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: 1017363
Sex: F
Age: 80
State: SC

Vax Date: 01/28/2021
Onset Date: 01/31/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: Ended up in the emergency room. had a CAT scan, blood and urine tests...all negative. Transported to main hospital for MRI, Echocartiograph and diabetes tests. all negative. Admitting dr had me walk the perimeter of room, no longer wobbly.

Allergies: codeine

Symptoms: had the vaccination Jan 28. On Jan 31 woke up at 7am with a wobbly walk and dizziness (neurologist subsequently said not dizzy).

Other Meds: rosuvastatin, exemestane, triamterene, baby aspirin, centrum silver, caltrate, replens

Current Illness: none

ID: 1017364
Sex: F
Age: 68
State: GA

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

Lab Data: N/A

Allergies: no known allergies

Symptoms: Patient received Moderna COVID19 vaccine for the booster injection by clerical error, after receiving Pfizer COVID19 vaccine for initial vaccination injection. Patient was observed for 15 minutes with no adverse effects noted. Patient denies any adverse reactions when questioned upon release from observation. Patient was advised of error and given best practice information about her vaccine and possible outcome. Patient voiced understanding.

Other Meds: unknown

Current Illness: no known illness

ID: 1017365
Sex: M
Age: 15
State: CA

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

Lab Data:

Allergies: NKA

Symptoms: Error: Too Young for Vaccine

Other Meds:

Current Illness:

ID: 1017366
Sex: F
Age: 75
State: IN

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

Lab Data: none

Allergies: sulfa

Symptoms: Aches, fever & headache

Other Meds: Pravastatin, Lasartan, 81 mg. aspirin

Current Illness: none

Date Died: 01/17/2021

ID: 1017367
Sex: F
Age: 99
State: IA

Vax Date: 01/05/2021
Onset Date: 01/14/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Individual collapsed 9 days post-vaccination with no known reason. Despite being healthy prior to vaccination, individual's condition deteriorated rapidly. Individual passed away on 1-17-2021.

Other Meds:

Current Illness: Individual was healthy prior to vaccination.

ID: 1017368
Sex: F
Age: 76
State: OK

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

Lab Data: none

Allergies: None

Symptoms: approx. 2-3 minutes after receiving the vaccine client started c/o feeling lightheadedness and she already had SOB which she normally has. She didn't bring her oxygen with her. She said the dizziness lasted a few minutes and she was monitored and then she said she felt better and was allowed to leave. She denies any other problems at this time.

Other Meds: Synthroid, gabapentin, zolpidem, levocetirizine, Prilosec, vitamin D, magnesium, nasal spray, losartan, Tylenol with Codeine.

Current Illness: none

ID: 1017369
Sex: M
Age: 75
State: CA

Vax Date: 01/26/2021
Onset Date: 02/02/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: ibuprofen

Symptoms: itching, swelling, redness in area where shot was given ( oval 3 1/2 by 2 1/2 inches)

Other Meds: Xarelto, Metroprolo, Hydrochlorothiazide, Enalapril, Vytorin, Tricor, Omego-3, Vitamin D, Niacin

Current Illness: none

ID: 1017370
Sex: M
Age: 82
State: OK

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

Lab Data: Pending - appt sch'd for tomorrow

Allergies: In his 20's he developed total body swelling and itching, saw a physician who admin an injection that made him sleepy. His symptoms were resolved by the following day. No cause was identified.

Symptoms: Reaction occurred a few hours following the 2nd dose. Initially itching of hands, especially between fingers. No rash noted. The following day he developed intense itching and rash on his back, which spread to his chest, arms, and legs. Reports stinging, or a feeling like when you have splinter when the rash is touched. No reaction following first dose.

Other Meds: Amlodipine Besylate 5 mg daily, multi vitamin daily

Current Illness: none

ID: 1017371
Sex: M
Age: 36
State: CA

Vax Date: 12/23/2020
Onset Date: 12/30/2020
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: None.

Symptoms: Area around left deltoid became red, it was not itchy though. Also, lymph nodes in the left axilla became swollen. I noticed these symptoms about seven days after the vaccine was given to me.

Other Meds: None.

Current Illness: Common cold three weeks prior to vaccine.

ID: 1017372
Sex: F
Age: 48
State: OR

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

Lab Data: None

Allergies: NKDA

Symptoms: Hives on right and left legs, Hives on left arm

Other Meds: Multivitamin, Cymbalta

Current Illness: No

ID: 1017373
Sex: F
Age: 70
State: CO

Vax Date: 12/23/2020
Onset Date: 01/02/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: Gluten Penicillin

Symptoms: Saturday Jan.2 my left arm/shoulder area had a rash, itch, hot to touch and swollen. It was a little painful. On Jan. 3 it was hotter, more swollen and more red. I called Medical Center and Dr instructed me to draw a circle around the red area if it got larger than the circle go to the ER. By that evening it did get larger but moved down my arm. It would decease from where it started, it had just moved. I decided to see my PCP the next day, she told me she would call me back. She put me on 10 days of Teplaxton, she stated she suspected cellulitis.

Other Meds: Humira Rosuvastatin Amitriptyline Eliquis Flonase Calcium

Current Illness:

ID: 1017374
Sex: M
Age: 74
State: VA

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: Altase, Eucrisa

Symptoms: PANCYTOPENIA

Other Meds: Allopurinol was a new medication he had just started

Current Illness:

ID: 1017375
Sex: F
Age: 32
State: OH

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

Lab Data:

Allergies: none

Symptoms: pins and needle sensation of tops of both feet, perceived edema of both feet started 2/9/21 in the morning and still persisting all day 1 day ealier with some muscle pain and L deltoid pain and swelling (expected)

Other Meds: Vitamin D , vitamin B12, iron, oral contraceptives, maxalt, topamax, effexor, multiple vitamin

Current Illness: none

ID: 1017376
Sex: F
Age: 66
State: NC

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

Lab Data: None

Allergies: cat, dog, some pollens, nickel, latex

Symptoms: Covid Arm -- began itching and getting hot and red and swollen at injection site after having no symptoms there for a few days

Other Meds: Acyclovir, claritin, flaxseed oil, align, L-lysine, D3, rosuvastatin, prednisone eye drops

Current Illness: sinus infection prior

ID: 1017377
Sex: M
Age: 15
State: CA

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

Lab Data:

Allergies:

Symptoms: Error: Too Young for Vaccine.

Other Meds:

Current Illness:

ID: 1017378
Sex: U
Age:
State:

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

Lab Data: None

Allergies:

Symptoms: Couldn?t sleep til 4:30 pm after falling out of bed twice. Couldn?t get off floor. Extreme weakness. Slept the entire next day. After that didn?t recover strength for five/six days. Couldn?t eat.

Other Meds:

Current Illness:

ID: 1017379
Sex: F
Age: 75
State: NC

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

Lab Data: None

Allergies: micen drugs, Januvia

Symptoms: Arm was itching approximately an hour after receiving vaccine and continues to date. At 9 pm low grade fever and headache. Took Tylenol. At 6 am on 2-9-2021 headache persisted so again took Tylenol. Headache is a dull ache. No fever.

Other Meds: apixaban, atorvastatin, carvedilol, esomeprazole, flecainide, furosemide, raloxifene, spironolactone, tradjenta, Nexium, multivitamin, Caltrate gummies

Current Illness:

ID: 1017380
Sex: F
Age: 68
State:

Vax Date: 01/12/2021
Onset Date: 01/23/2021
Rec V Date: 02/09/2021
Hospital: Y

Lab Data: Covid 19 Nasal Swab, positive test.

Allergies:

Symptoms: pt contracted COVID -19 post vaccine dose #1. the vaccine was given on January 12, 2021 and she was diagnosed via laboratory testing on January 22 and informed January 23 of a positive test result. She was admitted to the hospital on February 1 due to SOB caused by COVID 19 per the clinician's note. She had a 4 day hospital stay and was discharged on February 4, 2021.

Other Meds:

Current Illness:

Date Died: 02/08/2021

ID: 1017381
Sex: F
Age: 88
State: CA

Vax Date: 02/06/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Resident passed away 2 days after receiving the vaccine. oxygen level has decreased shortly 1 day after receiving the vaccine.

Other Meds:

Current Illness:

ID: 1017382
Sex: M
Age: 34
State: OR

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

Lab Data:

Allergies: Penicillin

Symptoms: Vial had been removed from deep freezer and placed in cooler; remained in cooler beyond recommended time frame and not realized until after administered to patient (employee).

Other Meds:

Current Illness:

ID: 1017383
Sex: F
Age: 36
State: NJ

Vax Date: 12/29/2020
Onset Date: 01/03/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: Ultrasound 1/8/2021

Allergies: Penicillin; Compazine

Symptoms: Swelling and pain - lymph nodes under the left axilla on to the left chest; I applied heat and took Motrin. Went to the doctor on the 6th;went for an ultrasound - January 8, 2021 ; no other treatment; repeat ultrasound to be done tomorrow 2/10/2021

Other Meds: Vit - Multi; fish oil; turmeric; Vit D; Synthroid

Current Illness: No

ID: 1017384
Sex: M
Age: 65
State: CA

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

Lab Data:

Allergies:

Symptoms: achy fever tired

Other Meds:

Current Illness:

ID: 1017385
Sex: F
Age: 76
State: FL

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

Lab Data:

Allergies: sulfa, penicillin, ephedrine

Symptoms: I had tremors for 48 hours after the shot, starting about 2 hours after shot also had a choking feeling. I took Benadryl before and after.

Other Meds: vitamin D, vitamin B12, lisinopril, buformin, baby aspirin, Xanax, metformin

Current Illness: none

ID: 1017386
Sex: F
Age: 31
State: OR

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: Sulfa- hives

Symptoms: Fatigue, headache, injection site redness and swelling, joint pain, malaise, muscle pain, nausea, pain at injection site.

Other Meds: Lisinopril

Current Illness:

ID: 1017387
Sex: M
Age: 85
State: MT

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

Lab Data: None

Allergies: No Known Allergies

Symptoms: Approximately 7 days after receiving first COVID 19 Vaccine dose, patient presents to clinic with rash on Trunk

Other Meds: Famotidine 20 Mg PO Daily Atorvastatin 10 Mg PO Daily Finasteride 5 Mg PO Daily Lisinopril 20 Mg PO Daily Omeprazole 20 Mg PO Daily Xarelto 20 Mg PO Daily

Current Illness: None

ID: 1017388
Sex: M
Age: 74
State: KY

Vax Date: 02/07/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: None

Allergies: Levaquin, dust, mold

Symptoms: My upper legs became very weak. I had difficulty standing from a a sitting position without holding on to a stable object.

Other Meds: Atenolol Vitamin, chlorthalidone, Zyrtec, Metamucil, aspirin(325), vitamin

Current Illness: None

ID: 1017389
Sex: M
Age: 65
State: CA

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

Lab Data:

Allergies:

Symptoms: achy fever tired

Other Meds:

Current Illness:

ID: 1017390
Sex: M
Age: 86
State: TX

Vax Date: 01/27/2021
Onset Date: 02/03/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: SARSCoV2 AG negative, occult blood-positive, CT ABD/pelvis-sigmoid diverticulosis but no evidence for diverticulitis, no bowel obstruction, UA negative, amylase/lipase normal, blood glucose-111, CBC w/auto diff-normal, pt was transferred to higher level of care to acute care hospital with Major GI bleed with hematochezia and acute diverticulosis of the colon with bleeding

Allergies: NKDA

Symptoms: came to ER 2-3-21 c/o rectal bleeding x 2 weeks now severe

Other Meds: Levothyroxine sodium po 125mcg qd, sucralfate po 1gm 4xday, xtandi po 40mg 4 capsules qhs

Current Illness:

ID: 1017391
Sex: F
Age: 41
State: GA

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

Lab Data: None

Allergies: Codiene

Symptoms: Patient states injection site became itchy and red on Sunday, Feb. 1st. Redness, discomfort, itchiness increased over the next few days. Patient states redness and itchiness has diminished but site is still tender to touch today, Feb. 9th. Patient was instructed to follow up with MD prior to receiving second dose. Patient verbalized understanding.

Other Meds: B12 Elderberry Vitamin D Multivitamin Zinc vitamin C

Current Illness: None

ID: 1017392
Sex: F
Age: 51
State: MO

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: COVID testing 1/28/2021 - negative. Chest x-ray 2/2/2021- normal.

Allergies: Alpha-gal allergy.

Symptoms: 1/27/2021 experience sore throat, chills, fever 101.8 F, and body aches. 1/28/2021 still experiencing symptoms. Was sent to be test for Covid. Results were negative. 1/29/2021 Developed a dry nagging non-productive cough. I would have coughing fits that would last for 30-45 minutes, which would be followed by clear sinus drainage. I began taking Benadryl 50 mg q 4 hrs. with very little relief. 2/2/2021 I was seen at urgent care for this cough. CXR was negative. No signs of infection. I started prednisone 40 mg x 5 days, and Tessalon Perles 200 mg 3 times a day. I was still experiencing the dry cough and by 2/5/2021 had to leave work because the coughing was not letting up. I was now also experiencing my ears and throat itching. I again started taking Benadryl and sudafed q 4 hours. 2/7/2021 I tried to come off the benadryl and experienced ears itching, my throat itching, my lips were going numb and my tongue felt like it was swelling. 2/8/2021 I was seen by my primary care physician. There was no signs of infection. Ears were clear, chest was clear. He told me he felt I was having a reaction to the COVID vaccine, and experiencing a reactory cough as well. He gave me a Steroid injection in the office, prescribed me a steroid inhaler twice a day, and Bromfed cough syrup every 6 hrs prn. 2/9/2021 cough has subsided as well as the itching.

Other Meds: Singular, Lexapro, Zyrtec

Current Illness: none

Date Died: 02/01/2021

ID: 1017393
Sex: F
Age: 73
State: CA

Vax Date: 01/26/2021
Onset Date: 02/01/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient received the vaccine on 1/26/2021 and per employee at facility patient passed away on 2/01/2021.

Other Meds:

Current Illness:

ID: 1017394
Sex: F
Age: 45
State: OH

Vax Date: 01/13/2021
Onset Date: 01/23/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: none

Allergies: PCN, season, environmental, some animals

Symptoms: day 9/10 R arm began to itch and red rash appeared. Became hard and swollen and painful to touch. Day 11 chills and rigors but afebrile. Took Zyrtec and Tylenol day 11 and by day 13 all s/s resolved but R arm was still slightly sore and swollen for a few more day.

Other Meds: Losartan, Prozac, Topamax, vit D, biotin

Current Illness: none

ID: 1017395
Sex: F
Age: 67
State: MO

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

Lab Data:

Allergies:

Symptoms: Systemic: Other- Swelling of the tongue and throat. No issues breathing. Patient was given Benadryl and symptoms resolved in 10min. Patient was observed for 30min post reaction time. Lasted 1 day

Other Meds:

Current Illness:

ID: 1017396
Sex: F
Age: 28
State: AR

Vax Date: 02/04/2021
Onset Date: 02/07/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: Amoxicillin

Symptoms: A red, itchy rash that started on my stomach on Sunday evening 02/07/2021 and now has slowly spread all over my upper body within the last three days. I get the chills with it, but otherwise fine.

Other Meds: Naproxen Gabapentin Lexapro Wellbutrin Vitamin D3 Vitamin C Potassium Zinc Biotin Ginkgo Biloba

Current Illness: None

ID: 1017397
Sex: F
Age: 67
State: CA

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

Lab Data: n/A

Allergies:

Symptoms: Pt. received her 2nd dose of the Pfizer vaccine today at 9:00 a.m. to left deltoid. Almost immediately, noticed blotches of redness to left arm . VS stable. Also mentioned being itchy to her right foot and inner thigh. Was relieved by a cold compress. Will also take Benadryl at home if worsens. Patient was released to home with no other symptoms.

Other Meds:

Current Illness:

ID: 1017398
Sex: F
Age: 27
State: IA

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

Lab Data:

Allergies:

Symptoms: According to patient - I was given the second COVID-19 Moderna vaccine and had a very bad reaction. My arm became extremely swollen, bright red, and hot. The injection site was the size of a golf ball.

Other Meds:

Current Illness:

ID: 1017399
Sex: F
Age: 39
State: NH

Vax Date: 02/04/2021
Onset Date: 02/07/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: Gluten

Symptoms: 8 days after vaccine I had a red raised spot on my arm at the site of the vaccine. It was itchy and warm to the touch. It was not painful and I did not have to take any medication. It went away around 24 hours after I noticed it.

Other Meds: Humira

Current Illness: Crohns

ID: 1017400
Sex: F
Age: 74
State: VA

Vax Date: 01/30/2021
Onset Date: 02/06/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: Amoxicillin--Hives

Symptoms: One week after the shot my arm became red and itchy. It has lasted two days and is better today.

Other Meds: Metoprolol Succinate 2.5 Vitamin D3 1000IU

Current Illness: None

ID: 1017401
Sex: M
Age: 77
State: FL

Vax Date: 02/04/2021
Onset Date: 02/06/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: None to date

Allergies: Wasp venom, shellfish, Losartin

Symptoms: Shoulder joint pain, Swelling at various places near injection site, upper arm, and shoulder Neck pain and tightness

Other Meds: Atenolol, simvistatin, hydrochlorothiazide, amlodipine

Current Illness:

ID: 1017402
Sex: F
Age: 52
State: OH

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

Lab Data: none

Allergies: almonds, seafood, sensitivity to IV contrast, Quinolone, ibuprofen (anaphylaxis), seafood, piqray, seasonal allergies

Symptoms: Patient received 1st dose 3 weeks prior without reaction. She received second dose today at approximately 11:30am. She felt fine after the second vaccination, until about 1:30-1:45pm. Patient c/o a "heat rush", headache, and hives on BUE. Patient vitals were WNL except HR was slightly tachycardia at 107bpm. Respirations were baseline at 18. Patient denies sob/anaphylaxis. Benadryl administered orally, and monitored. No reaction was had with the first vaccine.

Other Meds: unknown

Current Illness: Breast Cancer

ID: 1017403
Sex: F
Age: 68
State: OR

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Awoke 2/4/2021 with flushing to cheeks and swelling from my eyes down to my cheeks. Rapid pulse (>120 bpm), and my normal benign tremor was significantly worse.

Other Meds: Paxil, Wellbutron, Klonopin, Losartan , Atenolol, Hydrochlorothiazide, Levothyroxine, 81 mg Aspirin, Simvistatin, Neurontin, Vitamin D, Latanaprost eye drops, CoQ10. Lutien, Vyvance

Current Illness: None

ID: 1017404
Sex: F
Age: 79
State: WA

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

Lab Data: No

Allergies: penicillin fluorouacide (topical)

Symptoms: Just extreme arm pain four hours following the injection. It lasted through till today, but the first 36 hours were really painful. And on the opposite arm it was starting to get painful in the same area of the injection. Lifting my arm causes more pain.

Other Meds: hubalog (insulin) 5 units daily humalin (insulin) 23 units AM and 4 units at bedtime metformin 1000 IU daily hychlorozide 25 mg lilada 2.4 grams daily lovestatin 20 mg daily lysinopirl 10 mg daily pepsid 20 mg daily flaxseed oil co-

Current Illness: None

ID: 1017405
Sex: F
Age: 24
State: CA

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

Lab Data:

Allergies:

Symptoms: Pt reports 3 episodes of vomiting throughout day of 2/6. Reports body aches, general weakness, fatigue, nausea. States sx were almost resolved on 2/8. Denies fever, HA. Reports arm pain and local reaction on arm starting on 2/6 - deltoid where shot was administered is itchy, hot, red. Examined pt arm on 2/8 - pt states area has gotten more itchy and red over time. Pt states she took Tylenol for pain and fever sx.

Other Meds:

Current Illness:

ID: 1017406
Sex: F
Age: 59
State: WI

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

Lab Data:

Allergies:

Symptoms: Approximately 9 minutes post second vaccination EE developed chest tightness. Waited 30 minutes and was then ok. BP 130/85 HR 66. EE was provided a Benadryl to take if needed and escorted to elevator.

Other Meds:

Current Illness:

ID: 1017407
Sex: F
Age: 49
State: TX

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

Lab Data: none

Allergies: Allergic to codeine

Symptoms: Chills, nausea, possibly passed out, red and hot to the touch rash on chest and back

Other Meds: Prescription: 1-10 mg tablet of Montelukast 1x/day, 1-112 mcg tablet of Synthroid 1x/day, 1/2 of a 5 mg tablet of Liothyronine 1x/day Over the Counter: 1-20mg capsule of Nexium 1x/day, 2 squirts in each nostril of Fluticasone Propionate Na

Current Illness: None

ID: 1017408
Sex: F
Age: 69
State: CA

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

Lab Data:

Allergies:

Symptoms: Redness in the arm after 9 days. Itching a little bit and disappear after 2 days. Skin in that area was dry.

Other Meds:

Current Illness:

ID: 1017409
Sex: M
Age: 76
State: NJ

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

Lab Data:

Allergies: no- this patient did not want and RpH gave vaccine

Symptoms: Error: Wrong Patient (documentation in EMR)

Other Meds:

Current Illness:

ID: 1017410
Sex: M
Age: 27
State: MA

Vax Date: 02/08/2021
Onset Date: 02/28/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 2/8/21: sore arm 2/9/21: chills, dull constant headaches 5/10, bodyaches, slight dry cough, feverish-but no temp taken.

Other Meds:

Current Illness:

ID: 1017411
Sex: F
Age: 82
State: TX

Vax Date: 01/27/2021
Onset Date: 02/03/2021
Rec V Date: 02/09/2021
Hospital: Y

Lab Data:

Allergies: amoxicillin

Symptoms: patient developed blood clot in her left groin one week after getting first COVID19 vaccine.

Other Meds: mirtazapine 30mg, valsartan 320mg, boniva 150mg, amlodipine 5mg, cyclobenzaprine 10mg, pravastatain 10mg, memantine 5mg, tramadol 50mg, ambien 5mg

Current Illness: none

ID: 1017412
Sex: F
Age: 54
State: OH

Vax Date: 01/06/2021
Onset Date: 01/22/2021
Rec V Date: 02/09/2021
Hospital: Y

Lab Data: 1/15/21 + nasal swab for COVID 19 1/22/21 Chest CTA IMPRESSION: Suboptimal opacification of many distal segmental and subsegmental pulmonary arterial branches. No central or large pulmonary embolus. Mild infiltrative changes of the left lower lobe and lingula. Likely related to patient's known atypical infectious process. No superimposed dense airspace consolidation. Prominent left hilar lymph node, likely reactive. Left adrenal adenoma. Hepatic steatosis.

Allergies: amoxicillin

Symptoms: Patient is a 55 y.o. female presenting from home with complaint of shortness of breath. Patient tested positive for COVID-19 infection in January 15. Last 2 days started to get sob with mild cough, no phlegm production Denies chest pain Initially had fever, but no fever last 3 days In ED, dropped sat to 89% momentarily, but was found to be tachycardic 130 range sinus CT PE was negative for PE, showed Mild infiltrative changes of the left lower lobe and lingula. Likely related to patient's known atypical infectious process. No superimposed dense airspace consolidation Pt has been treated with Remdesivir, Decadron and supportive care. Pt has been stable in room air. Pt wants to go home today. She will receive the fourth dose of Remdesivir. Then she is OK to be discharged home. She will follow up with primary care physician Pt reported dysuria. Her UA showed positive nitrite. One dose of Cipro 500 mg given (pt is allergy to Amoxicillin). She will continue take Cipro 500 mg twice a day for 7 days for UTI.

Other Meds: topiramate, tizanidine, naproxen, magnesium oxide, Vitamin D3, eletriptan prn

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm