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: 1038109
Sex: F
Age: 41
State: MI

Vax Date: 02/10/2021
Onset Date: 02/15/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Immediately after shot a bruise appeared - it has faded away but now I have a red circle in the same area. A lympnode in my left armpit seems to be swollen and painful - this began on Monday 2/15/21

Other Meds:

Current Illness:

ID: 1038110
Sex: F
Age: 76
State: NY

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: CT scan chest 2/11/21 Cardiogram 2/11/21 Nuclear stress test 2/17/21 Scheduled breast ultrasound for April once swelling hopefully goes down

Allergies: Latex Erythromycin Nightshades-potato, tomato, eggplant, peppers, Pineapple

Symptoms: Fever for 24 hours Chills Lightheaded Nausea Extreme fatigue Pain at site of shot Chest pains New left axillary Adenopsthy -CT scan 2/11/21

Other Meds: Chlorathalidone 12.5 mg Praluent 150 mg injectable every 2 weeks 1low dose aspirin CoQ10 Milk thistle Cinnamon bark Chromium picholinate Vitamin D Biotin Choline Lutein Folic acid Drenamin

Current Illness: None

ID: 1038111
Sex: M
Age: 71
State: KY

Vax Date: 02/12/2021
Onset Date: 02/14/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: Penicillin,

Symptoms: my arm was sore for about a day, had a headache for a couple of days and on Sunday i just started itching,

Other Meds: lansoprazole Dr 30 mg, Clopidogrel 75 mg, lisinopril 20-12.5 mg, metformin, rosuvastatin, multivitamin, potassium 400 Vitamin, E, b12, C, Allegra 180,

Current Illness:

ID: 1038112
Sex: F
Age: 71
State: GA

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: none

Allergies: penicillin

Symptoms: Moderate chills, headache, body aches Chills resolved after six hours. Headache and body aches continued for an additional day. We used acetaminophen over 36 hours.

Other Meds: Metoprolol, lovaststin, triamterene, fenofibrate, fish oil, multi-vitamin, claritin

Current Illness: none

ID: 1038113
Sex: F
Age: 52
State: AL

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: No known allergies

Symptoms: Fever, body aches, rash on arm showed up after 24 hours

Other Meds: Levothyroxin, bupropion, estradiol patch

Current Illness: None

ID: 1038114
Sex: F
Age: 47
State: FL

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: Sulfa, Melon, Asparagus, Pineapple, Mint, Many enviornmental

Symptoms: Prior to getting my vaccine I decided to pre-medicate about 30 minutes' prior with 50mg of Benadryl. I received my second Covid Vaccine on Thursday 2/4/21. After waiting about 25 minutes, I started to have tightness in my chest and coughing. I notified staff. They took me back to the observation room with a nurse. At about 28 minutes, voice changed very raspy, chest tightness worse, I could not stop coughing and a very mottled rash on the arm of injection. I was kind of out of it, like wanted to answer questions but really had to think about what I was trying to say and hard to find the answers. They immediately took me to the ER where the doctor ordered and nurse administered Epinephrine....cont

Other Meds: Valtrex 500mg QD (Herpes in Right Eye), Sertraline 50mg QD,

Current Illness: Covid Virus dx 1/14/21

ID: 1038115
Sex: F
Age: 68
State: CA

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: none

Allergies: penicillin, IM Progesterone in oil

Symptoms: Approximately 12 hours after shot #2 - moderate malaise, chills, leg aches, slight headache. Symptoms persisted for about 20-24 hours, gradually resolving.

Other Meds: rosuvastatin, vitamin D, vitamin C, baby aspirin

Current Illness: none

ID: 1038116
Sex: F
Age: 30
State: MA

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: none

Allergies: intolerance to eggs, dairy/milk, adverse reactions to Augmentin (gastro intestinal)

Symptoms: 2/4/21 at 4pm: arm soreness, fatigue. 2/5/21 at approx. 4am: low fever (~100), chills, body aches, headaches, injection site was red, earlier symptoms continued. Persisted until 2/7. Tylenol taken 2x. Injection site on arm was itchy from 2/7-2/11 but redness at injection site went away.

Other Meds: birth control (nuva ring), Tylenol (as needed)

Current Illness: none

ID: 1038117
Sex: F
Age: 85
State: KY

Vax Date: 02/01/2021
Onset Date: 02/03/2021
Rec V Date: 02/18/2021
Hospital: Y

Lab Data: 1/26/21 (rheumatology appt) WBC 5.2, HGB 9.7, Platelets 252. 2/5/21 (ED visit 1) WBC 1.9, HGB 9.1, Platelets 157 CMP Glucose 162, BUN 32, Total protein 6.4, AST 51 otherwise within normal limits. 2/9/21 (health center) WBC 0.9 with ANC 215, HGB 8.7, MCV 93.4, Platelets 66 2/9/21 (ED visit 2, hospital admission) WBC 0.7, ANC 0. Hgb 7.9, MCV 103.3, Platelets 40, BUN 49, creatinine 1.7, potassium 3.3 INR 0.9, APTT 30.4, TSH 2.09, Mag 1.7, phosphorus 2.6, blood cultures no growth at 120 hours, urine culture 10K skin flora, KUB: dilated central bowel, possible colon

Allergies: Sulfa

Symptoms: Moderna COVID-19 Vaccine given at local health department on 2/1/21. Patient developed nausea and loss of appetite post vaccine. Became weak and sought care at ED on 2/5/21. Found to have leukopenia, anemia. Hydrated and discharged home. Patient continued to feel unwell, developed vomiting and diarrhea (has chronic diarrhea since partial colectomy for remote colon CA, but symptoms were worse). Sought care at my health center on 2/9/21. In-house CBC revealed pancytopenia and patient was clinically ill-appearing and severely dehydrated. Patient was sent back to ED for further evaluation. Patient admitted and consults made to Hematology and GI. Stool culture and cdiff negative, Patient was hydrated and had electrolytes replaced. Acute renal failure present on admission resolved with IVF. Sepsis was ruled out. Developed epistaxis requiring 1 unit of platelets to which she had a moderate allergic reaction requiring steroids and benadryl. Severe thrombocytopenia treated with Peg Filgrastim. CBC improved and patient was discharged to follow up with heme/onc. Her methotrexate and eliquis was held.

Other Meds: fosamax 70mg weekly, norvasc 5mg daily, allopurinol 100mg daily, centrum silver one daily, diovan hct 320/12.5 one daily, eliquis 5mg BID, otc fiber tabs prn, otc fish oil, flonase nasal spray, folic acid 1mg one daily, methotrexate 2.5mg 5

Current Illness: None

ID: 1038118
Sex: M
Age: 42
State: OH

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

Lab Data: N/A

Allergies: Codeine

Symptoms: Myalgias, chills, low grade temp of 99, headache, fatigue

Other Meds: Zoloft 100mg daily ASA 81mg daily

Current Illness: N/A

ID: 1038119
Sex: F
Age: 54
State: OH

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

Lab Data:

Allergies: one allergic reaction to Amoxicillin

Symptoms: Full body itching at bed time. Woke up with full body rash & itching. Took systemic antihistamine (generic Allegra).

Other Meds: Meloxicam, Lyrica, Roboxin, Prednisone Calcium & Vit D, Glucosamine

Current Illness: recovering well from spinal surgery on 30 Nov 2020

ID: 1038120
Sex: F
Age: 28
State: IL

Vax Date: 02/05/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: N/A- patient contacted Primary Care Physician; awaiting response.

Allergies: sensitivity to dairy (GI issues) and gluten (mouth sores), pregabalin, Naltrexone-Bupropion Hcl Er, Amoxicillin-Pot Clavulanate (diarrhea)

Symptoms: Red, blotchy, rash-like mark on upper left arm at sight of injection. Mark spans approx. 4 inches horizontally and 6 inches vertically. Patient outlined marking in pen to monitor for spreading. As of 8:00am following morning (12 hours from when the marking was noticed), it had not spread.

Other Meds: Vyvanse, Zoloft, Ambien, Multi-vitamin, fish oil, biotin, topiramate, calcium citrate

Current Illness: Reported face numbness/tingling on right cheek on 2/2/21

ID: 1038121
Sex: F
Age: 59
State: MI

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

Lab Data:

Allergies: Bactrim

Symptoms: rash on arms, back, and legs that appeared around 9:30 pm. rash was red and felt prickly. took 2 benadryl. following morning redness mostly went away. Some areas of body still feel prickly.

Other Meds: levothyroxine 112mcg one daily, calcium with vitamin D 600 units 2 daily, glucosamine with costochondriton one daily, daily vitamin, red rice yeast and coq10.

Current Illness: none

ID: 1038122
Sex: F
Age: 67
State: MD

Vax Date: 02/08/2021
Onset Date: 02/15/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: Nonr

Allergies: Penecillin, cats

Symptoms: One week after receiving the shot, my left arm started to itch, and there was a bump on the injection site. I?m not sure if my arm was red and bumpy because of my scratching, or if I had a rash. It continued for two more days and is better today.

Other Meds: HCTZ, amlodipine, nadolol, atorvastatin, escitalopram, coenzyme Q10, baby adpirin, vitamin D3

Current Illness: None

ID: 1038123
Sex: F
Age: 78
State: MA

Vax Date: 01/27/2021
Onset Date: 01/30/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: I did get COVID test on 2/16/2021 and I get my negative results 2/17/2021

Allergies: Amoxicillin K, Prednisone, some blood pressure medications HCTZ, latex, dandruff, pollens, perfumes, wool, dust, mold, cat hair, Sensitive to most medications

Symptoms: I had Soreness on the arm the same day of vaccination, redness, achy in the muscle area on my arm. I think the injection was administrated to high in my arm. The within the next 24-48 hours I had a headache and was tired. About the 4th-5th day I had tingling, prickly feeling across right shoulder, down both arms down to my fingers and down my legs down to my toes. This lasted about 5-10 minutes. Then on the 16th it happened again but this time it was my whole body the torso area and my limbs. I also had weakness, I felt like I needed to hold onto to someone to be able to stand. I had an unstable feeling while standing. The headache has occurred on and off since time of vaccination about 4-5 times. I went doctor on Tuesday 2/16/2021, I did not see my doctor this time I see a different it was a lady doctor. She wasn't aware of this being one of the side effects and just to monitor myself and return if the symptoms worsen. She thought it was safe to get the 2nd dose. I have a virtual visit scheduled with Dr. on 2/23/2023

Other Meds: Synthroid 20 MG and over days 30.5 MG daily, Multivitamin Women 50+ (Centrum Silver) daily, Vitamin D3 400 IU daily, Calcium Citrate 200 MG twice a day, Vitamin C 500 MG daily, Aspirin ASA 325 as needed for leg cramps

Current Illness:

ID: 1038124
Sex: F
Age: 22
State: WI

Vax Date: 01/25/2021
Onset Date: 02/11/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Patient received the first Moderna covid vaccination on 12.28.2020 (lot 025J20-2A, expiration date 01.21.2021) and the second covid vaccination on 01.25.2021 (lot 025J20-2A, expiration date 02.25.2021). During routine PCR testing on 02.11.2021 she tested positive for covid, results returned on 02.13.2021. Runny nose began after the testing on 02.11.2021 and resolved by 02.15.2021.

Other Meds: N/a

Current Illness: N/A

ID: 1038125
Sex: F
Age: 30
State: SC

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever, chills, fatigue, headache, nausea, pain in arm, aches throughout body

Other Meds:

Current Illness:

ID: 1038126
Sex: F
Age: 44
State: GA

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: NONE

Allergies: NONE

Symptoms: ITCHING ALLL OVER THE BODY , MILD

Other Meds: NONE

Current Illness: NONE

ID: 1038127
Sex: M
Age: 65
State: NC

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

Lab Data: None

Allergies: None

Symptoms: Headache, fever (100.8), chills, joint aches, muscle soreness.

Other Meds: Lisinopril, carvedilol, fish oil, turmeric, lutein, coQ10, taurine, and glucosamine/chondroitin.

Current Illness: None

ID: 1038128
Sex: F
Age: 63
State: RI

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

Lab Data: n/a

Allergies: Vicodin

Symptoms: Chills, shivering, myalgia, pain at injection site

Other Meds: diclofenac sodium 75mg bid Omeprazole 40mg qd

Current Illness: Cholelithiasis

ID: 1038129
Sex: F
Age: 60
State: NY

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

Lab Data:

Allergies: None

Symptoms: Fever, headache, nausea, injection site pain, overall fatigue

Other Meds: Centrum Caltrate

Current Illness: None

ID: 1038130
Sex: F
Age: 55
State: IL

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Moderna COVID-19 Vaccine EUA - Upon administering the Moderna COVID vaccine to pt, pharmacists experienced syringe failure. Pharmacist described injecting the needle into the pts arm and pushing the plunger when the medication expelled out of the barrel and onto the pts arm. Pt was revaccinated as a result.

Other Meds:

Current Illness:

ID: 1038131
Sex: F
Age: 17
State: OH

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

Lab Data: none

Allergies: NKA

Symptoms: Patient was in the office for her vaccines. After patient received the vaccines she was leaving the office and got dizzy. Patient had an episode of Vasovagal syncope

Other Meds: AUGMENTIN

Current Illness: NKA

ID: 1038132
Sex: F
Age: 66
State: FL

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: none

Allergies: tomatoes, bell peppers, melons, mold, tetanus

Symptoms: At about 1:30 in the morning I woke up bathed in sweat. At first I thought it might just be night sweats, but then I realized it was a fever and got up and checked with my digital oral thermometer. I experienced fever, chills and aches in my joints as fever rose, but then it had subsided before noon.

Other Meds: Bupropion ER 200 MG 6:30 AM, 2:00 PM Vimovo DR 500-20 MG 1/day on empty stomach Valacyclovir 1 MG 1/day Hair, Skin & Nails 3 caplets daily Calcium 600 MG Vitamin D3 800 IU 2/day Myrbetriq SR 50 MG 1/day (before bed) Levocetirizine 5M

Current Illness: none

ID: 1038133
Sex: F
Age: 90
State:

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: C/o problem breathing. Pursing lips Hx of COPD CHF lungs sound tight. EMS Eval done. Had client in wheelchair told to remove mask. Inhaler at home. EMS encouraged client to go with them to hospital numerous times. Client and her husband refused. Client stated had a bad Experience at hospital last visit and refuse to go. Client assisted to bathrooms and had episode of SOB yet refused hospital. Client went home with husband against EMS advice.

Other Meds:

Current Illness:

ID: 1038134
Sex: M
Age: 61
State: NH

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Civilian RN at car side obtained pt history and pt reports having completed questionnaire prior to arrival today. Pt reported to RN that he had not received previous dose of vaccine. Moderna vaccine administered to left arm w/o incident. When logging the Moderna vaccination the RN noted that the patient had previously received a dose of Pfizer. The PHN, OIC and NCOIC were notified of event and the VAERS report was completed. The pt had the event explained to them and was asked if they needed any additional assistance or observation, the pt declined and wanted to return home. Pt is given PHN contact details and advised if any adverse reactions to go to hospital or contact 911.

Other Meds:

Current Illness:

ID: 1038135
Sex: M
Age: 27
State:

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

Lab Data:

Allergies:

Symptoms: Metal taste in mouth, shaky, cold, throat thightness, difficulty swallowing, GI symptoms

Other Meds:

Current Illness:

ID: 1038136
Sex: F
Age: 68
State: VA

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: Home blood glucose monitoring. No Medical care was needed.

Allergies: no known allergies

Symptoms: Sustained hyperglycemia outside of my usual excursions for 48-60 hours, onset about 32 hours after the vaccination. Range 180-300. No ketones noted. Treated with oral hydration, every 1-4 hour blood glucose checks, additional insulin boluses. No change in baseline insulin pump settings was made. Return to baseline blood glucose by 76 hours after vaccination. Only soreness in right arm , mild fatigue on day 2 noted, without fever, redness or swelling

Other Meds: insulin aspart, losartan, atorvastatin, aspirin, biotin, vitamin D3, Heart supplement, Eye supplement

Current Illness: none

ID: 1038137
Sex: F
Age: 65
State: MA

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Error: Wrong Dose of Vaccine - Too Low

Other Meds:

Current Illness:

ID: 1038138
Sex: F
Age: 70
State: FL

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: None

Allergies: none known

Symptoms: Approximately 12:30 PM on 2-12-21, about 1 hour 30 minutes after vaccination, I experienced severe diarrhea. At about 1;30 PM on 2-12-21 I became severely dizzy, very high heart rate (115-120- heart rate was irregular), nauseated and experienced chest tightness. Moderate shortness of breath. I was unable to walk unassisted due to dizziness. This lasted about 3 hours. When I awoke on 2-13-12 the dizziness and shortness of breath was gone. I experienced mild flu-like symptoms on 2-13-21 (general achiness, tiredness, slight fever - 99degrees- mild headache). Symptoms were treated with Tylenol and had subsided by 2-14-12.

Other Meds: Valsartin HCTZ 80/12.5 mg. Daily Amlodipine 5 mg. Daily Meloxicam 15 mg. Daily Vitamin C 500 mg. Daily

Current Illness: none

ID: 1038139
Sex: F
Age: 72
State: MA

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Error: Wrong Dose of Vaccine - Too Low

Other Meds:

Current Illness:

ID: 1038140
Sex: F
Age: 71
State: NH

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

Lab Data:

Allergies:

Symptoms: Patient experienced lip tingling starting 18 minutes after 1st dose of Moderna vaccine. Within 1-2 minutes, upper lip, then lower lip began swelling. Patient was very anxious, unsure if throat was swelling. Patient had history of similar reaction and epipen use with ciprofloxacin. Epipen was injected to right thigh at approximately 20 minutes after vaccine dose. Pt complained of throat swelling. Ambulance arrived within 5 minutes and patient was transported to medical center for further observation and treatment.

Other Meds:

Current Illness:

ID: 1038141
Sex: M
Age: 79
State: MA

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: Pollen, mold, cigarette smoke

Symptoms: Patient's arm was sore for about 3 days. About 5-6 days after receiving the vaccine my husband had tingling and a prickly feeling that ran down from my arms down to my toes but mostly on left on the side. It felt like an electrical simulation this lasted for one night.

Other Meds: Multivitamin Men 50+ (Centrum Silver) daily, Vitamin D3 400 IU daily, Calcium Citrate 200 MG twice a day, Vitamin C 500 MG daily, Tylenol as needed for pain. Ezetimibe 10 MG daily, Losartan 25 MG twice a day, Praluant 75 MG once every tw

Current Illness:

ID: 1038142
Sex: F
Age: 47
State: NH

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

Lab Data:

Allergies: Amoxicllin

Symptoms: patient had experienced redness in upper chest and broke out into hives shortly after receiving the Vaccine. At 10:40 a.m. Five Minutes after receiving the vaccine the patient was administered Benadryl. Patient recovered and left the clinic at 10:55 driven by an accomplice.

Other Meds: Amitriptylene , loratadine

Current Illness:

ID: 1038143
Sex: F
Age: 37
State: KS

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/18/2021
Hospital: Y

Lab Data:

Allergies: NKDA

Symptoms: STEMI, chest pain started around 8 PM the day of receiving 2nd dose of COVID 19 vaccine. COVID 19 vaccine received at 11 AM. Patient presented to ED 2/17/21 AM with chest pain, ECG reveled ST elevation, proceeded to PCI

Other Meds: albuterol prn, adderall, benzonatat, tums prn, ibuprofen prn, melatonin, multivitamin, pantoprazole

Current Illness:

ID: 1038144
Sex: F
Age: 70
State: NH

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: n/a

Allergies:

Symptoms: Patient presented with following symptoms upon receipt of vaccine: - Asthmatic symptoms, trouble breathing, - Adult EPI-PEN Administered to PT (G201002x exp: Jan22) -0.3 mg Left Thigh PT Transported to Hosp via ambulance at 0905hrs

Other Meds:

Current Illness:

ID: 1038145
Sex: F
Age: 50
State: MA

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Error: Wrong Dose of Vaccine - Too Low

Other Meds:

Current Illness:

ID: 1038146
Sex: F
Age: 66
State: PA

Vax Date: 02/06/2021
Onset Date: 02/13/2021
Rec V Date: 02/18/2021
Hospital: Y

Lab Data: CT head w/w/o contrast, CT carotid angiography, EKG, 24 cardiac monitoring, MRI w/w/o contract of head, routine labs and repeat troponin levels.

Allergies: None

Symptoms: TIA experienced on 2/13/2021 upon rising from sleep/found lacuner infarct on MRI in ER on 2/13/21

Other Meds: Vitamin D, Vitamin C, Calcium, Tumeric, Glucosamine

Current Illness: None

Date Died: 02/11/2021

ID: 1038147
Sex: F
Age: 86
State: TN

Vax Date: 01/28/2021
Onset Date: 01/30/2021
Rec V Date: 02/18/2021
Hospital: Y

Lab Data: Admitted to the hospital Monday 2/1. Received 24 hours of ICU care, then transitioned to comfort measures. Passed away 2/11

Allergies: Sulfa drugs

Symptoms: Patient went into new-onset atrial fibrillation, resulting in a catastrophic stroke. Patient passed away on 2/11 as a result of the stroke.

Other Meds: Amlodipine, propranolol, levothyroxine

Current Illness: None

ID: 1038148
Sex: F
Age: 72
State: MA

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Error: Wrong Dose of Vaccine - Too Low

Other Meds:

Current Illness:

ID: 1038149
Sex: M
Age: 72
State: SC

Vax Date: 01/27/2021
Onset Date: 02/07/2021
Rec V Date: 02/18/2021
Hospital: Y

Lab Data: CT showed no acute intracranial hemorrhage however MRI of brain demonstrated acute infarction of the posterior limb of the left internal capsule. Patient was admitted to inpatient acute rehab due to issues with self-care, safety awareness and ambulation.

Allergies: NKDA

Symptoms: Received dose 1 on 1/27/2021. On 2/7/21, patient experienced RLE weakness, gait imbalance, and leaning to the right side. CT showed no acute intracranial hemorrhage however MRI of brain demonstrated acute infarction of the posterior limb of the left internal capsule. Patient was admitted to inpatient acute rehab due to issues with self-care, safety awareness and ambulation.

Other Meds:

Current Illness:

ID: 1038150
Sex: M
Age: 51
State: MA

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Error: Wrong Dose of Vaccine - Too Low

Other Meds:

Current Illness:

ID: 1038151
Sex: M
Age: 66
State: MI

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

Lab Data:

Allergies: NA

Symptoms: Flu-like symptoms, e.g., fever, chills, headache, fatigue, muscle/joint pain. Ongoing 6.5 hours later.

Other Meds: Simbrinza for glaucoma

Current Illness: NA

ID: 1038152
Sex: F
Age: 57
State: AZ

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

Lab Data: None

Allergies: None

Symptoms: Started to ached around 9:30 at night. My skin hurt. I had chills, 101.3 temperature, shaking because I was so cold. Aching everywhere. Bad headache. Last most of the night. Feeling much better at 7:00 a.m. the next day.

Other Meds: Blood pressure medication, magnesium, vitamin D, vitamin E

Current Illness: None

ID: 1038153
Sex: F
Age: 50
State: SC

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever, chills, fatigue, headache, nausea, pain in arm, aches throughout body

Other Meds:

Current Illness:

ID: 1038154
Sex: M
Age: 79
State: CA

Vax Date: 01/07/2021
Onset Date: 02/15/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: Covid 19 nasal swab

Allergies: None

Symptoms: COVID POSITIVE ON FEB 15, 2021

Other Meds: Hydroxychloroqine

Current Illness:

ID: 1038155
Sex: M
Age: 39
State: MO

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

Lab Data:

Allergies: Sulpha drugs

Symptoms: Whole body aches, chills, feverish feeling. Light headache on and off. First noticed after bedtime on day of shot. Persisted through next day.

Other Meds: Juice Plus vitamins, nothing else.

Current Illness: none

ID: 1038156
Sex: F
Age: 31
State: UT

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

Lab Data:

Allergies: None

Symptoms: Heavy menstrual period started day after vaccination. Currently breastfeeding and have not had menstrual cycle since October 2020. Menstrual cycle not expected.

Other Meds: Prenatal vitamin, calcium & magnesium supplement

Current Illness: None.

ID: 1038157
Sex: F
Age: 70
State: MA

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Error: Wrong Dose of Vaccine - Too Low

Other Meds:

Current Illness:

ID: 1038158
Sex: F
Age: 32
State: PA

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Large injection site reaction developed day of second injection dose and persisted for 5 days. Swollen, red, and tender, itchiness also present. Reaction covered most of upper arm, treated supportively with benadryl, topical steroids, cold compress, ibuprofen. Less severe reaction was seen after first dose, but was delayed 7 days post injection.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm