Current Illness: None

ID: 0985038
Sex: F
Age: 40
State: MA

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

Lab Data: None at this time

Allergies: None

Symptoms: Vaccine taken at 6:30 am. Soreness in left arm started around 8-8:30. Felt tired all day but after a nap around 11:30ish felt nauseous, ate to try and calm it but it got worse throughout the day especially at night around 9pm finally relaxed enough to fall asleep, woke up at 7am feeling more nauseous than yesterday with a bad headache located in the front of my head not throbbed but constant. Laying down just felt really sick so I called my doctor around 9:15am.

Other Meds: None

Current Illness: Migraine headaches

ID: 0985039
Sex: U
Age: 34
State: MI

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

Lab Data:

Allergies: Latex, fish, Imuran

Symptoms: Approximately 10-15 minutes after injection, she developed tachycardia with documented BP 181/93, HR 153, Resp 24, p.ox 99% in clinic area. Taken to emergency critical care bed.

Other Meds:

Current Illness: None

ID: 0985040
Sex: F
Age: 41
State: NY

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: 1/16/21- EKG NSR 1/16/21 FS glucose 93 AT dtmo 1/16/21 fs glucose 60 at NYU E.D. (per pt.)

Allergies: no known allergies

Symptoms: Pt. Was seen for covid-19 vaccination on 1/13/21. She presented to observation at 12:29pm for her 15 minute observation. Between 12:34-12:38pm pt. Endorsed sudden onset of dizziness and chills. I called for RN assistance who obtained VS and I began clinical assessment. Pt. Denied CP, SOB, DOE, difficulty swallowing was reported. She was able to speak in full sentences, no audible wheezing, facial swelling, one sided weakness or difficulty with speech production. On exam: breath sounds clear, pt. diaphoretic, cool to touch, visible pallor. She denies prior allergic rxn to vaccinations, denies daily medication. Reports medical hx including Sj?gren's syndrome and psoriasis. She reports eating breakfast (meal&juice) prior to vaccine administration. Denies allergies to food or medications. 12:40pm: BP 60/49, pulse 81, 02 sat 100%, RR 16. Repeat BP 60/33, rapid response (code blue) was called. Pt assisted transferred to clinical reclining chair, placed in supine reclining position, fluids started (500 bolus NS),FS glucose 93, and EMS called. Patient remained a&o x3, no syncope. 12:46-12:50pm: reported onset of stiffening of hands and l/e. below the knee. AROM remained intact in extremities. Approximately 12:56pm EMS arrived, EKG WNL (per EMS), patient able to ambulate with assistance from reclining chair to EMS transport chair. Approximately 12:58pm BP 93/47. Pt. was stabilized in DTMO following 500 mL NS, BP 92/54 prior to departure to ED at 1:05pm. RN contacted pt. Emergency contact (as documented in RN note) with EMS arrival and prior to ED departure. Pt. Belongings were collected, including cellular phone, and placed in patient belonging bag and given to patient prior to her departure. RN will follow up with patient tomorrow and schedule in office follow up. PCP notified per rapid response report.

Other Meds: None, per pt.

Current Illness: pt. denied illness at the time of vaccine or up to 1 month prior

ID: 0985041
Sex: F
Age: 24
State: VA

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

Lab Data: None

Allergies: Seafood, Sulfa drugs

Symptoms: Nausea, vomiting, diarrhea, headache, fatigue, muscle soreness

Other Meds: Birth Control Pills, Paxil

Current Illness: No

ID: 0985042
Sex: F
Age: 55
State: CA

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: none

Allergies: nka

Symptoms: Symptoms: Leg & Body Aches; Temp. 100.1; Heart Rate above 110's; Headache; weakness, lasting 2 days.

Other Meds: none

Current Illness: none

ID: 0985043
Sex: F
Age: 43
State: FL

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: none

Allergies: Cats

Symptoms: at 12 midnight 1/27/2021 I started with the Chills, and Joint pain, Fever, dizzy spells, and on 1/29/2021 started with left side facial inflammation and pulsing pain from head to left eye. I called my Employee Clinic and they stated to call and recording says to fill out reaction report

Other Meds: Metformin, Allegra, Vit D, Prenatal,

Current Illness: none

ID: 0985044
Sex: M
Age: 68
State: NC

Vax Date: 01/20/2021
Onset Date: 01/25/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None

Allergies: Timothy grass, IVP dye, erythromycin

Symptoms: Shingles despite having had shingles vaccine (Shingrex) completed two years ago

Other Meds: Amlodipine, Lisinopril, metoprolol, sodium bicarbonate, metformin, meloxicam, gabapentin, myrbetric, montelukast, zolpidem, coenzyme Q10, glucosamine chondroitin, sublingual allergy drops

Current Illness: None

ID: 0985045
Sex: F
Age: 57
State: VA

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: penicillin, amoxicillin mold, seasonal, animals

Symptoms: COVID-19 Vccine stomach aches, low fever, headaches, general malaise for 3 days. Currently, I am still having stomach aches all day/night.

Other Meds: Ventolin (as needed) Prozac (10mg/1xday) Singulair (10mg/1xday)

Current Illness:

ID: 0985046
Sex: F
Age: 57
State: PA

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

Lab Data: none

Allergies: none

Symptoms: headache like a migraine

Other Meds: multi vitamin

Current Illness: none

ID: 0985047
Sex: F
Age: 64
State: MI

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

Lab Data: ECG, chest x-ray

Allergies: ARBs, Diphenhydramine, Desloratadine, Coconut oil, nuts

Symptoms: Patient was at end of 30 minute monitoring and stated she "felt off, my throat feels dry." Able to sip water. Continuously monitored for additional 10 minutes when she stated her throat felt tight. BP 150/85, HR 97, RR 20, p. ox 99%. Sent to critical bed in emergency. Epinephrine, Solu-medrol, and normal saline given. Monitored until 11:18 (3.5 hours from onset) and discharged.

Other Meds:

Current Illness: none

ID: 0985048
Sex: F
Age: 34
State: RI

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: Penicillin z pac

Symptoms: Fever up to 104, body aches, chills, headaches Tylenol and Motrin alternated every 5 hours Symptoms started on Wednesday 1/27/21 @ 2am and finished on Thursday morning 1/29/2021

Other Meds: Wellbutrin XL Multivitamin Zyrtec

Current Illness:

ID: 0985049
Sex: F
Age: 29
State: IN

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

Lab Data:

Allergies: N/a

Symptoms: Chills and aches started about 8-9 hours after vaccine (10-11pm). Chills and likely fever all night. On 1/28 at 6:15 am, fever 101, vasovagal syncopal episode and nausea. Took Tylenol at 6:30am and drank fluids. Temperature down to 99.7 by 8:30am, 99.6 at 1pm, 99.0 at 10pm on 1/28 (day after vaccine). Headache and fatigue on 1/28 also.

Other Meds: prenatal vitamins, zertec PRN

Current Illness: breastfeeding mom

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm