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: 1033088
Sex: F
Age: 37
State: NE

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: NIGHT OF VACCINATION DEVELOPED FEVER, CHILLS, BODY ACHES AND LIMITED MOBILITY IN ARM THAT RECEIVED INJECTION

Other Meds:

Current Illness:

ID: 1033089
Sex: F
Age: 90
State: CA

Vax Date: 02/11/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Azithromycin, Codeine, Morphine, SEASONAL ALLERGIES

Symptoms: Resident c/o itchiness & pain in R upper arm where injection site was located, about 48 hrs after injection. Noted 12cm x 6 cm swelling, redness at injection site. MD aware.. Ice pack given for relief and effective.

Other Meds:

Current Illness:

ID: 1033090
Sex: F
Age: 31
State: MO

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: seasonal

Symptoms: left palmar itching throat scratchy from 12:50-13:20 BP 146/93 HR 84 5 min post: BP 143/96, HR 84 10 min post: BP 129/88, HR 76

Other Meds: levothyroxine

Current Illness:

ID: 1033091
Sex: F
Age: 58
State: WI

Vax Date: 01/04/2021
Onset Date: 01/22/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: Ct with PE protocol, EKG, labs, echo documented moderate to severe pericardial effusion no tamponade, documented pleural effusions with pneumonitis documented d dimer in the thousands and elevated CRP above 100, abnormal liver function tests and cbc.

Allergies: None

Symptoms: approximately 2.5 wks after vaccination, development of severe increasing back pain and chest pain and shortness of breath Dx acute moderately severe pericarditis with pericardial effusion, pneumonitis with bilateral small pleural effusions, hepatitis with elevated alk phos and LFT, bone marrow reaction with elevated WBC, new anemia and elevated platelets, markedly elevated d dimer and CRP with normal troponin and negative imaging for PE.

Other Meds: Zinc, vit D3, vit C

Current Illness: None, was exposed to Covid 19 just prior to getting the vaccination

ID: 1033092
Sex: F
Age: 27
State: FL

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

Lab Data: Unknown

Allergies: Unknown

Symptoms: Hot flash, Headache, dizziness, dry mouth, pale, general fatigue

Other Meds: Unknown

Current Illness: Unknown

ID: 1033093
Sex: F
Age: 44
State: NE

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: NIGHT OF VACCINATION, DEVELOPED ARM PAIN, CHILLS, BODY ACHES, AND HEADACHE LASTING 24 HOURS.

Other Meds:

Current Illness:

ID: 1033094
Sex: F
Age: 89
State: MA

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Error: Wrong Dose of Vaccine - Too High

Other Meds:

Current Illness:

ID: 1033095
Sex: F
Age: 45
State: NM

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: Just inspected by doctor who confirmed diagnosis of shingles.

Allergies: None

Symptoms: Shingles: rash on left back, itching, fatigue

Other Meds: None

Current Illness: None

ID: 1033096
Sex: F
Age: 65
State: IL

Vax Date: 02/10/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Day 5 noted a tiny red bumpy rash on front and back of torso that is very itchy. Still red and itchy today on day 6 but has medicated with Benadryl at the advice of her doctor.

Other Meds: Trazadone 50mg at night and miralax daily

Current Illness: none

ID: 1033097
Sex: F
Age: 57
State: MA

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Augmentin

Symptoms: Temperature, chills, weakness and lethargy

Other Meds: Provostatin, Levothyroxine, MVI

Current Illness: Graves Disease

ID: 1033098
Sex: F
Age: 72
State: GA

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: PER ER REPORT: HURST LEFT JAW TO OPEN MOUTH, SHOOTING PAIN TO LEFT SIDE OF HEAD, JAW SWOLLEN, SORE THROAT, DIZZINESS TREATMENT: PT TOOK BENADRYL; ER ADMINISTERED PREDNISONE

Other Meds: ALLEGRA; GLIMEPIRIDE; LEVOCETIRIZINE; LEVOTHYROXINE; NYSTATIN CREAM; TRIAMCINOLONE CREAM; XYZAL

Current Illness: N/A

ID: 1033099
Sex: F
Age: 57
State: MT

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Bactrim, Macrobid, phenergan

Symptoms: Very sore arm, painful to lift above my head. Headache and general body muscle aches. Feeling a little nauseous, but not to terribly nauseous. Currently resting, icing the sore arm and taking tylenol.

Other Meds: Metformin, celebrex, Jardiance, Baby Aspirin, Magnesium, Fluoxetine, simvastatin, tylenol

Current Illness:

ID: 1033100
Sex: F
Age: 40
State: IL

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Allergic to diphenhydramine (benedryl)

Symptoms: Cognitive impairment for four days, felt concussed. Difficulty with language and "finding words."

Other Meds: Sprinter, birth control Vitamin B complex Vitamin D, K2 Fish oil

Current Illness: UTI

ID: 1033101
Sex: F
Age: 60
State: MO

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: Blood panel; thyroid; negative

Allergies: rashes to antibiotics (unknown), haldol

Symptoms: 1/6 1:30 vaccination Later that evening, I had extreme HA. I had 2-3 aura migraines, a day or 2 later. Insomnia. *still experiencing insomnia and anxiety

Other Meds: Synthroid, multi vitamin, Vit D

Current Illness: 4 weeks prior, mild cold symptoms

Date Died: 02/11/2021

ID: 1033102
Sex: M
Age: 93
State: WV

Vax Date: 01/07/2021
Onset Date: 01/29/2021
Rec V Date: 02/16/2021
Hospital: Y

Lab Data: COVID-19 Rapid PCR positive (2/5/21), D-Dimer 3.58 (2/5/21), D-Dimer 8.00 (2/7/21), chest x-ray (2/5/21) New diffuse right lung and left mid and lower lung acute infiltrates.

Allergies: NKA

Symptoms: Patient received first dose of vaccine on 1/7/21 at a community Public Health clinic. On 1/29/21 he received a second dose at the community Public Health clinic. On 2/5/21, the patient presented to the ED with complaints of shortness of breath worsening over the last 2 weeks. Patient reported that he had decreased exercise capacity and increased coughing with sputum production intermittently. Patient reported that he had been feeling chilled, but no fevers. Patient was admitted and treated with Decadron and Remdesivir. Patient experienced increased oxygen requirement. Patient was a DNI and did not want to be on life support. After discussion with the patient and family, patient was moved to comfort care. passed away on 2/11/21.

Other Meds: Aspirin, Lipitor, Cardura, Eliquis, Finasteride, Lasix Lisinopril Meloxicam Metoprolol Multivitamin Ranitidine

Current Illness:

ID: 1033103
Sex: F
Age: 72
State: MN

Vax Date: 02/05/2021
Onset Date: 02/12/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None

Allergies: None known

Symptoms: Itchy rash around the injection site. About 2 inches in diameter. Not serious but wanted to report it. Started about a week after receiving vaccine and still having some itching and rash. Using cortisone cream to treat itching helps some.

Other Meds: Simvastatin Calcium supplement

Current Illness: None

ID: 1033104
Sex: M
Age: 51
State: NE

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: ON 2/10/21, DEVELOPED LOOSE STOOLS, BODY ACHES, SORE THROAT, AND FATIGUE.

Other Meds:

Current Illness:

ID: 1033105
Sex: F
Age: 56
State: PA

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None, just did an EKG

Allergies: Iodine, pcn

Symptoms: The employee reported she immediately felt something after receiving the vaccine. Within 5 minutes her BP began to climb. She then developed chest pain, shortness of breath and tightening in the muscles of her left leg. A Rapid Response was called and during this time she was noted to have a decrease in responsiveness. 911 was called and she was transported to a local hospital emergency department. Her pulse oximetry and HR remained stable however, her BP was 200's/109.

Other Meds: Diovan, Bystolic, Norvasc, Zoloft, Baby Aspirin

Current Illness: None

ID: 1033106
Sex: F
Age: 31
State: TN

Vax Date: 02/03/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Circular rash/raised area about 1.5 inches around the injection site (it was raised for a few days after injection, but noticed on 2/15 that there was a red for circle around the injection site - no pain or itchiness is associated with it at this time)

Other Meds: Metformin, birth control, buspar, vitamin d3, vitamin c, calcium, magnesium, zinc

Current Illness: None

ID: 1033107
Sex: F
Age: 88
State: MA

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Error: Wrong Dose of Vaccine - Too High

Other Meds:

Current Illness:

ID: 1033108
Sex: F
Age: 85
State: PA

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Nausea, Throwing up, Chills, fever, Happened on days 1-5 after vaccine. Diarehia, cramps..painful to rib cage & Pelvis, Bone pain, cannot walk, loss of appetite & loss of balance I feel now!

Other Meds: Ampicivein 500mg Flaxseed Oil Presor Vision Areds Asprin 81mg Folic acid

Current Illness: Kidney Disease

ID: 1033109
Sex: F
Age: 50
State: NE

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: ON 2/10/21, DEVELOPED CHILLS, FATIGUE, AND HEADACHE LASTING 24 HOURS

Other Meds:

Current Illness:

ID: 1033110
Sex: F
Age: 2
State: MN

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: NA

Allergies: NKA

Symptoms: 2 doses of Hep B given at visit on 2-16-2021, 1 dose of Energix-B by GSK and 1 dose of Pediarix by GSK.

Other Meds: unknown

Current Illness: no

ID: 1033111
Sex: M
Age: 83
State: CT

Vax Date: 02/13/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: all on 2/15/2021 E K G....CT Scan ....Blood sample....various physical tests

Allergies: None

Symptoms: complete loss of use of left hand

Other Meds: attenelol, ... Atorvastatin,... Vitam D Zetia....low dose asprin

Current Illness: None

ID: 1033112
Sex: F
Age: 73
State: IN

Vax Date: 02/05/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None

Allergies: Unknown

Symptoms: Patient received dose 2/5/2021 - On 2/6/2021, patient with sore arm managed with Tylenol. Resolved until 2/13 when patient developed arm swelling from shoulder to elbow. Red Blotch 2"x2", and feverish.. Patient went to immediate care on 2/15 and diagnosied with cellulitis and infection. Prescribed SMX/TMP and Clindamycin for infection. Follow-up with primary physician 2/19 pending.

Other Meds: Unknown

Current Illness: Unknown

ID: 1033113
Sex: F
Age: 58
State: MA

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I fainted almost immediately but I was extremely anxious and crying/hyperventilating. I also had nausea and retching, My blood pressure went up. A couple of hours later I had a sever head ache, chills and sweats with body aches that lasted through the next morning.

Other Meds:

Current Illness:

ID: 1033114
Sex: F
Age: 33
State: MA

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Ceclor, Levaquin, Codeine, Erythromycin

Symptoms: 2/5 temperature

Other Meds: Prenatal MVI

Current Illness:

ID: 1033115
Sex: M
Age: 42
State: IN

Vax Date: 01/15/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: None.

Symptoms: Sore arm and body aches appeared 1 day after.

Other Meds:

Current Illness: None.

ID: 1033116
Sex: M
Age: 59
State: NJ

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

Lab Data:

Allergies:

Symptoms: Facial and Neck Flushing, Shaking Chills, Involuntary Leg Movement, Increasing Blood Pressure topping out at 198/101

Other Meds:

Current Illness:

ID: 1033117
Sex: F
Age: 44
State: CA

Vax Date: 02/12/2021
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: PCN Dust Mite

Symptoms: 24-36 after injection, hives appeared on inner thighs, upper arms (tricep area, underarm), all over my glutes. Have taken Benadryl will no effect. Still have hives/rash in same area, not going away. Just seem a lot larger and increased itching

Other Meds: Zoloft 50 mg, one po qhs Xanax 0.5-1mg one po qhs prn insomnia

Current Illness: Cortisone shot in knee 01/26/2021

ID: 1033118
Sex: F
Age: 49
State: MO

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient developed sudden dizziness upon leaving the recovery area, and was accompanied by staff to a laying position on a cot. HR 85, 10:05; BP 154/97, no additional symptoms. 10:10; HR 85, BP 154/97 dizziness improving, no new sx 10:15; HR 84, BP 151/95 dizziness improving, no new sx 10:20; HR 80, BP 134/89 dizziness improved

Other Meds:

Current Illness:

ID: 1033119
Sex: F
Age: 69
State: NY

Vax Date: 02/10/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Red blotch at injection site 5 days after receiving second dose of the vaccine.

Other Meds: Amlodypine Benazapril 5/10 mgms

Current Illness: None

ID: 1033120
Sex: M
Age: 68
State: SC

Vax Date: 02/11/2021
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: I started feeling fatigued on Sunday Feb 14. I started feeling this way in the afternoon. Next I felt like I had indigestion so I took some tums. At about 1:00am on Monday morning I woke up and felt really bad and thought I had indigestion so I tried to take some more tums and vomited. I was really weak and short of breath. I laid back down and tried to go to sleep but my heart felt like it was racing. Within an hour I was back up vomiting again with shortness of breath, weakness, heart racing. I tried to lay back down but within another hour I vomited again. This went on until 8:30am Monday morning. My pulse was everywhere. 97 to 112bpm. I was having chills all day and weak. I slept a lot Monday and also had diarrhea on Monday morning. I couldn't eat all of Monday and finally ate some soup on Tuesday. I am feeling much better today but still a little fatigued.

Other Meds: multivitamin, vitamin c, diclofenac 500mg

Current Illness: none

ID: 1033121
Sex: F
Age: 48
State: GA

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

Lab Data:

Allergies:

Symptoms: bruise still present at next covid shot on 2/14

Other Meds:

Current Illness:

ID: 1033122
Sex: M
Age: 47
State: MD

Vax Date: 02/05/2021
Onset Date: 02/07/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: blood cultures 2/7 urinalysis 2/7 CXR 2/8 chest CT 2/9 CXR 2/12 bronchoscopy with full BAL and biopsy 2/12 CXR 2/16

Allergies:

Symptoms: 48 hours post vaccine, patient developed low grade fever and respiratory complaints including shortness of breath. chest x ray showed RUL consolidation. when patient wosened over the next 48 hours from respiratory standpoint including new oxygen requirement and hypotension, decision was made to perform chest ct which confirmed presence of RUL pneumonia. the following day, the patient was bronched and the resultant bronchial alveolar lavage that was performed has thus far been completely negative. repeat chest xray four days later showed resolution of RUL consolidation and patient was no longer symptomatic.

Other Meds:

Current Illness:

ID: 1033123
Sex: F
Age: 40
State: CA

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: My arm started getting swollen, red, hot and bumpy the day after my vaccine. This went on for at least 3 days. It went away but the following week on a Wednesday, it came back and it got swollen, painful, red, hot, and itchy again. That is when I called my doctor and they told me if it didn't go away by Friday, I would need to go on antibiotics. It went away by Saturday so did not need to start any medications. I did take Benedryl has it was the only thing that was helping the reaction.

Other Meds: None

Current Illness: None

ID: 1033124
Sex: F
Age: 40
State: NE

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: ON 2/10/21, DEVELOPED BODY ACHES, CHILLS, CHEST TIGHTNESS, NAUSEA, HEADACHE, AND FEVER.

Other Meds:

Current Illness:

ID: 1033125
Sex: F
Age: 74
State: NC

Vax Date: 12/09/2020
Onset Date: 12/22/2020
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: PCN

Symptoms: Sore arm since administration 2 months ago. Minimally relieved by NSAIDs/APAP or ice. Bone pain.

Other Meds:

Current Illness:

ID: 1033126
Sex: F
Age: 49
State: FL

Vax Date: 02/12/2021
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: NOne

Allergies: None

Symptoms: My reactions came out 24 hrs. . after my second Moderna shot. I experienced palpitations, shortness of breath but no hearth rate increase and no fever. It last for a day , Sunday and Monday I experienced extreme fatigue and muscle pain but the palpitations and tachycardia decreased. I just had my physical in January and my heart is doing ok, I don?t take any medication at all.

Other Meds: Only Tylenol after the shot

Current Illness: None

ID: 1033128
Sex: F
Age: 31
State: CA

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Site: Itching at Injection Site-Mild, Systemic: Allergic: Itch Generalized-Mild, Systemic: Allergic: Rash Generalized-Mild

Other Meds:

Current Illness:

ID: 1033129
Sex: F
Age: 54
State: MA

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 2/5 temperature

Other Meds:

Current Illness:

ID: 1033130
Sex: F
Age: 72
State: WA

Vax Date: 02/13/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: no

Allergies: hydrocodone,

Symptoms: pt stated she had a cough the night after getting the vax. She developed some hardness, redness and itching around the injection site and down towards her elbow the next day after the vax. Pt has been using Benadryl skin cream and says the redness is better but it still very itchy. Pt will contact her PCP for medical advice.

Other Meds: baclofen 10mg, clopidgrel 75m, duloxetine 60mg, Hydrochlorothiazide 25, metoprolol 100mg, pantoprazole 40mg, simvastatin 20mg, Zyrtec 10mg, calcium 1200mg, vitamin D 5000units, hyaluronic acid Vitamin B complex and B12, Alpha Lipoic Acid

Current Illness: in-patient surgical procedure - tissue removed from her tongue.

Date Died: 02/14/2021

ID: 1033131
Sex: M
Age: 76
State: IL

Vax Date: 02/11/2021
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: unknown

Allergies: No known allergies

Symptoms: Patient received initial COVID vaccine on 2/11/2021 at Clinic. Direct observation for 15 minutes and no documentation noting an adverse reaction. On 2/14/2021 was diagnosed with Sepsis secondary to pneumonia, started on antibiotic therapy, cardiac arrested, and expired on 2/14/2021 while at Hospital.

Other Meds: Alendronate Sodium aspirin atorvastatin cyanocobalamin (VITAMIN B-12) glipizide hydrochlorothiazide levothyroxine Losartan Potassium meloxicam metformin metoprolol succinate Mycophenolate Mofetil NITROGLYCERIN omeprazole prednisone Py

Current Illness: Unknown

ID: 1033132
Sex: F
Age: 25
State: NE

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: ON 2/11/21, DEVELOPED BODY ACHES, HEADACHE, NAUSEA, SORENESS AND SWELLING AT INJECTION SITE, AND CHILLS

Other Meds:

Current Illness:

ID: 1033133
Sex: M
Age: 75
State: DC

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Reports left arm pain and numbness with Left hand swelling 1 month post injection

Other Meds:

Current Illness:

ID: 1033134
Sex: F
Age: 76
State: FL

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

Lab Data:

Allergies:

Symptoms: Localized redness surrounding injection site. Approx 5 cm circular redness mild swelling and warmness. Advised topical benedryl to area twice daily for 3-5 days. Also advised holding pressure for 3-5 minutes after next injection. Patient reports improvement over the past 4 days.

Other Meds: Carbidol, Emdur, Cresto, Plavix, baby ASA, Reflux, Mega 3, Areds 2 eyes, Vit D and Metamucil

Current Illness:

ID: 1033135
Sex: F
Age: 76
State: AZ

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Woke up at approx 1:30 am on the morning after the 2nd Covid vaccination with a fever of 101 degrees. Took one Ibuprophen tablet. Fever subsided by 7:30 am. Felt exhausted and slept off and on for the next 24 hours. All symptoms gone as of today 2/16/2021.

Other Meds: Calcium, daily multivitamin, Letrozole 2.5 mg, Atorvastatin 40 mg.

Current Illness: None

ID: 1033136
Sex: F
Age: 61
State: CA

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

Lab Data: EKG, Vitals

Allergies:

Symptoms: Patient had post vaccine tachycardia, tremor, hypertension requiring phone call to 911 + prolonged observation

Other Meds:

Current Illness:

ID: 1033137
Sex: F
Age: 33
State: VA

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: Benadryl 50 mg IV, Solumedrol 125mg IV, Pepcid 20 mg IV

Allergies: unknown

Symptoms: throat tightness, lower lip swelling, mild chest tightness. Mild Angioedema

Other Meds: unknown

Current Illness: unknown

ID: 1033138
Sex: F
Age: 79
State: AZ

Vax Date: 01/29/2021
Onset Date: 02/05/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None

Allergies: None to medications, food: dairy, gluten

Symptoms: Developed a knot at injection site, then turned red and itching then spread down my arm to elbow. Treated with antibiotics: Injection of Ceftriaxone (Rocephin) plus prescription of doxycycline hydrate 100 mg twice a day for 10 days. At this writing there is still some pain but very little redness. Appears to be healing. Diagnosis was cellulitis of left upper limb.

Other Meds: Levothyroxine, .025 mg; Losartan 100 mg, Omega, aqueous zinc, ProbioMed50, Lectin Protect, B Complex drops, Vitamin D drops,

Current Illness: None. Some sinus drainage

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm