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: 0925973
Sex: F
Age: 25
State: NJ

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: Lyme test (1/4/2021) negative

Allergies: None

Symptoms: Received Moderna COVID-19 vaccine around 8:00 am on 1/4/2021. Same day in the afternoon, developed left facial numbness and right facial weakness, which had exacerbated on the next two days. On 1/5/2021, went to ED of Medical Center. Was evaluated by ED doctor and ED attending and was diagnosed with Bell's Palsy. Neurology consulted. Steroids were not recommended as it would make vaccine not effective. Lyme test was obtained (reported negative). Was discharged later on 1/5/2021 and was advised to follow up with OMS and neurology.

Other Meds: Ibuprofen

Current Illness: Migraine

ID: 0925974
Sex: F
Age: 55
State: MA

Vax Date: 12/21/2020
Onset Date: 12/21/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: No

Allergies: No

Symptoms: Same evening body aches and injection site was painful. In 24 hrs my lymph nodes were swollen, also neck and arm pit. I also had headaches and body aches across my shoulder, neck and back.

Other Meds: No

Current Illness: No

ID: 0925975
Sex: F
Age: 33
State: IL

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

Lab Data: vitals per taken everything was normal (taken 1/7/2021)

Allergies: NONE

Symptoms: Patient's arm was feeling tight after the injection, The sleeve seemed to be tightening her arm and after the injection she felt all the blood rush down her arm and she stated the injection site came out a bit and had a little bump. She went to the observation area and was feeling faint and light headed. She was taken to a separate room and she became a little faint and was given some water and kept longer for observation. After about an hour shes feeling much better and her color as returned and only feeling slightly light-headed.

Other Meds: OCP

Current Illness: NONE

ID: 0925976
Sex: F
Age: 36
State:

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: fever 99.7F, chills headache

Other Meds:

Current Illness:

ID: 0925977
Sex: F
Age: 53
State: WA

Vax Date: 12/30/2020
Onset Date: 01/02/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: none

Allergies: reglan

Symptoms: onset of redness, swelling, and heat at injection site. diagnosed with cellulitis

Other Meds: hydrocholorthiazide, lisinopril, levothyroxine, potassium, vitamin D, vitamin B

Current Illness: none

ID: 0925978
Sex: M
Age: 76
State: WA

Vax Date: 12/29/2020
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: none

Allergies: sesame oil

Symptoms: Localized swelling, redness and itching 6 cm in diameter at injection site. it developed about 7 days after the injection

Other Meds: atorvastatin lisinopril chlorothalidone ASA

Current Illness:

ID: 0925979
Sex: F
Age: 59
State: NE

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: None

Allergies: PCN, Tetracycline, Ceclor, Sulfa meds

Symptoms: Chills, Arm ache, vomiting, feeling like chest was heavy hard to breath, high fever, body aches, stomach hurt in upper area.

Other Meds: Fluvozamine Ziac Synthroid Omeprazole Aspirin 81mg

Current Illness: Nasel congestion

ID: 0925980
Sex: F
Age: 39
State: CA

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: none

Allergies: sensitivity to plums and raw almonds

Symptoms: site soreness (started within 3 hours of injection and is still sore 2 days later) , sleep disturbance night of injection, elevated temp of 100deg (started at 0200 on the 6th and lasted for 24 hours), whole body aches esp neck and back pain (Started when temp started and has lasted after temp has stopped for a total of 31 hours). Migraine with sensitivity to light (started at 0400 on the 6th and lasted for 5 hours). Nausea and heartburn (started on the 6th at 1845 lasting 5 hours despite taking famotidine)

Other Meds: multi vitamin and hair and nails supplement (biotin, silica, Vit C, proline, zinc, copper, flaxseed oil and gotu kola)

Current Illness: none

ID: 0925981
Sex: F
Age: 54
State: IL

Vax Date: 12/30/2020
Onset Date: 01/07/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 9 days after injection developed injection site reaction of redness, swelling, itching, warm to touch along with mild rash on bilateral lower extremities.

Other Meds:

Current Illness:

ID: 0925982
Sex: M
Age: 28
State: NM

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: none

Allergies: nickel

Symptoms: fever, headache, coughing, fatigue, loss of smell

Other Meds: none

Current Illness: none

ID: 0925983
Sex: F
Age: 34
State: NY

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: Latex, kiwi, shellfish, bee venom

Symptoms: Itching after injection with redness. 3 hours later with raised 2 inch hive at injection site with associated warmth, redness. Did not spread from that area. 2inch diameter.

Other Meds: Multivitamin, ibuprofen

Current Illness:

ID: 0925984
Sex: M
Age: 38
State: MN

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Fever max 101.4, muscle aches with headache

Other Meds: Atorvastatin

Current Illness: None

ID: 0925985
Sex: F
Age: 34
State:

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever 104.0F, chills, aches

Other Meds:

Current Illness:

ID: 0925986
Sex: F
Age: 23
State: MN

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 1/4/21 noon C/O nausea and Headache, 1/5/21 C/O body aches, "COVID symptoms", fever, chills, headache, and body rash. Symptoms improved expect for rash which patient states is very itchy. NP instructed her to take Claritin daily, use hydrocortisone cream, and Benadryl at night time. Patient is also reporting all symptoms to VSAFE.

Other Meds:

Current Illness:

ID: 0925987
Sex: F
Age: 53
State: NJ

Vax Date: 12/26/2020
Onset Date: 12/27/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: None

Allergies: Strawberries, pineapple

Symptoms: Very achy and tired the following day. very tender at injection site for three days following injection. Bruising at injection site.

Other Meds: Vitamin D, Zinc, Zyrtec, baby aspirin

Current Illness: No

ID: 0925988
Sex: F
Age: 35
State: MO

Vax Date: 12/27/2020
Onset Date: 12/28/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: no

Allergies: no

Symptoms: Woke up with chills, headache, weak, felt like fainting, arm pain. Called off work. Fever of 100.4.

Other Meds: no

Current Illness: no

ID: 0925989
Sex: F
Age: 67
State: GA

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient complained of facial flushing. Denies respiratory distress, is A& O x 4, V/S are: 1st attempt at 11:20 AM: BP 176/78; P-88; RR 20, 2nd attempt at 11:32 AM: BP 130/72; P-82; RR-18. Patient offered monitoring for 1 hour, refused ,patient was stable, reports minimized facial flushing, no respiratory distress reported. Patient encourage to go to the ER if having any trouble breathing, verbalized understanding.

Other Meds:

Current Illness:

ID: 0925990
Sex: F
Age: 86
State: CO

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: non

Allergies: None known

Symptoms: 3 cm.X6 cm. raised, red, pruritic rash at site of vaccination

Other Meds: Eliquis, Metoprolal, Thyroid, Coenzme, Q10, Simvastatin, Vit D3, Vit B12, simethacone

Current Illness: None

ID: 0925991
Sex: M
Age: 57
State: CO

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: none

Allergies: NKDA

Symptoms: Severe Body Aches, Fever little over 100 degrees F, Chills. Started about 9 hours after injection - lasted 7-8 hours. Arm pain but that was no big deal.

Other Meds: Losartan

Current Illness: COVID

ID: 0925992
Sex: F
Age: 73
State: OH

Vax Date: 01/02/2021
Onset Date: 01/04/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: NONE

Allergies: UNKNOWN

Symptoms: PHONE MESSAGE- UNABLE TO REACH FOR FURTHER INFO X2. STATES NO REACTION UNTIL 1/4/2021- BILATERAL "THROBBING" LEGS - NO RELIEF WITH OTC NSAIDS

Other Meds: UNKNOWN

Current Illness: NONE STATED

ID: 0925993
Sex: F
Age: 38
State:

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: low grade fever, arm swelling, aches, chills fatigue

Other Meds:

Current Illness:

ID: 0925994
Sex: F
Age: 53
State:

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

Lab Data:

Allergies:

Symptoms: vaccine administered at 1040. 30 minutes of observation occurred. At 1126, patient returned to clinic reporting dizziness, and generalized redness on her body. Vital signs taken- temp 99.2, HR 108, O2 96%, BP 192/96, RR 18. First Responder called. Pt offered water and reported her throat was closing. Epipen was administered. VS after Epi 96% on 2L O2, HR 117, BP 192/101. Pt reported lips starting swell (not observed by RN). First Responder team arrived. Report given. First Response team transported patient to the ED for further evaluation.

Other Meds:

Current Illness:

ID: 0925995
Sex: F
Age: 48
State: MN

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Nausea, chills, fever, body aches, headache, rash on arm

Other Meds: Sertraline, Zyrtec , aspirin

Current Illness: None

ID: 0925996
Sex: M
Age: 34
State: TX

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: N/A

Allergies: NKDA

Symptoms: Pain in the injection site a couple of hours after injection. Felt slight dizziness on the day of administration (on and off). The headache started to appear around 3pm the following day and continues on 2 days after. Feeling weak. Diarrhea also started two days after the administration. Noticed body aches in upper and lower body. Four days after the administration, no more pain in the injection site. Diarrhea had subsided but the headache is still there on and off.

Other Meds: Vitamin C

Current Illness: None that I am aware of.

ID: 0925997
Sex: F
Age:
State: NY

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

Lab Data:

Allergies: No

Symptoms: Nausea, fever, chills, body aches

Other Meds: Plaquenil

Current Illness: No

ID: 0925998
Sex: F
Age: 42
State: NY

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: none

Allergies: vicodin

Symptoms: bouts of tachycardia at rest >100bpm lasted for about 3 hours

Other Meds: Vit D , zinc and Vit C

Current Illness: none

ID: 0925999
Sex: F
Age: 52
State: WI

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: shellfish, latex, seasonal

Symptoms: Chills/ slight headache for two days after - still able to work, just didn't feel "normal". Developed hives/welts on chest up neck and onto chin on 1/6/21 in the evening along with a slight headache. Had a virtual visit with Urgent care and was prescribed Prednisone and zyrtec for the next 5 days and told to report.

Other Meds: simvastatin, sertraline

Current Illness: none

ID: 0926000
Sex: F
Age: 31
State: IL

Vax Date: 12/30/2020
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: amoxicillin

Symptoms: 2nd day-nausea, arm site pain which subsided. day 5-7 -severe itching around injection site. swelling and erythema as well

Other Meds: none

Current Illness: none

ID: 0926001
Sex: F
Age: 44
State:

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: fever 101.0, chills, aches

Other Meds:

Current Illness:

ID: 0926002
Sex: F
Age: 53
State: KY

Vax Date: 12/30/2020
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: CT scan, clear 1/5/2021 Chest scan, clear 1/5/2021 Blood work drawn 1/5/2021

Allergies: None known

Symptoms: (unsure if this relates to vaccination) Had an extreme allergic reaction at 10 pm Monday night (Jan 4, 2021), then another at 3 am Tuesday morning. Took benadryl 25 mg with each episode. At 6:15 am I passed completely out at sink, hitting my head hard on hardwood floor. Went to ER for scans. All scans were clear of brain and chest, awaiting heart results, with further testing for allergens coming up.

Other Meds: Ortho Novum (birth control pill)

Current Illness: Had two allergic reactions weeks prior to vaccination. Unsure of cause. First one minor, second one torso only.

ID: 0926003
Sex: M
Age: 39
State: NE

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: During administration of the vaccine, the RN noted that the vanishpoint syringe (automatic retractable needle syringe) began retracting too early before the RN had fully depressed the plunger and before all of the vaccine was in the patient's muscle. In addition, the RN noted that vaccine was leaking out of the syringe and down the patient's arm. The RN was unable to determine the exact amount that entered the patient and how much leaked out of the syringe. The RN spoke with Health Deparment's physician who was on-site. The RN and the physician looked at the syringe and discussed the incident. It was determined since some of the vaccine went into the patient, the dose should not be repeated for concerns of overdosing the patient. The patient was informed that a VAERS report would be filed and that we would attempt to contact moderna. The patient was advised to come for the second dose as scheduled on their card and that the patient could speak with their healthcare provider about whether or not a titer/antibody test should be run after the second dose to ensure the patient had adequate immunity.

Other Meds:

Current Illness:

ID: 0926004
Sex: F
Age: 64
State: CT

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: none yet

Allergies: right leg got numb and became drooped cant move big toe very well leg felt heavy and I walk different with the right foot

Symptoms: I have a dr appt next week, I did have some mid numbness on the top of my leg that I have had for a while, thought it might have been related to my knee surgery over 10 years ago, and developed leg cramps that I contributed to my diet most recently, so not sure if this is related or just bad timing

Other Meds: none

Current Illness: none

ID: 0926005
Sex: F
Age: 46
State:

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: fever 100.3, lymph pain, body aches

Other Meds:

Current Illness:

ID: 0926006
Sex: F
Age: 29
State: IN

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever of 103, chills, severe body aches, migraine.

Other Meds: Levothyroxine, Liothyronine, Wellbutrin Xl.

Current Illness:

ID: 0926007
Sex: M
Age: 72
State: CA

Vax Date: 12/26/2020
Onset Date: 12/29/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: ULTRASOUND OF LEFT AXILLA - JANUARY 2, 2021

Allergies: NKDA

Symptoms: PHLEBITIS OF LEFT BASILIC VEIN

Other Meds: UROXATROL SOTALOL ELIQUIS MULTIVITAMIN LIIPO-FLAVANOID

Current Illness: NONE

ID: 0926008
Sex: F
Age:
State: CA

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Received vaccine on 1/6/2021 at 10:30 AM. Sneezing and runny nose since 1/6/2021 10:00 PM.

Other Meds: Atenolol 50 mg daily

Current Illness: nonw

ID: 0926009
Sex: M
Age: 25
State:

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Headache, fever, chills, fatigue around 18 hours after shot. Additionally, I woke up the morning after to pain in my toe, which spread to my foot and groin lymph nodes. I eventually went to the ER and was told my toe was infected. I had previously had a small cut on my toe and the doctor believes that the inflammatory response my body initiated from the vaccine exacerbated this infection.

Other Meds: None

Current Illness:

ID: 0926010
Sex: F
Age: 48
State: OK

Vax Date: 12/17/2020
Onset Date: 12/18/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: None

Allergies: Not known

Symptoms: An irregular shaped Blister at site of vaccination was noticed a day after the first vaccine dose, and which then burst producing clear liquid with open skin when the bandage was removed. It healed later with a scar.

Other Meds: None

Current Illness:

ID: 0926011
Sex: F
Age: 33
State: CO

Vax Date: 12/23/2020
Onset Date: 12/29/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: None

Allergies: Cutaneous pineapple lip allergy

Symptoms: Left arm itching and localized rash/hive at injection site started on day 5-6 after injection. ~3x3in. Rash lasted for ~5d, itching for ~7d. Daily zyrtec taken day 1-3 of rash. Of note, acyclovir (new medication) taken 1 day (2 doses) before rash development and then stopped

Other Meds: Mirena IUD

Current Illness: None

ID: 0926012
Sex: M
Age: 34
State:

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient describes chest pain, shallow breathing, sharp chest pain, patient has previous cardiac problems and could recognize. He also reports feeling fatigued and flushed (hot flashes), body aches, headache mildness, injection site pain

Other Meds: Regular medications

Current Illness:

ID: 0926013
Sex: F
Age: 35
State: PA

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: COVID tested on 1/5/21-tested negative.

Allergies: None

Symptoms: Began with fatigue on day 2 and sore arm, day 3 temp of 101.6, chills, body aches, continued through day 5.

Other Meds: None

Current Illness: None

ID: 0926014
Sex: F
Age: 60
State: KS

Vax Date: 12/31/2020
Onset Date: 01/03/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: Codien makes me sick to stomach and Pennicillian gives me diar

Symptoms: Vomited twice in 2 hours could not eat headache fatigue 3 days ate very little because did not feel like eating Rash on right behind check and down a little bit on thigh very red painful and swelling I am on SMZ-TMP DS Tab 800-160 twice a day rash still there but not as painful. Fever as high as 102.7 for several hours on 01/03/2021 then ran in the 101.5 range for 01/04/2021, then on 01/5/2021 it ran in the low 100's. It is getting better every day.

Other Meds: Novalog Trujeo Warfarin Citalopram Ramipril Pantoprazole Clopidogrel Hydroco FeroSul

Current Illness: had surgery on my foot and had a wound vac on, Surgery was on 11/22/20

ID: 0926015
Sex: F
Age: 50
State: CA

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

Lab Data: Pt given 2nd dose of pfizer vaccination given by LVN RN informed that pt was not feeling well at 0834 by LVN. RN informed front desk to call rapid response at 0835. Pt transferred from waiting area to wheel chair then to gurney 0836 vs: bp:151/109 hr:95 02sat: 90 room air- complaint of dizziness, feeling like she is going to pass out, headache 6/10, diaphoretic hands bilaterally, tearful, feeling like she is going to pass out, complaint of congestion, notes she has history of htn and sleep apnea, pt states that she was not feeling well since administration of vaccination however did not inform LVN. 0837:2L o2 via nasal canula 0840: vs: BP 138/75 hr:83 02 sat:94 97.7 temp: on 2L nasal cannula, rapid response arrived report given, pt still feeling the same. 0845: vs bp: 133/84 hr: 79 o2sat: 94 0850: rapid response nurse cleared pt to be discharged, pt given option of going to ED for observation however declined at the time. 0851: pt sat up repeat o2sat: 95 on room air- states that she is feeling better, stating "I think I just have to go home and take a nap" 0855: pt requesting to be discharged, encouraged to have someone drive her home states she will call her sister- pt never picked up phone to call sister- then insisted she is fine to dive herself home. 0856: cleared with -supervisor that pt okay to be wheeled down to car by LVN be wheeled down to car- pt given ed precautions. 0907: LVN reported that pt elected to go to ED as she was experiencing dizziness per LVN. I

Allergies: Depo-Provera neomycin

Symptoms: Pt given 2nd dose of pfizer vaccination given by LVN RN informed that pt was not feeling well at 0834 by LVN. RN informed front desk to call rapid response at 0835. Pt transferred from waiting area to wheel chair then to gurney 0836 vs: bp:151/109 hr:95 02sat: 90 room air- complaint of dizziness, feeling like she is going to pass out, headache 6/10, diaphoretic hands bilaterally, tearful, feeling like she is going to pass out, complaint of congestion, notes she has history of htn and sleep apnea, pt states that she was not feeling well since administration of vaccination however did not inform LVN. 0837:2L o2 via nasal canula 0840: vs: BP 138/75 hr:83 02 sat:94 97.7 temp: on 2L nasal cannula, rapid response arrived report given, pt still feeling the same. 0845: vs bp: 133/84 hr: 79 o2sat: 94 0850: rapid response nurse cleared pt to be discharged, pt given option of going to ED for observation however declined at the time. 0851: pt sat up repeat o2sat: 95 on room air- states that she is feeling better, stating "I think I just have to go home and take a nap" 0855: pt requesting to be discharged, encouraged to have someone drive her home states she will call her sister- pt never picked up phone to call sister- then insisted she is fine to dive herself home. 0856: cleared with -supervisor that pt okay to be wheeled down to car by LVN be wheeled down to car- pt given ed precautions. 0907: LVN reported that pt elected to go to ED as she was experiencing dizziness per LVN. In ED pt given IV Benadryl 25 mg, tordol 15mg iv, 1 liter Lactated ringers, 4 mg Zofran iv

Other Meds: lisinopril (PRINIVIL, ZESTRIL) 20 MG tablet sig:Take 1 tablet (20 mg) by mouth daily tranexamic acid (LYSTEDA) 650 MG Sig: Take two tabs (1300mg) three times daily for 5 days during very heavy vaginal bleeding motrin 600mg 1 every 6 hour

Current Illness: unknown

ID: 0926016
Sex: F
Age: 60
State: KY

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: none reported

Symptoms: "very sore arm for 2 days, difficulty lifting arm, pain woke me in the night. Also developed fever and nausea which only lasted about 6 hours"

Other Meds:

Current Illness:

ID: 0926017
Sex: F
Age: 70
State: FL

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: Drugs: Morphine, Codeine, Tylox, Oxycotin, Oxycodone, Kinesed, some anesthesia>>>severe urticaria, hives, nausea, vomiting Foods: Melon >>> swelling, hives, vomiting ; Black or red Pepper, hot sauce, hot spicy seasoning>>>choking Animals: Cats>>> hives, sneezing, swelling, Sinusitis Other: Hay Fever, Pollen, Dust>>>Sneezing, swelling, hives, Sinusitis

Symptoms: HIGH BP AND PULSE BETWEEN 9:30 PM AND MIDNIGHT THE EVENING AFTER THE VACCINE: 175/99 PULSE 149, 151/79 PULSE 115, 154/73 PULSE 139, 163/77 PULSE 137.

Other Meds: Eliquist 5mg, Aspirin 81mg, Verapermil 120mg, Rosuvastatin 5mg, Levothyroxine 125mcg, Culterelle Probiotic, Vitamin D3 5000mg, Vitamin B-12 500mcg, VitaFusion Calcium & D3 500mg/25mcg, Natures Bnty Hair,Skin,Nails 5000mcg, Ducosate Sodium

Current Illness:

ID: 0926018
Sex: F
Age: 39
State: NE

Vax Date: 12/28/2020
Onset Date: 01/04/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: n/a

Allergies: N/A

Symptoms: Swollen Rash and itching in Left arm, increasing in size over 2-3 days. Has had to take Benadryl to relieve itching at night.

Other Meds: N/A

Current Illness: N/A

ID: 0926019
Sex: F
Age: 40
State: IL

Vax Date: 12/30/2020
Onset Date: 01/07/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Day 9 developed redness, swelling, heat, hardness & itching at injection site

Other Meds:

Current Illness:

ID: 0926020
Sex: F
Age: 40
State: WI

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

Lab Data: unknown

Allergies:

Symptoms: at 1210 patient received the moderna vaccination o. 5ml in her left arm she went to sit down and at 1218 she stated she doesn't feel right she got all panicky and restless. we placed a pulse ox on her her HR was high 160's oxygenation 100% BP 158/88 she said her heart felt like it was racing and she was all hot and her lips were tingly.... another RN present said her lips looked a little blue at one point rapid response called . Patient stated she felt a little better, heart rate was in 120's rapid response team decided to send her to the ER for observation

Other Meds:

Current Illness: no

ID: 0926021
Sex: F
Age: 69
State: MD

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

Lab Data:

Allergies:

Symptoms: Vaccine recipient complained of "some left-sided numbness in her ears and arms" almost immediately. Report received second-hand from the vaccine clinic director.

Other Meds:

Current Illness:

ID: 0926022
Sex: F
Age: 45
State:

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: Currently none. Anamnestic data about allergy to dust.

Symptoms: Low-grade fever, myalgia, general malaise

Other Meds: Enalapril maleate 5 mg BID

Current Illness: COVID-19, 45 days prior

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm