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: 1027052
Sex: M
Age: 44
State: VA

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

Lab Data: NA

Allergies: NKDA

Symptoms: Joint aches, fatigue

Other Meds: Atorvastatin Sertraline Losartan HCTZ Amlodipine Metoprolol

Current Illness: NA

ID: 1027053
Sex: M
Age: 34
State: MN

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

Lab Data: N/A

Allergies: Tree nuts, green beans

Symptoms: stiffness and mild pain in the left side of the face discomfort when blinking / smiling slight "numbing" sensation in left side of face Pain at injection site

Other Meds: Tadalafil, Wellbutrin, Truvada

Current Illness: None

ID: 1027054
Sex: M
Age: 68
State: MO

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

Lab Data: Blood glucose test

Allergies: NONE

Symptoms: Patient described having palpitations, lethargy and fever. Patient later reported elevated blood glucose

Other Meds: UNKNOWN

Current Illness: NONE

ID: 1027055
Sex: F
Age: 46
State: NY

Vax Date: 12/31/2020
Onset Date: 01/09/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Vaccine injection site Cellulitis, treated with course of oral antibiotics. Site red/warm/swollen and tender to touch.

Other Meds:

Current Illness:

ID: 1027056
Sex: M
Age: 70
State: NY

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

Lab Data: CT of head, EKG, CXR, COVID-19 and flu tests, cardiac enzymes, electrolytes

Allergies: No known allergies

Symptoms: Loss of appetite evening of 2/11/2021. 6:30 AM 2/12/21 became weak, diaphoretic, blood sugar 474, primary care physician contacted, instructed by physician on call to go to the Emergency Room, IV fluids, insulin in ER, admitted

Other Meds: Metformin 1000 mg by mouth twice a day Atorvastatin 40 mg 1 tablet by mouth daily

Current Illness: Cold symptoms in January now resolved

ID: 1027057
Sex: M
Age: 37
State: NV

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

Lab Data:

Allergies: apple, banana, whole wheat

Symptoms: On 2/6/2021, about 2 minutes after the vaccine was administered, I felt dizzy and nauseous. 10 minutes after the Pfizer vaccine was administered, I lost consciousness. As of 2/12/2021, my heart is somewhat racing and feels like I have been going for a light jog. I have not gone to a doctor as of 2/12/2021 for my heart rate and I am not sure if this is related to the vaccine.

Other Meds: Vitamin D, xyzal/levocetirizine, lansoprazole

Current Illness: none

ID: 1027058
Sex: F
Age: 61
State: AZ

Vax Date: 02/06/2021
Onset Date: 02/08/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: Tetanus/diphtheria, eggs, horse derived products, flagyl, benadryl

Symptoms: On 2/8/21, 2 days after vaccination, itchy redness appeared approximately 3 inches down from injection site on left arm. The redness grew to approximately 3 inches vertically and 2.5 inches horizontally. Redness was still there today 2/12/21 and patient reports warmth over area.

Other Meds:

Current Illness:

ID: 1027059
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:

Allergies:

Symptoms: Chills, achy, headache, fatigue, large red area at injection site that is warm to touch: 7? x 3"

Other Meds:

Current Illness:

ID: 1027060
Sex: M
Age: 37
State: MI

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

Lab Data: SEE ABOVE

Allergies: NKA

Symptoms: THE PATIENT PRESENTED WITH TIGHTNESS IN HIS CHEST AND DIFFICULTY TAKING A DEEP BREATH. NO HISTORY OR ADVERSE REACTIONS TO VACCINES. ON SITE EMS AND PHYSICIAN WAS REQUESTED. BP 98/61 HR 73 OS 97% ON ROOM AIR. HE HAD GONE TO HIS PHYSICIANS OFFICE APPOXIMATELY 2 MONTHS AGO WITH THE SAME SYMPTOMS AND WAS PRESCRIBED ALBUTEROL INHALER. DR ON SCENE SAID NO WHEEZING, HOWEVER CHEST IS TIGHT AND PATIENT COUGHS WHEN TAKING A DEEP BREATH. PATIENT HAD ASTHMA AS A CHILD. PATIENT TRANSPORTED TO HOSPITAL ER BY EMS

Other Meds: FAMOTIDINE ALBUTEROL INHALER

Current Illness:

ID: 1027061
Sex: F
Age: 47
State: IL

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

Lab Data:

Allergies: None

Symptoms: 10 hours after injection: Cold, Fever, body aches and pain in joints, muscles,, head. Lasted 24 hours

Other Meds:

Current Illness: None

ID: 1027062
Sex: M
Age: 37
State: MI

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

Lab Data: SEE ABOVE

Allergies: NKA

Symptoms: THE PATIENT PRESENTED WITH TIGHTNESS IN HIS CHEST AND DIFFICULTY TAKING A DEEP BREATH. NO HISTORY OR ADVERSE REACTIONS TO VACCINES. ON SITE EMS AND PHYSICIAN WAS REQUESTED. BP 98/61 HR 73 OS 97% ON ROOM AIR. HE HAD GONE TO HIS PHYSICIANS OFFICE APPOXIMATELY 2 MONTHS AGO WITH THE SAME SYMPTOMS AND WAS PRESCRIBED ALBUTEROL INHALER. DR ON SCENE SAID NO WHEEZING, HOWEVER CHEST IS TIGHT AND PATIENT COUGHS WHEN TAKING A DEEP BREATH. PATIENT HAD ASTHMA AS A CHILD. PATIENT TRANSPORTED TO HOSPITAL ER BY EMS

Other Meds: FAMOTIDINE ALBUTEROL INHALER

Current Illness:

ID: 1027063
Sex: F
Age: 69
State: CA

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

Lab Data: N/A

Allergies: tetracycline, codeine

Symptoms: Patient sitting in chair, alert and oriented x 3, skin color was ashen. Patient felt strange over her chest, light headed, patient said she feels like she was going to pass out immediately after vaccine administration. VS 100/60 mmHg, pulse 64, RR 22. Patient complaints of headache, nausea and skin clamy and warm. Site manager made aware, o2 @ 2 L via nasal cannula administered. EMS transport to hospital. Daughter was made aware via VM, unable to reach 3x attempts.

Other Meds: Calcium, d3, B complex, antidepressant

Current Illness: None

ID: 1027064
Sex: F
Age: 83
State: NC

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

Lab Data: Did not seek medical treatment. Took Tylenol and bedrest.

Allergies:

Symptoms: shortness of breadth;chills;fever 101;muscle aches;neck stiffnes/;site soreness

Other Meds:

Current Illness:

ID: 1027065
Sex: F
Age: 74
State: OR

Vax Date: 01/31/2021
Onset Date: 02/05/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: None

Allergies: Compazine, Benzalkonium Chloride and Neomycin

Symptoms: After the Vaccine- Started feeling under the weather in the evening of day 4, with sore lymph nodes in neck,. On day 5 ~ Fatigue and exhaustion, unable to do daily tasks and a rash/ hives lasting a few hours. Day 6-9 still feeling fatigued, mainly evenings, but feeling better and able to exercise and do daily tasks.

Other Meds: Lisinopril, Levothyroxine, Vagifem, Zyrtec, Diclofenac, vitamin D3, fish oil, Tacrolimus, Triamcinolone, and calcium citrate, magnesium and zinc

Current Illness: None

ID: 1027066
Sex: M
Age: 78
State: CO

Vax Date: 01/19/2021
Onset Date: 01/28/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: none known

Symptoms: Prescheduled eye exam (every 6-7 weeks) and and shot in right eye on 2/3/20 for macular degeneration showed a new large wet macular degeneration in left eye which had been stable for over 2 years. Consequently, shots are now scheduled for both eyes every 6 weeks.

Other Meds: Rosuvastatin, Metoprolol, Tamsulosin, Finasteride, Escitalopram, Omeprazole, Tetracaine, Aflibercept, folic acid, aspirin, vitamin D3, Preservation, vitamin C, Iron, Prilosec, Citrical, Niagen

Current Illness: macular degeneration right eye -- shots every 6-7 weeks for over a year

ID: 1027067
Sex: F
Age: 55
State: NY

Vax Date: 02/08/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: My arm swelled up severely around the site, I have pictures I also was very ill for 24 hours after with chills, no appetite, GI upset

Other Meds: multivitamin, probiotic, acetaminophen taken the same day

Current Illness: none

ID: 1027068
Sex: F
Age: 41
State: NJ

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

Lab Data: none

Allergies: amoxicillin, benadryl

Symptoms: Patient complained of tightness in chest, red flushing in face. Epipen 0.3 mg adminstered in left outer thigh. Within 2 minutes patient stated no difficulty breathing, flushing subsided.

Other Meds: Symbicort 160-4.5, Albuterol HFA inhaler

Current Illness: none

ID: 1027069
Sex: F
Age: 35
State: NC

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

Lab Data: None yet

Allergies: Benadryl, Diflucan, remicade, cefdinir

Symptoms: I have severe Crohn's disease, but was symptom free before my vaccine. This could be coincidental, or it might not be. About 1:30am on 2/11, I woke up in the middle of the night with severe stomach pain. When I awoke again later that morning, the pain was less, but still there. I was then progressively more and more nauseous through the day on the 11th. That night I was awoken again with severe stomach pain. The morning of the 12th I started having blood in my stool, with continued nausea and stomach pain.

Other Meds: Zofran, tylenol, zoloft and trazadone taken at 8pm the night of the vaccine.

Current Illness:

ID: 1027070
Sex: F
Age: 33
State: TX

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

Lab Data: no

Allergies: no

Symptoms: About 10 PM, I had facial hives and it progressed down to my chest and legs. I had itching. I took Benadryl and Prednisone and it went away. I just one dose of each.

Other Meds: no

Current Illness: no

Date Died: 02/09/2021

ID: 1027071
Sex: M
Age: 101
State: WA

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

Lab Data: n/a

Allergies: None

Symptoms: Adverse reaction to the vaccine started with variable weakness beginning 1/29/2021. On 1/30/21 around 8:30pm, he needed assistance in the bathroom related to weakness and had what was later identified as a stroke with left side weakness and slurred speech. In accordance with his wishes, he had care at home. Due to his advanced age and frailty, a CT scan was not pursued. The 325 mg of aspirin that he was previously taking daily was discontinued. After the stroke, he needed total care. Hospice was established at home. Nursing assistant care was delivered by daughter. Death followed 9 days later (2/9/2021).

Other Meds: BP meds x3, Statin, Thyroid, Aspirin, Multivit, Calcium, Vit D

Current Illness: Very elderly

ID: 1027072
Sex: F
Age: 71
State: MI

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: no

Allergies: sulfur, compazine

Symptoms: Horrible headache, mild fever. On the 8th, had hives on legs.

Other Meds: Tylenol

Current Illness: no

ID: 1027073
Sex: F
Age: 65
State: GA

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

Lab Data:

Allergies: Penicillin, sulfa

Symptoms: Hives on upper arm at site of injection, itching

Other Meds: Synthroid 50mcg

Current Illness: None

ID: 1027074
Sex: F
Age: 83
State: CA

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

Lab Data: Blood test 2/11/21 No results yet

Allergies: penicillin, albuterol, hydralazine

Symptoms: 1) Warm places: mostly feet but also legs, bottom. Also tingling. Started on day 5. it is now day 11 and still happening. No diagnosis. 2) "Covid arm" red itchy patch (5" by 3") at injection site. Started day 8, still fading on day 11.

Other Meds: clonidine, levothyroxine, liothyrinine, losartan, atenelol, pravastatin, mysoline, ursodiol, incruse ellipta, zoloft, protonix, carafate, pepcid, probiotic, areds 2, b12, calcium, multivitamin, flonase, miralaz

Current Illness: none

ID: 1027075
Sex: F
Age: 66
State: CA

Vax Date: 01/16/2021
Onset Date: 01/25/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: None

Allergies: Demerol

Symptoms: Red rash on my left arm on the injection site, showed after a week from Jan 16th (date administered). Noticed itchiness on my neck which calmed down after i applied cortizone ointment.

Other Meds: Propanolol, Lisinopril, Nateglinide, Atorvastatin, Levothyroxine, Aspirin 81MG, Vitamin B12, Vitamin D, Magnesioum

Current Illness: None

ID: 1027076
Sex: M
Age: 73
State: NY

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

Lab Data: resident currently in hospital admitted for respiratory failure

Allergies: TUBERCULIN PPD

Symptoms: Resident observed shirtless sitting in wheelchair with 02 @ 2L/M via NC in progress, using substernal accessory muscles, flared nostrils, pursed lip breathing. Alert verbally responsive, unable to speak more than 2-3 words at a time. Reports " I cant breathe". R 30 P 100 02 Sat 89%. Rebreather mask administered, and EMS initiated and transferred patient to emergency room, where he was admitted for respiratory failure.

Other Meds: Advair Diskus 250 mcg-50 mcg; atorvastatin 40 mg carvedilol 25 mg tablet Eliquis 2.5 mg tablet Entresto 97 mg-103 mg finasteride 5 mg gabapentin 100 mg Lasix 40 mg melatonin 5 mg methimazole 5 mg tablet metolazone 2.5 mg ta

Current Illness:

ID: 1027077
Sex: M
Age: 61
State: KY

Vax Date: 01/29/2021
Onset Date: 02/05/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: RECEIVED PFIZER VACCINES ON 01/08/21 & 01/29/21. 02/05/21 SAW PCP IN OFFICE REGARDING NEW RT ARM REDNESS/PAIN. X2 DAYS. DX: CELLULITIS 02/09/21 WENT TO ER TO REPORT WORSENING ARM REDNESS R/T CELLULITIS. REFUSED INPT TREATMENT ABX AND WAS DISCHARGED ON ORAL ABX. 02/12/21 RETURNED TO ER FOR WORSENING ARM CELLULITIS DESPITE ORAL ABX. ADMITTED FOR DX SEPSIS AND CELLULITIS.

Other Meds:

Current Illness:

ID: 1027078
Sex: F
Age: 56
State: TX

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

Lab Data: Oxygen levels, heart rate,

Allergies: Septra, Keflex, avocado, watermelon, banana, celery (uncooked)

Symptoms: Anaphylaxis, itching, tightness of the throat, shortness of breath, low oxygen levels Treatment: 1 Benadryl 1130am, 1 Epipen 1155am, 1 Epipen 1225, steroids intravenously 1pm Outcome: Released home

Other Meds: NO

Current Illness: No

ID: 1027079
Sex: M
Age: 79
State: UT

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

Lab Data:

Allergies: OXYCODONE, PARABENS, HYDROCODONE

Symptoms: PATIENT REPORTED BODY ACHES, HEADACHE, NAUSEA AND THREE EPISODES OF VOMITING. HE WAS TREATED WITH IV FLUIDS, ZOFRAN, AND TYLENOL AND REPORTED SIGNIFICANT IMPROVEMENT IN SYMPTOMS.

Other Meds:

Current Illness: N/A

ID: 1027080
Sex: M
Age: 61
State: FL

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

Lab Data:

Allergies:

Symptoms: Pain and itch and hardness of injection dite

Other Meds: Metformin

Current Illness:

ID: 1027081
Sex: F
Age: 59
State: IL

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: None.

Allergies: Sulfa drugs

Symptoms: Dizziness started day after 2nd dose of vaccine. I had dizziness the first day after 1st dose, but that went away the next day, and I thought it would go away again. But after the 2nd dose the dizziness has not gone away, and just the last two days has seemed to increase. I visited my PCP today and she advised me to report to the CDC just in case, in addition to treating me with meclizine, exercise and follow up,

Other Meds: Atenolol 25mg, levothyroxine 100mcg

Current Illness: None

ID: 1027082
Sex: F
Age: 45
State: OH

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

Lab Data:

Allergies: Valium, high intolerance to shellfish

Symptoms: Full body aches/soreness began ~24 hours after injection and lasted for 30 hours. Significant fatigue began ~24 hours after injection and lasted for 36 hours Headache began at the same time and lasted 12 hours. Treated with ibuprofen.

Other Meds: Mirena IUD

Current Illness: none

ID: 1027083
Sex: F
Age: 76
State: NY

Vax Date: 01/05/2021
Onset Date: 01/15/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Immune Response to vaccine injection with forearm/arm redness/swelling/itching; treated with 3 days of around the clock dosing of Benadryl, along with cold pack application

Other Meds:

Current Illness:

ID: 1027084
Sex: F
Age: 21
State: MA

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

Lab Data: none

Allergies: banana, apple, kiwi, potato

Symptoms: hives, dizziness, flushing. Treated with antihistamine and steroids.

Other Meds: albuterol

Current Illness: none

ID: 1027085
Sex: F
Age: 31
State: IA

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

Lab Data: None

Allergies: Penicillin, Celebrex, Reglan

Symptoms: Low grade fever, muscle pain, chills, sweating profusely, headache, nausea, sore throat, hurts to take a breath

Other Meds: Ibuprofen, Sertraline, Hydroxyzine (night before), vitamin D3, vitamin B3, famotidine

Current Illness: Ear infection

ID: 1027086
Sex: M
Age: 22
State: CA

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

Lab Data: none

Allergies: denied allergies to food, meds

Symptoms: "Moderna COVID-19 Vaccine " pt received vaccine to his left arm. 10 min later (1335) he reported feeling dizzy. allergy tech and i evaluated pt. pt clammy with sweat noted to the back of his neck. pt speaking in full complete sentences. no increased WOB. left radial pulse regular and not elevated, not thready. no hives found. denied itchiness. asked pt if he felt anything stuck in his throat, he swallowed a few times and said "yes". asked if he had much water today, he said no. pt reported it felt a little hard to breathe in his throat. i had him remove his mask. pt reported nausea. denied abdominal pain. had him take a few sips of water. reported he no longer felt anything stuck in his throat, no longer hard to breathe in his throat. pt reported tingling in his left arm. pt worked the night shift. went to work at 1600 on 2/11. ate at 2000, beef and potatoes. had snacks. ate chicken and rice at 0300. usually has a full gallon of water on shift but only had a half gallon. got off at 0400. went to sleep at 0530. usually wakes at 1445-1500 but woke up earlier for this appt. appt was at 1330 but he was here early. had a protein shake 30 min before arrival but has not had much water. thinking the protein shake was causing his symptoms. denies working out today, denied energy drink intake, denied any coffee. pt took a large amount of water and then threw up. pt reported he felt much better. nausea resolved. still no itchiness. no hives. no clamminess. no trouble breathing. no globus. no dizziness. no tingling in his left arm. resolved by 1340. held Epi given he reported complete resolution of his symptoms. seemed likely the combination of being underhydrated, having slept less than usual, facility being a little warm and him wearing a mask and possibly his protein shake contributed. had patient wait 30 minutes (1410). allergy tech sat with patient who continued to speak in full sentences, tell stories, etc. had him stand up slowly. denied dizziness. still no hives, no itchiness, no globus, no trouble breathing, no nausea, no abdominal pain. advised pt of reasons to call 911 (he lives on base where we have ambulance services). advised i would be placing a VAERS report.

Other Meds: denied energy drinks, coffee. did not ask about OTC meds or dietary supplements or herbal remedies.

Current Illness: denied feeling ill lately

ID: 1027087
Sex: F
Age: 49
State: VA

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

Lab Data: None.

Allergies: Latex, bananas

Symptoms: 2/10/21 Headache started at 7pm and progressively got worse. Achy joints and muscles began at 9pm. At 11:30pm I was shaking in bed, low-grade fever, teeth-chattering, muscles tense, couldn't get comfortable. Got up to take Tylenol about 12am. Legs were weak, hands/arms shaking. Took two Tylenol and 4 Advil. Became more comfortable and last looked at the clock at 2am. Woke up with flu aches... Body aches, skin sensitivity. This lasted until 10-11pm on 2/11/21. Woke up 2/12/21 with no symptoms.

Other Meds: Calcium Caltrate, Allertec, Glucosamine/Chondroitin, Womens' One a Day 2/9/21 at bedtime Melatonin 10mg, Potassium 99mg

Current Illness: None.

ID: 1027088
Sex: F
Age: 68
State: GA

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

Lab Data:

Allergies: Penicillin

Symptoms: Chills, fever, rash, very tired

Other Meds: None

Current Illness: None

ID: 1027089
Sex: F
Age: 50
State: NY

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

Lab Data: EKG

Allergies: None

Symptoms: Diaphoretic ; elevated heart rate; SVT

Other Meds: None

Current Illness: None

ID: 1027090
Sex: F
Age: 35
State:

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

Lab Data:

Allergies:

Symptoms: severe pain in arm, radiating to neck - symptom onset: 2/4/2, 11:00 a.m.; symptom end: by morning of 2/5/21 mild arm soreness only lightheadedness, dizziness, nausea, BP 128/78 - 2/5/21 9:00 a.m.; symptoms lasting until noon vomiting - 2/5/21 12:00 p.m. (Patient reports, "I felt a lot better after vomiting though I was still shaky and lightheaded.")

Other Meds:

Current Illness:

ID: 1027091
Sex: M
Age: 43
State: MN

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

Lab Data:

Allergies: Bread molds, penicillins

Symptoms: Hives, swelling of the lips, face and uvula

Other Meds: Zoloft 150mg, Amlodipine 5mg, Gabapentin 100mg, Hydroxyzine 50mg

Current Illness: N/A

ID: 1027093
Sex: F
Age: 57
State: CA

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

Lab Data:

Allergies: MSG

Symptoms: Swelling at injection site, turned to itchy rash at day 2 and 3. Now spreading and dissipating. Applied hydrocortisone and took Zyrtec.

Other Meds: Calcium, turmeric, ginger, and a few others

Current Illness: None

ID: 1027094
Sex: M
Age: 64
State: CA

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

Lab Data: na

Allergies: Fish Containing Products Penicillin G Shellfish Derived Amoxicillin Sulfamethoxazole-trimethoprim Ampicillin Diazoxide Naratriptan Naratriptan Hcl Penicillin V Potassium Penicillins Probenecid Sumatriptan Tamsulosin Thiazides Tipranavir

Symptoms: Patient reported feeling dizzy and having nausea and vomiting.

Other Meds: Acetaminophen, Amlodipine, aspirin, atorvastatin, divalproex, dolutegravir, descovy, lexapro, proscar, neurontin, glipizide, haldol, insulin, Januvia

Current Illness:

ID: 1027095
Sex: F
Age: 48
State: CA

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

Lab Data: none

Allergies: none

Symptoms: hot at extremities (hands) with concomitant chills with no fever nausea Grade 2-3 vomiting (not able to keep liquids down), loss of appetite (2 days so far) only able to eat saltines raging headache

Other Meds: none

Current Illness: none

ID: 1027096
Sex: F
Age: 29
State: PA

Vax Date: 02/07/2021
Onset Date: 02/08/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: Na

Allergies: Na

Symptoms: When I woke up in the morning I was sweaty and cold even though I had blankets on. I had body aches, joint pain, nausea, extreme fatigue to the point that I pretty much sat on my couch all day long zoning out, chills, and fever. Also pain at the injection site and couldn?t lift my arm. The next day I was fatigued and my arm was sore at the injection site.

Other Meds: Pristiq Vitamin d3 Famotidine

Current Illness: Na

ID: 1027097
Sex: F
Age: 34
State: OH

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

Lab Data:

Allergies:

Symptoms: Large reddened and tender area about two inches below the injection site.

Other Meds:

Current Illness:

ID: 1027098
Sex: M
Age: 35
State: AK

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

Lab Data:

Allergies:

Symptoms: With in a few minutes of receiving the injection patient said he felt like he was going to faint. HCP stood next to patient and he remained upright in the chair but his head rolled back, he became pale and sweaty and passed out. Patient recovered and 10 minutes later repeated the episode. Patient recovered and 5 or 10 minutes later he repeated the episode. BP was 90/50, 89/53 and 109/76. He received 25mg of benedryl. An ambulance transported him to the hospital for further observation.

Other Meds:

Current Illness:

ID: 1027099
Sex: F
Age: 38
State: WI

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

Lab Data: None

Allergies: None

Symptoms: Sore arm, body aches, headache, fever, chills, sore throat

Other Meds: None

Current Illness: None

ID: 1027100
Sex: F
Age: 47
State: CA

Vax Date: 01/25/2021
Onset Date: 01/31/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: NOT SURE PT WAS SEEN IN ER

Allergies: NKDA

Symptoms: INFECTION

Other Meds: VIT D, VIT C, ZINC

Current Illness: NONE

ID: 1027101
Sex: F
Age: 46
State: SC

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: None performed

Allergies: Contrast dye, faqtiv

Symptoms: Increased heart rate, faint, arrhythmia

Other Meds: Synthroid, Minivelle, progesterone, pantoprazole

Current Illness: None

ID: 1027102
Sex: F
Age: 35
State:

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

Lab Data:

Allergies:

Symptoms: Elevated heart rate at 140 post vaccination (5 mins). Tingling to extremities, some diaphoresis. HR stayed elevated at 140 for 30 minutes, went to 120 for 1 hours, then 109 after 2 full hours. She was sent home with instructions to go to ED if she becomes symptomatic, symptoms explained.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm