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**
PLEASE CHECK BACK SOON
Download the files above while you wait.







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

Date Died: 01/25/2021

ID: 1036418
Sex: M
Age: 85
State: IL

Vax Date: 01/21/2021
Onset Date: 01/25/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: 1/25/21 Rapid COVID negative; Troponin 0.87; platelet count 92; BUN 50, Cr 2.96; GFR 20; SGOT 132; SGPT 102; Potassium 5.5 CT revealed ground glass opacities representing pneumonia versus pulmonary edema; diffuse body wall edema and pleural effusions. Pacemaker/defibrillator interrogated with no shocks or other events noted.

Allergies: No Known allergies

Symptoms: ER visit 1/25/21 patient walked into a prompt care and collapsed, witnessed and pulseless CPR with ROSC after 6-7mins, no shock no meds. Awake and speaking upon arrival to ER. 2 plus pitting edema ble ER diagnosis Anasarca, cardiac arrest, hypotension, elevated troponin I levels, Acute kidney injury and syncope. ER notes reveal a syncopal episode in the shower prior to collapse at prompt care. Central line placed and plan to ship to another facility, patient continued to decline despite dopamine and dobutamine expired in ER prior to transfer.

Other Meds: Meds as of 1/20/21: Aspirin 81 daily; Carvedilol changed to Metoprolol XL; CoQ10 daily; digoxin 3xweek; fluticasone propionate daily; furosemide 80 mg twice daily; Iron 325mg daily; L-Carnitine daily; lisinopril 2.5 daily; Metamucil plus; M

Current Illness: Outpatient hospital admit 12/20-12/21 with CHF exacerbation; BNP 2510, platelet count 99; total bili 2.3; BUN 26, Cr 1.42 and GFR 47. Repeat labs 12/31/20 BUN 28; Cr 1.52; GFR 44; 1/2/21 total bili 2.6; platelet count 89. PCP visit 1/7 noted pitting edema BLE and wife stated more confused lately diagnosis hypertension, elevated bilirubin, thrombocytopenia and shortness of breath, CXR 1/7 cardiomegaly, central vascular congestion, tiny bilateral pleural effusions and mucous plugging. Cardiologist visit 1/20/2021 with med changes.

ID: 1036419
Sex: F
Age: 77
State: MA

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: N/A

Allergies: Codeine Nicotine

Symptoms: N/A

Other Meds: Melatonin 3mg daily Artificial tears 0.1% 1 drop 4 times daily Polyethylene glycol 17gm daily Plavix 75mg daily Aspirin 81mg daily Nifedipine ER 60mg daily Losartan Potassium 50mg daily Atorvastatin Calcium 80mg daily Gabapentin 300mg three

Current Illness: n/a

ID: 1036420
Sex: F
Age: 68
State: CA

Vax Date: 02/02/2021
Onset Date: 02/13/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Large red rash at injection site on upper arm. Sore to touch and itches.

Other Meds: Atenolol prinivil Lipitor multivitamin

Current Illness: Hypertension kidney disease fibromyalgia obesity

ID: 1036421
Sex: F
Age: 71
State:

Vax Date: 02/13/2021
Onset Date: 02/15/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: the patient had a patchy 3x2 inch near the site of injection 24 hours after the administration. The patch was resolved after four days of the vaccination. The patient states that no topical or oral medication was used to treat it.

Other Meds:

Current Illness:

ID: 1036422
Sex: F
Age: 63
State: FL

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: 2/4/2021 telemedicine conference with ARNP who requested that I go to the ER for a CXR, COVID-19 pcr and labwork. All were negative and based on my severe coughing the ER doctor and practitioner determined that it was my asthma

Allergies: Dilaudid, copper, nickle,

Symptoms: At first, arm pain, fever, headache, fatigue, loss of appetite and then cough began then leading to an exacerbation of my asthma that kept worsening over the course of the week

Other Meds: Singulaire, Breo inhaler, Zyrtec, Calcium, Vit D, fluticasone nasal spray, Azelastine nasal spray, famotidine, Co q 10, B-12, biotin, womens multivitamin

Current Illness: None

ID: 1036423
Sex: F
Age: 47
State:

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: After my second dose of the Moderna COVID vaccination, with in 24 hours I felt achy and had a headache and tired. Within 30 hours I had a temperature of 100.4 along with the other symptoms. Those all went away within 48-50 hours of the second dose. 6 days after the second dose, I broke out in a red itchy rash on the front and back of my torso as well as shoulders and neck. I am on day 3 of having the rash. Benedryl does not seem to help.

Other Meds:

Current Illness:

ID: 1036424
Sex: M
Age: 33
State:

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 101 degree fever, body aches, chills, severe headache, injection site pain, sore arm

Other Meds:

Current Illness:

ID: 1036425
Sex: F
Age: 53
State: PA

Vax Date: 01/17/2021
Onset Date: 01/17/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: none

Allergies: SULFUR BACTRIM HALDOL

Symptoms: Severe neck pain - approximately 3 days Joint pain - approximately 1 week headache - approximately 3 days

Other Meds: NONE

Current Illness: NONE

ID: 1036426
Sex: F
Age: 56
State: MA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Vomiting, fevers up to 102, dizziness, weakness, body aches.

Other Meds: Multiple vitamins, Fish Oil Omega 3

Current Illness: Covid-19 Positive test 1/4/21. My 2nd dose was scheduled for 1/7 but still within the 10 day of positive test. Day I returned to work the MD's at my Hospital recommended to have the 2nd dose. They believe I became so ill that night because my immune system was so compromised.

ID: 1036427
Sex: M
Age: 78
State: CO

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: no

Allergies: no

Symptoms: pt stated around midnight after getting the vax he had some GI issues, fever of 101, body aches, fatigue, felt like he had the flu. Said it hurt to touch the hair on his body. The left arm was sore around the injection site. After about 30 hours after his vax his symptoms subsided.

Other Meds: Eliquis, metoprolol, lisinopril, rosuvastatin, hydrocodone, Robaxin,

Current Illness: no

ID: 1036428
Sex: F
Age: 95
State: IN

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: CELEBREX ALLERGY

Symptoms: PT'S DAUGHTER OBSERVED INCREASED TALKATIVENESS, PT EXPRESSED FUTURE PLANS LIKE SHE HAD NOT DONE FOR YEARS PREVIOUSLY. PT JUST SEEMED TO HAVE INCREASED AWARENESS OF HERSELF AND OF THE PEOPLE AROUND HER.

Other Meds: NOTHING DIFFERENT THAN NORMAL MEDS, PER PT'S DAUGHTER

Current Illness: N/A

ID: 1036429
Sex: M
Age: 16
State: MN

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Error: Patient Too Young for Vaccine Administered

Other Meds:

Current Illness:

ID: 1036430
Sex: M
Age: 59
State: NC

Vax Date: 01/26/2021
Onset Date: 01/31/2021
Rec V Date: 02/17/2021
Hospital: Y

Lab Data: levated blood glucose of 361, chills and sweating with possible fever, although had not been measured. ER exam showed WBC 18.1, H&H 8.1/23.9, leukocytosis, lactate 2.4, BUN 112, lactate 2.4, serum ketones, normal abdominal exam. Feb 02, 21 Abdominal CT showed: "Gallbladder and Biliary Tree: There is no mural thickening of the gallbladder. Small radiopaque gall gallbladder sludge is present. No evidence of intra or extrahepatic ductal dilatation." A repeat CT on 05 FEB showed "Mild peripancreatic stranding." Ultrasound 06 FEB showed " PANCREAS: Partially visualized and appears normal." Lipase 05 FEB was 162.

Allergies: none

Symptoms: The patient is a 59 yo male with a history of ALS, ventilator dependent who developed acute pancreatitis with illness onset 5 days after receipt of Shingrix #2 from VA visiting nurse via Home Based Primary Care. He had fever the following day with temp 100.2 , but symptoms resolved by next day and he resumed baseline wellness. On day 5 wife noticed cold sweats, lowered pulse oximetry and increased blood sugars. He continued to decompensate with increased blood glucose in 300 range, decreased LOC, inability to communicate and was brought to ER by POC 01 FEB (check in 09:35) for evaluation. the patient was hyperglycemia, WBC 18, h/h 8/23, + serum ketones . He was admitted with hyperglycemia, leukocytosis and anemia. Discharged on day 10 with hospital dx proteocaloric deficiency, DM with hyperglycemia, genital edema, constipation, sinus tachycardia, small left pneumothorax, hypoproliferative anemia, anxiety, hypernatremia, and pancreatitis. Vaccine documentation not available.

Other Meds: Allopurinol 300 mgs daily Vitamin C 500 mgs po daily Vitamin D 1000 daily Lopresor 12.5 mgs daily HCTZ 12.5 mgs daily alfuzosin 10 mgs po daily Buspar 15 mgs q.am, 20 mgs q pm Gemfibrozil 600mgs q a.m, 300 mgs q pm Ativan 0.5 mgs po daily M

Current Illness: none

ID: 1036431
Sex: M
Age: 46
State: KY

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: None

Allergies: Codein

Symptoms: Within 5 minutes I had blurred vision, foggy brain and dizziness. This lasted about an hour, and after that I was fine. It seemed to come on fast, and then leave just as fast.

Other Meds: Sirolimus for a liver transplant 3 1/2 years ago

Current Illness: None

ID: 1036432
Sex: M
Age: 49
State: GA

Vax Date: 02/05/2021
Onset Date: 02/11/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: Audiogram: Mild sensorineural hearing loss in left ear MRI Brain with and without contrast: Normal MRI of the Brain and IACs.

Allergies: Not known

Symptoms: Sudden hearing loss on left ear accompanied by fullness in the left ear and muffled sounds.

Other Meds:

Current Illness:

ID: 1036433
Sex: F
Age: 67
State: AK

Vax Date: 02/05/2021
Onset Date: 02/10/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: None

Allergies: Metal, Sulfa

Symptoms: Itching and rash on upper left arm-started 1 week later and is slowly resolving

Other Meds: Welbutrin, Xanidine, furosemide, antihypertensive

Current Illness: Migraine, Hypertension

ID: 1036434
Sex: F
Age: 46
State: MD

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: N/A

Allergies: Latex

Symptoms: Patient with history of latex allergy. No adverse reaction to first vaccine. After 2nd dose of COVID-19 vaccine today, pt complained of rash bilaterally upper extremities and trunk and general pruritis. Denied any swelling or itching of mouth or throat. VS: HR90, BP 140/100, O2 sat 97%. 20g IV started in Left hand and 25 mg Benadryl given IV. Patient transferred to ED for observation.

Other Meds: Wellbutrin, Zoloft, over-the-counter allergy medication

Current Illness: None

ID: 1036435
Sex: M
Age: 64
State: TX

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: NA

Symptoms: Swelling, redness, very firm and painful, from left shoulder to just above elbow. On day 4 still having these symptom.

Other Meds: NA

Current Illness: NA

ID: 1036436
Sex: F
Age: 72
State: VA

Vax Date: 01/30/2021
Onset Date: 02/07/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: Allergic to orally administered sulfonamides. Last allergic attack sometime in the 1980s.

Symptoms: On the evening of the 8th day after my first dose of the Moderna COVID-19 vaccine, I noticed an oval patch of what appeared to be a red rash in the area surrounding and below the injection site. There was no pain or itching associated with the rash but it persisted for a couple of days. After I found some reference to such a vaccine side-effect on-line, I contacted my physician who advised use of an OTC topical cortizone cream. I followed his instructions and after about 5 days the redness subsided and the rash disappeared.

Other Meds: Only a daily vitamin on a regular basis. Tylenol as needed for pain. Alprazolam as needed for anxiety. Cyclobenzaprine as needed for muscle relaxation.

Current Illness: None.

Date Died: 02/17/2021

ID: 1036437
Sex: M
Age: 86
State: OH

Vax Date: 01/26/2021
Onset Date: 02/17/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Patient is deceased. Family called the pharmacy on 2-17-21 to let us know he would not be coming for his second appointment. When the pharmacist tried to call the family back for more info, the phone number on file doesn't work.

Other Meds: Unknown

Current Illness: None reported

ID: 1036438
Sex: F
Age: 31
State: IL

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: No known allergies

Symptoms: Day of vaccination: R arm soreness, (3rd day of menstrual cycle) 9:30pm heavier menstrual flow than normal Day after: 8am feverish/chills 12pm muscle aches, still feverish/chills, fatigue 5pm 99.8 (norm 97.6) fever continued chills and muscle aches and fatigue, headache, 600mg ibuprofen and recreational marijuana 6:30pm 99.7 fever continued chills and muscle aches, fatigue, headache 9:30pm 99.2 fever continued chills and muscle aches, fatigue, recreational marijuana. Heavier flow of menstruation. 2 days after: 9am 97.7 chills, fatigued 12pm: 97.7 fatigued, recreational marijuana 2pm: fatigued, menstrual flow very light My menstrual flow is usually heavy only the first couple days. It was heavier than normal on the 3rd night and continued heavy until over.

Other Meds: Bupropion for depression (150mg daily) Recreational marijuana around 8:30am and again at 12:30pm, 5:30pm and 9pm day of vaccination.

Current Illness: No known illnesses

ID: 1036439
Sex: F
Age: 96
State: NC

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Error: Booster Given Too Early

Other Meds:

Current Illness:

Date Died: 01/27/2021

ID: 1036440
Sex: M
Age: 65
State: GA

Vax Date: 01/15/2021
Onset Date: 01/27/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Patient died at home in hospice care from complications of stage 4 bladder cancer

Other Meds: unknown names of medication, chemo medications, HBP, CHF medications

Current Illness: Stage 4 bladder cancer

ID: 1036441
Sex: F
Age: 43
State: MD

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: CBC done to evaluate if oral antibiotics would suffice vs IV antibiotics. Started on oral antibiotics on evening of Sunday 2-14-21 Other symptoms still lingering, but are improving.

Allergies: None

Symptoms: Became extremely sick, including dizziness, shortness of breath, wracking cough and congestion on top of all listed normal reactions, of aches chills, fever, tiredness, muscle aches and pains, injection site itself developed into cellulitis, hence the urgent care vist

Other Meds: None

Current Illness: None

ID: 1036442
Sex: F
Age: 50
State: CO

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: Bactrim; Clindamycin; Scopolamine

Symptoms: Several minutes after vaccine administration, patient was in monitoring area and reported to EMS staff having a scratchy throat and a rash. Pt was scratching chest, redness present. No facial swelling noted, no signs of respiratory distress. An IV was started by EMS, and IV Benadryl was administered. Pt was monitored by EMS, symptoms improved. Patient denied wanting transport to the hospital for further monitoring and had a friend give her a ride home. She was informed to not receive the second dose.

Other Meds: Zyrtec; Emgality; Gabapentin; Clonazepam; Famotidine

Current Illness:

ID: 1036443
Sex: F
Age: 60
State: NY

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: bp 134/80, p 74 rr 18, chem strip 186

Allergies: none

Symptoms: felt light headed and dizzy. no respiratory sx.

Other Meds: faciga,asa,prednisone,duloxytene. levogthyroxine, bunetimide, isosrbide, tamulosin, topramide, clonazapam, lamotrigine, carvedilol, omeprazole, hydralazine, gabapentin, ca, atorvastatin, trulicity, zofran humalog baqsimi

Current Illness:

ID: 1036444
Sex: M
Age: 78
State: MI

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: SEE ABOVE

Allergies:

Symptoms: 78 YEAR OLD MALE COMPLAINED OF CHEST PAINS. ONSITE EMS AND PHYSICIAN RESPONDED. BP WAS 180/68 HR 80. EMS DETERMINED IT WAS NOT RELATED TO HEART. HE REFUSED ADDITIONAL EVALUATION AND CARE.

Other Meds:

Current Illness:

ID: 1036445
Sex: F
Age: 53
State: PA

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: SULFUR BACTRIM HALDOL

Symptoms: Chills - violent shaking for 3 hrs Headache - 3 days weakness - 3days

Other Meds: NONE

Current Illness: NONE

ID: 1036446
Sex: F
Age: 71
State: TN

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient described blurry vision, diaphoretic, low heart rate of 60, hypotensive 90/60.

Other Meds:

Current Illness:

ID: 1036447
Sex: F
Age: 17
State: CO

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: N/A

Allergies: NKA

Symptoms: Patient is 17 and under age for vaccine

Other Meds: Triamcinolone Acetonide

Current Illness: N/A

ID: 1036448
Sex: F
Age: 90
State: CA

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: None

Allergies: BAK (as an eye drop preservative)

Symptoms: Severe, total body shaking. Sudden onset, occurred while lying in bed. Approximately 20 minutes duration. Eventually subsided.

Other Meds: Zioptin eye drops

Current Illness:

ID: 1036449
Sex: M
Age: 5
State: SC

Vax Date: 02/08/2021
Onset Date: 02/10/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: Augmentin

Symptoms: site warm to touch and consistent with cellulitis versus local injection reaction. Swelling, red and fever

Other Meds: Vitamins

Current Illness: none

ID: 1036450
Sex: M
Age: 28
State: CA

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: vital signs 190 130/90 130 28 Father reported normal heartrate in the 90s Father noted that this is his son's typical reaction after a seizure. Client was reactive to pain prior to leaving. O2 to sat at 96% Client felt comfortable going home and declined further medical attention (911 and/or hospital)

Allergies: no known drug allergies

Symptoms: 15 second whole body seizure witnessed by father. Patient vomited for about 15 minutes. Father stated that his seizure probably due to being constipated and not reacting to treatment this morning.

Other Meds: Phenobarbitol, lacmictal, and otc medication for constipation

Current Illness: intellectual disability, wheelchair dependent static encephalopathy, anemia, bed confinement, epilepsy, cerebral palsy cortical blindness left brain, scoliosis

ID: 1036451
Sex: F
Age: 76
State: CA

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: None

Allergies: Penicillin. Also, sensitivity to chemical smells, dust and particles in the air - causes really bad cough.

Symptoms: Felt fatigued the day of the shot. Arm pain came on gradually and worsened by evening, even though I was moving my arm a lot. Had trouble sleeping due to arm pain. Next day slightly better. Second day much better. Third day pain completely gone.

Other Meds: Lisinopril 20 mg ? 2x a day for BP Metoprolol Suc 50mg ? 1x a day for BP Famotidine 20 mg - 1x a day for skin hives Atorvastatin (Lipitor) 10 mg - 1 a day for cholesterol Amlodipine Besylate (Norvasc) ? 5 mg 1 x a day for BP OTC ? Zyrtec (

Current Illness: None

ID: 1036452
Sex: F
Age: 52
State:

Vax Date: 02/04/2021
Onset Date: 02/15/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Rash around injection site 1+ week post injection

Other Meds: Bupropian

Current Illness: None

ID: 1036453
Sex: M
Age: 30
State: AZ

Vax Date: 02/11/2021
Onset Date: 02/15/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: None

Allergies: Amoxicillin

Symptoms: Yellow bruising around injection area. Almost Jaundice looking. No pain.

Other Meds: Descovy

Current Illness: None

ID: 1036454
Sex: F
Age: 47
State: OR

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: Prazosin, mils food allergies, seasonal allergies

Symptoms: After 8 days the injection site is still swollen and hot to the touch. It's also itchy. Usually, those types of symptoms last a couple of days.

Other Meds: citalopram, metformin, lisinopril, omeperazole, victoza, wellbutrin

Current Illness: none

ID: 1036455
Sex: F
Age: 38
State: OH

Vax Date: 02/12/2021
Onset Date: 02/14/2021
Rec V Date: 02/17/2021
Hospital: Y

Lab Data: She is currently at Hospital. They were informed of her Vaccines.

Allergies: sensitive to citrus, lime, strawberries, red food color dye.

Symptoms: On February 14th our dayshift staff arrived at work and upon approach to Patient's room approximately 0700 noted her to very warm and flush. Her temp was taken. She was at 103F. On-call nurse was called. Tylenol was advised and recheck. Prior to recheck Patient's roommate came out stating Patient's was shaking. Staff immediately went to her room to find her actively in a seizure of unknown duration. 911 was called d/t the seizure not ceasing/fever. Squad arrived and Patient was still having tremors. Staff followed to the ER. Patient was intubated and placed on a ventilator. Covid test negative. She is currently at Hospital x3 days.

Other Meds: Aptom 80mg qd Baclofen 10mg tid Ferrous sulfate QOD Lactulose QD Keppra tid Levothyroxine 150mcg qd glycolax QOD Topamax 100mg tid Vitamin D3 qd Fluticasone nasal spray qd

Current Illness:

ID: 1036456
Sex: F
Age: 78
State: CA

Vax Date: 02/08/2021
Onset Date: 02/15/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: None - have not been able to reach my dr. I have called and left a message.

Allergies: No

Symptoms: 8 days after I received the first shot, I developed a large red spot in the area of the shot. It itched so much and anything I put on it to stop the itch didn't help. I have taken 3 single pill doses of Benedryl which has eased the itch but it has not gone away as yet. (2/17) I have not taken Benedryl yet today but will have to, I think.

Other Meds: Primidone, Propanolol, Celebrex, Calcium, D3, Nitrofuritoin, Prevastatin, Prilosec,

Current Illness: None

ID: 1036457
Sex: F
Age: 78
State: MA

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: Patient was sent out to Mount Auburn Hospital for an evaluation and treatment.

Allergies: Diltiazem, Lisinopril, Demerol.

Symptoms: Fever of 102.4, RR 22, and lethargy.

Other Meds: Levothyroxine 88mcg daily, crestor 5mg Q hs, Famotidine 40mg PRN, Multivitamin daily, Vitamin D 1000 unit daily, Metoprolol 50mg daily,Tylenol 650 PRN.

Current Illness: Covid19.

ID: 1036458
Sex: F
Age: 94
State: TN

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient described being dizzy after vaccination. Improved within few minutes of evaluation.

Other Meds:

Current Illness:

ID: 1036459
Sex: M
Age: 66
State: MI

Vax Date: 02/12/2021
Onset Date: 02/15/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: On Tuesday, 2/16 got my test which I received results for at 2/16 4pm. Platelets wer 8K for that morning test. Hematologist and Primary discussed and put me on dexAMETHasone 40 mg once per day for 4 days straight Plan to test again on 2/18 as a stat.

Allergies: naproxen

Symptoms: 2nd immun on 2/12 2pm. Noted taste of blood in mouth on 2/14. On Mondya 2/15 sent note to primary about adding a CBC for an already established appointment on Wed. Lab appointment was wet for 2/16 am. The evening of 2/15, my platelet condition worsened starting with profuse bleeding of gums following a waterpik session and subsequent identification of petechia on legs and blisters on month and tongue. I called my hematologist's after hour service and agreed to stick with original testing plan

Other Meds: hydroCHLOROthiCoazide 25 mg tablet olmesartan 20 mg tablet ascorbic acid (vitamin C) 500 mg tablet omeprazole 20 mg capsule fexofenadine 180 mg tablet GLUCOSAMINE/CHONDROITN/NA/C/SE (JOINT FORMULA ORAL) MULTIVITAMINS (MULTIVITAMIN ORAL)

Current Illness: Benign vertigo diagnosed on 2/3 as part of a standard Hypertension office visit check

Date Died: 02/05/2021

ID: 1036460
Sex: M
Age: 90
State: IL

Vax Date: 02/02/2021
Onset Date: 02/05/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: death 2-5-21

Other Meds:

Current Illness: liver cancer

ID: 1036461
Sex: F
Age: 32
State: OR

Vax Date: 02/07/2021
Onset Date: 02/08/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: 2/9 went to ER due to continued nausea and vomiting, dehydration. Was rehydrated with 2L NS administered with compression bags and given Zofran via IV. Labs done including CBC, CMP, lactic acid. Dx: Vaccine reaction. Returned to ER 2/11 due to sharp stabbing abdominal pains that worsen with consumption. Given 1L NS and Zofran via IV. Labs done including CBC, CMP, lactic acid, UA. Imaging done including ultrasound of gallbladder, pancreas, liver. Dx: Gastritis. Rx: Omeprazole. Follow up with provider 2/17. Continue omeprazole course. Recheck CBC due to low WBC (also decreasing platelets) in ER lab results. Results pending.

Allergies: Imitrex

Symptoms: On 2/8 at 0330 woke up with vomiting, chills, body aches, headache, fever up to 101.6 F that continued for several days despite use of Acetaminophen, Ibuprofen

Other Meds: Effexor ER 150mg QD Buspar 7.5mg BID Estradiol 2mg QD Topamax 50mg QHS

Current Illness: None

ID: 1036462
Sex: F
Age: 49
State: MD

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: none

Allergies: no

Symptoms: 2/5/21 - arm hurt 2/6/21 - threw up almost every hour on the hour 2/7/21 - body aches all day 2/8/21 - exhaustion 2/9/21 - exhaustion ever since 2/9 exhaustion and as of 2/16/21 feeling dizzy

Other Meds: Dexilant 60 MG CPDR

Current Illness: Sinus Infection

ID: 1036463
Sex: M
Age: 73
State: NY

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/17/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: FEVER, FATIGUE, SHORTNESS OF BREATH, ACUTE CYANOSIS WITH RESPIRATORY FAILURE REQUIRING INTUBATION (SUCCESSFULLY EXTUBATED 2/17)

Other Meds: SORIATINE, LOTREL, KLONOPIN, PRADAX, PROLIA, PROZAC, CLARITIN, BYSTOLIC

Current Illness:

ID: 1036464
Sex: F
Age: 40
State: TX

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Headache, nausea, vomiting, sore arm, temp 102.8, chills began 1/08/2021 @ 9pm and lasted for 24 hours The next menstrual cycle was very heavy period, soaking heavy flow tampons every hour, large clots, and lasted 6 days from a typical mild flow 3 day period

Other Meds: NA

Current Illness: No

ID: 1036465
Sex: F
Age: 46
State:

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt with hx of anxiety and ADHD, received her dose 2 of moderna vaccine. During observation, pt reported to staff she was having "hard time breathing" @15:15. Taken to triage area were vitals were taken. O2 sat on RA 87%,which quickly corrected with supplemental oxygen. Vitals were stable throughout. She was observed for 30 minutes, during which time she had 5 episodes of intermittent tachypnea, c/o feeling hot, dizzy and chest tightness. No rash/hives/stridor/wheezing noted. Reported during first dose she had "fever, HA, hallucinations, loss of taste and smell the following day". Pt given water. She was given 2 puffs of albuterol inhaler without significant improvement at 15:45. Given no notable resolution of her cyclic tachypnea, EMS was called at 15:50. Care was transferred to EMS at 15:53.

Other Meds:

Current Illness:

ID: 1036466
Sex: F
Age: 51
State: MI

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: SULFA

Symptoms: 51 YEAR OLD FEMALE COMPLAINED OF MALAISE. ONSITE EMS AND PHYSICIAN RESPONED. BP 122/76 HR 76 O2 95% ON ROOM AIR. SHE REFUSED ADDITIONAL EVALUATION AND CARE.

Other Meds:

Current Illness:

ID: 1036467
Sex: F
Age: 79
State: MA

Vax Date: 02/11/2021
Onset Date: 02/13/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: First adverse event on 2/14/21 through 2/15/21 - severe fatigue, headache; second adverse event 2/17 pain in arm at injection site with moderate fatigue and headache .

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm