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: 1028416
Sex: M
Age: 69
State: NY

Vax Date: 12/08/2020
Onset Date: 02/06/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data: 2/9/21-Creatine Kinase-78, ESR-19

Allergies: None

Symptoms: Worsening pain in pelvic and shoulder girdle, worst in early morning and upon awakening, abating during the day. Has lasted for over 1 week. Initiated prednisone 10 mg po qd today

Other Meds: Amlodipine, atorvastatin, tamsulosin, Wellbutrin XL, hydrochlorothiazide

Current Illness:

ID: 1028417
Sex: F
Age: 65
State: KS

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data:

Allergies: crustaceans

Symptoms: Moderna COVID-19 Vaccine EUA

Other Meds: omeprazole, eszopiclone, cymbalta, calcium, RevitalU supplement

Current Illness:

ID: 1028418
Sex: F
Age: 54
State: MD

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

Lab Data: N/A

Allergies: none that I know of

Symptoms: Th 11 Feb: initially flushed face within 15 min of shot; chest pressure and shortness of breath within 30 min-1 hr; took benedryl 3 hrs later before bed but woke up next morning (12 Feb) with similar symptoms; symptoms are continuing into 13 Feb with added swollen lip - tool L-lysine and 5mg levozyterizine antihistimine;

Other Meds: Tylenol for Arthritis 2 pills 2X daily; Magnesium; Invigo-flex; D3; FishOil; B Complex; Calcium; Biotin; Probiotics

Current Illness: none

ID: 1028419
Sex: F
Age:
State: WA

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data: Too sick to drive to ER. Completely incapacitated.

Allergies: Multiple allergies

Symptoms: Nausea, vomiting, diarrhea, chills, fever, joint and muscle pain, extreme pain in right arm, numbness and tingling in right arm, inability to move right hand and wrist, coughing, nasal congestion

Other Meds: Declined

Current Illness: anemia, cancer

ID: 1028420
Sex: F
Age: 50
State: IN

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

Lab Data: N/A

Allergies: Penicillin, sulfur

Symptoms: Body aches for 2 days, fever and felt exhausted

Other Meds: N/A

Current Illness: No

ID: 1028421
Sex: F
Age: 68
State: CA

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

Lab Data: NA

Allergies: Penicillin Aspirin

Symptoms: Complaint of tingling tongue. No swelling noted. Initial vitals: T 98.3, BP 122/60, R 16, P 70, O2 97%. Monitored for 30 minutes. Stated the tingling had decreased. Vitals: T 97.4, BP 120/80, R 18, P 72, O2 98%. Left clinic with decreased symptoms.

Other Meds: Vitamins

Current Illness: None stated.

ID: 1028422
Sex: M
Age: 60
State: NY

Vax Date: 02/08/2021
Onset Date: 02/11/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data: I will be getting a COVID test on 2/14/21

Allergies: None

Symptoms: The first day, soreness at the sight of the injection. Days 4-5, a fever 3 degrees above normal.

Other Meds: Vitamin D, Tamsulosin 0.4mg/day, Zyrtec

Current Illness: None

ID: 1028423
Sex: F
Age: 22
State: OH

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

Lab Data: N/A

Allergies: Nickel

Symptoms: Back, neck, knee and hip pain, headache, low grade fever, fatigue, chills, arm pain at, above, and below injection site . All symptoms were off and on for two days.

Other Meds: Nikki Tab

Current Illness: N/A

ID: 1028424
Sex: F
Age: 77
State: IN

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

Lab Data: N/A

Allergies: codeine, macrobid, bactrim, binxin, bysolic, prethoprim

Symptoms: ITCHING, HEADACHE, DIZZY, BODY ACHES, FEVER,CHILL, EAR ACHE AND FATIGUE

Other Meds: laxsis-20 mg, prilosec 20 mg, alor-con-20mg, valsartin-320mg,

Current Illness: UTI

ID: 1028425
Sex: F
Age: 57
State: CO

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

Lab Data:

Allergies: Latex, penicillin, msg, food dyes, nitrates nitrites, corn syrup, dalaudid, tramadol, hydrocodone

Symptoms: Within 2 hours: Headache, extreme fatigue (heaviness and weakness), rapid heart rate (98-134) at rest; joint pain added on day 2. This is still continuing.

Other Meds: Previous night at 10:00 p.m.: Metroprolol, Tylenol, hydroxichloroquin, duloxotine, cychlobenzaprene, B-6, doxipene, D-3, famotidine.

Current Illness: N/A

ID: 1028426
Sex: F
Age: 65
State: MO

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

Lab Data: None

Allergies: None

Symptoms: Chest tightness, hot & cold, fast pulse, itchy red rash on both arms Benadryl 2 capsnone

Other Meds: Fetzema, Cymbalta, MVI

Current Illness: None

ID: 1028427
Sex: M
Age: 43
State: WA

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: fatigue (24 hours) muscle weakness (1 day) headache intermittent (2 days) sore arm (3 days) muscle aches - lower back right scapula

Other Meds: none

Current Illness: none

ID: 1028428
Sex: F
Age: 50
State: AK

Vax Date: 02/05/2021
Onset Date: 02/13/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data: n/a

Allergies: azithromycin, dogs, cats, feathers, dust

Symptoms: At Day 8, the injection site suddenly developed an itchy bump 1/2 inch across and a rash surrounding the bump 3 inches across. It is quite itchy. It was a sudden onset on Day 8, without any precursor except a slight itchiness on Day 2 that resolved by Day 3.

Other Meds: none

Current Illness: none

ID: 1028429
Sex: F
Age: 49
State: NY

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

Lab Data: 2/11/21: 5:30 Returned to testing site, received Benadryl, monitored for 30 minutes. Cleared to leave. 2/11/21: 9pm, hives on entire left side of body. Took antihistamine. 2/12/21: 10:45 seen by primary physician, scheduled dermatology apt. for panel test. Slight temperature. 2/12/21: 11:45: head to to tingling, lightheaded, chest tightened, throat constriction. Went to Cayuga Medical ER . 2/12/21: 6 hours in ER - while waiting, feeling returned at 1:30, 2pm, 2:15 - each time, the feeling was not as severe. Received an EKG, monitored blood pressure and pulse, received steroid pill at 5pm, prescription for an epi-pen. 2/13/21: feeling back to normal

Allergies: Seasonal allergies/hay fever

Symptoms: Head to toe tingling, lightheaded, chest tightening, throat constriction, flush.

Other Meds: daily multivitamin, daily D3 vitamin, daily bee pollen (1/2t)

Current Illness: eczema located on neck, art

ID: 1028430
Sex: F
Age: 36
State: NY

Vax Date: 02/02/2021
Onset Date: 02/06/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data: initial onset of symptoms was numbness and pressure to cheekbone/jaw- was evaluated by dentist- all was normal 2/9/21 urgent care dr visit for ear/sinus pressure and pain, facial numbness 2/12/21 ear, nose, throat normal no sign of infection 2/12/21- call with primary physician office regarding symptoms

Allergies: cephalosporins, sulfas, iodine, shellfish

Symptoms: left side facial numbness/pressure from temple/along cheekbone/ down side of face and jaw to neck, pain in the ear, swelling of lymph node, pain/burning sensation in the neck/shoulder, flushing and warmth to left side of face. all symptoms localized to the same side of injection. All symptoms developed a few days after the second dose and have remained steadily for one week unchanged

Other Meds: none

Current Illness: none

ID: 1028431
Sex: F
Age: 43
State: WI

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data: I had a rapid COVID test on the 24th.

Allergies: None

Symptoms: I have extreme diarrhea and vomiting. I had episodes in the double digits and the diarrhea persisted for 24 hours. I was not able to think clearly or function normally until 5 days after the shot

Other Meds: Daily vitamin, melatonin, calcium supplements

Current Illness: None

ID: 1028432
Sex: F
Age: 61
State: CA

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

Lab Data:

Allergies: Pineapple

Symptoms: After 15min wait patient had glassy eyes and shaky left hand ,increased heart rate ND low glucose. After being observed 30 min more patient was alright to drive. A follow up phone call was made patient was doing fine some pain at injection site.

Other Meds: Clonazepam

Current Illness:

ID: 1028433
Sex: F
Age: 54
State: CA

Vax Date: 01/25/2021
Onset Date: 01/30/2021
Rec V Date: 02/13/2021
Hospital: Y

Lab Data: as above

Allergies: none

Symptoms: Cellulitic Sweet's syndrome of lower extremity. Significant LLE erythema and pain out of proportion to exam that has continued to progress despite broad-spectrum antibiotics, now s/p OR cut down x3 with no e/o necrotizing fasciitis. Initially most c/f infection/cellulitis, however in discussion with ID, rheum, and derm and given progression of rash in s/o broad spectrum Abx and negative tissue cultures, now most suspicious for cellulitic variant of Sweet's syndrome (SS). Pathology report w/neutrohpliic inflammation w/evidence of ischemia, w/o evidence of infection, c/w Sweets Syndrome. While this is a rare disorder, it primarily occurs in the setting of recent infection or malignancy. Currently working up potentially triggers. Infectious work up thus far negative. Hematologic malignancy most often linked with SS, given new and worsening pancytopenia, will consult heme for recommendations for additional work up. Other potential triggers include vaccinations (question about COVID vaccine recently) and often idiopathic. Maintain of treatment for SS is steroids, dermatology currently managing dosing.

Other Meds: acamprosate, albuterol, buspar, combivent, descovy, duelra, iron, lasix, gabapentin, ibuprofen, levalbuterol, lithium, ativan, provera, methadone, mirtazapine, protonix, seroquel, senna, thiamine, dolutegravir, lactulose

Current Illness: unknown

ID: 1028434
Sex: F
Age: 66
State: IL

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

Lab Data: N/A

Allergies: Lactose Intolerant; Amoxicillin; Sulfa; Tobramyacin eye drops;

Symptoms: soreness at site; chills; fever; tiredness; headache; diarrhea; loss of appetite

Other Meds: Pantoprazole-40MG; Calcium 600mcg Plus Vitamin D3 20 mcg; Multivitamin Adults 50+;Ceylon Cinnamon 1,200 mg; Iron 65 mg; Aspirin 81 mg; Metoprolol Tartrate Tab 25 Mg; Oxybutynin Cl Er Tab 10Mg; Lactase Enzyme/Dietary Supplement 1 chewable ta

Current Illness: N/A

ID: 1028435
Sex: F
Age: 35
State: WA

Vax Date: 02/01/2021
Onset Date: 02/08/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data:

Allergies: Zithromax Garlic Red-40 Lavender Clams (sensitivity) Gluten (sensitivity) Sodium (sensitivity)

Symptoms: Covid arm - itchy red rash developed on day 8 following vaccination. Swollen around the injection site. Still slightly itchy and red 5 days after showing up.

Other Meds: None

Current Illness: Migraines

ID: 1028436
Sex: F
Age: 72
State: CA

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

Lab Data: NA

Allergies: None stated.

Symptoms: Complaint of itching at injection site.

Other Meds: Plaquenil, Temazepam, Venaflexa, Losartan, Lorazepam

Current Illness: None stated.

ID: 1028437
Sex: F
Age: 73
State: CA

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data: CT scan clear Normal blood, urine

Allergies: None

Symptoms: The next morning I woke up with severe dizziness and nausea.

Other Meds: None

Current Illness: Neck injury with headache and slight dizziness

ID: 1028438
Sex: F
Age: 67
State: IN

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data: none

Allergies: mercury

Symptoms: fever, Chills, muscle aches, sick at my stomach, could not eat for 2 days, headaches, runny stools all of these have lasted 3 days

Other Meds: citalopram and pantoprazole

Current Illness: none

ID: 1028439
Sex: F
Age: 82
State:

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

Lab Data:

Allergies: sulfur cyclosporine

Symptoms: Extremely painful sore throat. Gargled with peroxide and water. Slowly getting better today 2-13. Fatigue

Other Meds: Acyclovir Methenamine Hipp Metoporol hydrochlorothiazide aspirin align biotin d3 c1000 zinc 10

Current Illness: high blood pressure iron deficiency anemia

ID: 1028440
Sex: M
Age: 82
State: IN

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data: None

Allergies: none

Symptoms: General nausea, tiredness, discomfort

Other Meds: atorvastatin, ramipril, latanoprost, fish oil, multi-vitamins

Current Illness: None

ID: 1028441
Sex: M
Age: 82
State: ME

Vax Date: 02/02/2021
Onset Date: 02/09/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Vaccinated on Feb 2, slight pain in the side of injection for two days, Then on Feb 9 (5 days after injection) strong gradually increasing pain in R leg at hip and knee (medial side) - these parts were painful previously but not as strong pain as it is now. Using ibuprofen 200mg two tablets (400mg) twice a day with 80 % relief, strong pain during walk, but still worse during the night - difficult to find right position to reduce pain.

Other Meds: metoprolol tar (Milan Co) beta blocker 25 mg twice a day

Current Illness: hypertension

ID: 1028442
Sex: F
Age: 24
State: IN

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

Lab Data:

Allergies: Bees.

Symptoms: Fatigue for about 6 hours.

Other Meds: None.

Current Illness: None.

ID: 1028443
Sex: M
Age: 26
State: CA

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

Lab Data:

Allergies: None

Symptoms: Received the first dose 12:30pm Thursday(2/11). Around 6pm that same night I notice the first symptom. I had a super strong headache that lasted the next 24 hours or so. Still lingering now but not as bad. Around 3am Friday (2/12) I woke up with chills and the inject spot was extremely tender. All day Friday I had signs of a fever. Chills and felt cold but body was hot to the touch. This lasted all day and it kept Me in bed the whole day. Around 6pm Friday night, my injection spot was extremely sore , and there was a red circle, about the size of a gold ball around the spot. That?s also when I noticed I had shortness of breath and was having a little difficulty breathing. Around 8pm I noticed I had really high anxiety that was abnormal. It went away in about 30 mins or so. I thought it was strange as I normally don?t have anxiety that bad. I went to sleep around 10pm and woke up at 5am itchy with a red rash/hives on the upper half of my body, mostly the neck and chest area. Also the red circle around the injection site grew to the size of a baseball. The headache is still there but not as bad . Maybe 2/10 Severeness. I feel better in terms of the fever and breathing today (2/13). However the rash/hives has gotten worse and seems to be spreading slowly. I plan on taking Benadryl when I grab it from the store in 30 mins or so

Other Meds: None

Current Illness: None

ID: 1028444
Sex: F
Age: 76
State: CA

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data: I got a Covid test 2/12 nasal swab. Also antibodies test which was negative but did not preclude SARS-CoV-2 infection. Just received test results 2/13 of NEGATIVE

Allergies: none

Symptoms: Slight headache began about 6 hrs after shot. Extreme tiredness and light headedness hit the morning of the next day. Complete loss of energy...and I am a VERY energetic person. Tiredness and light headedness has continued from 2/4 thru 2/13 with no let up. 11 hrs of sleeping at night after being on couch all day. NO loss of appetite, taste, smell, fever, or aches. Headache lasted only a few days.

Other Meds: L-thyroxine, LosartanPotassium, Sertraline HCL, Triamterene-HCTZ, Vit D3, Probiotic 10

Current Illness: none

ID: 1028445
Sex: F
Age: 60
State: FL

Vax Date: 02/05/2021
Onset Date: 02/13/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: 3" round itchy rash on arm injected 8 days after receiving vaccine. Pain in arm at site of injection. Lasted 2 days.

Other Meds: Multi vitamin, D3, Propranolol 10mg

Current Illness: none

ID: 1028446
Sex: F
Age: 63
State: PA

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data:

Allergies: IVP dye, Tamiflu, Celebrex

Symptoms: Fever up to 100.8, for 24 hrs, 99.2-5 for 24 hrs, headache, body aches, fatigue, minimal arm soreness, rosacea like spots on right arm

Other Meds: Vitamin D, Vitamin B12, preservision, estrogen

Current Illness: None

ID: 1028447
Sex: F
Age: 68
State: IN

Vax Date: 02/05/2021
Onset Date: 02/11/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Swelling and redness at injection site, beginning one week after injection and lasting for several days. Still ongoing

Other Meds: Prilosec and Lexapro

Current Illness:

ID: 1028448
Sex: F
Age: 80
State:

Vax Date: 02/01/2021
Onset Date: 02/08/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data:

Allergies: Penecillan, comcastdye

Symptoms: shooting pain's in back at waist like someone is putting knife in back. Was sore in back next 2 days. Not sure how long it lasted was there for over 45 min.

Other Meds: Xarelton 20mg, Furasemide 25mg, Spironalactone 25mg, Diltiazem 40mg, Xopenex 2 puffs per exercise, Xopanex 20mg 1day, astapro 20 mg 2 day, nasanex 50 mg, symbicort 160mg cetrum silver , vir c,

Current Illness: none

ID: 1028449
Sex: F
Age: 67
State: CO

Vax Date: 02/06/2021
Onset Date: 02/12/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data:

Allergies: some sulfa based antibiotics photo dermatitis Allergies to tree pollen, wild grass pollen on seasonal basis Some shellfish sensitivity which varies and has not been severe some vinegar reaction occasional alcohol flushing as reaction to certain Beer or other beverages

Symptoms: Moderna Arm: classic symptoms as documented online.

Other Meds: 0 Prescriptions Multivitamins Vitamin D supplement Turmeric supplement-occasionally

Current Illness: none

ID: 1028450
Sex: F
Age: 48
State: OH

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

Lab Data:

Allergies: Copaxone

Symptoms: Arms have hives that are red and itchy

Other Meds: N/A

Current Illness:

ID: 1028451
Sex: F
Age: 47
State: IN

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

Lab Data:

Allergies:

Symptoms: Chills, fever over 100, body aches, fatigue

Other Meds: Armour Thyroid, adderall

Current Illness: None

ID: 1028452
Sex: F
Age: 88
State: IA

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/13/2021
Hospital: Y

Lab Data: 2/8/2021 EKG SINUS RHYTHM MOBITZ I AV BLOCK (WENCKEBACH) RIGHT BUNDLE BRANCH BLOCK PROBABLE INFERIOR INFARCT, AGE INDETERMINATE PROBABLE ANTEROSEPTAL INFARCT, AGE INDETERM... 2/5/2021 MRI Brain wo Contrast 1. The study shows scattered small acute/subacute ischemic insults as described above. The pattern is most consistent with an embolic phenomenon. There is no associated hemorrhage. The largest lesions involve the tail of the right caudate nucleus and right thalamus, posterior left external capsule and right margin of the anterior corpus callosum. 2. Bilateral small punctate foci of ischemia in the cerebellum 2/5/2021 CTA Head Neck w wo Contrast w Perfusion CT PERFUSION: 1. Unremarkable CT perfusion of the head. CTA HEAD: 1. No aneurysms, vascular malformations, or significant flow limiting stenosis within the intracranial vasculature. CTA NECK: 1. No significant flow limiting stenosis of the carotid or vertebral Arteries. 2/5/2021 CT Head wo Contrast-Stroke Alert Only No acute intracranial process. No acute intracranial hemorrhage. Chronic left basal ganglia infarct. Extensive chronic ischemic disease. 2/5/2021 EKG Sinus rhythm... Short PR interval... Right bundle branch block... Significant baseline artifact in the inferior leads.... Appears unchanged from 9/30/19... 2/5/2021 Echo complete with Bubble Study A complete two-dimensional transthoracic echocardiogram was performed (2D, M-mode, Doppler and color flow Doppler). There is moderate asymmetric left ventricular hypertrophy. Ejection Fraction is estimated at >70%. No regional wall motion abnormalities noted. Grade 1 LV diastolic dysfunction Contrast injection shows no right to left atrial shunt Mild aortic regurgitation.

Allergies: Quinidine

Symptoms: The patient suffered embolic strokes and was admitted to the hospital the day after she received her first COVID-19 vaccination. She has a history of strokes, with atrial fibrillation, but was faithfully taking her Eliquis at the time she suffered these recurrent strokes.

Other Meds: amiodarone (PACERONE) 200 MG tablet Take 0.5 tablets by mouth daily. apixaban (ELIQUIS) 2.5 MG TABS tablet Take 1 tablet by mouth 2 (two) times daily. atorvastatin (LIPITOR) 40 MG tablet TAKE 1 TABLET BY MOUTH AT BEDTIME lisinopril (PRINI

Current Illness: none

ID: 1028453
Sex: M
Age: 95
State: CA

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data: none He has not had any adverse events. We are just reporting this so they don't contiue giving the wrong covid vaccine!

Allergies:

Symptoms: Patient was first given the first dose of Pfizer at the Hospital. He was told to go to Hospital on Feb 3, 2021 for the second dose. He told them he needed the same medicine for the second dose. He was told it didn't matter. They gave him the maderna vaccine. We called Hospital, and they didn't say much. This is written by his daughter . I was not with my dad, dont know lot number, etc.

Other Meds:

Current Illness:

ID: 1028454
Sex: F
Age: 45
State: OH

Vax Date: 01/25/2021
Onset Date: 02/06/2021
Rec V Date: 02/13/2021
Hospital: Y

Lab Data: 3- EKG, 1 CXR negative, 5 troponin always 0.04, DDimer 355, CBC, CMP, echo negative, cardiac stress negative.

Allergies: None

Symptoms: 10 days after second dose awoke at 11:30 at night with nausea then after a few minutes began to itch and break out into hives then proceeded to get chest pressure and unable to breath until I passed out. Husband able to revive me 3 times until 911 came then went to urgent care Nausea with vomiting and chest pain, back pain, heart burn, and urinal incontinence. Sent to MC for NSTEMI work up of echo and cardiac stress test. Cardiologist said NSTEMI from low oxygen and hypotension.

Other Meds: Phentermine 37.5 mg take 1/2 pill daily

Current Illness: None

ID: 1028455
Sex: F
Age: 78
State: CA

Vax Date: 01/29/2021
Onset Date: 02/06/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data: none

Allergies: none known

Symptoms: ~1 wk after injection big red itchy rash appear on injection arm below injection site. Thought maybe a bite UNTIL a same thing happened to a friend. Physician friend asked if I used anything like Miralax. I do. POSSIBLY MORE IMPORTANT, however, is that I had a colonoscopy 2 days before injection with Miralax prep - 14 doses in a 12 hourr period.

Other Meds: yes

Current Illness: none

ID: 1028456
Sex: F
Age: 24
State: NY

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

Lab Data:

Allergies: Penicillin, cats, grass

Symptoms: Sore throat, 2pm Fatigue, 6pm

Other Meds: Levothyroxine 75mg, Methylphenidate 18mg, Claritin-D

Current Illness:

ID: 1028457
Sex: F
Age: 17
State: WA

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

Lab Data:

Allergies: no known allergies

Symptoms: Patient received 2nd Moderna (Covid-19) dose under the age of 18. No adverse reactions/allergies were reported from the first dose.

Other Meds:

Current Illness:

ID: 1028458
Sex: F
Age: 56
State: AK

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data: None

Allergies: Morphine Birch related raw fruits and vegetables, most all pitted fruits, raw carrots, celery Sulfa Percocet Codeine Vicodin

Symptoms: In less than a minute - the time it took me to got sit across the room (15sec?) I felt a funny "knot" in my stomach. Then I felt warm and then I felt palpitations. I have an Apple Watch so I quickly got my pulse/heart rhythm. My heart rate is usually in the upper 60's. While feeling palpitations my heart rate went up to upper 80's. It subsided within a minute. I did not have a reaction to the first dose of Moderna Vaccine. I took 20mg of Ceterizine prior mo my 1st dose because I was afraid of a reaction in a grocery store!

Other Meds: None this time. I took 20mg Zyrtec for the first vaccine on Jan 3rd

Current Illness: History of migraines

ID: 1028459
Sex: F
Age: 65
State: CA

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

Lab Data: None

Allergies: Statins, Lobster, some wines, tramadol

Symptoms: Muscle aches, prickly lower lip and tongue, swollen and small amount of blistering to the lower lip, redness and slight swelling to the tip of my tongue. Took Tylenol 1000 mg, Liquid Benadryl 50mg. Improved symptoms and was able to sleep but currently the prickly sensation to lips and tongue are returning. Therefore, I took another does of Tylenol 1000 mgs and Liquid Benadryl 50mgs by mouth.

Other Meds: Losartan, Amlodipine, Pepcid, aspirin 81, Turmeric, MVI, vitamin C, zinc

Current Illness: Presumptive COVID-19 positive in December 2020

ID: 1028460
Sex: F
Age: 78
State: FL

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data:

Allergies: Flatly, Prozac, Levofloxacin, Asmonex inhaler powder, Amlodipine5 mg. Mfg Lupin

Symptoms: Hour after vaccine shot started with Slightly swollen lips & numbness in the lips red color of cheeks. . Took Benadryl and 16 ounces of water around 1hour 15 minutes after shot Two hours after shot experience slight sore throat lightheadedness head cold symptoms Symptoms lasted another six hours took a second then a drill. Rank another three bottles of water Symptoms became lighter with a little bit of a headache After 20 hours everything went away except tiredness and light headaches

Other Meds: Symbicort 80/4.5. 2 buffs in am

Current Illness: Rheumatoid arthritis , knee osteoarthritis, Epstein, Hashimotos+AT 6 thyroid

ID: 1028461
Sex: M
Age: 66
State: IN

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

Lab Data: N/A

Allergies: None

Symptoms: Bad headache, sore arm, and woke up in a sweat after going to bed.

Other Meds: Atorvastatin, Bayer Aspirin 81mg, Vitamin E, Vitamin D, Vitamin B12, Magnesium, Centrum Silver.

Current Illness: Dizziness, poor balance

ID: 1028462
Sex: M
Age: 75
State: IN

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

Lab Data:

Allergies:

Symptoms: Began evening of 02/11/2021 with injection site soreness, severe body ache, headache, severe body chills, slight fever and night sweats. Finally subsided by evening of 02/13/2021.

Other Meds:

Current Illness:

ID: 1028463
Sex: F
Age: 36
State: OK

Vax Date: 01/23/2021
Onset Date: 01/26/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data: They did a Covid test on me and it was negative just major swelling in my face and mouth

Allergies: N/A

Symptoms: My face slowly started to swell and then on Tuesday afternoon it was extreme and very uncomfortable and scary because the sides of my face and Tongue was very swollen. Which made me panic and made it worse. I have the feeling in my cheeks like you were about to eat a lemon or lime were thinking about eating it the little tingling feeling but it was that times like 10. Went to the ER in And they gave me antibiotics and told me to eat a bunch of lemons or lemon drops and drink water. At first I didn?t even think it would be a reaction because it was three days later but the emergency doctor believes it was from the shot.

Other Meds: Lemons, lemon drops and antibiotics

Current Illness: N/A

ID: 1028464
Sex: F
Age: 68
State: SC

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data:

Allergies: PCN

Symptoms: Most of the vaccine ran down my arm. My are felt the cold liquid before the needle was anywhere close to being injected. The administrator wasn't sure if it was a faulty syringe or his error, but acknowledged that my shirt sleeve was very wet. He had no idea how much vaccine actually was administed but stated he could not attempt a second injection.. I contacted my physician, SCDHEC, the CDC and was sent in circles. Noone knew how to handle this error. I travel internationally and am VERY concerned that I do NOT have adequete protection without this second dose and have requested that someone address this; but no one has and all claim that they have no guideance in this particular situation.

Other Meds: None

Current Illness: None

ID: 1028465
Sex: F
Age: 77
State: TX

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

Lab Data:

Allergies: none

Symptoms: c/o dizziness Patient disoriented to name and year for about 3min when medical and EMS arrived. Mental status back to normal after 3min. Reports anxiety, denies chest pain, SOB, palpitation, dizziness, headache. BP: 117/65 ( sitting), 147/71 ( standing) HR: 94 Sp02: 98% No acute distress, seen and cleared by EMS

Other Meds: lisinopril, hctz, prednisone, methotrexate, folic acid

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm