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: 1026446
Sex: F
Age: 69
State: WA

Vax Date: 01/29/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Red rash at injection site and pain when pushed

Other Meds: None

Current Illness: None

ID: 1026447
Sex: F
Age: 75
State: AZ

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

Lab Data: none

Allergies: codeine

Symptoms: I woke up the next day feeling slight nausea, slight pain in my right arm and fatigue, I slept most of the day. By 4:30 PM I felt much better and all my symptoms disappeared. No body aches.

Other Meds: Inderal 80 la, Avapro 300mg, Triamterene 37.5/25, Synthroid 0.137, Cytomel 15mcg, Metformin 500mg, Oracea 40mg

Current Illness: none

ID: 1026448
Sex: M
Age: 72
State: UT

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

Lab Data: None

Allergies: None

Symptoms: No immediate reaction. At 11:30 pm my sinuses and eyes began to run. The symptoms continue today. Feels like a head cold.

Other Meds: None

Current Illness: None

ID: 1026449
Sex: M
Age: 79
State:

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

Lab Data:

Allergies:

Symptoms: Wrong second dose given. Client should have had a 2nd dose of pfizer. Now adverse reaction.

Other Meds:

Current Illness:

ID: 1026450
Sex: F
Age: 61
State: MA

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

Lab Data: none

Allergies: polymox, bactrim, keflex, glutens

Symptoms: Developed lightheadedness, dizziness, progressively worsening headache, dense ringing in ears, extreme fatigue and sleepiness (sleeping 14 hours first night, 12 hours second night), unable to stay upright for more than 30 min, nausea, body aches, fever, chills, sweats, muscle weakness, totally unfunctional, Call out sick to work for 2 days; Tx'd w/ advil, ubrelvy rescue med for fever, headache w/ some relief

Other Meds: Calcium, magnesium vit d, vit b2, duloxetine, advil, ubrelvy

Current Illness:

Date Died: 02/02/2021

ID: 1026451
Sex: F
Age: 90
State: IN

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

Lab Data:

Allergies:

Symptoms: Resident expired 2/2/2021 one day after the vaccine

Other Meds:

Current Illness:

ID: 1026452
Sex: F
Age: 52
State: CT

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

Lab Data:

Allergies: Latex, Codeine, Tramadol, Walnuts

Symptoms: My face and neck turned very red, my eyes were slightly puffy. I took 3 doses of Benedryl before it subsided

Other Meds: gabapentin, vitamin C

Current Illness: Viral eye infection

ID: 1026453
Sex: F
Age: 38
State: CA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: COVID test - On January 6, 2021 negative result

Allergies: no

Symptoms: Headaches that night and the next day I had a sore arm but headache was gone. 11:00 - got extreme, intense headache and nausea and body aches (like ran over by a bus) - by that night (24 hours later) intense chills and shivering. Just to touch my skin it hurt because my body aches were so bad. Really really painful. I had these symptoms for 24 hours. My work required me to get tested for COVID. I took Tylenol for headaches but that didn't help.

Other Meds: no

Current Illness: no

ID: 1026454
Sex: F
Age: 64
State: WI

Vax Date: 01/28/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: ER for blood and urine tests, ultrasound, CT scan and bladder scan. Chest pressure and pain may have also been related to the vaccine. That began closer to the first vaccination on Jan. 7 and culminated in a visit to doctor on Feb 2, when blood tests and a chest x-ray and EKG were done. Then I received a heart monitor to wear from 2/9 to 2/11.

Allergies:

Symptoms: Kidney stones

Other Meds: metformin, wellbutrin

Current Illness:

ID: 1026455
Sex: F
Age: 77
State:

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

Lab Data: N/A

Allergies: Penicillin Tetacycline

Symptoms: Yesterday, on the ninth day following my vaccine, at the vaccine site, my arm became hard, swollen, red, with round welts (not a rash) and intense itching. Today, 24 hours later it is 50% improved. I consider this unusual and wonder if I should now receive my second dose.

Other Meds: Valsartan-HCTZ 320-12.5 mg tab - 1 everyday Amlodipine 5 mg tab - 1 everyday Meloxicam 15 mg tab - 1 everyday Pravastatin Sodium 40 mg tab - 1 everyday at bedtime Fish oil

Current Illness: None

ID: 1026456
Sex: F
Age: 80
State: FL

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

Lab Data: no

Allergies: not to my knowledge

Symptoms: Pt rec'd vaccine two days ago and was sick a day later, light fever, chills, joints hurt, headache, having a hard time raising the arm, it's very sore, nauseated, lasted 1 day.

Other Meds: in the morning mild thyroid med, multivitamins, D, metropoltart

Current Illness: sore throat, possible allergies

ID: 1026457
Sex: F
Age: 63
State: IN

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

Lab Data: N/A

Allergies: codeine, metals such as iron, nickel and copper

Symptoms: at 10:30 am on 2/11/2021, I started feeling a tingling sensation throughout my body, followed within 30 minutes by muscular pain. At noon, chills sat in and I took my temperature. It was 99.5. I sat by the fire, in sweatpants and sweatshirt covered with two afghans and still cold. If I tried to move, it hurt. About 2 pm, a headache arrived. Finally went to sleep at 10 pm. Awoke at 5:30 am today, 2/12/2021 and chills and headache were gone. Only minor muscular achiness remained and temp back to 97.6. (my normal temp). Now it is 1:20 pm CST and the muscular achiness is gone also. I feel normal again.

Other Meds: Premarin 0.626 mg

Current Illness: N/A

ID: 1026458
Sex: F
Age: 54
State: LA

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

Lab Data: none yet. it?s only been 6 hours since reaction began.

Allergies: levequin- dizziness pollen

Symptoms: headache, sensitive to light, eyes hurt, fatigue, body aches( felt like i was punched in various place on my body, mild dizziness(foggy feeling), left arm swelling and pain at injection site, stomach pain(mild nausea and achy empty feeling)

Other Meds: zoloft 100 mg once in the morning nuvgil 150 mg once in the morning

Current Illness: none

ID: 1026459
Sex: M
Age: 80
State: NY

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

Lab Data:

Allergies: None

Symptoms: 20 minutes after receiving shot had difficulty in breathing Wife rushed home and started using nebulizer, had to take two treatments before able to breathe a little better

Other Meds: None

Current Illness: None

ID: 1026460
Sex: F
Age: 38
State: KY

Vax Date: 02/05/2021
Onset Date: 02/09/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: None

Allergies: Cefalcor (seizures)

Symptoms: Hives that started four days after vaccination

Other Meds: Sertraline 50mg

Current Illness: None

ID: 1026461
Sex: M
Age: 75
State: IN

Vax Date: 01/25/2021
Onset Date: 02/08/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: Penicillin, Sulfa

Symptoms: Rash no itching

Other Meds: Janumet Bazaglar Licinopril Metorplol Doxisno Prevastati. Potassium Citrate

Current Illness:

ID: 1026462
Sex: F
Age: 43
State: MO

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

Lab Data: walking assessment, capillary refill, Auscultatory lung sounds.

Allergies: NKDA reported

Symptoms: at approx 1555 02/11/2021 patient had reported to doctor that she was experiencing some scratchiness in the throat in addition to tightness that radiated to her chest. patient further reported that this same reaction had resulted post administration of the first dose of the series. With the first occurrence, it was reported by the patient that she had received a dose of Benedryl PO by a nurse in the office with which she was employed. Patient-reported that that dose of Benedryl had helped the symptoms. Doctor initiated an order at that time for the patient to receive 25mg Benedryl IM, a one-time dose, STAT. S.K. RN administered the ordered 25mg of benedryl IM via LD at the time of order approx 1558. Pt. is pink, no s/s of SOA/ wheezing, able to speak, respirations noted at 14 Breaths/ min with cap refill 1+. Patient was monitored post admin with nurses log reading: 02/11/2021 1610: client is eating, drinking, and speaking with ease. pink with no s/s of SOA or hives. throat still feeling a little tight and is a little scratchy. 02/11/2021 1620: Pt. is smiling, speaking, pink and reports throat doesn't feel as tight and throat isn't as scratchy. Doctor walked with patient and assessed lung sounds. no SOA, wheezingor change in pink color when walking. Doctor told patient lungs sounded great and shes fine to go home. Doctor walked patient to car. 02/11/2021 1625: Pt. left clinic and drove self home. refused offer ti be followed home.

Other Meds: unknown

Current Illness: None reported

ID: 1026463
Sex: M
Age: 65
State: FL

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

Lab Data:

Allergies: Fish Levofloxacin

Symptoms: 15 minutes after receiving the injection, the patient reported tingling in both hands. There was no redness or swelling observed at the injection site. O2 sat was 97% and HR was mid 70s. The patient had no other symptoms or side effects. He was monitored an additional 15 minutes and stated he felt fine and good to leave. He was instructed to seek medical attention immediately should any further symptoms develop.

Other Meds: Celecoxib Multivitamin Saw palmetto 1000 mg capsule Testosterone cypionate

Current Illness:

ID: 1026464
Sex: F
Age: 41
State: IL

Vax Date: 12/19/2020
Onset Date: 12/22/2020
Rec V Date: 02/12/2021
Hospital:

Lab Data: none

Allergies: NKDA

Symptoms: I do not know the lot number, they didn't have cards when I was given my first injection. For both the first and second injection I got of the Pfizer vaccine i had a headache for over a week. Intense enough to warrant tylenol everyday but did not impair my ability to function but was just very uncomfortable.

Other Meds: prenatal vitamins, effexxor, albuterol, arnuity, zyrtec, probiotic

Current Illness: none

ID: 1026465
Sex: F
Age: 83
State: NM

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

Lab Data:

Allergies: sulfa

Symptoms: Body aches, vomiting, diarrhea, injection site pain

Other Meds: oxycontin 5mg, levothyroxine 88mg, omeprazole 20mg, zolpidem 5 mg, memantine 10mg 2x daily, donepezil 5 mg, furosemide mg, simvastatin 40mg,senna 8.6 mg, aliskiren 150 mg, veltassa , multivitamin

Current Illness: none

ID: 1026466
Sex: F
Age: 66
State:

Vax Date: 01/26/2021
Onset Date: 02/05/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Mouth itching and sewlling. Inside the mouth turned black with pus. Also headache. Mouth mostly dry on the right side. Took benadryl night of 2/5/2021 for oral itching and swelling. By 2/11/2021, patient saw her MD. MD thinks gingivostomatisis a form of herpes complex type 1. Prescribed Valtrex and Duke Miracle mouthwase.

Other Meds:

Current Illness:

ID: 1026467
Sex: M
Age: 55
State: FL

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

Lab Data: none

Allergies: no known allergies

Symptoms: patient reports on way home from receiving vaccine he started having numbness to left arm and roof of mouth, reports symptoms lasted approx. 1 hour and resolved on its own, denies any hives, sob or swelling. Spoke with patient on 02/12/21 and he only reports an "achy shoulder" at this time. Patient advised to seek medical attention for any return or new symptoms

Other Meds: Zolpidem, cozaar, lopressor, coumadin

Current Illness: none reported

ID: 1026468
Sex: F
Age: 64
State: RI

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: None needed

Allergies: Ibuprofen

Symptoms: Vesicle at injection site (Have picture available)

Other Meds: Synthroid Omeprazole

Current Illness: None

ID: 1026469
Sex: F
Age: 38
State: KY

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

Lab Data: None

Allergies: Mold, metals, preservatives

Symptoms: For the first injection I experienced adverse reaction starting about 2.5-3 hours after injection. Symptoms started with some imbalance, confusion, and numbness in left ear. As the night progressed the numbness in my ear resulted in losing hearing in that ear due to my inner ear being numb. I experienced vertigo symptoms, headache, fever, chills, achiness, and fatigue. Hearing returned after two days. Other symptoms subsided after 3 full days. For second injection I broke out in hives (chest, trunk, arms, neck, face), itching, confusion, elevated heart rate, and fatigue after 1.5 hours post vaccination. I took Benadryl after my school nurse tended to me. Symptoms progressively increased through the night. I experienced severe muscle pain, fever, chills, headache, spinal pain, and nausea. These symptoms were severe throughout the night and the next day. After a shower later in the afternoon the day following the shot, I broke out in hives again and blisters formed where my hives had been the day before as well as severe itching all over my trunk and hands. I took benadryl again and attended a telehealth visit to describe my symptoms and he confirmed an allergic reaction. Other symptoms subsided after taking benadryl all evening and tylenol.

Other Meds: None

Current Illness: None

ID: 1026470
Sex: M
Age: 56
State: VA

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

Lab Data:

Allergies: none

Symptoms: fever, throwing up, and labored breathing. If this worsens he is going to go to the hospital ER

Other Meds: none

Current Illness: lung cancer

ID: 1026471
Sex: U
Age: 41
State: MI

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

Lab Data: 190/132 HR 84 GLUCOSE 136MG/DL O2 98%

Allergies:

Symptoms: PATIENT COMPLAINING OF TIGHTNESS IN CHEST, NUMBESS ON LEFT ARM AND FACE. PATIENT SEEMED TALKATIVE AND ALERT. EMS AT CLINIC REQUESTED. HE WAS EVALUATED BY EMS AND TRANSPORTED TO A AREA HOSPITAL

Other Meds: HCTZ AND ALBUTEROL

Current Illness:

ID: 1026472
Sex: F
Age: 69
State: FL

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: Made an appointment with my primary care physician to discuss this and his recommendation for 2nd dose.

Allergies: Sulfur, DMAPA, Cobalt (ll) Chloride Hexahydrate

Symptoms: Woke up at 1:00 AM with heart pounding and beating very fast, dizzy, chills followed by high fever. This lasted 2+ hours. Then my heart beat so faintly, that I was afraid to go back to sleep for fear I would not wake up. Felt a little sick to my stomach. Next day, I felt like I had the flu all day, lethargic, tired but couldn't sleep. The injection site of the shot was very sore, big red circle about the size of a peach, hot to the touch and this lasted until day 5. Concerned about 2nd dose, because if the reaction was worse than this, I don't think my heart can take it.

Other Meds: Candesartan

Current Illness: none

ID: 1026473
Sex: M
Age: 83
State: MA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/12/2021
Hospital: Y

Lab Data: AST 1056k ALT 456 Alk Phos 280 2/10 AKI Cr 1.18 (b/l 0.9-1) 2/10 INR 2.0 (1.5 in 11/19) 2/10 CK 13K 2/10 UA: 3+ blood, 1+ bilirubin, 2+ protein 2/11 Hepatitis serologies negative (HepA, HepB immune) 2/10

Allergies: Gabapentin, lisinopril

Symptoms: Initially presented with weakness/fatigue. He was found to have abnormal liver enzymes with AST/ALT in the 900s, T bili of 10, creatinine of 1.7. CK was elevated >13K. Patient overall worsening and anuric requiring possible hemodialysis for worsening renal function. Overall picture most suggestive of rhabdomyolysis. Unclear etiolgy but can't rule out a vaccine reaction.

Other Meds: ASA 81, atorvastatin, Vitmain D3, Pepcid, lantus, lispro, imdur, synthroid, troprol-xl, aldactone, multivitamin, flomax, tramadol

Current Illness:

ID: 1026474
Sex: F
Age: 74
State: MD

Vax Date: 02/04/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: Amoxicillin, Bactrim, Cipro , Doxycycline

Symptoms: Pain and raised rash after a weak below injection site.

Other Meds: Lisinopril, Amlodipine Atenolol, Omeprazole, Famolidine

Current Illness: No

ID: 1026475
Sex: F
Age: 72
State: CO

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

Lab Data: None

Allergies: Duladid, Demerol, Sulfa, Codiene

Symptoms: Chills, fever , joint and muscle pain, headache, fatigue,

Other Meds: Cymbalta, calcium, vit D , nexium

Current Illness: None

ID: 1026476
Sex: F
Age: 87
State: FL

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: no

Allergies: no

Symptoms: pt states that the next day after the vax she woke up w/ body aches and had them all weekend. The body aches subsided after 5 days but the neck pain that starts at the base of her skull and extends across her shoulders and down her spinal column still exist. She has taken Aleve for pain. Pt has called a left a message for her PCP to give her a CB regarding her symptoms.

Other Meds: Metoprolol 25 mg x 2 daily, potassium chloride ER 10 meq tab, Mesalamine DR 1.2 gm tab, levothyroxine 125 mb tabs once, hydrochlorothiazide25mg tab, Azopt eye drops 3 X a day, AL Fagan 1% eye drop 2 X a day, losartan 100 mg

Current Illness: no

ID: 1026477
Sex: M
Age: 70
State: CA

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/12/2021
Hospital: Y

Lab Data: - CK 2944 -- > 728 - uric 8.4 -- > 9.25 hospital day 1, recd rasburicase -- > 3.1 on discharge MRI: Relatively symmetric intramuscular edema within the bilateral vastus intermedius muscles as well as the adductor musculature which may represent a nonspecific inflammatory myositis with fasciitis.

Allergies: NKDA

Symptoms: he developed shortness of breath and weakness within 24 hours of vaccination. over next 72 hours, developed progressive symmetric proximal muscle weakness with labs/imaging c/w myositis. also had biochemical evidence of cell lysis (elevated uric acid, high K, low Ca, high phos). He received steroids 2/11 with near complete recovery in function by 2/12, but biochemical changes were already improving by time of steroid dosing.

Other Meds: calcium carbonate (TUMS) 500 mg (200 mg elemental) chewable tablet Chew 1 tablet (500 mg total) by mouth daily cholecalciferol, vitamin D3, 1000 UNITS tablet Take 1 tablet (1,000 Units total) by mouth daily gabapentin (NEURONTIN) 300 mg cap

Current Illness: metastatic prostate cancer - received pembrolizumab last 12/2020, cabazi/carbo 1/13/21

ID: 1026478
Sex: F
Age: 33
State: OH

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

Lab Data:

Allergies: none

Symptoms: My left arm felt like it was inside a freezer for about 1hr. It felt really cold about 15mins after the 2nd dose of Pfizer Covid vaccine

Other Meds: none

Current Illness: none

ID: 1026479
Sex: F
Age: 44
State: OH

Vax Date: 02/04/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: no

Symptoms: Arm sore to move; began 02/11/2021. Injection site extremely swollen, red, size of softball, hard and warm to touch with pain up through shoulder and into neck. Manageable with Advil. Rash on inside of same arm. 02/12/2021 - swelling has gone down some; however, is now swollen and warm to touch from injection site to elbow; appears redder than previous day. Consulted with RN at Facility who recommended patient follow up with PCP to rule out cellulitis. Agreed to do so.

Other Meds: zoloft; part of hives study - receive an injectable unknown

Current Illness: none

ID: 1026480
Sex: F
Age: 29
State:

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

Lab Data:

Allergies:

Symptoms: Elevated heart rate, dizziness, nausea, body aches, 100.5 F fever. Increased heart rate started 2/11/2021. 96 bpm at rest on 2/11/2021 and now has resolved to 64 bpm today 2/12/2021.

Other Meds:

Current Illness:

ID: 1026481
Sex: F
Age: 55
State: OH

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

Lab Data:

Allergies: amoxicillin

Symptoms: patient reported throat swelling and difficulty swallowing.

Other Meds:

Current Illness:

ID: 1026482
Sex: F
Age: 38
State: MA

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

Lab Data: none

Allergies: none

Symptoms: Woke up at 1:26am to use the bathroom and get a drink, I used the bathroom and got a drink from the kitchen and while walking back to bed I blacked out, hit the floor, woke up instantly and went to lie down. Felt exhausted and shaky but went back to sleep. No other side effects today.

Other Meds: Adderall 20mg ER, Spironalactone 10mg for acne.

Current Illness: none

ID: 1026483
Sex: F
Age: 38
State: CA

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: no

Allergies: no

Symptoms: Severe headaches - started that night; next morning it was still there with severe vomiting and nausea. This time it felt like I had the flu - I was really fatigued and weak and no energy. These symptoms all lasted about 30 hours. Treated with Tylenol but that did not help. No doctor appt or testing. I have been still having headaches. Since my second vaccine they have been constant - don't go fully away- some days are worse than others.

Other Meds: no

Current Illness: adverse symptoms from dose 1 of Pfizer Vaccine

ID: 1026484
Sex: F
Age: 62
State: VA

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

Lab Data:

Allergies: Can't take delotid

Symptoms: Rash on the arm the injection was given. Fore arm and sight of the injection

Other Meds: Synthroid - 150mg, Humira, Methotrexate

Current Illness:

ID: 1026485
Sex: F
Age: 67
State: VA

Vax Date: 02/04/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: None yet

Allergies: Iodine

Symptoms: COVID ARM: After 5 days swelling to about a 2-3 inch diameter occurred at site of injection and is painful but only to the touch. Redness is apprarent with mild irritation (itching).

Other Meds: Advair; Singulair and Spiriva for treatment of COPD

Current Illness: None

ID: 1026486
Sex: F
Age: 73
State: CO

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: many airborne allergens, pine nuts, pistachiosno

Symptoms: achy, chills, cold sweats, severe fatigue, dizziness, nausea - 48 hours

Other Meds: hydrochlorothiazide, citalopram, b12, d3, magnesium glycinate, alpha lipoic acid, lutein, niacinamide

Current Illness: no

ID: 1026487
Sex: M
Age: 31
State: CA

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

Lab Data:

Allergies:

Symptoms: Headache, body aches

Other Meds:

Current Illness:

ID: 1026488
Sex: F
Age: 72
State: AL

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

Lab Data: ?

Allergies: ?

Symptoms: PATIENTS STATES SHE FEELS FUNNY WITH MILD ABILITY TO TAKE A DEEP BREATH. PATIENT HEART RATE IS 70 AND REGULAR WITH RESPIRATIONS OF 20. TIMER RESET FOR ADDITIONAL 15 MINS WITH INSTRUCTIONS TO HONK HORN OR BLINK LIGHTS IF IN ANY DISTRESS. PATIENT STATES FEELS BETTER WITH BLOOD PRESSSURE OF 137/79 HEART RATE OF 70, RESPIRATIONS OF 20 AND O2 SAT AT 97%. PATIENT AGREED TO REMAIN FOR 15 ADDITIONAL MINUTES. PATIENT STATES FEELS FINE WITH NO OBVIOUS DISTRESS AND WILL GO TO EMERGENCY DEPARTMENT IF SYMPTOMS RE-OCCUR.

Other Meds: ?

Current Illness: ?

ID: 1026489
Sex: F
Age: 46
State: CT

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

Lab Data: Testing in progress.

Allergies: NKDA

Symptoms: Starting the morning after the second dose, she developed encephalopathy--was speaking incoherently, unsteady on her feet, fatigued. Had fever of 101. Next day was making sense, but could not remember what was going on and repeatedly asked orientation questions. Slept nearly all day. Over the next couple of days improving but still somewhat confused. Thought she had gone to work when she was at home all day. At this point, is nearly back to normal, but has no memory of the events of the first two days after the vaccine. Interestingly, her sister had the vaccine a few days before, and developed weakness on one side (she is not my patient).

Other Meds: amlodipine, Mirena IUD

Current Illness: Depression/anxiety, HTN

ID: 1026490
Sex: F
Age: 53
State: MA

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Muscle ache, chills, headache

Other Meds: None

Current Illness: None

ID: 1026491
Sex: F
Age: 73
State: FL

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

Lab Data: Blood pressure was taken at 10:32am - 140/79 and Pulse 67bpm Blood pressure was taken at 11:49am - 148/83 and Pulse 59 bpm

Allergies: Darunivir, sulfa, amprenavir, penicillin,

Symptoms: Hives all over body, itch and patient became warm. Patient was given Diphenhydramine 50mg tablets orally at 10:32am. Patient was observed from 10:32am until 11:56 am upon which the patients side effects had subsided and patient wanted to leave.

Other Meds: Furosemide, Lexapro, lamotrigine, quetiapine. simvastatin, pantoprazole, tizanidine, myrbetriq. metolazone, ropinirole, montelukast

Current Illness:

Date Died: 02/11/2021

ID: 1026492
Sex: F
Age: 82
State: MA

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

Lab Data:

Allergies:

Symptoms: The individual received the vaccine around 12:00pm on 02/11/21. Around 9pm the individual went to lay down on the couch at home and started to have difficulty breathing. Within 30 minutes the individual became week and unresponsive. She was transported to the hospital where she was pronounced deceased at 11:44 pm on 02/11/21.

Other Meds:

Current Illness:

ID: 1026493
Sex: F
Age: 26
State: CA

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

Lab Data:

Allergies:

Symptoms: Fever, chills, body aches, headache, itchy skin

Other Meds:

Current Illness:

ID: 1026494
Sex: F
Age: 23
State: WI

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

Lab Data:

Allergies:

Symptoms: Patient received the Covid-19 vaccine. She reports symptoms of Vasovagal with dizziness and dark spots in visual field. She stated 10 minutes after the vaccine she noticed symptoms. . Pt stated she had the same reaction with her first dose and felt fine an hour later. Pt was assisted to lay down flat on bed at 1225. She stated she felt warm at 1230. At 1235 she reports the dizziness has stopped. Treatment/intervention Pt was given crackers and water at 1210 and again at 1230. Patient was monitored and was vitals were taken every ten minutes. Staff reintroduced her to sitting up and raising HOB in intervals of 15 degrees. All interventions were tolerated well. Pt stated at 1255 she felt better sitting upright in the chair. At 1300 she was accompanied by staff to her vehicle were a driver was waiting for her. She stated at that time all symptoms had resolved and she would contact her PCP to notify them of her reactions to the vaccine. See vitals in documentation. Patient received the Covid-19 vaccine. She reports symptoms of Vasovagal with dizziness and dark spots in visual field. She stated 10 minutes after the vaccine she noticed symptoms. . Pt stated she had the same reaction with her first dose and felt fine an hour later. Pt was assisted to lay down flat on bed at 1225. She stated she felt warm at 1230. At 1235 she reports the dizziness has stopped. Treatment/intervention Pt was given crackers and water at 1210 and again at 1230. Patient was monitored and was vitals were taken every ten minutes. Staff reintroduced her to sitting up and raising HOB in intervals of 15 degrees. All interventions were tolerated well. Pt stated at 1255 she felt better sitting upright in the chair. At 1300 she was accompanied by staff to her vehicle were a driver was waiting for her. She stated at that time all symptoms had resolved and she would contact her PCP to notify them of her reactions to the vaccine. See vitals in documentation. - Documented by MA in electronic medical record

Other Meds:

Current Illness:

ID: 1026495
Sex: M
Age: 41
State:

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

Lab Data:

Allergies:

Symptoms: MODERNA COVID-19 VACCINE HEADACHE AND FATIGUE, VERY TIRED

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm