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: 1005231
Sex: F
Age: 30
State: IN

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: Lactose intolerant

Symptoms: Fever of 101 for 24 hours.

Other Meds:

Current Illness:

ID: 1005232
Sex: M
Age: 45
State: MT

Vax Date: 02/02/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Chills, Body aches, Injection site pain, Swelling

Other Meds:

Current Illness:

ID: 1005233
Sex: F
Age: 75
State: IN

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

Lab Data: NONE

Allergies: None

Symptoms: First 12 hours were fine just slight soreness in right arm. Got really tired 10 PM and got chills, went to bed as I tried to get out of bed next morning could hardly walk from very bad knee and hip pain, took acetaminophen and reviewed side effects on paper.. noticed extreme heat in injection site and noticed a swollen red mark about 3.5 inches diameter. Also had headache. Spent most of day laying down and taking acetaminophen, next day about 48 hours from injection time I am much better, except injection site is still red and swollen and a dizzy headache.

Other Meds: Valsartan-HCTZ Amlodipine Besylate Carvedilol Calcium Aspirin Restore Eye Vitamin

Current Illness: Jan 13, 2021 Went to Clinic for sinis infection and sore throat Jan 17 , 2021 Lost sense of teaste and smell Jan 19, 2021. Got Covid test Jan 20, 2021. Received test results :

ID: 1005234
Sex: M
Age: 68
State: TX

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: Still waiting on notes from hospital. pt was advised around 8am on 02/05/2021 to go to the ER.

Allergies: n/a

Symptoms: pt woke up around midnight with stomach pains on the right side under rib cage, stated that it got to about 6-7 pain level. Pt was able to have a bowel movement, but stated that every time you would try and lay back down that the pain would get worse. Pt will be going to the ER.

Other Meds: aspirin 81mg atorvastatin 40mg zyrtec 10mg clopidogrel 75mg famotidine 20mg fish oil metoprolol succinate er 50mg pantoprazole 40mg tamsulosin 0.4mg testosterone 200mg

Current Illness: no

ID: 1005236
Sex: F
Age: 69
State: TX

Vax Date: 01/26/2021
Onset Date: 02/02/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: 7 days later, red, itch swollen area around site of injection. Lasted for 3 days.

Other Meds: Wixela, Montelukast, Fluticasone Propionate

Current Illness:

ID: 1005237
Sex: F
Age: 60
State: NJ

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: None

Allergies: Seasonal allergies

Symptoms: Low grade fever, headache, body ache and severe pain and swelling in right arm (at site of injection) for 1 day, today - 2/5/21 only slight headache and discomfort and swelling in right arm (at site of injection)

Other Meds: L-Thyroxine 125mcg Propranolol 1/2 10mg Valacyclovir 500mg Zoloft 50mg Omega 3 Fish Oil 1000mg Vit D3 1000IU Calcium 600mg Vit B12 500mg Turmeric 500mg AREDS 2 1 tab daily Flonase Zyrtec-D prn Aspirin 81mg (Baby aspirin) Collagen Hydrolysa

Current Illness: None

ID: 1005238
Sex: F
Age: 61
State: TX

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

Lab Data: none

Allergies: NKDA

Symptoms: Six hours post vaccination- chills, fever, headache. Twelve hours post vaccination- chills, fever, headache, nausea. Feb 4, 2021 - Swollen lymph node at right clavicle; Swollen right eye; swollen, warm, hard knot in right arm below injection site; headache.

Other Meds: Zocor, NP Thyroid, MVI, HRT, Vit C, Vit D3

Current Illness: none

ID: 1005239
Sex: M
Age: 26
State:

Vax Date: 01/01/2017
Onset Date: 09/15/2020
Rec V Date: 02/05/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: GUILLAIN BARRE

Other Meds:

Current Illness:

ID: 1005240
Sex: F
Age: 30
State: CA

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

Lab Data: None

Allergies: None

Symptoms: Cold sweats all night. The next day: fatigue, migraine, chills, dizziness, nausea.

Other Meds: None

Current Illness: None

ID: 1005241
Sex: F
Age: 51
State: AZ

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Day of vaccine-12/29/20-at about 3-4 pm started having headache, body aches, fever 101.2, chills. Day 2-12/30/20-severe body aches, difficulty walking, joint pain and soreness, fever 102.6, chills, took Tylenol Q 4-6 hours with no relief. Day 3-12/31/20-all same symptoms as above with right shoulder soreness and pain and warmth at the injection site. Day 4-1/1/2021-warmth at injection site, no other symptoms.

Other Meds:

Current Illness:

ID: 1005242
Sex: F
Age: 32
State: MA

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Unknown

Other Meds:

Current Illness: None

ID: 1005243
Sex: F
Age: 67
State: MD

Vax Date: 01/29/2021
Onset Date: 02/05/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: ?Sulfa

Symptoms: On the way home from vaccination (1/29/21), felt like something stuck in her throat but resolved within hours. One week later (2/5), woke around 2am with same feeling, but at time of report (10:0am, 2/5), she has taken Allegra and using throat lozenge and feels throat symptoms are improving. She reports that she does battle environmental/seasonal allergies, has been experiencing post nasal drip and some intermittent itchy eyes and scalp this week so this could be related to allergies. She also c/o red "rash" at injection site about the size of 50 cent piece which she first noted today - denies pain or swelling. Writer advised she continue daily allergy medicine, consider using Benadryl as directed on the day of 2nd vaccination, and at any time between now and following administration of 2nd vaccine, if she should have worsening symptoms to seek care immediately. Also recommended 30 minutes observation period following 2nd vaccine - due 28 days from 1/29/21. She verbalized agreement with all.

Other Meds: Allegra MVI Steroid injection in shoulders early January

Current Illness: None other than environmental/seasonal allergies

ID: 1005244
Sex: M
Age: 75
State: AR

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: no

Allergies: no

Symptoms: pt stated stated he had chills later on the dame day after receiving the covid vax and some soreness around the injection site. Pt states all symptoms have subsided.

Other Meds: losartan 5mg, HTCZ 5mg, Finasteride 5mg,

Current Illness: no

ID: 1005245
Sex: M
Age: 63
State: AZ

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Error: Booster Given Too Early

Other Meds:

Current Illness:

ID: 1005246
Sex: F
Age: 53
State: AZ

Vax Date: 01/28/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: None at this time

Allergies: Sulfa medications. I have not been officially tested, but I have reactions to sulfates and parabens in shampoos, conditioners and lotions, some chemical smells like in industrial glues, pesticides, mold and mildew, and some dogs.

Symptoms: 7 days after receiving the vaccine, Thursday Feb. 4th, yesterday, I developed an itch at the injection site. By the afternoon I noticed a penny sized lump forming. I did not notice any other symptoms. Today, day 8, it is the size of a baseball. It is hot and a little achy. I have been occasionally putting ice on it. I am going to take a Benadryl today hoping that helps.

Other Meds: Half hour before vaccine I took a Tylenol and a Benadryl. Daily I take a multi vitamin, vitamin C, and vitamin D. I am prescribed Irbesartan 150 mg which I take once daily.

Current Illness: None

ID: 1005247
Sex: F
Age: 55
State: MO

Vax Date: 01/31/2021
Onset Date: 01/31/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient received her Covid vaccine at 15:28 and at 15:50 started having prickly feelin gin her hands, legs and lips. EMS assessed and treated with Diphenhydramine 25mg orally. She had no change in her symptoms so was sent by personal vehicle with a driver to local ER up the street. Report called and given to ER @16:05

Other Meds:

Current Illness:

ID: 1005248
Sex: F
Age: 29
State:

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: No history of allergic reactions of any kind

Symptoms: Arm developed a heated, red raised bump, very sensitive and painful to the touch, with a hard knot underneath. It lasted about 4 days. I used benadryl and ibuprofen to manage it.

Other Meds: Vitamin D, Zinc, Prenatal vitamin. Letrozole 7.5 mgs (Took January 20th - January 24th)

Current Illness: No illnesses

ID: 1005249
Sex: F
Age: 40
State: TX

Vax Date: 12/15/2020
Onset Date: 12/15/2020
Rec V Date: 02/05/2021
Hospital:

Lab Data: None

Allergies: Seasonal allergies

Symptoms: 45 minutes after administration pt became nauseated, tachycardic, numbness and tingling hands and feet, progressing to the knees. Injection site warm, BP 132/96. On exam, oropharynx mild erythema - no edema and no stridor. Lungs CTA. Cor - S1 S2 slightly rapid. Abd soft, non-tender, positive BS. No rashes. Gave Benadryl 50 mg and prednisone 20 mg. BP 110/72. HR 72. O2 Sat 98%. Temp 98.3F.

Other Meds: Eczema cream Norestrin generic Zyrtec Allegra Pataday eye drops

Current Illness: Endometriosis

ID: 1005250
Sex: F
Age: 78
State: OH

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: EKG and blood work that was all negative.

Allergies: Codeine.

Symptoms: Immediately after receiving the vaccine had heart palpitations while sitting down for the 15 minute wait time. She thought it would be temporary and go away, but did not. She came home, and it was still happening, still having them. She talked to her daughter and went to the ER. They did an EKG and blood work for fear of having a heart attack, all was negative. Didn't do anything more for her. After 3 hours and moved to a chair and then it suddenly stopped. She did have this reaction for about 5 hours. Still feeling tired but not sure if it was from weather or stress itself.

Other Meds: Levothyroxine, Losartan, Trazodone. One a day multiple vitamin for women over 50, Crill oil, Vitamin D.

Current Illness: None.

ID: 1005251
Sex: M
Age: 67
State: FL

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

Lab Data:

Allergies: Penicillin

Symptoms: This is a follow up report to VAERS report 259546, and is regarding the second shot of COVID vaccine. The first shot I had a bad rash 14 days after receiving the vaccine. This was treated with Benadryl and hydrocortisone and within two weeks, it was almost gone. Therefore, I was advised by my doctor to get the 2nd shot in the other arm. Within 24 hours of the second shot, the same rash broke out from shoulder to elbow that happened after the first shot. In addition, at the same time, my right armpit gland became very swollen and sensitive to the touch. Doctor advised to again use Benadryl for 48 hours and hyrdocortisone.

Other Meds: Effexor, testosterone, rovustation, amytriptiline

Current Illness:

ID: 1005252
Sex: M
Age: 46
State: VA

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Heart palpitations/ dizziness lasting most of the day

Other Meds: Vitamin D , Zinc , Vitamin C

Current Illness: None

ID: 1005253
Sex: F
Age: 66
State: CA

Vax Date: 01/22/2021
Onset Date: 01/30/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Rash on arm and itching

Other Meds: Vitamin d

Current Illness: None

ID: 1005254
Sex: F
Age: 40
State: MI

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

Lab Data:

Allergies:

Symptoms: 1.5-2 HOURS AFTER VACCINE- VOMIT, DIARRHEA, COULD NOT BREATHE.

Other Meds:

Current Illness:

ID: 1005255
Sex: F
Age:
State: FL

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: fever, headache, bp 155/79 (usdually in 110's 120's/ baseline), and nausea. Caller wanted to know if any interaction with APAP. Advised no interaction between Pfizer covid Vaccine and APAP, increase fluid intake as well, PIC will call back to f/u at later time.

Other Meds:

Current Illness:

ID: 1005256
Sex: F
Age: 26
State: MT

Vax Date: 02/02/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Injection site pain, Body aches, Fever, Rash, Swollen Lymph nodes

Other Meds:

Current Illness:

ID: 1005257
Sex: F
Age: 68
State: IN

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

Lab Data: None

Allergies: Sulfur. Nubane. Morphine. Codein. Penicillin Demerol

Symptoms: Headache ,fever, body aches,chills , muscle cramps ,nausea 36 hours

Other Meds: Synthroid Arthrotec. Effexor Lyrica Metoprolol Trazadone Lipitor Zyrtec. Multivitamin. Vitamin C, B and D. Fish oil.

Current Illness: None

ID: 1005258
Sex: F
Age: 17
State: FL

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Vaccine administered to minor.

Other Meds:

Current Illness:

ID: 1005259
Sex: M
Age: 30
State: OH

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: none

Allergies: Ativan - bad reaction not sure there is an allergy

Symptoms: major muscle cramp in his right leg - followed by his eyes rolling back and slurred speech - it happened at 4:30 p.m., 5:30 pm and 7:30 pm - each time it lasted for several minutes

Other Meds: famotadine, lexapro, carnitor, lactulose, daily vitamin,

Current Illness: autism spectrum

ID: 1005260
Sex: M
Age: 52
State: NE

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

Lab Data: None

Allergies: none

Symptoms: About 12 hours after shot, severe chills lasting for a couple hours. No fever. About 20 hours after shot, fatigue lasting throughout the day. No fever. About 32 hours after shot, first noticed face breaking out, like acne. About 44 hours after shot, forehead severly broken out with red spots. Face not as bad.

Other Meds: Montelukast 10MG tab Loratadine 10MG tab

Current Illness: none

ID: 1005261
Sex: M
Age: 46
State: TX

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: report Diarrhea 4 hours post vaccination. Treatment: none. Outcome: Improving and does not Interfere with ADLs.

Other Meds:

Current Illness:

ID: 1005262
Sex: M
Age: 25
State: CA

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Unknown

Other Meds:

Current Illness: None

ID: 1005263
Sex: F
Age: 60
State: GA

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: headache dizziness

Other Meds: multi vitamin

Current Illness: none

ID: 1005264
Sex: F
Age: 39
State: MA

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: At 4 hrs post - severe pain at injection site, unable to lift arm At 10 hrs post - fever 102, rigors, chills, body aches, ending ~24 hrs post vaccine at 24 + hrs post, low grade temp 100 and muscle aches, chills, more tolerable

Other Meds:

Current Illness:

ID: 1005265
Sex: F
Age: 61
State: MD

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: None

Allergies: None reported

Symptoms: Immediately after receiving her shot, pt reported feeling light headed and dizzy. Transported via wheelchair to cot. Laid down with feet elevated. After 5 minutes-patient sat upright to drink juice. VS 130/86, HR 84, SPO2 98%. After 20 minutes-patient reported feeling better-left with husband. Instructed to follow up with provider and notify vaccine clinic at next dose of how they felt after first.

Other Meds: Per pt-takes BP medication at night

Current Illness: None reported

ID: 1005266
Sex: F
Age: 20
State: NJ

Vax Date: 02/02/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Auditory hallucination and left sided facial twitching. Headaches and vomiting.

Other Meds: Clonidine Zoloft Vitamin D 3 Salt Mexeletine Synthroid Caffeine Junel Phenergen

Current Illness: Migraines Depression Hypothyroidism Postural Orthostatic Tachycardia Syndrome

ID: 1005267
Sex: F
Age:
State: PR

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: For 4 days had severe arm pain (left) and on 3rd day developed muscle cramps, abdominal pain. Also had chills, no fever. The symptoms were off and on for about a week. On the 3rd week after the vaccine, I noticed a swollen and painful to the touch lymph node under my left armpit. I still have it but it has been diminished in size it is much smaller and it just hurts if I apply pressure.

Other Meds:

Current Illness:

ID: 1005268
Sex: M
Age: 59
State:

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient became diaphoretic with shirt drenched. Vital signs within normal limits. Declined to go to ED. Remained for 15 min. Diaphoresis resolved.

Other Meds:

Current Illness:

ID: 1005269
Sex: M
Age: 73
State: OH

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

Lab Data: rapid COVID-19 test.

Allergies: haloperidol

Symptoms: experienced elevated heart rate and blood pressure approximately 24 hours post vaccination, which prompted visit to ER. a rapid covid test was administered in the ER which had a positive result. was admitted to the hospital for fever and possible PNA

Other Meds: ascorbic acid, clonidine, cardizem, furosemide, hydralazine, donepezil, aspirin, flomax, omeprazole, ferrous sulfate, isosbride monotrate ER

Current Illness:

ID: 1005270
Sex: F
Age: 59
State: KS

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

Lab Data: none

Allergies: NKA

Symptoms: 16 hours after injection severe body aches, chilling, temperature 101.6

Other Meds: Synthroid 50mcg

Current Illness: None

ID: 1005271
Sex: F
Age: 31
State: WI

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

Lab Data:

Allergies:

Symptoms: Body aches, fatigue, fever

Other Meds:

Current Illness:

ID: 1005272
Sex: M
Age: 27
State: IL

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: SULFA ABX

Symptoms: temp at 8AM 100.7: PRN Ibuprofen admin

Other Meds: OTC MULTIVITAMIN GUMMIES VITAMIN D 1000 UNITS

Current Illness: NA

ID: 1005273
Sex: F
Age: 65
State: IA

Vax Date: 01/27/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: Large (approximately 3' x 6") red rash on upper left arm. Slightly swollen and itchy at first. Swelling and itch subsided within a couple of hours.

Other Meds: atorvastatin, levothyroxine, vitamin D3

Current Illness: None

ID: 1005274
Sex: F
Age: 60
State: IA

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

Lab Data: none

Allergies: none

Symptoms: fever (101.5) chills, nausea, red stinging eyes

Other Meds:

Current Illness: none

ID: 1005275
Sex: M
Age: 25
State: SD

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: Kelfex

Symptoms: Started to have a localized rash/warm and swellingto touch on injection site about 5 minutes after receiving vaccine. Cold compress and Diphenhydramine 25mg PO @ 0928. Rash spread to upper back and a couple spots on forehead. No shortness of breath, any trouble breathing. Medication helped with reduction of rash and swelling.

Other Meds: Prozac, Abilify, Clonidine

Current Illness:

Date Died: 01/18/2021

ID: 1005276
Sex: M
Age: 74
State:

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: chills 1 day after vaccine administration; found dead by family 1/18/2021 Narrative: Per patient family report, patient said the next day after vaccination that he didn't feel well because of chills. Patient was found dead at home by his family on January 18th. He was a 74yo man with castrate resistant prostate cancer and liver and bone metastases with rising PSA, status post intravenous chemotherapy 1/7/21

Other Meds:

Current Illness:

ID: 1005277
Sex: F
Age: 67
State: CA

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Systemic: Other- patient said she felt short of breath, administered benadryl immediately precationary. Pt said she thought it might be panic attack afterwards and after breathing deeply & rest went back to work

Other Meds:

Current Illness:

ID: 1005278
Sex: M
Age: 77
State: FL

Vax Date: 02/01/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital: Y

Lab Data:

Allergies: Gluten

Symptoms: Symptoms started on 2/4 SOB, nausea, diaphoretic. Pt admitted on 2/5 with STEMI with stent placement and thrombectomy

Other Meds: Protonix, Gabapentin

Current Illness:

ID: 1005279
Sex: F
Age: 34
State: MN

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Had slight sore arm then headache for 2 days not received by medication. At day 3 my arm was very sore and got worse every day to the point I couldn?t even lift my arm more then half way i have also had a lump at injection site since vaccine was administered. On day 8 i could now lift my arm without pain but the lump in my arm had tripled in size and was now very itchy.

Other Meds: Iron supplement birth control

Current Illness: Low hemaglobin

ID: 1005280
Sex: M
Age: 77
State: MD

Vax Date: 01/21/2021
Onset Date: 01/27/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: none known

Symptoms: shingles - itching and rash on sides near lower ribs and mid back

Other Meds: medications for high blood pressure, type 2 diabetes and cholesterol

Current Illness:

ID: 1005281
Sex: F
Age: 52
State: NY

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: none

Allergies: NKA

Symptoms: Began with difficulty "clearing throat" progressed to tingling/dry sensation in throat and general flushing. Slight swelling of R cheek noticeable to patient. Patient reported numbness in feet R>L and tingling in fingers . BP in range of 148/98 throughout with pulse of 88 -89. Mild tremor noted in hands. Lungs clear, good air exchange. Pulse oximetery 98-99 throughout. Pt reported difficulty swallowing. Was able to drink about 8 oz of fluid. After consultation with MD, EMS was summoned arriving at approx 10:30 and pt was transported to Hospital emergency department.

Other Meds: unknown

Current Illness: none reported

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm