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: 1006041
Sex: F
Age: 65
State: IN

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

Lab Data: None

Allergies: Sulpha, Chocolate

Symptoms: Chilling and headache, neck ache. These symptoms occurred the day after the vaccine.

Other Meds:

Current Illness: None

ID: 1006042
Sex: M
Age: 43
State: TX

Vax Date: 01/19/2021
Onset Date: 01/22/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: MRI and Labs came back normal.

Allergies: N/A

Symptoms: I have eye inflammation; both eyes. The optometrist prescribed Lotemax 4 times a day for the inflammation. I have my second shot in a week and would like to know if it's safe to get it.

Other Meds: Crestor 5 mg, Montelukast 5mg

Current Illness:

ID: 1006043
Sex: F
Age: 59
State: CT

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

Lab Data:

Allergies: Penicillin

Symptoms: Insomnia, Temp 101.7

Other Meds: Valsartan

Current Illness: No

ID: 1006044
Sex: M
Age: 17
State: CA

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

Lab Data: ADVISED TO CONTINUE MONITORING SYMPTOMS

Allergies: NONE

Symptoms: REDNESS, MILD PAIN, TENDER TO TOUCH AT INJECTION SITE

Other Meds: NONE

Current Illness: COVID-19

ID: 1006045
Sex: F
Age: 49
State: NY

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

Lab Data:

Allergies: none

Symptoms: chills, body ache, headache

Other Meds: otc multivitamin

Current Illness:

ID: 1006046
Sex: F
Age: 40
State: TX

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: COVID-19-positive

Allergies: aspirin, mango, latex

Symptoms: Shortly after the vaccination I was still having the abdominal distention so I called to see if I could defer the 2nd vaccine because I wasnt feeling well and still experiencing AE from the 1st dose. I was advised I still had to get the vaccine so I did and by 2:30pm I begin to have severe facial swelling causing asymmetrical shaping of my face, my head was hurting extremely bad, fatigued and felt really bad. I had to lay down because my head was hurting, felt like I had pressure on the top of my head, neck and back. The pain was so bad I was transported to the ER and was isolated d/t previous COVID infection and all while there the my body felt as if it was steady swelling. I was hurting so bad I couldnt stand to be touched. I was given another round of steroids. I was advised I had COVID pnemonia and was given IM decadron, IM regalin and a subQ injection of immatrex for the headaches and administered ibuprophen and tynenol for the headache as well. I was discharged with a prescription of regalin and decadron. The ER dr. states I shouldnt have taken the 2nd vaccine because I was still suffering from COVID-19. The abdominal distention had dissolved but the congestion just will not clear up even after 3 rounds of steroids. Asoumedrol was prescribed by my ENT but it didnt help either so I have a CT Scan scheduled for next week with my ENT and has not been able to return to work since the 1st dose 12/22. I have be retested for COVID-19 on both 1/15 and 1/25 and both results are still positive for COVID.

Other Meds: Vit C, Vit D., Multivitamin, Claritin 10mg, Augmentin

Current Illness: no

ID: 1006047
Sex: M
Age: 92
State:

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

Lab Data:

Allergies:

Symptoms: "didn't feel well"

Other Meds:

Current Illness:

ID: 1006048
Sex: F
Age: 56
State: CA

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

Lab Data:

Allergies:

Symptoms: mild headache tired

Other Meds:

Current Illness:

ID: 1006049
Sex: F
Age: 49
State: CA

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

Lab Data:

Allergies:

Symptoms: Pt felt warm, flushed, tingly, denied SOB but asked for oxygen and reported that oxygen helped relieve the feeling of warmth and tingliness. Could have possibly been anxiety rather than a true reaction to vaccine. Benadryl given IM 50mg. EMS called and assumed care of patient. Assessed her then took her to the hospital for further evaluation.

Other Meds:

Current Illness:

ID: 1006050
Sex: F
Age: 55
State: GA

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

Lab Data:

Allergies: Sulfa antibiotics

Symptoms: Hives on back of leg and hands

Other Meds:

Current Illness:

ID: 1006051
Sex: F
Age: 74
State: TX

Vax Date: 01/20/2021
Onset Date: 01/27/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: none

Allergies: NKDA

Symptoms: 7 days after vaccine, patient developed redness, swelling and itching at left deltoid to just above left elbow. also itching around mouth. she took benadryl 3 times a day and finally had improvement of symptoms. No dyspnea, dysphagia.

Other Meds: rosuvastatin 40mg fenofibric acid 45mg magnesium 500mg Vitamin C 500mg Vitamin D3 5000 units Glucosamine 1500mg melatonin 5mg alendronate 70mg once a week

Current Illness: None

ID: 1006052
Sex: F
Age: 28
State: NM

Vax Date: 01/20/2021
Onset Date: 01/31/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: N/A

Allergies: Latex and Naproxen

Symptoms: Moderate rash and/or hives (unsure) flaring up on both hands this last week and now spreading to wrist and fingers. The bumps itch and then swell and then go back down and then flare up again. Benadryl has been taken with little relief. As well as applying hydrocortisone liberally. No other rash/hives have appeared anywhere else on my body.

Other Meds: None

Current Illness: None

ID: 1006053
Sex: F
Age: 23
State: MT

Vax Date: 12/30/2020
Onset Date: 01/02/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: For two days (the 4th and 5th day after the dose) I had constant dizziness, nausea and a headache. My dizzy spells were consistent throughout the 48 hours. The headache never fully went away, lasting over a week.

Other Meds: Escitalopram 5 mg. Started on December 31st.

Current Illness: N/A

ID: 1006054
Sex: F
Age: 29
State: TN

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

Lab Data: None

Allergies: Varicella vaccine and citric acid

Symptoms: Swelling of lips, tongue and throat. Numbness of her mouth and cheeks.

Other Meds: None

Current Illness: None

ID: 1006055
Sex: F
Age: 61
State: CA

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

Lab Data:

Allergies: NKA

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA Approximately 3 mins after vaccination, pt reports nausea, dizziness, chest pressure, and profound weakness. Brought to Emergency Department by crisis RN where she remains achy with weakness, fatigue and had no energy. Pt reports "feeling tired" and "my speech is slower". On exam, slight R facial droop noted, tongue noted to be leaning towards the right, pronator drift noted in R arm. Code Brain activated with real time audio video interaction. MRI completed with normal results. Symptoms resolved. Stroke team ok with discharge to home with f/u with PCP.

Other Meds:

Current Illness:

ID: 1006056
Sex: F
Age: 50
State: CA

Vax Date: 01/17/2021
Onset Date: 01/17/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: none

Allergies: penicillin and iodine

Symptoms: Left arm injection site, itcy and tingling on down both arms, flushed throughout body, 140/80 BP, HR 71 and RR 18. Headache later that night, with chills and fever for 2 days. Took Tylenol.

Other Meds: vitamin c, fish oil, vitamin d, tumeric

Current Illness: none

ID: 1006057
Sex: F
Age: 74
State: NV

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

Lab Data:

Allergies: Sulfa, augmentin

Symptoms: Atrial Fibrillation began 7 hours after vaccine administered, lasted for 3 hours and then returned to normal rythm.

Other Meds: Clonodine, Pravastatin, Omeprazole, Eliquis 5 mg/day, calcium, acidophilis

Current Illness: none

ID: 1006058
Sex: F
Age: 56
State: VA

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

Lab Data: Consulted with my rheumatologist. Took antihistamines and ibuprofen and rested more than usual

Allergies: shellfish (shrimp), morphine, demerol, latex, preservatives such as sulfates

Symptoms: Day 1 through Day 4: systemic hives, mild to moderate, treated with Zyrtec antihistamine; some muscle soreness at injection site Day 2-3: periodic hives and itching throughout the body continued; sweats and chills, body aches, extreme fatigue Days 1-5: unusual fatigue requiring naps ***Day 7: rash, swelling, and soreness at injection site

Other Meds:

Current Illness: No acute illness known at time of vaccination

ID: 1006059
Sex: M
Age: 72
State:

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

Lab Data:

Allergies:

Symptoms: Deep bruise at injection site surrounded by a 4 inch patch of yellowed skin.

Other Meds:

Current Illness:

ID: 1006060
Sex: F
Age: 90
State: MD

Vax Date: 01/27/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: 7 days after injection developed redness and itching on R deltoid along with a flare of her chronic generalized pruritis primarily involving both breasts. 8X11 cm area of redness on arm; no discernable rash on breasts, some excoriation change on chest and back

Other Meds: TUMS, Magnesium, Tylenol

Current Illness: chronic - back pain, hypertension, hyperlipidemia

ID: 1006061
Sex: F
Age: 90
State:

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

Lab Data:

Allergies:

Symptoms: "Didn't feel well".

Other Meds:

Current Illness:

ID: 1006062
Sex: F
Age: 29
State: CA

Vax Date: 01/23/2021
Onset Date: 01/26/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: none

Allergies: none known

Symptoms: Got a red rash at arm site 2 days after injection. Possible urticaria and pt would like to know if she should get the second dose.

Other Meds: no

Current Illness: none

ID: 1006063
Sex: F
Age: 49
State: CA

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

Lab Data:

Allergies: eggs/milk/nuts/shellfish (anaphylaxis), Latex (anaphylaxis)

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA She has h/o anaphylaxis to flu vaccine and 5 minutes after COVID vaccine she experienced SOB, throat and tongue itching, flushing, very anxious, her BP 144/102, HR 120s, RR 20. She had Epi-pen and we injected it for her per her request. She transferred herself to a wheel chair and went to ER with Crisis Nurse. Symptoms resolved. Patient discharged from ED.

Other Meds:

Current Illness:

ID: 1006064
Sex: U
Age:
State: MO

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

Lab Data: SARS-CoV-2 negative on 2-3-2021 Rapid flu negative on 2-5-2021

Allergies:

Symptoms: Myalgias, severe fatigue, loss of appetite with weight loss, orthostatic hypotension

Other Meds:

Current Illness:

ID: 1006065
Sex: M
Age: 57
State: KS

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

Lab Data: none

Allergies: Demerol, Nusain, Erythormycin

Symptoms: Reports that he had a temperature of 101.3 for 24 hours starting in the evening of 2/3/2021 along with chills, body aches, diarrhea and headache. His fever ended on 2/4/2021 in evening but he continues to have the chills, diarrhea, heachache and body aches as of 2/5/2021.

Other Meds: Unable to have information

Current Illness: none

ID: 1006066
Sex: F
Age: 55
State: TX

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

Lab Data:

Allergies:

Symptoms: Report MS flare up (trouble walking, walk with a shuffle). Treatment will follow up with treating provider.

Other Meds:

Current Illness:

ID: 1006067
Sex: F
Age: 71
State: CA

Vax Date: 01/27/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: sulfa drugs

Symptoms: minor rash around injection site beginning on day 8

Other Meds: none

Current Illness: none

ID: 1006068
Sex: F
Age: 0
State: AZ

Vax Date: 11/20/2020
Onset Date: 11/20/2020
Rec V Date: 02/05/2021
Hospital:

Lab Data: OXYGEN SAT. HEART AND BREATING RATE TESTED DURING/AFTER

Allergies: NKA

Symptoms: WITHIN SECONDS OF ADMINISTERING INFANT HAD A BREATHING HOLD UP AND APNEA EPISODE 25 SECONDS REQUIRING POSITION CHANGES, STERNAL RUB, MOVEMINT AND BLOW BY O2. VOMITED AFTER . PALE ABOUT 15 MINUTES TO RETURN TO NORMAL BASELINE

Other Meds: HYDROCORTIZONE CREAM

Current Illness: NONE

ID: 1006069
Sex: F
Age: 31
State: CA

Vax Date: 01/15/2021
Onset Date: 01/21/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: penicillin/amoxicillin (anaphylaxis)

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA Employee was found in the staff lounge by crisis RN. Patient stated she was lightheaded (almost passing out), denies falls, and having palpitations. She tested negative for covid on Tue 1/12/2021 and had her first dose of vaccine on Friday 1/15/21. Today, she c/o intermittent numbness/tingling in left arm and foot. Neurology consulted for L sided paresthesia. Pt absolutely refused an MRI due to past experience. CT brain w/o contrast was normal. Patient discharged from emergency department.

Other Meds:

Current Illness:

ID: 1006070
Sex: M
Age: 93
State:

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

Lab Data:

Allergies:

Symptoms: "didn't feel well"

Other Meds:

Current Illness:

ID: 1006071
Sex: F
Age: 66
State: CA

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

Lab Data:

Allergies: penicillin (fainting), beef (itchiness)

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA Drive Thru Vaccination clinic - Within 10 mins of getting the vaccine, patient reports numbness to her central lips and tip of tongue. Diaphoresis and chest discomfort. Vitals were 157/78, 99, 16, 98% RA. Symptoms slowly started to resolve. 911 called and pt sent to ED. Pt takes Allegra (fexofenadine) daily. Symptoms resolved at 1:15pm. Troponins were normal - low concern for ACS. Diphenhydramine 25mg po on 1121 and prednisone 40mg at 1214. Discharge prescription for prednisone 40mg daily x 3 days.

Other Meds:

Current Illness:

ID: 1006072
Sex: M
Age: 66
State: MI

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

Lab Data: CT spine and head negative, cardiac workup in ER, chest x-ray negative , discharged back to the facility.

Allergies: caffeine- rash, ASA-rash, Inositol Niacinate-anaphylaxis, latex gloves-hives/rash, Morphine Sulfate-Anaphylaxis, Niacin-Anaphylaxis

Symptoms: lightheadedness and syncopal episode. States "all of the sudden he felt hot and passed out" He was hypotensive with b/p 75/51 HR 65. EKG NSR. sent to the ER for further evaluation.

Other Meds: acetaminophen, albuterol HFA, Apixaban, Atorvastatin, Metoprolol Tart, nitroglycerin SL, Nortriptyline HCL, Pantoprazole, Prasugrel HCL, Ranolazine ER, Umeclidinium BR,

Current Illness: COVID (+) 12-21-2020

ID: 1006073
Sex: F
Age: 58
State: TN

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

Lab Data: None

Allergies: None

Symptoms: I began having a headache on 2/2/2021 around 1 PM. Around 3 PM, I was chilling and was achy-stomach, ribs, back-like the flu. I took Tylenol and acetaminophen alternating every 4-6 hours. 2/03/2021- still a little sore and headache until about 2 PM. Then I started feeling better. 2/04/2021- some headache-much milder and tired.

Other Meds: Simvastatin, Lisinopril, Citalopram

Current Illness: None

ID: 1006074
Sex: F
Age: 51
State: TX

Vax Date: 01/24/2021
Onset Date: 01/28/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: "Patient reports 8 days ago had first COVID vaccine. 4 days ago she had 2 episodes of diarrhea, 3 days ago HA. Better on Saturday. Yesterday and today every time she eats she had diarrhea. no fever/chills/body aches Tired today but up a lot of the past 2 nights due to her symptoms"

Other Meds: None

Current Illness:

ID: 1006075
Sex: F
Age: 83
State: IN

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

Lab Data: not applicable

Allergies: Catapres

Symptoms: Symptoms started 12 hrs. after vaccination including, 100.7 temperature, nausea, headache, fatigue, pain in left upper arm, dry cough. Temperature 98.6 at 8am 02/05 all symptoms have subsided except malaise.

Other Meds: Metoprolol 100mg, Oxybutynin 5mg, Alendronate 70 mg, Lipiter 40 mg, Dorzolamide -Timolol twice dly, lisinopril 20 mg, asa EC 81mg dly, Plavix 75mg

Current Illness: None

ID: 1006076
Sex: M
Age: 35
State: ME

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

Lab Data:

Allergies:

Symptoms: About two and a half hours after receiving second dose of vaccine became overwhelmed with fatigue and the beginning of headache, needing to be assessed by facility doctor prior to being released to the care of his father to bring him to be seen by his primary care doctor. Vital signs: BP 150/100, P110, O2 99%, BG 85. After first dose-had rash on arm and arm pain

Other Meds:

Current Illness:

ID: 1006077
Sex: F
Age: 75
State: CA

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

Lab Data:

Allergies: sulfa (tongue swelling), penicillin (tongue itching, scrathy)

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA drive thru vaccination clinic - Approximately 50 mins after vaccination, pt reports transient sensation of something coming over her, dizziness and short period of tongue swelling, SOB and facial flushing. Pt taken to the ED. Prednisone 40mg po at 1312 and discharge prescription for prednisone 40mg daily x 3 days.

Other Meds:

Current Illness:

ID: 1006078
Sex: M
Age: 72
State: CA

Vax Date: 01/23/2021
Onset Date: 01/31/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: tested negative for Covid

Allergies: n/a

Symptoms: 8 days after vaccination a palm sized red spot appeared at point of injection, and from that time until four days later I suffered frequent chills, sweating, aches, headaches culminating in a migraine. Also extreme fatigue, lack of appetite.

Other Meds: none

Current Illness: none

ID: 1006079
Sex: F
Age: 50
State: AZ

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

Lab Data: None

Allergies: Allergic to Cipro and Macrobid antibiotics

Symptoms: Sore arm at injection site, body aches, fatigue, chills

Other Meds: Synthroid, liothyronine, Vitamin D3, Calcium/magnesium

Current Illness: None

ID: 1006080
Sex: F
Age: 24
State: MN

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

Lab Data:

Allergies:

Symptoms: sensitivity/pain on arm, swelling at injection site, headache

Other Meds: citalopram nuvaring

Current Illness:

ID: 1006081
Sex: F
Age: 74
State: CA

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

Lab Data:

Allergies: penicillin (hives), iodine (difficulty breathing), naproxen (h

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA drive thru vaccination clinic - Patient with complex medical history including multiple allergies experienced reaction within minutes of receiving dose #1. Premedicated with benadryl and sublingual allergy med. Reaction include tingling and numbness with thickness of tongue, difficulty swallowing and chest tightness. She has NTG but has never had to use. 911 called and patient brought to ED. Seen and discharged after patient felt better.

Other Meds:

Current Illness:

ID: 1006082
Sex: M
Age: 85
State: MI

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

Lab Data: COVID PCR POSITIVE 1/19, 2/2 2021 CBC-WBC7.6,RBC-10.8,HGB 10.8, HCT 33.5, PLATELET 103, / BMP 2/2-NA-140, K-3.4, CHL-89,CO2-36, BUN 21, CR 1.06, UNABLE TO START IV AT FACILITY AND SENT ELDER TO HOSPITAL, HE WAS ADMITTED

Allergies: NKA

Symptoms: HYPOTENSION 2/4 AND 2/5, REQUIRED BUMEX REDUCTION THEN MEDICATION D/C, VERY POOR APPETITE UNABLE TO GET. REPEAT LAB WORK, RECEIVED PNEUMOCOCCAL CONJUGATE PCV-13 LOT DP5138, 1/19/2021

Other Meds: LOVENOX 80 MG BID, BUMEX 2 MG, FINASTERIDE 5 MG, LEVOTHYROXINE 50 MCG, POTASSIUM CHLORIDE 20MEQ, TAMSULOSIN 0.4, BOOST BREEZE 8 OZ BID, ELIQUIS 5MG, PROTONIX 40 MG, MILK OF MAGNESIA, LIDOCAINE CREAM PRN, TYLENOL 650 MG PRN

Current Illness: AFIB, GIB, COVID, PULMONARY EMBOLISM, COPD

ID: 1006083
Sex: F
Age: 21
State:

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

Lab Data:

Allergies: MSO4--history anaphylaxis reaction; red dye rash

Symptoms: Immediately after receiving vaccine, R arm twitched, pupils dilated, weak, in and out of responding. BP 98/60; HR 78; normally runs low BP. Arm numb; throat tight. No welts; extreme fatigued. Rapid response; epinephrine given via epi pen; transported to ED.

Other Meds:

Current Illness:

ID: 1006084
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:

Symptoms: Severe headache and body aches Severe fatigue and weakness Pain at the injection site and throughout the arm

Other Meds:

Current Illness:

ID: 1006085
Sex: F
Age: 52
State: MN

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

Lab Data: na

Allergies: none

Symptoms: I received the vaccine after noc shift and woke up with aches, headache, dizzy, mild GI symptoms that lasted for about 2 days. I used Tylenol, drank fluids and stayed in bed. Lost of pay 12 hrs

Other Meds: Wellbutrin, Cymbalta

Current Illness: none

ID: 1006086
Sex: F
Age: 54
State: VA

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 02/05/2021
Hospital: Y

Lab Data: Unknown

Allergies: PCN, Sulfa, Demerol

Symptoms: Developed rash on arms and front of legs with severe itching. She was placed on Medrol dose pack by PCP then hospitalized 1/27/21-1/29/21.

Other Meds: Celexa, Wellbutrin, HCTZ, ASA, Zyrtec, Propranolol, Losartan

Current Illness: 2/2020- believes she had Covid- rash developed on and off after that date

ID: 1006087
Sex: F
Age: 27
State: MN

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

Lab Data: 2/5/2021: CBC with differential, BMP, COVID-19 antigen.

Allergies: Bee stings

Symptoms: Adverse event related to breastfed baby. Vaccine was administered at 4:00pm baby was breastfed at 5:30pm and 8pm. Over the next two days she experienced and interruption in her normal sleep schedule, sweating, unusual fussiness, decreased appetite and twitching in her feet. Tylenol seemed to help her fussiness during the day. I am still experiencing side effects 7 days later including muscle aches, fatigue, weakness, headache, and nausea. I was evaluated at a local ED and all lab work was normal, covid test was negative.

Other Meds: Duloxetine 30mg

Current Illness: None

ID: 1006088
Sex: M
Age: 70
State: CA

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

Lab Data:

Allergies:

Symptoms: Individual started to c/o dizziness about 15 minutes post vaccine. He was monitored for about 25 minutes but was not improving so EMS was called to transport to local ED

Other Meds: Hypertension meds which he took in the AM

Current Illness:

ID: 1006089
Sex: F
Age: 69
State: FL

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

Lab Data:

Allergies:

Symptoms: Dizziness, lightheadedness B/P 70/50. Pt was transferred to Hospital for further evaluation.

Other Meds:

Current Illness:

ID: 1006090
Sex: M
Age: 79
State: MA

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

Lab Data: Non

Allergies: None

Symptoms: 1-On the second day late evening felt mild tenderness in my arm. 2- I developed mild intermittent headache.

Other Meds: Aspirin 81mg tablet

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm