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: 1007348
Sex: F
Age: 68
State: NE

Vax Date: 10/02/2020
Onset Date: 10/03/2020
Rec V Date: 02/05/2021
Hospital:

Lab Data: blood tests on 11/10/2020 WNL Covid Test on 11/10/2020 reported 11/12/2020 Negative

Allergies: Insect bites

Symptoms: Shot given 10/2/2020; Second 10/3//2020 the day following injections, I had fever, severe body and head aches. 100.3+ for next 7 days. Treated with Ibuprofen. Fever not controlled, each day worsening of symptoms. On 11-10-2020 I called primary care provider, who recommended I go to the regional hospital emergency hospital. I had blood tests including COVID-19. I was treated with IV acetaminophen 1000mg/100ml IV. Was treated with COVID precautions. I was released home with instructions. Test results for COVID was Negative on 11/12/2020. I had an additional day of fever and body aches, but they resolved. I talked with the pharmacist regarding this being worst result from flu shot that I have ever had. They suggested that I file adverse event regarding the shot.

Other Meds: allopurinol, amlodipine, basaglar, benazepril, carvedilol, ezetimibe, jardiance, metformin, methimazole, victoza. Calcium, multivitamin.

Current Illness:

ID: 1007349
Sex: F
Age: 64
State: OK

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: morphine

Symptoms: Vaccination site was red, warm to touch, sore and swollen for 5 days. Site returned to normal for 7 days then began itching. The next day the vaccination site was once again red, warm to touch, raised rash and large welt. It continues to have welt and large red spot.

Other Meds: spiro/hctz, lisinopril, quetiapine, tizzanadine, mobic, metformin, fish oil, aspirin 325, ginkgo biloba, vitamin d,

Current Illness: none

ID: 1007350
Sex: F
Age: 26
State: CA

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

Lab Data:

Allergies: shellfish

Symptoms: Left arm began to become firm at the injection site, itchiness, redness and area started to become hot to the touch. No pain or soreness indicated at this time.

Other Meds: Birth Control (Nora-BE)

Current Illness: No

ID: 1007351
Sex: M
Age: 62
State:

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

Lab Data:

Allergies: None

Symptoms: Moderna COVID 19 Vertigo lasting 24 hours, dizziness for another 12 hours

Other Meds: Aspirin Fluoxetine Atenolol Rosuvastatin Ambien

Current Illness: None

ID: 1007352
Sex: F
Age: 37
State: IN

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

Lab Data:

Allergies:

Symptoms: Horrible myalgia. Fever 100.5 for about 14 rs. Headache

Other Meds:

Current Illness:

ID: 1007353
Sex: M
Age: 78
State: CA

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

Lab Data:

Allergies:

Symptoms: Moderna COVID-19 . Dizzyness, fever, neausea, tiredness

Other Meds: citalopram hrr10, Eliquis 5mg, Glimepiride 2mg, Rosuvastatin 10mg, Travoprost z .004%, Metoprolol 25mg

Current Illness:

ID: 1007354
Sex: F
Age: 72
State: IN

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

Lab Data: none

Allergies: allergies - garlic,

Symptoms: Day 1 - shakes, arm ache - could not move Day 2 - low grade temperature - limited motion in arm (could not raise) Day 3 - low grade temperature - still could not lift or raise arm at shoulder - Day 4 - returned movement of arm but could not lift anything heavy above shoulder. Day 5 - full motion with some light discomfort

Other Meds: levothyroxin, multi-vitamin - caltrate - probiotic - magnesium - collagen - CQ10

Current Illness: None

ID: 1007355
Sex: F
Age: 48
State: PA

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

Lab Data:

Allergies: Penicillin and erythromycin

Symptoms: 3 days after getting the vaccine I started with intense itching at injection site accompanied by redness of about 4 inches in diameter and slight warmth and swelling. After about 16 hours it began to subside.

Other Meds: Wellbutrin, multivitamin, birth control pill (cryselle)

Current Illness: None

ID: 1007356
Sex: F
Age: 27
State: AZ

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Intense body aches, pain from arm caused to wake from sleep, difficultly raising arm above head, strong headache that did not go away with Tylenol

Other Meds: Zertec Microgestin

Current Illness: Positive covid-19 test 12/30/2020

ID: 1007357
Sex: F
Age: 69
State: MD

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/05/2021
Hospital: Y

Lab Data: Blood tests,

Allergies: penicillin,latex

Symptoms: I had a possible reaction on my Left arm and chest. My Right arm received the injection. I never have any sticks in my left arm since I have developed Lymphedema post breast cancer mastectomies and treatment in April 2006. When I arose my effected arm was red in color, with a rash on top of that. It was hot to the touch and swollen and stiff. My husband took me to the emergency room of the hospital named in Item 21 and later that day I was admitted to the hospital. They diagnosed it as a severe infection, resulting in cellulitis and started me on round the clock IV antibiotics.

Other Meds: Metformin,Venaflexine, Bupropion, Synthroid, Losartan, and Singulaire, Onglyza, Crestor, OTC .81 mg aspirin and nitrofurantoin

Current Illness:

ID: 1007358
Sex: F
Age: 33
State: OK

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

Lab Data:

Allergies:

Symptoms: Brain fog with disorientation starting the day after the injection and lasting for two days. Abdominal pain/cramps starting the day after the injection that lasted for 5-7 days that ended with a bout of energy draining diarrhea for several hours on the last day of abdominal pain/cramping.

Other Meds:

Current Illness:

ID: 1007359
Sex: M
Age: 29
State: WI

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

Lab Data:

Allergies:

Symptoms: Swelling at sight of injection 7 days after. ?Covid arm.?

Other Meds:

Current Illness:

ID: 1007360
Sex: M
Age: 35
State: AZ

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

Lab Data:

Allergies: N/A

Symptoms: I had the normal symptoms of pain at injection site, headache, fatigue, chills, muscle aches. I did get a fever for a short duration. The main thing I wanted to report is that I feel my heart and blood flow had been compromised from the vaccine. The reason I say this is that I have been getting pains in my chest and the blood flow in my body just feels not right. Lastly, I do feel it affected my cognition but I hope this will resolve soon as the fatigue dissipates. I also easily get skin reactions (skin reactivity increased such as redness and I got one red bump that looks like a hive but went away the next day). Not sure, but I feel this vaccine may be a cause for a potential blood clot. I do wonder if it has any effect on the characteristics of the blood. This is so far my experience and I hope as time goes on things become better.

Other Meds: N/A

Current Illness: N/A

ID: 1007361
Sex: F
Age:
State: AZ

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

Lab Data:

Allergies: No

Symptoms: None stated.

Other Meds: No

Current Illness: No

ID: 1007362
Sex: F
Age: 48
State: AZ

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

Lab Data:

Allergies: none

Symptoms: Red and warm to touch at injection site

Other Meds: none

Current Illness: none

ID: 1007363
Sex: M
Age: 21
State: TX

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

Lab Data:

Allergies:

Symptoms: Chills, fever, body ache, headache, muscle pain, muscle soreness, injection site: swollen, diarrhea

Other Meds: Vitamin D

Current Illness:

ID: 1007364
Sex: F
Age: 65
State: CA

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

Lab Data: None

Allergies: Penicillin Morphine Sulfate Erythromycin

Symptoms: Itching on injection site for1 week Red streak about an inch along injection site Small lump at injection site

Other Meds: Metformin Rosuvastatin Calcium

Current Illness: None

ID: 1007365
Sex: F
Age: 73
State: CA

Vax Date: 01/25/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: None

Allergies: None Arm very swollen after 3rd pneumonia vaccine

Symptoms: Moderate pain and redness at injection site for about 5 days After day 8 redness, pain, itchiness returned but more intense.

Other Meds: Valtrex 500 daily but held dose until 2/5 Wellbutrin 100 Bid Multivitamin Seeds 2 bid Vit d 1000 daily Calcium chewable 400 daily Vit C 1000 mg. daily

Current Illness: None

ID: 1007366
Sex: F
Age: 36
State: MN

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: Tree nuts, seasonal allergies, Cat/dog dander, apples, peaches, pears, plums fresh (cooked is OK).

Symptoms: Woke up following day after receiving 2nd dose of Pfizer COVID vaccine with shortness of breath. Took my inhaler and it resolved.

Other Meds: Norethindrone once daily, Ibuprofen/Tylenol as needed, Zyrtec 10 mg daily, Magnesium 250 mg daily, Vitamin C 1,000mg daily, Vitamin D daily

Current Illness: None

ID: 1007367
Sex: F
Age: 49
State: CA

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

Lab Data: None

Allergies: Seafood; No prior medication

Symptoms: Allergic reaction, urticaria, facial and oral swelling

Other Meds: Benicar Norvasc

Current Illness: No

ID: 1007368
Sex: F
Age: 59
State: NJ

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

Lab Data: None

Allergies: None

Symptoms: Moderna COVID-19 Chills, whole body aches, headache, tired, dizziness

Other Meds: None

Current Illness: None

ID: 1007369
Sex: F
Age: 43
State: FL

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

Lab Data: Not at this time

Allergies: Tetanus

Symptoms: Right arm swelling, warmth, pain, redness starting about 1.5-2 inches below injection site. About 4 inches in circumference and continuing to worsen

Other Meds: Hydroxychlorquine, ondansetron, rizatriptan, venlafaxine er

Current Illness: None

ID: 1007370
Sex: M
Age: 26
State: CA

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

Lab Data: Unknown

Allergies: None reported

Symptoms: 26 year old male, presented for pfizer COVID-19 vaccine today, no history of anaphylactic reaction. Approx 15 minutes post vaccine, patient reported he felt his throat was warm, felt like it was "tightening" and was having difficulty swallowing and felt short of breath. Given an epi-pen, 50 mg IM benadryl. Initially refused ED transfer via EMS.

Other Meds: None reported

Current Illness: None reported 2 weeks prior

Date Died: 02/04/2021

ID: 1007371
Sex: F
Age: 62
State: CA

Vax Date: 01/19/2021
Onset Date: 01/29/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: COVID test at PCP 2/3/21

Allergies: Not on File

Symptoms: Called PCP, from the note: I got my shot on Jan 19. But last Friday I have been down with a horrible flu. I'm wearing diapers because of uncontrollable diarrhea. I can't leave my sofa to walk over to my desk because I'll be so out of breath. I have a cough that produces a pink or gold Phelm I have dry mouth. I have no appetite I'm so weak and have lost 15 pounds. Don't know what to do. My next Covid is shot is feb 11 Called employer on 2/3/21 but hung up. Tried calling multiple times to follow up. In triage she stated she had a COVID test scheduled and had spoken with her PCP. COVID test through PCP: 2/4/21 She passed away the night of 2/4/21

Other Meds: No current outpatient medications on file.

Current Illness: None known

ID: 1007372
Sex: F
Age: 61
State: OH

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

Lab Data:

Allergies: Penicillin, Sulfa, OTC Zyrtec and Latex

Symptoms: Sore Arm Dizzy??

Other Meds: Calcium w/D, Women's One A Day, Fiber and Hyoscyamine

Current Illness: No

ID: 1007373
Sex: F
Age: 52
State: HI

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

Lab Data: None

Allergies: Bee stings, poison ivy, mosquito bites

Symptoms: Arm swollen and itchy 1.5 weeks later. Still feeling dizzy, light headed occasionally and difficulty breathing at times

Other Meds: None

Current Illness: None

ID: 1007374
Sex: F
Age: 65
State: FL

Vax Date: 01/25/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: none

Allergies: codeine (upset stomach)

Symptoms: 9 days after vaccination, woke up with a red swollen warm spot on my left arm where the vaccine was injected; applied topical corticosteroid lotion which helped reduce redness and swelling

Other Meds: Atorvastatin, Levothyroxine, Biotin, CoQ10, Omega-3 Fish oil

Current Illness: none

ID: 1007375
Sex: F
Age: 38
State: WI

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

Lab Data: 1/13/21 evisit 1/14 evisit 1/18 ed visit POCXR, d dimer, troponin, and influenza a and b as well as covod all neg 1/20 evisit and covid test 1/22 office visit strep test and influenza a and b and covid all neg 1/27 sinus xray mono spot respiratory patho panel all neg

Allergies: sumatriptin

Symptoms: About 2 hours after my second dose I became very ill. It started with me becoming extremely cold. I slept in my snow suit the first 3 nights. I woke up the next morning with the most awful body aches. I started having zinging pains in my joints with my lower extremities joints much more intense. My head pain was a 10 and my neck was very stiff. My spine hurt. I was sneezing had two days with a low grade fever. Now my temp has been running low. I had chest pressure that made me feel winded. my glands under my jaw are still swollen and at night I get white ulcers in the back of my throat. Still fatigue. Starting my second course of steroids. They helped but was off one day and was sick again that evening. Vomiting, diarrhea.

Other Meds: adderall, alprazalam,omiprizole, mirana IUD

Current Illness: none

ID: 1007376
Sex: F
Age: 29
State: IN

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

Lab Data: I HAVE NOT HAD ANY TEST OR LABORATORY RESULTS. BUT I DID CALLED MY DOCTORS OFFICE TO REPORT IT AND THEY TOLD ME THEY COULD NOT DO ANYTHING.

Allergies: Amoxicillin- I get a severe yeast infection.

Symptoms: MY UNDER ARM IS SORE AND SWOLLEN, I FEEL LIKE THE NERVE OR GLAND THAT GOES UNDER THERE IS SWOLLEN AND IS UNCONFORTABLE AND PAINFULL.

Other Meds: I take hair, skin and nails gummirs from nature bounty brand.

Current Illness: None

ID: 1007377
Sex: F
Age: 50
State: FL

Vax Date: 01/11/2021
Onset Date: 01/13/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: PCN, Oranges

Symptoms: I had an area on my right wrist that was almost healed from eczema that started after the first vaccine as I previously reported. That area became inflamed and itchy. My lower right arm became covered with eczema as a couple of days progressed. I have since ended up with it on the left side of my face.

Other Meds: metoprolol, Adderal, Paxil, Ibuprofen, Excedrin, Xanax

Current Illness: none

ID: 1007378
Sex: F
Age: 40
State: FL

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

Lab Data: none

Allergies: None

Symptoms: Postural tachycardia to 130?s, resting heart rate usually 65

Other Meds: None

Current Illness: None

ID: 1007379
Sex: F
Age: 26
State: VA

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Swollen lips, headaches chronic,chills,fever symptoms lasted 1.5 week

Other Meds: No

Current Illness: No

ID: 1007380
Sex: F
Age: 34
State: IL

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

Lab Data: None

Allergies: None previously

Symptoms: One week after vaccination, vaccination site started to itch a lot. Site swelled and turned red. Diameter is about 1.5 inches. Raised about 1/4 inch.

Other Meds: Vitamins A, B, C, D, E, Fish oil, Glucosamine, Airborne

Current Illness: None

ID: 1007381
Sex: F
Age: 28
State: WA

Vax Date: 01/21/2021
Onset Date: 01/29/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: None

Allergies: Amoxicillin

Symptoms: Patient complained of severe swelling and joint pain of the left shoulder and entire arm down to fingers which lasted three days with little relieve from ice, diphenhydramine or APAP. Almost two weeks after vaccination she again developed joint pain in left arm lasting 24 hours. Patient reports that left arm remains warmer than right arm.

Other Meds: Oral Contraceptive Pills

Current Illness:

ID: 1007382
Sex: F
Age: 62
State: CA

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

Lab Data:

Allergies:

Symptoms: Patient reports vasovagal syncope (low blood pressure and fell down) occurred at early morning the day following the second dose of Shingrix injection.

Other Meds:

Current Illness:

ID: 1007383
Sex: F
Age: 28
State: WA

Vax Date: 01/21/2021
Onset Date: 01/29/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: Amoxicillin

Symptoms: 1 week after shot, joint pain in my left arm from injection site to finger joints, followed by swollen shoulder, muscle ache, warm to the touch, itchy.

Other Meds: BirthControl-Previfem

Current Illness:

ID: 1007384
Sex: F
Age: 39
State: TX

Vax Date: 01/21/2021
Onset Date: 01/29/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: 8 days following first dose swollen red itching arm, hard lump, hot to the touch for 5+ days, swelling and redness went away after 3-5 days but the area continues to be irritated and hot to the touch days later. Pain and soreness in elbow arm joint has started a week after the reaction.

Other Meds: Hormones replacement pellet, progesterone, simvistatin

Current Illness: None

ID: 1007385
Sex: F
Age: 45
State: CA

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

Lab Data: None

Allergies: Quinolone, pomegranate, grass, dust

Symptoms: 7 days post vaccination, I developed a hot, itchy red welt at the injection site along with local swollen lymph nodes, specifically the left supraclavical node. I felt chills but no fever and a general feeling of fatigue. This was not bad enough to send me to the doctor. Treated so far with ice and ibuprofen. Not resolved yet.

Other Meds: Lisinopril, hydrochlorothiazide, lexapro, singulair , hydroxidine

Current Illness: Sinus infection and ear infection treated with augmentin

ID: 1007386
Sex: F
Age: 21
State: OR

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

Lab Data:

Allergies: None

Symptoms: Headache, sore arm

Other Meds: Bupropion, carbamazepine, multivitamin, vitamin D

Current Illness: None

ID: 1007387
Sex: F
Age: 35
State: TX

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

Lab Data:

Allergies: Exercise induced food dependent anaphylaxis

Symptoms: Day 1 - significant arm soreness, dizzy, chills, body aches. Day 2 - same and chest pain

Other Meds: Oral contraceptive and prenatal vitamin

Current Illness:

ID: 1007388
Sex: F
Age: 65
State: WA

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

Lab Data:

Allergies: Eggs, wheat, garlic, mushrooms, kidney beans. Cats. Cedar trees

Symptoms: After more than two weeks noticed red rash on most of upper left arm. Was difficult to see except in right light. May have been there for awhile but didn't notice. No itchy or warm yo the touch. Looks like mild sunburn with irregular edges.

Other Meds: Armoue Thyroid, Fossmax

Current Illness:

ID: 1007389
Sex: F
Age: 75
State: FL

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

Lab Data:

Allergies: Sulfa, Avalox

Symptoms: After 10 days, I developed itching and several large red welts on my right arm at injection sight. Took Benedryl pills & used cream for 3 days until it cleared up. After my second vaccination on 2/2/2021 developed redness & itching again on my left arm at site. Still using Benedryl now.

Other Meds: Losartan, atorvastatin, levothyroxin,progesterone, Vit. B-12, calcium, Vit. D, Co Q10, magnesium, probiotics Preservision Areds 2...Montelukast

Current Illness: None

ID: 1008026
Sex: F
Age: 27
State: FL

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

Lab Data: None

Allergies: NKA

Symptoms: arm soreness, body aches, neck/back pain, headache, chills/sweats and fatigue

Other Meds: None

Current Illness: No

ID: 1011133
Sex: M
Age: 54
State:

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

Lab Data:

Allergies:

Symptoms: Myalgia & Arthralgia Narrative: 1st day post vaccine, minimal soreness. 5th day post vaccine "developed impingement" per employee, pain raising L arm with limited ROM. Weakness with grip and arm. Employee has been resting L arm and using it minimally and taking OTC ibuprofen BID. Employee claims L arm is about 50-60% getting better but still with discomfort.

Other Meds:

Current Illness:

ID: 1011143
Sex: M
Age: 40
State:

Vax Date: 01/03/2021
Onset Date: 01/06/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache Severe headache started morning of 1/6/21

Other Meds:

Current Illness:

Date Died: 02/03/2021

ID: 1011771
Sex: F
Age: 84
State:

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

Lab Data:

Allergies:

Symptoms: Narrative: Patient with history advanced vascular dementia, hypertensive cerebrovascular disease and stroke, T2DM. Received her second dose of Pfizer COVID-19 vaccine at approximately 14:00 and was reported to have expired at home at 20:55. Dr. (Medical Director) spoke with patient's son/caregiver 2/4/21. Son reports that patient was in her usual health yesterday morning, deemed well enough by son to travel for vaccination. He reports she had no bothersome symptoms after either first or second vaccinations. Specifically denied rash, wheeze, and difficulty breathing. Son was with patient throughout the day. In the evening, when preparing for bed, he noted she became suddenly unresponsive in a similar fashion as she has done several times in past years. While in all previous such episodes she recovered within minutes, last evening she did not regain consciousness, experiences a brief period of labored breathing, and died. Patient's son called 911 and the patient's body was brought to the medical examiners. The medical examiner declined to proceed with autopsy. Patient's son is not interested in autopsy. Patient's son reports confidence that his mother's underlying hypertensive/diabetic cardiovascular disease is the natural cause of her death. Other Relevant Hx: Symptoms: & Death Treatment:

Other Meds:

Current Illness:

ID: 1011807
Sex: M
Age: 92
State:

Vax Date: 01/08/2021
Onset Date: 01/11/2021
Rec V Date: 02/05/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: general malaise , Fatigue, poor interest in activities , hypoactivity, pulmonary embolism Narrative: Patient transferred to ER for evaluation. Physician at facility reported marked deterioration, hypoactivity and slow mentation s/p COVID vaccine second dose 1/8/21. Cough also reported x 1 week. Patient evaluated at ER on 1/20/21 and admitted to internal medicine ward with diagnosis impression pulmonary emboli, aspiration pneumonia and urinary tract infection.

Other Meds:

Current Illness:

Date Died: 01/26/2021

ID: 1011983
Sex: M
Age: 77
State: FL

Vax Date: 12/22/2020
Onset Date: 01/26/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: Collection DT Spec CoV19BF COVIDIg 01/21/2021 14:10 NASAL Not Detected 01/12/2021 04:00 SERUM 0.03 01/11/2021 12:35 NASAL Not Detected Collection DT Spec WBC BUN Creat Cystn-C 01/25/2021 04:00 BLOOD 15.28 H 01/25/2021 04:00 PLASM 64 H 1.3 2.46 H 01/24/2021 04:00 PLASM 56 H 1.1 01/24/2021 04:00 BLOOD 13.16 H 01/23/2021 04:40 BLOOD 14.02 H 01/23/2021 04:00 PLASM 52 H 0.9 01/23/2021 04:00 BLOOD 7.93 01/22/2021 04:00 BLOOD 10:58 H 01/22/2021 04:00 PLASM 49 H 0.9 01/21/2021 04:00 PLASM 47 H 1.0 01/21/2021 04:00 BLOOD 7.39 01/20/2021 04:00 PLASM 30 H 0.8 01/20/2021 04:00 BLOOD 9.10 01/19/2021 04:00 PLASM 17 0.7 L Collection DT Spec Protein Albumi TotBili DirBili AST AlkPhos 01/25/2021 04:00 PLASM 5.6 L 3.2 L 1.1 1096 H 504 H 51 01/24/2021 04:00 PLASM 6.0 L 3.2 L 0.8 1482 H 699 H 57 01/23/2021 04:00 PLASM 5.5 L 2.9 L 0.6 1778 H 1044 H 53 01/22/2021 04:00 PLASM 5.7 L 2.6 L 0.4 2135 H 1579 H 49 01/21/2021 17:00 PLEUR 1.3 01/14/2021 04:00 PLASM 6.8 3.2 L 0.4 15 21 57 01/13/2021 04:00 PLASM 6.3 L 3.0 L 0.3 14 18 53 01/12/2021 04:00 PLASM 5.8 L 2.7 L 0.3 11 17 55

Allergies:

Symptoms: Narrative: See "Other Relevant History" in Section 6 above Other Relevant Hx: 76yo man with a history of for C5 tetraplegia 2/2 cervical stenosis leading to neurogenic bowel/bladder (chronic suprapubic catheter) and chronic respiratory failure with tracheostomy, severe dysphagia s/p G tube placement and multiple aspiration pneumonias, COPD GOLD III, hx MRSA bacteremia (7/2018) and E coli bacteremia (12/2019). Patient transferred from Spinal Cord Injury until to ICU on 1/11/2021 due to worsneing dyspnea, hypoxia (80s) and tachycardia and was found to have acute hypoxic respiratory failure likely 2/2 multifocal pneumonia. CXR findings of "There is interval increase in patchy airspace infiltrates and consolidation in bilateral lungs concerning for pneumonia" Patient was started on vancomycin and pip/tazo on 1/11 and tracheal aspirate cultures were obtained for VAP diagnosis which ultimately grew Serratia liquifaciens and Proteus mirabilis. Infectious Diseases was consulted who recommended a switch to ertapenem therapy for a total 10 day course for VAP. UCx/BCx remained negative. On 1/20, a therapeutic bronchoscopy was completed with cultures growing Stenotrophomonas maltophilia and pan-S Klebsiella pneumoniae. The following day a chest tube was inserted and the course of ertapenem completed but vancomycin was continued. By 1/22, patient developed shock liver with ALT/AST 2135/1579 from normal range the day prior and SCr increased to 1.3 from baseline 0.7/cystatin C of 2.46 up from 1.15. Levofloxacin was added for Stenotrophomonas coverage. By 1/25, patient's clinical status continued to decline and Cardiology was consulted for new onset Afib with RVR. Discussion was documented with patient's family who requested DNR. Patient passed away in the early AM on 1/26. Demise does not appear to be related to COVID-19 vaccination but occurred in recent timeframe. Symptoms: ElevatedLiverEnzymes & death, pneumonia, afib

Other Meds: Other Medication acetaminophen, albuterol/ipratropium, amlodipine, ascorbic acid, atorvastatin, baclofen, buspirone, calcium carbonate with vitamin D, cholecalciferol, dexmedetomidine, diltiazem, docusate, esomeprazole, famotidine, fentanyl

Current Illness:

ID: 1011990
Sex: M
Age: 76
State:

Vax Date: 01/22/2021
Onset Date: 01/24/2021
Rec V Date: 02/05/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Thrombocytopenia, SkinRash, Rash & ElevatedBunSCr Narrative: Petichial rash. Patient had IV contrast dye 1/19 no reaction. Patient on Apixiban for a. fib.

Other Meds:

Current Illness:

ID: 1011996
Sex: M
Age: 64
State:

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 02/05/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Dizziness, Diarrhea, Bradycardia, hypokalemia Narrative:

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm