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: 1006291
Sex: M
Age: 89
State: WI

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

Lab Data:

Allergies: Lovanox, Penicillin, Erythromycin, Lisinopril, Oxycodone

Symptoms: Left shoulder pain/discomfort, hard to move

Other Meds: Amlodipine 10 mg once daily , Carvedilol 6.25 mg twice daily, Magnesium 400 mg, Calcium 600 mg, Vitamin C 500 mg, Zinc 50 mg, D-3 500 mg, Losartan 100 mg, Tamsulosin, Coumadin

Current Illness: COVID Positive 1/13/2021

ID: 1006292
Sex: F
Age: 56
State: TN

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

Lab Data: Glucose 108.

Allergies: Amoxicillin

Symptoms: Presented for first Moderna vaccine developed angioedema limited to ring finger on one hand and elevation in BP. BP 158/110. HR 90. Respirations 18. O2 sat 99%.

Other Meds: Lisinopril

Current Illness:

ID: 1006293
Sex: F
Age: 65
State: VA

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

Lab Data: None

Allergies: unknown

Symptoms: 1. sensation of spinning when turn her head to quickly within 5 minutes after receiving vaccine 2. migraine aura approximately 48 hours after vaccine (pt stated the migraine maybe from weather change)

Other Meds: Advil, Multivitamins

Current Illness: unknown

ID: 1006294
Sex: F
Age: 57
State: ND

Vax Date: 01/12/2021
Onset Date: 01/19/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: hearing test 2/5/2021

Allergies: NKA

Symptoms: Sudden sensorineural hearing loss, left ear.

Other Meds: fenofibrate, amlodipine, metformin, rosuvastatin, venlafaxine, omeprazole, enalapril, hydrochlorothiazide, fluticasone.

Current Illness: None

ID: 1006295
Sex: F
Age: 47
State: IN

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

Lab Data:

Allergies: None

Symptoms: I felt impaired (similar to being intoxicated) about a half hour to an hour later. I had trouble saying some words., like my brain and my mouth weren?t communicating effectively. My heart was racing at times and I was a little short of breath. All of this subsided a few to a couple hours later. I then just became extremely fatigued, sometimes light headed, with a slight headache and back ache. My arm hurts a little, but not near as bad as shot one. I ended up taking two days off of work to sleep and recover.

Other Meds: Vitamins D3 2000 IU, multivitamin and B12

Current Illness: None

ID: 1006296
Sex: M
Age: 69
State: NY

Vax Date: 12/30/2020
Onset Date: 01/11/2021
Rec V Date: 02/05/2021
Hospital: Y

Lab Data: Microbiology 1/4/21 SARS-CoV-2 PCR detected

Allergies: NKA

Symptoms: fever started 12/30 after vaccine and resolved. returned around 1/3/2021 with mild cough and decreased appetite and loose stools, went to ED and tested positive for SARS-CoV-2 PCR on 1/4/2021. Received bamlanivimab on 1/9/21. Symptoms worsened with worsening SOB and went to ED on 1/11/21 and was admitted. While here received remdesivir and required max O2 4 liters on nasal cannula. Discharged on 1/20/21 on home oxygen 2Liters. 2/3/21 readmitted for complaint of 3 days of persistent SOB, headache, weakness and poor appetite.

Other Meds: zinc, vit c, mvi, vitamin D, ferrous sulfate, ASA 81, atorvastatin

Current Illness: diabetes sick sinus syndrome

ID: 1006297
Sex: F
Age: 58
State: MA

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: Abdominal CT 2/5/21

Allergies: Metformin, Gabapentin, Penicillins

Symptoms: Employee developed severe diarrhea and possible colitis following admin of 2nd COVID vaccine along with suspected side effects

Other Meds: Atorvastatin, Jardiance, Insulin, Lisinopril, Abilify, Cymbalta

Current Illness:

ID: 1006298
Sex: F
Age: 0
State: WI

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

Lab Data:

Allergies:

Symptoms: Fever, Body aches, chills

Other Meds:

Current Illness:

ID: 1006299
Sex: F
Age: 47
State: CA

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

Lab Data:

Allergies: no

Symptoms: 2nd dose: Pt c/o "numbness down my arm and it feels cold down to my hand" left arm, "intermittent numbness". Tingling felt like crawling ants on arm. "more numb in my last two fingers", "discomfort in nape of neck, lightheadedness, and tunnel vision". Patient given 8oz of fluids, PO. BP: 180/105. No medications administered. Transported to ED. Recovered night of 1/16/21.

Other Meds: Lexapro, Wellbutrin, metformin

Current Illness:

ID: 1006300
Sex: M
Age: 34
State: ME

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

Lab Data:

Allergies:

Symptoms: numbness and tingling in his hand, lips felt puffy and throat was closing, elevated heart rate and b/p rate epinephrine given via pen, and then sent to emergency via ambulance

Other Meds:

Current Illness:

ID: 1006301
Sex: M
Age: 52
State:

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

Lab Data:

Allergies: None

Symptoms: On set of substernal chest pain and sweating 2 hours after administration of the vaccine. Patient returned to clinic 24 hours later with continued pain . Reported mild cough. Vitals stable except for mild tachycardia at 109 and temperature of 100.3. Normal EKG except for sinus tach. Patient transferred to ER via EMS due to chest pain with risk factors including positive cardiac family hx, age and male.

Other Meds: Tizanidine

Current Illness: None

ID: 1006302
Sex: M
Age: 29
State: IN

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

Lab Data:

Allergies: None

Symptoms: Extreme chills/shivering, sweating despite not running a fever, headache

Other Meds: Bupropion 300 mg once daily for depression

Current Illness: None

Date Died: 02/01/2021

ID: 1006303
Sex: M
Age: 67
State: GA

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

Lab Data: unknown

Allergies: none

Symptoms: death- 2/1/2021

Other Meds: see nursing home record

Current Illness: none

ID: 1006304
Sex: F
Age: 30
State: SD

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

Lab Data: none

Allergies: Penicillin

Symptoms: developed change in swallowing and scratchiness in throat, Heart racing

Other Meds: Unknown

Current Illness: None noted

ID: 1006305
Sex: F
Age: 39
State: VA

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

Lab Data:

Allergies: None

Symptoms: Fever, chills , muscle pain , nausea , and painful swelling of left lymph nodes

Other Meds: Lisinopril and hydrochlorothiazide

Current Illness: None

ID: 1006306
Sex: M
Age: 66
State: NC

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

Lab Data:

Allergies: Lipitor, Sulfa, Tricor

Symptoms: Patient became lightheaded and pale. Brief period of unconsciousness (5 seconds) and fully recovered. EMS called and evaluated - patient not transported. Ambulated to car.

Other Meds: Celexa, Rosuvastatin

Current Illness: None

ID: 1006307
Sex: F
Age: 63
State: SC

Vax Date: 09/19/2020
Onset Date: 10/08/2020
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: Sulfa drugs

Symptoms: Severe rash on back which is still there 4 months later. Itching and burning vesicles.

Other Meds: Tylenol 3, tramadol, estroidol, calcium, fish oil, magnesium

Current Illness: None

ID: 1006308
Sex: F
Age: 98
State: CA

Vax Date: 01/21/2021
Onset Date: 01/31/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: none

Allergies: sulfa drugs, levofloxacin

Symptoms: Patient began to show muscle weakness in late afternoon on 1/31/21. On 2/1/21 she was unable to walk, not even one step. She had difficulty swallowing, was unable to feed herself, and was extremely lethargic. She was unable to remain awake all day and had to be shaken unusually hard to wake up. She appeared confused/ disoriented upon waking. She did not have a fever or report of any pain. Her BP, pulse, and O2 were all normal. She did present with any indications of a stroke. Slight improvement began late afternoon on 2/2/21. On 2/3/21 all of these conditions had disappeared and she was back to her normal self and activities.

Other Meds: Januvia 100mg Furosemide 20mg metformin 500mg Aspirin 81 Centrum Silver multivitamins Lanoxin 62.5 Vitamin C 100mg Potassium CL ER 8 MEQ Simvastatin 20mg probiotic

Current Illness: none

ID: 1006309
Sex: F
Age: 27
State: WY

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Chills, fatigue, myalgias, headache, pain at injection site. Starting 4 hours after injection and resolved within 24 hours following injection.

Other Meds: None

Current Illness: None

ID: 1006310
Sex: M
Age: 34
State: MA

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient received the first Pfizer vaccine dose on 12/18/20. Patient mistakenly received the Moderna vaccine instead of Pfizer for his second dose. This was not discovered at the time of administration, but rather discovered through a retrospective data review. No adverse events were reported. Of note, the patient's vaccine card only indicated the lot number for the first dose, and not the manufacturer. The lot was written, and not Pfizer anywhere on the card for the first dose.

Other Meds:

Current Illness:

ID: 1006311
Sex: F
Age: 27
State: CT

Vax Date: 01/08/2021
Onset Date: 02/01/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: 2/3/21- rapid test positive

Allergies: Bactrum, cephalosporins, pcn

Symptoms: 2/3/21- tested positive for COVID with the following symptoms: fever, cough, fatigue, nasal and chest congestion

Other Meds: Junel (birth control), Ocrevus (infusion every 6 mo for MS last received November 6 2020)

Current Illness: N/a

ID: 1006312
Sex: F
Age: 53
State: TX

Vax Date: 01/29/2021
Onset Date: 01/31/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Swollen lymph node on left neck. migraine, nausea, and vomiting

Other Meds:

Current Illness:

ID: 1006313
Sex: F
Age: 67
State: CA

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

Lab Data:

Allergies:

Symptoms: Itchy throat - helped with Benadryl 25 mg PO. O2 sat 100%. BP: 172/76, 151/77. Pulse 63. Discharged to home.

Other Meds:

Current Illness:

ID: 1006314
Sex: F
Age: 54
State: NJ

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

Lab Data:

Allergies: No

Symptoms: Spike in BP143/98, unusual feeling in throat, 50mg of Benadryl administered with water, pt BP came down to 124/82 HR 89 O2 97%, The doctor on site is monitoring her

Other Meds: 50mg of generic Benadryl

Current Illness: No

ID: 1006315
Sex: F
Age: 70
State:

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

Lab Data:

Allergies:

Symptoms: chills, fever, raised, red area at the injection site the size of a baseball one week after the vaccine

Other Meds:

Current Illness:

Date Died: 02/02/2021

ID: 1006316
Sex: M
Age: 78
State: GA

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

Lab Data: unknown

Allergies: none

Symptoms: death- 2/2/2021

Other Meds: see nursing home record

Current Illness: none

ID: 1006317
Sex: F
Age: 36
State: CO

Vax Date: 01/13/2021
Onset Date: 01/23/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: COVID test negative, no other tests performed

Allergies: none

Symptoms: Since receiving my first covid vaccine on January 13th - ten days after my vaccine (1/23) I became violently ill with chills, cough, headache, fever, fatigue, nausea, aches and pains and was tested for covid, which came back negative. I recovered very quickly, the illness lasted about 24 hours. Five days later (1/28) the same exact thing happened only worse, I experienced all symptoms listed above in addition to vomiting and extreme dizziness. Again, my symptoms subsided pretty quickly but then 24 hours later I became achy, fatigued and developed a minor cough with shortness of breath.

Other Meds: Ibuprofen

Current Illness: none

ID: 1006318
Sex: F
Age: 45
State: OK

Vax Date: 01/14/2021
Onset Date: 01/16/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: Adhesive, Inapsin

Symptoms: My arm at the injection site got very swollen and red and I had red streaks across my back. Symptoms began 14 hours after injection. I had the normal fever, nausea, chills, body aches, also had severe ear pain in my left ear same as when I had Covid. Dizziness began 14 hours after but increasingly got worse. My blood pressure went up to 200/118 with my HR 131 with the dizziness. I have NEVER had high blood pressure!! I still have some dizziness. Not completely resolved. BP is better but still high at times. I have been monitoring it closely. I did go to the ER where my BP continued to be high.

Other Meds: HRT

Current Illness: NONE

ID: 1006319
Sex: F
Age: 0
State: GA

Vax Date: 04/08/1973
Onset Date: 02/05/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: patient had back spasms after being given vaccine. She was watched for extra 15 minutes and given Tylenol. She stated she no longer had back pain and left

Other Meds: none known

Current Illness: none

ID: 1006320
Sex: F
Age: 19
State: PA

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

Lab Data:

Allergies:

Symptoms: Rash/hives on torso

Other Meds:

Current Illness:

ID: 1006321
Sex: F
Age: 0
State: IN

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

Lab Data: None.

Allergies: None

Symptoms: Headache Body aches Fever Chills Sick stomach Diarrhea Fatigue Loss of appetite

Other Meds: Spironolactone Levothyroxin Welbutrin Lexapro Zyrtec Vitamin C Vitamin D Biotin Align probiotic

Current Illness: None.

ID: 1006322
Sex: F
Age: 22
State: OR

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

Lab Data: NA

Allergies: Penicillin

Symptoms: I experienced moderate body aches, a mild headache, and moderate-to-severe fatigue. These started when I awoke around 10am the morning after 2/4/21 getting the dose at 3pm the day before (2/3/21). By the end of the evening (8pm) on 2/4/21, I had mostly recovered from all of the symptoms and at 10am on 2/5/21, I felt fully recovered.

Other Meds: NA

Current Illness: NA

ID: 1006323
Sex: F
Age: 65
State: FL

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

Lab Data:

Allergies: None

Symptoms: Roughly 8 hours later: Felt what seemed like Severe acid reflux in belly, chest neck and head. Then I felt left arm muscle where injection; then I noticed whole body aching; fatigue,; then nose bleed; then I was super chilled/shaking; then legs aching. Dry mouth, thirsty. Today, roughly 22 hours later, all body aching, glands tender, neck achy, small headache; extreme weakness and feeling like flu and still queasy. Not functional for normal task.

Other Meds: Multi, c, e, Rhodiola, Sam-e, omega, b complex, gamma linoleic acid

Current Illness: None

ID: 1006324
Sex: F
Age: 35
State: CA

Vax Date: 01/14/2021
Onset Date: 01/24/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Vaccine administered 1/14... Day 2 (1/15): Experienced nausea and jitteriness for the day, had injection site and muscle soreness that lasted 3 days Day 5-9: Felt fine but developed sore lymph node under left armpit day 5 (2/18) that lasted a few days Day 9 (1/18) : Injection site and surrounding muscle became spontaneously sore again Day 11 (1/24) : Developed headache, hearing issues (sounds are muffled), joint pain and stiffness, brain fog and fatigue which have persisted through today (2/5) with bouts of tachycardia, jitters, and hot flashes Day 15 (1/28): Developed intense nausea which has persisted through today but has lessened since 2/3. Currently: Still have muffled hearing, brain fog, joint pain and stiffness, fatigue, headache, and intermittent nausea. Due for second dose 2/11.

Other Meds: D3, B12, Aller-Tec

Current Illness:

ID: 1006325
Sex: F
Age: 40
State: MS

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

Lab Data: None

Allergies: Bentyl, Axid, Erythromycin, NuLev, Pamine, Prosom, Codeine, Omnicef, Sulfa, Bees, Seafood

Symptoms: Covid Arm?red splotch, warm to touch, knot under skin

Other Meds: Please contact me for full list. I have sooooo many

Current Illness: Sinus infection

ID: 1006326
Sex: F
Age: 70
State: FL

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

Lab Data:

Allergies:

Symptoms: Initially patient had fever of 100.7, chills, malaise, symptoms have resolved Patient took Advil now symptoms have resolved

Other Meds:

Current Illness:

ID: 1006327
Sex: F
Age: 54
State: KY

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

Lab Data: NONE

Allergies: N/A

Symptoms: HEADACHE, TEMPERATURE 101.4, DEEP MUSCLE ACHES, FATIGUE. AFTER DAY TWO AFTER INJECTION I STILL HAD A HEADACHE THAT I COULD'NT GET RELEIF FROM WITHOUT MIGRAINE MEDICATION. DAY 3 I HAD A VERY SORE AND SWOLLEN ARM BUT OTHER SYMPTOMS SUBSIDED. DAY 4 A LITTLE FATIGUE BUT FEELING GOOD.

Other Meds: LEVOTHYROXINE 75 MCG PANTOPRAZOLE 40 MG EC TABLET LISINOPRIL 10 MG

Current Illness: NONE

ID: 1006328
Sex: M
Age: 62
State: IN

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

Lab Data: This was self-limited and relatively mild. Tylenol would likely have alleviated most symptoms but I was instructed to not take NSAIDs if I could tolerate it to potentially bolster the immune response. I don't consider this an adverse reaction per se . . . more an expected side effect of any vaccine. My apologies for filling this form out if it was inappropriate. I reported the event on the CDC vsafe site via text message. I then received a follow-up text suggesting I could report any adverse event here.

Allergies: NKDA

Symptoms: Chills with low grade temp 100.4 F starting about 18 hours after the injection Generalized malaise lasted about 18 - 24 hours Profuse sweating the last 6 hours 2.5 pounds weight loss overnight

Other Meds: Lisinopril 40mg daily

Current Illness: None

ID: 1006329
Sex: F
Age: 81
State: MD

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

Lab Data: AtCor Medical SphygmoCor XCEL

Allergies: Cats

Symptoms: Muscle aches, indigestion, gas and bloating, ELEVATED BLOOD PRESSURE and Rapid Pulse

Other Meds: Levothyroxin;multivitamin and mineral supplement.

Current Illness: None

ID: 1006330
Sex: F
Age: 66
State: TX

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

Lab Data: Basic Vital signs BP 146/70 Pulse 76 Resp 16 Sp02 96% Benadryl 50 mg PO given

Allergies: none

Symptoms: Lips starting tingling , then tongue and then continued down her throat

Other Meds: Vitamin D3 Niacin B12 Calcium Carvedilol 12.5mg tab Dilt-XR 120 mg

Current Illness: none

ID: 1006331
Sex: F
Age: 56
State: TN

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

Lab Data: Blood sugar 111

Allergies: Cipro

Symptoms: Post - injection waited recommend minimum 15 minutes walked out of vaccination area and had syncopial episode. BP 180/110. Pulse 62. Respiratory Rate 20. O2 sat 99% on room air. EMS transfer to Medical Center.

Other Meds: Vumerity, Paxil, and Vescare

Current Illness:

ID: 1006332
Sex: F
Age: 63
State: NY

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

Lab Data: None

Allergies: Latex

Symptoms: I was fine until I woke up at 12 am feeling sick ....I felt very achy, joint pains both knees, jaw and back. Headache and skin tender These lasted for at least 36 hours. The next day very tired and a a slight headache which lasted only a few hours. I did start taking Tylenol at 12:15 at night on 2/4/21 every four hours.

Other Meds: Metformin Meloxicam Omeprazole Vitamin D

Current Illness: None

ID: 1006333
Sex: M
Age: 89
State: WV

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

Lab Data: None

Allergies: cipro, levaquin

Symptoms: 2/4/21 Vaccinated at 1:15 pm. At 5:30 pm patient's throat began to swell and he could not hardly swallow water. At 10:00 pm, he noticed that his face was a little numb but proceeded to go to bed. 2/5/21 Patient feels better. He can swallow and eat. Face is not longer numb.

Other Meds: 81 mg aspirin

Current Illness: none

ID: 1006334
Sex: F
Age: 23
State: CA

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

Lab Data: MRI, CT scan, spinal fluid test

Allergies: unknown

Symptoms: After the vaccine was given, Patient stated her heart became racing. Pulse taken at the time listed it as 180. Patient also said she felt like she could not talk as if the words would not come out. She felt like she could not feel her arms and legs and felt numbness in her chest. Dizziness also occurred. Vision became blurry. That night after being released from the hospital she still had trouble walking . To this day she suffers from intense brain fog. She says she has so much to say but it wont come out. She still is having trouble walking, her gait is very unsteady. She finds herself unable to work like before and suffers from confusion.

Other Meds: unknown

Current Illness: none

ID: 1006335
Sex: F
Age: 56
State: MI

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: fever 100.6 fatique

Other Meds:

Current Illness:

ID: 1006336
Sex: F
Age: 77
State: CA

Vax Date: 01/16/2021
Onset Date: 01/24/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: NA

Allergies: Racemic epinephrine, codeine

Symptoms: 8 days after vaccination, patient experienced new erythematous patch at the injection site which was painful, swollen, warm, and pruritic. Also had generalized body aches and fatigue x 10 days. This eventually resolved on its own.

Other Meds: triamterene 37.5mg/hctz 25mg, Premarin 1.25mg, simvastatin 40mg, trazodone 100mg, loratadine 10mg, multivitamin, calcium and vitamin D (Citracal)

Current Illness: None

ID: 1006337
Sex: F
Age: 84
State: IN

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

Lab Data: None

Allergies: No none allergies

Symptoms: I just got done going to the bathroom (2-4-2021) and was zipping up my pants when I fainted. I fell backwards into the bathtub knocking down both shower doors. My legs were hanging over the edge of the tub. One shower door fell on my upper right chest area. This happened just over 24 hours from when I received the vaccine. I had not felt bad at all from the vaccine. Didn't sleep too well that night (2-4-2021) because I hurt due to the fall. I called my doctor on 2-5-2021 to let her know I fainted 24 hours after receiving the vaccine and wondered if that was due to it. I do feel weak today (2-5-2021).

Other Meds: Simvastatin, Fluoxetine, Metoprolol succinate, Warfarin, baby aspirin, Caltrate, Centrum Silver for women over 50, Vitamin B Complex, generic Align probiotic

Current Illness: No illnesses

ID: 1006338
Sex: F
Age: 49
State: OH

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

Lab Data:

Allergies: Latex

Symptoms: Shot received approx. 11:45 am on 2/3/2021. No I?ll effects besides slight injection site pain in evening. 6am on 2/4/2021, slight headache, muscle ache, and dizziness. 11am, increased dizziness. 2pm, tiredness, dizziness, increased muscle pain. (2/4/21) 6pm, tiredness, no appetite, fell asleep in chair. 10pm, awoke chilled and with dizziness and went to bed. Woke from sleep with difficulty breathing/catching a breath (2/5/21) and nauseous. 8am, chills, minor breathing issues, elevated temp (98.1) and headache. Slept upright until 1:30pm.

Other Meds: 100 mg Zoloft 10 mg Zyrtec

Current Illness: Multiple Sclerosis

ID: 1006339
Sex: F
Age: 71
State: IN

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

Lab Data: None

Allergies: Sulfa

Symptoms: Chills, muscle and joint pain, and fatigue from 11:00am. Till 5:00pm the day following the injection

Other Meds:

Current Illness:

ID: 1006340
Sex: F
Age: 50
State: MD

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

Lab Data: RN contacted pt on 02/05/2021 for follow up and pt didn't go to the ED as directed by RN/Providers. Pt continues to have symptoms but they have improved and she has been taking Motrin 600mg-800 mg every 8 hours.

Allergies: Phreesia Pencillins Shellfish Containing Products Iodine Sulfacetamide Sodium Sulfamethoxazole-trimethoprim adhesive Hydochlorothiazide Latex Oxycodone Sulfa ( Sulfonamide Antibiotics)

Symptoms: Pt arrived to the physicians office to receive immunization. MA verified pt ID. Pt was given the immunization per providers orders and waited in the lobby for 15 minutes. Pt reports she spoke with front desk personnel and informed them she felt funny on her right side . Pt was informed to move her arm which she did and pt denied chest pain or shortness of breath and left office. Pt went to vehicle and symptoms continued but she proceeded home. Pt arrived home and contacted office and telephone call was forwarded to the triage RN. Pt c/o whole right side body muscle tightness with heaviness in her head down to her feet only on the right side. Pt able to talk to RN in complete sentences during the triage call . Pt asked to look in mirror and no facial drooping noticed. Pt kept on line and continued to have the symptoms and unsure if they are related to anxiety as she is very anxious at this time. Pt took Motrin 600 mg prior to calling the PCP office. Pt reports the symptoms are continuing but not worsening and all on her right side where she received the immunization. RN advised pt with symptoms reported she should report to the ED for evaluation and not drive. RN advised pt to call 911. Pt declined at this time due to personal reasons. RN spoke with 2 providers in the office whom agree with ED evaluation based on reported symptoms. RN contacted pt again on the provided number and provided with additional recommendations from providers in the office. Pt reports she will proceed to the ED soon.

Other Meds: Albuterol Inhaler as needed, Cardizem CD 120 mg take one tablet daily, Allegra 30 mg take one tablet twice a day, Motrin 600-800 mg as needed every 8 hours, Cozaar 100 mg take one tablet daily, Lyrica 25 mg take 2 capsules by mouth twice a

Current Illness: Pt seen by Dermatology on 01/13/2021 due to rash, itchy spots that spread all over body.

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm