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: 0998597
Sex: F
Age: 64
State: TX

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
Hospital: Y

Lab Data: Cardiac enzymes, EKG, chest xray

Allergies:

Symptoms: Pt reported chest pressure and pain 1 hour after receiving her 2nd Pfizer vaccine. Negative cardiac work up in emergency department but she has a history of pulmonary embolism so she was admitted to the hospital for observation and further work up with no definitive diagnosis

Other Meds:

Current Illness:

ID: 0998598
Sex: F
Age: 98
State:

Vax Date: 01/06/2021
Onset Date: 01/26/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: CT brain CT cervical spine CXR xray pelvis

Allergies: amitriptyline codeine tetanus vaccine doxepin erythromycin

Symptoms: On 1/15/21, resident fell during the night while getting up without assistance and hit her head. She did not have any neurological impairment after fall and remained at facility to be monitored. 1/26/21, resident had sudden loss of consciousness with hypotension and tachycardia. This resolved slowly after resident was put in trendelenberg position. She has not had similar events in the past. She was sent to ED without a distinct underlying cause of the event identified, differential included cardiac arrhythmia, ? orthostatic hypotension, vasovagal syncope, stroke She had a similar event occur on 1/27 after she had returned to the facility from the ED. The family elected not to pursue further evaluation for second event and she was placed on hospice as she had been experiencing some gradual decline before these events occurred.

Other Meds: acetaminophen diclofenac gel docusate sodium melatonin polyethylene glycol tramadol

Current Illness: Resident fell and fractured her pelvis in the week prior to vaccination

ID: 0998599
Sex: F
Age: 63
State: NJ

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: None at the time of this writing.

Allergies: NKA

Symptoms: Patient's daughter called and indicated the patient was vaccinated a our clinic last night (2/2/21) and begin feeling very ill this AM. Called and spoke directly with patient to obtain more information. Patient reports fever of 101, chills, nausea, body aches. Patient also disclosed she had covid19 > 1 month ago. Patient attempted to call her primary care physician and the doctor was not in. Staff evidently advised her to go to ED is she felt that bad.

Other Meds: synthroid 150/daily

Current Illness: Positive forCovid19 on January 8, 2021 (Source: patient)

ID: 0998600
Sex: F
Age: 50
State: CA

Vax Date: 01/22/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: None

Allergies: Strawberries when eaten in excess gave me facial edema Thimerisol preservative

Symptoms: On 1/23/21 - 1/24/21: Local injection site pain and soreness. Resolved after 2 days. On 2/1/21 Developed local urticaria reaction in area where I received the vaccine: Erythema, edema and increased warmth to touch. Ongoing currently. No systemic/constitutional symptoms.

Other Meds: One a day vitamin for women over 50, Flaxseed omega 3, Resveratol , Ocuvite

Current Illness: Viral syndrome after COVID 19 exposure but tested negative.

ID: 0998601
Sex: F
Age: 31
State: DC

Vax Date: 01/05/2021
Onset Date: 01/13/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: 8 days post vaccine, a small (quarter sized) red, hot, firm and swollen spot appeared at the site of the injection. This grew in size day to day. It was thought to be an infection (cellulitis) and I was prescribed antibiotics (bactrim) for 7 days. Approximately 48 hours after starting the bactrim, the swelling and redness subsided but a red, raised and itchy ring around the site continued to grow for several days, and was approximately 6 inches in diameter by day 6 when I was prescribed an antihistamine. After taking the antihistamine for 2 days the red ring disappeared slowly over 24 hours and was completely resolved by 1/21/2021.

Other Meds: Vitamin D, Vitamin C, Vitamin b12, Amitriptyline, Naproxen, Ubrelvy, Rizatriptan, Ibuprofen, Alprazolam

Current Illness: None

ID: 0998602
Sex: F
Age: 30
State: TX

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: CBC CMP Cardiac Enzymes EKG Chest x-ray

Allergies: none

Symptoms: Patient reports she felt hot, dizzy and nauseated. She did have a syncopal episode which she has had in the past during stressful experiences. She reports some chest tightness. Patient was transferred via EMS to hospital after being given Zofran 4mg IVP for nausea. She was administered Decadron 8mg IVP at the hospital along with K-tab 20mEq for hypokalemia. She was released and stated she felt better.

Other Meds: Depo Provera

Current Illness: none

ID: 0998603
Sex: F
Age: 46
State: NV

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: PCN, Sulfa, Grapefruit

Symptoms: Patient started flushing and feeling tightness in chest; itching all over; c/o dizziness; stating she was having a reaction. Did not want to have epinephrine yet. Benadryl 50mg IM given by paramedic. Monitored for 45+ minutes. BP 139/89, pulse 94, pulse ox 100% on room air. Notified family member who came to pick her up and verified that adult son would stay with her all evening.

Other Meds: Claritin, Benadryl, Carries epi pen for multiple allergies

Current Illness: None reported

ID: 0998604
Sex: F
Age: 45
State: WA

Vax Date: 01/01/2021
Onset Date: 01/09/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I received the first dose of the Moderna vaccine on 1/1/21. Initially, I had a sore arm for 24 hours but otherwise no problems. Then, on day 8, my left deltoid area started itching and there was a red, slightly raised area just larger than a golf ball. I called the hotline at that time and took a Benadryl. Then, 24 hrs later, the area had expanded to over 3 times the size and felt warm. I actually went and saw a friend who lived in my neighborhood who is a general surgeon and he thought I should get it checked out to make sure it wasn't an NSTI. Being Saturday at 9pm, I went to the ER where they started me on Keflex/Bactrim for a presumed cellulitis. By the next morning, the redness and itching were gone and my arm felt totally back to normal the next day after that. Unfortunately, on day 3 of the antibiotics (Tuesday the 12th), I had symptoms of anaphylaxis (chest tightness, wheezing, throat clearing, lip swelling, hoarse voice, impending doom sensation). I took Benadryl 50mg and got my epi pen ready but did not use it. (I have a tree nut allergy). The symptoms resolved completely about 1 hour later.

Other Meds:

Current Illness:

ID: 0998605
Sex: F
Age: 73
State: FL

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: Bad Chills, fever, headache, tiredness/fatigue, joint pain, nausea, stomach pain, injection site pain and swelling. I still don?t feel back to normal. The worst symptoms lasted about 24 hours.

Other Meds:

Current Illness:

ID: 0998606
Sex: F
Age: 32
State: IN

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: Nka

Symptoms: 101.5 fever

Other Meds: Spironolactone, cryselle

Current Illness: None

ID: 0998607
Sex: F
Age: 28
State: IN

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Chills, body aches, headache, lethargic for 24 hrs after vaccine

Other Meds: None

Current Illness: None

ID: 0998608
Sex: M
Age: 32
State: CT

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: No Known Allergies

Symptoms: Pt received dose # 2 COVID vaccine at approx. 0750. States he began to feel nausea, light headed and heart racing almost immediately. Did not report symptoms and returned to work after 15 minute wait. At approx. 0847 pt presented to primary care clinic with symptoms continuing. Vital signs at this time: 125/85 HR 67 SPO2 100% Temp 97.5 oral. ECG indicated mid and precordial left ST elevation. Based on pt history of prolapsing Mitral Valve Leaflet Syndrome, recent COVID vaccine and abnormal ECG, pt was transferred to the ER. Pt was not provided any medication at ER and was discharged home.

Other Meds: None

Current Illness: 05JAN2021: abscess left lower eyelid. Treated at Ophthalmology Clinic

ID: 0998609
Sex: M
Age: 41
State: AZ

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Moderna Covid-19 vaccine. Severe muscle/joint pain starting 5 hours after administration and persisting for 48 hours and counting. Loss of functional mobility in left arm, severely decreased ROM and moderate-severe pain causing stress, inability to sleep, inability to work.

Other Meds: None

Current Illness: None

ID: 0998610
Sex: F
Age: 22
State: WA

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: Covid (came back negative)

Allergies: Shell fish Black pepper Penicillin Injectable Iodine

Symptoms: Within 8 hours of the send dose, I started getting a fever, headache and chills. About an hour after I started vomiting and got a dry cough. That happened throughout the night and was fatigue. I got checked for Covid, because I work on the Covid unit. I was extremely dehydrated when I got the the Urgent Care, and I got an IV Fluid . Within 48 hours it was like nothing happened, all my symptoms went away and I felt great.

Other Meds: Vitamin D-5,000UI Methazole Zoloft Birth control

Current Illness:

ID: 0998611
Sex: F
Age: 52
State: NH

Vax Date: 01/23/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: None

Allergies: Penicillin, Sulfa, Morphine, IV Iodine, Compazine

Symptoms: Raised patchy rash near injection site. Started the size of a quarter, is continuing to double in size.

Other Meds: Fluoxetine, Omeprazole, Glimepiride, Invokana, Simvastatin, Probiotic, Metamucil

Current Illness: None

ID: 0998612
Sex: F
Age: 34
State: CO

Vax Date: 12/28/2020
Onset Date: 01/01/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Four days after injection I developed a large red itchy area on my arm below the injection site. It was concerning enough to check with MD to rule out infection. It took 5 days of Benadryl and hydrocortisone cream to reduce.

Other Meds: None

Current Illness: None

ID: 0998613
Sex: F
Age: 31
State: WA

Vax Date: 01/31/2021
Onset Date: 01/31/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: None

Allergies: Nickel

Symptoms: 2 days of low grade fever, chills, night sweats, mild headache, and nausea without vomiting. Treated with acetaminophen and rest without relief. Symptoms resolved by 6pm on 2/1/2021. Also right arm tenderness that is ongoing but improved.

Other Meds: Dupixent, Otezla, vitamin C, vitamin D, multivitamin

Current Illness: None

ID: 0998614
Sex: F
Age: 39
State: OH

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: Electrolytes were normal on 1-29-2021

Allergies: Sulfa

Symptoms: Five hours after receiving vaccine arm became sore and she had difficulty lifting her arm. She then developed joint pain in her left leg and a headache. Then developed joint pain in her hands. By the next day the arm pain had eased but minor joint pain and muscle aches continued. Three days after vaccination, the arm pain returned achiness in joints was throbbing . This is easing 18 days post vaccination but is not gone. The arm pain is gone. The most disturbing symptom occurred two weeks post vaccination. The patient began getting warm sensations in her right foot along the lateral side and occasionally in the heel. This does not hurt but is also persisting and is disturbing. She is uncertain if there is any relationship with her Crohn's disease.

Other Meds: Crohn's Disease treated with two medications Digestive: Nexium BCP MV Anti-aging vitamin

Current Illness: No

ID: 0998615
Sex: M
Age: 63
State: ME

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: Penicillin, Aspirin

Symptoms: Soreness in left arm, tiredness approximately 12 hours after receiving vaccine; symptoms were gone the next day.

Other Meds: Aleve, Co Q-10, Osteo Bi-Flex

Current Illness: none

ID: 0998616
Sex: F
Age: 51
State: CA

Vax Date: 01/20/2021
Onset Date: 01/24/2021
Rec V Date: 02/03/2021
Hospital: Y

Lab Data: 1/25/2021 - Volatile screen - positive for acetone, negative for ethylene glycol and polyethylene glycol 1/25 0100 am- Na 135, K 5.2, CL 104, CO2 <5, BUN 24, Scr 1.44, Glucose 106, Ca 8.2, Albumin 3.8, AST 92 , ALT 60, AlkPHos 120, Total bili 0.28, troponin 0.02-- >0.02-- >0.01, INR 1.34 1/25 05:15 am- Na 142, K 4.2, CL 108, CO2 <5, BUN 25, Scr 1.27, Glucose 109, Ca 7.1, Phos 5.9 1/25/2021 0106 am blood gas arterial - O2 40, pH 6.98, pCO2 17, pO2 186, BE -20, Bicarbonate 4, O2 sat 99 1/25/2021 0440 am blood gas arterial - O2 30, pH 7.17, pCO2 18, pO2 160, BE -22, Bicarbonate 7, O2 sat 99 1/25/2021 - Urine drug screen - negative, Blood Tox - negative methadone 1/25/2021 - sputum culture - methicillin-sensitive staph aureus 1/25/2021 - EEG study - no subclinical seizure activity 1/26/2021 - endotracheal aspirate culture - light growth yeast, scant growth normal resp flora 1/25/2021 - CT abdomen Pelvis without contrast Chest X-Ray - no acute cardiopulmonary disease CT Angio Head/Neck without contrast - unremarkable CT Chest without contrast - likely mild atelectasis in the posterior portions of the lungs, no acute pulm consolidations/pleural effusions CT Head Perfusion with contrast - no evidence of ischemia or infarction CT Head without for stroke - no acute intracranial hemorrhage, midline shift or mass effect 1/27/2021 MRI Brain with and without contrast - no evidence of acute intracranial infarction 1/30/2021 MRI Cervical Spine without contrast 2/1/2021 Echo = 70% EF

Allergies: Amoxicillin, Penicillins

Symptoms: **Pfizer-BioNTech COVID-19 Vaccine EUA** 1/25/2021 - was found unresponsive with left upward gaze deviation at midnight and admitted to hospital (last seen normal around 7 pm 1/24/2021). Intubated in ED, ABG 6.98/17/186 on 40%, Bicarb <5, Scr 1.4, Lactate 1, Wbc 20.3, BP 101/45-- >95/41, Temp 94.3, RR 23-32. Acidotic and initially required norepineprine for hypotension management (stopped 1/26/2021 0400 am) 1/26 to 2/1/2021 - supportive care for encephalopathy (anoxic vs. ischemic brain injury), ARF, HTN, MSSA growth in resp culture (no respiratory distress, on antibiotic) 1/28 GCS:E4VTM4; 1/29 GCS: EV4VTM4 with intact protective reflexes, extubated 2 pm 2/1 arousable, follows very simple commands, non verbal

Other Meds: Haloperidol, Risperidone, Sertraline, Benztropine, Gabapentin, Ferrous Sulfate, Lisinopril, Multivitamin, Omeprazole, Simvastatin

Current Illness: Visited urgent care on 1/21 with c/o 2 weeks of bilateral lower leg pain and swelling worsening in the last week. Positive for orthopnea, baseline = able to walk several blocks, during urgent care visit = can't walk to the living room. CXR and BNP negative, left>right calf pain in size, ultrasound DVT bilateral negative. Sent home with OTC acetaminophen PRN, Diclofenac GEL PRN pain.

ID: 0998617
Sex: M
Age: 73
State: VA

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Urinary incontinence.

Other Meds: Lyrica, Plaquenil, Cymbalta B100, C, D, beta-carotene, zinc, E, calcium, selenium

Current Illness:

ID: 0998618
Sex: F
Age: 32
State: CA

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: NONE. Pt had covid vaccine

Allergies: PCN - vomiting and rashes (all over the body) Oxycodone - vomiting and rashes (all over the body)

Symptoms: Pt came in for her 2nd dose of the moderna vaccine. Patient reported headache and dizziness after 5 minutes of vaccine administration (10:37 am). Pt able to ambulate to the monitoring room, tolerated activity. Pt laid down, Rn dim the lights and let the patient rest. VSS, HA = 8/10 but after 15-20 minutes, pt reported 5/10 HA and dizziness went away. Per pt she has migraine but usually goes away after resting and taking Excedrin. Pt felt better and discharge @ 12 noon.

Other Meds: Magnesium Oxide 400 mg Supplement - taken daily Birth control pills - taken daily Excedrin extra strength - prn migraine

Current Illness: migraine

ID: 0998619
Sex: F
Age: 77
State: CA

Vax Date: 01/22/2021
Onset Date: 02/03/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: None

Allergies: none

Symptoms: Rush (4"x2") on the place of the injection 9 days after the injection (January 31st) that lasted 3 full days.

Other Meds:

Current Illness: none

ID: 0998620
Sex: M
Age: 47
State: TX

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever Chills continuing into next day.

Other Meds:

Current Illness:

ID: 0998621
Sex: F
Age: 53
State: MD

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: vital signs 3:45pm, b/p-159/90, pulse-72.

Allergies: no

Symptoms: Pt reported feeling lightheaded; escorted pt to first aid station; assessed pt, medical history, vital signs, gave juice box, monitored pt while she recovered.

Other Meds: no

Current Illness: none

ID: 0998622
Sex: F
Age: 81
State: NC

Vax Date: 01/14/2021
Onset Date: 01/17/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: none

Allergies: tramadol, promethazine, sulfa, penicillin, cipro, codeine, doxycycline, fluzone, pamelor

Symptoms: Tongue turned bright red, became swollen and sore. Took Benadryl. Resolved in 3 to 4 hours.

Other Meds: Allopurinol, amiloride/HCTZ, Carafate, carvedilol, combivent, hydrocodone/acetaminophen, protonix, simvastatin, aspirin, vitamin C

Current Illness: none

ID: 0998623
Sex: F
Age: 53
State: PA

Vax Date: 01/05/2021
Onset Date: 01/11/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: On 1/22/2021 my INR by finger stick was 6.5. I had no changes in coumadin dosage or diet prior to getting the first Covid vaccine. 1/27/2021 my INR had decreased to 2.2 with dosage adjustment of coumadin.

Allergies: Codeine, Azithromycin, Seldane, Claritin, Keflex, Peanuts

Symptoms: About a week after the vaccine I noticed that I had a large amount of bruising which led me to question what my INR was.

Other Meds: Coumadin, Fosinopril, Mobic, Demidex, Prilosec, Tenormin, Synthroid, Atorvastatin, Trazadone, Elavil, Zoloft, Calcium, Multi vitamin, acidophilus, garlic, Vitamin B2, Melatonin,

Current Illness: no acute illness

ID: 0998624
Sex: M
Age: 43
State: IN

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Sore arm, body weakness, fever, chills

Other Meds: Flomax

Current Illness: None

ID: 0998625
Sex: M
Age: 28
State: MT

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache and Body aches

Other Meds:

Current Illness:

ID: 0998626
Sex: F
Age: 76
State: NY

Vax Date: 01/23/2021
Onset Date: 01/29/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: Poison Ivy; Arithromican - circa 1970's; hard shell fish (clams, muscles, scallops).

Symptoms: Moderna COVID-19 Vaccine EUA Severe rash, welts, burning, chills; occurred 1 week after injection. Visited Clinic; placed on Prednisone, Hydrocortisone, & Benadryl. Next day rash spreading & worse, again visited clinic & prescribed Famotidine 20 mg; Zyrtec - 10 mg; Hydrocortisone

Other Meds: Lisinopril - 5 mg; Estradiol - .5 mg; Kirkland Mature Multi Vitamin (compare Centrum Silver);

Current Illness: high blood pressure, under control, see item 9

ID: 0998627
Sex: F
Age: 76
State: VA

Vax Date: 01/13/2021
Onset Date: 01/15/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: EKG, blood analysis , kidney test

Allergies: Surfer drugs

Symptoms: Anaphylaxis symptoms started three day after the shot I started having chills, trembles, sore throat, very high BP, Swelling and numbness on tongue and lips, pain and burning of feet, tingling all over, joint pain,

Other Meds: Lisinopril - 20MG Medformin

Current Illness: None

ID: 0998628
Sex: M
Age: 27
State: NY

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 102 fever, headache and chills--had to call out sick to work but resolved by the next day 2/3.

Other Meds:

Current Illness:

ID: 0998629
Sex: F
Age: 38
State: NC

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: c/o generalized itching, denies SOB or mouth/throat itching, pt declined Benadryl

Other Meds:

Current Illness:

ID: 0998630
Sex: F
Age: 57
State: PA

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: unknown

Symptoms: Non-raised rash to bridge of nose and side of right cheek x few days. Denies pain or pruritus.

Other Meds: unknown

Current Illness: unknown

ID: 0998631
Sex: F
Age: 24
State: KS

Vax Date: 01/27/2021
Onset Date: 01/29/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Employee had a Hepatitis B vaccination on 01/27/21 to her left deltoid. On 01/29/21, the employee reported itching, pain/soreness, rash, and tenderness to her left arm. The employee was offered Benadryl but declined. Vital signs were monitored. Ice pack was applied to injection site. Employee then began to complain of nausea and weakness. She was sent for evaluation and treatment but due to COVID, she was not able to get in. She was seen the following day, 01/30/21. Employee returned to work on 02/02/21.

Other Meds:

Current Illness:

ID: 0998632
Sex: F
Age: 37
State: CA

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: Give 25 mg Benadryl x 2, continued to have rash and complaint of uticaria after 2 doses, to ED for evaluation

Allergies: PCN,

Symptoms: Pt complained of uticaria within 10 mins of vaccination, rash on trunk and arms

Other Meds: none

Current Illness: none

ID: 0998633
Sex: F
Age: 61
State: MS

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Chills, flu symptoms, skin aches, headache, neckpain, no fever but shaking chills, sore arm.

Other Meds: Lipitor; Lexapro; calcium; fioricet

Current Illness: none

ID: 0998634
Sex: F
Age: 22
State: SC

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: None

Allergies: Tramadol, celiacs

Symptoms: Chills, fever, muscle pain, joint pain, headache, general malaise, sensitive to touch- lasted for 36 hours starting late night of injection. Swollen lymph nodes starting about 24-36 hours after injection. Increased normal treatment for chronic conditions including extra saline infusion and rest

Other Meds: Albuterol, aimovig, acetaminophen, Junel FE, duloxetine, fludrocortisone, gabapentin, melatonin, metaxalone, methylphenidate, midodrine, montelukast, promethazine, zofran, zolpidem, zomitriptan, saline infusion

Current Illness:

ID: 0998635
Sex: M
Age: 57
State: VA

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: Red itching rash over all parts of body, blisters on both hands and fingers.

Other Meds: aspirin 81 mg 1x daily, Lostaran Potassium 25 mg 1x daily, Metoprolol 12.5 mg 2x daily, Lovaza 1 gm 2x daily, Fenofribate 160 mg 1x daily, lipitor 20 mg 1x daily, Vitamin D2(Ergocalciferol 50000 unit 1x weekly, Metformin 1000mg 2x daily,

Current Illness: none

Date Died: 01/15/2021

ID: 0998637
Sex: F
Age: 75
State: NC

Vax Date: 01/13/2021
Onset Date: 01/15/2021
Rec V Date: 02/03/2021
Hospital: Y

Lab Data:

Allergies: None noted

Symptoms: Patient noted to have irregular breathing in bed and unable to arouse. Provided life saving measures in the field x 30 minutes and transferred to hospital. Noted to have heart arrhythmia which suspected to cause cardiac arrest.

Other Meds:

Current Illness: No known acute illness

ID: 0998638
Sex: F
Age: 21
State: CA

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: After receiving the vaccine, she started to faint, slumping over her chair and fell to the floor. Her eyes were blinking quickly. She was breathing rapidly. She whispered that she was scared. I told her to take deep breaths to try and calm her. I asked if she felt hurt or if she has any trouble breathing. After about 3-5 minutes of lying on their ground, she became more alert and asked me if she fell from her chair. She didn't recall falling or that she said she was scared. I had her sit up and asked how she felt and if she had any symptoms of an allergic reaction--she said no. after another minute or 2, she was able to stand up on her own with no lightheadedness nor dizziness. I walked alongside her to another seat and she sat for another 25 to 30 minutes--she said she was completely fine before leaving with her sister

Other Meds:

Current Illness:

ID: 0998639
Sex: M
Age: 58
State: NH

Vax Date: 01/08/2021
Onset Date: 01/21/2021
Rec V Date: 02/03/2021
Hospital: Y

Lab Data: 1/19/2021-CXR ,CBC, BMP, D-DIMER. WBC 13.54, 12.8/38.5, D-Dimer 0.96. CXR result- patchy infiltrates right midlung field and left lower lung field, findings worse than prior study, cardiomegaly. 1/20/2021- CBC, BMP D-DIMER. 1/20- Sent to ER

Allergies: NKA

Symptoms: Wheezing, Decrease in O2 saturation, Increase in RR, SOB, Temp of 99.3.Hospitalized.

Other Meds: cefTRIAXone Sodium Solution Folic Acid Tablet Mag-Oxide Tablet (Magnesium Oxide) Senna Tablet 8.6 MG (Sennosides) Vitamin D3 Tablet (Cholecalciferol) Lactulose Solution 10 GM/15ML metFORMIN HCl Tablet Metoprolol Tartrate Tablet

Current Illness: Elevated WBC

ID: 0998640
Sex: F
Age: 63
State: TN

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient states she has itchy mouth and nose, no swelling or hives noted. EMS refused at site.

Other Meds:

Current Illness:

ID: 0998641
Sex: F
Age: 70
State: AZ

Vax Date: 01/19/2021
Onset Date: 01/21/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: steroids

Symptoms: Two days after my injection I had extreme shoulder, arm, back, neck and head pain. It lasted until the morning of 1/27. On the 1/31 my arm that was injected swelled up, turned red and itched, with minor pain. I called my doctor after a couple days of feeling bad and she advised me to take acetaminophen 2 tabs every 6 hours. It barely lessoned the pain. I went to the doctor this morning because my employer recommended that I did and she said that my arm looked like I had cellulitis.

Other Meds: Irbesartan, coq19, v-D,

Current Illness:

ID: 0998642
Sex: F
Age: 38
State: NC

Vax Date: 01/01/2021
Onset Date: 01/13/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: 1/14: negative covid test 1/14: negative UTI test

Allergies: None

Symptoms: 1/13/21 Fever, aches, headache began and got progressively worse 1/14/21: 103 temp, toes hurt, skin hurts, ovaries hurt stomach hurts, left arm, neck, left armpit feels like a rod is going through it, restless legs, muscle spasms, frequent need to urinate. Cannot stay awake. Went to urgent care, tested negative for covid. Tested negative for UTI. Doc advises to go home and wait it out. 1/14-1/17 fever, severe body aches all over. Rod feels like it's driven across the entire body, cannot get out of bed. Nerve and muscle pain. Headache. Muscle spasms. 1/18-1/20 fever resides, I finally get out of bed. pain subsides to left side. Vertigo begins, headache, nausea begins. Brain fog. 1/20-today: frequent episodes of vertigo. Pain in arms and legs like the muscle is being ripped away from the bone. Difficult time doing normal activities. Arms hurt just typing. Feeling inflammation all over. Aches and pains

Other Meds: Synthryroid150mcg daily, Vitamin D 50,000 iu biweekly, otc daily vitamin

Current Illness: None

ID: 0998643
Sex: F
Age: 42
State: OH

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: Lab work done 2-3-2021.

Allergies: None

Symptoms: Flu like symptoms, elevated heart rate, slight dizziness, weird vision, slight fever one day, anxiety, weakness.

Other Meds: Vit. C, Vit. D, calcium, Nyquil Z, Probiotics

Current Illness: None

ID: 0998644
Sex: M
Age: 79
State: IN

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: penicillin, and suffuls

Symptoms: fever 2+ above normal

Other Meds:

Current Illness:

ID: 0998645
Sex: M
Age: 75
State: MA

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Evening and all next day tired/weakness feeling and achy joints(shoulders, wrists, ankles.) mild headache the evening after the injection.

Other Meds: HCTZ; Metroprolol ; Aspirin, baby; elderberry lozenge w/Zn & vitaminC

Current Illness:

ID: 0998646
Sex: F
Age: 79
State: NM

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: NA

Allergies: Cipro, keflex, penicillin, foltx

Symptoms: Weakness, shaking, dizzy

Other Meds: Amlodipine, Metformin, Lisinopril, ropinirole

Current Illness:

ID: 0998647
Sex: M
Age: 38
State: FL

Vax Date: 01/19/2021
Onset Date: 01/28/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Itchy and painful bumps on both toes and feet. Symmetrical on each foot, 1 bump on second toe, 3 bumps on outer foot, and 1 bump on heel of each foot.

Other Meds: Multivitamin, calcium-magnesium-zinc, probiotic

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm