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: 1036919
Sex: F
Age: 72
State: MI

Vax Date: 01/20/2021
Onset Date: 02/08/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: Has not spoken to provider about it yet, states "I really don't talk to my providers about my post-polio syndrome,' associates incident with post-polio but it was very unusual for her. Patient has 'weakness' but felt strange like, 'my legs were bruised.' Severe pain just one day, muscles started to loosen up day by day getting better.

Allergies: NKA

Symptoms: 2 1/2 weeks after administration of vaccine, Moderna had episode of severe leg pain bilaterally, 'scared' patient.' Hurt to stand, hurt to sit'. Has Post-Polio syndrome concerned this could be reaction from vaccination of Moderna, wants to receive next shot but 'afraid of repeat episode and that it could be worse.'

Other Meds: Colace, Prilosec, Ventolin inhaler, Vit D3 500mg/2000IU, Zyrtec, Magnesium 500mg, Biotin 1,000mcg, Tumeric 500mg, Lactose Defense, Sinus PE (comparable to Sudafed) Probiotic, Cranberry Extract, Super B Complex, mucous relief DM, Ibuprofen 4

Current Illness: Nothing except sinus problems

ID: 1036920
Sex: F
Age: 68
State: IN

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

Lab Data:

Allergies: Morphine statins dilatin

Symptoms: Redness swelling from almost elbow to upper arm. Extreme soreness mild headache. Applied ice packs Tylenol. After 2 weeks still have about a 4-5 inch in diameter red spot and a little swelling

Other Meds: Multi vitamin. Turmeric. Calcium nitrate Aspirin. Plavix. Metropol. Ezetimibe. Losartan. Bempedoic acid

Current Illness:

ID: 1036921
Sex: F
Age: 48
State: CA

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

Lab Data:

Allergies:

Symptoms: Chills, headache, body aches, joint pain, nausea 32 hours

Other Meds: Ibuprofen, Meloxicam

Current Illness:

ID: 1036922
Sex: F
Age: 62
State: AZ

Vax Date: 02/05/2021
Onset Date: 02/15/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient tested positive for Covid-19 on 02/15/2021

Other Meds:

Current Illness:

ID: 1036923
Sex: F
Age: 56
State: MA

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

Lab Data: COVID tested - Friday, 8th; positive

Allergies: no

Symptoms: Evening my arm started hurting (injection site arm). Next day, dull pain in my back and arm still hurt. Monday (day 3) the pain moved to my chest - a dull pain. Day 6 I noticed that my throat was tight at end of the day. It didn't hurt; just tight. Friday morning, I woke up feeling chilled. I called Employee Health. They had me tested. I had a low grade fever for a couple of days. I took Motrin. As the week progressed, I had a little cough but bad enough to treat I had a little bit of sinus. I had two days of sinus headache - took Motrin. I had a day (maybe Wednesday) that I got a blister on my eyelid. It irritated my eye. It subsided about two days after. The end of the week, I lost my sense of smell. It took a couple of weeks before that came back.

Other Meds: Synthroid

Current Illness: no

ID: 1036924
Sex: F
Age: 77
State: IL

Vax Date: 02/01/2021
Onset Date: 02/09/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: None

Allergies: Sulfates

Symptoms: One week after my vaccination I developed itching and hives like rash. Every day it continued to get bigger. Itching stopped after two days. Rash kept on increasing in size for one week. It increased to 4 x 6?. Itching periodically. After one week it seems to be lightening up and not increasing. This is now day eight.

Other Meds: Diuretic, Prilosec, centrum silver, probiotic, magnesium, coq10, biotin , D3

Current Illness: None

ID: 1036925
Sex: M
Age: 64
State: TX

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

Lab Data: 02/17/2021: Labs, Chest X-ray, EKG

Allergies: NKA

Symptoms: After vaccination, patient was okay until the 8 minute remaining mark. At this point patient became lethargic, clammy and passed out. Patient was revived with smelling salts, for a few seconds and the faded in and out of conciseness. Sternal rub was preformed in order to attempt to keep patient awake and present. Vital signs where taken, BP was elevated at 155/ 115. Patient was still not coherent at this point patient was team lifted to wheel chair and taken to the ER. Patient remains in the hospital at this time admitted for observation.

Other Meds: Unknown

Current Illness: None

ID: 1036926
Sex: M
Age: 82
State: OR

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

Lab Data: EKG performed 2/17/21

Allergies: opioids, acetazolamide

Symptoms: During the patient's 15 min observation period, he began to complain of "lightheadedness" and palpitations. No other symptoms. He was moved to a treatment room. Blood pressure checked, EKG performed, observed for 30 min. Ate small snack. Complete resolution of symptoms.

Other Meds: ranitidine, multivitamin, melatonin, magnesium, loratadine, vit d3, calcium, eliquis

Current Illness: None

ID: 1036927
Sex: F
Age: 52
State: OR

Vax Date: 01/09/2021
Onset Date: 01/25/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: HSV-1 outbreak

Other Meds: None. Maybe a multi-vitamin or Vitamin B and Vitamin D

Current Illness: none

ID: 1036928
Sex: F
Age: 70
State: CA

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

Lab Data: unknown

Allergies: UNKNOWN

Symptoms: Gave pt COVID vaccine yesterday morning. Was using a different syringe than normal and accidentally gave pt 1 mL instead of 0.5. Finally got a hold of the pt 2/17/21 at 3:45 pm she said her arm is sore but otherwise no side effects. Told her to call me back if she is having any issues.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1036929
Sex: F
Age: 88
State: AZ

Vax Date: 02/05/2021
Onset Date: 02/15/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient tested positive for Covid-19 on 02/15/2021

Other Meds:

Current Illness:

ID: 1036930
Sex: M
Age: 67
State: OR

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

Lab Data:

Allergies:

Symptoms: Administered incorrect dosage per Moderna vaccine guidelines. patient received 0.3 mL instead of 0.5mL. Per CDC if more than half the dose was given, do not repeat the dose. If less than half the dose was given, then repeat the dose. in this case more than half the dose was given based on CDC guidelines. Incident reported to patient by clinics Doctor. Reviewed the 5 rights of medication administration to ensure incident will not happen again.

Other Meds:

Current Illness:

ID: 1036931
Sex: F
Age: 47
State: MA

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

Lab Data:

Allergies: unkown

Symptoms: Patient received COVID vaccine and approximately 15 minutes later she was reporting itchiness and nausea.

Other Meds: unkown

Current Illness: unkown

ID: 1036932
Sex: F
Age: 69
State: IN

Vax Date: 02/03/2021
Onset Date: 02/11/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: None

Allergies: Penicillin. Sulphates. Sulphur Anti biotics

Symptoms: Moderna Arm. Big red circle with lumps under the skin, bumps and itching. Did nothing after looking it up. Gone in 5 days.

Other Meds: Acyclovir. Bupropion. Progesterone. Hydrochlorothiazide. Estrodial. Calcium. Vitamin D. Vitamin. C. Hydrochlorothiazide. Estrodial

Current Illness:

ID: 1036933
Sex: F
Age: 51
State: AK

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

Lab Data:

Allergies: Cephalexin, indomethacin, Did have reaction to first covid vac

Symptoms: 1240 Approx 20 min after immunization pt developed palpitations, Normal vitals. Given benadryl due to hx of reaction to previous covid shot. Developed nausea/vomiting and throat tightness. Epi given at 1245 and 1256. EMS arrived at 1258 to take to ER. pt remained alert and oriented, respiration even and unlabored. Vitals remained stable.

Other Meds: Asa, atorvastain, budesonide, vit D, claritin, clopidogrel, c

Current Illness: Unknown

ID: 1036934
Sex: F
Age: 66
State: AZ

Vax Date: 02/09/2021
Onset Date: 02/16/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: Pollen

Symptoms: Large itchy, painful rash at injection site.

Other Meds: Calcium, Synthroid, nettle

Current Illness: None

Date Died: 02/10/2021

ID: 1036935
Sex: F
Age: 86
State: KY

Vax Date: 01/12/2021
Onset Date: 01/25/2021
Rec V Date: 02/17/2021
Hospital: Y

Lab Data:

Allergies: Dairy products Tetracycline

Symptoms: unkown

Other Meds:

Current Illness: Treatment for recent eye procedure. Took blood pressure med, lasix, albuterol inhaler, oxygen at night time, antibiotic eye drops, pain med as needed. Received B12 injection once month. Took folic acid, used nasal spray, probiotic

ID: 1036936
Sex: F
Age: 72
State: NV

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

Lab Data:

Allergies: None

Symptoms: Severe flu like symptoms. Elevated blood pressure. Pain all over.

Other Meds: Yes

Current Illness: None

ID: 1036937
Sex: F
Age: 35
State: CA

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: COVID test, negative

Allergies: Sulfa - gives me hives

Symptoms: That night, I had fevers and chills for about 12 hours. Highest temperature was 100.6. I missed work because I wanted to get tested before I went back. COVID test was negative.

Other Meds: Prenatal vitamin Valtrex

Current Illness:

ID: 1036938
Sex: F
Age: 63
State: WA

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

Lab Data: None

Allergies: Erythromycin Penicillin Latex Codeine Oxymetazoline Adhesive and tape Triamcinolone

Symptoms: Hives on multiple areas of body. Pt taking Benadryl which appears to be working. Will f/u tomorrow with patient. No SOB or angioedema.

Other Meds: unknown

Current Illness: Unknown

ID: 1036939
Sex: F
Age: 45
State: MD

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 02/17/2021
Hospital:

Lab Data: n/a

Allergies: None

Symptoms: Sore injection site xs 4 days

Other Meds: Multivitamin

Current Illness: None

ID: 1036940
Sex: M
Age: 63
State:

Vax Date: 02/10/2021
Onset Date: 02/15/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Severe headache, nausea, vomiting, diarrhea

Other Meds:

Current Illness:

ID: 1036941
Sex: M
Age: 84
State: AZ

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

Lab Data:

Allergies: Colchicine, gabapentin, linezolid, morphine, shell fish, colcrys

Symptoms: Patient tested positive for Covid-19 on 02/15/2021

Other Meds:

Current Illness:

ID: 1036942
Sex: F
Age: 72
State: CA

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

Lab Data: none

Allergies: UNKNOWN

Symptoms: Gave pt COVID vaccine yesterday morning. Was using a different syringe than normal and accidentally gave pt 1 mL instead of 0.5. Called pt 2/16/21 at 3 pm said she was doing fine just had a sore arm. Pt later called back and spoke to another pharmacist with her concerns. I called the patient this morning 2/17 at 9 am she said she had a sore arm yesterday but after she iced it it no longer hurts no other symptoms and she talked to a nurse about her concerns. Told her to call me back if he is having any issues.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1036943
Sex: F
Age: 66
State: IL

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

Lab Data:

Allergies: Allopurinol, Cipro, Latex

Symptoms: Day of vaccine symptoms previously recorded cleared up next day. Today, 48 hours after vaccine I now have cold symptoms. Watery eyes/nose and spitting up phlegm.

Other Meds: Metformin, Glimepiride, Chlothalidone, Vit D, EPA/DHC

Current Illness: None

ID: 1036944
Sex: F
Age: 56
State: MA

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

Lab Data: no

Allergies: no

Symptoms: That afternoon, my arm started to hurt. During the night, I got chills - shaking chills. Night sweats and fever, as well. I took Motrin every 4 hours. I had to keep Taking Motrin every four hours because the chills were so bad. Monday, at 04:00 am it ended. I was up sweating but then it was done.

Other Meds: Synthroid

Current Illness: Adverse events after dose 1 of Moderna; COVID

ID: 1036945
Sex: F
Age: 80
State: IA

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

Lab Data:

Allergies: Ibuprofen, ASA

Symptoms: Pt reports coughing spasms, chills and fatigue. She says the symptoms are exactly like the symptoms she had when she had Covid.

Other Meds: Levothyroxine 0.075mcg, Coreg 3.125mg bid, benzonatate 100mg prn, Atorvastatin 20mg, lisinopril 20mg qd, famotidine 20mg bid, omeprazole 20mg qd, Singulair 10mg qd, FeS04 325mg qd, Myrbetriq 25mg qd, loratadine 10mg, Carafate 1g bid, Dicycl

Current Illness:

ID: 1036946
Sex: F
Age: 40
State: OR

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

Lab Data:

Allergies: Sulfa

Symptoms: Reports sensation of having to clear throat plus difficulty swallowing - states saliva feels "thick"

Other Meds:

Current Illness:

ID: 1036947
Sex: F
Age: 48
State: MA

Vax Date: 02/04/2021
Onset Date: 02/12/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: N/a

Allergies: Sulfa, neomycin, Sensitivity to; gold, latex, perfume, etc.

Symptoms: On day 8 developed itchy, red and warm to touch area approx size in width of approximately golf ball round area just below the injection site. Arm felt heavy but not tender to touch. Had a slight bruise above where injection site went. Nothing prior to day 8 though. I also was very tired all day, chills, and seemed to bring out dry slightly itchy bumpy rosacea on my cheeks. I had no fever . Red started Friday and Saturday and resolved by Sunday 2/14

Other Meds: Multi vitamin, gish oil, cholesterol medication , 81mg aspirin, and Myralax PRN

Current Illness: None known

ID: 1036948
Sex: F
Age: 51
State: NH

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

Lab Data:

Allergies: None

Symptoms: Serious nausea Dry heaving for 24 + hours Splitting headache Nose bleed All of this caused severe dehydration. Symptoms started Saturday morning. Doctor had to prescribe Zofran. They did give me the option to go to the ER which I didn?t take. Started the meds on Sunday around 8pm. On Monday morning had to take another dose. After 2 doses and sipping Gatorade the worst of the symptoms receded by 1pm Tuesday but still fatigued 5 days later.

Other Meds: None

Current Illness: None

ID: 1036949
Sex: F
Age: 38
State: MA

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

Lab Data:

Allergies:

Symptoms: Site: Itching at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Chills-Medium, Systemic: Headache-Medium

Other Meds:

Current Illness:

ID: 1036950
Sex: F
Age: 55
State: PA

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: None

Allergies: Septra, Dust, Dogs, Fall Weeds

Symptoms: About 20 hours after injection, in addition to sore arm, my brain felt foggy. I work on the computer could not remember what to do next as I searched for needed files. At the end of the day, I signed off my computer but needed to think about how to turn off the monitor. The next day was better, but by the 3rd day out I became very sensitive to sound. On the 4th morning the brain fog got much worse, my head hurt and I felt like I was moving through life in slow motion. This continued for two whole days and I could not sleep at night due to the intensity of my headache. All of this could have been a migraine which I had in the past, but never to this extent. Past migraines were visual in nature and only lasted about an hour. By the 5th day, I started to feel normal, with the occasional headache or wave of nausea.

Other Meds: 2000 IU Vitamin D, 10 mg Loratadine

Current Illness: None

ID: 1036951
Sex: F
Age: 35
State: WA

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pleuritis, Elevated D-Dimer, chest pain, shortness of breath

Other Meds:

Current Illness:

ID: 1036952
Sex: M
Age: 69
State: NY

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

Lab Data:

Allergies: bactrum

Symptoms: head ache, eye ache, upset stomach, muscle ache

Other Meds:

Current Illness: none

ID: 1036953
Sex: M
Age: 42
State: CA

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

Lab Data: None

Allergies: Patient stated none

Symptoms: 13:35 pm - Pt found as beginning to slump over in chair. Assisted from chair to floor. Pt lying down, responding to stimuli, eyes opened and closed. Answered questions appropriately. Episode lasted approximately 2-3 minutes. Pt cold and clamy. V/S taken BP 144/113, pulse 59, temp 96.7. O2 98%. Pt stated had hx of lightheadedness once as a teenager when having blood drawn. 13:46 V/S BP 151/106, pulse 72. Patient stated feeling comfortable. 13:50 Pt sitting up in chair. 2 pm BP 146/105, pulse 72. Pt states feeling better and cooler. given bottled water. 14:20 pm Pt left on own stated friends to meet him at site.

Other Meds: Patient stated none

Current Illness: Unknown

ID: 1036954
Sex: F
Age: 39
State: NV

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

Lab Data: None

Allergies: Barley

Symptoms: My left arm has a large, red, hot, itchy welt.

Other Meds: Taytulla birth control

Current Illness: None

ID: 1036955
Sex: F
Age: 35
State: NY

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: Dairy and Maple

Symptoms: Extremely fatigued unable to perform daily activities. Worst was next day after vaccine (Thursday) through the 5th day (Monday). Starting Monday afternoon thru Wednesday afternoon (Now) extreme sweating, like the soaked clothes kind. Still extremely weak and fatigued

Other Meds: Celexa 40 mg Wellbutrin 300 mg Adderall 20 mg Aleve 440 mg

Current Illness: None

ID: 1036956
Sex: M
Age: 75
State: IL

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/17/2021
Hospital: Y

Lab Data: Head Ct, cat scan and many more test. All the test were normal.

Allergies: None

Symptoms: I had a seizure. My wife found me on the bathroom floor convulsing. I was unconscious for over an hour and a half. I was taken to hospital by ambulance. I have short term memory lost. All of the scans were normal and all my vitals signs were normal . I never had a seizure before and it was not signs of a stoke on the cat scan.

Other Meds: AmLodipine 10 mg tablet

Current Illness: None

ID: 1036957
Sex: M
Age: 67
State: OR

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

Lab Data:

Allergies:

Symptoms: Administered incorrect dosage per Moderna vaccine guidelines. patient received 0.3 mL instead of 0.5mL. Per CDC if more than half the dose was given, do not repeat the dose. If less than half the dose was given, then repeat the dose. in this case more than half the dose was given based on CDC guidelines. Incident reported to patient by clinics Doctor. Reviewed the 5 rights of medication administration to ensure incident will not happen again.

Other Meds:

Current Illness:

ID: 1036958
Sex: F
Age: 72
State: CA

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

Lab Data: NONE

Allergies: UNKNOWN

Symptoms: UNKNOWN

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1036959
Sex: F
Age: 17
State: AZ

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

Lab Data:

Allergies:

Symptoms: Error: Patient Too Young for Vaccine Administered

Other Meds:

Current Illness:

ID: 1036960
Sex: F
Age: 60
State: MI

Vax Date: 02/09/2021
Onset Date: 02/12/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA At 2:30 am woke up with nausea and stomach ache. Continued through the night. I could not sleep. In the morning (9:00) I tried to sleep but had very bad chills for over an hour. Went down to couch and covered up with many blankets. Chills continued for 4-5 hours. Also experienced tiredness, and general 'feeling unwell' throughout the day, as well as extreme heartburn. I stayed home from work and sat on the couch all day, feeling unwell. By about 8pm all of the symptoms disappeared.

Other Meds: Losartan, 50mg. Metaprol suc E 25 mg. Atorvastatin 40 mg. Clonazepam .5. Tylenol before the shot. Ibuprofin after side effects started.

Current Illness: N/A

ID: 1036961
Sex: F
Age: 67
State: FL

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

Lab Data: n/a

Allergies: none

Symptoms: about a week after the injection i noted my left upper arm to be red, hot and itchy. In the following days a distinct circular lesion about 2" in diameter developed, then subsided. It continued to be red and hot. Relief was achieved after benadryl 25 mg bid x 2 days . Stopped for a day and then hot red returned on 15th day.

Other Meds: Daily: asa 81mg, levothryoxine 88mcg, atorvastatin 20 mg extimibe 5 mg, vit c 500 mg , vit D 2000u benadryl 25mg

Current Illness: none

ID: 1036962
Sex: F
Age: 72
State: IL

Vax Date: 01/30/2021
Onset Date: 02/08/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: many

Symptoms: Eight days after the vaccination I broke out in hives that covered my hands and arms. The itching was almost unbearable. The hives spread to my back and legs. Now seventeen days after the vaccination I still have very itching hives over most of my body. Benadryl helps some, but it is always very difficult to concentrate on my work which requires me to research and write. I feel like I have been dropped into a nightmarish alternate universe, where all I can do is try to fend off the itching and the pain.

Other Meds: many

Current Illness: none

ID: 1036963
Sex: M
Age: 34
State: HI

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

Lab Data:

Allergies:

Symptoms: C/O dizziness. Medical reserve corps volunteer took vital signs @12:53 BP 120/80, pulse 68, RR 16, breath sounds clear. Reported history of discomfort after shots. Bottled water given. Client reported feeling better, cognitively intact. Answered questions appropriately, made good eye contact. Released from post-vaccination monitoring area.

Other Meds:

Current Illness:

ID: 1036964
Sex: F
Age: 35
State: OH

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 02/17/2021
Hospital:

Lab Data: In the ER, epi was administered due to the persisting flushing/burning of the skin/and tingling of the throat and tongue with tachycardia. IV fluid bolus, Benadryl, and zofran were also administered. Tryptase was obtained approximately 35 - 45 minutes after injection. Tryptase 10.8. Improvement in all symptoms following epi/benadryl. Was monitored in the ER and within approximately 1.5 hours, the burning feeling returned, but was centralized in my core (felt internal versus skin). Abdomen/chest area with intermittent burning. At approximately 2-3 hours, the tingling began to return. Slight tingling of the tongue, lip. The burning feeling continued to worsen, now back to the skin as well as the core, and additional benadryl was administered in addition to solu-medrol. Prior to this, the attending physician was concerned that my heart rate remained elevated into the 110/120s 3 hours after the epi administration and she recommended transfer to an adult facility for further evaluation. Due to the burning in my chest, EKG was obtained. Sinus tachycardia. Slight chest tightness, duoneb provided. Had not taken inhalers throughout the day and felt similar to tight chest/difficulty getting deep breath in relation to asthma. Relief after the second dose of benadryl and duoneb. BP remains elevated from shortly after vaccine administration. Transferred to MVH at 4-5 hours post vaccine. En route to facility, HR 130s and BP lower (90s/60 and 90s/50s) - Medic did not think was accurate BP. At MVH, cardiac rule out completed with additional EKG due to development of some chest pains and return of core burning sensation as well as ongoing tachycardia. EKG remains sinus tach, troponins normal. Requested anxiety medication to see if that would help with heart rate. Low dose ativan given. Minimal change to resting heart rate, still elevated. Also received 4 baby aspirin and tylenol for extreme headache. Oxygen saturations were 97-100%. Oxygen saturation at MVH was 90-93%. Attending physician not concerned with going home and saturation still being low 90s as long as there was no shortness of breath. Discharged home with methylprednisone 4 mg 6 day pack and pepcid prescriptions. Resting HR was low 100s at time of discharge. Instructed to continue with antihistamines every 6 hours. DX anaphylactic reaction. Husband checking on me while sleeping, oxygen saturation in sleep 89-91%. After awakening, saturation improved to 94-95%. At home, burning skin and core feelings persisted. Tingling of the throat/tongue/lips continued to be intermittent. Antihistamines helped to relieve symptoms. 26-28 hours after vaccine, symptoms were very strong, was suffering from extreme burning and tingling of the mouth/lips. Considered return to ER but oxygen saturation was okay. HR elevated. 125 at rest. MVH attending physician encouraged me to try to not use the prednisone packet unless necessary/return of symptoms. Started prednisone with the return of symptoms. Continued on routine Benadryl until myoclonic jerking became too pronounced, d

Allergies: none

Symptoms: Within a minute, there was a different taste in my mouth. Shortly after, began to feel incredibly hot, flushed, burning, and tingling throughout body. Throat and tongue also became tingly. It was like a wave that moved through my body. After waiting it for a few minutes to see if there was improvement, there was a strong ?wave? that came with all of the above, but my heart started racing with palpitations. HR was 120. The heat feeling became worse. Would describe the feeling as a CT contrast feeling, including the feeling of voiding or heat/burning of the bladder. Tongue and throat more tingly. A few minutes later the feeling all became stronger and this is what became the strongest ?wave? of the feeling with my heart beating incredibly fast. The heat/burning/tingling (including the mouth and tongue) were severe. HR 148. Nauseated and lightheaded/dizzy. Transferred to ED. In the ER, epi was administered due to the persisting flushing/burning of the skin/and tingling of the throat and tongue with tachycardia. IV fluid bolus, Benadryl, and zofran were also administered. Tryptase was obtained approximately 35 - 45 minutes after injection. Tryptase 10.8. Improvement in all symptoms following epi/benadryl. Was monitored in the ER and within approximately 1.5 hours, the burning feeling returned, but was centralized in my core (felt internal versus skin). Abdomen/chest area with intermittent burning. At approximately 2-3 hours, the tingling began to return. Slight tingling of the tongue, lip. The burning feeling continued to worsen, now back to the skin as well as the core, and additional benadryl was administered in addition to solu-medrol. Prior to this, the attending physician was concerned that my heart rate remained elevated into the 110/120s 3 hours after the epi administration and she recommended transfer to an adult facility for further evaluation. Due to the burning in my chest, EKG was obtained. Sinus tachycardia. Slight chest tightness, duoneb provided. Had not taken inhalers throughout the day and felt similar to tight chest/difficulty getting deep breath in relation to asthma. Relief after the second dose of benadryl and duoneb. BP remains elevated from shortly after vaccine administration. Transferred to MVH at 4-5 hours post vaccine. En route to facility, HR 130s and BP lower (90s/60 and 90s/50s) - Medic did not think was accurate BP. At MVH, cardiac rule out completed with additional EKG due to development of some chest pains and return of core burning sensation as well as ongoing tachycardia. EKG remains sinus tach, troponins normal. Requested anxiety medication to see if that would help with heart rate. Low dose ativan given. Minimal change to resting heart rate, still elevated. Also received 4 baby aspirin and tylenol for extreme headache. Oxygen saturations were 97-100%. Oxygen saturation at MVH was 90-93%. Attending physician not concerned with going home and saturation still being low 90s as long as there was no shortness of breath. Discharged home with methylprednisone 4 mg 6 day pack and pepcid prescriptions. Resting HR was low 100s at time of discharge. Instructed to continue with antihistamines every 6 hours. DX anaphylactic reaction. Husband checking on me while sleeping, oxygen saturation in sleep 89-91%. After awakening, saturation improved to 94-95%. At home, burning skin and core feelings persisted. Tingling of the throat/tongue/lips continued to be intermittent. Antihistamines helped to relieve symptoms. 26-28 hours after vaccine, symptoms were very strong, was suffering from extreme burning and tingling of the mouth/lips. Considered return to ER but oxygen saturation was okay. HR elevated. 125 at rest. MVH attending physician encouraged me to try to not use the prednisone packet unless necessary/return of symptoms. Started prednisone with the return of symptoms. Continued on routine Benadryl until myoclonic jerking became too pronounced, discontinued on 12/25/2020 and changed to hydroxyzine. Jerking remained but improved and was less bothersome. Continued taking daily dose of Claritin, daily pepcid, daily aspirin. Hives developed 12/25/2020. Return to ER on 12/29/2020 as the jerking was intense and felt to be in chest along with palpitations. EKG and troponin was good, only notable thing physician reported on labs was an elevated WBC count. Did not discuss jerking. To PCP on 1/4/2020 - discussed adverse reaction. Continued problems after vaccine include: intermittent tachycardia (low 100s at rest occasionally vs norm of 70s/ low 80s), higher heart rate when active, burning skin (feels similar to bad sunburn feeling), random pains and occasional brief numbness/tingling/tremoring in muscles/extremities, jerking (continues to improve - recommended change off of benadryl/hydroxyzine to zyrtec), increased need for inhaler, bubbling sensation in left lower abdomen. It does feel as if it comes in waves. Burning sensation, internal tremors of left upper thigh, and intermittent tachycardia continue, 1 month post vax. Antihistamines do help, but discontinued due to jerking. Continue on daily claritin.

Other Meds: Synthroid 25 mcg, Claritin 10 mg, aspirin 162 mg, famotidine 20 mg, albuteral/symbicort inhalers, hydroxyzine 25 mg PRN, and many supplements including Vitamin C, Vitamin D, Zinc. Intermittently take: Quercetin, omega 3, B vitamins, coq10,

Current Illness:

ID: 1036965
Sex: F
Age: 62
State: VA

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

Lab Data:

Allergies:

Symptoms: Error: Wrong Dose of Vaccine - Too Low

Other Meds:

Current Illness:

ID: 1036966
Sex: F
Age: 63
State: CA

Vax Date: 11/03/2020
Onset Date: 11/05/2020
Rec V Date: 02/17/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: pink rash with "small bumps" appeared 3-4 days after shingrix: appx. 8" long and 4"wide; mild itching; did not resolve for appx. 3m's when it gradually faded. Rash was upper chest extending both sides of mid line. No other signs or symptoms.

Other Meds: lisinopril; amtopidine; estradiol; levothyroxine

Current Illness: None

ID: 1036967
Sex: F
Age: 64
State: OH

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

Lab Data:

Allergies: Bactrim

Symptoms: Passed out twice, for a few seconds each time, during trip to bathroom in attempt to vomit. Nausea, low grade fever, cold sweats following. Did not vomit. Arm soreness at site, other muscle soreness, headache, fatigue continued for six hours. Symptoms lessened and continued for 24 hours at lesser extent.

Other Meds: Hydrochlorothiazide, Simvastatin, Probiotic, Multivitamin, Iron Supplement, Vitamin C, Vitamin D, Zinc, Glucosamine, Fish Oil, Garlic

Current Illness:

ID: 1036968
Sex: F
Age: 17
State: OR

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

Lab Data:

Allergies: none

Symptoms: Patient was administered the Moderna vaccine, instead of the Pfizer Vaccine. The Moderna vaccine is not indicated for her age group. Her DOB was clearly written on her consent form, entered online when she made her appointment, and verified on her drivers license. She also selected Pfizer when asked which vaccine she would prefer.

Other Meds: Simvastatin 40mg

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm