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: 1000792
Sex: F
Age: 50
State: NY

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: None

Allergies: Seasonal

Symptoms: Fever, diarrhea and body aches about 12 hours after vaccine. Last ~2 days.

Other Meds: Nexium, Tylenol

Current Illness: None

ID: 1000793
Sex: F
Age: 39
State:

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: Pencillin

Symptoms: Was vaccinated on 1/28/21 and around midnight started getting chills followed by feeling feverish. This continued on and off until the end of the day on the 1/29. I also felt very weak and nauseous.

Other Meds:

Current Illness:

ID: 1000794
Sex: M
Age: 58
State: MA

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Error: Booster Given Too Early

Other Meds:

Current Illness:

ID: 1000795
Sex: F
Age: 76
State: MI

Vax Date: 01/25/2021
Onset Date: 02/04/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: septra

Symptoms: itches, bump, red and warm

Other Meds: simvastatin. metoprolol succinate; Lisinopril/hctz,pantoprazole sod dr, baby aspirin, multi vitamins, calcium with Vit D

Current Illness:

ID: 1000796
Sex: F
Age: 26
State: MO

Vax Date: 01/28/2021
Onset Date: 01/30/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Left upper arm has a red swollen area that is warm to the touch and measures 7.5 cm X 7.5cm. The spot appeared 01/30/21 and grew bigger on 01/31/21. Injection site is lower than then deltoid and the reddened area is toward the inner arm. Explained conservative measures including cool compresses and if allowed by PCP OTC IBU and antihistamines. Explained to watch for sign of cellulitis including red streaking and skin tightness. Employee verbalized understanding and agrees with plan.

Other Meds:

Current Illness:

ID: 1000797
Sex: M
Age: 35
State: VA

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: Alot of tests were performed. Both doctors I consulted with at ER suggested this could very well be an adverse reaction to COVID. I cannot recall all the stuff they did but: Blood Panel, X-ray, CT Scan all on 11/3/21

Allergies:

Symptoms: Severe abdominal pain. The shot was given at approx 11 am. Abdominal pain started around 6 pm, gradually got worse. At 1 am I was awoken in pain and I took hydrocodone leftover from a previous surgery in hopes of making it to the morning for urgent care. (ER Bills) At 4 am I was re-awoken in even worse pain, decided I was about to die, and went to the ER. Cold sweat on way to ER. Throat dry. Made it to ER, received Morphine, the first dose calmed the pain down, did not make it go away. A lot of tests and several hours later, a second dose was given when the pain returned to its terrible state. Approx 15 min into the second dose pain was finally subsiding (roughly 1 or 2 pm). Went home and took Tylonal as requested by Docs and filled an Oxy prescription in anticipation of the return of the pain. This has not happened. Slept great last night. Dry Mouth Persists. Also slight arm tenderness.

Other Meds:

Current Illness:

ID: 1000798
Sex: F
Age: 68
State:

Vax Date: 01/14/2021
Onset Date: 02/01/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: individual called to report a shingles outbreak several days after her vaccine. She believes this to be related to the vaccination.

Other Meds: Valtrex, Synthroid, Prilosec

Current Illness: Hypothyroid, Herpes Zoster, Hyperlipidemia.

ID: 1000799
Sex: F
Age: 42
State: MI

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: penacillin, ceclor, sulfa drugs, tylenol

Symptoms: Headache- migrane, chills, muscle soreness, lethargy/ tiredness, lack of appetite/ nausea

Other Meds: vitamin D

Current Illness: None

ID: 1000800
Sex: F
Age: 56
State: NJ

Vax Date: 01/28/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Large Pimple on Left Breast - very unusual for me. (Reporting as I'd heard of some cases of lumps in breast nearest shot site. 2020 Mammogram noted a suspicious area which required an ultrasound .) Though Minor, I'm reporting to help determine if this is a result of the injection, and what signs should I watch.

Other Meds: Bupropion Hcl Sr Tabs 150 mg; Loratadine tablets 10 mg; One a Day Vitamins Women's 50+, High Potency Iron 27 mg Iron; Fish Oil 1000 mg, Glucosamine Chondroitin Complex

Current Illness: Seasonal Allergies (that last all year)

ID: 1000801
Sex: F
Age: 60
State: MO

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Employee reports staying in bed for two days with fever and chills. Right arm is swollen and red patch around injection site.

Other Meds:

Current Illness:

ID: 1000802
Sex: F
Age: 85
State: NY

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Error: Booster Given Too Early

Other Meds:

Current Illness:

ID: 1000803
Sex: F
Age: 45
State: NY

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: Enhanced observation, hydration and vitals

Allergies: Latex, Penicillin

Symptoms: Patient complained of dizziness post vaccination.

Other Meds:

Current Illness:

ID: 1000804
Sex: M
Age: 41
State: NY

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: None

Allergies: Unknown

Symptoms: Syncopal event after shot given . Clammy and diaphoretic , ashen appearance and announced he was about to pass out before he passed out . Has had between 15-20 similar episodes describable and recallable in his lifetime . Awoke after a brief 10 sec loss of consciousness. Felt immediately better and no different than any other episode that occurred after seeing needles and getting shots. Drank some water and dc home after observation . Drove himself home . No sequelae.

Other Meds: Unknown

Current Illness: Unknown

ID: 1000805
Sex: F
Age: 47
State:

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: severe body pain, right leg numbness ,weakness and tired, diarrhea.

Other Meds:

Current Illness:

ID: 1000806
Sex: F
Age: 50
State: MO

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Employee reports all side affected listed on sheet as well as diarrhea, nausea, and electric shock sensation at injection site. This lasted 3 days, first day was extremely painful.

Other Meds:

Current Illness:

ID: 1000807
Sex: F
Age: 47
State: NY

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: BP- 137/76 HR- 77 Pox 98% Transported to ED via wheelchair

Allergies: Sulfa, PCN

Symptoms: Patient became dizzy and nauseous after receiving 2nd dose of Pfizer vaccine. Stated body felt "heavy" and hard to keep eyes open. Also reported feeling like heart was "racing"

Other Meds: Unknown

Current Illness: Unknown

ID: 1000808
Sex: F
Age: 71
State: GA

Vax Date: 01/22/2021
Onset Date: 01/29/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: None

Allergies: No Known

Symptoms: Moderna COVID-19 Vaccine EUA. Redness, itching, swelling, heat, headache, 7 days post vaccination

Other Meds: Metatoprol, Levothroxin, Pravastatin, Metformin, Vit B12, C, D, Zinc, Fish Oil, Co Q-10, glucosamine, elderberry, 325mg ASA

Current Illness: None

ID: 1000809
Sex: F
Age: 24
State: PA

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Systemic: Nausea-Mild, Systemic: Vomiting-Mild; symptoms lasted 1 day

Other Meds:

Current Illness:

ID: 1000811
Sex: F
Age: 33
State:

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Second vaccine dose received 2/1/2021 at 10AM. Fever and chills started at 12:30pm and lasted for 24 hours with the peak temperature up to 102.9. Employee notified Tuesday morning, I had to call out of work that day due to the fever.

Other Meds:

Current Illness:

ID: 1000812
Sex: M
Age: 72
State: TX

Vax Date: 02/01/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: None

Allergies: Sulfa drugs

Symptoms: Rash over most of the body, started 2 days after vaccination. To date used 2.5% cortisone cream to relieve itching.

Other Meds: losartan (25mg), mercaptopurine (50mg), mesalamine (1.2gram 2 tablets twice daily) sildenafil (100mg), fluticasone (50 mcg), caduet (10-10mg), Aspirin (81mg), folic acid (400mcg), multivitamin. omega-3 (100mg)

Current Illness: None

ID: 1000814
Sex: F
Age: 20
State: MO

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Employee experienced chest pains 1 1/2 hours after receiving vaccination. Pains went away and employee is feeling better. Plan to see PCP.

Other Meds:

Current Illness:

ID: 1000815
Sex: F
Age: 29
State: PR

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: Aspirin

Symptoms: Abdominal pain, diarrhea, pain in joints, tiredness, nausea, pain in the chest, chills, nasal congestion and discomfort in the throat.

Other Meds:

Current Illness:

ID: 1000817
Sex: F
Age: 55
State: IN

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 02/04/2021
Hospital:

Lab Data: Reported to Employee health, currently treating with Benadryl Gel on affected sites. Waiting to hear from Employee Health to see if MD visit will be required

Allergies: PCN, Cozaar

Symptoms: 1st dose on 12/31/20, developed itching and rash under arms and across abdomen (minor) did not associate with vaccine. 2nd dose on 1/28/21 within 2 hours, itching and hives under arms and across abdomen, worsening over last 4 days, now going down inside of legs and upper abdomen

Other Meds: Diovan, Levothyroxine, Multivitamin, Viibryd, Trulicity, Adderall,

Current Illness: none

ID: 1000818
Sex: F
Age: 68
State: AL

Vax Date: 01/25/2021
Onset Date: 01/28/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: Sulfa drugs, morphine, penicillin

Symptoms: Hives that began on chest, spread across, then up neck to face over the period of a week. Saw doctor on 2/3/2021 for treatment. A bit of lightheadedness Over the past 2 days.

Other Meds: Metoprolol fumarate 10 mg simvastatin 40 mg Omeprazole 20 mg Antihistamine 10 mg

Current Illness: None

ID: 1000819
Sex: M
Age: 32
State: NY

Vax Date: 01/14/2021
Onset Date: 01/23/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: softball size rash at the local site of administration, very itchy for 2 days once rash was noticed

Other Meds: Vitamin A, vision supplments, omega-3

Current Illness: None

ID: 1000820
Sex: F
Age: 71
State: TX

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Systemic: Rash (other than injection site); symptoms lasted 3 days

Other Meds:

Current Illness:

ID: 1000821
Sex: F
Age: 63
State: MO

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Approximately 12 hours after vaccination developed fever 102.8, headache, severe nausea and joint pain in hands knees and ankles. Symptoms resolved within 48 hours except for joint pain in hands.

Other Meds:

Current Illness:

ID: 1000822
Sex: M
Age: 44
State: VT

Vax Date: 01/25/2021
Onset Date: 02/02/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: None.

Allergies: None.

Symptoms: Small irregularly shaped rash to the side of the injection site. About 1-1.5 inches, very slightly raised (almost imperceptibly raised), and slightly itchy. Also very slightly harder than surrounding skin.

Other Meds: None.

Current Illness: None.

ID: 1000823
Sex: M
Age: 58
State: TX

Vax Date: 01/14/2021
Onset Date: 01/16/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: Daily scans with blood sugar scanner. Changed sensors a few days ago to make sure it wasn't a sensor issue but the high sugars have persisted.

Allergies: Cannot eat grapefruit due to medication

Symptoms: blood sugar levels began to be about 20% higher than normal within about 24 to 48 hours after the injection and have stayed that way for over two weeks. No other symptoms have been experienced aside from soreness at the injection site for less than 8 hours after the shot.

Other Meds: apixaban 5 mg BID, budesonide EC 3 mg 24 hr cap, lisinopril 40 mg sid, metroprolol tartrate 100mg bid, mycophenolate 500 mg bid, insulin aspart 100 unit/ml tid, tacrolimus 1 mg 2 tabs bid, toujeo solostar 300 unit/ml pen sid, victoza 18mg/m

Current Illness: nasal allergies

ID: 1000824
Sex: F
Age: 68
State:

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: contrast dye

Symptoms: 2nd dose COVID-19 vaccine (Pfizer EK4176) received on Thursday 1/28/21. approxx 8 hours later developed headache which increased in intensity and eventually triggered a migraine, severe dizziness making it impossible to sit/stand, muscle aches,nausea. no temperature or chills. The headache lasted all day lasted all day Friday and decreased in intensity by Saturday. With rest, the dizziness resolved by Friday evening. The muscle aches remained mildly for a few days.

Other Meds: sythroid, metoprolol,

Current Illness:

ID: 1000826
Sex: M
Age: 25
State: IN

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: 12 hours of flu symptoms: fever, sweating, chills, body aches, headache, stomachache, nausea.

Other Meds: N/A

Current Illness: N/A

ID: 1000827
Sex: F
Age: 41
State: FL

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: labs drawn

Allergies: Decadron , Ceclore

Symptoms: Caregiver received vaccine 2/1/21 started having muscles aches and body weakness, fever 101.8 that same night. Started taking Tylenol. On 2/2/21 in the evening, Caregiver noticed a rash on face and chest which progressed to entire body on 2/3/21 after taking a shower. Caregiver took a Benadryl. Caregiver called health care center on 2/3/21 at 13:41. Advised of current symptoms. Caregiver instructed to go to either call 911 or have someone drive her to nearest ER immediately. CG states she had no difficulty breathing and spoke easily on the phone to a RN. 2/4/21 RN called Caregiver who advised she was at the stand alone ER by her house by 3pm on 2/3/21, they took her back immediately. Benadryl IV, Solumedrol IV x2, and fluids given. States that when she got to the ER that her glands were swollen. Caregiver was discharged from ER at 0330 2/4/21 with instructions to take Benadryl for the next two days or as long as symptoms last per ER physician. Caregiver instructed to go to the ER immediately for any re-occurring symptoms. States today 2/4/21 0900, only symptom is slight redness on chest and site of injection, otherwise asymptomatic. Again this RN advised CG to go to ER immediately for worsening symptoms or call 911. She verbalizes understanding.

Other Meds: Lamictal, Atorvastatin, fish oil, multivitamin

Current Illness: Lipodystrophy

ID: 1000828
Sex: F
Age: 48
State: MN

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: Sulfa meds Penicillin Bee stings Vicodin

Symptoms: Received shot at 3:30 PM by 9:00 PM my arm was hurting difficult to lift. I started feeling achey all over joint and muscle pain. At 12:00am fever of 100.1. Took 2 advil. Awoke at 5:30 a.m and hurt all over, chills and fever of 100.0.

Other Meds: Losartan Potassium 50mg tab 1xper day Levothyroxine 88mcg 1xper day

Current Illness: NO

ID: 1000829
Sex: F
Age: 64
State: FL

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Site: Swelling at Injection Site-Medium

Other Meds:

Current Illness:

ID: 1000830
Sex: F
Age: 45
State:

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I started to have aches, joint pain and a migraine with slight nausea on 2/1/21 @ 1700 after having the 2nd vaccine earlier that morning. The migraine persisted till 2/3/2021 at 0930. I called employee heath and was suggested to take some Tylenol and coffee. I continue to have mild joint pain, a mild headache, and no nausea.

Other Meds:

Current Illness:

ID: 1000831
Sex: F
Age: 54
State: IN

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: msg

Symptoms: Severe shaking for 3 hours from being so cold. Severe headache, neck ache. Wrist pain, finger pain. Back was on fire. Nauseous. Chills. Missed 2 days of work.

Other Meds: Xanax, propanol, glipizide, oxybutinin

Current Illness: none

ID: 1000832
Sex: F
Age: 70
State: FL

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: None.

Allergies: Oak Trees, Paraban lotions Sensitive to eggs ( Give me a stomach ache but does not affected flu vaccine)

Symptoms: Within 12 hours severe pain in left arm, body aches and pains, fever by 11PM of 99.9, and then taken again at 6:00am on 2/4/21 fever of 101.1. Took Tylenol just after 2nd Covid Moderna Vaccine. Unable to sleep all night and continual fever till I took the second Tylenol in the monrning. Put alcohol towel on my head and drank water to bring fever down. No adverse reaction to first Covid Vacine on 1/6/21 011L20A.

Other Meds: Amlodipine 5mg

Current Illness: Diverticulitis and took Cipro for 10 days.

ID: 1000833
Sex: F
Age: 72
State: AL

Vax Date: 01/21/2021
Onset Date: 01/27/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: None

Allergies: Codine

Symptoms: At injection site red swollen and fever in arm. Strarted about a week after shot. Not real bad or severe. Now just kind of itches.

Other Meds: Lipitor 10. Telmisartan 20 blood pressure Benadryl Vitamin D C and Zinc

Current Illness: None very healthy

ID: 1000834
Sex: F
Age: 73
State: NC

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: EKG

Allergies: caffeine

Symptoms: Within 5 minutes of vaccine patient complained of chest tightness and headache. Evaluated by EMS - elevated blood pressure and heart rate. Patient transported by EMS to Sentara Albemarle Medical Center ER. Patient evaluated for several hours in the ER then sent home.

Other Meds:

Current Illness:

ID: 1000836
Sex: F
Age: 60
State: MA

Vax Date: 01/25/2021
Onset Date: 01/28/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: Bees

Symptoms: Patient had an anaphylactic reaction, lips and facial swelling.

Other Meds: None

Current Illness: None

ID: 1000840
Sex: F
Age: 70
State: PA

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/04/2021
Hospital: Y

Lab Data:

Allergies: NKDA

Symptoms: Weakness, dizziness, nausea, vomiting, rash on (L) arm

Other Meds: Atorvastatin, Fosamax, Cormax, Bactroban

Current Illness: COVID (+) 12/26/2020

ID: 1000844
Sex: F
Age: 46
State: KS

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: ED visit 1/12/21

Allergies: NKDA

Symptoms: Reports symptoms began one hour after the 2nd COVID-19 vaccine. Symptoms were cough, chills, site tenderness, sinus pressure, sore throat, eye pain (R), burning sensation and tingling. Seen at ED on 1/12/21.

Other Meds: Magnesium B12, Hormone replacement, VitD

Current Illness: None

ID: 1000849
Sex: M
Age:
State:

Vax Date: 01/20/2021
Onset Date: 02/01/2021
Rec V Date: 02/04/2021
Hospital: Y

Lab Data: P02 % dropped to 66% on O2 through nasal cannula 1/31/2021

Allergies:

Symptoms: Narrative: Respiratory failure / respiratory depression went to ED / ICU 2/1/2021. Frail patient. 1st vaccine 12/23/2020 Moderna Lot 039K20A exp 6/20/2021, 2nd vaccine 1/20/2020 Moderna Lot 013L20A exp 7/8/2021

Other Meds:

Current Illness:

Date Died: 01/30/2021

ID: 1000856
Sex: M
Age: 77
State:

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Myocardial infarction Narrative: PMH significant for aortic valve stenosis, mitral valve stenosis, CKD, CHF, DM, HTN, obesity, hypothyroidism and dyslipidemia. Per report from primary care - the patients wife reports that the patient went on Saturday (1/30/21 - about 1050) morning to receive his COVID vaccine. He returned home and told her about the experience and denied any side effects. He then proceeded to sit in his easy chair for a while and around 1:30, she asked him if he wanted any lunch. The patient's wife reports he "grumbled" at her, and then got up to go to the bathroom. She then heard a loud crash and found him lying on the floor of the bathroom, with his head knocking hole in the wall as he fell. She could not detect a pulse. She called 911 and began compressions. First responders to the scene likewise tried to revive him but were not successful in her efforts. Per primary care documentation - Uncertain if related to Pfizer vaccine; vaccine administered on 1/30/21 and approximately 3 hours later suffered fatal MI at home.

Other Meds:

Current Illness:

ID: 1000857
Sex: M
Age: 58
State:

Vax Date: 01/06/2021
Onset Date: 02/01/2021
Rec V Date: 02/04/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: suspect bowel obstruction/ septic Narrative: Pt was admitted to ICU with a suspected bowel obstruction / possible sepsis 2/1/2021, Vaccine was administered 1/6/2021, Moderna Lot 039K20A Exp 6/20/2021.

Other Meds:

Current Illness:

ID: 1000859
Sex: F
Age: 35
State: OH

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Chills/convulsions, fever, body aches, headache

Other Meds: Multi Vitamin, Vitamin D, Zoloft , Lo Loesterin, Singular

Current Illness: none

ID: 1000860
Sex: F
Age: 24
State: IN

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: After the first shot: little fatigue and arm soreness After second shot: fever, chills, nauseous, extreme fatigue, headache, muscle aches all over body

Other Meds: Fluoxitine

Current Illness: None- was on my period but that is it

ID: 1000861
Sex: F
Age: 60
State: MI

Vax Date: 01/30/2021
Onset Date: 02/01/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: no

Symptoms: I got up and had a really bad headache and fatigue. I did not go to work due to the headache. I took a Tramadol, got an ice pack, placed it on my head and put some lavender on my pillow, called into work and went back to bed. I still have the headache and fatigue, but I am able to work so far.

Other Meds: Celecoxib 100mg, Doxycycline 100mg, Gabapentin 300 x 2, Losartan 100mg, Hydrochlorothiazide 25mg, Sertraline HCL 25mg, Propranolol 20mg.

Current Illness:

ID: 1000862
Sex: F
Age: 43
State: KY

Vax Date: 02/02/2021
Onset Date: 02/04/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: Neomycin Nickel Watermelon

Symptoms: Diffuse maculopapular rash on trunk and arms

Other Meds: Oral contraceptive

Current Illness: None

ID: 1000863
Sex: F
Age: 34
State: IN

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: NSAIDs

Symptoms: Exhaustion, headache. 1 dose of DayQuil

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm