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**
PLEASE CHECK BACK SOON
Download the files above while you wait.







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: 0987073
Sex: F
Age: 44
State: PA

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

Lab Data: None

Allergies: Pollen, Septran, Penicillin, Amoxycillin

Symptoms: Fever (101-102 deg F), chills, whole-body joint pains (odd localized neck and back pains), could not work, had to sleep 9 pm + and next day. Felt giddy with high fever when visiting the bathroom. Recovered after 1.5 days.

Other Meds: None

Current Illness: None

ID: 0987074
Sex: M
Age: 73
State: TX

Vax Date: 01/08/2021
Onset Date: 01/19/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: Basic metabolic panel CBC w/ differential All ok

Allergies: Penicillin Sunflower seeds Some adhesive tape

Symptoms: Rash over 50% of body and getting worse Stared around 11:00am. 50% covert by 10:00pm Went to ER Treated with Benedryl, Pepcid, Soul Medrol by I V

Other Meds: A Lodi pine 5 mg Losartan/hot 100

Current Illness: None

ID: 0987075
Sex: F
Age: 57
State: FL

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None at this time.

Allergies: None Known

Symptoms: Initial symptoms started with itching on right arm, then all over. She used Benadryl with no relief. Then Used Calamine Lotion with no relief. Then noticed about a week later started with a rash on multiple sites in various parts on entire body. Then Pain started all over body aches. Especially in groin region and it moves. Headaches started approx. 10 days later and using Aleve with no improvement, then Motrin with some improvement. Rash continues.

Other Meds: Omega 3 Heart Smart Vitamin Probiotic

Current Illness: None

ID: 0987076
Sex: F
Age: 27
State: WA

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Approx 12 hours after 2nd covid vaccine, patient developed myalgias in arm, armpit, neck, progressing to 'large' - 2cm? tender lymph node in left anterior cervical chain with pain radiating to axilla. T max 100.1 on day 2. Pain/chills resolved with NSAIDs. Over the next 14 days, lymphadenopathy slowly decreased in size. On day 14, she presented to clinic with persistent non tender lymph node, 1cm in size, mobile without c/f infection. Expectant management advised. Reaction reported due to duration of LAD; appears to be on average 10 days.

Other Meds: vyvanse 40mg

Current Illness:

ID: 0987077
Sex: M
Age: 65
State: FL

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: Gluten

Symptoms: Sore arm

Other Meds:

Current Illness:

ID: 0987078
Sex: F
Age: 55
State:

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

Lab Data:

Allergies:

Symptoms: "I received my second COVID vaccine on 1 20/2021 at 1100. (Pfizer) At 2100 I had a slight headache and body aches and went to bed. I slept poorly and felt as though my heart was racing overnight. When I awoke at 0700 on 1/21/2021, I felt very lightheaded with sitting upright at the side of my bed and ""blacked out""/lost my vision, but was still conscious. I proceeded to lie back down on my bed. I began to feel nauseous and again attempted to sit up to go to the bathroom. I again blacked out. I lowered myself to my bedroom floor and laid there to rest for several minutes and then crawled to my bathroom. I began retching and had emesis of frothy sputum. I then felt the urgent need to have a BM and sat on my toilet, but was again lightheaded. I bent forwards to not pass out and completed the task and then laid down on my bathroom floor to recover. I was gradually able to crawl down the stairs and located my cell phone and contacted a friend. I pulled myself up to my couch and sat for some time. I checked my BP and it was WNLs, but low for me, as I generally take 2 antihypertensives in the AM. I did not take them at all on the 21st. I gradually was able to walk to the kitchen and drank several glasses of water and tea. In addition to these symptoms, I had severe pain up and down my spine, in my knees, shins and buttocks. I applied Thermacare heating pads to my occiput and sacrum. I had no appetite and was very lethargic, napping for nearly 6 hours, on and off. I took Tylenol later in the day when I was able to eat a banana and yogurt. By evening, I had a headaches and body aches, but no more dizziness. When I awoke 1/22/2021, I was not dizzy, but my head felt ""huge"" and ""off"". My body continued to ache severely and I was unable to come to work. Tylenol helped diminish the pain slightly. I was again very fatigued. I did not leave my house, feeling unsafe to drive. By 1400 I felt better and was able to eat dinner that evening. I finally felt safe to take a shower Thursday PM 1/23 I awoke at 0615 to work. I was able to work until 1700, feeling fatigue, but no other symptoms. I did take Naproxen prior to coming to work for low back pain"

Other Meds:

Current Illness:

ID: 0987079
Sex: F
Age: 37
State: AR

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

Lab Data: none

Allergies: unknown

Symptoms: headache, fever, chills

Other Meds: unknown

Current Illness: unknown

ID: 0987080
Sex: M
Age: 80
State: PA

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/29/2021
Hospital: Y

Lab Data: Work up at Hospital revealed progressive respiratory failure and pneumonia requiring intubation and progressive ascending weakness and sensory loss without upper motor neuron changes. MRI : nerve root enhancement LP : protein 40, +/- 80 lymphocytes, cultures negative B 12 and B6 normal extensive CSF testing still pending campylobacter and Musk antibodies negative Neurology diagnosed likely AIDP (Guillain-Barre) and an EMG is planned for the near future. His progression and physical exam were classic for GBS Neurology felt the cause of his GBS was likely his covid infection verses his Moderna vaccination He was treated with plasmapheresis.

Allergies: none

Symptoms: Client developed a mild covid infection 12/8/21 and recovered. He was admitted 12/25 with hypogycemia and mild weakness and sent home He was given his first dose of the Moderna vaccine 1/4/21 at approximately 9AM covid vaccine clinic He developed weakness the next day (1/5) prompting admission to a hospital and then transition to subacute rehabilitation briefly Work up at hospital revealed progressive respiratory failure and pneumonia requiring intubation and progressive ascending weakness and sensory loss without upper motor neuron changes. MRI : nerve root enhancement LP : protein 40, +/- 80 lymphocytes, cultures negative B 12 and B6 normal extensive CSF testing still pending campylobacter and Musk antibodies negative Neurology diagnosed likely AIDP (Guillain-Barre) and an EMG is planned for the near future. Neurology felt the cause of his GBS was likely his covid infection verses his Moderna vaccination He was treated with plasmapheresis. Client received dexamethasone, remdesivir, and zosyn and doxycycline when progressive leukocytosis and procalcitonin elevation was noted. Candida was cultured from tracheal aspirates but felt most likely d/t colonization with an option to treat further if he did not continue to improve. He is now extubated, unable to swallow and has profound weakness and distal sensory loss. He will transition to Acute rehab in the near future. Comorbidities:as described in the above section and... DM2, CKD3, HTN, DJD, BPH ( h/o prostate surgery), h/o Lumbar surgery and hernia repair, GERD, hypothyroidism, hyperlipidemia. Possible etiologies of his AIDP ( GBS) would include his recent covid infection, the Moderna Vaccine, or other undiagnosed infection. He got his flu shot 9/25 ( fluzone sanofi) so this is not likely to be the culprit

Other Meds: prilosec 20 bid flonase 50 mcg nasla spray qhs glipizide 5mg ac breakfast/supper lipitor 10 mg qhs dorzolamide/timolol/ eye drops bid OU latanprost eye drops 1 qhs OU senekot bid prn loratidine 10 mg daily synthroid 125 mcg daily ipratropi

Current Illness: COVID infection 12/8/21

ID: 0987081
Sex: F
Age: 52
State: CA

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

Lab Data:

Allergies:

Symptoms: 52 year old female who has completed a 15-minute observation period with the following signs and symptoms of an adverse reaction: loss of consiousness and other - hypertension. Moderna COVID-19 vaccine# 2 in series administered. Action(s) taken: Transferred to higher level of care Allergy to COVID-19 vaccine documented in Allergies activity: Yes Patient advised to discuss second dose considerations with a clinician

Other Meds:

Current Illness:

ID: 0987082
Sex: F
Age: 46
State:

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

Lab Data:

Allergies: Na

Symptoms: Within 5 minutes of receiving Moderna vaccine I felt disoriented. Within 10 minutes my face began to feel numb. This lasted for about 3 hours, then lifted.

Other Meds: Advil and Tylenol

Current Illness: Na

ID: 0987083
Sex: F
Age: 30
State: CA

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: NO

Symptoms: Fever Headaches vomiting

Other Meds: NO

Current Illness: NO

ID: 0987084
Sex: F
Age: 55
State: FL

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

Lab Data:

Allergies: Sulfa

Symptoms: Violent explosive vomiting and temp of 103.

Other Meds: Paxil buspar levothyroxine prevacid eliquis vitamin c vitamin d zinc prebiotic multivitamin

Current Illness: Kidney infection

ID: 0987085
Sex: F
Age: 39
State: CA

Vax Date: 01/08/2021
Onset Date: 01/25/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: Ubronchial spasms and blood test is unknown yet. Scheduled on Monday 02/01/2021

Allergies: Ferric Gluconate (IV insertion)

Symptoms: Jan 9 after getting the vaccine I had shortness of breath, chest tightness. My doctor said it was bronchial spasms. On the 25 of Jan 2021 by blood pressure was 158/107 and sustained at that high currently. Tingling in the hands, arms and feet. Headaches,tightness and pressure in the chest and short of breath, nausea and overall malaise.

Other Meds: Vitamin C&D

Current Illness: Polycystic kidney disease, hypertension.

ID: 0987086
Sex: F
Age: 61
State: SD

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

Lab Data: NONE

Allergies: None

Symptoms: Patient reported she started feeling chilled at work at 6:00pm that evening. Did not sleep well due to the arm pain form the injection site. Achy, low grade fever.

Other Meds: Gabapentin, Atoisastatin, Duloxetine HCL, Jaurdiarce, Metformin HCL, Victoza, Zolpidem

Current Illness: None

ID: 0987087
Sex: F
Age: 35
State: NJ

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: none

Allergies: raw carrot/celery

Symptoms: severe malaise, lethargy, myalgia, bone pain, difficulty concentrating, subjective fever, chills, sweats.

Other Meds: cetirizine

Current Illness: none

ID: 0987088
Sex: F
Age: 40
State: IL

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

Lab Data:

Allergies: None

Symptoms: Arm and face swelling, fever, bloodshot eyes, rapid heart rate, body pain, nausea, and headache. Took Tylenol, fluids, Benadryl, and rest.

Other Meds: None

Current Illness: None

ID: 0987089
Sex: M
Age: 36
State: NJ

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

Lab Data:

Allergies: NKA

Symptoms: Temp 100.3 F, severe chills, body aches, mild headache, malaise. Minimal response to tylenol. Lasted about 8 hours

Other Meds: Finestaride

Current Illness: None

ID: 0987090
Sex: F
Age: 58
State: WA

Vax Date: 01/15/2021
Onset Date: 01/20/2021
Rec V Date: 01/29/2021
Hospital: Y

Lab Data: They performed the following tests, which were done between the evening of Wednesday the 20th and Thursday the 21st of January. EKG x 2 NM MYOCARDIAL PERFUSION LVEF SPEC NUCLEAR STRESS TEST RESP VIRUS ANTIGENS PROFILE COVID NAAT GLUCOSE XRAY CHEST PA AND LAT THYROID d-Dimer CMP, TROPONIN, MAGNESIUM, BLOOD CULTURES.

Allergies: Demerol, theophylline, Ceclor, Neosporin, Vicodin. Sensitivity to prednisone and nsaids. Allergic to raw potatoes.

Symptoms: Side effects started the same day I received the vaccine, which were reported on the V-safe app. Started with very sore arm, within 24 hours progressed to extreme fatigue, joint and body aches, loss of taste and headache. I also experienced some mild nausea. By Wednesday evening, I began to experience heart palpations which I listened to as a nurse which sounded like PVC's. I have never had this happen to me before. I assessed my vital signs and noted that as the arrhythmia progressed, my O2 sat level began to decrease and my pulse began to increase. I could hear a definite pause in my heart rhythm. Within an hour, I had chest pain in the area of my left chest over my heart which progressed into a feeling of pressure as if someone was standing with a foot on my chest. As time went on, this sensation radiated into my back at an angle from left to right. It was at this point that I had my father take me to the emergency room. When I got there, my pulse was in the low 100's and my blood pressure was 230/130. I have never had this happen to me before. I ended up on a nitroglycerin drip. My magnesium level was low and my sodium level was low normal. I was kept in the emergency room until Thursday evening then transferred to Progressive Care Unit where I remained until early evening on Friday.I was sent home on 2 different cardiac medications, Coreg and Lisinopril. I am to follow up with my PCP and a cardiologist. Both are brand new to me. I am now feeling better, but I am very reluctant to have the second covid vaccine. Also, the Hospital does not know what happened to me. (Facility where I received my Covid vaccine.)

Other Meds: Probiotics, vitamins, Claritin prn for seasonal allergies, Tylenol as needed. Use prn for pain on occasion.

Current Illness: Seasonal allergies. No other known illnesses or issues. Was not diagnosed with any heart issues or blood pressure issues ever in the past. Was not taking any kind of prescription medication.

ID: 0987091
Sex: F
Age: 34
State: KY

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

Lab Data: None

Allergies: None

Symptoms: Injection site turned red the size of tennis ball. Warm to touch, hard to the touch and very tender Low back and hips very achy

Other Meds: Zoloft

Current Illness: None

ID: 0987092
Sex: F
Age: 28
State: IN

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

Lab Data:

Allergies: Imitrex, Tramadol

Symptoms: high fever 102.6, severe body aches, chills,sweats, headache, neck pain,weakness, fatigue, nausea, runny nose, 48 hrs and going

Other Meds:

Current Illness:

ID: 0987093
Sex: F
Age: 36
State: PR

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

Lab Data: none

Allergies: no

Symptoms: On the same day, 3 to 4 hours after I recieved the second dose of the Moderna vaccine, I had extreme tiredness and pain on the injection site ( left arm). The next day (morning after) I developed low grade fever, chills, back pain, general malaise, weakness, and a lot of pain on the arm I recieved the injection . I also had tender axillary lymph nodes, first on the same side I recieved the vaccine, a day later on both sides. Symptoms were the worst during the 24 hours after recieving the vaccine. After this, the only remaining symptoms were tender axillary lymph nodes and pain in the injection site. I used Acetaminophen for symptoms.

Other Meds: none

Current Illness: none

ID: 0987094
Sex: F
Age:
State: MI

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

Lab Data:

Allergies:

Symptoms: Headache, 101.1 fever, body aches.

Other Meds: Celexa, armour thyroid, vit D, alive vitamin

Current Illness:

ID: 0987095
Sex: F
Age: 65
State: CA

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: Reported to my doctor and she informed me to take antihistamine and use topical antihistamine.

Allergies: None

Symptoms: Immediately after injection, left arm at injection site was painful to touch, not just sore. 2 days later, that had stopped. On 1/26/21, my left arm at the injection site started to be slightly itchy. The following morning, the area was constantly itching. That evening, I looked at my left arm at the site, and I have broken out in hives, the muscle is swollen and warm and I am having to take an antihistamine twice a day so it does not itch but it continues to be red, itchy and swollen.

Other Meds: Levothyroxine, Amlodipine, Prilosec, Prozac, Multi Vitamin; Sudafed, Astragalus

Current Illness: None

ID: 0987096
Sex: F
Age: 50
State: AR

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

Lab Data: none

Allergies: unknown

Symptoms: headache, chills, fever, nausea

Other Meds: unknown

Current Illness: unknown

ID: 0987097
Sex: F
Age: 66
State: IA

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

Lab Data: none

Allergies: environmental; augmentin; latex; nuts

Symptoms: neuropathy both arms extending fingertips to shoulders

Other Meds: Flovent inhaler

Current Illness: none

ID: 0987098
Sex: F
Age: 49
State: WI

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

Lab Data: none

Allergies: no allergies

Symptoms: PT stated had not eaten breakfast or lunch today. Received tragic news prior to appointment. 5 min after vaccination felt dizziness heart racing ,pulse 96, 2:05 pm BP 158/80 Pulse-87, SP02 97% RR 12 2:06 pm. Given crackers and water. 2:30 pm BP 138/80 P 78 Pulse ox 98% RR 12. Patient feeling better "normal" agreeing to wait for 25 more minutes. 2:55 pm. Patient feeling well instructed to call 911 if symptoms recur or worsen.

Other Meds: unknown

Current Illness: Unknown

ID: 0987099
Sex: F
Age: 35
State: NJ

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

Lab Data:

Allergies:

Symptoms: 35 year old woman, history of shingles 8 years ago. Developed shingles rash in same distribution as she had 8 years.ago 9 days after receiving second dose of pfizer-biontech covid 19 vaccine.

Other Meds:

Current Illness:

ID: 0987100
Sex: F
Age: 22
State: IN

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

Lab Data:

Allergies:

Symptoms: Patient felt dizzy and passed out.

Other Meds:

Current Illness:

ID: 0987101
Sex: M
Age: 40
State: IL

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: Positive COVID-19 PCR test on 1/15/2021, repeat positive PCR on 1/16/2021.

Allergies: Pencillin, meloxicam

Symptoms: Fatigue/chills/nausea later that day, (Saturday) runny nose on Monday, nasal congestion on Wednesday, tested positive for COVID-19 (PCR) on 1/15/2021

Other Meds: Descovy, Valacyclovir, finasteride, vitamin D, psyllium fiber

Current Illness: None

ID: 0987102
Sex: F
Age: 24
State: ID

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

Lab Data:

Allergies: Environmental allergies (grasses, sagebrush, trees, mold, dust, pollen, smoke)

Symptoms: Mild shortness of breath within 30 minutes of vaccination, alleviated by Benadryl given at the clinic. Flu like symptoms starting that evening (unsure what time, as I was trying to sleep). Arm soreness where I received the vaccine, muscle aches that kept waking me up throughout the night, headache, fever, slight congestion, chills and sweating, nausea, dizziness when I stand up, fatigue. As of 4:00 PM on 1/29 (the day after the vaccine) I am still experiencing this list of flu-like symptoms.

Other Meds: None

Current Illness: Covid, starting 1/7/21 but symptoms gone by 1/22

ID: 0987103
Sex: M
Age: 46
State: CA

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

Lab Data:

Allergies:

Symptoms: 30 minutes after injection started feeling extreme anxiety, panic, and feelings of doom. Fast heart rate, headache, and fatuige.

Other Meds: Levothyroxine - 150mcg (4 per week) Levothyroxine - 175mcg (3 per week) Paroxetine - 20

Current Illness:

ID: 0987104
Sex: F
Age: 28
State: NY

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

Lab Data:

Allergies:

Symptoms: Fever Tmax 101.1 Weakness Dizziness Chills Hot flashes Body aches L arm weakness and pain Nausea Sore throat Congestion

Other Meds: Metformin Vitamin D

Current Illness:

ID: 0987105
Sex: M
Age: 68
State: OK

Vax Date: 01/09/2021
Onset Date: 01/19/2021
Rec V Date: 01/29/2021
Hospital: Y

Lab Data: 1) Lumbar puncture with elevated CSF protein count of 110 with normal white blood cell count and minimally elevated glucose count 2) MRI of the lumbar spine with lumbar lipoma but no acute process being identified 3) Central line placement and the start of a 5 course plasmapheresis treatment

Allergies: shellfish

Symptoms: The patient noted weakness starting in the legs on January the 19th, 10 days after receiving the first dose of the vaccine. The weakness progressed to the point that he was able to ambulate only with assistance. He was seen in my neurology clinic on January 28th and his evaluation suggested an ascending, painless weakness of the legs with rapidly progressive symptoms. He was admitted to Hospital on the same day. His evaluation is consistent with Guillain Barre Syndrome and he has been started on plasmapheresis to treat the condition.

Other Meds: 1) ASA 81 mg a day 2) Jardiance 25 mg daily 3)Gabapentin 300 mg TID 4) Insulin 60 units at bedtime 5) Lisinopril 10 mg daily 6) Pravastatin 80 mg daily 7) Janumet XR 50-500 two pills daily

Current Illness: Not applicable

ID: 0987106
Sex: F
Age: 71
State: FL

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

Lab Data: Unknown

Allergies: No Known Allergies

Symptoms: Patient was vomiting shortly after receiving shot

Other Meds: Unknown

Current Illness: Unkown

ID: 0987107
Sex: F
Age: 35
State: WI

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

Lab Data:

Allergies: None

Symptoms: Client report receiving COVID vaccination on 01/28 at 11:40, adverse reaction on left index /pointer finger having moderate swelling. Has pain with bending it, and it is warm to the touch. Has not contacted a medical provider or had any treatment. Per client her mother is a nurse and told her to continue to monitor her finger. At this time, client believes the swelling is worse but not to the need to see a medical provider.

Other Meds: Mental Health medication

Current Illness: None

ID: 0987108
Sex: F
Age: 72
State: CA

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

Lab Data: none

Allergies: none

Symptoms: Uncontrollable, full body shivering for three - four hours. Fever of 101.4 for 24 hours.

Other Meds: simvastatin baby aspirin mirtazipam

Current Illness: none

ID: 0987109
Sex: F
Age: 44
State: CO

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

Lab Data:

Allergies:

Symptoms: 2nd Vaccination shot administered on 1/23. Fevers up to 103.3, nausea and head/body aches for over 72 hours; Still with intermittent fever, malaise and headache 1/27.

Other Meds:

Current Illness:

ID: 0987110
Sex: F
Age: 49
State: CA

Vax Date: 01/06/2021
Onset Date: 01/09/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: none

Allergies: amoxicillin, sulfa, erythromycin

Symptoms: Left axillary tenderness and swelling with approximately 6cm adenopathy. Symptoms started approximately 3 1/2 days after injection. Tenderness lasted about 3 days. Swelling resolved within 2 weeks.

Other Meds: advil

Current Illness: none

ID: 0987111
Sex: F
Age: 75
State: IL

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

Lab Data: None

Allergies: Be grateful, Levequin

Symptoms: One day and 11 hours after receiving shot itching on right arm, tender to touch 2x3 inch pink rash. Cortisone cream, Tylenol and Benadryl

Other Meds: Omeprazole 40 1x, Carvedilol 6.25 2x, Lisinopril 2.5 1x, Aspirin 81 MG Oral 1x, Cetirizine HCI -10mg 1x, Spironolactone 25 mg Oral 1x, metronidazole 0.75 cream 2x, Centum chewable multi vitamin 1x, eye drops Advanced relief 2x each ey, Pol

Current Illness: None

ID: 0987112
Sex: M
Age: 31
State: OR

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

Lab Data: none

Allergies: None known

Symptoms: Severe headache, body ache specifically lower back, chills

Other Meds: Multi-vitamin, Vitamin D, Vitamin C, Calcium, Zinc supplements

Current Illness: None

ID: 0987113
Sex: F
Age: 36
State: IA

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

Lab Data: Received 50 mg. IM of Benadril

Allergies: Rocephin

Symptoms: Developed a rash, hotness of skin, itchy throat and felt a racing heatbeat approximately 1.5 hours after injection. Follow up with urgent care immediately following and was given a 50 mg. Benadril injection for an allergic reaction.

Other Meds: none reported

Current Illness: none reported

ID: 0987114
Sex: M
Age: 28
State: IN

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

Lab Data:

Allergies: no

Symptoms: Fever (100.7 F), Chills, Sore arm, Fatigue

Other Meds: no

Current Illness: no

ID: 0987115
Sex: F
Age: 80
State: CA

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

Lab Data: lab work - they never gave me any results head CT scan and MRI, and covid test - the doctor said everything was good

Allergies: Demoral, Linocin and paint

Symptoms: Felt fine at first then everything started spinning and I started vomiting that lasted 2 hours, I was dizzy and my daughter call the ambulance and they gave me meds for nausea and started IV and at hospital they did the same and gave me something for nausea which helped.

Other Meds: Losartan-ATCZ, Level thyroxin 75 mcg tab, Estradiol 1mg, Metha

Current Illness: No

ID: 0987116
Sex: F
Age: 25
State: AR

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

Lab Data: none

Allergies: unknown

Symptoms: chills, weakness, nausea

Other Meds: unknown

Current Illness: unknown

ID: 0987117
Sex: F
Age: 34
State: IL

Vax Date: 01/22/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Flu-like symptoms that day, a few days later itchy rash at injection site

Other Meds: None

Current Illness: None

ID: 0987118
Sex: F
Age: 32
State: CA

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

Lab Data:

Allergies:

Symptoms: Vaccination was administered to patient in the left deltoid. As vaccinator was injecting, an unmeasurable amount of solution leaked out from the injection point and dripped down the patient's arm. Patient did receive some amount of the vaccine but cannot determine how much was actually given and injected. Patient was sent home but after receiving information from Moderna to re-administer the first shot, patient was rescheduled for a new first dose appointment. Patient experience no side effects from this occurrence.

Other Meds:

Current Illness:

ID: 0987119
Sex: M
Age: 40
State: NY

Vax Date: 01/18/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: Ibuprofen

Symptoms: Severe discomfort in left shoulder limiting movement began roughly 6 hours after injection and persisted for 48 before subsiding to minor discomfort. On Jan 28, 10 days after injection, left shoulder pain resurgence occurred, again severely limiting range of motion of the arm. After 20 hours pain is still persistent and severe

Other Meds: None

Current Illness: None

ID: 0987120
Sex: F
Age: 30
State: NJ

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

Lab Data: None -- did not consult with a PCP.

Allergies: None

Symptoms: Painful Red Rash/Bruise the size of a softball on R Arm at spot of injection site. Rash was noticed morning of the 29th, but arm started to feel sore the night before. No current treatment is being done.

Other Meds: Kyleena -- IUD

Current Illness: None

ID: 0987121
Sex: F
Age: 44
State: TX

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

Lab Data:

Allergies:

Symptoms: During monitoring period post Pfizer COVID-19 vaccine, pt experienced throat tightness and left arm itching. Patient reported she had a slight headache prior to administration of Covid vaccine. Patient denied allergic reaction symptoms prior to leaving the COVID vaccine clinic.

Other Meds:

Current Illness:

ID: 0987122
Sex: F
Age: 40
State: AZ

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

Lab Data:

Allergies: none

Symptoms: within 5 minutes of receiving the vaccine, patient experienced generalized itching and feeling of swelling in throat; given IM injection of diphenhydramine 50mg; within 5 minutes of receiving diphenhydramine symptoms resolved

Other Meds: cetirizine, cholecalciferol, calcitrate, albuterol MDI, mometasone/formoterol, metformin, glipizide, rosuvastatin, montelukast, multivitamin

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm