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: 1031724
Sex: F
Age: 55
State: FL

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: n/a

Allergies: nka

Symptoms: After client received vaccine client states that her heart was racing. Vital signs obtained by EMS. Vital Signs BP 120/74, Pulse 100, O2 sat 99%. Client states she fees better Client discharged home by EMS.

Other Meds: none

Current Illness: none

ID: 1031725
Sex: M
Age: 89
State: KY

Vax Date: 02/08/2021
Onset Date: 02/12/2021
Rec V Date: 02/15/2021
Hospital: Y

Lab Data: Resp panel, CK, LDH, Troponin, CMP, Ferritin, CRP, PCT, Chest XRay. patient admitted on 2/14/21 and is still inpatient as of this report

Allergies: Aspirin

Symptoms: 2/14/2021 Resp panel: COVID19 + Started on 2/14/21 Dexamethasone 6 mg po daily and on 2/15/21 Remdesivir 200 mg IV x1 dose then 100 mg IV daily x 4 doses. 89-year-old male presents to the emergency room with epigastric abdominal pain and shortness of breath and was found to have acute pancreatitis and COVID-19 pneumonia.

Other Meds: Proscar, Gabapentin, Glimepiride, Azithromycin, Acetaminophen, Pravastatin, Silodosin, Cyanocobalamin, Triamcinolone 0.1% cream

Current Illness: ? Back pain ? Diabetes mellitus ? Hyperlipidemia ? Immobility ? Low back pain ? Neuropathy ? Neuropathy ? Prostate enlargement

ID: 1031726
Sex: M
Age: 82
State: CA

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: none

Allergies: amoxicillin

Symptoms: mental only, no physical effect. Disjointed thoughts, incomplete but w/ accurate data, Felt as if no control over mind and losing my mind.

Other Meds: arginine, excellent E, red yeast rice, turmeric & ArterOsil

Current Illness: none

ID: 1031727
Sex: U
Age: 57
State: MI

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: SEE ABOVE

Allergies: NONE LISTED

Symptoms: EMS WAS REQUESTED FOR POSSIBLE ALLERGIC REACTION. BP 190/100 HR 110 98% OXYGEN ON ROOM AIR. SHE DECLINED FURTHER MEDICAL EVALUATION/CARE. RELEASE AGAINST MEDICAL ADVISE

Other Meds: NONE LISTED

Current Illness: NONE LISTED

ID: 1031728
Sex: F
Age: 59
State: MO

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: Please contact Warrensburg Missouri Med Center. They ran many tests starting Jan 22 2021

Allergies: Penicillin

Symptoms: Fever for 2 to 3 weeks 103, tremors, chills, sweats, headaches, bladder infection

Other Meds: Lisinopril, Levothyroxine, Quetiapine, Allegra, Cymbalta

Current Illness: Urinary Tract Infection

ID: 1031729
Sex: F
Age: 66
State: MS

Vax Date: 02/03/2021
Onset Date: 02/10/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: N/A

Allergies: Sulfa, lisinopril

Symptoms: 7 days after vaccination 2/10/2021 warm, indurated area at injection site noted. Approximately 10cmx5 cm. + urticaria . Resolved over next 24-36 hours

Other Meds: Olmesartan, lasix, corgard, omeprazole, vit d, preservision

Current Illness: HTN, FMD, REFLUX

ID: 1031730
Sex: F
Age:
State: PA

Vax Date: 02/13/2021
Onset Date: 02/15/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: lactose intolerant wheat many drugs

Symptoms: I suffer from neuropathic pain in both my feet at night in bed. It is alleviated by Voltaren or Icy Hot spray. This exaggerated pain in my feet had me up the entire night and nothing relieved it. I had to walk around and try to ease the pain but nothing gave me any relief. At 6am I took 2 1/2 gr of Valium and finally fell asleep for 3 hours. I was much better in the morning.

Other Meds: magnesium vitamin C .D. B12 Sp[irolactone

Current Illness: none

ID: 1031731
Sex: M
Age: 99
State: PR

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

Lab Data: Unknown

Allergies: None

Symptoms: Patient is a 99-year-old man with prostate cancer and sprouting eyes. No signs of dementia; awake, alert, and oriented by 3 (person, place, time). The patient needs a walker and a person assisting so he can move. He visited the pharmacy and came with two family members. After I evaluated the patient, I administered the vaccine. Just after the administration of his first dose of the Covid-19 Vaccine he felt very dizzy and with severe headaches after standing up. Family members told me the patient occasionally suffers from dizziness when he changes from the sitting position to the standing position. I sat him again and he keep telling everyone he did not felt fine. He was semi unconscious; his eyes were almost wide shut and his family members besides me told me he felt cold and never had dizziness like this. Just after that, I asked him if he could breathe, and he nodded yes with his head. I was ready for applying CPR or oxygen depending on the scenario. But I was very worried for him because of his age and decided to call the ambulance. The paramedics came in half an hour, but he started to feel better after a while. The paramedics got his blood pressure and was low and his glucose levels were high. They recommended the patient to go to the hospital, but he refused. He talked with his family members and instead decided to go home.

Other Meds: None

Current Illness: Prostate Cancer

ID: 1031732
Sex: F
Age: 48
State: MD

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

Lab Data:

Allergies: Tree nuts, sunflower, sesame seeds

Symptoms: Within four hours = sore arm, "heavy head" 24 hours = sore arm, headache, stomach cramps, headache, sore jaw, muscle aches 36 hours = all of the above with a fever not to exceed 100.7 48 hours = no symptoms 72 hours = cold symptoms, runny nose/congestion, chills, no fever

Other Meds: Hydroxychloroquine 200mg/daily, vitamin D - 2,000 IU/daily, vitamin B - 2500 mcg

Current Illness: NONE

ID: 1031733
Sex: M
Age: 69
State:

Vax Date: 02/11/2021
Onset Date: 02/13/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: I have a swollen armpit in the right arm in which I received the shot. It is sore but I have no other adverse symptoms at this point.

Other Meds: None

Current Illness: None

ID: 1031734
Sex: F
Age: 66
State: TX

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: None

Allergies: Sulpha - anaphylaxis Cephalexin - Keflex rash Latex - swelling on contact Wheat & Gluten - I have Celiac Mometasone Furoate - causes blood pressure spike Ipatropium - sinus congestion, coughing, headache Biaxin - nausea

Symptoms: No reaction to first dose. However, 12 hours after receiving the second dose, I experienced the following reactions, which lasted about 12 hours. Projectile vomiting and dry heaves Nausea Muscle aches, cramps, and spasms Chills Fever Sweats Headache in upper shoulders, neck, and back of head (intense)

Other Meds: Prescription Drugs Advair (115/21) 1 puff twice a day (or as needed) Azelastine .15% nasal spray (1xday or as needed) Estradiol vaginal cream 1 gram 2xweek Lisinopril 5 mg (1xday) Montelukast 10 mg (1xday) Omeprazole 10 mg (1xday) Pepcid 20

Current Illness: None

ID: 1031735
Sex: M
Age: 67
State: WI

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

Lab Data: None

Allergies: No known

Symptoms: No adverse event reported. It was determined that only air was administered at time of vaccination.

Other Meds: No known

Current Illness: No known

ID: 1031736
Sex: F
Age: 43
State: WY

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: NDKA

Symptoms: immediate nausea, dizziness, headache. By that evening, I had chills, was febrile, body aches, GI issues that lasted until Thursday 12/31 and abruptly stopped at around 18:00 hours. The second injection was the same but, more intense. Almost immediate nausea, headache and dizziness. After approx. 40 min I was taken down to the ER. A line was established. I was given IV Zofran and Tramadol. I became diaphoretic with pallor. blood tubes were drawn, I am unaware if any tests were ran. I was released with a script for Tramadol and was told to take it with Benadryl. I again became febrile with chills, I had body aches, and pain in my spine and headache. I did not have GI problems this time. At night I experienced full body itching (only at night) that would keep me up at night. The head ache remained for two weeks (dull). The spine pain is still present. It has become less painful but is present everyday. It does progress in pain as the day goes on. The injection site became red an inflamed (more so than the first injection), there was a large lump that lasted for 12 days and is still tender to touch at this time.

Other Meds: Adderall, Lamotrigine

Current Illness: COVID-19 POS 12/05/2020

ID: 1031737
Sex: F
Age: 70
State: ND

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: arm stiff hot achy itchy since 2/10/2021 headache stiff neck

Other Meds: vitamin d zinc toprol xl pravachol wellbutrin zestrol

Current Illness:

ID: 1031738
Sex: F
Age: 53
State: KY

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: None

Allergies: Latex

Symptoms: Blocked ears ( still occur), dizzy spells and nausea for three days.

Other Meds: Amlodipine 10 m g ( Taken at 8:30 p.m.) on January 26.

Current Illness: Both of my ears were blocked ( It felt like when I am in an aircraft ). However, they pained and I took tylenol to help alleviate the pain. Additionally, I experienced dizzy spells and was nauseated for three days.

ID: 1031739
Sex: M
Age: 76
State: FL

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: About 1:35 am I was experiencing acid reflux, I prepared some alka-seltzer. As I was beginning to drink it I started to feel faint, My legs started to give out, my glass dropped into the sink, and a was flat on my back on the floor. I got up and went to bed. As I lay there uncovered I began to perspire, but that soon stopped. After 10 minutes I pulled the sheet over me and 30 minutes later I pulled the blanket over me. At about 2:30 am I was feeling normal except for the reflux. I took a full dose of alka-seltzer and have had no more problems since then. I believe the acid reflux was from eating and drinking wine that evening. I don't know of the fainting was from the vaccine or a touch of flu for one hour.

Other Meds: Glucosamine-condroitin, Omega-3, Iron

Current Illness: none

ID: 1031740
Sex: F
Age: 51
State: CA

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: None

Allergies: Aspirin and erythromycin.

Symptoms: Headache, fever, chills, sore throat, sore arm.

Other Meds: Yes. Multivitamin, Citrical, B12, Hair Skin and Nails, COQ10, D3, probiotic, Allegra-D 12 hour, Fluticasone.

Current Illness: None

ID: 1031741
Sex: F
Age: 71
State: CA

Vax Date: 02/06/2021
Onset Date: 02/14/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: On 2/14/21 I had fever, dizziness, and extreme pain at injection site. On 2/15/21 I had slight fever, no dizziness, arm still very sore and now with 4? by 3? oval raised red rash and with approx. quarter inch blister in the center of oval rash. The entire site is also hot to the touch.

Other Meds: Synthroid 110mcg, losartan 50mg, Amlodipine 5mg.

Current Illness: None

ID: 1031742
Sex: F
Age: 44
State: GA

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: n/a

Symptoms: Sore right underarm and right side of neck. Swollen lymph nodes right underarm, upper chest on right side and right side of neck in front.

Other Meds: Prilosec 40mg and Efexxor XR 75mg

Current Illness: n/a

ID: 1031743
Sex: F
Age: 75
State: CT

Vax Date: 02/11/2021
Onset Date: 02/13/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: Clindamycin

Symptoms: Severe rash on arm. Still have it after 4 days

Other Meds: Anoro Ellipita Verapamil Multivitamin

Current Illness:

ID: 1031744
Sex: F
Age: 33
State: WA

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

Lab Data:

Allergies:

Symptoms: Starting about 9 hours after vaccination, started to get chills, bodyaches ,nausea dizziness and approximately 6 episodes of vomiting. This resolved around 16 hours after vaccination. continued to have fatigue and bodyaches until about 24 hours after vaccine but then started to get painful axillary LAD on the side of injection (left). LAD resolved 3 days later.

Other Meds:

Current Illness:

ID: 1031745
Sex: F
Age: 56
State: OR

Vax Date: 01/18/2021
Onset Date: 01/20/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: none that is known

Symptoms: Within 2 days of receipt of the 2nd dose of the vaccine (Shingrix) developed hives. Large red patches lower back to upper buttock, both upper arms and where upper and lower arm meet, both legs upper thighs and lower legs, lower abdomen. The areas became very red, hot and itchy. After 4-5 days the skin started to dry off and within a week, week and a half started to become extremely dry and peal off. It is now a month after and my lower legs are still peeling. I made an appointment with a professional. Took Benadryl for 5 days. Use close to large bottle of body lotion to make the situation bearable. This was not an expected outcome that was listed on the handout. It was confirmed by the healthcare professional that it was not an episode of Shingles but an allergic reaction to something that was in the serum. Further testing was not ordered.

Other Meds: none taken

Current Illness: none

ID: 1031746
Sex: F
Age: 16
State: NY

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: Also, labs were drawn just prior to vaccinations.

Allergies: None

Symptoms: Tonic-Clonic Jerking of extremities, assciated with loss of consciousness lasting 45 seconds. No post Ictal state or period.

Other Meds: Flonase, Motrin

Current Illness: Vitamin D Deficiency

ID: 1031747
Sex: M
Age: 53
State: IA

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: Seen physician and diagnosis Cellulitis released

Allergies:

Symptoms: Headache; achiness; redness/swelling at injection site. Seen physician and diagnosis Cellulitis and released. Missed 1 day of work

Other Meds:

Current Illness:

ID: 1031748
Sex: F
Age: 72
State: WA

Vax Date: 02/04/2021
Onset Date: 02/10/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: no laboratory or medical tests done during this event.

Allergies: Bactrin/ciprofloxain/keflex/clindamycin/codeine/oxycodone/tramadol/penicillin

Symptoms: 6 days after the first vaccine taken diarrhea started with abdominal pain each morning and lasted about 6 hours. Pain and diarrhea subsided for that day. Next morning, the pattern started over and this lasted for 6 days in a row.

Other Meds: Indur/insulin/latanoprost/lisinopril/protonix/atorvastain/timolol

Current Illness: none

ID: 1031749
Sex: F
Age: 71
State: FL

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: n/a

Symptoms: Severe headache, nausea, vomiting, diarrhea.

Other Meds: Vascepa, Valacyclovir, Amlodipine, Levothyroxine, staten, B12, C, D3, MSM, Turmeric, Biotin, Zinc, Magnesium,

Current Illness: I was diagnosed with Covid on January 14

ID: 1031751
Sex: F
Age: 74
State: FL

Vax Date: 01/30/2021
Onset Date: 02/15/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: none

Allergies: sensitivity to coedine immunity to bactrim

Symptoms: Arm has been itching a little bit, and I noticed a red halo right around the injection site, and maybe three inches in diameter.

Other Meds: lyothorin 5mg 2x daily levothroxine 150 mg daily victosa 1.8 injection metformin 1000 mg daily lysenopril 5 mg daily healthy eye century co-q-10 200 mg super C immune complex with anti oxidants calcium 1000 mg grapeseed extract cats

Current Illness: None

ID: 1031752
Sex: F
Age: 70
State: CA

Vax Date: 02/05/2021
Onset Date: 02/14/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: Red, slightly swollen, skin around injection site appeared nine days after vaccine administered.

Other Meds:

Current Illness:

ID: 1031753
Sex: F
Age: 68
State: IL

Vax Date: 02/04/2021
Onset Date: 02/10/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: no reaction until six days following inoculation of 1st dose. Swelling , redness and itchiness at injection site. This lasted for approximately 4 days .

Other Meds: Premarin

Current Illness: none

ID: 1031754
Sex: M
Age: 69
State: OH

Vax Date: 02/10/2021
Onset Date: 02/15/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: Nine

Allergies: Nine

Symptoms: Five days after injection woke up with stomach acid, headache, chills, fever (100.1)and increased fatigue after no side effects first four days except fatigue and arm soreness.

Other Meds: Several OTC supplements Ritalin 10 mgs QID Levothyroxine

Current Illness: None

ID: 1031755
Sex: F
Age: 60
State: CA

Vax Date: 01/21/2021
Onset Date: 01/29/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: Birth control seasonale

Symptoms: Rash developed on trunk, arms on day 7 after vaccination. Patient was seen 2/04/2021, treated with steroids and Benadryl, improved

Other Meds: Primidone 50 mg, Dilantin 100 mg, phenobarbital 60 mg, Clozaril 50 mg, Cymbalta 60 mg, furosemide 20 mg, potassium 8 mg, docusate 100 mg, Flonase nasal spray, loratadine 10 mg, cranberry extract, triamcinolone ointment, clotrimazole cream.

Current Illness: Seizure disorder, developmental delay, morbid obesity, eczema.

ID: 1031756
Sex: F
Age: 65
State: WI

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: Ceclor

Symptoms: Stiff neck and muscle aches down left shoulder onto back, slight headache

Other Meds: Calcium 1200 mg/day with D3 40mcg/day, vitamin D3 5000 u/day

Current Illness:

ID: 1031757
Sex: F
Age: 57
State: PA

Vax Date: 09/15/2020
Onset Date: 09/15/2020
Rec V Date: 02/15/2021
Hospital:

Lab Data: None so far as of this date 2/15/21. I plan to see an orthopedic doctor in near future.

Allergies: None

Symptoms: Pain at the injection site lasted for 4 weeks. Since the date of 1st dose I still continue to have residual pain of the entire left arm. Pain is with rotation of the left arm especially rotation behind my back. Some pain reaching above also. Pain is worse at night. Aching pain is constant. I received my 2nd dose in my right arm with no side effects.

Other Meds: None

Current Illness: None

ID: 1031758
Sex: F
Age: 39
State: NY

Vax Date: 02/07/2021
Onset Date: 02/14/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: no

Symptoms: 1 week after receiving the vaccine my arm swelled up and got itchy and painful. I felt unwell the day after, and had pain in my arm for 4 days after, but the swelling and itching didn't start until 1 week after.

Other Meds: valacyclovir

Current Illness: no

ID: 1031759
Sex: F
Age: 69
State: FL

Vax Date: 02/05/2021
Onset Date: 02/09/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: no

Allergies: sinus

Symptoms: pt stated she felt the medicine running through her veins when the shot was administered. Said when she got home she was having SOB, dizziness, and has developed a rash under the left arm a couple of inches in size. She has an apt w/ PCP on 2/23/2021. Pt still has some dizziness and rash on arm.

Other Meds: iron and low dose blood pressure pill

Current Illness: no

ID: 1031760
Sex: F
Age: 50
State: AZ

Vax Date: 02/12/2021
Onset Date: 02/14/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Diarrhea/stomach cramps for about 1 hour

Other Meds: oxybutynin, Vitamin D

Current Illness: none

ID: 1031761
Sex: F
Age: 40
State: KS

Vax Date: 02/04/2021
Onset Date: 02/07/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: Taken to main hospital for, took labs before IV fluids was given due to dehydration. Did blood glucose test renal function, CDC, BDG Blood Gas test. IV fluids , took labs before

Allergies: Avocado, Broccoli and Cauliflower

Symptoms: The second dose, that evening was filling unwell and blood sugar rose , next day arm is sore , fitage, blood sugar was high missed work, day three blood sugar still high and went to hospital on day four, became dehydrated, ketones and blood sugar was high. Checking

Other Meds: Linzess 290 micrograms, Lizalo 4mg, Eabreo 50mg per mil, Lexapro 5 mg, Hydroxyzine 50 mg twice a day, Lamictal 250 mg once daily, Buspirone 10mg, Melatonin 10mg, Ajuba 225 mg over 1.5 ml., Tresiga 15 units lunch, Apidra 1 unit per 15 carb

Current Illness: Yes, Dose 1 of shot high blood sugar, create Ketions, callout to doctor for advice. Drink fluids, take more insulin.

ID: 1031762
Sex: F
Age: 49
State: CA

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: None were prolonged & severe enough to warrant going to doctor or nurse.

Allergies: Deer meat causes hives, lidocaine caused skin splotches, latex causes rash, wine makes me flushed

Symptoms: 2/3 pain at injection & pain across back & chest, face & neck flushed. 2/4 bruise at injection site, feel dizzy, confused, lymph pain, pain at injection causing upper body aches. 2/6-2/7 very tired. 2/9 so dizzy couldn?t get out of bed for 1hour. 2/10 more pain in lymph under injection arm, tired all day, then 10?x 4? rash/hives (for 4 days around injection site)

Other Meds: Multi vitamins

Current Illness: None

ID: 1031763
Sex: F
Age: 52
State: AL

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

Lab Data: Referred to MD at Clinic

Allergies: Codeine

Symptoms: 1 hour post injection, patient returned to the vaccine clinic c/o burning and tingling (L) side of face near cheek bone & eye. While talking, she developed a "cold sensation, like when you get IV fluids" on her left side.

Other Meds: none

Current Illness:

ID: 1031764
Sex: F
Age: 26
State: VA

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: My doctor said if the condition gets worse or other symptoms develop, I will have to have blood work done.

Allergies: Corn, scallops, clams, sulfa drugs, benzoyl peroxide

Symptoms: I developed cold urticaria the day following receiving the second dose of the COVID vaccine, I know develop hives when outside in temperatures <37 degrees Fahrenheit and swelling and hives when touching cold objects. I was seen by a doctor who diagnosed this condition, and he believes it is directly related to the COVID vaccine.

Other Meds: Trazodone, ambien, vitamin C, vitamin D, fish oil, doxycycline, birth control, stelara injections

Current Illness:

ID: 1031765
Sex: F
Age: 65
State: VA

Vax Date: 01/21/2021
Onset Date: 01/24/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: None. Choose not to go.

Allergies: None

Symptoms: Moderna EAU Partial loss of feeling in left foot and leg. Slurring of words Partial numbness in left side of face and mouth, Contacted EMS because of fear of stroke. Checked out thoroughly. They believed it was vaccine related to nerves as in Bell's Palsy. Still have bit of numbness in mouth otherwise ok.

Other Meds: Amlodipine Losartan Tramadol Magnesium Oxide Vitamin D Tylenol Arthritis Budesonide Yupelri Perforomist Multivitamin

Current Illness: None

ID: 1031766
Sex: F
Age: 45
State: TX

Vax Date: 02/03/2021
Onset Date: 02/14/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: N/A

Allergies: Shrimp, wheat

Symptoms: I received my first dose of Moderna Vaccine on February 3, 2021. On February 13 and 14 I noticed some very mild tingling/itching at the injection site, which didn?t happen immediately after the injection. Today, February 15, there?s substantial itching, and my arm has a large, bright red rash.

Other Meds: Synthroid, Zyrtec, vitamin D, vitamin B complex, Elderberry

Current Illness: N/A

Date Died: 02/04/2021

ID: 1031767
Sex: F
Age: 93
State: MN

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/15/2021
Hospital: Y

Lab Data: Resident hospitalized; Dx: pneumonia with septic shock. Thoracentesis for large pleural effusion performed in hospital. Resident expired on 2/4/2021.

Allergies: Dilaudid

Symptoms: 1/31/2021 12:50 Nursing Note Note Text: Res had low BP, low O2 sats, 30 breaths per minute, eyes open wide, making confused utterances. Started supplemental oxygen via NC, 2L, then 3L. Sats went up to 93% for a while, Sprvsr called. Unable to auscultate Left lung sounds. Called to update Res daughter. Called to page NP, writer went back to assess Res and O2 sats were 88%, turned O2 to 4LPM, called 911 for transport to Hospital ED. Left around 1030. NP called back afterwards, was updated. Family updated that Res was sent to Hospital ED. Note Text: Received phone call from daughter as well as information from hospital. Resident has pneumonia with septic shock. She is on abx and had thoracentesis performed for large pleural effusion. [linked]

Other Meds: Polyethylene Glycol 3350 Powder Calcium-Vitamin D Tablet 500-200 MG-UNIT (Calcium Carb-Cholecalciferol) Lidocaine Patch 4 % Tylenol Extra Strength Tablet 500 MG (Acetaminophen) Melatonin Tablet 3 MG traMADol HCl Tablet 50 MG Ferrous Glucona

Current Illness: ATHEROSCLEROTIC HEART DISEASE OF NATIVE CORONARY ARTERY WITHOUT ANGINA PECTORIS ESSENTIAL (PRIMARY) HYPERTENSION POLYNEUROPATHY, UNSPECIFIED GENERALIZED ANXIETY DISORDER LOCALIZED EDEMA GASTRO-ESOPHAGEAL REFLUX DISEASE WITHOUT ESOPHAGITIS INSOMNIA, UNSPECIFIED UNSPECIFIED DEMENTIA WITHOUT BEHAVIORAL DISTURBANCE DYSPHAGIA, UNSPECIFIED DIFFICULTY IN WALKING, NOT ELSEWHERE CLASSIFIED WEAKNESS MAJOR DEPRESSIVE DISORDER, SINGLE EPISODE, UNSPECIFIED ACUTE POSTHEMORRHAGIC ANEMIA DISPLACED INTERTROCHANTERIC FRACTURE OF LEFT FEMUR, SUBSEQUENT ENCOUNTER FOR CLOSED FRACTURE WITH ROUTINE HEALING HYPERLIPIDEMIA, UNSPECIFIED AGE-RELATED OSTEOPOROSIS WITHOUT CURRENT PATHOLOGICAL FRACTURE OLD MYOCARDIAL INFARCTION HISTORY OF FALLING PERSONAL HISTORY OF PEPTIC ULCER DISEASE BARIATRIC SURGERY STATUS PRESENCE OF LEFT ARTIFICIAL KNEE JOINT PRESENCE OF RIGHT ARTIFICIAL SHOULDER JOINT PRESENCE OF LEFT ARTIFICIAL SHOULDER JOINT

ID: 1031768
Sex: F
Age: 59
State: FL

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: epinephrine

Symptoms: fever, chills, body aches, headache, nausea, fatigue

Other Meds: omeprazole 40mg, meloxicam 15mg, melatonin, fiber, stool softeners, Estroven

Current Illness:

ID: 1031769
Sex: F
Age: 53
State: WA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: penicillin pineapple naproxen

Symptoms: 20 minutes after receiving covid vaccine, I started to feel nauseated, lightheaded, dizzy and developed headache. I finishing my shift (7pm) went straight home and I started to feel muscle ache/sensitive to touch. I took my night time medication along with my migraine medication along with 3 Advils. On Saturday morning, woke up with 100.2 fever and Left face side Migraine. I took my migraine medication 2 hours apart along with 3 Advils. as my Neurologist had instructed for migraine. For the fever I started taking 2 Tylenol every 8 hours. I stayed in bed for rest of the day. Didn't have much of an apatite but had broth, still feeling like I wanted to throw up. On Sunday, I still had fever of 100.2. Still feeling exhausted and ache, I continued with the Migraine medication along with 3 Advils. Monday, early morning, my fever broke and went down to 98.6 but I still had a horrible migraine. Tuesday I had Headache and no migraine. Temp was 98.7

Other Meds: Maxalt Zofran Synthroid Singulair Nortriptyline Propranolol Trazadone Zyrtec

Current Illness:

ID: 1031770
Sex: F
Age: 25
State: FL

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: latex and adhesives

Symptoms: fever, chills, swollen arm 24 hours it lasted took tylenol every 5-6 hours for fever

Other Meds: none

Current Illness: none

ID: 1031771
Sex: F
Age: 24
State:

Vax Date: 02/13/2021
Onset Date: 02/15/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Constant vomiting, nausea, dehydration, dizziness, lightheaded ness, chills, sweats, body aches, joint pain, heartburn from vomiting, inability to eat, fatigue.

Other Meds: Naproxen later in the day

Current Illness: None

ID: 1031772
Sex: M
Age: 73
State: CA

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: None

Allergies: Allergic to Septra Slight to moderate allergy to cats in a house History of hayfever as a child

Symptoms: Day 1 - Shot (Second Shot) I went to bed feeling weak, but not feeling badly. Needle site was tender. Day 2 I awoke at 2:00 am with shaking & severe chills. Also my old injury joints hurt > Right knee, Right should, Left thumb, and I had a fever (forehead scan) of 101.4. Despite many quilts it took a while for that set of chills to subside. I had several more chill/shaking episodes occasioned when I got up from the bed. I took Tylenol as suggested when I got the 2nd shot. Day 3 The chills/shaking were gone , but I was weak and my joints hurt. I continued fluids (gatorade) and Tylenol. My face was flushed , but the fever was gone. Day 4 Feeling much better. Felt weak, but joint pain was gone. My face was flushed from time to time today... reduced Tylenol. Day 5 Feeling better. Occasional face flushed. Tylenol only once in morning and at bedtime Day 6 Feeling much better. Eating normally and no pain. I plan to go for a short walk. No Tylenol -- seem recovered. END

Other Meds: Lisinopril 20 mg x1 Atorvastatin 20 mg x1 Aspirin 81 mg x1 Zinc 50 mg x1 Centrum Silver for men (Multi-vitamin) x1 Vitamin D3, 25 mcg x1

Current Illness: None

ID: 1031773
Sex: F
Age: 67
State:

Vax Date: 02/06/2021
Onset Date: 02/15/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: intermittent nausea

Other Meds:

Current Illness:

ID: 1031774
Sex: F
Age: 78
State: AZ

Vax Date: 02/11/2021
Onset Date: 02/13/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: None

Allergies: Sulfa

Symptoms: Developed red, swollen area around injection site, approximately 3?X3?. Site is warm to touch and per patient is ?itchy?. Denies any pain, muscle aches, fever or headache.

Other Meds: Amiodarone Metoprolol Nifedipine Lisinopril Atorvastatin Levothyroxine

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm