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: 1019619
Sex: F
Age: 84
State: MA

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

Lab Data:

Allergies:

Symptoms: Eight days after treatment......Approx four inches round red itchy spot.

Other Meds: atenolol , omeprazole, imipramine, metformin OTC probiotic, Advil, vitamin C, multi vitamin

Current Illness: Diabetes (non-insulin dependent)

ID: 1019620
Sex: F
Age: 61
State: GA

Vax Date: 01/01/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: codeine

Symptoms: Week after injection and sore arm-- itchy rash, swollen at injection site

Other Meds: Vit D., Zinc, Magnesium tab, B complex

Current Illness: None

ID: 1019621
Sex: M
Age: 54
State: MI

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: Etodolac 300mg BID x 4dys, heat and cold application. Instructions given to return in 4 dys if no improvement.

Allergies: None

Symptoms: Started the morning after receiving the vacciine: Fever, sweats Severe Left Shoulder ache, decrease movement, muscle spasm Pain about the same even after taking pain medication (NSAIDS, muscle relaxant, heat/cold application) Pain has continued with no resolution- patient went to see their PCP on 2/9/2021 2/10/2021- He is back to work, much better ROM to the left arm

Other Meds:

Current Illness:

ID: 1019622
Sex: F
Age: 26
State:

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: while being observed complained of dizziness and head spinning, at approximately 09:50hrs, patient had water and snack but still felt dizzy and at around 10:35hrs she was escorted to the Emergency room in a wheel chair by nurses. vitals: 123/82, HR-92,

Other Meds:

Current Illness:

ID: 1019623
Sex: F
Age: 42
State: NY

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: Upper body rash on neck, stomach, flank, swelling of skin on R clavicle area with redness and tenderness at site. Fever 2 am 2/9/2021, and chills across remaining day of 2/9/2021.

Other Meds: Lexapro

Current Illness: None

ID: 1019624
Sex: F
Age: 53
State: MA

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: eggplant; cake mix

Symptoms: Headache, body aches (moderate to severe), mental fogginess,

Other Meds: Metformin, Venlafaxine, Steglatro, Cinnamon, Multivitamin,

Current Illness: none

ID: 1019625
Sex: F
Age: 41
State: OR

Vax Date: 02/01/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Amoxicillin

Symptoms: Swelling and itching and redness at injection site one week after injection.

Other Meds:

Current Illness:

ID: 1019626
Sex: F
Age: 62
State: CA

Vax Date: 02/05/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Raised red rash, Itchy, bumpy where injection, size of her hand. located between shoulder and elbow.

Other Meds:

Current Illness:

ID: 1019627
Sex: M
Age: 35
State: TX

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever: 101.2 Fahrenheit.

Other Meds:

Current Illness:

ID: 1019628
Sex: F
Age: 37
State:

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Tachicardia, restless night, severe weakness, strong headache, chills and sweating

Other Meds: Levothyroxine sodium

Current Illness: None

ID: 1019629
Sex: F
Age: 72
State: MI

Vax Date: 01/21/2021
Onset Date: 01/30/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: CT HEAD & NECK, CT ANGIOGRAM WITH CONTRAST, MRI HEAD, COMPLETE METABOLIC LAB WORK-UP ,D- DIMER, CAROTID ULTRASOUND,

Allergies: No

Symptoms: SUDDEN ONSET OF 3RD CRANIAL NERVE PALSY - NECESSITATING EMERGENCY ROOM EVALUATION

Other Meds: Gabapentin 400 mg., lexapro 40mg, losartin 50 mg, alprazolam .50mg, albuterol inhaler prn, benadryl 50mg, vitami d 1000, l-methylfolate 15

Current Illness: None

ID: 1019630
Sex: F
Age: 34
State: MD

Vax Date: 02/02/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Avocado allergy

Symptoms: Large rash around the injection site seven days after vaccine

Other Meds: Birth control

Current Illness: None

ID: 1019632
Sex: F
Age: 59
State: PA

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: N/A

Allergies: None

Symptoms: Chills, fever, nausea, headache, aches in joints. Lasted 36 hours. Did not take any meds to reduce pain.

Other Meds: Dextramphetimine 20 mg. Buproprion HCL XL 300 MG Escitalopram 20 Mg. Rosuvastatin calcium 40 MG

Current Illness: None

ID: 1019633
Sex: M
Age: 68
State: NY

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: I was concerned whether this was more than just a reaction to the vaccine so I got a rapid test on Feb. 8 which was negative. They also sent in another swab for 3 day testing just to be sure. That result should be ready by Feb 12.

Allergies: None known

Symptoms: 24-28 hours after vaccination I had body aches, chills, headache, cough, leg cramps and temperature of 100.8 (I usually run about 95). I slept 14, 12 and 18 hours per day the first 3 days after vaccination. I have been improving each day but still tire easily and still have a cough when taking deep inhalations (as of Feb. 10).

Other Meds: Pravastatin, Metoprolol, Sertraline, Melatonin, pro-biotic.

Current Illness: none

ID: 1019634
Sex: F
Age: 33
State: MA

Vax Date: 01/21/2021
Onset Date: 02/02/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: covid, rsv, flu, all neg, cardiac labs, EKG, cardiac US all done in emergency room- normal

Allergies: Amoxicillin

Symptoms: sinus tachycardia, heart rate on rest would not go under 100bpm, chills, aches, tachycardia spiking upon standing up to 170bpm, dizziness, lightheaded, tachycardia lasting 48 hours

Other Meds: Flonase

Current Illness: none

ID: 1019635
Sex: F
Age:
State: CT

Vax Date: 02/04/1921
Onset Date:
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: N/a

Symptoms: Rash on Injection site arm that started 3 days post injection Headache Tachycardia

Other Meds: Birth control, Vitamin D, Apple cider vinegar

Current Illness: N/a

ID: 1019636
Sex: F
Age: 56
State: IL

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

Lab Data:

Allergies: tetnus toxoid

Symptoms: Redness, swelling , heat and pain around injection site

Other Meds: amlodipine, estradoil

Current Illness:

ID: 1019637
Sex: F
Age: 54
State: OH

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient started with Nausea and Intractable Vomiting, fatigue, aches and fever which were all expected (similar reaction at first dose), what was new was severe joint pain and swelling that started Day 1 after her second dose that lasted until she called her doctor 4 days after the injection. He started her on a Medrol dose pack to decrease her join pain and inflammation.

Other Meds:

Current Illness:

ID: 1019638
Sex: F
Age: 25
State: KY

Vax Date: 02/03/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: COVID PCR swab 2/10/21 negative

Allergies: Codeine

Symptoms: Received 2nd vaccine on 2/3/21. On 2/9/21 started having congestion, headache, and sore throat. Went to urgent care on 2/10/21. Diagnosed with upper respiratory tract infection.

Other Meds:

Current Illness:

ID: 1019639
Sex: F
Age: 39
State: OH

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: gluten

Symptoms: The injection of the vaccine was fine. My arm started getting sore about an hour afterwards. The next morning I could not lift my arm at all. About 18 hours after getting the vaccine I had severe body and joint aches, my lymh node in my armpit was swollen and sore (on injection arm), I had a headache, and I was exhausted. This continued for 48 hours. The swelling of the lymph node went down and the body and joint pain lessened. However 5 days after I am still exhausted, dealing with a headache, my arm is still sore, and am experiencing joint pain and back pain. I was diagnosed with COVID 19 on December 4, 2020, with COVID Pneumonia on Decemeber 13, 2020, and with Post Viral Syndrome on December 28, 2020.

Other Meds: multivitamin

Current Illness: no

ID: 1019640
Sex: M
Age: 61
State: OH

Vax Date: 01/21/2021
Onset Date: 02/03/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: none

Allergies: Griseofulvin

Symptoms: February 2, I developed 30 red, raised, itchy welts all over my body, including arms, legs, back stomach. Welts were dime sized. No breathing difficulty, Began benadryl 50 mg q 6 hours around the clock for one week. Benadryl did not cause the welts to subside. Welts worsened into larger 2x2 areas of redness and itching. Contacted my physician, who prescribed a medrol dose pak. Took from 2/1 to 2/5. Welts improved but did not go away. 2/10/2021 - welts are still developing, Have 6 new welts today 2/10/21... taking benadryl but not improving . Will call my doc back this date

Other Meds: Lexapro 10 mg Omeprazole 20 mg

Current Illness: None

ID: 1019641
Sex: M
Age: 94
State: FL

Vax Date: 01/29/2021
Onset Date: 02/02/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: 94 yo male (DOB: 05/12/1926) received Pfizer COVID-19 vaccine on 01/29/2021 @ 14:30 at hospital. On the morning of 02/02/2021 pt reported fatigue and muscle ache (shoulders and arms) started. Muscle ache subsided on the 02/06/2021. On 02/05/2021 pt started experiencing teeth hurt when tongue touched their teeth and a headache, both subsided 02/06/2021. Pt reported chills and a fever started 02/05/2021. Currently on 02/06/2021 pt i s experiencing fatigue, chills, and fever. Pt's most recent temp is 100.1F, temp peaked at 100.4F. Pt took tylenol, which provided minimal help. Pt takes levothyroxine (Synthroid), pravastatin, and aspirin. Pt has hypothyroidism and is allergic to shellfish. Pt was advised to continue taking Tylenol, and if temp goes above 101F or if symptoms do not resolve in 1-2 days, call doctor, go to urgent care, or emergency room.

Allergies: shellfish

Symptoms: Fatigue- started 02/02/2021 morning - currently experiencing muscle ache (shoulders and arms)- started 02/02/2021 - ended 02/06/2021. Teeth hurt when tongue touched their teeth- started 02/05/2021 - ended 02/06/2021 Headache- started 02/05/2021 - ended 02/06/2021 Chills- started 02/05/2021 - currently experiencing Fever- started 02/05/2021 - currently experiencing

Other Meds: levothyroxine (Synthroid), pravastatin, and aspirin.

Current Illness:

ID: 1019642
Sex: F
Age: 47
State: VT

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: pt states that she developed a 101 fever the night of the vax and has had it for 2 days. She has body aches, chills, and nausea. Pt woke up drenching with sweat. She has a rash on her body and face with red splotches on jaw line and neck. She has tingling and numbness on both lips and arms. Pt contacted PCP and was told to take Benadryl and to FU tomorrow.

Other Meds: none

Current Illness: none

ID: 1019643
Sex: M
Age: 18
State: KS

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Incorrect interval- Dose #1 1/20/2021.

Other Meds:

Current Illness:

ID: 1019644
Sex: M
Age: 71
State: UT

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: none

Symptoms: It began with a headache and sleepiness, followed by chills, dizziness, fever - first time at 6 p.m. 101.1, followed by other readings of 99.8, until 8:00 a.m. Wednesday morning, his temperature was 98.3. He still has a headache.

Other Meds: allergy medicine, vitamin C, multivitamin, MSM, glucosamine.

Current Illness: none

ID: 1019645
Sex: F
Age: 61
State: NY

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Codeine

Symptoms: None stated.

Other Meds: Xanax, ASA, Amlodipine

Current Illness: anxiety, asthma, HTN

ID: 1019646
Sex: F
Age: 75
State: FL

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

Lab Data:

Allergies: Codeine

Symptoms: Shot was painful. I told the assistant I had never had a shot that hurt that badly. She didn't even acknowledge. After waiting 15 minutes I left with some discomfort but figured my arm will probably be sore for a few days. A couple hours after getting the injection, I couldn't move my left arm without excruciating pain. I'm only assuming she gave me the shot to close to the shoulder joint. It's now Tuesday, February 10, and it is improving with more mobility and not as painful. But, still hurts. Cannot sleep on my left side. I'm concerned about getting the second dosage on February 27 and if this has caused any damage to the joint. So far, I have not seen this side affect listed in any Covid fact sheets.

Other Meds: Estradiol 1 mg Supplements: Vitamin E, B12, D3 and Glucosamine Chondroitin MSM

Current Illness:

ID: 1019647
Sex: F
Age: 48
State: NY

Vax Date: 01/14/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Seafood, nuts, berries, mangos, sulfa, aspirin

Symptoms: After second dose I started to feel back pain, shoulder pain, joint pain, headaches and tiredness. Still having joint pain, headaches and tiredness.

Other Meds:

Current Illness: Crohns disease

ID: 1019648
Sex: F
Age: 56
State: MS

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: Shellfish

Symptoms: Patient received vaccine @ 1321. At 1331 reported nausea, shortness of breath and not feeling right. Given water. 1343 B/P 200/90; Hr 112 RR 22 1340 given 50 mg Benadryl PO. 1352 B/P 198/95; HR 96; RR 19. 1405 B/P 140/90; Hr 8; RR 14. Denies nausea and shortness of breath resolved. Reports feeling much better. No headache No angioedema. Breath sounds clear. No wheezing. Advised to f/u with private provider. Given # of 2 local MD. Advised to repeat Benadryl in 4-6 hs. If symptoms return call 911 & go to nearest ER. Item 21 Below: Evaluated by NP @ site and instructed to f/u with PCP

Other Meds: Supplements & Herbs. Does not know the name

Current Illness: Recent URI

ID: 1019649
Sex: F
Age: 75
State: OH

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

Lab Data:

Allergies:

Symptoms: unknown

Other Meds:

Current Illness:

ID: 1019650
Sex: F
Age: 27
State: NJ

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Penicillin, blue cheese, mold, mild allergy to latex

Symptoms: After injection roughly approx 7 hours later my arm got hot to the touch, by 8:00 pm I had a fever over 100 with intense body aches. At 9:30 pm I started severely vomiting, had fever of 102 and severe body aches that prevented me from moving.

Other Meds: Blisovi Fe, Trintellix 10 mg

Current Illness: n/a

ID: 1019651
Sex: F
Age: 33
State: NJ

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: MRI

Allergies: None

Symptoms: Immediate arm pain (reports injection site was too high--about only 1 fingerbreadth down from acromion), numbness down to left 5th finger. Continued worsening pain radiating into neck. Obtaining MRI tomorrow for possible dx of SIRVA. PT ordered.

Other Meds: Multivitamin, zyrtec, pepcid

Current Illness: Chronic L5 radiculopathy

ID: 1019652
Sex: F
Age: 69
State: TX

Vax Date: 01/17/2021
Onset Date: 01/24/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Avocado

Symptoms: Swelling - hard lump at injection site - bright red rash covering large area on upper arm. Site of rash is still visible although very faded. Lasted about 5 days before it began to fade.

Other Meds: Atorvastatin 40 mg Losartan 50 mg

Current Illness:

ID: 1019653
Sex: F
Age: 68
State: SC

Vax Date: 01/21/2021
Onset Date: 01/27/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: MRI of the Brain with and without contrast showed restricted diffusion within the anterior right thalamus compatible with acute infarction

Allergies: Statins- muscle aches

Symptoms: 6 days following vaccination patient had a left sided stroke-numbness in face arm and hand. went to ER. and stroke was confirmed

Other Meds: Diltiazem 180 mg, HCTZ 12.5mg, Valsartan320mg, loratadine10mg, fenofibrate 145mg, tolterodine 2mg, omeprezole, livalo 2mg

Current Illness: None

ID: 1019654
Sex: F
Age: 49
State: TX

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

Lab Data:

Allergies:

Symptoms: Approximately 8 minutes after receiving the vaccine patient complained of feeling warm, and her head was cloudy and requested to lay down. Placed patient on the floor, elevated feet and she said she immediately began to feel better. Patient complained of being warm. Instant cold pack was given and placed on her neck and she said that helped. Patient also complained her cheek felt "heavy", patient able to smile and stick her tongue out and open and close mouth within expected limits. BP 150/90 (pt. has HTN), SPO2 99%, HR 67. Patient monitored for 30 minutes (combination lying, sitting ). Patient declined for us to call 911. Patient stated she felt back to baseline and escorted back to office (for safety). 30 minutes later patient stated she is 100% back to baseline. Instructed to call PCP, 911, or go to the nearest emergency room for any further treatment.

Other Meds:

Current Illness:

ID: 1019655
Sex: F
Age: 37
State: TN

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

Lab Data:

Allergies: none

Symptoms: I have had altered taste and smell since having the second Pfizer coronavirus vaccine. My toothpaste, soap and shampoo smell like sewage. Many foods taste like chemicals.

Other Meds: none

Current Illness: none

ID: 1019656
Sex: F
Age: 71
State: IN

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: none

Allergies: Keflex, Dairy products

Symptoms: headache, nausea, fever, chills, achyness, no appetite or taste, malaise . Tylenol, clear liquids and bedrest. 24 hours later most symptoms gone except tiredness

Other Meds: Diovan, Lasix, Norvasc, Potassium, aspirin, Lipitor, Vit D

Current Illness: Back surgery 12/14/2020, Covid 12/25/2020 until 1/5/2021 pneumonia

ID: 1019657
Sex: F
Age: 43
State: NY

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: none

Allergies: sulfa drugs

Symptoms: Body aches and tiredness started around 10am on 2/5 Body aches, tired and feeling flu like continued throughout day by 5pm low grade fever and chills approx 98.6 fever and tired through the night most symptoms resolved by 24 hours left arm soreness as well starting 2/5 lasting 2 days

Other Meds: Prenatal vitamins daily low dose motrin daily

Current Illness: n/a

ID: 1019658
Sex: F
Age: 23
State: OH

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

Lab Data:

Allergies: No

Symptoms: after 15 minutes of observation headache, hot flash and vomiting after 50 minutes now cold.

Other Meds: Prenatal vitamin

Current Illness: No

ID: 1019659
Sex: F
Age: 81
State: FL

Vax Date: 01/28/2021
Onset Date: 02/06/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Heat and redness and itching at site

Other Meds: Vitamin D3, Crestor, Miloxican

Current Illness: Osteoarthritis

ID: 1019660
Sex: F
Age: 31
State: OH

Vax Date: 01/28/2021
Onset Date: 02/07/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: 10 days after her second dose of Moderna Vaccine she developed a full body rash. Hydrocortisone is not sufficient. She is referred to her primary care provider.

Other Meds:

Current Illness:

Date Died: 02/01/2021

ID: 1019661
Sex: M
Age: 84
State:

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/10/2021
Hospital: Y

Lab Data:

Allergies: NKA

Symptoms: Patient admitted to hospital evening of 2/7/21 with acute ischemic stroke and received tenectaplase. Diagnosis Left MCA stroke. Reporting event given was just over 24 hours after first COVID vaccine dose.

Other Meds: lipitor 20mg daily, zetia 10mg daily, HCTZ 12.5mg daily prn, lisinopril 20mg daily, vitamin d daily, motrin prn, magnesium oxide 400mg daily, MVI daily, fish oil daily, asa 81mg daily, eye drops (latanoprost, cosopt, prednisolone)

Current Illness: hip replacement, HLD, HTN, atherosclerotic heart disease, cataract surgery

ID: 1019662
Sex: M
Age: 76
State: FL

Vax Date: 01/12/2021
Onset Date: 01/23/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: Dermatologist visit for rash

Allergies: none

Symptoms: (2/6/2021) bilateral arm rash developed 11 days after vaccine, seen by dermatologist and was prescribed Zyrtec daily with total resolution of rash. Started taking 5 days ago, will stop today

Other Meds:

Current Illness:

ID: 1019663
Sex: F
Age: 41
State: NM

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Systemic: Chills-Mild, Systemic: Fever-Mild, Systemic: Generalized Body Aches -Mild, Systemic: Other- pt experiencing rt arm numbness, tingling, and difficulty using right hand; symptoms lasted 28 days

Other Meds:

Current Illness:

ID: 1019664
Sex: F
Age: 75
State: CO

Vax Date: 02/05/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital: Y

Lab Data: She was admitted to the hospital and underwent echocardiogram, right heart catheterization, blood cultures, serologic evaluation and imaging to understand etiology of pericardial effusion. Workup is still underway at the time of this report.

Allergies: Hydrochlorothiazide: Syncope

Symptoms: 75-year-old woman who presented to the emergency room 2 days after vaccination with chest tightness, fatigue and was found to have pericardial effusion without tamponade. It was noted that patient has had intermittent syncope since August of 2020 and clinical interpretation is likely that pericardial effusion pre dated vaccination. In her workup for dizziness and syncope she had not previously undergone EKG, chest x-ray or echocardiogram therefore pericardial effusion could have been missed. I elected to report the pericardial effusion to be on the side of caution.

Other Meds: Gabapentin 300 mg at bedtime, metoprolol 25 mg daily, Effexor 75 mg daily

Current Illness:

ID: 1019665
Sex: F
Age: 70
State: WI

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Client reports tachycardia of 120-130 bpm from 1800 on 2/4/21 until 0700 on 2/5/21, when bpm decreased to about 100. She returned to baseline, 80 bpm, by 9am. No other symptoms.

Other Meds:

Current Illness:

ID: 1019666
Sex: M
Age: 50
State: AL

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: 2/7/21 fatigue, muscle and joint pain, 2/8/21-2/10/21 runny nose and fatigue

Other Meds: zinc, vitamins a, e, d, and a garlic supplement

Current Illness: n/a

ID: 1019667
Sex: F
Age: 72
State: TX

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: None; honey bees only

Symptoms: Cold & shivering; nausea; achy; sore or tired back

Other Meds: Calcium, D3, B12

Current Illness: None

ID: 1019668
Sex: F
Age: 34
State: NY

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: blood work within normal limits EKG described above

Allergies: none

Symptoms: Vaccinated 1/11/21 1/12/21: while at work patient became symptomatic and was sent to the ED - reports "heart was racing, I felt dizzy and nauseous". Patient recently had 2nd dose of COVID vaccine yesterday morning and recently found she is pregnant. Patient states her heart rate went to 188 and her hands and feet were numb & tingling She took deep breaths, but remained tachycardic In ED SVT resolved with vagal maneuvers Repeat EKG shows sinus tachycardia

Other Meds: none

Current Illness: Found out she was pregnant on this day.

Date Died: 02/09/2021

ID: 1019669
Sex: F
Age: 73
State: CT

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: sulfonamides

Symptoms: the following morning the patient became unresponsive while taking a shower, became asystolic and died despite about an hour of ACLS and 8 rounds of epi

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm