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: 1036668
Sex: F
Age: 62
State: MN

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

Lab Data: NA

Allergies: sulfa reaction X1 (hives)

Symptoms: When RN administered dose, the liquid of the vaccine leaked out between needle and syringe and it is unclear how much of the vaccine client received.

Other Meds: atenolol,

Current Illness: none reported

ID: 1036669
Sex: F
Age: 20
State: MI

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

Lab Data:

Allergies: Penicillin

Symptoms: Heat flash and stomach pain

Other Meds:

Current Illness: Tested positive for covid the day after I got my vaccine. Vaccine on 2/13, positive test on 2/14

ID: 1036670
Sex: M
Age: 60
State: AK

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

Lab Data: Labs, CXR,

Allergies: NKA

Symptoms: On evening of vaccine, patient developed arthralgias,right eye felt irritated, 30% vision loss with blurring . During the night, developed fevers, chills, substernal chest pain with radiation towards his back and bilateral arms. mild SOB. Next day, continued chest pain/angina, worsened with climbing a flight of stairs. Admitted to ED/ICU 2/16, general myalgias, Temp 100.7, CP 1/10 on arrival to ED. Small abrasion to right eye noted after flouroscein stain.

Other Meds: Lipitor, Brilenta, ASA, NTG. gabapentin

Current Illness:

ID: 1036671
Sex: F
Age: 50
State: GA

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

Lab Data: N/A

Allergies: N/A

Symptoms: Patient, a certified MA, was administering the vaccine and noticed the solution had substantially leaked around the syringe onto the patient's arm. Attempted to contact PFizer Medical Information twice without success. I was disconnected both times after waiting a total of 1.5 hrs. Contacted Our district immunization coordinator. She responded via email that we should administer another dose since it was a substantial amount of vaccine that leaked around the syringe. The patient verbally agreed to this plan with, LPN, present. LPN, administered Pfizer COVID-19 vaccine 0.3 mL (lot EL9267) intramuscularly in the patient's right deltoid without difficulty at 4:03 P.M.

Other Meds: N/A

Current Illness: N/A

ID: 1036672
Sex: F
Age: 72
State: CA

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

Lab Data:

Allergies:

Symptoms: In left arm- red swollen pain warm itchy Sat. Symptoms- headaches coughing chills muscle pain joint pain tiredness nausea vomiting night sweats Medicine took - ibuprofen for pain n headache and pedialyte and saltines for nausea and drank lots of water Sunday I was feeling better ate some soup and more pedialyte my arm pain redness swelling was still there but not as bad I could move my arm easier Monday I was all back to normal!

Other Meds:

Current Illness: Covid 19 1/17/2021 through 1/29/2021 with symptoms 14 days without symptoms Day 27 at time of vaccine taken

ID: 1036673
Sex: F
Age: 70
State: SC

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

Lab Data: None to date

Allergies: None known

Symptoms: Shortly after receiving injection arm was very sore. By evening arm was extremely painful to move or touch. Difficult to sleep due to pain. Day after injection arm was very sore, also felt body aches, headache and fatigue.

Other Meds: armour thyroid

Current Illness:

ID: 1036674
Sex: F
Age: 81
State: MD

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

Lab Data: None

Allergies: None per pt

Symptoms: Patient reported feeling, dizzy, hot and nauseated at beginning at 3:04pm , patient was given an ice pack to cool off and remove several layers of clothing to help with cooling off. Pt requested water asked to remove face mask to help with adequate breathing. Patient was asked questions regarding medical history and medications as well as given time to rest. Patient reported feeling better after 20 minutes and requested to go home. Patient had an assistant who reported she would drive her home. RN spoke with daughter on the phone who reported patient to stay at daughter's home, however patient refused and requested to go home. Pt reported feeling much better was adamant about going home.

Other Meds: None per patient

Current Illness: None described.

Date Died: 02/15/2021

ID: 1036675
Sex: F
Age: 61
State: MI

Vax Date: 01/28/2021
Onset Date: 02/04/2021
Rec V Date: 02/17/2021
Hospital: Y

Lab Data:

Allergies: Voriconazole, NSAIDs

Symptoms: 61 yo F with history of bilateral lung transplant 6/23/17 presented to ED on 2/4/21 with chief complaint of worsening shortness of breath, nausea and diarrhea for past week since receiving since receiving COVID-19 vaccine (Pfizer) on 1/28/21. Upon arrival to triage she was obviously dyspneic with significantly low oxygen saturations. O2 sats on arrival were 65%, improved to mid 90's with O2 6 liters per NC. Admitting diagnosis: hypoxic respiratory failure post COVID vaccine. Lab work shows an elevation of the BUN and creatinine at 31 and 1.71 which is slightly higher than her usual baseline levels. BNP is elevated at 2 448 with a mildly elevated troponin. Procalcitonin is also elevated. Patient's white blood cell count is 11.07. Full viral panel including COVID-19 is not detected. All blood cultures and respiratory cultures were negative. Patient chest x-ray shows numerous bilateral patchy opacities which is significantly different from her previous chest x-ray here. Empiric rejection treatment initiated including high dose methylprednisolone, plasmapheresis, IVIG, Thymoglobulin. She continued to decline and ultimately required intubation, proning and paralyzing on 2/8/2021 and then VV ECMO cannulation on 2/13/2021. EGD done 2/14/2021 as unable to pass the TEE probe during cannulation prior day (unable to complete due to abnormal anatomy). Acute pupil exam change in the early am hours of 2/15/2021 prompted urgent head CT which revealed catastrophic brain bleed. Brainstem reflexes were lost soon after. Despite placing an EVD emergently at bedside, brain stem reflexes were not recovered. GOL engaged and patient not an organ donation candidate. Therefore discussion with sister at bedside resulted in decision for cessation of life support. Patient expired shortly after support withdrawn and pronounced dead on 2/15/2021 at 11:11 AM.

Other Meds: acyclovir (ZOVIRAX) 200 MG capsule Take 1 capsule by mouth 2 times daily. albuterol HFA (PROVENTIL HFA, VENTOLIN HFA, PROAIR HFA) 108 (90 Base) MCG/ACT inhaler Take 2 puffs by inhalation Every 4 hours as needed for Wheezing (shortness of br

Current Illness:

ID: 1036676
Sex: F
Age: 65
State: NY

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

Lab Data: Motrin and Tylenol

Allergies:

Symptoms: The day after I had low grade fever, chills headache. then on 2/14/21 started with a bad headache, and then on 2/15-2/17/21 running Low grade fever (100) chills, nausea, headache, achy feeling sick. Not sure when on 2/14 started to feel sick if it is related to vaccine or not.

Other Meds: atorvastatin. levoxythrine, metformin, multi vitamin, vitamin d

Current Illness:

ID: 1036677
Sex: M
Age: 73
State: NJ

Vax Date: 02/01/2021
Onset Date: 02/05/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: Dermatologist gave me cream for the hives Regular Doctor gave me benadryl for the itching

Allergies: no

Symptoms: I came out with hives all over my arms, chest, legs, back, shoulders, stomach with terrible itching.

Other Meds: no

Current Illness: no

Date Died: 02/16/2021

ID: 1036678
Sex: M
Age: 67
State: PA

Vax Date: 02/14/2021
Onset Date: 02/16/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: None

Allergies: hydantoins, lipitor, phenytoin, statins-hmg-coa, reductase inhibitors

Symptoms: Resident did not exhibit any side effects from the vaccine. Staff spoke with him in his room at approximately 7:20am and returned to his room just a few minutes later and he was unresponsive. When the RN got to the room he had CTB. Physician documented heart failure and end stage kidney disease on the death certificate.

Other Meds: Amlodipine bes 5 mg ta 1 tab q am, baclofen 10 mg tab ? q am and pm, carvedilol 25 mg 1 tab q am and pm, clonidine hcl 0.3 mg tab q morning, afternoon and evening, escitalopram 20 mg 1 tab q am, floranex tab by mouth 3 times weekly, hydral

Current Illness: pneumonia-recent infection

ID: 1036679
Sex: F
Age: 70
State: FL

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

Lab Data: None

Allergies: Bactrim

Symptoms: Swelling and erythema on the injection site > 25 mm. I took antihistamine for 2 days. The area was clear after 7 days.

Other Meds: None

Current Illness: None

ID: 1036680
Sex: F
Age: 78
State: CA

Vax Date: 01/23/2021
Onset Date: 02/01/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: Am supposed to get labs and elected to wait until 2 or 3 weeks after 2nd shot so i do not have to go indoors and possibly expose myself to virus germs.

Allergies: Tetracycline

Symptoms: Dizzy, seeing white, world disappears, feel faint, broke out into sweat, face is ghostly white. Episode lasted about 10 to 15 minutes. Went to bed, slept, This happened at 2pm on February 1. Felt all right after sleeping. Talked with my doctor on Feb. 2 and started taking electrolytes. Have been okay.

Other Meds: Cal + Mag, vitamins D + B, Wellness pill

Current Illness: None

ID: 1036681
Sex: F
Age: 54
State: IL

Vax Date: 02/11/2021
Onset Date: 02/14/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: Doctor took blood work from me, but doesn't know if it is related to vaccine or not because there is no way to know.

Allergies:

Symptoms: The day after I just had an aching body and slight fever. Then about 3 days after I woke up with a horrible rash on my wrist, torso and legs and the next morning I now have it on my face and neck. I went to the doctor on the 15th and he prescribed me Prednisone 10mg and was told to take zyrtec along with Pepcid twice a day and Benydryl at nite. It is now the 17th and I still have rash.

Other Meds: Claritin, daily vitamin, venlafaxine ER 37.5 mg

Current Illness:

ID: 1036682
Sex: F
Age: 45
State: NM

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: none

Allergies: Metoclopramide (unknown reaction)

Symptoms: Pt completed 2 dose of COVID 19 (Pfizer) vaccine. She did not develop any side effects after her first dose, but developed acute on chronic migraine HA, nausea, low grade fever, and back pain after her 2nd shot. On the day of the 2nd shot (01/29/21), she did not have any symptoms, but woke up the next day (1/30/21) with symptoms. Her symptoms persisted after more than one week.

Other Meds: citalopram 10mg qday, vitamin C 500mg qday, vitamin D3 50,000 international units qweek, ferrous sulfate 325mg qday, Flonase nasal spray, folic acid 1mg qday, norethindrone 0.35mg qday, olopatadine 0.2% ophthalmic solution,

Current Illness: IDA, anxiety, MDD, migraine with aura, vitamin d deficiency

Date Died: 02/17/2021

ID: 1036683
Sex: M
Age: 94
State: NY

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

Lab Data:

Allergies: NKDA

Symptoms: cardiac arrest in the home.

Other Meds: unknown

Current Illness: none

ID: 1036684
Sex: F
Age: 50
State: NY

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

Lab Data: NA

Allergies: NKA

Symptoms: 10:28 - Pt. complains of tingling in mouth. VS initiated. Lung sounds clear upon auscultation. Will continue to monitor. 10:40 - Pt. speech is muffled. Tongue swollen, compared to baseline. 10:41 - Benadryl 25 mg IM via RA administered. 10:45 - Patient reports resolution of tingling of mouth. Tongue swelling resolved. 10:55 - Patient discharged

Other Meds:

Current Illness:

Date Died:

ID: 1036685
Sex: F
Age: 77
State: MN

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

Lab Data:

Allergies:

Symptoms: Systemic: Body Aches Generalized-Medium, Systemic: Chest Tightness / Heaviness / Pain-Medium, Additional Details: Unknown if patient experienced adverse effects 2-13 or 2-14, patient called facility 2-15 reporting body aches and chest pressure and was told by facility to seek medical attention, she passed later that day

Other Meds:

Current Illness:

ID: 1036686
Sex: F
Age: 73
State:

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

Lab Data:

Allergies:

Symptoms: One week after injection, woke to swelling, redness, intermittent itching at injection site, no pain or tenderness. It is now day three with no worsening or improvement.

Other Meds:

Current Illness:

ID: 1036687
Sex: F
Age: 77
State: CT

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: Codeine, steroids, diuretics, nova Caine All diet sugars, perfume, cleaning products Sensitive to many things and motion sickness

Symptoms: 1st reaction was sore arm for 2 days. Sire to touch and achy. Week later. Arm red and hot for a few days. Next week arm sore and burning. Tingling, pins and needles, burning in random parts of body Arm, leg, face , back. Head. Every part was hit. The last two have continues through today almost 5 weeks after my shot. Went for second shot and they suggested I wait a little longer. Right now I am afraid to have second shot.

Other Meds: Diovan, Coq10, Fish oil, inflammatone, immunitone, zinc, vit d, Vit c, collagen

Current Illness: No illnesses. Many dental procedures in last 12 months. In much pain Back injury from car accident

ID: 1036688
Sex: F
Age: 69
State: NY

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

Lab Data:

Allergies: none

Symptoms: I had reactions after the first shot of Pfizer-BioNTech on 01/27/2021, but did not think it was related to the vaccine. I felt pulsing and throbbing in my legs- but I thought it was related to my arthritis. I had COVID from March 14, 2020 through April 20th, 2020. I tested positive for antibodies on June 23rd, 2020. I had gotten a steroid shot in my right knee 12/10/2020 because I experienced some inflammation- the result of this was positive- I moved around easily through 12/25/2020 into the New year of 2021 and most of January. On January 27, 2021, I received my first Covid vaccine. A day later I had unusual inflammation of my right knee- I could hardly bend it. I walk down & up 80 steps everyday total (160)

Other Meds: advil, valerian, multi-vitamin

Current Illness: knee arthritis- comes and goes

ID: 1036689
Sex: M
Age: 54
State: NJ

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

Lab Data: None at this time. I am scheduled to see an ENT MD on 2/22/21

Allergies: None /

Symptoms: I had fever, chills, muscle ache headache. After 2 days, I developed tinnitus, ringing on my both ears, head - which is still going as of this writing. I have constant ringing on my head 24 hrs a day with no relief. I had Moderna covid 19 EUA vaccine

Other Meds: Atorvastatin, Jentaduetto, Bystolic, Pregabalin

Current Illness: None

ID: 1036690
Sex: F
Age: 45
State: MN

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

Lab Data: na

Allergies: codeine

Symptoms: red swollen face, light red rash on face, light headed

Other Meds: lo-ogestral

Current Illness: na

ID: 1036691
Sex: F
Age: 53
State: OH

Vax Date: 12/21/2020
Onset Date: 01/05/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: Demerol, dexamethasone, Dilaudid, erythromycin, prochlorperazine, Valium

Symptoms: Cold and shivering, low grade intermittent fever, intermittent ear pain, intermittent tingling tongue sensation. Blood coming out of one nostril (Felt like a brain bleed, which the patient has experienced in the past) and the inside of that nostril is "fire engine" red. Has experienced horrible balance after the vaccine. The back of her throat contains bright red and yellow patches. Her tongue has been dry and contains bumps. She states that she lost tone on the inside of the cheeks. She's had 2 breakouts of warts on the back of the tongue, looks like swollen taste buds and they are yellowish-white in color.

Other Meds:

Current Illness:

ID: 1036692
Sex: F
Age: 67
State: TX

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: none

Allergies: No

Symptoms: The day after my injection, at 5:00 a.m. I got up to try to go to the bathroom but felt very dizzy - I had help to get to commode but had to lie on floor to stop from passing out, was sweating profusely. Did not feel well between 5 and 8 am. I think I had 2 vasovagal episodes during this time brought on by needing to do a bowel movement but I had difficulty not passing out. After second bowel movement - the dizziness and nausea and sweating subsided. The rest of the day, I just had minor fever and minor headache. By the next day I was normal. I have had 2 or 3 vasovagal episodes in the last 15 years and so that is what I think it was but I assume possibly brought on by the vaccine. My average sleeping heart rate that first night was 10 beats per minute higher than normal (I wear a Fitbit with a sleep app).

Other Meds: Lipitor, Ubiquinol.

Current Illness: No

ID: 1036693
Sex: F
Age: 37
State: NJ

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

Lab Data: None

Allergies: None

Symptoms: Swollen lymph node under left armpit. Slight pain.

Other Meds: None

Current Illness: None

ID: 1036694
Sex: M
Age: 38
State: OH

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

Lab Data: Symptoms confirmed by primary care physician and opthamologist (seen to confirm shingles did not travel to eye)

Allergies: NKDA

Symptoms: Shingles on Left side of head/face, treatment with Valtrex and Prednisone, started as head pain then developed a rash post vaccine day 2, rash became darker on post vaccine day 4, rash started to blister post vaccine day 5. Treatment started after seeing primary care physician on post vaccine day 5.

Other Meds: NA

Current Illness: NA

ID: 1036695
Sex: F
Age: 31
State: IN

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: bee venom

Symptoms: rash on arm and across chest, numbness and tingling on L side of face and numbness of L fingers on side of covid shot x 3-4 days , blurry vision x 2 weeks light sensitivity 2nd shot rash on arm and pain/ hot to touch, numbness and tingling on L side of face and numbness of L fingers/hand ongoing to date

Other Meds:

Current Illness: COVID - 19 in Dec

ID: 1036696
Sex: F
Age: 79
State: CA

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

Lab Data:

Allergies: osteoporosis medication,

Symptoms: Mild nausea, strong fatigue, very bad muscle and joint pain lasted about 3 to 4 days

Other Meds:

Current Illness:

Date Died: 02/08/2021

ID: 1036697
Sex: M
Age: 69
State: IL

Vax Date: 02/03/2021
Onset Date: 02/08/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: Unknown

Allergies: No Known Allergies

Symptoms: Multiple co-morbidities history of COVID-19 6/8/2020 and 12/28/2020. At time of vaccination fighting osteomyelitis. 1st dose 1/13/21, 2nd dose 2/3/2021 expired 2/8/2021.

Other Meds: lactobacillus; amlodipine; ascorbic acid; ativan; augmentin; ferrous sulfate; furosemide; mag oxide; mirtazapine; norco; potassium chloride; MVI; prosource liquid; protonix; sennosides-docusate; seroquel; tizanidine; vancomycin; zinc sulfat

Current Illness: Stage 4 sacral pressure ulcer with osteomyelitis with indwelling urinary catheter and peripherally inserted central catheter. IV Vancomycin

ID: 1036698
Sex: F
Age: 50
State: AZ

Vax Date: 02/14/2021
Onset Date: 02/15/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Soreness in arm, extreme body aches, headache, low-grade fever, fatigue, Swelling in left armpit

Other Meds: Synthroid 175mcg daily Vitamin D Zyrtec

Current Illness: None

ID: 1036699
Sex: M
Age: 61
State: WA

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

Lab Data:

Allergies: Pencillan

Symptoms: nausea and fever

Other Meds: none

Current Illness: High Cholestrerol, High Blood Pressure

ID: 1036700
Sex: F
Age: 45
State: NY

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

Lab Data: NA

Allergies: NKA

Symptoms: 9:45 - Pt reports chest discomfort and difficulty breathing. VS initiated. Redness and itchiness on the chest area. Tongue/throat not swollen. Wheezing noted bilaterally upon auscultation on the lower lung fields. 9:55 - Patient reports no resolution of s/s. Benadryl 25 mg IM RA administered. 10:05 - Patient verbalizes resolution of chest discomfort & itchiness. 10:21 - Pt. verbalizes return of chest discomfort. Prepared to give Benadryl, if necessary. 10:25 - Pt. reports resolution of symptoms. 10:30 - Patient leaving facility. Informed pt. to take oral Benadryl & go to ER if any s/s returns. Patient verbalizes understanding.

Other Meds:

Current Illness:

ID: 1036701
Sex: F
Age: 81
State: FL

Vax Date: 01/20/2021
Onset Date: 01/24/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: FOR TIA: NORMAL CAT SCAN AND MRI OF HEAD W/O CONTRAST; MRA SHOWS 60-70% STENOSIS AND OCCLUSION OF MIDDLE CEREBRAL ARTERY; NO CAROTID STENOSIS. LDL 140 MG/DL;

Allergies: NONE

Symptoms: 1-TRANSIENT ISCHEMIC ATTACK: PARESTHESIAS OF FACE, MORE MARKED AROUND CHEEKS AND MOUTH, FELT EYES DEVIATING TO RIGHT SIDE, BLURRED VISION, DIZZINESS, FEELING OF MAJOR DISTRESS 2-, MUSCLE SORENESS STARTED TO INCREASE AFTER ONE WEEK AND HAS CONTINUED TO INCREASE OVER TIME, BECOMING WORSE AT 4 WEEKS, AND LIMITING EXERCISE: CANNOT RAISE ARM, OR DO ANY MOVEMENT THAT REQUIRES MUSCLE FLEXION OR EXTENSION.

Other Meds: NONE

Current Illness: NONE

ID: 1036702
Sex: M
Age: 66
State: NC

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

Lab Data:

Allergies: Sulfa

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA Swollen lymph nodes

Other Meds:

Current Illness:

ID: 1036703
Sex: F
Age: 61
State: TX

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

Lab Data:

Allergies:

Symptoms: Report red itchy spots at the injection site 2 post vaccination. Treatment: Outcome : does not interfere with ADLs.

Other Meds:

Current Illness:

ID: 1036704
Sex: F
Age: 25
State: MN

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

Lab Data: NA

Allergies: Unknown

Symptoms: After vaccination, a reconstitution error was discovered, the vaccination received was slightly more concentrated. The employee has been contacted, made aware of the incident, educated on reporting signs and symptoms.

Other Meds: Unknown

Current Illness: No

ID: 1036705
Sex: F
Age: 47
State: VA

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

Lab Data:

Allergies: Bactrim

Symptoms: Loss of appetite, headache, nauseous, severe leg and hip pain (hard to walk), excessive sweating (I thought my dog peed in the bed at first), confusion. Husband was close to taking me to ER

Other Meds: Birth control pill Adderall 30 mg XR Wellbutrin

Current Illness: Mid January I had flu like symptoms. Rapid test negative for covid and flu

ID: 1036706
Sex: M
Age: 63
State: IN

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: The second day after I got the vaccine shot, I started to have pain on my left shoulder. I thought it was the normal adverse reaction and I kept watching it until the pain continues with tingly sensation on my left middle finger. I called my family doctor and schedule an appointment to see him. My doctor advised me to take Aleve or Ibuprofen for one week and also go to Community hospital employment office which I did and they noticed I have swelling on my left neck ( lymph nodes ) I have pain on my left shoulder and Tingly on my left middle finger hence am submitting this report.

Other Meds: Tylenol

Current Illness: None

ID: 1036707
Sex: F
Age: 67
State: CA

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

Lab Data:

Allergies:

Symptoms: Patient experienced syncope, dizziness, respiratory distress, palpitations. BP 132/67, pulse 60.

Other Meds:

Current Illness:

ID: 1036708
Sex: F
Age: 78
State: NY

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

Lab Data: -

Allergies: Penicillin, Cefaclor

Symptoms: Pt developed a ring rash around neck the day after COVID-19 Moderna Vaccine. pt also had on a scarf that she thinks caused this. no itching

Other Meds: Zyrtec, Levetiracetam, Sertraline, Bayer, Metformin, Rosuvastatin, Losartan

Current Illness:

ID: 1036709
Sex: F
Age: 72
State: CT

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

Lab Data: none

Allergies: hay fever, many trees, dust, etc. and IV contrast

Symptoms: Dizziness, spreading numbness from arm to top of head, weakness, all only on left side. Docs said they have seen this same reaction once before. After 45 minutes, felt able to drive but on the drive home left side of face and mouth went totally numb and swelled up., strange chemical taste in mouth. Very cold and tired. Went to bed early, slight sore throat. Numbness gradually disappeared over the following morning. Still have a sore throat.

Other Meds: Levothyroxine 24mg

Current Illness: none

ID: 1036710
Sex: F
Age: 49
State: WI

Vax Date: 01/04/2021
Onset Date: 01/06/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: No

Allergies: I am allergic to penicillin

Symptoms: I had swelling in my right armpit and pain.

Other Meds: I use a nasal spray

Current Illness: No

ID: 1036711
Sex: F
Age: 72
State: NY

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

Lab Data:

Allergies: Sulfa, Thiazides, Demerol, propofol

Symptoms: SOB, sweating, dizziness, itching. After the 2nd dose of vaccine I had itching in arms and neck . This was followed by dizziness, high BP, SOB, and nausea. The 2nd shot triggered post itching my neurocardiogenic syncope.

Other Meds: Benicar, Vitamin D 2000iu, Multivitamin

Current Illness: Neurocardiogenic syncope

ID: 1036712
Sex: F
Age: 29
State: CA

Vax Date: 01/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: 2/11/21 - Platelet drop to 5 x1000 (normal range in 130- 440)

Allergies: n/a

Symptoms: Between the first and second dose (1/11/21), I had significant bruising on my body. I was also light headed from time to time with decreased appetite, anxiety and heart burn. I went in for blood work and my platelet count had dropped to 5 and I was asked to come into the ER for platelet transfusion. I also received IVIG (x1) + steroid treatment (x2) and took oral steroids 4 days after.

Other Meds: intermittent fasting with apple cider vinegar, multivitamin, turmeric + black pepper, occasional magnesium and iron supplement, probiotics.

Current Illness: n/a

ID: 1036713
Sex: F
Age: 70
State: MA

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

Lab Data: None

Allergies: None

Symptoms: Chills fever vomiting headache felt like I covid again

Other Meds: None

Current Illness: None

ID: 1036714
Sex: F
Age: 67
State: FL

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: Did not seek medical attention

Allergies: PCN and sulfa drugs

Symptoms: Pt vaccinated at 4:30 pm for first dose. Left CHD did normal daily activities. Went to bed that evening woke up around 3 am on 1/16/21 extreme pain to left arm, diaphoretic, chills, weakness. Went to stand up and started experiencing vertigo. Made it to restroom, was able to void, went to stand up and found herself waking up on the floor. Had redness and swelling to right cheek, ecchymosis to right eye, and found abrasion to left posterior head. Stated it took 48 hours for the weakness and fatigue to go away. Pt did not seek medical attention right away however did contact her PCP and make aware of occurrence. Was given the ok per PCP to receive second vaccine.

Other Meds: calcium, zinc, vitamin D, omego 369, coq10, B12, Cholesterol medication-rosuvastatin

Current Illness: Broken Neck/c-spine in boating accident 8/2020.

ID: 1036715
Sex: F
Age: 69
State: NY

Vax Date: 02/13/2021
Onset Date: 02/16/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: Diltiazem

Symptoms: Have received both vaccines of Moderna First vaccine was on 1/16/21 and second was 2/13/21. Both times within three days I came down with shingles on the left side of my face and neck. I took Acylclovir prescribed by my doctor for the first vaccination and are now using what I have left for the second case of shingles. I did receive the Shingrix vaccine (both doses) around two years ago. Wanted to let you know that shingles does happen with this vaccine contrary to what the internet is saying.

Other Meds: Levothyroxine, atorvastatin, pantoprazole

Current Illness: None

ID: 1036716
Sex: F
Age: 65
State: WA

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

Lab Data: None, it went away after that time and I didn't report it at the time.

Allergies: marcaine, latex

Symptoms: My left leg significantly began buzzing for about 6- 7 minutes, then there was some uncomfortable aching pain in that left knee and leg. Have never had this before as a symptom. My heart was racing for 3-5 minutes. Once or twice next 2 days, the leg buzzed for a few minutes and hurt up and down the leg.

Other Meds: toprol, insulin, aspirin, crestor,noritriptiline, clopidigrel, imdur

Current Illness:

ID: 1036717
Sex: M
Age: 85
State: NH

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

Lab Data:

Allergies: IV Contrast dye and Tetanus vaccine

Symptoms: Swelling of face. Denies difficulty swallowing, shortness of breath, rash. BP 136/68, RR of 16, HR of 84. Benadryl 25mg PO given at 1625 and was observed for an additional 15 minutes. No worsening of symptoms and slight improvement. He is here with his daughter who is an RN and feels comfortable taking him home. No further treatment initiated.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm