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: 1017312
Sex: F
Age: 81
State: VA

Vax Date: 01/29/2021
Onset Date: 02/07/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: Penicillin (rash) Cipro Oysters

Symptoms: Bright red, hot site of vaccination, rash chest, neck , itching, at site of rash and ears

Other Meds: Dofetilide, Eliquis,Amlodipine,omeprazole, prednisolone acetate ophthalmic suspension

Current Illness:

ID: 1017313
Sex: F
Age: 93
State: AZ

Vax Date: 01/30/2021
Onset Date: 02/01/2021
Rec V Date: 02/09/2021
Hospital: Y

Lab Data:

Allergies: none

Symptoms: acute respiratory failure, atrial fibrillation

Other Meds: Carvedilol Lisinopril

Current Illness: none

ID: 1017314
Sex: F
Age: 80
State: CA

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: NONE

Allergies: PENICILLIN

Symptoms: DIZZINESS.

Other Meds: ATENOLOL, FINASTERIDE, HYDROCHLOROTHIAZIDE

Current Illness: NONE

ID: 1017315
Sex: F
Age: 89
State: OH

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Error: Wrong Dose of Vaccine - Too High

Other Meds:

Current Illness:

ID: 1017316
Sex: F
Age: 53
State: TX

Vax Date: 01/27/2021
Onset Date: 01/30/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: none

Allergies: latex

Symptoms: 1. Very large red, warm to the touch swelling at the injection site which extended to the inner arm 2. Moderate Itchy rash on the right fore arm - occurred 2 day after the vaccine; lasted approximately 4 days - required hydrocortisone cream. 3. Large Itchy rash on the inner thigh area extending to the vaginal area - occurred approximately 6 days later; still persistent after Benadryl and hydrocortisone cream.

Other Meds: Remicade infusion 10 weeks prior methotrexate (take every Sunday) motrin multivitamin

Current Illness:

ID: 1017317
Sex: F
Age: 72
State: WI

Vax Date: 12/31/2019
Onset Date: 12/31/2019
Rec V Date: 02/09/2021
Hospital:

Lab Data: None (patient reported over a year after adverse event)

Allergies: Penicillins Statins

Symptoms: Patient came in on 02/03/21 for her COVID vaccine. When she was questioned about which arm she wanted it administered in, she stated she wanted it in her right arm as she still experiences soreness in her left arm due to her second Shingrix vaccine administered over a year ago. She stated it doesn't hurt all the time, but if she "bumps it or lifts her arm above her head," it is somewhat tender. She is a retired pharmacist, and she stated she did some research on her own. She stated she thought the needle may have caused a bursitis like condition. The patient is incredibly thin and thought maybe the needle went too far.

Other Meds: Loperamide 2mg (2 caps after 1st loose stool, 1 cap after each subsequent loose stool, up to a max of 8 caps / 16mg per day) Undergoing chemo for multiple myeloma... meds unknown as not administered or dispensed at this pharmacy

Current Illness: Multiple Myeloma

ID: 1017318
Sex: M
Age: 17
State: WI

Vax Date: 02/05/2021
Onset Date: 02/09/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Patient received the Moderna vaccine but he is below age 18 as outlined by the EUA for Moderna.

Other Meds: none

Current Illness: None

ID: 1017319
Sex: F
Age: 48
State: IN

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Rigors, fever (102 F) and muscle aches starting about 13 hours after dose and not resolving until about 48 hours after dose. From 48 hour to approximately 72 hours there remained achiness and a headache that I would rate at a 7/10 on a 0/10 scale. Tylenol and Ibuprofen was used throughout episode with little impact to pain or fever.

Other Meds: Losartan, Metformin, Multivitamin, Bupropion, Lexapro

Current Illness: none

ID: 1017320
Sex: F
Age: 85
State: TN

Vax Date: 01/20/2021
Onset Date: 01/22/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I have had no adverse effects from the Moderna Covid Vaccine. The reason I am using this form of reporting is that I have not been able to use the every day or every week online text reporting system since the link sent to me by text does not work.. I have tried typing it in manually and it does not work that way either. I just wanted to report that there were no adverse effects so that you would have some sort of feedback from me. Thank you.

Other Meds:

Current Illness: recuperating from open heart surgery in July and heart surgery in October 2020

ID: 1017321
Sex: F
Age: 72
State: CA

Vax Date: 01/27/2021
Onset Date: 01/30/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: Blood tests pending done on 2/9/2021.

Allergies: Tequin, Avalon, Blue Dye #1, hypromellose, hydroxypropyl methyl cellulose, singular, versed, soy, black pepper, sage, salmon, wheat/grains except rice and corn, coconut, mushrooms, dairy except cheese

Symptoms: Diarrhea with fecal urgency and incontinence lasting for 5+ days starting 2-3 days after the injection.

Other Meds: Liothyronine, levothyroxine, levonorgestrel/estradiol, Claritin, plaquenil, methotrexate (held for the vaccine), timolol, Lumigan, vitamin D, calcium, magnesium, vitamin B12, folate, zinc, melatonin.

Current Illness: None

ID: 1017322
Sex: F
Age: 78
State: FL

Vax Date: 01/27/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: CALLED PRIMARY DR NURSE

Allergies: PENCILLIAN, CIPRO, SULFA ANTIBOTICS, ALENDRONATE LATEX, TOMATOES

Symptoms: RED RASH ON LEFT ARM, SORE ARM

Other Meds: LISINOPRIL,AMLODIPINE,HYDROCHLOROT, FAMODINE, ATORVASTATIN ZYRTEC,EMERGEN-C,FLONASE,SUPER VITAMIN B-COMPLEX KRILL OIL, K2+D3, BENEFIBER

Current Illness: NA

ID: 1017323
Sex: F
Age: 39
State: NY

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 20 hours after shot, persistent fever maintained at 102.7 while covered by Tylenol 1 gram and Motrin 800 mg being taken every 6 hours. Severe chills, shaking, body soreness, and fatigue. Left Arm swelling, redness the size of a softball, hard and hot skin. Arm swelling lasted for 6 days.

Other Meds:

Current Illness:

ID: 1017324
Sex: F
Age: 46
State: CA

Vax Date: 01/08/2021
Onset Date: 01/16/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: exam with GYN scheduled for 2/18/2021.

Allergies: latex

Symptoms: Menstruation was due 1/10/21 (2 days after vaccine). I am typically very regular. Period did not start until 1/24/21 and as of today (2/9/21) has not ended (17 days long so far). VERY heavy flow with A LOT of clotting. Additionally, on Day 8 after vaccination, injection site became red, hot, and itchy with a hard knot at injection site. This lasted for 2 days then went away.

Other Meds: none

Current Illness: none

ID: 1017325
Sex: F
Age: 61
State: NJ

Vax Date: 01/01/2021
Onset Date: 02/07/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: N/A

Allergies: Transdermal scopolamine (Transderm scop)

Symptoms: 02/7/21: About 11 days after the first vaccine, I developed a 2 inch diameter red rash at the site of the vaccine. 02/8/21: the redness increased in size to 2-1/2 inches in diameter. It was now hot and raised. 02/9/21: the redness diminished slightly and the rash is now flat.

Other Meds: Valsartan Famotadine Magnesium Vitamin D Calcium Vitamin B12

Current Illness:

ID: 1017326
Sex: F
Age: 46
State: TX

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 02/09/2021
Hospital:

Lab Data: No

Allergies: Morphine

Symptoms: I felt like racing in chest and had little red spots around chest area(appearance ringworms 40-50 in count).

Other Meds: Cholesterol, Metformin

Current Illness: No

ID: 1017327
Sex: F
Age: 58
State: CO

Vax Date: 01/12/2021
Onset Date: 01/20/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Eight days after vaccination patient reports significant swelling at the injection site. It resolve after two days. No additional treatment was needed.

Other Meds: N/A

Current Illness: N/A

ID: 1017328
Sex: F
Age: 90
State: MA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: None listed on intake/consent form

Symptoms: Systemic: Fainting; symptoms lasted 1 day.

Other Meds:

Current Illness:

ID: 1017329
Sex: F
Age: 29
State: NC

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Systemic: Other- Chest Pain (requiring medical intervention post vaccine)-Medium

Other Meds:

Current Illness:

ID: 1017330
Sex: F
Age: 71
State: NV

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: NA

Allergies: N/A

Symptoms: INJECTED TOO LOW. PATIENT GOT INFECTION AT INJECTION SITE: REDNESS, SWOLLEN.

Other Meds: N/A

Current Illness: N/A

ID: 1017331
Sex: F
Age: 82
State: NC

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: PCN, Cipro, and unknown food allergy

Symptoms: About 10minutes after vaccine patient felt light headed. Vital signs were within normal limits (BP: 130/60, Pulse: 80, Respirations: 12, Pulse ox: 96%), and patient started to feel better. Offered a snack but patient declined. Patient was reassessed after 10 minutes and patient was back to baseline and ready to go home.

Other Meds:

Current Illness: none at the time of vaccination, unknown prior

ID: 1017332
Sex: F
Age: 41
State: AR

Vax Date: 01/19/2021
Onset Date: 01/22/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: none

Allergies: none mentioned

Symptoms: She reported she started having a rash all over body reports she took Zyrtec and rash wen away.

Other Meds: none mentioned

Current Illness: none mentioned

ID: 1017333
Sex: M
Age: 54
State: IN

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Severe Injection site pain. Fever, Body Aches, Uncontrollable Shivering. Dizziness. On the first dose I got these Symptoms at 11:30pm then they subsided by 6:30 am with multiple doses of Tylenol. I was able to return to work the next day. The second night the symptoms returned around 11:00 and persisted until morning. They went away with more Tylenol and all but the injection site pain did not return. On the second dose I had the same symptoms The same night as injection. They did not go away with Tylenol, and continued through the entire next day. Fever never broke. Unable to go to work with fever over 100. All symptoms persisted through the next night until morning when fever finally broke, and I was able to go to work. That night the symptoms return overnight, but were gone in the morning, and all but the injection site pain did not return. It has been 5 weeks since the first injection, and two weeks since my second, and I still have injection site pain and weakness in both of my arms. It is not as severe as the first five days following injection, but still persistent and noticeable.

Other Meds: 300 mg of Allopurinol daily

Current Illness: None

ID: 1017334
Sex: M
Age: 22
State: IN

Vax Date: 01/12/2021
Onset Date: 01/18/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: None known

Symptoms: Symptoms: Started with a rash in the left axillary region. Itching spread across all of upper torso. Itchy rash with hives. Diagnosed as unknown urticaria. Prednisone 20mg 1 time per day and hydroxyzine 10mg 3-4 times a day. After 1 days, symptoms have improved but not resolved

Other Meds: Claritin

Current Illness: None

ID: 1017335
Sex: F
Age: 47
State: NJ

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: None

Allergies: Tree nuts, latex sensitive

Symptoms: Just reporting symptoms that started on 2/3/2021 and not 2/9/2021 as reported because I was not receiving daily updates for check in. Vaccine was at 5p on 2/2/21. Next morning I had fever, fatigue, chills and muscle aches and rash on torso. Left arm continues to itch from apparent rash. No treatment. Symptoms resolved in about 30-48 hours post injection but again just wanted to document appropriately the immune response I had. I don't know if I can correct data fir 2/9/21 but I'm back to 100%. Thank you

Other Meds: Trazadone, allergy

Current Illness: None

ID: 1017336
Sex: M
Age: 73
State: PA

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Nausea, Vomiting, Diarrhea for 18 hours Pain - Discomfort @ injection site

Other Meds: simvastatin 40mg, diphenhydramine 25mg, CoQ10 100mg, Glucosamine Chondroitin MSM + Turmeric Triple strength

Current Illness: none

ID: 1017337
Sex: F
Age: 41
State: KY

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: Extreme body soreness, fatigue, and low fever of 100.2, also swelling and soreness and itching at injection site

Other Meds: None

Current Illness: None

ID: 1017338
Sex: F
Age: 41
State: AL

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: Vitals check: BP, temp, HR, RR, O2.

Allergies: Singulair

Symptoms: Patient reported to the ED about an hour after receiving the first dose of COVID-19 vaccine (Pfizer brand). She complained of left sided facial numbness with no facial droop or slurred speech present at the time. Her vitals were taken, she was monitored and seen by a PA. She was given an education handout on allergic reactions to medications and scheduled to follow up with her primary care physician regarding her elevated blood pressure (182/100). Patient did not report prior history of hypertension. She was discharged and able to ambulate our of the ED and drive home. Coure of care approximately 1 hour.

Other Meds: No medication reported by patient

Current Illness: None reported

Date Died: 02/05/2021

ID: 1017339
Sex: M
Age: 88
State: FL

Vax Date: 01/30/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
Hospital: Y

Lab Data:

Allergies: Penicillin hives Sulfonamide Antibiotics hives

Symptoms: Admitted to hospital with sob upon exertion that started prior to vaccine. Hx COPD, HTN, CKD, hyperlipidemia, bladder cancer in remission. Stated he has been taking Eliquis and Xarelto between renal doctor and cardiologist Dr. Anticipating going home 2/5/21 but then turned blue and stopped breathing under a DNR. COVID test negative. Labs show acute on chronic renal failure with an elevated troponin likely from demand ischemia.

Other Meds: Furosemide Lasix, 20 mg PO daily at 0600 Simvastatin 20 mg Tablet PO daily Amlodipine Norvasc 2.5 mg Tablet PO daily Tamsulosin HCl 0.4 mg Capsle PO daily Dutasteride 0.5 mg Capsule PO daily Metroprolol Tartrate Lopressor 25 mg Tablet PO on

Current Illness: sob with exertion, started just prior to vaccine

ID: 1017340
Sex: F
Age: 54
State: NY

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: She reported pain at the injection site, headace, and fever of 101F. Symptoms resolved with Tylenol.

Other Meds:

Current Illness:

ID: 1017341
Sex: M
Age: 50
State: SC

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: COVID-19 TEST

Allergies: None

Symptoms: Extreme body aches, joint paints, fever, fatigue, headache, chills, and nausea. Test positive for COVID 01/09/2021

Other Meds: Multi Vitamin

Current Illness: None

ID: 1017342
Sex: F
Age: 59
State: NJ

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: None

Allergies: J&J Ethicon sutures

Symptoms: Had Dose 1 ca 10:00 AM (late for 8:20 AM appt - wrong onsite location); ca 11:15/11:30 AM - sleepy/ drowsy, runny nose; ca 12:00 P - REQ 2 puffs of Xopenex rescue inhaler (breathless feeling; felt a deep heavy band across diaphragm area/ just below lungs - very diff from the stifled feeling typical to having an asthma attack, mine milder - a weighted heavyness to breathing), brain felt foggy, lightheaded (enough to be fearful of driving main or busier residential roads over the next 15 mins to arrive at apartment); ca 1:00 PM - single puff of Xopenex inhaler; drove home arriving ca 1:25 PM - felt wiped-out, very foggy brained, achy, headache & took Allegra 24 hour #3 dose, exceptionally groggy; napped heavily till ca 4:30/ 4:45 PM - less foggy, less exhausted, not confident in clear-headedness, did not feel sharp in perception enough to make contact tracing phone calls; 5:00 PM - clocked in to work remotely for 3 hours of professional reading, catch up with some regional, state pandemic happenings.

Other Meds: Centrum Silver (1/ day); Buprione HCL (300 mg/ day); Venlafaxine HCL (150 mg/ day); Amlodipine Besylate (5 mg/ day); Montelukast Sodium (10 mg/ day); Allegra 24 hour (2 - 3 tablets/ day); Advair 250/ 50 (2 puffs/ AM-PM - 2 X day); Flutacaso

Current Illness: none

ID: 1017343
Sex: M
Age: 29
State: CA

Vax Date: 01/07/2021
Onset Date: 01/27/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: 1/27/2021 SARS-COV2 PCR; Positive.

Allergies: Unknown

Symptoms: Patient tested positive for COVID-19 after getting first immunization.

Other Meds: Unknown

Current Illness: Unknown

ID: 1017344
Sex: F
Age: 67
State: CA

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: no

Allergies: none

Symptoms: C/O tingling sensation around lips. Similar episode after first dose Pfizer vaccination. Had a telephone consult with PCP, cleared for 2nd dose. Encouraged over the counter antihistamine and to get EpiPen auto injector. Patient talkative no lip or tongue swelling. No resp distress. 02 Sat 98% r/a. Able to speak in full sentences and drink fluids. Observed for an addition 30 minutes with no change in 02 saturation and swelling. Patient with family and is aware an order for EpiPen was prescribed.

Other Meds: Levothyroxine, aromasin, melatonin, baclofen, urea, Zyrtec, magox, motrin, vitamin D

Current Illness: none

ID: 1017345
Sex: F
Age: 85
State: GA

Vax Date: 01/13/2021
Onset Date: 01/28/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Error: Wrong Vaccine Formulation (ex. different manufacturer initial and booster).

Other Meds:

Current Illness:

ID: 1017346
Sex: F
Age: 45
State: MA

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Fever, chills, baseball size swelling of arm at injection site with pain and heat, limited motion. Took ibuprofen, iced arm. Event ongoing at this time

Other Meds: Breo, albuterol, naratriptan

Current Illness: Asthma, migraine

ID: 1017347
Sex: F
Age: 65
State: GA

Vax Date: 01/28/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: None

Allergies: latex hydrocodone celebrex

Symptoms: Patient state on the evening of Feb. 5th, 2021 she noticed some discomfort and mild redness at the injection site. She reports she later woke with increased pain, redness, swelling and the area was hot to the touch. Patient states today (Feb. 9th, 2021) the area is greatly improved with no discomfort noted. Patient was instructed to follow up with PCP prior to receiving the second dose. Patient verbalized understanding.

Other Meds: Estridol

Current Illness: None

ID: 1017348
Sex: F
Age: 67
State: WA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Systemic: Other- Shortness of breath and pale color

Other Meds:

Current Illness:

ID: 1017349
Sex: F
Age: 57
State: TN

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: Pennicillin, Sulfa Drugs, Eggs

Symptoms: Flu type symptoms - Joint pain, body pain, chills

Other Meds: Clariten D, Vitamin D3, Fish Oil, Vitamin E, Probiotic,

Current Illness: None

ID: 1017350
Sex: F
Age: 43
State: ID

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: none

Allergies: Penicillin, Sulfa, unknown antibiotic

Symptoms: At 11:29 a female patient asked for my assistance.Patient complained of dizziness when putting her head back. Also stated she had some numbness and tingling in her arms and hands. Patient was pale. Patient was unsure if her symptoms were related to the vaccine or if they could be related to her MS. The patient was walked with me to a private area where we sat her down and took her BP (106/54), pulse (88) and Oxygen sat (100). We monitored said patient for 30 minutes. We provided her with warm blankets, water and asked her to eat a snack that she had with her. Vitals were monitored numerous times over the course of the 30 minutes with all vitals remaining in the same general range. Her temperature was 98.4. Over the course of the 30 minutes patient's cheeks became rosy and improved in color. Patient began to move about more, scanning her phone and engaging more freely in conversation. At the end of 30 minutes we took her BP sitting and standing and there was no significant difference. At this point the patient felt comfortable leaving our area. We offered continued assistance if she felt she needed it. Patient declined. Patient was encouraged to go home and rest and have someone available to monitor her for the rest of the day. Patient stated her son lived down the street and she would have him come over to her house. Patient stated she felt like she does after a long stressful day at work. Patient stated that her MS often causes her to feel like this when she exercises or works a long day at work. Patient discharged home ambulatory to her home and care of her son.

Other Meds: Baclofen, Venlafaxine, omeprazole, nuvagel, Topamax, tysabri, xanax

Current Illness: Multiple Sclerosis, celiac disease

ID: 1017351
Sex: M
Age: 56
State: LA

Vax Date: 01/21/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: N/A

Allergies: NKDA

Symptoms: Temp. Imbalance Chills, Nausea , fatigue, foul diarrhea (like when I had COVID in July) low grade elevated temp.

Other Meds: SOTALOL,LIPITOR,XARELTO, DILTIAZEM Emergen-C

Current Illness: Atrial flutter/fibrillation S/p cardiac ablation 12/07/2020

ID: 1017352
Sex: M
Age: 29
State: MA

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: SULFA, NICKEL

Symptoms: CHEST TIGHTNESS, TACHYCARDIA, HYPERTENSION WITHIN A FEW HOURS AFTER VACCINATION WHICH COMPLETELY RESOLVED AFTER 12 HOURS

Other Meds:

Current Illness:

ID: 1017353
Sex: M
Age: 43
State: OR

Vax Date: 02/05/2021
Onset Date: 02/01/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Vial had been removed from Deep Freezer to cooler & kept in cooler beyond recommended time frame; was not noted until after administered to employee (patient). Patient experience expected side effects of chilling, body aches and fatigue next day,

Other Meds:

Current Illness: COVID-19

ID: 1017355
Sex: M
Age: 81
State: MS

Vax Date: 01/13/2021
Onset Date: 01/18/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: Larynx scoped 2/09/2021

Allergies: Altace

Symptoms: Right side vocal cord paralysis

Other Meds: Clonidine,allopurinol,hczc water pill,amlodipine,potassium simvastatin,80mg aspirin, lumigan eye drops

Current Illness: None

ID: 1017356
Sex: F
Age: 55
State: MI

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Client received COVID 19 Vaccine (Moderna #038k20A) at 10:00 am. She waited out in the lobby for 30 min. when she started to feel flush and dizzy. Had complaints of her throat feeling like it was closing off. Client taken to clinic room. Benadryl 50mg administered IM into the RT Deltoid. Epi administered IM administered into the RT deltoid. EPI was drawn up by the RN and Administered by another RN. Benadryl drawn up and administered by RN. RN present and assessed for lung sounds and bp. Lung sounds were clear, unable to obtain bp in clinic room. 911 was called and client was transferred via EMS to ER for observation. Client was alert and oriented x 3 upon departure.

Other Meds: Unknown

Current Illness: none reported

ID: 1017357
Sex: F
Age: 28
State: WV

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: She felt panicky prior to injection. Felt flush and panicky after injection. Had ginger-ale and ice pack to help with flushing. Left injection room approximately 35 minutes post-injection. When walking down the hall, she said she started to feel more panicky and felt paresthesias near lower jaw--stated she doesn't normally feel that way during a panic attack. Physical assessment normal. Vitals signs normal. Dexamethasone 4mg IM given. Paresthesias stopped about 10 minutes after dexamethasone. Went home and stated all had resolved by the time she got home and nothing has happened since.

Other Meds:

Current Illness:

ID: 1017358
Sex: M
Age: 79
State: TX

Vax Date: 01/29/2021
Onset Date: 02/03/2021
Rec V Date: 02/09/2021
Hospital: Y

Lab Data: CXR 1 view-right lower lobe airspace consolidation likely infiltrate, BNP-1890, blood glucose-107, CO2-39, H/H-12.3/41.5 Plt-127, negative troponin

Allergies: NKDA

Symptoms: 2-3-2021 pt reported to ER c/o dyspnea, A-fib HR 91, SARSCoV2 RNA test positive in ER, dyspnea on exertion occasional cough, pt admitted to medical surgical floor with acute systolic CHF and COVID-19 with bronchitis, pt was discharged to a nursing home for rehab

Other Meds: atorvastatin calcium po 20mg qd, spironolactone 25mg po qd, coumadin 4mg po qd, torsemide 20mg po 2tablets qd, losartan potassium 50mg po qd, duo neb bid

Current Illness:

ID: 1017359
Sex: F
Age: 32
State:

Vax Date: 02/07/2021
Onset Date: 02/07/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: Ceclor, latex, bees, pressure hives

Symptoms: Chills, slight fever (99.2-99.6), body aches, slight headache; symptoms began at approximately 8:00 p.m. on the night that the second dose was received; symptoms resolved by 8:00 p.m. the following night (2/8/21); no adverse reactions experienced following the first dose of the vaccine.

Other Meds:

Current Illness:

ID: 1017360
Sex: F
Age: 69
State:

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt in observation area for ten minutes before describing onset of "lump in throat." Confirmed she experienced the same issue after receiving the first dose. Took a Benadryl after the first dose and it improved symptoms. No other issues (no redness, rash, hives, difficulty breathing). EMT, took pt's vital signs - all WNL. Pt had oral Benadryl on hand and took one orally. EMT took vital signs again after ten minutes - vitals stable and WNL. Approximately 30 mins after taking oral Benadryl pt reported symptoms better. Pt stayed in observation area for approximately one hour total, stood up and walked out after symptoms resolved.

Other Meds:

Current Illness:

ID: 1017361
Sex: F
Age: 34
State: IL

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: clarithromycin, cephalexin, trazodone

Symptoms: Fatigue, itching and swelling at the injection site. At 11 days post vaccination patient describes increased pain, redness, and itching that she feels has progressed to her armpit and breast.

Other Meds:

Current Illness:

ID: 1017362
Sex: F
Age: 89
State: CA

Vax Date: 01/29/2021
Onset Date: 02/03/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: no

Allergies: aspirin weeds grasses trees and dust mites

Symptoms: The injection site started to itch. I itched it a lot but it is very red and it is growing in size.

Other Meds: metoprolal hydroxozine metromizodal atorvostatine turmeric citrical glucosamine vit D complex omega 3

Current Illness: no

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm