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: 1008873
Sex: M
Age: 47
State: NV

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

Lab Data: None.

Allergies: None.

Symptoms: Injection site pain, headache, chills, nausea, feeling unwell. Injection site pain and chills went away after two days. Headache, nausea, and feeling unwell is still going on but intermittent as of 8 days after the first injection.

Other Meds: Metformin HcL (1000 mg/day), Atorvastatin (10mg), Alodopine Besylate (10 mg), Lisinopril (40 mg)

Current Illness: None.

ID: 1008874
Sex: F
Age: 72
State: WA

Vax Date: 01/25/2021
Onset Date: 02/03/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: Cellulitis

Allergies: None

Symptoms: Moderna Covid-19 Vaccine EUA First 3 days only had minor discomfort, 4,5,6 days itching started, next 3 days were great, no pain or itching. Tenth day woke up to large red itchy mark on arm. Went to urgent care and got antibiotics. Next morning the circle was bigger and redder. Went to the doctor who sent me to ER where I received an antibiotic drip. This morning the area looked much better however tonight it is pink and itchy again. Going back to ER tomorrow. Second shot due on 1/18/21

Other Meds: Atorvastatin, Losartan, low dose aspirin , over the counter allergy pills

Current Illness: None

ID: 1008875
Sex: F
Age: 31
State: CA

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

Lab Data:

Allergies: None

Symptoms: I got some sore arm, and high fever after couple hours, followed by headaches , chills and body aches, tiredness. Took paracetamol and ibuprofen otc. That cause me unable to go to work.

Other Meds: None

Current Illness: None

ID: 1008876
Sex: F
Age: 62
State: MI

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

Lab Data:

Allergies:

Symptoms: Rash on front of neck

Other Meds:

Current Illness:

ID: 1008877
Sex: F
Age: 56
State: CO

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

Lab Data: No e

Allergies: Sulfa drugs, PCN

Symptoms: Joint aches and pain, nausea, chills, fever, headache, dizzy/ unstable occurring 24 hours after 2nd shot.

Other Meds: Accolade, advair, SAM-E, estrogen, zinc, vitamin b12, vitamin d, fish oil , Allegra, biotin, hydraplenish, estrogen, progestin, multivitamin

Current Illness: None

ID: 1008878
Sex: F
Age: 68
State: CA

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

Lab Data: none

Allergies: None

Symptoms: Felt dizzy with resolution after a few minutes.

Other Meds: Omeprazole, losartan,

Current Illness: none

ID: 1008879
Sex: F
Age: 64
State: NC

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

Lab Data:

Allergies: Decadron, Augmentin, Dicyclomine, Fosamax, Goat Cheese

Symptoms: Dizzy Heart Palpitations Shortness of Breath Tingling of Lips & Tongue Swollen Face Head Pain Throat Tightness

Other Meds: Metropolol, Levothyroxine, Omeprazole, B-12 Injections

Current Illness: None

ID: 1008880
Sex: F
Age: 39
State: AZ

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

Lab Data:

Allergies: None

Symptoms: Body aches, really bad back ache and legs aching. Left arm were vaccine was given really sore and armpit and whole left side of body hurt. Burning in throat.

Other Meds: None

Current Illness:

ID: 1008881
Sex: F
Age: 56
State: AZ

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

Lab Data:

Allergies: Hydrocodone--insomnia, restlessness

Symptoms: L axillary pain beginning approx. 8 hours post-injection escalating to severe throbbing pain (8-9 in severity) 12 to 24 hours following injection. Pain was accompanied by significant axilla, arm, chest and back swelling with a collection of approximately 500-700 ml fluid during peak of lymphadenitis. A small (1 cm x 2 cm) bruise appeared in armpit day 1 post-vaccine followed by 3 more bruises day 3 post-vaccine in armpit and on L chest wall. Pain subsided within 2 days but with waxing and waning of pain and swelling still by day 4 post-vaccination (today).

Other Meds: Topiramate 50 mg po BID, fluoxetine 20 mg po daily, tizanidine 6 mg po qhs, fexofenadine 180 mg po daily, multivitamin 1 po daily, vitamin B2 400 mg 1 po daily, magnesium citrate 400 mg 1 po daily, vitamin C 1000 mg daily, vitamin D 1000 u

Current Illness: None

ID: 1008882
Sex: F
Age: 55
State: AZ

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

Lab Data: None

Allergies: No

Symptoms: 12 hours later, chills, fever and achy

Other Meds: Cholesterol pill and blood pressure pill

Current Illness: None

ID: 1008883
Sex: F
Age: 88
State: NM

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

Lab Data: cbc/diff and chem7 within normal limits on 2/6

Allergies: codeine, Percocet, iodine

Symptoms: Mild erythema nodosum to R leg, multiple painful tender nodules, prescribing ibuprofen. Pain started on 2/5, rash started on 2/6. Still pending outcome

Other Meds: Premarin, memantine, hctz, kcl

Current Illness: none

ID: 1008884
Sex: F
Age: 45
State: CT

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

Lab Data:

Allergies: None

Symptoms: Large swollen lymph node Rash on arm of injection.

Other Meds: Aubagio Zoloft

Current Illness:

ID: 1008885
Sex: F
Age: 45
State: GA

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

Lab Data: Bp, blood ox (02 levels stayed normal), nurses taking pulse

Allergies: Morphine

Symptoms: Within 10 or so minutes after vaccine, I became very dizzy, then weak, my heart began to feel like it was going to pound out of my chest and so the nurse had me relax and said ahe could see my pulse through my clothing layers, they took my bp and it was really elevated (I don't have hypertension and I don't remember the exact number because I was kind of out of it) I know the diastolic was over 110 maybe even 120 the first time. My pulse was excessively high too. They called 911 and paramedics monitored me until my pulse slowed and softened some. My diastolic was still around 110. They allowed me to go home and lie down as long as I agreed to call them back or go to hospital if it didn't go below 100 after lying down a bit. It was 97 after about 40 mins, then 95 after 1.5 hours, then 78 after 3.5 hours and 67 after 6 hours. I felt good again at that point.

Other Meds: Armour thyroid, metformin

Current Illness: No known

ID: 1008886
Sex: M
Age: 26
State: ME

Vax Date: 01/18/2021
Onset Date: 01/25/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Rock solid lump over my collar bone possibly lymph nodes, it started 7-8 days after the shot and I still have it same side where I got the shot, 3 days after the shot I also got pain on my armpit . I?m worried about lump over my collarbone

Other Meds: None

Current Illness: None

ID: 1008887
Sex: F
Age: 61
State: TX

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

Lab Data:

Allergies: no

Symptoms: 100.3 fever - took motrin nausea sore at injection site 4 days pelvic cramping/bladder discomfort lasting 24 hours

Other Meds: Lisinopril 5mg

Current Illness: no

ID: 1008888
Sex: M
Age: 71
State: FL

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: Walgreens True Metrix glucose test kit

Allergies: sulfur, fodd allergies pineapple

Symptoms: Two days later 01/18/2021 to 02/01/2021 increase in my glucose levels range from 125 to 283

Other Meds: Spironolactone 25mg, Potassium Cloride Er 10mg,Carvedilol 25mg , Omeprazole 20mg (prn), Furosemide 20mg , Allopurinol 100mg (prn), Glipizide Er 10mg , Metformin 1,000mg, Clopidogrel 75mg, Atorvastatin 40mg, MVI, Losartan 100mg, Clonidine 0

Current Illness: Diabetes, , HBP.

ID: 1008889
Sex: F
Age: 70
State: CA

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data:

Allergies: latex tape

Symptoms: Red, swollen, itchy rash near the injection site

Other Meds: lovastatin, exemestane, omeprazole, amlodipine, hydrochlorothiazide, calcium, vitamin D3

Current Illness:

ID: 1008890
Sex: F
Age: 63
State: NJ

Vax Date: 01/13/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: None

Allergies: Penicillin, latex, gluten sensitivity, seasonal allergies

Symptoms: Dose 1 and 2 usual adverse events. Sore arm, achey, tired and crappy. But after dose 2 after 24 hours I began to notice itching. My back, neck, legs, arms. Begins once my zyrtec wears off around 7:30 pm I always take and antihistamine to keep my nose clear for better sleep. All nighttime meds are take at 8- 8:30 pm. Must take ativan to control anxiety and help get to sleep

Other Meds: Wellbutrin XL 300 mg, Armor 113 mg, zetia, pravastatin, progesterone, ativan when needed. Vitamin D, magnesium,

Current Illness: No illnesses

ID: 1008891
Sex: F
Age: 33
State: AZ

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

Lab Data:

Allergies: none

Symptoms: I was eating food that I normally eat and I looked down at my right arm and saw decent amount of hives. Then I check the rest of my body and found more. I took benadryl and zyrtec on the 5th and then feel asleep. I woke up in the middle the night to see that they had doubled eone in my private parts. I went to urgent care and they gave me a steroid injection, prescriptions for pepcid, a steroid pack and told me to continue to take the benadryl and zrytec. The hives have gone down, but I feel very weak and tired. It occured around 8:30 Friday night (2/5) and I am sorry I didn't fill out the form last night. i got the shot this morning at 8:30 am. I had a slight fever this morning.

Other Meds: Lamitical, Pravastatin, Buspar, Cymbalta,Adderall,Abilify,etc

Current Illness: none

ID: 1008892
Sex: F
Age: 22
State: IN

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

Lab Data: N/A

Allergies: Unknown laundry detergent

Symptoms: At 6:30PM on 2/6 (29.5 hours after I received my 2nd Moderna vaccine dose), I developed a small cluster of hives on my left arm around the crease of my elbow (4-5 inches away from the injection site). The hives continued to spread outward until they covered about 25% of my arm 2-3 hours after the hives first appeared. This was the height of the pain/swelling/itchiness. The hives gradually moved upward along my arm and are currently an inch or two below my injection site (5 hours after the adverse effects began).

Other Meds: 150 MG Venlafaxine 15 MG L-Methylfolate 100 MG Spironolactone 1 MG Birth control (Gianvi)

Current Illness: N/A

ID: 1008893
Sex: F
Age: 50
State:

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

Lab Data:

Allergies:

Symptoms: Swollen red spot on arm. Showed up 8 days after vaccination

Other Meds:

Current Illness:

ID: 1008894
Sex: M
Age: 67
State: CA

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

Lab Data:

Allergies: Vicodin

Symptoms: Redness and swelling on and around injection site.

Other Meds: Genvoya, Prezista, Metoprolol, Atorvastatin, vitamins E, C, D3, Senior multivitamin, calcium, allergy medicine, nasal spray, CoQ10

Current Illness: None

ID: 1008895
Sex: F
Age: 34
State: MD

Vax Date: 01/24/2021
Onset Date: 01/27/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Significant supraclavicular and cervical lymphadenopathy on vaccine arm side. Still present 14 days status post 2nd Moderna vaccine.

Other Meds:

Current Illness:

ID: 1008896
Sex: F
Age: 68
State: CA

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

Lab Data: None

Allergies: Dilaudid

Symptoms: after 30 mins, pt reports feeling "flushed"

Other Meds: hYDROCHLOROQUIN, Elavil, b12, d3, ca, Gingko biloba

Current Illness: None

ID: 1008897
Sex: F
Age: 39
State: MO

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

Lab Data: None

Allergies: NKA

Symptoms: Fatigue, dizziness, loss of balance, chest tightness

Other Meds: Synthroid, liothyronine, milk thistle, vit c, vit d, magnesium

Current Illness: None

ID: 1008898
Sex: F
Age: 27
State: IL

Vax Date: 01/28/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
Hospital:

Lab Data: No tests

Allergies: No known allergies

Symptoms: Had initial ?normal? side effects in the first few days following injection (sore arm, swelling at injection site). Those side effects had fully subsided by around 3 or 4 days after the injection. Then, around 7 days after the injection, the injection site began swelling again and became red. Site of swelling is about the diameter of a baseball currently (now 9 days after injection). It does not hurt and I do not have a fever or other symptoms. I went to an urgent care facility today to have it looked at. The doctor said it is unlikely that it is something like cellulitis and is likely a localized immune response that should get better on its own.

Other Meds: Minocycline Tri-Sprintec 28 Escitalopram Clindamycin topical gel for acne Azelaic acid topical gel for acne

Current Illness: No other illnesses

ID: 1008899
Sex: F
Age: 55
State: CA

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

Lab Data:

Allergies: Barbiturates

Symptoms: After first dose my face started peeling. I thought it was related to the mask I?ve been wearing and did t think much of it. It took 3 weeks to clear up but it did clear up completely for a week. I used gentle moisturizers only. I took the second dose on Wednesday 2/3/21 and I was off work the 3 days after that. I stayed home due to headache and body aches. Did not use ANY mask. On Friday my face started peeling again and continued to get worse on Saturday. It feels like a bad sunburn with very sensitive red skin. I?m using the same moisturizer. Nothing has changed.

Other Meds: Tylenol, Inderal, Vit B Complex, Biotin, Probiotic, Flaxseed, Vit D, Preservision, Magnesium, Calcium

Current Illness: Migraines

ID: 1011757
Sex: F
Age: 57
State:

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

Lab Data:

Allergies:

Symptoms: Dizziness, Headache, Myalgia, HYPERtension, Syncope, Bradycardia, had flulike symptoms and rash with 1st dose, 2nd dose: during 15min observation period, felt weak, tingling all over body and felt weak on her right side and dizziness. lightheadedness, dizziness, and generalized weakness. slow to respond to questions, co Narrative: Other Relevant History:

Other Meds:

Current Illness:

ID: 1012042
Sex: F
Age: 76
State: AK

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

Lab Data:

Allergies: None

Symptoms: Nausea with vomiting and dizziness; vomiting was constant when it began @ 2100. patient then came to er, received fluids dizziness and nausea decreased in ER

Other Meds: NKA

Current Illness:

ID: 1012278
Sex: F
Age: 55
State: ME

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

Lab Data:

Allergies: Flagyl, Amoxicillin

Symptoms: Patient reports she received 2nd dose Moderna vaccine Lot #013L20A on 1/30/2021. Monday 2/01/21, patient reports she developed a rash states "it's all over my body." Patient reports she left work early at 10 AM that day. Patient reports she has been self managing with Benadryl and hydrocortisone cream. Patient states "it seems a little better today. Feels less itchy." Patient denies to see EHS. Patient has contacted her PCP who suggested patient go to the ED. Patient does not plan to go to the ED at this time. Patient wishes to continue to self manage. Plan is for care management follow up tomorrow 2/5/2021. VAERS.

Other Meds: Insulin

Current Illness: denies

ID: 1012450
Sex: M
Age:
State:

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

Lab Data:

Allergies:

Symptoms: 40 y.o. male with PMHx including asthma and HLD presenting to the ED today with c/f allergic reaction. Pt is coming in after about 35 minutes ago he had some extreme flushing he describes it as "feeling like he put his head in an oven and some skin itchiness on his arms. He notes he started taking niacin today. He also got his second dose of his Covid vaccine last night. He has no throat swelling or difficult breathing. He has not had any nausea or vomiting. He denies any recent fevers or chills. He did switch his asthma medications to Trelegy last week. He otherwise has no other allergies. The patient had just started taking Niacin which is more likely the etiology of the case in question and symptoms rather than the vaccine-pfizer. Most likely this was related to the niacin and not the pfizer vaccine.

Other Meds: Niacin

Current Illness:

ID: 1012919
Sex: F
Age:
State:

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

Lab Data:

Allergies:

Symptoms: 26 y.o. female with a copper IUD who received second dose of Pfizer vaccine. Developed vomiting, myalgia, and fever next day. These symptoms resolved but then developed pink colored hematuria two days post vaccine, and was seen in clinic that day. Urine sample collected with 4-10 RBCs and moderate amount of blood found from lab. Last menses two weeks ago. She did have similar issues years ago, but past lab results were not available. Was referred to urology.

Other Meds: Pfizer COVID-19 Vaccine

Current Illness:

ID: 1012992
Sex: F
Age:
State:

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

Lab Data:

Allergies:

Symptoms: Pt presents to the ED today with c/o room spinning dizziness beginning while at work today about 1 hour PTA with associated HA. After onset she reports that she drank a cup of warm water but still felt dizzy. Pt reports that she received the Pfizer vaccine on January 4th. Pt denies CP and SOB at this time. Vertigo onset 9 days after receiving first dose of Pfizer C19 vaccine. Duration several hours, resolved spontaneously. Likely BPPV.

Other Meds: none

Current Illness:

Date Died: 02/05/2021

ID: 1015838
Sex: M
Age: 80
State: LA

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

Lab Data:

Allergies:

Symptoms: Patient was admitted to hospital from home in cardiac arrest. Hx of hypertension, hyperlipidemia, type 2 diabetes (not on insulin) and bilateral carotid artery stenosis. The patient was reportedly at his baseline health on 2/2/21. He received the 2nd dose of COVID vaccine around 1000AM on 2/2/21. Reportedly started running fever of 100.1 and chills the afternoon of 2/2/21. Around 7:00PM he started having dry cough and was complaining of breathing difficulties. He subsequently vomited multiple times (was eating pizza and aspirated) then lost consciousness. His wife called 911, did CPR and EMS reported he in PEA at scene and was intubated. Transported to hospital. SARS CoV-2 and influenza negative.

Other Meds:

Current Illness:

ID: 1015840
Sex: F
Age: 56
State: OH

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

Lab Data:

Allergies: Codeine, PCN

Symptoms: Approximately 12 hours post injection - There were great tremors inability to control extremities, complete weakness, unable to move bed sheets or stand, seizure like activity with lack of ability to walk to commode or reach toilet paper could not walk back to bed. Following night - complete drenched but manic in morning when awaken.

Other Meds: Nifidepine Lorazapam Losartan Wellbutrin

Current Illness: Anxiety S,A,D

ID: 1015842
Sex: F
Age: 24
State: RI

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

Lab Data: Amoxicillin prescribed for cellulitis on 2/6/2021

Allergies: None

Symptoms: redness, pain at site of injection

Other Meds: Aurovelole FE; Meloxicam

Current Illness: Muscle Twitches

ID: 1015845
Sex: F
Age: 76
State: TN

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

Lab Data: None

Allergies: IV contrast dye

Symptoms: At 10:58 am patient stated "I feel like I'm going to pass out". EMS called. At 11:02 am patient stated "I feel faint" & c/o nausea and a "humming sensation" at bilateral ears. Applied cool compresses and monitored until EMS arrived at 11:14 am. Patient transported to local ER by EMS. Vital signs stable.

Other Meds: Coumadin, Levothyroxine

Current Illness: None

ID: 1015846
Sex: F
Age: 70
State: NC

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

Lab Data: None

Allergies: N/A

Symptoms: Patient reported having some lightheadness and dizziness. Patient stated that all she had this morning was some juice because she was told not to eat. Patients vital signs @ 1:07 BP 137/71 HR 65 O2 98% Temp 98.1 BS 89 Patient rested for about 30 mins and vitals were BP 124/79 HR 60 O2 98%

Other Meds: N/A - unknown

Current Illness: N/A

ID: 1016015
Sex: F
Age:
State:

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

Lab Data:

Allergies:

Symptoms: 56 y.o. female with a history of a latex allergy, cancer and childhood asthma who received her second dose of the Pfizer COVID-19 mRNA vaccine and subsequently developed generalized pruritis five minutes after. She developed similar symptoms 6 hours after receiving the first dose, but this time was more severe. She arrived to the emergency department and after 15 minutes began to develop a cough, increased work of breathing, and voice changes. She received 0.3 mg epinephrine subcutaneously and albuterol nebulizers. Over her three hours in the department she received famotidine, 125mg methylprednisolone, diphenhydramine, an additional dose of epinephrine and 4x albuterol nebs. However, he dyspnea continued to return, and she was admitted. Improved overnight and was discharged HD2. widespread pruritis initially 5min post-Pfizer vaccination (2nd dose). Progressed to severe coughing, dyspnea requiring repeated doses of epinephrine and albuterol. Admitted to intermediate unit for further cares. Noted to have had mild delayed pruritis prior to first dose of pfizer vaccine.

Other Meds:

Current Illness:

ID: 1016057
Sex: F
Age:
State:

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

Lab Data:

Allergies:

Symptoms: 73 y.o. female with a history of breast cancer, stroke, and hyperlipidemia who received her second dose of the Pfizer COVID-19 vaccine at an outside clinic. Within 10 minutes of receiving the vaccine she developed new numbness and swelling in her tongue, along with numbness in her extremities. She was given 0.3 mg epinephrine per protocol and was then advised to be seen in the emergency department. Her symptoms resolved once she arrived at the emergency department. She was observed for a period of two hours without worsening symptoms and was then discharged. presented to the ED following pfizer vaccine ingestion. received epinephrine IM prehospital for report of tongue swelling and and numbness at the time. She was improved at the time of presentation to the ED. Observed for several hours and discharged home without recrudescent sx. Although cannot find objective evidence of tongue swelling, administration of epi prehospital with report of improvement of symptoms is suggestive that this was a true anaphylactic reaction to the vaccine.

Other Meds:

Current Illness:

ID: 1016072
Sex: F
Age:
State:

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

Lab Data:

Allergies:

Symptoms: Patient received second dose of MODERNA COVID vaccine and within 72 hours of receiving vaccine, patient went to the ED due to progressively worsening right arm swelling and redness. Patient was given morphine for pain and discharged with prescriptions for Percocet and doxycycline

Other Meds: albuterol, amitriptyline, diazepam, lisinopril, tizanidine

Current Illness:

ID: 1016081
Sex: F
Age: 57
State: SC

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

Lab Data:

Allergies: Allergies: adalimumab, infliximab, NSAIDS, Aspirin, Hydrocodone, Ibuprofen

Symptoms: Pfizer Covid Vaccine treatment under Emergency Use Authorization(EUA): Patient left the vaccine clinic and needed help in the hallway of the building. When staff arrived, the patient was AAO x 3. Patient was pale and stated she was walking to her car when she suddenly felt her heart racing. She was sat on a bench and vitals assessed ( BP 190/100, HR 92, pulse ox 98% room air). She stated she had received her second dose of the covid vaccine ( Lot # EL9265, Exp. 05/31/2021). She stated she had a reaction after her first dose in which she had a red rash 45 minutes after her injection. No rash was noted. She denied any shortness of breath or chest pain. After 5 minutes, vitals were reassessed (BP 180/98, HR 75, pulse ox 98% room air). Patient stated she felt better. Patient refused to have EMS called.

Other Meds:

Current Illness:

ID: 1016100
Sex: F
Age:
State:

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

Lab Data:

Allergies:

Symptoms: Healthy 39 y.o. female who received the Pfizer COVID-19 mRNA vaccine IM and developed myalgias, subjective fever and a headache. This was improved with 400 mg ibuprofen. Next day developed myalgias, fatigue, headache and took 400 mg ibuprofen again. Soon developed gastric reflux that improved with "Tums" and famotidine. Took 500 mg of acetaminophen after this. Day 3 developed fatigue and headache, which improved with acetaminophen 500 mg.

Other Meds: COVID-19 mRNA Vaccine (Pfizer)

Current Illness:

ID: 1016109
Sex: F
Age:
State:

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

Lab Data:

Allergies:

Symptoms: This is a 35-year-old female with history of Crohn's disease on Humira presenting today for evaluation of left upper arm redness, swelling, discomfort. She reports receiving her first moderna covid 19 vaccination to her left upper arm on 1/16/21. Had about 24 hrs of ha, malaise, myalgias that resolved. Had been doing fine until the last 24 hrs. She is on humira for hx of crohn's. Has been on this for years and states that she has had no issues with it in the past. Used her humira last night, sq inj to her right thigh. Has noted redness/swelling/discomfort to her left upper arm vaccination site and nonbloody diarrhea this morning. Has had ongoing upper abdominal pain that gi is following, unchanged today. No fever. No recent abx. Pt received C19 vaccine without incident. 8 days later, she received her usual dose of adalimumab (Humira) in a different extremity. The following day (1 day after Humira, 9 days after C19 vaccination), the COVID vaccine site became more red, warm, swollen and painful. Treated empirically with oral antibiotics for cellulitis at the COVID vaccine site.

Other Meds: Humira

Current Illness:

ID: 1016143
Sex: F
Age:
State:

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

Lab Data:

Allergies:

Symptoms: 23 y.o. female presents with shortness of breath x 1.5 weeks. States in the last 4 days she had increased shortness of breath and feeling like she cant get a deep breath. States it does hurt when she breaths as well and radiates to her back. States she also feels like her heart is racing and intermittent palpitations. Denies calf or leg pain. No recent travel. She does take OCP. Denies other medical problems. Denies drug use. Only occasional etoh use. No headache, nausea, vomiting, cough, fever. No history of CA, blood clots. She works at dermatology office and got the COVID vaccine 3 weeks ago.

Other Meds: Pt takes microgestin 1-20 mg-mcg once daily

Current Illness:

ID: 1016171
Sex: F
Age:
State:

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

Lab Data:

Allergies:

Symptoms: Patient presented to the ED shortly after receiving her COVID vaccine with hypertension, altered mental status, and a near syncopal episode upon arrival at the ED. Patient also reported some throat tightness and nausea. Patient received the first does of the Pfizer COVID vaccine about one hour PTA. Patient began having hypertension noted to be in the 180-215 systolics and patient reports baseline of 120s systolic. Patient was brought directly from the vaccine clinic to the ED. Upon arrival at the ED, patient experienced a syncopal episode and eventually came out of this but was confused. It was reported in the notes that patient was slightly dehydrated which could have contributed to her symptoms. Once the patient recovered from this episode and hypertension was resolved, patient was discharged home to follow up with PCP.

Other Meds:

Current Illness:

ID: 1016192
Sex: M
Age:
State:

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

Lab Data:

Allergies:

Symptoms: 49 y.o male with a history of DMII, HTN, DVT, and obesity who was admitted for COVID-19 illness 3 months ago who developed fatigue, shortness of breath, malaise, and abdominal pain after receiving the Moderna COVID-19 vaccine. The symptoms persisted and two days after receiving the vaccine he developed chest tightness and left arm pain which prompted him to be evaluated in the emergency department.

Other Meds: lisinpril, amlodipine, metformin, atorvastatin, carvedilol, colchicine, Moderna COVID-19 Vaccine

Current Illness:

ID: 1016194
Sex: F
Age:
State:

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

Lab Data:

Allergies:

Symptoms: 18 y.o. female with a penicillin allergy received Moderna COVID vaccine at a distribution site. After 40 minutes began to develop to develop pruritus, flushing of the face, and started hyperventilating. Nurses laid her on her back and elevated her legs. Her pulse was 200 and 0.5 mg of epinephrine IM was administrated to her thigh. She began to feel better and was transported by EMS.

Other Meds: None

Current Illness:

ID: 1016301
Sex: F
Age:
State:

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

Lab Data:

Allergies:

Symptoms: patient received covid vaccination. developed pain and redness and edema

Other Meds:

Current Illness:

ID: 1008900
Sex: F
Age: 62
State: ID

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
Hospital:

Lab Data:

Allergies: Erythromycin

Symptoms: Severe Headache, severe body ache, chills, dizziness, insomnia. Lasted12-15 hours. Body ache continued for over 24 hrs.

Other Meds: Levothyroxin, liothyronine, Wellbutrin, estradiol patch, multivitamin, Move Free, biotin

Current Illness: COVID 19 -suspected 1 month prior

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm