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: 1020668
Sex: F
Age: 73
State: NC

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

Lab Data: EKG performed in ED as precaution. Sinus rhythm, normal ECG, no significant changes were found

Allergies: IV Dye, Pentazocine, Sulfa, Erythromycin

Symptoms: She showed up at the hospital today and received her Covid shot. She had no reaction to the first shot. About 14 minutes after the shot she felt mildly short of breath. Reportedly there was no signs of increased work of breathing. She had no throat swelling or change in voice. Patient reports these symptoms were different from her baseline asthma so the decision to call a Code 44 was made and she was brought to the ED. Since that event her symptoms have improved. She denies any chest pain or pressure. She denies any recent illness prior to the event. She denies any lightheadedness or syncope.

Other Meds: Albuterol HFA, Symbicort, Zyrtec, Lexapro, Lubricant eye ointment, Multivitamin, Topamax

Current Illness: N/A

ID: 1020669
Sex: F
Age: 78
State: MD

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

Lab Data:

Allergies: Sulfa, lactose, Cechlor, latex

Symptoms: Tingling in mouth

Other Meds: Thyroid medication

Current Illness:

ID: 1020670
Sex: F
Age: 70
State:

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

Lab Data: ED Triage Vitals [02/09/21 1619] Temp Heart Rate Resp BP SpO2 36.5 ?C (97.7 ?F) 98 18 151/91 96 %

Allergies:

Symptoms: The pt is a 70 yo female that presents to the ed after receiving an injection in the left deltoid. She received her first covid vaccination today. She reports she has "lots of allergies" to medications. She began to have some mild tingling and itching in the left hand prompting the nurse to send the pt to the ed. No rash, symptoms have dissipated by time she is seen in the ed. No new dyspnea or diff breathing, no throat closing sensation. 444pm No distress, no rash, pt reports she feels better, 40mg prednisone given, home with pcp f/u as needed, return if diff breathing, rash, itching or her symptoms persist despite benadryl and otc meds. Pt and family agree with the plan, home at this time

Other Meds:

Current Illness:

ID: 1020671
Sex: F
Age: 41
State: AK

Vax Date: 02/04/2021
Onset Date: 02/06/2021
Rec V Date: 02/10/2021
Hospital: Y

Lab Data: 2/9/21: platelets of 2.

Allergies: Septra and erythromycin ointment

Symptoms: 41 year old female received Moderna vaccine on 1/8/2021 (lot 011J20A) and 2/4/2021(lot 011 L20A) . About 2 days post vaccination noted small red spots on her tongue, arms and legs. On 6 days post vaccination she noticed a red mark on her neck and had prolonged epistaxis. She had a normal hemocue in the clinic and normal vital signs with no further bleeding. She was sent to the Emergency Department via chartered flight. In the ED she was noted to have a petechial rash of mucous membranes, upper and lower extremities and multiple ecchymosis. Her platelet count was 2. Hemoglobin 13.3, hematocrit 40.2%, WBC 7.86. Metabolic panel unremarkable, coagulation studies unremarkable. Vital signs normal. After consultation with hematology, Dr., she was given high dose steroids and tranexamic acid and sent via medevac to MC for possible IV Ig and platelet transfusion. She arrived there sometime early this morning. Platelets were 4 upon arrival at Medical Center.

Other Meds: Vitamin D

Current Illness: None

ID: 1020672
Sex: F
Age: 54
State: NC

Vax Date: 01/13/2021
Onset Date: 01/17/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: Emergency room tests comprised of CMP/ CK/PT/APTT/CBC and CT of neck and head.

Allergies: Aloe, MSG, glucosamine, gabapentine, amitriptyline, monotelukast, triplans, cod?ine, oxycodone, hydrocodone, primidone, valporic acid, indomethacine

Symptoms: Worst Headache of my life! New onset high blood pressure and increase in uncontrolled migraines

Other Meds: Nexium, sertraline, K chloride, Na bicarbonate, synthroid, Celebrex, topiramate, B12,

Current Illness: Asthma, recurrent nephrolithasis,

ID: 1020673
Sex: F
Age: 71
State: FL

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

Lab Data:

Allergies: None

Symptoms: Generalized rash and itching

Other Meds: Hydrochlothiazide, amlodipine

Current Illness: None

ID: 1020674
Sex: F
Age: 77
State: CT

Vax Date: 01/31/2021
Onset Date: 01/31/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: No

Allergies: flonase eggs beestings flu shot coedine morphine simmastatin

Symptoms: My arm got sore and I got this large lump and its red with a rash, and it itches.

Other Meds: propramelol 40 mg synthroid 112 for 3 days week and 125 for the other 4 propronalol 40 mg 2 daily multivitamin vitamin D calcium baby aspirin promeal (six month shot) magnesium

Current Illness: None

ID: 1020675
Sex: F
Age: 70
State: FL

Vax Date: 02/01/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: 9 days after vaccine my skin has broken out in a red rash on the arms and upper legs.

Other Meds: Synthroid

Current Illness: Nne

ID: 1020676
Sex: F
Age: 23
State: KY

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

Lab Data: None

Allergies: None

Symptoms: I have been experiencing Chills, fever, aches, fatigue, headache 15 hours following the vaccine up until now 28 hours the vaccine. I have been taking Tylenol and Ibuprofen to relieve my symptoms

Other Meds: Sprintec

Current Illness: None

ID: 1020677
Sex: F
Age: 33
State: FL

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA

Other Meds:

Current Illness:

ID: 1020678
Sex: F
Age: 63
State: AZ

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

Lab Data: EKG--no significate changes than prior

Allergies: amoxicillin, erythromycin, iodine, penicillin, contrast dye, sulfa drugs

Symptoms: Patient received 2nd dose of vaccine at 4:15pm. 15min later had left arm pain and numbness on the left side of body. She seemed very anxious and distressed. did not want labs or imaging, got anxiolytics and Tylenol and symptoms resolved in 30 minutes.----per MD

Other Meds: not known

Current Illness: not known

ID: 1020679
Sex: M
Age: 61
State: IN

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

Lab Data:

Allergies: Dust, mold, feathers, contrast dye, Jublia, latex.

Symptoms: Moderna COVID-19 Vaccine EUA Body aches, tiredness, headache, muscle pain, chills, coughing, injection site pain, exhaustion.

Other Meds: Norvasc, Cardura, Welbutrin, Rhinocort, Clarinex, Sudafed, Voltaren Gel, Relaten, Buspar, Tessalon Perle. Astaxanthin, ashwagandha, horse chestnut, butcher's broom, epimedium, maca, phosphatidylserine, ginko biloba, gotu kola, rosemary, s

Current Illness:

ID: 1020680
Sex: F
Age: 75
State: FL

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

Lab Data: none

Allergies: I have had severe angioedema and hives in the past year; the cause is not determined.

Symptoms: The injection was at 1:00 p.m. The next morning when I awoke, I did not feel well, though without particular symptoms. I felt exhausted and stayed in bed. In a short time, I had a severe headache and upset stomach. Later, muscle pains in my thighs felt as though I were being hit with a bat. I had no appetite and no energy to get up, even to take an OTC pain reliever. By 2:00 or 3:00 in the afternoon, I was able to get up, take ibuprofen, and drink tea. In early evening, I ate something--can't remember what--as the pain was gone. I went to bed at about 8:30 and slept 12 hours. I was essentially all right after that, though at times felt "puny," as we say in the South. I had NO adverse side effects with the first inoculation.

Other Meds: Escitalopram, Buproprion, B12, Calcium+D, fish oil, psyllium husk fiber

Current Illness: None

ID: 1020681
Sex: F
Age: 50
State: IN

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

Lab Data:

Allergies:

Symptoms: On the ipsilateral side as the vaccine (left), I noticed lymphadenopathy in the supraclavicular area. I had one swollen lymph node. I noticed this was plausibly a side effect from the CDC website. On Monday, the size of the lymph node decreased by about half. Same for Monday and Tuesday. On Wednesday, the lymph node is no longer palpable.

Other Meds:

Current Illness:

ID: 1020682
Sex: F
Age: 50
State: CO

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

Lab Data: Physical exam & observation of symptoms

Allergies:

Symptoms: After receiving the COVID-19 vaccination the patient experienced the following adverse events during the 15 minute observation period post-vaccine administration: rash/urticaria, itching and difficulty breathing. Patient at 15 min post injection complained of throat fullness, itching, flushing, rash to chest area. Vital signs stable with Pulse ox at 100%. Rapid response called. Patient taken to ED for more in depth evaluation. Patient received epinephrine IM, methylprednisolone, famotidine, diphenhydramine. Patient had slight recurrence of some throat itching approximately 3 hours post arrival to ER. Given oral diphenhydramine & symptoms resolved. After 4 hours of observation there was no recurrent anaphylaxis. Patient was discharged with prescriptions for EpiPen & oral prednisone.

Other Meds:

Current Illness:

ID: 1020683
Sex: F
Age: 75
State:

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

Lab Data:

Allergies:

Symptoms: Chills and fever on and off for 36 hours

Other Meds:

Current Illness:

Date Died: 01/20/2021

ID: 1020684
Sex: M
Age: 73
State: MI

Vax Date: 01/13/2021
Onset Date: 01/16/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient received vaccine at Public Health Clinic. Patient ended up having a seizure 3 days later and ended up in the hospital. Found to have right lobe pneumonia and low depakote level. Patient noted to have multiple seizures at hospital, issues with stabilizing HR and BP, and passed away on 1/20/21.

Other Meds:

Current Illness:

ID: 1020685
Sex: M
Age: 66
State: MI

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

Lab Data:

Allergies: Iodine

Symptoms: Vertigo severe all day today

Other Meds:

Current Illness:

ID: 1020686
Sex: F
Age: 33
State: CA

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

Lab Data:

Allergies: Sulfa drugs

Symptoms: Terrible headaches, worst arm pain I?ve ever experienced. Worst sickness I?ve ever had in my life. Overall pain was comparable to labor pains. I could not sleep the entire night.

Other Meds: Levothyroxine

Current Illness:

ID: 1020687
Sex: F
Age: 53
State: IL

Vax Date: 01/28/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: Viax - pruritis Pet hair - itchy eyes Seasonal - sneezing, watery eyes

Symptoms: Patient developed rash, swelling, and pruritis at injection site about eight days after the vaccine was given. Symptoms slowly improved by the fifth day after the reaction according to the patient.

Other Meds: MVI

Current Illness: None

ID: 1020688
Sex: F
Age: 91
State: IL

Vax Date: 01/22/2021
Onset Date: 02/06/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Sulfa, wheat, oats, barley

Symptoms: COVID-19 arm

Other Meds: Carvedilol, Omeprazole, Lovastatin, Hydrochlorothiazide, Iron, Ecotrin 85, Super B-complex, multi for her, Glucosamine, Citracal

Current Illness: None

ID: 1020689
Sex: F
Age: 30
State: IN

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

Lab Data:

Allergies: N/a

Symptoms: Chills, nausea, fevers

Other Meds: Pre-natal vitamin

Current Illness: N/a

ID: 1020690
Sex: F
Age: 67
State: WI

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

Lab Data:

Allergies:

Symptoms: Patient felt dizzy provided juice and granola bar

Other Meds:

Current Illness:

ID: 1020691
Sex: F
Age: 36
State:

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

Lab Data:

Allergies:

Symptoms: Pain, redness, warmth, and swelling at injection site lasting for 3 days. Fever ranging from 99.0-102.0 lasting 24 hour Muscle, joint, and body aches lasting 36 hours (moderate pain would be dulled by use of Tylenol every 4-6 hours) Nausea lasted 24 hours Symptoms started to develop about 6 hours after the injection and continued to worsen through the night and peaked the next morning, and slowing started to get better over the 36 hours

Other Meds:

Current Illness:

ID: 1020692
Sex: F
Age: 50
State: NY

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Allergic to penicillin, seasonal allergies

Symptoms: A rash started a day or two after vaccination. Felt unwell the day after vaccination. Felt nauseous and unwell from Dec. 23rd through 28th. I had a physicians office look at my rash. It was warm to the touch, tender, itchy and very blotchy. She diagnosed cellulitis. I contacted my PCP. She consulted with the physicians office and called in an antibiotic to my pharmacy for me. I started to finally feel better once I started the antibiotics, but didn't feel back to normal until I was done taking all doses of my antibiotics.

Other Meds: Synthroid, Claritin, vitamin D, citrucel fiber caplets

Current Illness: None

ID: 1020693
Sex: F
Age: 63
State: MA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: lightheaded, dizzy, glassy eyes

Other Meds: glimepide 4mg, janumet 50mg-1000mg, oxybutynin 10mg, eye health and lutin, cranberry triple strength capsule 12600 mg, jardiance 25mg, vitamin d3, multivitamin, ropinirole 1mg, triple omega 369

Current Illness: n/a

ID: 1020694
Sex: M
Age: 63
State: VA

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

Lab Data: None.

Allergies: None.

Symptoms: This was my first COVID-19 vaccine. Second is scheduled for 2 March. Soreness developed at point of injection that evening, but not unusual. I felt pressure in head/neck area and had dry cough that evening. Took Advil PM before going to bed. About 2am that night I started having severe chills. I took temp at 5am and it was 101.7. Took Tylenol and temp went to 99.8 by 7 am. Temp went back up to 101.5 by noon. Had called my workplace medical and they want me to stay out for 3 days due to the reaction.

Other Meds: Atorvastatin 10mg; Omeoprazole DR 20mg; CoQ10 600mg; Fish Oil 2800mg; aspirin 81mg; D3 5000iu; Magnesium Citrate 250mg; Fiber capsules. I'd been taking Advil PM and Tylenol as needed. CPAP for sleep apnea.

Current Illness: I had symptoms of COVID-19 starting 24 January 2021; obtained a positive PCR test for COVID-19 on 28 January. After 10+ days of isolation, I was cleared to return to work after isolation on 5 February. I had fairly mild symptoms: restless sleep, chills, head/neck pressure, dry cough, fatigue, and change in taste for food. I never had fever over 100d F.. Dry cough persists.

ID: 1020695
Sex: F
Age: 57
State: MD

Vax Date: 01/27/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: N/A

Allergies: Penicillin, sulfa

Symptoms: At the injection site I had itching, redness, swelling and pain for 2-3 days -- starting at day 9 after the injection

Other Meds: Gabapentin, Flonase

Current Illness: None

ID: 1020696
Sex: F
Age: 103
State: MN

Vax Date: 02/06/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: NA

Allergies: no known allergies

Symptoms: Resident L)arm red, warm and swollen. Treated with Abx. Left arm is being assessed by staff, no pain noted. Resident had 1st vaccine on January 9th in the R ) Arm, on January 26th patient was assessed to have a red, warm and swollen R) arm, approximately from the shoulder to the elbow. Due to time frame (17 days) was not sure if it was an actual reaction to the vaccine. Resident had 2nd vaccine on February 6 in the L)arm and by the 8th was having the same reaction in L) arm. as the right. Both times patient has been treated with antibiotics. The R)arm at this time has completely cleared, L) arm continues to be warm, red and swollen.

Other Meds: Citalopram, Lasix, Potassium Chloride, Senna, Seroquel, Quetiapine, Tylenol

Current Illness: none at the time of vaccination

ID: 1020697
Sex: F
Age: 23
State: NY

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

Lab Data: blood work, EKG, lung x-ray, covid/flu test all normal

Allergies: duricef

Symptoms: headache and fatigue at 3:30pm day of dose; 3:00am the next day vasovagal syncope, shaking, nausea, EXTREME weakness/fatigue, stomach pains

Other Meds: birth control and ibuprofen

Current Illness: post op surgical bilateral fasciotomy

ID: 1020698
Sex: F
Age: 36
State: CA

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

Lab Data: No

Allergies: Robaxin

Symptoms: Lightheadedness after 10 minutes. It went away. I was walking towards my department and then I felt lightheaded again. but it went away again. I felt really tired after I got home from shift. Leg pain started really bad. I developed a fever. Next morning, I was in pain - legs, hips (legs and hips were where main pain was) and general body aches; headache. I had a fever 101. It was 100.4 at work and I came home from work. I couldn't stand - my legs and hips were so painful (the 6th) and I had a fever that whole day. It went to 101.5 at night and the next day I was still in pain. My body aches were a little better but the legs and hip pain weren't going away and I was so tired. I called my doctor (telemed visit) on the 7th and he said to wait and rest. By the 8th, the fever was gone. All the symptoms subsided on the 8th. I used Tylenol to try to help with my fever but it didn't help with my leg and hip pain. I was left with feeling tired for about a week more and I thought I was just recuperating.

Other Meds: Birth control; Cymbalta

Current Illness: Had COVID - diagnosed on 8th of December

ID: 1020699
Sex: M
Age: 72
State: DE

Vax Date: 01/26/2021
Onset Date: 01/30/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: On or about January 30, 2021 pain started inside my upper thighs, after about 24 hrs the pain moved to my groin. I contacted my Primary Care Physician and he instructed me to take 2 Aleve twice a day for 3 days. After completing the aleve for 3 days the pain went away. At this time I have a mild pain inside my upper right thigh.

Other Meds: Eliquis 5 MG, Lisinopril 20 MG, Pravastatin NA 40MG, Tamsulosin HCL 0.4 MG, Gabapentin 100 MG 3xdaily, Tylenol 500 MG.

Current Illness: None

ID: 1020700
Sex: F
Age: 26
State: OK

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

Lab Data: EKG in ED- tachycardia. F/u EKG in ED- WNL.

Allergies: none

Symptoms: 1417 assoc c/o left arm tingling. observed by vaccination team 1425 assoc c/o left arm, left chest, and lips tingling 1430 vitals- pulse 91 b/p 120/80 O2 100%. tongue visibly swollen. 1435 given oral benadryl dose unknown 1439 pulse 102 b/p 130/90 O2100% room air. assoc advised the team she was just finishing 21 hr shift 1442 noted swelling in tongue decreased. team delivered O2 2L NC. assoc developed rigors, rapid response team called. assoc c/o chest pressure. team administered Epiniphren 0.3 IM to left thigh. 1448 vitals hr 11 O2 100% 2L NC b/p 140/95 1450 ems arrived 1455 stretcher arrived separately and assoc transported to ED. in ED assoc given solu medrol, zyrtec, and prednisone

Other Meds: none

Current Illness: none

ID: 1020701
Sex: M
Age: 40
State: CA

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

Lab Data:

Allergies:

Symptoms: Fever achy chills exhaustion queasy headaches injection site is hard and bruised red and swollen below injection site

Other Meds:

Current Illness:

Date Died: 02/09/2021

ID: 1020702
Sex: F
Age: 45
State: VA

Vax Date: 01/20/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: No known allergies.

Symptoms: Passed away the morning of 2/9/21.

Other Meds: Hydrochlorothiazide, Hydroxyzine, Mirena, Ocrevus, Prednisone, triamcinolone acetonide, valacyclovir, vitamin D 3

Current Illness:

ID: 1020703
Sex: F
Age: 52
State: MI

Vax Date: 01/06/2021
Onset Date: 01/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: none

Allergies: shellfish & red dye

Symptoms: rash, itching, burning, red skin on both upper arms, across stomach, and on lower half of front of legs, several smaller spots on thigh area and left side of truck

Other Meds: benadryl tablet at nightim

Current Illness: none

ID: 1020704
Sex: M
Age: 66
State: UT

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: none

Allergies: pcn, codeine, erythomycin, sulfa base

Symptoms: sore arm, tingling in fingers, joint pain, increased back pain (chronic), felt like had something stuck in throat, chills, increased headaches (chronic headaches) Patient had recent back surgery, has chronic pain and chronic headaches but states they were more like a migraine

Other Meds:

Current Illness:

ID: 1020705
Sex: F
Age: 38
State: CA

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

Lab Data:

Allergies: NKDA

Symptoms: 10:26h - pt reports 'can't swallow', lips tingling, feels nervous/anxious while in parked car in post-vaccination area, BP 138/72, pulse 91, O2 sat 88%, pt observed to be tachypnic but A&Ox3, responding appropriately 10:32h - BP 128/88, pulse 92, O2 sat 98%, MD arrived for further assessment, no meds given/no further interventions, close observation/monitoring only 10:38h - paramedics arrived, pt released to their care, AMA observed to be signed by pt and her partner/driver

Other Meds: vitamins

Current Illness:

ID: 1020706
Sex: F
Age: 1
State: MI

Vax Date: 08/03/2020
Onset Date: 08/04/2020
Rec V Date: 02/10/2021
Hospital:

Lab Data: yes

Allergies: NO

Symptoms: She woke up in the middle of the night wiht a fever,shaking, and screaming and she had a rash patch on her abdomen. took her to the doctor in september and thye gave her DTP/HIB/IPV. after that she had the same reactions wiht the fever, screaming and rash. docotr said it was nothing to worry about and ot use neosporin and hydrocortizone and recommended that she get the flu vaccine. On october 16th 2020 she received the flu vaccine. the rash then spread over her front and back with hives and fever and she turned yellow. we took her back in 11/23 and the doctor looked at the rash and the doctor said she was yellow from foods and administered the flu vaccine again. she is now unresponsive. she stopped talking and she grunts and yells but has no coherant words. she flaps her arms and does not answer to her name or anyone speaking to her. took her to the doctor and took blood and was referred to a neurologist. neurologist said she has autism. the doctor before the neurologist also said autism. we are taking her to another neurologist for a second opion.

Other Meds: No

Current Illness: NO

ID: 1020707
Sex: F
Age: 80
State: TN

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

Lab Data: N/A

Allergies: Demerol, Amoxcillin, Nuts

Symptoms: Body aches, pains, temp, sore lt arm

Other Meds: Hctz, Lisinopril, Zyrtec, Aspirin, Lopressor, Klor, Celebrex, Simvastatin, B12

Current Illness: N/A

ID: 1020708
Sex: F
Age: 25
State: MD

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 02/10/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Patient developed rapid onset of dyspnea, light headedness and tachycardia. Was taken to the ED where she was treated with an antihistamine and IV fluids. Symptoms resolved. 6 days after the vaccine, was having shortness of breath and left arm pain (not the arm where injection was received) and was diagnosed with a pulmonary embolism.

Other Meds:

Current Illness:

ID: 1020709
Sex: M
Age: 83
State: OK

Vax Date: 12/21/2020
Onset Date: 12/21/2020
Rec V Date: 02/10/2021
Hospital:

Lab Data: I had full blood workup and it came back normal. also had covid test and it was negative

Allergies: No

Symptoms: About 6 hours later I fell. My legs could not hold me up. Next day I felt very weak, If I had to walk I had to hold on furniture, a general body weakness. At this time, pretty well recovered. The doctor sent in for full blood workup and chest scan and a brain scan and also the virus test.

Other Meds: Baby aspirin, Losartan, Vitamin B12, Sinvastatin, Vitamin D, Preserve Alred,

Current Illness: No

ID: 1020710
Sex: F
Age: 67
State: GA

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

Lab Data:

Allergies: Sea foods

Symptoms: Patient called several hours after receiving vaccine from home and said her face was swelling. She was advised to see doctor and she did. she was given Benadryl , prednisone and famotidine

Other Meds: FAMOTIDINE; METFORMIN; SPIRONOLACTONE; IBUPROFEN; GLIPIZIDE, TIMOLOL; LATANOPROST; ASPIRIN; CETIRIZINE

Current Illness:

ID: 1020711
Sex: F
Age: 71
State: WA

Vax Date: 01/24/2021
Onset Date: 02/07/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: NA

Allergies: None known

Symptoms: Red rash on left arm (arm of injection)

Other Meds: Doxycycline Hyclate 50MG one a day, Pregabalin 100MG 1 in the morning and two at night, Tizanadine 4MG 1 at bedtime, Solifenacin 10MG 1 tablet at bedtime, Tramadol 50MG 1 tablet in morning and 1 tablet at bedtime, Levothyroxin 150MCG1 tab

Current Illness: None

ID: 1020712
Sex: F
Age: 35
State:

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

Lab Data:

Allergies: sulfer, bactrim, peppers

Symptoms: throat irritation

Other Meds: accutain, depot shot

Current Illness:

ID: 1020713
Sex: F
Age: 44
State: IA

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

Lab Data: 2/8/21 - Bloodwork, physical exam. Ruled out Mono, cancer and anything that could cause swollen lymph nodes.

Allergies: Sulfa; Cephlex; Nystatin; Erythromyacin; Environmental allergies.

Symptoms: Vaccine on Friday; Saturday around noon lymph nodes got tender & swollen. Then on Sunday became large (size of eggs), painful. Located in : Left interior Arm, L armpit, hand, Left neck up to ear, breasts, Left wrist, Right hand. Monday at 10 a.m. went to doctor. Ran tests to make sure nothing else was underlying. Came back negative. Started on hydroxovisil to reduce swelling. 2/10/21 physician called to notify that lab results were all negative so they feel it is due to COVID-19 Vaccine.

Other Meds: Birth control; Lexapro; Metformin; Multi-Vitamin; Biotin

Current Illness: None.

ID: 1020714
Sex: M
Age: 25
State: OH

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

Lab Data:

Allergies: nka

Symptoms: Patient fainted after COVID-19 vaccination,. Clinic personal assessed and EMS on site. Patient refused transfer to medical facility.

Other Meds:

Current Illness:

ID: 1020715
Sex: M
Age: 79
State: WI

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

Lab Data:

Allergies: None

Symptoms: At just after 5 o'clock, pt received his 1st dose of the COVID-19 vaccine and about 10 minutes later he began to feel flushed in his face. This was associated with some chest tightness as well. He was referred to the emergency department. He had no difficulty breathing and did not feel like his throat is closing. He had no rash anywhere else on his body but does feel like his face is redder than usual. His symptoms have not been associated with shortness of breath and has no abdominal pain. Upon presentation to emergency department, the patient was hypertensive to the 220s but his vital signs were otherwise within normal limits. Physical exam was fairly unremarkable with exception of some mild redness of the bilateral cheeks. He had no rash there is no evidence of airway compromise or wheezing. Low concern for acute anaphylactoid reaction. Patient was given diphenhydramine. Symptoms resolved and patient was discharged home.

Other Meds:

Current Illness:

ID: 1020716
Sex: F
Age: 92
State: OK

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

Lab Data: She was observed in the hospital. She ruled out for MI. No ischemia on lexiscan

Allergies:

Symptoms: About 12 minutes after the vaccine she developed chest pain and left arm pain.

Other Meds:

Current Illness:

ID: 1020717
Sex: F
Age: 84
State: TX

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

Lab Data:

Allergies: Codeine, Penicillin

Symptoms: 1/27/21 developed dime sized redness and soreness in arm. the next day was 2 inches the next day was 4 inches across and swollen and warm. Pt also having difficulty breathing, Went to Doctor and ER due to breathing distress. Was monitored but not admitted. Still continues to experience headaches, chills, and an increase in salivary secretions.

Other Meds: none reported

Current Illness: none reported

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm