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: 1038718
Sex: F
Age: 67
State: TX

Vax Date: 02/09/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: None

Allergies: Codeine

Symptoms: Iching, swelling, and warm to touch

Other Meds: Lisinopril/htz, Latanaprost, Zyrtec, flaxseed oil, citracal/D, omeprazole, atorvastan, cefuroxime axtil

Current Illness: Uti

Date Died: 01/18/2021

ID: 1038719
Sex: F
Age: 80
State: AZ

Vax Date: 01/30/2020
Onset Date: 01/18/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: death attributed to unknown cause

Other Meds:

Current Illness:

Date Died: 02/18/2021

ID: 1038720
Sex: F
Age: 99
State: NY

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

Lab Data:

Allergies:

Symptoms: Resident complained about back pain in the middle of the night and when they went to do a blood pressure examination, she passed away at 2:40 am.

Other Meds:

Current Illness:

ID: 1038721
Sex: F
Age: 19
State: ID

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

Lab Data: Unknown

Allergies: None

Symptoms: SOB, ended up being hospitalized

Other Meds: Unknown

Current Illness: Pancreatic Cancer

ID: 1038722
Sex: F
Age: 48
State: MI

Vax Date: 02/06/2021
Onset Date: 02/08/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: none

Allergies: Zythromiacin, Biaxin

Symptoms: Raised bump, constant itching, size approx 2 inches in diameter. Began 2/8/2021 and continues

Other Meds: Lexipro

Current Illness: None

ID: 1038723
Sex: F
Age: 71
State: TN

Vax Date: 11/27/2020
Onset Date: 11/27/2020
Rec V Date: 02/18/2021
Hospital:

Lab Data: none

Allergies: demerol, hydrocodone

Symptoms: I went home with the usual pain at the sight of the injection, but stronger than usual. About 4:00pm a sharp pain flew all the way down my left arm which has not gone away. I have been taking pain relievers, some aspirin when eating and Acetaminophen at night, So many movements hurt me furiously that I have changed my choice of clothes to keep from making certain movements. There are many movements I try not to make anymore. By doing this I am able to enjoy most days without much pain, but night time is difficult because there is not really a comfortable position to get a lot of rest.

Other Meds: No prescriptions. 2 calcium,2 niacin, 1magnesium, 1 vit. C, 1 vit.E, 1 vit D3, 2 ducosate sodium, 1 co-q-10 per day.

Current Illness: none

ID: 1038724
Sex: F
Age: 38
State: NJ

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

Lab Data:

Allergies: only seasonal

Symptoms: Itching and hard knots on right arm around vaccine site.

Other Meds: anxiety medicine

Current Illness: no

ID: 1038725
Sex: M
Age: 44
State: NY

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

Lab Data:

Allergies: Sulfa

Symptoms: Fever (101.6) severe shivering & sweating, chills, headache

Other Meds: Wellbutrin, Zoloft, alosetron, Zyrtec, tadalafil, baby aspirin, Descovy

Current Illness: None

ID: 1038726
Sex: F
Age: 74
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: 1038727
Sex: M
Age: 70
State: MI

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

Lab Data:

Allergies:

Symptoms: client vaccinated with pfizer covid 19 vaccine that was not reconstituted. Error was caught, and PHSC aware.

Other Meds:

Current Illness:

ID: 1038728
Sex: M
Age: 23
State: CO

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

Lab Data: EKG, IV FLUIDS

Allergies: denies

Symptoms: NEAR SYNCOPE, DIAPHORETIC, VOMITING, BRADYCARIA

Other Meds: DENIES

Current Illness: DENIES

ID: 1038729
Sex: F
Age: 42
State: MO

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

Lab Data: Blood pressure was normal

Allergies: Sulfa Penicillin

Symptoms: Dizzy, light headed, and short of breath 5 minutes after vaccines

Other Meds: Atorvastatin Atenolol Birth Control Lexapro

Current Illness: None

ID: 1038730
Sex: M
Age: 39
State: KY

Vax Date: 02/14/2021
Onset Date: 02/16/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: Amoxicillin, Erythromycin, PCN, Sulfa drugs

Symptoms: Received 2nd vaccine on 2/14/21 and on 2/16 started having pain in the right ear. Went to ICC on 2/18/21 and diagnosed with right otitis media with effusion

Other Meds:

Current Illness:

ID: 1038731
Sex: F
Age: 44
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: 1038732
Sex: M
Age: 72
State: LA

Vax Date: 02/13/2021
Onset Date: 02/15/2021
Rec V Date: 02/18/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Acute on chronic congestive heart failure, unspecified heart failure type; Cough; ESRD (end stage renal disease); Hypertension, unspecified type; SOB (shortness of breath); Shortness of breath

Other Meds:

Current Illness:

ID: 1038733
Sex: F
Age: 50
State: FL

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

Lab Data: None, plan on monitoring.

Allergies: PCN

Symptoms: increase in frequency of Raynaud's symptoms since 2nd vax; both hands, multiple fingers and lasts no longer than 20 minutes per occasion; definite increased frequency as compared to baseline.

Other Meds: Plaquenil 200mg daily Atorvastatin 10mg hs Tylenol 1000mg daily

Current Illness: COVID 19 dx via PCR on 1/10/21; first vaccine 1/5/21

ID: 1038734
Sex: M
Age: 76
State: MD

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

Lab Data:

Allergies: none

Symptoms: Severe shoulder discomfort, and loss of rangr of motion

Other Meds: amlodopine atorvastatin

Current Illness: none

ID: 1038735
Sex: F
Age: 40
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: 1038736
Sex: F
Age: 80
State: MI

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

Lab Data:

Allergies:

Symptoms: client vaccinated with pfizer covid-19 vaccine that had not been reconstituted. Error was caught, and PHSC aware.

Other Meds:

Current Illness:

ID: 1038737
Sex: F
Age: 74
State: ID

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

Lab Data: None

Allergies: Baclofen

Symptoms: Unresponsive, unable to eat or drink

Other Meds: Iron, Multivitamin, Chloraphyl, Vit C, Lactulose

Current Illness: None

ID: 1038738
Sex: F
Age: 84
State: OH

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

Lab Data: FACILITY STAFF AND MY DISTRICT MANAGER WERE MADE AWARE, THE STAFF AT MONITER THE PATIENT

Allergies: N/A

Symptoms: PATIENT RECIEVED PFIZER VACC. AS SECOND DOSE SHE WAS A TRANSFER FROM A DIFFERENT FACILITY AND HAD RECIMVED MODERNA ON FIRST DOSE ; DID NOT PROVIDE THAT INFORMATION PRIOR TO VACCINATION I DISCOVERED IT AFTER THE PHFIZER HAD BEEN ADMINISTERD. NO ADVERSE EVENTS HAVE BEEN REPORTED

Other Meds: N/A

Current Illness: N/A

ID: 1038739
Sex: F
Age: 76
State: FL

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

Lab Data:

Allergies:

Symptoms: Burning itch, wound care. Doctor advised it was Shingles

Other Meds: Prolia, llosarten, thyroid med gambarpen,

Current Illness: Hypertension, Thyroid, Osteoporosis

ID: 1038740
Sex: F
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: 1038741
Sex: F
Age: 51
State: LA

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: no

Allergies: Penicillin, Topromax, Phiniquine

Symptoms: A few hours after the vaccine I developed arm soreness, nausea and stomach pains as if I had did 100 situps which lasted about 24 hours but the arm soreness lasted about 3 days and afterward all symptoms subsided

Other Meds: Zonegran, Clonopin .5mg, Vit C, Zinc and Vit D.

Current Illness: COVID

ID: 1038742
Sex: F
Age: 40
State: PA

Vax Date: 02/10/2021
Onset Date: 02/12/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: Lab work including kidney functions, non contrast ct, IVP, urine cytology.

Allergies: No known

Symptoms: Gross hematuria 48 hours after vaccine. Lasted approximately 12 hours.

Other Meds: None

Current Illness: None

ID: 1038743
Sex: M
Age: 51
State: NY

Vax Date: 03/02/2018
Onset Date: 03/02/2018
Rec V Date: 02/18/2021
Hospital:

Lab Data: Visited Dr No diasgnoses; Visited Immunoliogist no diagnosis; Visited Medical University No diagnosis; Visited Clinic diagnosed with Polymyalgia Rheumatica

Allergies: Novahistine DH

Symptoms: Trouble walking and standing straight and severe pain from waist down. I was prescribed Prednisone to reduce pain which I am still taking. Until June of 2018 only my legs were affected. From that point on arms and shoulders had pain and it is very difficult to lift my hands above my head along with the issues with my waiste and legs. Periodically I would experience steroid Myopathy which caused my legs to not function and I would have to use a wheel chair to get around. In November of 2020 I was prescribed Methotrexate to wean me off of the steroids. I am down to 5mg per day of steroids

Other Meds: Levothyroxin, Lipotor,vitamin D,Flomax, Tums, Claratine

Current Illness: High Cholesterol, Enlarged prostate Hypothyroidism, Sleep Apnea

ID: 1038744
Sex: F
Age: 74
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: 1038745
Sex: F
Age: 49
State: MO

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: none

Allergies: Sulfa Medication, Penicillin, Codeine

Symptoms: Headache, body aches like I have never had before, nausea, elevated temp 100.2, and extreme tiredness. These lasted for about 24 hours

Other Meds: Adderal xr

Current Illness: none

ID: 1038746
Sex: F
Age: 86
State: IL

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: Covid- negative results

Allergies: morphine, kidney dye, Crestor, Pravachol,

Symptoms: pt stated that her left arm got very sore and she was very fatigued. A couple of days later she had bad body aches, lightheaded with chills. Pt had a virtual appt w/ her PCP and for her to be tested for Covid since she had been exposed. She tested negative. Doctor told her take Tylenol and meloxicam. She kept these symptoms about 6 days before they subsided.

Other Meds: levothyroxine 50mg, carvedilol 3.125 mg x 2 daily, spironolactone 25mg x 2 daily, furosemide 40mg, omeprazole 20mg, escitalopram 10mg, tramadol,

Current Illness: no

ID: 1038747
Sex: F
Age: 59
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: 1038748
Sex: M
Age: 78
State: FL

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: spoke to patient itching subsided, redness has lessened, swelling has gone down however the entire arm is swollen from injection site to wrist. asked if there was an obvious change of size from one arm to the other. Patient reports there is a significant difference. recommended she follow up at an urgent care. states she would rather call her pcp who would be able to see him soon.

Allergies:

Symptoms: 2nd shot 10th @ 1115 , 1st shot 1/13/2021 lymphedema, red, itchy, fatigue lump under arm that has moved to breast.

Other Meds: a lot of meds thyroid Had lymph nodes removed several years ago

Current Illness:

ID: 1038749
Sex: F
Age: 71
State: OK

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

Lab Data: None Yet I don't really have a doctor to go to for this. We are snowed in and I cannot get to the ER yet and really need advice about how to proceed.

Allergies: Demoral

Symptoms: Burning and numbness in mid right forearm going down to thumb and finger in right hand. Same arm I had the injection in.

Other Meds: Chlorthalidone, Avapro, Levoxyl, Allegra, Singulair, Nasonex, Dulara, Pantenaze, Spiriva Respimate, Proair, Prozac, Zetia, Atoravastatin, Prilosec, Potassium, Detrol LA

Current Illness: none

ID: 1038750
Sex: F
Age: 54
State: CA

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Initial swelling on lymph node under the left axilla with pain and warm to touch on 2-5-21. Contacted MD who prescribed Augmentin 500 mg BID for 10 days. On day 13 after vaccine the swelling went away. Joint pain began on Feb 5th including hips, knees , ankles, wrist and elbows and continues to today. Rash began on both legs (thighs and calf) and hands. Raised rash non pustule red in color. This began approximatly 1 week post vaccine. Right hand began swelling on 2/16/21 with pain and redness. On 2/17/21 swelling increased and increased pain. Pain in right hand and wrist is worse on 2-18-21 (pain scale 6)

Other Meds: Atorvastatan 10 mg; Losatan 50 mg daily

Current Illness: high blood pressure and cholesterol

ID: 1038751
Sex: F
Age: 68
State: CA

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

Lab Data:

Allergies: none

Symptoms: At bedtime, both arms ached, slept poorly, got up several times during the night. In the morning, woke with a headache, lightheaded, dizzy, knew I would not be able to drive safely. By afternoon, felt somewhat better.

Other Meds: Lexapro, Wellbutrin, Lorazepam, Zocor, iron, Vit C, Vit B, Zinc, Centrum Silver

Current Illness: none

ID: 1038752
Sex: M
Age: 66
State: MI

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

Lab Data:

Allergies:

Symptoms: Client was vaccinated with Pfizer Covid-19 vaccine, that has not been reconstituted. Error was caught, aware.

Other Meds:

Current Illness:

ID: 1038753
Sex: M
Age: 4
State: SC

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

Lab Data: N/A

Allergies: None known

Symptoms: About 10 minutes after receiving vaccines, patient walked from exam room to front desk as they were leaving and experienced an episode of going weak, brief confusion, and pallor lasting for about a minute. Event was consistent with near syncopal episode without loss of consciousness. Vital signs remained stable. Patient complained of pain at injection site and Tylenol was given as well as sips of water. He laid in inclined position for 15 minutes after which he appeared stable and was able to walk without repeat episode.

Other Meds: None

Current Illness: None known

ID: 1038754
Sex: F
Age: 23
State: WI

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

Lab Data: provided nausea med ondansetron 8 mg for nausea. Checked blood pressure, pulse, oxygen saturation, and temperature which came back fine. This was on 2/17/2021

Allergies: cefdinir, henna, cats, dogs, pollens, and possibly red food dye.

Symptoms: fever, chills, nausea, vomiting, fatigue, shortness of breath

Other Meds: omeprazole 20 mg, fexofenadine hydrochloride 180 mg, cyclobenzaprine 10mg, and meloxicam 15mg

Current Illness: N/A

ID: 1038755
Sex: F
Age: 79
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: 1038756
Sex: F
Age: 72
State: VA

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

Lab Data:

Allergies: Doxycycline

Symptoms: Mild soreness and stiffness in left arm.

Other Meds: Elliquis/Sotalol/81ml aspirin

Current Illness: Atrial fibrillation

ID: 1038757
Sex: F
Age: 41
State: FL

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

Lab Data: Blood Pressure and Pulse Measured- BP: 111/80 HR: 85

Allergies: Penicillin, Z-pack

Symptoms: Nausea, Increased Heart Rate, Dizziness, Light-headed

Other Meds: Oxycarbenzapine

Current Illness: Seasonal Allergies

ID: 1038758
Sex: F
Age: 68
State: PA

Vax Date: 02/08/2021
Onset Date: 02/10/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: NA

Allergies: None

Symptoms: Two days after vaccination (Feb 10) , I developed a very itchy 3 -inch rash and ~ 2-inch lump that appeared on and below my left jaw line. The lump was not painful except when I touched it when washing my face. On Feb 12th, I started to put Cortaid and neosporin on the area . The rash and lump fully resolved by February 16th. (Please note that the lot # on my vaccination card is not entirely clear-- It could also be 630MZ04.)

Other Meds: levothyroxine (75) simvastatin (40) anastrozole

Current Illness: None

ID: 1038759
Sex: F
Age: 22
State: ID

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

Lab Data: Unknown

Allergies: Unkown

Symptoms: Congestion, fever, fatigue, N/V, headache, body aches

Other Meds: Unknown

Current Illness: Unknown

ID: 1038760
Sex: F
Age: 57
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: 1038761
Sex: F
Age: 73
State: CA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: one week later severe rash over torso, front and back

Other Meds: tolterodine tart er 4mg, rosuvastatin calcium 10mg, estrace cream, one a day multi vitamin, calcium 1200mg, b12 5000 mcg, biotin 5000 mcg, hair essentials

Current Illness: n/a

ID: 1038762
Sex: F
Age: 80
State: OH

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

Lab Data: WBC, WNL

Allergies: No known allergies

Symptoms: To ED 1/28/2021- 17:06 complaints of racing heart, and increased blood pressure. ED - B/P 200/107- very anxious. Administered 0.1mg oral Clonidine and B/P significantly improved - at discharge B/P 177/76.

Other Meds: Lisinopril 10 mg daily, metoprolol tartrate 25 mg daily, Prilosec 40 mg daily

Current Illness: none

ID: 1038763
Sex: M
Age: 66
State: FL

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

Lab Data: n/a

Allergies: None

Symptoms: Patient became pale and felt faint while sitting in the observation area after receiving the vaccination. He was alert and talking but quickly reported the need to lay on the floor with dizziness and faintness. The patient began feeling better after laying down and wanted to then sit in the chair again. After sitting up a second time the patient fainted in the chair and was guided to the ground where he became alert again and waited until the medics arrived. After some time with the medics the patient began feeling better and declined to be taken for further medical treatment.

Other Meds: Unknown

Current Illness: none known

ID: 1038764
Sex: F
Age: 54
State: CT

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: 1038765
Sex: F
Age: 69
State: NC

Vax Date: 02/12/2021
Onset Date: 02/15/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: none (allergic to bee stings)

Symptoms: 2 and a half days after receiving the first shot of the Moderna Covid vaccine I developed strong flu-like symptoms including low fever, chills, fatigue, muscle and joint aches, and headache. I vomited once, and this was followed by diarrhea. which I am still experiencing 3 days later. The other symptoms were gone or much less after the first day, except for fatigue.

Other Meds: none

Current Illness: none

ID: 1038766
Sex: F
Age: 77
State: CA

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: Penicillin, Cephalosporin

Symptoms: Pt reported to have rash, hives on her back, size of rash/hive is approximately 12 inches in length. Patient contacted her primary care physician and was advised to take Benadryl and Aspirin as soon as possible. Rash/hives went away within several hours.

Other Meds:

Current Illness:

ID: 1038767
Sex: M
Age: 57
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:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm