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: 1008120
Sex: F
Age: 79
State: UT

Vax Date: 01/26/2021
Onset Date: 02/03/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: none

Allergies: sensitive to cleaning agents, perfumes

Symptoms: I received the vaccination on 01-26-21 and on 02-03-21 my arm was itching and the next morning I noticed it was red and a small amount of swelling and a small rash. I called my primary physician and was advised to ice it and watch and report if if got worse. They called to check the next day and I informed them it was about the same - no worse. They advised to ice and call if it got worse. Today is Feb 6 and it is the same. I do not leave sick otherwise.

Other Meds: Prescriptions: Atorvastatin 20MG 1 per day, Pantoprazole 40MG 1 per day, Anoro 1 puff per day, IPRATROPIUM O.5 MG/ALBUTEROL 2.5MG (NPH) 3ML -1 vile in nebulizer per day (OTC vitamins) C 500 mg - 1 per day; NAC 600mg 1 per day; Glucosamine

Current Illness: None

ID: 1008121
Sex: M
Age: 67
State: CA

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

Lab Data: None , has not gone to a doctor visit.

Allergies: Not aware of any

Symptoms: Running a fever, vomiting and cold chills. Sweating .T-shirt get dampen.

Other Meds: Probiotics, Vitamin D, Vitamin B12 and Hair & Nail supplement

Current Illness: None

ID: 1008122
Sex: F
Age: 60
State:

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

Lab Data:

Allergies:

Symptoms: Client complaining of rash on upper chest and feeling flush . evaluated by EMS. BP 140/94, P 90, O2 97% Lungs clear.Client called family to pick her up and take to her PCP.

Other Meds:

Current Illness:

ID: 1008123
Sex: F
Age: 70
State: CA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data:

Allergies: penicillin

Symptoms: My reaction began typically enough, with a sore arm and chills. The chills subsided by the evening, but symptoms continued and migrated from there. The arm remained sore for 3 days and then began to itch. This itchiness continued on and off for the next 2 days. My neck and shoulder were also sore. The shoulder continued to be sore for about 4 days. I had an intermittent headache, also for 4 days. The worst part though, is the nausea, which also comes and goes. But it can last for many hours and now, even after 8 days, I am still experiencing this. I can find nothing in the writings about this vaccine to corroborate this side effect and I am therefore worried about the second shot.

Other Meds: Vitamin C; Multi-Vitamin; ginger tea

Current Illness:

ID: 1008124
Sex: F
Age: 78
State: VA

Vax Date: 01/27/2021
Onset Date: 02/03/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data:

Allergies: Iodine (dye)

Symptoms: One week after my shot, the area around where I received the shot started severely itching..In 24 areas a huge red raised area had appeared and continued to be hot and itchy. 3 days later, it is still the same size, hot and itchy. I went to see my primary doc and she prescribed an antihistamine which I have only taken at night because I have to be alert during the day;.

Other Meds: Eliquis, Valsartan,Duloxetine, Rosuvastatin, Zinc, General vitamin, prescription Vitamin D

Current Illness: none

ID: 1008125
Sex: F
Age: 67
State: FL

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: None

Allergies: Codeine , macrobid

Symptoms: Chills, achy, no appetite , headache , unable to lift right arm, very sore from 3am til 3pm

Other Meds: Synthyroid, vit D, vit B complex,probiotic,cranberry

Current Illness: None

ID: 1008126
Sex: F
Age: 57
State: WI

Vax Date: 01/04/2021
Onset Date: 01/15/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Slight headache, diarrhea, fatigue

Other Meds: Warfrin, folic acid, synthroid, vitamin d, ambien, venlafaxine,buspirone

Current Illness:

ID: 1008127
Sex: F
Age: 66
State: CA

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

Lab Data:

Allergies: no

Symptoms: Bells Palsy Left side

Other Meds: Triamterene HCTZ

Current Illness: no

ID: 1008128
Sex: F
Age: 67
State: GA

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: NA

Allergies: gantrisin, PTU, shrimp

Symptoms: soreness/swelling injection site, fever/sweating, headache

Other Meds:

Current Illness:

ID: 1008129
Sex: F
Age: 69
State: IL

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

Lab Data: There were no medical tests. Since I felt better after an hour, I did not seek medical attention.

Allergies: Allergic to penicillin

Symptoms: I received my first COVID19 at around 5:00 p.m. at Walgreens. I was asked to remain in the store for 15 minutes. By the time I got home, at around 5:25 p.m., I was feeling woozy, my neck was red (flushed), I had a strange metallic taste in my mouth, I was very thirsty, and I felt that my throat was somewhat constricted. I immediately took a Benadryl. (I knew to do this because I had done this when I had an allergic reaction to penicillin years ago. By about an hour later I felt alright and the redness on my neck had almost faded away.

Other Meds: Advair, Zyrtec, Pristiq, Welbutrin, Losartin, Hydrochlorothiazide, Centrum Silver Women's, Turmeric, montelukast, lyrica, Nexium, a probiotic , meloxicam, pravastatin, cyclobenzaprine, flax seed oil, calcium

Current Illness: None

ID: 1008130
Sex: F
Age: 68
State: CO

Vax Date: 01/28/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: I developed a red rash, swelling, and pain at injection site following the shot. This lasted approximately 3 days and then went away. Three to four days later, the redness, swelling, pain and itching returned. The diameter of the redness and swelling is tennis ball size. It seems unusual that the initial reaction went away in 3 to 4 days and then returned again 3 to 4 days later.

Other Meds: Levothyroxine 88 mcg Losartan 25 mg Miralax daily Multivitamin daily

Current Illness: None

ID: 1008131
Sex: M
Age: 73
State: WA

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

Lab Data:

Allergies:

Symptoms: fever/headache/fatigue

Other Meds:

Current Illness:

ID: 1008132
Sex: M
Age: 77
State: OH

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

Lab Data:

Allergies: none

Symptoms: starting at the base of head/shoulder pain goes up head, throbbing can not lift head. Taking Tylenol, applied heat pad to back of neck and head

Other Meds: Valsartan Tab 320MG 1 tab daily Atorvastatin Calcium Tab 40MG 1 tab daily Eliquis Tablet 5MG 1 tab twice daily Metoprolol Succinate tab 50MG 1 tab daily

Current Illness: none

ID: 1008133
Sex: M
Age: 43
State: IN

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Headache, muscle aches, fever. Treated with Tylenol

Other Meds: Multi vitamin, fish oil supplement, turmeric supplement

Current Illness: None

ID: 1008134
Sex: F
Age: 73
State: NY

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

Lab Data: None

Allergies: N/A

Symptoms: Tender and painful injection site

Other Meds: Citalapram andHCTZ

Current Illness: N/A

ID: 1008135
Sex: F
Age: 36
State: NY

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: none

Allergies: NKDA, no other allergies

Symptoms: erythema and warmth at injection site. tingling sensation to left arm

Other Meds: Benadryl Cream

Current Illness: denies

ID: 1008136
Sex: F
Age: 68
State: FL

Vax Date: 01/06/2021
Onset Date: 01/10/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: #1 vaccine Headache Began 3 days after and lasted 2 days #2 vaccine headache, body ache, fatigue Began 24 hrs after 2nd vaccine and lasted about 24 hours

Other Meds:

Current Illness:

ID: 1008137
Sex: F
Age: 30
State: DE

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

Lab Data:

Allergies: Patient has listed on her consent form: "Ceclor, Zithromax, Cephalosporins, Anakineret, Percocet, Gluten, Compazine, Strawberries (Epipen)". Pharmacist noted throat swelling and shortness of breath as reaction

Symptoms: Patient presented to COVID-19 Vaccine clinic on 02/06/21. Reported listed allergies (see nots above) and pharmacist noted throat swelling and shortness of breath for reaction. Patient received 1st dose of Pfizer COVID-19 Vaccine and reacted to administration. Patient experienced lip swelling, which triggered pharmacy staff to follow Albertson's/Acme Markets Vaccine Emergency Protocol - Patient took diphenhydramine 25mg by mouth. Reaction continued and a rash developed, which spread from her lower extremities and covered her stomach. Patient took another diphenhydramine 25mg by mouth. An ambulance was called and arrived at clinic. At that time, she reported feeling better due to diphenhydramine. She DID NOT receive Epi-pen, and did not take ambulance to emergency department. However, she is reporting to emergency department for follow-up.

Other Meds: Unknown

Current Illness: Unknown

ID: 1008138
Sex: F
Age: 50
State: NY

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

Lab Data: None

Allergies: Penicillin; iodine

Symptoms: No adverse effect until 48 hours after injection whereby I noticed a red circle on my right arm at the site of the injection.

Other Meds: Spiriva 1.25 mcg one time per day; Budesonide and Formoterol 160-4.5 two puffs one time a day; Levothyroxine 25 mcg one per day; Tylenol - two tablets in the evening.

Current Illness: None

ID: 1008139
Sex: F
Age: 51
State: CO

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

Lab Data: At time of reactions Pulse ox 92%, BP 153/93, HR 82, RR16.

Allergies: no known medication allergies, History of some "food" allergy and flagged for 30 minute observation.

Symptoms: Lip swelling, eyelid swelling, are itching. Benadryl oral given. Sent to ER. 2nd day follow-up, no further intervention was given in ER other than benadryl. At home and feeling "99%" better.

Other Meds: Lisinopril, Metformin, anti-depressant, synthroid

Current Illness: None

ID: 1008140
Sex: F
Age: 39
State:

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Severe joint pain. Felt like I could feel my bones and that they could shatter. My spine felt like it was on fire. Lasting about 24 hrs. Still having persistent left elbow pain, and have had it since my first COVID vaccine.

Other Meds: MVI, reacted magnesium, vitamin c, probiotic

Current Illness: None

ID: 1008141
Sex: M
Age: 79
State: FL

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

Lab Data:

Allergies: None

Symptoms: The day after the second Moderna shot I had a fever of 100.8, aching bones throughout my body. Arms ,neck back, legs and feet. Headache and burning and stinging eyes. I called the hospital and they advised that I follow up if there was no improvement. I have very little energy and am resting.

Other Meds: Toprol-XL, Proscar, Metformin, Zetia, Lipitor, Ecotrin, Synthroid,

Current Illness: None

ID: 1008142
Sex: F
Age: 33
State: MN

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: ** Just found out about pregnancy during 2nd dose, 4 weeks pregnant** I took Tylenol a head of time, about 1:30am I woke up with chills and bad body aches. I had a fever and never got higher than 100.8 with Tylenol. The fever lasted 6-8 hours, the rest of the symptoms lasted about 20 hours. I also had a lot of fatigue.

Other Meds: Prenatal

Current Illness:

ID: 1008143
Sex: F
Age: 50
State: VA

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

Lab Data:

Allergies:

Symptoms: Client complained of feeling hot and flush. BP 128/80, P68-70, BS 67. EMS evaluated. Client given water and snack and felt better.

Other Meds:

Current Illness:

ID: 1008144
Sex: M
Age: 74
State: NY

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

Lab Data: none

Allergies: grasses, ragweed, trees

Symptoms: General malaise, went to be early (9:30 pm). Felt ok in the morning..

Other Meds: Benicar, Jardiance, fexofenadine, D3, Crestor

Current Illness:

ID: 1008145
Sex: F
Age: 48
State: OR

Vax Date: 01/26/2021
Onset Date: 02/01/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: COVID swab neg COVID ab pos CBC nl CMP nl

Allergies: Sulfonamides

Symptoms: I had my second shot on 1/26 at 1010. By 1800 I started feeling lousy. I had a few hours of fever overnight along with chills and body aches. The body aches continued all day on 1/27. I stuck it out and didn't take ibuprofen or Tylenol to be sure the vaccine had a good take. After a 1500 nap I started to feel better and was fine for a few days. Around 1800 on 2/1 I started feeling bad again and have ever since. I don't think I have had fever, but I have been chilled a couple of times. The body aches are the worst. For a couple of days I has localized pain in my left lower shin, ankle, and knee, but that's better and now it just general muscles aches. Sometimes individual muscles are mildly tender but that's very intermittent. I am taking ibuprofen or Tylenol tid. It's bad enough that it wakes me in the night to take meds. I'm also really tired. Still functional--I went running once my ibuprofen was working yesterday, went to work, etc--but tired.

Other Meds: Lisinopril, Flovent, albur?elo, famotidine, vitamin D

Current Illness: None

ID: 1008146
Sex: F
Age: 72
State: MD

Vax Date: 01/29/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Moderna COVID-19 Raised itchy circular rash developed at injection site on 2/5/2021. Rash is about 2+ imches in diameter.

Other Meds:

Current Illness:

ID: 1008147
Sex: F
Age: 71
State: CA

Vax Date: 01/01/2021
Onset Date: 01/29/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: None

Allergies: Penicillin

Symptoms: Swelling, itching at injection site 7 days after receiving vaccination. Rash developing and spreading downward about 7 inches from injection site. Experienced pain and itching. Used ice packs, Benadryl and Tylenol. Slowly improving after 8 days (15 days after receiving vaccine)

Other Meds: Metoprolol Omega 3, turmeric, D3

Current Illness:

ID: 1008148
Sex: F
Age: 74
State: MI

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Unable to lift arm and soreness. Flu like symptoms - muscle aches, chills, headache

Other Meds: Depakote, Zoloft, Biriva

Current Illness: None

ID: 1008149
Sex: F
Age: 51
State: OH

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

Lab Data: EKG, chest x-ray, lab draw - did not receive printout of the results from the Emergency Department upon discharge. Was told there were no abnormal findings.

Allergies: bee stings walnuts some red food coloring some pollen/mold/trees

Symptoms: -Approximately one hour after receiving the 2nd dose of the Moderna Covid vaccine on 2/3/21, I noticed a heat wave kind of sensation from my back , up through the back of my head, and very mild dizziness. -Between 3:00 and 4:00 pm I noticed I was becoming very tired, and having some difficulty concentrating and recalling information. I noticed my arm had started to become mildly achy, and body was beginning to ache mildly as well. -About 7:45 pm I was experiencing significant fatigue and "brain fog" during conversation with my son. Stopped in the middle of things and went to bed, needing to hold handrail to walk upstairs due to extreme fatigue and mild dizziness. -Between 3:00 and 4:00 am I woke up thinking I was feeling vibration of loud sound - but it was heart rate of 150 bpm. Temperature was 102 F. Chest was heavy and tight. 8/10 pain with head ache and body ache. Heart rate remained high for at least 15 minutes, so my husband took me to the Emergency Department. They ran EKG, took labs, and chest x-ray. My heart rate started to come down during this time. I was told there were no problematic findings. My heart rate was between 100-106 by the time I left. Fever had come down to about 100. Began to get extreme nausea - was given Zofran. -In bed the entire day 2/4/21. -2/5/21, continued to experience mild to moderate fatigue and brain fog, difficulty with recall and new learning. Had to leave work early. Continued same symptoms throughout evening, able to sleep in segments. -2/6/21: As of today, I am continuing to experience fatigue and some brain fog, for example, I wrote down my only son's birthday incorrectly. This is not remotely normal.

Other Meds: Losartan 12.5 mg one time daily Lexapro 10 mg one time daily Claritin (loratadine 10 mg) one time daily

Current Illness: No symptoms at time of vaccine. Cold sore one week prior to vaccine, with no other cold symptoms.

ID: 1008150
Sex: F
Age: 30
State: IN

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

Lab Data:

Allergies: Environmental allergies

Symptoms: 12 hours after my 2nd dose of Moderna, I began to experience chills, headache, general body aches, and fatigue. I took Tylenol 1000 mg at 12 hours, Ibuprofen 600 mg at 18 hours, Tylenol 1000 mg and Benadryl 50 mg at 21 hours. I then slept for 10 hours. Once I woke up I was only experiencing fatigue and right arm soreness at the injection site.

Other Meds: Claritin and Flonase taken in the morning before the vaccination

Current Illness: Allergic rhinitis

ID: 1008151
Sex: F
Age: 26
State: MA

Vax Date: 01/25/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Female caller stated she reccieved the vaccine on 1/25/2021 @ 4:10 pm in her left arm and has expereinced itching to the injection site since she was injected. But yesterday she not a 2 inch circular red spot at injection site, still no pain only experiencing itching. RN recommended a 1% OTC cortisone cream to be applied direcly to affected area. If the itching should persist to contact her PCP. Caller verbalized understanding.

Other Meds:

Current Illness:

ID: 1008152
Sex: F
Age: 67
State: FL

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

Lab Data: n/a

Allergies:

Symptoms: Chills, pain at injection site, headache, dizziness, body aches began at 1600 on 2/4/21 and subsided at 1400 on 2/6/2021.

Other Meds:

Current Illness:

ID: 1008153
Sex: F
Age: 46
State: MD

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: none

Allergies: latex, sulfa

Symptoms: I got a red rash over my torso 3 days after the first dose of Moderna vaccine that lasted 24 hours. After my 2nd dose, I got more of the same red rash started one day after the vaccine and it spread more and has lasted for 2 days so far but is fading some but not totally gone yet.

Other Meds: multi vitamin

Current Illness:

ID: 1008154
Sex: F
Age: 55
State: FL

Vax Date: 12/31/2020
Onset Date: 01/02/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: And ultrasound of my armpit and ultrasound of my neck a CT of my neck with contrast and two visit to the office for my doctor

Allergies: Some hospital adhesive

Symptoms: Right Enlargement of lymph nodes in my neck and then my arm pit area which today are still valid and the second dose was in my right arm and again my lymph nodes were enlarged but my right arm has since subsided fairly quickly at that

Other Meds: Levothyroxine 125mcq Complete multivitamin 50+

Current Illness: Na

ID: 1008155
Sex: M
Age: 66
State: MI

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

Lab Data: 2/6/21: Patients blood pressure was check twice resulting in BP readings of 220/120.

Allergies: N/A per patient

Symptoms: Patient stated they were becoming dizzy and lightheaded. Immediately had patient come into vaccine room to see what else was happening. Patient stated they were also having breathing difficulties. Immediately tested patients bloods pressure. Tested twice and came to 220/120 with heart rate 80. Was an emergent situation. Informed patient I was contacting 911 to have them take him to the hospital as this is an emergency situation. Went and made phone call. Had staff bring patient into waiting area so that we could monitor him if something worsened. 911 advised to just monitor the patient. If he began vomiting or passed out to have him on his side, so he doesn't choke from vomit. We monitored patient until ambulance arrived. They asked for current medications we knew of (listed in report) and that he had received Pfizer Covid vaccine 0.3ml resulting in emergency BP readings of 220/120 after receiving. Ambulance took patient to Hospital. Current condition unknown or if anything even occurred after that point. Whole event lasted about 1 hour before patient left with medical personnel.

Other Meds: Hydrocodone/acetaminophen 7.5/325, Diazepam 5 mg, and megestrol 20 mg

Current Illness: N/A per patient

ID: 1008156
Sex: F
Age: 45
State: NY

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Extreme pain in the arm, extreme fatigue, headache not treatable with tylenol. Extreme fatigue. Flu like fatigue. Swollen painful lymph node in left side in the armpit , blurry vision

Other Meds: Vitamins c, d and zinc

Current Illness:

ID: 1008157
Sex: F
Age: 72
State: NC

Vax Date: 01/27/2021
Onset Date: 02/06/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Covid arm: 10 days after vaccine sore arm, swelling, hot and red

Other Meds:

Current Illness:

ID: 1008158
Sex: M
Age: 75
State: PR

Vax Date: 01/28/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: NONE

Allergies: NONE

Symptoms: RED SPOT AND ITCHING IN THE ARAE WHERE THE VACCINE WAS PLACED (LEFT DELTOID). STARTED LAST NIGHT (2/5/21) PATIENT IS REPORTING IT TODAY 2/6/21.

Other Meds: NONE

Current Illness: NONE

ID: 1008159
Sex: M
Age: 54
State: VA

Vax Date: 01/16/2021
Onset Date: 01/29/2021
Rec V Date: 02/06/2021
Hospital: Y

Lab Data: CT abd 1/29/21 negative. CT abd 1/30/21 neg. labs at same time unremarkable. Abd sono 1/31/21 negative

Allergies: Penicillin

Symptoms: Abdominal pain woke me from sleep at 3 am. 1/29/21. Went to ER that night, studies negative. Sent home. Went back to ER next day. Studies negative. Sent home. Went back to ER same night. Admitted. Had laparoscopic appendectomy on 2/2/21

Other Meds: HCTZ 25 mg daily, magnesium oxide 500 mg daily

Current Illness: None

ID: 1008160
Sex: F
Age: 72
State: FL

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

Lab Data: No testing done.

Allergies: Sulfa and latex

Symptoms: About 1/2hour after I got up, I started feeling off with vision issues. Next thing I knew I had passed out and was laying on the floor. Then severe sweating with a headache and tiredness. My left arm was quite sore.

Other Meds: Toprol 50 mg, Rosuvastatin 10 mg, Baby aspirin, Ocuvite, Biotin, Multi vitamin with omega 3, Vitamin c and Fiber well supplement

Current Illness: Cold

ID: 1008161
Sex: F
Age: 48
State: WA

Vax Date: 01/31/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: n/a

Allergies: no allergies, but skin sensitivities to bees.

Symptoms: Swollen, red 4-6 inch area on left arm. It was hot to the touch. About 4-5 inches below the injection site. Lasted about 18 hours.

Other Meds: sertraline and synthroid

Current Illness: n/a

ID: 1008162
Sex: F
Age: 79
State: MI

Vax Date: 01/15/2021
Onset Date: 01/18/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: Visit to orthopaedic doctor 1 week ago.

Allergies: unknown

Symptoms: According to patient he began having intense shoulder pain 2 days after his Covid vaccine. 1 week ago he saw Dr. (orthopaedic physician) who diagnosed him with SIRVA. He was told that the injection was given too high in his arm. HIs arm is improving, but he does continue to have some discomfort.

Other Meds: unknown

Current Illness: unknown

ID: 1008163
Sex: F
Age: 73
State: NE

Vax Date: 01/14/2021
Onset Date: 02/06/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: No adverse events; second shot was administered too soon. patient received first shot on 1/8 and failed to mention that and got another shot on 1/14

Other Meds:

Current Illness:

ID: 1008164
Sex: F
Age: 71
State: NC

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

Lab Data: None

Allergies: Sulfa

Symptoms: About 10 minutes after injection, left arm suddenly became markedly weakened...from my shoulder, travelling to my hand. Could still use my arm...just very weak. Second day...morning, felt okay, except for left arm. About 10am, began to ache, especially my neck, my lower back and began noticing a headache. By the end of the day, I was achey all over. (Was at work). Lost my appetite and felt very, very tired. Took 2 Tylenol. Went to bed at 10pm. Left arm began to hurt with swelling and reddness. Third day, woke up feeling much better, but, still tired, a little achey. Neck still uncomfortable. Ate breakfast without incident. Arm still very sore. This is the third day, so have no further events to detail.

Other Meds: Timolol Maleate 0.5% OPH Soon Bupropion HCL 200mg 12hr SA Tab (2x Daily) Citalopram Hydrobromide 40mg Tab (1/2 2x Daily) Alogliptin 25mg Tab (1x Daily) Levothyroxine NA (SYNTHROID) 88mcg Tab (1x Daily) Vitamin D3 Supplement) 50mcg (2000 IU)

Current Illness: High BP

ID: 1008165
Sex: F
Age: 82
State: IN

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: None

Allergies: Augmentin

Symptoms: Side effects of headache, chilling

Other Meds: Synthroid, metoprolol, Vitamin D3

Current Illness: Covid-19 in March 2020

ID: 1008166
Sex: M
Age: 50
State: CA

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

Lab Data:

Allergies: NA

Symptoms: On 2/4/21 a 50y/o Male arrived to recieve a CoVID Vaccine. PT recieved vaccine and after was placed in observation for 15min. After the 15minute pt began to have a c/c of dizziness. Pt was assessed by onsite paramedic with a determination to transport pt to local hospital. PT was transported.

Other Meds: Lisinopril

Current Illness: NA

ID: 1008167
Sex: F
Age: 65
State: VA

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

Lab Data:

Allergies:

Symptoms: Client complaining of increase heart rate P112 and is taking metoprolol. EMS evaluated and client P came down after breathing exercises and relaxing.

Other Meds:

Current Illness:

ID: 1008168
Sex: M
Age: 61
State: NY

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

Lab Data: Temperature 101

Allergies: None

Symptoms: Fever (101), body ache, soreness at injection site, tiredness

Other Meds: None

Current Illness: None

ID: 1008169
Sex: M
Age: 53
State: CA

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

Lab Data:

Allergies: Sipro

Symptoms: On 2/4/21 a 53y/o Male arrived to a school to recieve a CoVID Vaccine. PT recieved vaccine and after was placed in observation for 15min. After the 15minute pt began to have a c/c of dizziness. Pt was assessed by onsite paramedic with a determination for a pt to refuse transport. PT signed AMA after hospital cntact made. For further information on pt vitals, treatment, and status please refernce

Other Meds: NA

Current Illness: NA

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm