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: 1032026
Sex: F
Age: 23
State:

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

Lab Data:

Allergies: Amoxicillin

Symptoms: 102.9 fever, headache, severe body aches

Other Meds: Birth control

Current Illness: None

ID: 1032027
Sex: F
Age: 70
State: IN

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

Lab Data: none

Allergies: sulfa, macrodantin

Symptoms: Dose 1: mild pain at injection site Dose 2: moderate pain at injection site; fatigue, chills, muscle aches, low grade fever (100), headache

Other Meds: citracal, vitamin D, prolia

Current Illness:

ID: 1032028
Sex: F
Age: 73
State: NC

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

Lab Data: none

Allergies: pt. answered no to any allergies on the COVID questionnaire.

Symptoms: Pt. recieved the COVID 19 vaccine at 5:05 in her left Deltoid. Pt. was had answered no to all questions on the COVID questionnaire. Pt. was to be observed for 15 minutes. At 5:24 the pt. came back from the bath room complaining of her lips not feeling right. Pt. bought into my office VS taken BP 151/83, HR 82, Resp 18, O2 sat 98%. Pt. then started to voice complaints of her tongue not feeling right as well. Pt. advised that she needed to be taken to the ER via ambulance to be checked out due to the concern of anaphylactic reaction. Pt. declined to go by ambulance and states that she has someone in the car with her who can take her.Friend out to get the pt. friend. Continue to monit pt. O2 sats. Sats dropped to 88% but when mask removed from pt. O2 sat went back up to 90%. Advised the pt. and the gentlemen that the pt. needed to go to the ER via ambulance. Pt. again declined and states I want him to take me.The gentlemen states that he will take the pt. to ER. Phone call to ER and spoke with RN and report given that the pt. was on her way.

Other Meds: unknown

Current Illness: unkown

ID: 1032029
Sex: F
Age: 22
State:

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

Lab Data:

Allergies: Penicillin and Omnicef

Symptoms: Dizziness

Other Meds: Mono-linyah and Lexapro

Current Illness:

ID: 1032030
Sex: M
Age: 76
State: NJ

Vax Date: 01/26/2021
Onset Date: 02/05/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: None yet.

Allergies: Never

Symptoms: Periodically feeling fatigued, slight headache, light headedness at few times since vaccination

Other Meds: Metformin Losartan HydroChloro Thiazide Atorvastatin Vitamin D3 Multivitamin for Adults

Current Illness: None

ID: 1032031
Sex: F
Age: 66
State: IN

Vax Date: 02/01/2021
Onset Date: 02/14/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: I started with chills at 7 pm went to bed at 9pm at 3:30 I had to go to bathroom and almost fell off toilet. Caught myself but laid on floor and slept 30 min until I could get up and go back to bed. Chills were gone at this time. This morning at 10:30 I went to bathroom and blacked out. I was laying on floor but don?t remember what happened except I must have twisted my ankle and knee as they are very sore. I could not get up , no strength and hollered for Alexa to call my husband in the other part of the house. I rested in bed and finally came to couch and then around 3 ate a little but not hungry. I feel better, took a bath and resting but have a terrible headache.

Other Meds: Turmeric vitamin , PreserVision, Benadryl

Current Illness: None

ID: 1032032
Sex: F
Age: 36
State: OH

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

Lab Data: none

Allergies: NA

Symptoms: 1335 at the end of her 15 min wait pt states that her neck is itching. A few red marks noted on her neck. Pt states that her sx started about 5' after receiving her vaccine. Pt escorted to observation area. Vitals 130/88, O2 98, HR 81. Pt states that she has known mast cell activation syndrome and sees Doctor. Pt states that she has had reactions like this, treats with Benadryl dosing per allergist. Pt. states that she has never used an Epi-pen. Pt denies throat swelling. Pt is clearing her throat but states that she is getting over sinus infection and this is the same as she has been. Pt called answering service for allergist and is awaiting a return call from her allergist. Pt. states that she prefers to go home and get Benadryl vs. waiting in the clinic longer. Pt. states that her fianc? is a firefighter and she is comfortable leaving with him, since he drove. 1345 BP 130/88, O2 98%, HR 81, Pt escorted to car and left at 1352

Other Meds: None

Current Illness:

ID: 1032033
Sex: F
Age: 0
State: CA

Vax Date: 10/05/2020
Onset Date: 10/05/2020
Rec V Date: 02/15/2021
Hospital:

Lab Data: NA

Allergies: NA

Symptoms: Flu vaccine administered at 2 months age without any adverse outcomes or side effects.

Other Meds: NA

Current Illness: NA

ID: 1032034
Sex: F
Age: 47
State: NY

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

Lab Data:

Allergies:

Symptoms: Woke up at 1130 pm with Extreme body pain, all 4 extremity bones hurt and joints felt on fire. Lasted approx 12 hours. Hurt laying still, hurt more to move , even slight adjustments in body position severely hurt, Then progressed slowly to generalized aches and pains x 3 days, Headache x 3 days.

Other Meds: Melatonin, gabapentine

Current Illness:

ID: 1032035
Sex: F
Age: 50
State: AK

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

Lab Data:

Allergies:

Symptoms: Pt conveyed they are experiencing itching over entire body and internally, Sx onset of 2/13 with progression through today 2/15.

Other Meds:

Current Illness:

ID: 1032036
Sex: M
Age: 75
State: NJ

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

Lab Data: None

Allergies:

Symptoms: Had a fever is high as 100? cold chills bodyaches joints hurt had a 48 hours after that it disappeared. Stayed in bed for two days.

Other Meds: None

Current Illness: None

ID: 1032037
Sex: M
Age: 53
State: CA

Vax Date: 01/25/2021
Onset Date: 01/29/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: Allergy to codeine.

Symptoms: Body rash began on day 4 after vaccine. Rash spread to entire body over the next few days. Diagnosed as full-body Erythema multifome with mucosal involvment. Prednisone 40 mg x 1 week, followed by Prednisone 2- mg. x 2 weeks. Topical steroid for lesions on the face, scrotum, penis, anus, and scalp.

Other Meds: Finasteride, Testosterone Cypionate, Truvada

Current Illness: None

ID: 1032038
Sex: M
Age: 54
State:

Vax Date: 02/03/2021
Onset Date: 02/09/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: ROS: General: No fatigue, fevers/chills, malaise Eyes: No eye pain, eye discharge, visual changes Ears: No ear pain, hearing changes Nose/throat: No nasal congestion, sore throat CV

Allergies: Penicillin, shellfish *obsolete*, Gabapentin, Benadryl,

Symptoms: H/A. Headache started yesterday which went away w/tylenol. Pain came back this morning which is radiating to sinus area. Denies bodyache, loss of smell, n/v/d/ URI symptoms. Patient is a 54 year old male who presents to ED with 3/10 headache behind his eyes which started last night, then resolved and came back this morning. He reports some nausea without vomiting. No numbness, no tingling, no vision changes. He has known HTN and DM for which he takes daily medication. Past medical/surgical history, medications, allergies: Reviewed.

Other Meds: UNK

Current Illness: HTN, diabetes (DM), HLD

ID: 1032039
Sex: F
Age: 66
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: Fever, chills, achiness, muscle pain, joint pain, sore arm at injection site

Other Meds: Hydrochlorothiazide 12.5mg, protonix 20 mg,synthroid 88 mcg, trintellix 10 mg, lorazepam 0.5 mg qd

Current Illness: None

ID: 1032040
Sex: F
Age: 69
State: AZ

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

Lab Data:

Allergies: None

Symptoms: Sluggish quizzing weakness slight temp

Other Meds: Too many supplements to list Losartin Losartin 50mg Progesterone 2mg Estradiol .5mg Cyanocobalamin 1ml /wkly

Current Illness: None

ID: 1032041
Sex: F
Age: 75
State: MT

Vax Date: 02/08/2021
Onset Date: 02/11/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: Blood pressure monitor and currently on heart monitor (Holter) until Wednesday at 1pm.

Allergies: Allergies to Bactrim, Lisinopril (BP) med., latex, perfume, HAVE TO USE ALL FREE AND CLEAR PRODUCTS. Mycin drugs.

Symptoms: Onset began Thursday evening rapid heart rate and increased blood pressure. Headache and chills. unable to do housework for 2 days.

Other Meds: Took 5mg Amlodipine BP Med at 8 am., Hydrochlorothiazide 0.5mg for BP, Levothyroxine 0.112mg, 80mg baby aspirin.

Current Illness: None

ID: 1032042
Sex: F
Age: 54
State: OH

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

Lab Data: None

Allergies: Penicillin, Latex

Symptoms: 1237 Pt complained she felt "off center" 1300 BP 140/80, )2 98%, HR 58, 1325 She felt better vs no change. She ride home with her sister

Other Meds: Allegra, multivitamins, Pravastatin

Current Illness: out sick last month, allergies

ID: 1032043
Sex: F
Age: 44
State: NY

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

Lab Data:

Allergies: N/A

Symptoms: Pain started slowly after shot and within a couple of hours the pain was in the entire arm, I could not lift my arm up. I also felt very tired and sleepy. I took some acetaminophen twice (650mg) and was much better within 24h. The next day, the pain in the arm went away pretty quickly and I wasn't feeling so tired anymore.

Other Meds: Vitamin B12, Birth Control Pill (Apri)

Current Illness: N/A

ID: 1032044
Sex: M
Age: 75
State: CA

Vax Date: 02/01/2021
Onset Date: 02/11/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: None

Allergies: Penicilllin, Ceclor, Keflex

Symptoms: February 11, 2021, at 8:00PM. Swollen nipple on right side, same side as Moderna vaccination. No treatment, Nipple enlarged and hard, sensitive. Begins to subside in 24 hours, but still sensitive and slightly enlarged as of today. February 15, 2021, at 8:30AM. Rash on right arm, same arm as Moderna vaccination. No treatment. Blotchy, smallish red bumps on arm near injection site, appears as red rash about three inches long and one to two inches wide. Not itchy or painful. A few days earlier, I had bumped my shoulder at the injection site rounding a corner in the house experiencing mild soreness at the injection site.

Other Meds: Famcyclovir, Metamucil

Current Illness: None

ID: 1032045
Sex: F
Age: 73
State: CA

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

Lab Data:

Allergies: KEFLEX, PNC, DEMEROL

Symptoms: PATIENT STATED SWELLING/TIGHTENING IN THROAT

Other Meds: HYDROCHLOROTHIAZIDE, LOVASTATIN, IBUPROPHEN, TRAMADOL

Current Illness: N/A

ID: 1032046
Sex: F
Age: 66
State: NY

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

Lab Data: None

Allergies: Medicine allergies: penicillin and derivatives, erythromycin and derivatives, avelox, bactrim, and theophyllin Food allergies: lamb, goat, rabbit (gamey meats) and any products made from sheep's and goat's milk. Allergic to clothing made from fur of sheep, goat, rabbit.

Symptoms: On 2/11/21 - day of vaccination - arm was sore and hot at injection site and felt extremely fatigued. Had to sleep Next day - arm was still sore, but less than the day before. Had a headache but headache was gone by late evening around 10 pm. Felt a little sluggish, but not as exhausted as the first day when I received the shot. Two days later, the arm soreness was gone. No other symptoms.

Other Meds: Benazepril 20 mg/day; Aspirin 81 mg/day; claritin 10 mg/day; crestor 10 mg/day; singulair 10 mg/day; Xopenex Inhaler - as needed Flovent Inhaler 2 puffs/day

Current Illness: None

ID: 1032047
Sex: F
Age: 61
State:

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

Lab Data:

Allergies:

Symptoms: Heavy feeling in arms and legs and shoulders Funny feeling in lips

Other Meds:

Current Illness:

ID: 1032048
Sex: F
Age: 35
State: OH

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

Lab Data: no

Allergies: no

Symptoms: I woke up and was really tired and really sore - body aches and at the injection site; that lasted most of the day until evening. I got a fever around 100.0 and I took Tylenol. The fever went away within 30 min. I started getting chills and sweats. I took my temperature and it was normal but I was still getting chills and sweats. That went through the night. I was still tired and had the soreness in body and at injection site. When I had the chills, I was shivering and shaking (not just feeling chilled.) June 4th, 2021 - is my due date; my history of pregnancy - first pregnancy and it's been normal so far.

Other Meds: Yes - prenatal vitamins; B2; Magnesium; Vit D; Zinc; Flax Seed Oil

Current Illness: no

ID: 1032049
Sex: F
Age: 72
State: WI

Vax Date: 01/27/2021
Onset Date: 02/08/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: Her primary care provider, Dr., diagnosed her with cellulitis upon visual observation on 02/12/2021.

Allergies: bees, tapes, medications of the -caines family

Symptoms: On 02/08/2021 patient noticed her arm at the site of injection was getting red, itchy, and hot to the touch. Over the next couple of days the redness and itching spread down her arm, over to her back, and down the front of her chest. She visited her primary care provider, on 02/12/2021 where she was diagnosed with cellulitis and prescribed antibiotic treatment. As of today, 02/15/2021, the redness and itchiness has fully subsided. Dr. advised her not to return for her second dose that was scheduled for 02/24/2021.

Other Meds: prilosec, tamoxifin, multivitamin

Current Illness: none

ID: 1032050
Sex: M
Age: 20
State:

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

Lab Data: Re-Assessment@ 0710: pt appears more alert and attentive. reports diffuse headache. BLE strength 4/5 symmetric. suspect Moderna 2nd COVID-19 mRNA vaccine side effect and will d/c

Allergies: NKDA

Symptoms: headache,fever,chills. BIB by EMS w/ c/o HA/Vomiting/Chills/Fevers x 6 hours, reports taking 650mg Tylenol around midnight with no relief; reports getting COVID vaccine 9Feb around 1130am; 2 episodes vomiting, denies any blood.

Other Meds: UNK

Current Illness: N/A

ID: 1032051
Sex: F
Age: 60
State: CA

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

Lab Data: none

Allergies: none known

Symptoms: began fever at 8 hrs post injection, body aches, headache, skin sensitivity, fever for 24 hrs after injections.

Other Meds: levothyroxine

Current Illness: none

ID: 1032052
Sex: F
Age: 43
State: MI

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

Lab Data: SEE ABOVE

Allergies:

Symptoms: AFTER RECEIVING THE VACCINE SHE COMPLAINED OF AN ALLERGIC REACTION. ONSITE EMS AND PHYSICIAN RESPONDED. HER BP 138/78 HR 104/100% O2 ON ROOM AIR. PATIENT REFUSED ADDITIONAL EVALUATION AND WENT HOME AGAINST MEDICAL ADVISE.

Other Meds:

Current Illness:

ID: 1032053
Sex: F
Age: 71
State: OH

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

Lab Data: None

Allergies: None

Symptoms: Pt began to feel light headed after receiving covid vaccine did not eat breakfast, was feeling nervous about getting shot. Did not take her HTN medication this AM. 1130 Pt felt fine after 15 min. 1130 BP 138/90, HR 52, RR 10; 1145 BP 138/88, HR 55, RR 10, O2 99%

Other Meds: Amilodipine, losartan, hidroxicholorothiazide, tylenol, omeprazol

Current Illness: None

ID: 1032054
Sex: M
Age: 88
State: CA

Vax Date: 01/20/2021
Onset Date: 01/24/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: Hearing Test: Profound loss of hearing in right ear MRI: results not yet available

Allergies:

Symptoms: Loss of hearing in right ear. Treated with oral prednizone protocol. No notieable improvement.

Other Meds:

Current Illness:

ID: 1032055
Sex: M
Age: 11
State: MN

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

Lab Data: N/A

Allergies: Unknown

Symptoms: No adverse reactions at all. Patient was too young per label of Moderna use.

Other Meds: Unknown

Current Illness: None known

ID: 1032056
Sex: F
Age: 64
State: NM

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: no tests or labs checked oxygenation, hear rate, and blood pressure on site; state of NM vaccination location at The Pit

Allergies: Anaphylaxis to shellfish Penicillin, codeine, sulfa, contrast dye

Symptoms: 25 minutes after receiving vaccine: flushing, slight throat swelling;Vitals were normal Resolved within 1 hour

Other Meds: Synthroid, Bystolic, Rosuvastatin, Cetirizine, Senior multivitamin with minerals, CQ10, fish oil, plant sterol esters, magnesium

Current Illness:

ID: 1032057
Sex: M
Age: 73
State: GA

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

Lab Data: none

Allergies: Horse Serum

Symptoms: I awoke at 2:00 AM on 2-14-21 with severe chills and copious perspiration. After that I slept only intermittently. When I arose at 10 AM, my left arm was swollen and throbbing with pain. I took Aleve with breakfast and that helped the pain, but not the swelling. However, this morning, 2-15-21, I noticed hives in the crook of both elbows and on my chest under both pectoral muscles. The hives don't itch or cause any discomfort except for causing some anxiety due to the fact that I haven't heard of hives being mentioned as a side effect of the vaccine.

Other Meds: Dyazide, Eliquis, Citrucel, Nexium, Core Level Prostate, Max for men vitamin, Crestor, Azelastine, Chinese herbs for arthritis

Current Illness: none

ID: 1032058
Sex: M
Age: 35
State:

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

Lab Data: PMH/PSH: non contributory; Med/Allg: none; PMH/PSH: non contributory; Med/Allg: none; ROS HEENT: no eye pain, no sore throat, no ear pain CV: no chest pain, no palpitations Pulm:

Allergies: NKDA

Symptoms: Nausea, headache, body ache. HPI: 35yo patient presenting to ED 24h after receiving 2nd COVID-19 vaccine with above complaints. He has no URI symptoms, no cough or dyspnea. He is having generalized abdominal discomfort without focal pain, having N without V or D. He has no other complaints.

Other Meds: UNK

Current Illness: N/A

ID: 1032059
Sex: M
Age: 50
State:

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

Lab Data: None

Allergies: None

Symptoms: Unable to feel heart beating in chest, even after heavy exertion. Same thing happened after first dose, but only lasted 3 weeks. I?m able to visualize my heart rate through an application on my Watch, but do not physically feel tasked, when performing exercises that push my heart rate of over 140 bpm.

Other Meds: Ibuprofen 800mg

Current Illness: None

ID: 1032060
Sex: F
Age: 58
State: CA

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: None.

Allergies: erythromycin

Symptoms: Had feeling of eurphoria. Then not feeling well at 1545. Then passed out at 1930, fever, chills, and general malaise began. Worsened on 1/12/2021. Had fever 102 F. Had rigors even with Acetaminophen and Ibuprofen. Then develp. resp. issues, using advair/albuterol/singulair.

Other Meds: None.

Current Illness: none

ID: 1032061
Sex: F
Age: 23
State:

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

Lab Data: ROS: 12 system ROS negative except as above. PE: Gen: A&Ox4, NAD HEENT: PERRLA 3mm, no cervical adenopathy, trachea midline with no stridor CV: no pericardial friction rub, no MRG

Allergies: NKDA

Symptoms: vaccine reaction. Patient received 2nd COVID vaccine x 1 week ago. Reports chest tightness and SOB x 1 week and dry cough x 1 day. Reports intermittent body aches and nausea. Denies fever and known contacts. CC: malaise, chest tightness, dyspnea with pleurisy HPI: 23yo F presenting to ED for evaluation of the above symptoms that have been constant since receiving her second COVID vaccine 7 days ago. The chest tightness has no palliating/provoking factors, no associated N/V or diaphoresis, no radiation of pain. She has no cough, no hemoptysis, no fever. There is no chest pain when supine. Pt states she has some chest discomfort with inspiration. She has no traditional risk factors for PE. She has no ACS risk factor

Other Meds: UNK

Current Illness: N/A

ID: 1032062
Sex: M
Age: 26
State: ME

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

Lab Data:

Allergies: None

Symptoms: After receiving the Moderna vaccine on 2/10/2021, traditionally expected symptoms developed on 2/11/2021 and 2/12/2021 including fatigue, fever, headache, and general achiness. On 2/12/2021 and into the morning of 2/13/2021 I developed a persistent aching chest pain - Saturday morning (2/13/2021) I went to convenient urgent care in for a quick once-over including vitals and an EKG. The EKG showed ST elevations, and I was taken via ambulance to the hospital emergency room. With blood lab value analysis and an echocardiogram performed, the hospitalist and cardiologist determined the diagnosis to be peri myocarditis. I was admitted to the hospital for 24 hours of observation and was released on 2/14/2021.

Other Meds: N/A

Current Illness: N/A

ID: 1032063
Sex: F
Age: 77
State: CO

Vax Date: 02/05/2021
Onset Date: 02/13/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: cat dander horse dander

Symptoms: Injection site slightly swollen, red, itchy. Redness in a circle about 3" diameter.

Other Meds: Atenolol 25mg Triamterene hydrocholorthiaz Simvastatin 20 mg

Current Illness: none

ID: 1032064
Sex: F
Age: 32
State: OH

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

Lab Data: None

Allergies: None

Symptoms: After vaccine, aprox 3 min after, started with hear racing, pain in upper r-chest. Pain scored 5/10. Vitals @ 1254; BP 116/76, RR 16, O2 00%, HR 72, Vitals @1307 Heart no longer racing. Pain 5/10, Vitals @1309 BP 116/80, HR 66, O2 99%, RR 12

Other Meds: Aspirin

Current Illness: Stomach virus 2 weeks ago

ID: 1032065
Sex: M
Age: 44
State: AZ

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

Lab Data: NA

Allergies: Penicillin, seasonal allergies

Symptoms: mild injection site pain - onset at 13:00 on day of injection (90 minutes post dose), lasting several hours.

Other Meds: Luvox ER, Atorvastatin, aspirin, fish oil, MVI, alpha-lipoic acid, vitamin D, Vitamin C, Zinc, Zyrtec, milk thistle

Current Illness:

ID: 1032066
Sex: F
Age: 70
State: IL

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

Lab Data: None.

Allergies: Tetanus vaccine

Symptoms: Night of Feb 13. Felt tired around 10 pm, headed for bed. Lay down and room started spinning. Started feeling nauseous. (Note no alcohol consumed since New Year?s.) sat up, read a while, tried lying down again 3 times with same result. Got up to walk, threw up. After about 15 min was able to lie down and sleep. Process took about 2 hours in all. Mild nausea and dizziness continuing to now, Monday afternoon. Note lifelong history of motion sickness related to boats, planes, swaying motions, sometimes car travel.

Other Meds: Multivitamin Vitamin D Valsartan Rosyvastatin

Current Illness: None

ID: 1032067
Sex: M
Age: 24
State:

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

Lab Data: Med/Allg: denies PMH/PSH: non contributory ROS HEENT: no eye pain, no sore throat, no ear pain CV: no chest pain, no palpitations Pulm: no shortness of breath, no cough Abd: no abdo Med/Allg: denies PMH/PSH: non contributory ROS HEENT: no eye pain, no sore throat, no ear pain CV: no chest pain, no palpitations Pulm: no shortness of breath, no cough Abd: no abdominal pain, no N/V/D MSK: no joint pain, no joint swelling, no back pain PE Gen: A&Ox4, NAD, non-toxic appearing HEENT: no pharyngitis, no AOM/OE, no PTA/RPA/Ludwig's, no cervical adenopathy CV: S1/S2 RRR without MRG, cap refill <2 seconds all extr Pulm: CTA all fields, no dyspnea on exam Abd: no focal Abd TTP, no peritoneal signs, no CVA tenderness MSK moving all extremities without limitation, no gross deformities, no joint swelling or tenderness Neuro: CN 2-12 and cerebellar grossly intact Lab: COVID Ag: positive COVID swab: negativ Rad: none indicated MDM: F/u and return precautions discussed. STable for D/c.

Allergies: NKDA

Symptoms: diarrhea,bodyache,chills. Pt reports loose stools starting 2100 last night, every 30 minutes, denies blood/mucus/pus. Pt received COVAX dose two yesterday. CC: diarrhea, abdominal cramping HPI: 24yo AD M presenting to ED with 1 day of the above symptoms. Pt received dose #2 of COVax yesterday then began having multiple bouts of watery diarrhea. He has no focal abdominal pain, no emesis, is PO tolerant. He has no dyspnea, no chest pain, no URI/LRI symptoms, no subjective focal neurologic deficits.

Other Meds: UNK

Current Illness: N/A

ID: 1032068
Sex: F
Age: 48
State:

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

Lab Data:

Allergies: no

Symptoms: Fever of 100.6. Fatigue, Body Aches, for 24hrs Severe tenderness and swelling at injection site

Other Meds: none

Current Illness: no

ID: 1032069
Sex: F
Age: 72
State: CA

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

Lab Data: n/a

Allergies: N/A

Symptoms: Moderna COVID-19 Vaccine EUA Large red rash at injection site

Other Meds: Lovastatin Vitamin D, calcium, zinc, magnesium Staments Immune boosting mushroom

Current Illness: none

ID: 1032070
Sex: F
Age: 44
State: OH

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

Lab Data: None

Allergies: None

Symptoms: Pt began to feel "hot, warm, and tingling through her mid section chest / stomach area, skin and chest and arms red and flushed. VS @1222 BP 176/80, HR 86, O2 99%. @ 1232, feels better, Vitals recheck @ 1238 BP 140/78, HR 92, O2 99%.

Other Meds: Anxiety meds, BP meds

Current Illness: None

ID: 1032071
Sex: M
Age: 71
State: ID

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

Lab Data: None

Allergies: None

Symptoms: Chills, headache, nightmares, chest pressure, chest pain, heart pain

Other Meds: None

Current Illness: None

ID: 1032072
Sex: F
Age: 42
State: OR

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

Lab Data: None

Allergies: Codeine

Symptoms: The evening of the vaccine, I had a very small red mark at the injection site. Throughout the next week it stayed about the size of a nickel and was very warm. Saturday night it almost doubled in size and was swollen and about 102 degree surface temp. Sunday morning 2/14, it was very swollen and larger as well as hot still. Today 2/15, it is very large (3") and 103 degree surface temp. It is starting it itch and throb.

Other Meds: Omeprazole 40mg., Iron 60 mg. and D3 50 mcg.

Current Illness: None

ID: 1032073
Sex: F
Age: 48
State: PA

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

Lab Data:

Allergies: Antibiotics, grass

Symptoms: Throat tightening, dizziness. Gave 50 mg of Benadryl

Other Meds:

Current Illness: Lung dysfunction, allergies

ID: 1032074
Sex: M
Age: 38
State:

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

Lab Data: Med/Allg: denies PMH/PSH: denies ROS HEENT: no eye pain, no sore throat, no ear pain CV: no chest pain, no palpitations Pulm: no shortness of breath, no cough Abd: no abdominal pain

Allergies: NKDA

Symptoms: flu symptom for covid shot. patient reports sore throat, chills, fatigue after receiving 2nd COVID shot yesterday. denies any fever. states took 400mg motrin around noon. CC: malaise and arthralgias following COVID vaccination HPI: 38yo M presenting to ED for evaluation of malaise and arthralgias following second COVID vaccine 24h ago. He has no dyspnea, no chest pain, no subjective focal neurologic deficits.

Other Meds: UNK

Current Illness: Headaches & Migraines (HA)

ID: 1032075
Sex: F
Age: 71
State: FL

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

Lab Data: none

Allergies: Iodine/shellfish

Symptoms: chills, fever, headache, joint pain, fatigue

Other Meds: Amlodopine Vitamin C D3 Zinc

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm