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: 1020769
Sex: F
Age: 61
State: NC

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

Lab Data: Due to redness in leg and hard spot, doctor had ultrasound done to rule out blood clot. Veins were ok but several enlarged lymph nodes seen

Allergies: Red eye in foods

Symptoms: Fever,chills and uncontrollable shaking. Lymph nodes enlarged. Under layers of bedding and couldn't get warm. Fever got up to 102.5 on that Saturday about 25 hours after vaccine. Also, felt weak and very tired. Early Sunday morning about 2am, I woke up to my gown dripping wet from sweating. I changed went back to sleep and woke up again about 7am to the same thing. I did take Tylenol and Ibuprofen for the fever. I spent all Sunday in bed, no more shaking but chills and Fever persisted through out the day. Monday, I felt better initially until about 8 pm and symptoms started all over but harsher because know my Lymphedema flared up

Other Meds: Multivitamin Vitamin D

Current Illness: None

ID: 1020770
Sex: F
Age: 70
State: MS

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

Lab Data: Labwork, Sodium 132, Potassium 2.7 and 3.3

Allergies: Sulfa, Iodine, Isosorbide dinitrate, Morphine sulfate, Phenergan, Ranexa, Toprol XL

Symptoms: 5 days following 2nd dose, patient developed nausea, headache, body aches (especially from hips down), malaise, shaking, slurred speech, difficulty walking secondary to shaking.

Other Meds: Aspirin, Ativan, Gabapentin, Hydrochlorothiazide, Nicardipine HCl, Omeprazole, Rosuvastatin, Xanax

Current Illness: None apparent

ID: 1020771
Sex: F
Age: 34
State: PA

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

Lab Data: NONE

Allergies: NONE

Symptoms: MODERNA COVID 19 VACCINR EUA 102 FEVER headache chills and sweats

Other Meds: orilissa tramadol

Current Illness: NONE

ID: 1020772
Sex: F
Age: 41
State: VA

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

Lab Data: CT scan head normal; CBC, BMP, HCG all wnl/negative

Allergies: NKDA, no food, latex or environmental allergies

Symptoms: This 41 yo female received her first Pfizer COVID vaccine (Lot EL1284) on 1/7/2021. She reports being in good health, had no illness exposures (does work in hospital with children), and had no recent travel. She reports following her Covid vaccination, she had a sore arm at vaccine site for 4-5 days with no other issues. On 1/31 (day24) while putting on lipstick to take a selfie to send to her friend she noticed the right side of her lower face (lip area) felt "weird"- tingled and the corner of her mouth would not smile symmetrically with left. Her friend commented something was off with this picture. The next day this droop worsened with loss of facial lines/wrinkles on right (nasolabial fold), had tingling/numbness to lips and corner of mouth and inability to smile on right. This prompted her husband to bring her to the ER on 2/1/2021. She denied any fever, headache, weakness to arms/legs, no SOB/CP, dysphagia or speech issues or trauma. ER providers exam noted normal CN evaluation but documented mild right sided decrease in nasolabial fold vs left and loss of taste to anterior right tongue. She had no involvement of eye or forehead. She was diagnosed with early Bell's Palsy and treated with oral steroids and anti-virals. AS of 2/10/2021 with use of medications, she advised her facial weakness/droop had resolved but still has tingling. Her smile is symmetrical at this time. No c/o on loss of taste. Has diagnosis of Bell's Palsy. IHD case 9967.

Other Meds: MVI, vit D, calcium, and BCP

Current Illness: none

ID: 1020773
Sex: F
Age: 40
State: OH

Vax Date: 02/05/2021
Onset Date: 02/07/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: n/a

Allergies: fish, penicillin, sulfa, cephalosporins, Levaquin,

Symptoms: cervical and supraclavicular lymphadenopathy on left side causing vertigo

Other Meds: oral combination contraceptive, imipramine 25 mg, metoprolol 25 mg, Robaxin 500 mg, ibuprofen .

Current Illness:

ID: 1020774
Sex: F
Age: 44
State: CA

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

Lab Data: BP: 128/90 Blood glucose: 109 HR: 80 O2 sat: 99

Allergies: NKA

Symptoms: Staff stated that she was assisting a client registration at a vehicle so she was walking and talking at which time she felt an aura coming (fogginess/lightheadedness, nausea, feeling faint), Staff stated that she received the vaccine the day before and was starting to feel symptoms. Staff was visibly pale and advised to sit down. Staff asked to be laid on the ground because she felt faint at which time onsite life guards were notified. Blood glucose, Blood pressure, pulse rate and O2 saturation all monitored and with in normal limits. Staff stated that the symptoms were starting to resolve and asked to sit in chair. Another set of vitals was taken while the client was sitting and all vitals were with in normal limits. Patient's son (emergency contact) was notified and arrived onsite. Staff stated she felt better and was going to go home and lie down. Escorted to son's vehicle by wheelchair. Staff notified supervisor when she arrived home and per supervisor staff stated she was feeling better.

Other Meds: none reported

Current Illness: None reported

ID: 1020775
Sex: F
Age: 43
State: CT

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

Lab Data: none

Allergies: none

Symptoms: Within 12 hours of receiving vaccination my left arm became red, hot to the touch, itchy, and sore to the touch from the injection site to approximately 4 inches down my arm and approximately 2-3 inches wide. Today is February 10th and there is only limited improvement (5 days since date of injection).

Other Meds: Lexapro Diamox Vitamin D Vitamin C Lisinopril

Current Illness: Covid 19

ID: 1020776
Sex: F
Age: 56
State: AZ

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Fever headache pain, arm pain. fatigue

Other Meds: Tylenol

Current Illness: None

ID: 1020777
Sex: F
Age: 23
State: TX

Vax Date: 12/17/2020
Onset Date: 01/07/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: Positive rapid strep test 07-Jan-2021 Negative rapid SARS-CoV-2 test 07-Jan-2021

Allergies: N/A

Symptoms: Strep Throat. Sxs of tonsillar edema bilateral 3+, erythematous throat, difficulty swallowing, painful swallowing, white pustules on tonsils, fatigue, bad breath. Treated with 10 day course of oral penicillin and mouth numbing medication. Outcome: fully recovered.

Other Meds: N/A

Current Illness: N/A

ID: 1020778
Sex: F
Age: 22
State: MA

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

Lab Data: Blood sugar.

Allergies: Accutane

Symptoms: vagal response post vaccination while seating in post vaccine observation area. Fainted with loss of consciouness approximately 10 seconds then arousable but foggy mentation that progressively cleared. She did not eat breakfast this morning. Vital signs stable, oxygen stauration 98-99% on room air. Brought from Vaccine Clinic to Emergency Department via stretcher. Examined, recovered, able to eat discharged to home.

Other Meds: Cytalopropram, multiple supplements

Current Illness: No, see #12 below chronic illness

ID: 1020779
Sex: F
Age: 54
State: IL

Vax Date: 12/30/2020
Onset Date:
Rec V Date: 02/10/2021
Hospital:

Lab Data: COVID test taken 1/5/21 negative

Allergies: Tylenol with codeine, latex, bananas, walnuts, seasonal

Symptoms: With first does- itching at the injection site then down to hand then scalp, face, neck and truck. S/s changed to fatigue, nausea, worsened 24 to nausea, fever, chills , body aches, painful joints and lower extremity weakness. X 3-4 days.

Other Meds: Keppra and lexopril

Current Illness: None

ID: 1020780
Sex: F
Age: 52
State: AZ

Vax Date: 01/29/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: no tests done

Allergies: none

Symptoms: An itchy rash, hot to the touch in the area of the injection and diarrhea.

Other Meds: Prozac 40 mg

Current Illness: none

ID: 1020781
Sex: F
Age: 69
State: PA

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

Lab Data:

Allergies: Oxycodone-acetaminophin - GI Simvastatin - myalgia Zoster - shingles at injection site Iodinated Contrast Media -rash Codeine Influenza Virus Vacc Tri-Val, Pure-Surface 2003-04 - uticaria Nuts - facial swelling Cortisone - Facial rash, migraine Pravastatin - myalgia Neomycin-Polymyxin-Gramicidin - vesicles Bacitracin-Polymyxin B

Symptoms: itching after about 15 minutes. red spots with itching on left wrist, right hip. took Claritin at about 20 minutes after injection. spots and itching continued on right neck & face. lips felt like they were swelling, but after about 15 to 20 minutes after taking Claritin, seemed to settle down. When I got home about 35 minutes after shot, I also took 1/2 Benedryl tablet.

Other Meds: lisinopril 5mg Xarelto 20mg Timoptic 0.5 drop vitamin D-3 2000 unit fenofibrate

Current Illness:

ID: 1020782
Sex: F
Age: 39
State: IL

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

Lab Data: CBC w/Differential 02/08/21 CBC w/Diff w/Platelet 02/08/21 Comp metabolic Panel 02/08/21 Urinalysys w/Culture Reflex 02/08/21 Chest X-Ray EKG 12 LEAD

Allergies: Erythromycin, Percocet

Symptoms: Headache, neck stiffness and pain, body aches, nausea, fever, chills, dizziness, fainting, fast heart rate, low BP

Other Meds: Dexilant, Levothyroxine, Acetazolamide, Relpax, Promethazine, Baclofen, Fluoxetine, Montelukast, Probiotic, Magnesium, Vitamin D, Verapamil, Mirena, Diphenhydramine

Current Illness: Upper respiratory infection, UTI, Migraine

ID: 1020783
Sex: F
Age: 86
State: AZ

Vax Date: 01/09/2021
Onset Date: 01/19/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Sore and numbness and tingling down to fingers. Mostly now down to elbow.

Other Meds: Multi-vitamin, Vitamin D, Calcium citrate, Losartan, Lasiks, Metoprilol,Amlodipine

Current Illness: None

ID: 1020784
Sex: F
Age: 89
State: UT

Vax Date: 01/21/2021
Onset Date: 01/23/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: Not able

Allergies: Nono

Symptoms: Paralysis swelling. Seizure, lost eye sight, partial speech ! And is bed riding and loss of balance

Other Meds: No

Current Illness: No

ID: 1020785
Sex: F
Age: 70
State: FL

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

Lab Data: none

Allergies: sulfa

Symptoms: " Covid arm" redness, swelling and heat coming from the injection site. on Day 9. It is fairly mild at this point. Feels warm and slightly tender, but not painful

Other Meds: multi vitamin, vitamin C, chewable calcium

Current Illness: none

ID: 1020786
Sex: M
Age: 39
State: TX

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Rash from armpit across chest.

Other Meds:

Current Illness:

ID: 1020787
Sex: F
Age: 39
State: IL

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

Lab Data:

Allergies:

Symptoms: Pain at injection site. Chills, machines, fatigue, fever

Other Meds: Zyrtec, Celexa

Current Illness:

ID: 1020788
Sex: F
Age: 45
State: CT

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

Lab Data: None

Allergies: None

Symptoms: Severe pain of left arm approximately 5 hours after 2nd dose, can not lift arm above 45?without assistance hand keeps going numb,

Other Meds: None

Current Illness: None

ID: 1020789
Sex: U
Age:
State: CA

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

Lab Data: None

Allergies:

Symptoms: Beginning at 2:30am, approximately 14 hours after receiving the 2nd dose, began having chills, fever, and body aches. This lasted for approximately 12 hours.

Other Meds:

Current Illness:

ID: 1020790
Sex: F
Age: 70
State: TX

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

Lab Data: None

Allergies: None

Symptoms: Good Afternoon: Per the instructions on the back of my Covid Vaccination Record I am advising you of a severe reaction I had to a recent vaccination. On Sunday, February 7, I had my second shot at the clinic. It was a Moderna vaccine. I was injected at 11:00am. I immediately had a very sore arm but no further symptoms until later Sunday evening. I began to feel nauseous and a headache. By early morning I had a severe headache, fever of 103.0 degrees, severe nausea and had a very severe rash that broke out from the injection site down my arm. All this was accompanied by extreme fatigue. the only medication I took was Tylenol during the day. The symptoms lasted all of Monday. Monday night the symptoms began to diminish and by Tuesday morning all but gone other than fatigue. Today, Wednesday I am feeling fine other than slight fatigue.

Other Meds: Statin for Cholesterol

Current Illness: None

ID: 1020791
Sex: F
Age: 26
State: VA

Vax Date: 01/27/2021
Onset Date: 02/04/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Sulfa drugs

Symptoms: One week after vaccine, the vaccine site became red, hot, and itchy and felt like there was a knot under the skin the size of a golf or ping pong ball. Symptoms lasted approximately 48 hours and went away.

Other Meds: Fluoxetine 40 mg/day

Current Illness:

ID: 1020792
Sex: F
Age: 65
State: IN

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

Lab Data: None

Allergies: None

Symptoms: Extreme headache, nausa,low grade fever, vomiting

Other Meds: Bacoflen,effexor,bisohphyy

Current Illness: None

ID: 1020793
Sex: F
Age: 45
State: CA

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

Lab Data: None

Allergies: No

Symptoms: Later in the afternoon after the vaccine, 2/4/21, patient has had body aches, fever, sore throat, runny nose, coughing, craving water, no appetite, lethargy; still has all of these reactions. Patient feels hot, but does not have a temperature.

Other Meds: Migraine meds

Current Illness: No

ID: 1020794
Sex: F
Age: 39
State: AL

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

Lab Data:

Allergies: Patient reported no allergies related to COVID vaccination, vaccines or any injectable med.

Symptoms: None stated.

Other Meds: unknown

Current Illness: none noted

ID: 1020795
Sex: F
Age: 48
State: IL

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

Lab Data:

Allergies: NKA

Symptoms: Approximately 5 minutes following the second COVID vaccination she started to report itching at the injection site that migrated to the right chest area. PO Benadryl was given and she was observed for 30 minutes. All complaints resolved prior to leaving the vaccination area.

Other Meds:

Current Illness:

ID: 1020796
Sex: F
Age: 59
State:

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

Lab Data:

Allergies: None

Symptoms: Fever of 101.0 F. Nausea, diarreah. Chills.

Other Meds: Excedrin 200 mg.

Current Illness: None

ID: 1020797
Sex: F
Age: 38
State: MD

Vax Date: 02/03/2021
Onset Date: 02/07/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: NONE

Symptoms: Migraine headache for 4 days. Patient reports that she has had migraine headaches in the past but never lasted this long.

Other Meds: NOT INDICATED

Current Illness: NONE

ID: 1020798
Sex: F
Age: 80
State: VA

Vax Date: 01/27/2021
Onset Date: 01/29/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: none

Allergies: Alpha Gal

Symptoms: Redness, swelling, itching

Other Meds: Trazadone Celexa

Current Illness:

ID: 1020799
Sex: F
Age: 61
State: NY

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

Lab Data:

Allergies:

Symptoms: Fever up to 103 headache nausea muscle aches

Other Meds: Synthroid 125 mcg Lipitor 10mg Multi vitamin Calcium

Current Illness:

ID: 1020800
Sex: F
Age: 31
State:

Vax Date: 01/14/2021
Onset Date: 01/22/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: amenorrhea

Other Meds: None

Current Illness: None

ID: 1020801
Sex: F
Age: 51
State: AZ

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

Lab Data:

Allergies: Penicillin, Climdamycin, latex, avvocado topically

Symptoms: dizzy with tingling hands soon after injection (10 minutes after). seemed to improve during observation and I left. Started to itch and took benadryl and Tylenol approx. 2 hours after dose received. Had swelling of joints (knees, ankles, neck and shoulders were all imflamed and stiff). Injection sites swelled, red and hot until Sunday afternoon. Iced on and off the two previous days. Took benadryl again on Saturday because rash formed on chest, and eczema flared up. Today, Wed, 2-10-21, rash is still present on chest but is improving. eczema is still flared up.

Other Meds:

Current Illness:

ID: 1020802
Sex: M
Age: 30
State: SD

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

Lab Data:

Allergies: Penicillin, Sulfa, Hydrocodone (behaviors increase with certain foods & food colorings such as corn sweeteners, artifical coloring.

Symptoms: Mother reports that for 2 weeks after the vaccination, child experienced higher anxiety and required PRN doses of anxiety medication.

Other Meds: Benzoyl Peroxide 10% Lotion- Apply QD at 7pm and then 7am as needed. Calcium Citrate Peties + D3 - 1 tab daily at suppertime (5pm) (4/15/20) Clindamycin PH 1% Gel- Apply topically every PM (5/19/15) DIVALPROEX SOD ER 250 MG - 1 tab every A

Current Illness:

ID: 1020803
Sex: F
Age: 63
State: AK

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

Lab Data: ECG, CXR, basic labs--apparently WNL. Tryptase drawn, but result never received by pt. (no evaluation of head injury, to my knowledge) Seen in f/u Mon 2/1/21 by covering physician.

Allergies: Tolectin, Advair: hives after each

Symptoms: Fever to 101 beginning about 5 hours after injection. Followed that evening by nausea. Fever and nausea persisted all night. Sat AM 1/30/2021 fever had broken, nausea persisted. After a couple sips of tea, returned up stairs to go back to bed: Sudden complete loss of consciousness (syncope), striking right forehead on wooden chair as falling to the floor. Completely unresponsive for 5-10 minutes. Then confused but responsive to voice. Amnesia for events for at least the next hour. Taken via ambulance to ER for evaluation. Trouble with concentration and dexterity for nearly a week. Bruising and tender forehead for more than a week. Left arm injection site became red and itchy 1/31/21, for several days.

Other Meds: Tamoxafin, Multi vitamin, Fish oil

Current Illness: Well

ID: 1020804
Sex: F
Age: 42
State: AL

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

Lab Data: 50 mg diphyenhydramine 8 mg dexamethasone EKG

Allergies: NKA / NKDA

Symptoms: presented at 1340 "not feeling well, itchy, hot, dizzy" received covid vaccine 3 hrs prior, no new foods or environmental triggers syncopal episode at 1344 -> 120/91, 73 bpm, 100%, 131 blood glucose heart & lung sounds wnl facial swelling, erythematous raised rash to neck / semi-conscious for approx 2 min 50 mg diphenhydramine administered @ 1346 regained consciousness and transported to bed for ekg, which showed nsr lucid but still altered and unable to sit up without feeling dizzy 8 mg of dexamethasone administered at @ 1356 -> 111/76, 64 bpm, 100 % pt was then deemed stable and elected to go home son called for transportation strict er precautions given

Other Meds: None

Current Illness: None

ID: 1020805
Sex: F
Age: 81
State: MD

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

Lab Data:

Allergies: Amlodipine, Oxycodone, Simvastatin, Sulfa

Symptoms: Couldn't catch breath two nights in a row . Woke me up. Lasted just a few seconds. Never contacted a doctor.

Other Meds: Levothyroxine Sodium, Diltiazem ERC, Digoxin, Eliquis, Metoprolol Tart

Current Illness: None

ID: 1020806
Sex: F
Age: 38
State: IL

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

Lab Data:

Allergies: Sulfa

Symptoms: Swollen itchy arm around injection site 7 days after vaccine

Other Meds: Metoprolol, prenatal, Viibryd, fish oil, Omeprazole

Current Illness:

ID: 1020807
Sex: M
Age: 35
State: NV

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

Lab Data: None

Allergies: None

Symptoms: Joint pain, headache, malaise x 4 days.

Other Meds: None

Current Illness: None

ID: 1020808
Sex: F
Age: 75
State: VA

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

Lab Data:

Allergies:

Symptoms: Vaccination site itchy, lump underneath where shot was given, site it hot and red

Other Meds:

Current Illness:

ID: 1020809
Sex: F
Age: 63
State: NM

Vax Date: 01/28/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: ER visit with exam and blood tests, prescribed with prednisone and anti viral

Allergies: None

Symptoms: Bells palsy diagnosed after vaccine

Other Meds: Prescriptions: Lisinopril, rosuvastatin, synthroid, hydrochlorothiazide Supplements: Centrum silver multivitamin, calcium with vitamin D and magnesium, probiotic, quercetin with vitamin C, zinc, flax oil, Dermal repair complex, tri layer me

Current Illness: None

ID: 1020810
Sex: F
Age: 55
State: KY

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

Lab Data:

Allergies:

Symptoms: Joint pain, headache, shortness of breath, fever, soreness at injection site, fatigue

Other Meds:

Current Illness:

ID: 1020811
Sex: F
Age: 58
State: MI

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

Lab Data: None

Allergies: Lactose intolerant

Symptoms: Pain at injection site, headache, fatigue, chills, nausea, joint pain

Other Meds: Lovastatin, Glimepiride, Ozempic, Cymbalta, Buspar, Losartin, vitamins C, B12, D3, Ambien (bedtime night before)

Current Illness: None

ID: 1020812
Sex: F
Age: 42
State: PR

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

Lab Data: None

Allergies: NO

Symptoms: 15 minutes after received COVID 19 vaccine, developed shortness of breath, dry mouth and throat dysphagia, high blood pressure and anxiety.

Other Meds: NONE

Current Illness: NO

ID: 1020813
Sex: F
Age: 27
State: IL

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

Lab Data: None

Allergies: None

Symptoms: Arm sore at injection site Arm soreness got significantly worse as night progressed, and was unable to lift arm above shoulder by 8 PM Body aches and headache began to occur around 8 PM and got significantly worse through the night. Body aches were worse on left side of body (side of injection) Ibuprofen was taken at 1 AM The following morning (2/10/2021) body aches continued. Felt nauseous, but not to the point of vomiting. Took Ibuprofen at around 1 PM. Body aches have gotten better after taking ibuprofen. Arm still sore at injection site.

Other Meds: None at time of vaccination; ibuprofen at around 1 AM after vaccination to mitigate symptoms

Current Illness: None

ID: 1020814
Sex: F
Age: 70
State: MI

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

Lab Data: None

Allergies: None

Symptoms: First dose was Moderna Vaccine . No adverse symptoms noted.

Other Meds: NA

Current Illness: None

ID: 1020815
Sex: F
Age: 85
State: MN

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

Lab Data: Unknown

Allergies: Nitrofurantoin Bactrim Cipro

Symptoms: Initial temp of 100.4, upon recheck 101.9 with 650mg Tylenol given. IV initiated due to low blood pressure - 78/35. 400mL NS given then converted to D5 due to GFT being 55. O2 Sats 64% RA when vitals assessed and quickly climbed, ordered to apply continuous O2 at 2LPM via NC and sats climbed to 96%. Last BP 78/35, Dr. ordered for pt to be sent in to hospital if pressure doesn't come up in the next 30 minutes. Pt in trendelenberg position, responds to verbal stimuli. Denies pain. Only complaint was feeling weak. BS up to 197 after tolerating 120ml cranberry juice. Pressures continue to stay low, last BP 72/27, Discussed with Dr. with orders to send to hospital. Admitted to hospital with Hypoglycemia and Hypokalemia.

Other Meds: Carvedilol Hydralizine Isosorbide Dinitrate Omeprazole Potassium Chloride Alphagan P Solution 0.1% Amlodipine Besylate Baby Aspirin Fludrocortisone Acetate Glipizide Hydrocortisone Loteprednol Etabonate Syspension 0.5% Bumetanide Tylenol M

Current Illness: Recovering from recent right lung pulmonary embolism and urinary tract infection with severe sepsis

Date Died: 02/02/2021

ID: 1020816
Sex: F
Age: 76
State:

Vax Date: 01/19/2021
Onset Date: 01/25/2021
Rec V Date: 02/10/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Pt with acute resp failure, COVID PNA, that developed symptoms 9 days prior to admit and ultimately received first vaccine 6 days prior toa admit, then shortly after progressed with other covid symptoms and was admitted. She decompensated while intp and was transferred to ICU for rising O2 needs, ultimately had to be intubated. Became hypotensive due to massive hamatoma 2' bleeding into abd rectus muscle. Sx and IR consulted and did beside exploration of hematoma. Initially blood pressure responded but overnight continued with refractory hypotension. Maxed out vasopressin and levophed, hemodynamics deteriorated. Pt passed soon after(2/2).

Other Meds:

Current Illness:

ID: 1020817
Sex: F
Age: 71
State: GA

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: none Symptoms lasted 2 days

Allergies: Codeine, morphene

Symptoms: Severe chills and shivering, headache, body aches, nauseated

Other Meds: meloxican,, atorvastatin, fluonase, azelastine spray, fish oil, trazodone, venlafaxine HCL 37.5 mg

Current Illness: head cold late December

ID: 1020818
Sex: F
Age: 70
State: KY

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

Lab Data: no

Allergies: sulfa

Symptoms: pt states she already had some pain under her shoulder blade before her vax. Pt stated about an hour and half after her vax that her left arm starting hurting really bad. Her left arm is sore and swollen and has a knot on it at the injection site. Pt went to an Urgent Care for shoulder/arm pain. she was prescribed a muscle relaxer and anti inflammatory cream. She was told to FU w/ PCP if she did not improve.

Other Meds: lisinopril 40mg, araba 10 mg, hydroxychloroquine

Current Illness: no

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm