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: 1026295
Sex: F
Age: 80
State: MI

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

Lab Data:

Allergies: None

Symptoms: The patient presented with hyperkinetic jerking movements of her bilateral upper extremities. This occurred a few days after her 2nd Moderna COVID dose. She has CKD although her renal function was at baseline on hospital admission. Gabapentin was discontinued. By the next morning, the jerking movements stopped. It is unknown if this was due to gabapentin vs the vaccine.

Other Meds: calcium carbonate 648 MG PO Tab cloNIDine (CATAPRES) 0.1 MG PO Tab ferrous sulfate 325 (65 Fe) MG PO Tab fluticasone-salmeterol (ADVAIR) 250-50 MCG/DOSE INHAL AEROSOL POWDER, BREATH ACTIVATED guaiFENesin (ROBITUSSIN) 100 MG/5ML PO L

Current Illness: None

ID: 1026296
Sex: F
Age: 21
State:

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient reported that fever began the night of the vaccination and continued into the middle of the day on the 29th--this was accompanied by pain at injection site and diarrhea.

Other Meds:

Current Illness:

ID: 1026297
Sex: F
Age: 83
State: IN

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

Lab Data: None

Allergies: Notification, ceflrx

Symptoms: First, pain in arm before bed. Took Tylenol so I could sleep. Next day toward late afternoon, had soreness somewhat at upper center between shoulders. Tired and listless.

Other Meds:

Current Illness: None

ID: 1026298
Sex: F
Age: 73
State: FL

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

Lab Data: None

Allergies: None known

Symptoms: 10 days after the first vaccine my upper left arm developed a rash that was very warm and slightly swollen, today is the 4 th day and it remains the same

Other Meds: HCTZ Vitamin Omperzole

Current Illness: No

ID: 1026299
Sex: F
Age: 46
State: AS

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient intiated two dose Covid vaccination series with Moderna on 01/07/2021, but received Pfizer covid19 vaccination as second dose on the date of her visit.

Other Meds:

Current Illness:

ID: 1026300
Sex: F
Age: 77
State: GA

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

Lab Data:

Allergies: None

Symptoms: Shingles symptoms

Other Meds: Lamictal zonicimide mementine

Current Illness: None

ID: 1026301
Sex: F
Age: 51
State: CO

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: 1/12/21 WENT TO MEDICAL CENTER ER -STROKE ALERT WAS INITIATIED BLOOD WORK, CT SCAN

Allergies: MORPHINE-HIVES PHENEGREN-ANXIETY REGLAN-ANXIETY

Symptoms: 9 HOURS AFTER DOSE NOTED ARM PAIN, FEVER,CHILLS, FOGGY AND BODY AHES X 24 OURS 1/12/21 NOTED FAIAL PARALYSIS, DECREASED VISIAL FIELDS

Other Meds: NONE

Current Illness: NONE

ID: 1026302
Sex: F
Age: 34
State: WA

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

Lab Data:

Allergies: None

Symptoms: "10 days ago on February 1st she received the first moderna vaccine. At the time her arm hurt badly for a few days, however yesterday she started to develop new redness and swelling and pain in her left shoulder. It feels much warmer than the surrounding area. The area is tender and hurts her to lift the arm. She has developed some new joint pain around her ankles. "

Other Meds: Tylenol, ZyrTEC, metroNIDAZOLE

Current Illness: Bacterial vaginosis

ID: 1026303
Sex: M
Age: 26
State: SC

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

Lab Data:

Allergies:

Symptoms: patient received vaccine 1 day early

Other Meds:

Current Illness:

ID: 1026304
Sex: M
Age: 30
State: NJ

Vax Date: 01/27/2021
Onset Date: 01/29/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: After having an initial appointment with my doctor and deciding to wait to see if it cleared on its own he ordered X-rays for me this past Monday, 2/8/21. Those were negative and he referred me to an orthopedist for further evaluation.

Allergies: Pollen and mold allergy

Symptoms: About 2 days after my seconds dose I began having pain in my shoulder and neck on the side that I had received the shot. Initially I though it was due to sleeping wrong but it got worse over the weekend and has persisted for about 2 weeks now, If I ice my shoulder or take an NSAID it gets better but hasn't resolved

Other Meds: Fluoxetine, Allegra, Fluticasone

Current Illness:

ID: 1026305
Sex: F
Age: 39
State:

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Sore arm (in the arm that I got the injection) and chills starting about 10 hours after the shot and lasting about 24 hours. It self-resolved and I didn't take any medications for these side effects.

Other Meds: Vitamin D 10,000 IU orally once weekly; 2 Vitamin C gummies once a week.

Current Illness:

ID: 1026306
Sex: F
Age: 65
State: SD

Vax Date: 02/03/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: none

Allergies: PCN, Sulfa, Pseudocholinesterase deficiency

Symptoms: I was given the vaccination 02/03/2021 in the left deltoid and had a sore upper arm the first 24 hours. I had not had other symptoms until about 2PM 2/11/2021. I developed some mild itching in the left deltoid region, and it persisted through the evening. I noticed that the area had become red and somewhat swollen, and it was approximately 5cm in diameter. I did use a cold pack a couple times last evening after that. This morning, it was still present and was about the same size, but it was not quite as red or warm. There is still some mild itching, and I have used a cold pace twice. I do not have other urticaria and I do not have any respiratory symptoms or other concerning symptoms. I am continuing to monitor the area. I have not contacted my physician since it has not progressed.

Other Meds: Triamterene/HCTZ; Synthroid; Metoprolol; cetirizine; ASA 81mg

Current Illness: none

ID: 1026307
Sex: M
Age: 51
State: UT

Vax Date: 01/11/2021
Onset Date: 01/13/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Developed a fluid-like pocket under my left arm as well as in the area of my left collar bone. They were there for about 3-4 days and then slowly went away. The one on my collar bone was slightly tender, and that is what caused me to notice it. The one under my arm was not tender at all.

Other Meds: Enalapril 0 20 mg oral tablet

Current Illness: none

ID: 1026308
Sex: M
Age: 71
State: AK

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

Lab Data:

Allergies: Anaphylaxis: Shrimp Hives: Spruce pollen

Symptoms: Chills, joint aches, 12 hours after vaccination

Other Meds: None

Current Illness: None

ID: 1026309
Sex: F
Age: 54
State: VA

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

Lab Data: None

Allergies: Contrast (CT and MRI), Aimovig, sulfate meds, latex, eggs, sesame, and others.

Symptoms: Nausea, 24 hours profusely sweating, 10 minutes headache, started 30 minutes after receiving injection, lasted 6 hours pain to elbow, 24 hours Sleepiness, tiredness, 30 hours

Other Meds: Tylenol, hydroxychloroquine, topomax, tizanidine, alpha lipoic acid, levomefolate, B complex vitamin, Vitamin D

Current Illness: None

ID: 1026310
Sex: M
Age: 49
State: NE

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

Lab Data: none

Allergies:

Symptoms: Patient received Pfizer COVID vaccine on December 22nd. Unknown to clinic patient signed up and received Moderna vaccine. Patient is physician and was aware he was receiving a different vaccine.

Other Meds:

Current Illness:

ID: 1026311
Sex: F
Age: 25
State: CA

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: About 16 hours after the vaccine I began to experience sweating along with fever and chills. Despite taking an ibuprofen 800 mg I experienced extreme muscle aches, joint pain, fever, chills, extreme migraine with loss of vision, nausea, and vomiting. These symptoms did not cease until Friday morning. Friday still experiencing disorientation, dizziness, fatigue, and nausea.

Other Meds: N/A

Current Illness: N/A

ID: 1026312
Sex: M
Age: 71
State: MI

Vax Date: 01/21/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: unknown

Symptoms: When sleeve was rolled up to give 2nd injection of the Covid Pfizer vaccine on 2/11/2021 (Rt arm where 1st one was given), the administering noticed a 1/2 golf ball sized soft lump located centrally in his right deltoid. I spoke with pt and he was completely unaware of the lump and states that he has no pain or discomfort at all. He plans to have his PCP look at it at his next physical appt which is in April. He will seek medical attention sooner if it increases in size or becomes painful.

Other Meds: unknown

Current Illness: unknown

ID: 1026313
Sex: F
Age: 40
State: IL

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

Lab Data: None

Allergies: NKA

Symptoms: Received Pfizer COVID 19 vaccine as dose #2 instead of Moderna COVID 19 which she should have received.

Other Meds: multivitamin 1 daily Vitamin D 1 daily Vitamin C 1 daily Zyrtec OTC 1 daily

Current Illness: None

ID: 1026314
Sex: M
Age: 50
State:

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient describes strong headache on 01/29/21-01/30/2021 to right side of head, behind right eye and down into neck. Took some ibuprofen with some effect but not completely resolved.

Other Meds:

Current Illness:

ID: 1026315
Sex: M
Age: 71
State: IN

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

Lab Data: None

Allergies: Beta blockers

Symptoms: Joint pain, muscle pain, tiredness, headache, feeling unwell; started afternoon on date vaccinated and lasted through the next day, some tiredness lingers on 3rd day

Other Meds: Alopurinol, Carvedilol, fiber, Prilosec, Apple Cider Vinegar, Vitamin C-Turmeric-Ginger mix

Current Illness: None

ID: 1026316
Sex: M
Age: 16
State: MT

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

Lab Data: none

Allergies: cat dander

Symptoms: Expired vaccination given. event reported/documented. patient's mother notified of event and need for new vaccination.

Other Meds: Vitamin B12, Children's multivitamin

Current Illness:

ID: 1026317
Sex: F
Age: 47
State: NV

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: Sinus congestion, dry cough, and nasal congestion.

Other Meds: Robitussen and Tylenol.

Current Illness: n/a

ID: 1026318
Sex: F
Age: 54
State:

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

Lab Data:

Allergies:

Symptoms: Syringe disconnected from needle when administering vaccine

Other Meds:

Current Illness:

ID: 1026319
Sex: F
Age: 20
State: WI

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: A COVID-19 rapid nasal swab was obtained before entering clinic. Negative result.

Allergies: NKA

Symptoms: Day after 2nd dose of COVID 19 vaccine (Moderna) patient experienced fever (102.4), fatigue, headache, sore arm, nausea and body aches. This has continued to present day (Friday, Feb. 12, 21) (4 days). Used Tylenol and Ibuprofen alternating for fever and pain with slight improvement. Provider gave patient ondansetron for nausea.

Other Meds: Medroxyprogestrone 150 mg/ml injection (Depo Provera), fluticasone propionate, hyoscyamine sulfate 0.125 mg, escitalopram 10 mg, Miralax 335 powder

Current Illness: N/A

ID: 1026320
Sex: F
Age: 71
State: WA

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

Lab Data:

Allergies: N/A

Symptoms: Chills, fever, aches, gas, vomiting, severe headache.

Other Meds: Turmeric, Probiotic, Biotin

Current Illness: N/A

ID: 1026321
Sex: F
Age: 47
State: NJ

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

Lab Data: n/a

Allergies: None

Symptoms: Fever, aches, nausea, chills, headache, pains, fainting

Other Meds: Effexor Sunosi

Current Illness: none

ID: 1026322
Sex: F
Age: 33
State: UT

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: MRI, ECG, ECHO, Heart monitor study. Caregiver has meet with Cardiologist and Neurologist.

Allergies:

Symptoms: I received the Moderna vaccine on December 31, 2020. That day (Thursday) and Friday, I had expected side effects such as fatigue, headache, and extreme pain on the injection-site arm. I also experienced sharp, shooting pains though in my back, chest, and abdomen. The expected side effects subsided, but the sharp pains continued and still do. I saw my cardiologist because I have a congenital heart defect. They completed an ECG, Echocardiogram, and heart monitor study. All came back normal. After a week of the first vaccine, the shooting pains were mainly in my back and I experienced back pain. Shortly after that, I started experiencing shock-like and burning pains in my feet, ankles, legs, toes, right hand fingers, and right hand wrist. These pains continue to happen on and off and I also continue to have pains in my back and abdomen on and off. I saw a neurologist who ordered an MRI. The MRI came back normal, but the pains persist. Within the last two weeks, I have also experienced tingling in my legs and feet and muscle spasms in my feet and calves. I saw my neurologist again today and she believes I am experiencing neuropathy which was likely induced by the vaccine. She recommended holding off on getting the second dose until we know more about how this might progress. She also reported that she has seen some others in her clinic now with the same symptoms following the COVID-19 vaccine. She is unsure if this will resolve or not and we are planning to monitor the condition.

Other Meds:

Current Illness:

ID: 1026323
Sex: M
Age: 54
State:

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient woke up at 3:00 AM freezing and sweating with a bad headache. Chills and sweating stopped by 7:00 AM but slept for a majority of the day due to headache persisting.

Other Meds:

Current Illness:

ID: 1026324
Sex: F
Age: 43
State: GA

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

Lab Data:

Allergies: latex,

Symptoms: itching to injection site

Other Meds:

Current Illness:

ID: 1026325
Sex: F
Age: 42
State: MI

Vax Date: 01/29/2021
Onset Date: 02/06/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: None

Allergies: Yeast allergy Seasonal pollens, molds, etc.

Symptoms: Covid arm: red lesion on left arm injection site. Hot to the touch, firm, itchy, sore. Spot the size of a large lemon or deck of cards. Showed up 8 days after getting dose 1. Red spot lasted 5 days. Itching lasted 1 day. Still mildly sore today (day 14).

Other Meds: Daily multi vitamin Vitamin D supplement Daily probiotic

Current Illness: None

ID: 1026326
Sex: F
Age: 79
State: MA

Vax Date: 02/03/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Itchyness, first evening in hands, next afternoon severe over both legs for a couple of hours

Other Meds: Simvastatin, metoprolol, hydrochlorothiazide vitamin D, vitamin B12, acetominaphen

Current Illness: none

ID: 1026327
Sex: F
Age: 34
State: KY

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: NA

Allergies: shellfish

Symptoms: Hello. I had reactions to both the first and second injection. I was 28 weeks pregnant when I had the first vaccine 1/15/21 and 31 weeks pregnant when I had my second injection 2/5/21. I took Tylenol prior to the first shot and after, with the second shot I did not take Tylenol before the shot because it was not recommended. I did take it after. My symptoms began around 5 hours after each shot and were moderate (aches, joint pain, fatigue, headache, and nausea). No fever. My symptoms were gone within 24 hours after the first shot. My symptoms lingered for a few days with the second shot, but were mild after the initial 24 hours. I had no known pregnancy complications.

Other Meds: Pepcid, prenatal vitamin, iron, insulin, zyrtex, magnesium

Current Illness: NA

ID: 1026328
Sex: F
Age: 76
State: FL

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

Lab Data: NA

Allergies: Sulfa

Symptoms: Within 20 minutes I started vomiting

Other Meds: Eiiquis. One a day vitamin. Potassium Met form in. B-12. Novolin 70/30. Allergera Losartan Citalopram Pramipexole Myrbetriq

Current Illness:

ID: 1026329
Sex: F
Age: 26
State: ME

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Staff reported that she experienced rash at injection site followed by "hives all over" (scalp, arms, legs, back of neck, chest, back of legs) itchiness, shortness of breath for 2 days with persistent cough, severe body aches, fever, chills, sweats, fatigue, headache, loss of appetite

Other Meds:

Current Illness:

ID: 1026330
Sex: F
Age: 61
State: MI

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

Lab Data: C1 esterase negative No consumption of known allergens

Allergies: Lisinopril, shellfish, sulfa, metformin

Symptoms: The patient presented a few days after her 2nd Moderna vaccine with angioedema, S/P epinephrine IM x2, steroids, Benadryl. She had a similar presentation 1 month prior after her 1st Moderna vaccine as well, which also resulted in a hospitalization. She elected to get the vaccine again and subsequently came in with the same reaction.

Other Meds: amLODIPine (NORVASC) 5 MG PO Tab furosemide (LASIX) 40 MG PO Tab insulin regular human (HumuLIN R, NovoLIN R) 100 UNIT/ML INJ Solution albuterol (2.5 MG/3ML) 0.083% INHAL Nebu Soln aspirin (HALFPRIN) 81 MG PO Tablet Delayed Response

Current Illness: Angioedema after 1st COVID dose (Moderna)

ID: 1026331
Sex: M
Age: 73
State: VA

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

Lab Data:

Allergies: None

Symptoms: Light headed, dizzy for 2days and headache, shoulder very sore and painful first day.

Other Meds: Diltiazem hci 60 mg and np thyroid 15 mg

Current Illness: None

ID: 1026332
Sex: F
Age: 48
State: FL

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

Lab Data:

Allergies: PCN and Hydrocodone Bitartrate

Symptoms: Patient has redness and faint ecchymosis type appearance and mild gross swelling to affected areas. Raised, itchy, patchy/hive-like appearance to her left deltoid and left upper thigh.

Other Meds: Albuterol Sulfate HFA 108 (90 Base) MCG/ACT Aerosol Solution 1-2 puffs as needed Inhalation every 4-6 hrs Fluticasone Propionate 50 MCG/ACT Suspension 1 spray in each nostril Nasally Once a day prn Levothyroxine Sodium 25 MCG Tablet 1 table

Current Illness:

ID: 1026333
Sex: M
Age: 76
State: AZ

Vax Date: 01/24/2021
Onset Date: 01/24/2021
Rec V Date: 02/12/2021
Hospital: Y

Lab Data: EKG Cardio Cath CT Scan Blood

Allergies: Percogesic

Symptoms: Chest pain elevated Troponin 112 T EKG Cardio Cath No sign of damage Diagnosis Cardiovascular Spasms

Other Meds:

Current Illness:

ID: 1026334
Sex: F
Age: 56
State: MA

Vax Date: 01/17/2021
Onset Date: 01/25/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: as above:

Allergies: opioids

Symptoms: 2 Potential adverse Reactions: 1- "8-day Covid arm": 8 days after vaccination, this arm became red, swollen at injection site almost down to elbow and had hives; @ 3-4 inch area of redness; Called PCP- took benadryl; resolved; PCP had not heard of "Covid arm at this time" 2-6 days after injection: 1/23/21: experienced chest pressure;/pain radiating to jaw; went to ER; diagnosed with severe HTN (@ 210/100); given EKG, Stress test, CXR/ cardiac blood work; all normal; released

Other Meds: Unknown

Current Illness: none

ID: 1026335
Sex: F
Age: 30
State: IA

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: None

Allergies: No

Symptoms: Employee was sitting at the computer after her vaccine, and was holding her head in her left hand with her elbow on the table. She thought her fingers were becoming numb because she was leaning on her hand, but the numbness in her left hand 4th and 5th fingers have continued from 2/4/2021 until she reported it to Employee Health and Safety on 02/12/2021. She states that as a transporter, it is difficult for her to hold on to wheelchairs, and she feels as though her grip is compromised.

Other Meds: Metformin

Current Illness: No

ID: 1026336
Sex: F
Age: 42
State: OH

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

Lab Data: N/A

Allergies: Z - pack

Symptoms: Headache, nausea, site injection pain

Other Meds: Zoloft, amlodopine, hydrothiazide

Current Illness: high Blood pressure, anxiety, graves disease

ID: 1026338
Sex: M
Age: 23
State: MD

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: COVID-19 PCR test done on February 10, 2021 resulted negative today February 12, 2021.

Allergies: None

Symptoms: Moderna COVID-19 VACCINE Fever, chills, cough, sweating overnight and then loss of taste and smell the next morning. Soreness at the site of the injection. Extremely fatigued. Tmax 100.5 Bodyaches, Headaches , Nasal congestion, Shortness of Breath, Chest Pain. Four days after 2nd Moderna vaccination his loss of taste and smell is still affected. His left arm soreness still persists. Bodyaches and fatigue still persists. Headaches comes and go. Nasal congestion persists Resolved Shortness of breath,Chest Pain, Fever and cough

Other Meds: Tylenol 1,000mg 30 minutes prior to vaccination

Current Illness: None

ID: 1026339
Sex: M
Age: 67
State: LA

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

Lab Data: Treatment denied

Allergies: No

Symptoms: Patient vaccinated on 1/12/21 at 10:19 and returned to vaccination clinic at 11:55. Appeared short of breath when walking in with respiration rate 24-26. Staff reported he presented with same appearance with first arrival prior to vaccination. Patient stated "I just don't feel good and I'm shaky". He was asked to be seated and within 5 minutes respiratory rate decreased to 20-22. Vital signs taken RR-22, B/P-110/80, HR-70 and regular, Temp-97.1. Pt states his primary care provider office is closed today. I instructed him to go to our Emergency Room for evaluation which he refused stating "I hate hospitals". After 30 minutes of observation patient stated "I'm leaving and going to see my sister who is a nurse". Treatment in our ED offered multiple times with refusal. Patient appeared stable when leaving.

Other Meds: Unknown

Current Illness: Unknown. Patient did state having a Pacemaker/Defib.

ID: 1026340
Sex: F
Age: 51
State: AR

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

Lab Data: None

Allergies: None

Symptoms: I initially developed a headache and arm soreness that began about 3 hours after the injection on 2/10/21.. That developed into low grade temp; body aches; chills; sweating; fatigue; nausea; vomiting; loss of appetite, inability to lift left arm above shoulder height and continuation of severe headache. This continue into 2/11/2021. Overnight on 2/11/21 I still had chills, sweating, headache and loss of appetite. As I am reporting this on 02/12/21 I continue to have mild arm soreness and a mild headache along with fatigue.

Other Meds: Celexa 40mg daily; Hello Bello Women's Daily Vitamin

Current Illness: None

ID: 1026341
Sex: M
Age: 56
State: MD

Vax Date: 02/04/2021
Onset Date: 02/07/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: 02/07/2021: CXR: 1. VERY LIMITED STUDY 2. NO GROSS EVIDENCE OF ACTIVE LUNG DISEASE; TROPONIN I: LT 0.03 CMP: NA: 136 K: 3.7 CL: 93 CO2: 31 GLUCOSE: 158 BUN: 11 CREA: 0.90 CA: 10.2 ALK PHOS: 92 TOTAL PROTEIN: 8.6 ALB: 4.7 BILT: 0.6 GFR: 95 AST: 12 ALT: 11 CBC: WBC: 7.7 RBC: 5.60 HGB: 17.4 HCT: 49.9 MCV: 49.9 MCH: 31.0 MCHC: 34.8 RDW: 13.5 ABS DIFF COUNT: 7.0 # LYM 1.4 # MONO: 0.5 # NEUT: 5.5 #EOS: 0.2 # BASO: 0.0 % LYMPHS: 18.6 %MONOS: 7.1 % NEUT: 71.7 % EOS: 2.2 % BASO: 0.4 AMMONIA: 42 COVID FLU COMBO: NOT DETECTED

Allergies: PCN, ANIMAL DANDER, POLLEN,STRAWBERRIES, HALDOL ADHESIVES

Symptoms: DATE: 02/07/2021 This nurse received a call from CLA/CMT at 0823 stating client is grunting and wheezing while breathing with a SpO2 of 86. This nurse instructed CLA/CMT to call 911 and get complete vitals. CLA/CMT called back with CVS: 149/106, 130, 97.7, 86. Residental support director was notified at 0828, Executive Director was notified @ 0843. Parents were notified via telephone call by this nurse @ 0922. 1109: Residential Support Director states via text ?. (name) called. (name) will need to wait for ambulance. Labs and lungs are good. Probably side effect from vaccine.? This nurse updated the parents and the ED. 1205: Ordered cvs every 4 hours and through the night with cvs reported to RN x 24 hours. 1230: returned from the ED with order for albuterol MDI 2 puffs every 4 hours as needed for coughing and wheezing. This nurse spoke to (name) at PCI. Requested chamber at cash price. Staff aware to call nurse when delivered.

Other Meds: Calcium 600/ D 200 Caltrate 600mg w/Vit D 200mg HCTZ 25mg Xyzal Levocetirizine 5mg Synthroid Levothyroxine 88mcg Ativan Lorazepam 2mg (1.5TABS=3MG) Potassium Cl micro-k 10meq Benadryl diphenhydramine 50mg Erythromychin eye oint App

Current Illness: NA

ID: 1026342
Sex: F
Age: 33
State: SD

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

Lab Data:

Allergies:

Symptoms: Onset of symptoms began approximately 14 hours after receiving the vaccine and improved within 24 hours, although some are lingering at the time of this report. Patient experienced fever, severe headache, joint pain, injection site pain, weakness and fatigue. Patient took Tylenol and took a sick day to rest.

Other Meds:

Current Illness:

ID: 1026343
Sex: M
Age: 92
State: NY

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: 2/8/ 21 - EKG showed afib, BP 178/100, pulse 140 - sent directly to ER for further testing. cardiac enzymes normal, chest xray normal, administered metoprolol IV which decreased heartrate from 140 to 84. 2/8/- 2/12/21 - with metoprolol heart rate remained in 80s, weakness, fatigue 2/12/21 - EKG showed afib, heartrate 80, BP 142/80 - ordered echocardiogram 2/18/21

Allergies: none

Symptoms: 2/4/21 - awoke from sleep 11 PM with jaw/teeth pain lasting several hours 2/5/21 - extreme weakness, rapid heartbeat, fatigue. Slept on and off all day. 2/ 6 - 2/8/21 - irregular heartbeat, rapid heartbeat, fatigue 2/8/ 21 - appt with primary car, Physician 3:30PM, EKG showed afib, BP 178/100, pulse 140 - sent directly to ER for further testing. Physician in ER: cardiac enzymes normal, chest xray normal, administered metoprolol IV which decreased heartrate from 140 to 84. Prescribed Metoprolol 25MG 2x/day and follow up with cardiologist. 2/8/- 2/12/21 - with metoprolol heart rate remained in 80s, weakness, fatigue 2/12/21 - appt with cardiology; Physician Assistant - EKG showed afib, heartrate 80, BP 142/80 - ordered echocardiogram 2/18/21

Other Meds: levothyroxine 88MCG, aspirin 81 MG, pravastatin 20 MG, Vitamin D 2000UT, fluticasone 50 MCG, fexofenadine 30 MG as needed,

Current Illness: none

ID: 1026344
Sex: F
Age: 38
State: PA

Vax Date: 02/01/2021
Onset Date: 02/08/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: severe body aches, fever (102), extreme chills and sweating, severe headache and heart palpitations.

Other Meds: none

Current Illness: none

ID: 1026345
Sex: M
Age: 65
State: NJ

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

Lab Data: hearing test- 0-5 percent

Allergies: no

Symptoms: caller states the pt lost hearing in his right ear. pt went to his audiologist and his test shows his hearing is 0-5 percent hearing loss. He was referred to Doctor and his appt is in 2 weeks. He is on high dose of prednisone taper meds.

Other Meds: Plavix, Lantus, Novalog, Metoprolol, Hydrochlorothiazide, klonapin, baby aspirin 81 mg

Current Illness: no

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm