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: 1039017
Sex: F
Age: 68
State: IN

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

Lab Data: None

Allergies: None

Symptoms: Patient received vaccine and went to observation area. 5 minutes after, she reported feeling "out of body" and like her "limbs were not working with her body". She also stated that she saw blacks spots. Patient denied any previous vaccine reactions and any previous allergies. She did confirm that this happened once before when she was in college after receiving an antibiotic shot. Patient denied lying down and a cot, however she did agree to a juice box and crackers. She denies diaphoresis, trouble breathing, trouble swallowing and any respiratory distress. Patient advised to wait an extra 15 minutes and to let someone know when she was leaving. Patient started feeling better towards the end of the interview.

Other Meds: Unknown

Current Illness: None

ID: 1039018
Sex: F
Age:
State: FL

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

Lab Data: Daughter states patient's rash has disappeared and patient has no other symptoms at this time.

Allergies:

Symptoms: Date and time of vaccination: (list both if they received both shots): 1st: 1/13/2021 @ 1030, 2nd: 2/11/2021 @1030 1st: Moderna #012L20A, 2nd #: 012M20A Stomach pain, cramps and diarrhea, nausea began aprox 2 hrs after 2nd vaccine, resolved after about 3hrs. On 2/13, began having a raised welts on left side of neck/back with itching. Called physician on 2/13, applied cream as ordered. On 2/15, saw PCP, who put her on cortisone cream and who recommended oral benadryl as needed. On 2/16, noticed that rash has moved around her neck to front of chest/neck area. In addition, left buttocks began having same rash as well as right arm at injection site. Intermittent low-grade fever throughout. Follow-up call with PCP scheduled for today. Advised to continue using cream/benadryl/tylenol as needed as prescribed by PCP.

Other Meds: pantoprazole daily allopurinol daily hydralazine 50mg BID metformin 1000mg BID simvastatin 10mg daily valsartan hctz 320mg/25mg daily probiotics multivitamin

Current Illness:

ID: 1039019
Sex: F
Age: 73
State: FL

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

Lab Data: EKG (2/16): NSR, rate 88 bpm, no ST elevation

Allergies: NKDA

Symptoms: Within 15-minutes of vaccination, the patient reported dizziness. Patient rated the dizziness as 4/10. EMS evaluated patient on-site. Patient has a history of cardiac stent placement and EKG displayed PVC's <6 min. The patient was hypertensive (164/81). Patient denied chest pain or difficulty breathing. EMS believed the patient had a psychosomatic response secondary to their anxiety. Patient's condition improved and refused further evaluation, treatment, or transport to hospital.

Other Meds: Lisinopril, Simvastatin

Current Illness: None reported

ID: 1039020
Sex: F
Age: 29
State: SC

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

Lab Data: N/a

Allergies: N/a

Symptoms: Red spots/rash on left arm, hand, and wrist. Petechia rash.

Other Meds: Vyvanse 20 mg, cymbalta and Wellbutrin

Current Illness: N/a

ID: 1039021
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:

ID: 1039022
Sex: F
Age: 37
State: CA

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

Lab Data:

Allergies: N/A

Symptoms: Rash at injection site: swollen, red and itchy

Other Meds: N/A

Current Illness: None

ID: 1039023
Sex: F
Age: 47
State: CA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: January 13 - EKG - normal results Lab work was done before January 25 - results were okay; they were checking for COVID antibodies and virus - both came back negative

Allergies: penicillin

Symptoms: I experienced a rash in my face. It looked like mosquito bites almost. The normal pain on the injection - red on outside. Whole arm was red and swollen. That lasted several days. Next day after vaccine, Inside of my arm, I noticed rash (looked like chicken pox/mosquito bites) and then it went to chest, abdomen and legs. The rash continued. My face was flushed and had a 99.9 fever. I had foggy brain and chest pain (started day after the vaccine). The chest pain would last about a minute - I monitored my heart rate. From sitting down my heart rate when up to 120 and down to 37. This occurred for four days - four - six times a day. By the 3rd day after vaccine, I started feeling worse. I experienced dizziness, nausea, couldn't think, was disorientated, rash on my body, no appetite, couldn't sleep well and had no energy and chest pain - was in bed for next three days. I didn't call my Dr right away, I was monitoring the chest pain while I rested. That resolved (chest pains) by Saturday. The rest continued. My Monday, I called Public Health and they advised to call my DR. Spoke to Dr. on 11th. On the 12th, I had a telehealth appt with him. On the 13th had an EKG done. Everything normal on EKG. I continued feeling dizzy and no energy. I didn't work until Jan 19th. On the 20th, I felt foggy brain and rash wasn't gone and I went back to my doctor on January 21 and he put me off work for another week. At this point, within the last few days, my energy is back and rash is gone - I do still have dark spots on back and legs from the rash. On January 25th, I got the second dose. (The rash kind of flared back after second dose but nothing as bad.)

Other Meds: none

Current Illness: no

ID: 1039024
Sex: F
Age: 53
State: UT

Vax Date: 02/06/2021
Onset Date: 02/15/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Large rash around the injection site

Other Meds: Vitamin B12 (lingual), Omeprazole, D3, Allertec

Current Illness: none

ID: 1039025
Sex: F
Age: 70
State: FL

Vax Date: 02/11/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: none

Allergies: prednisone, nuts

Symptoms: One week after vaccination left arm itching, warm, headache, 14 hours after symptoms started rash appeared. Home treatment with Tylenol and ice pack.

Other Meds: vitamin D3, blue green algae

Current Illness: none

ID: 1039026
Sex: M
Age: 78
State: NH

Vax Date: 02/06/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: Didn't call my physician, so no tests.

Allergies: Environmental

Symptoms: Yesterday, 2/17, I noticed a large (approx 5" circle) rash around my injection site. It is itchy, a bit firm, and a little swollen. I'm not certain as to when it started, just noticed it after a shower. No other symptoms.

Other Meds: Omeprazole, D3, low dose ASA, CoQ10, Turmeric,B12

Current Illness: None

ID: 1039027
Sex: F
Age: 42
State: TX

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

Lab Data:

Allergies:

Symptoms: In afternoon after vaccine was received, noticed vaccine area was swollen, red and developing a rash. Spot co tinier to grow next day. After two days or so it went away. Wednesday 17th vaccine area very itchy and was red swollen and developed a rash again. Area continued to grow throughout day. Today Thursday still have area red swollen and rash.

Other Meds: Allegra Singulair Women?s vitamin

Current Illness: Imitrax - migraines Ondansetron -nausea Lysteda

Date Died:

ID: 1039028
Sex: M
Age: 59
State: IN

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

Lab Data:

Allergies:

Symptoms: Systemic: no issues during observation period-Severe, Additional Details: patient received moderna immunization during the morning of 2/17/2021. patient was found by facility staff at 2:38pm with no pulse CPR was started, aed was used and ems was called. time of death 3:15pm

Other Meds:

Current Illness:

ID: 1039029
Sex: F
Age: 72
State: IL

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

Lab Data:

Allergies: Sulfur

Symptoms: Red rash and terrible itching. Saw doctor today started medrol steroid pack and taking Benadryl

Other Meds: Losartan Melixicam Alprazolam. Synthroid. Calcium. Vitamin D Gabapentin

Current Illness: None

ID: 1039031
Sex: F
Age: 80
State: MO

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

Lab Data: none

Allergies: Sulfa

Symptoms: About 7 days after vaccine given in left arm, left arm had two large round, red, warm areas appear. after about 2-3 days rash spread to entire upper left arm from elbow to neck. rash became more spotted and severe itching began. vaccine was given on 2/3/21, rash appeared on 2/10/21. today is 2/18/21 and entire arm is covered with dark red spots that still has severe itching. Have used Benadryl pills and hydrocortisone cr?me without relief. today will try caladryl lotion.

Other Meds: aspirin, potassium, hydrochlorothiazide, omeprazole, gabapentin, clopidogrel, morphine sulfate ER, lisinopril, centrum silver, vitamin B12, Vitamin D3, Citracal, fish oil, Simvastatin, Mag OX, Mirtazapine, Oxycocone, Furosemide, Carvedilol,

Current Illness: none

ID: 1039032
Sex: F
Age: 89
State: MN

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: MD EVALUATION

Allergies: ALLOPURINOL, INDOCIN, LIPITOR, LISINOPRIL, DOXYCYCLINE, CYCLOBENZAPRINE

Symptoms: SEVERE RIGHT ARM PAIN, SHORTNESS OF BREATH, LETHARGY, BODY ACHES, WEAKNESS, DIZZINESS

Other Meds: UNKNOWN

Current Illness: NONE

ID: 1039033
Sex: M
Age: 65
State: FL

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

Lab Data:

Allergies:

Symptoms: Fatigue, mild headache, slight nausea, muscle aches, flu-like symptoms.

Other Meds:

Current Illness:

ID: 1039034
Sex: F
Age: 31
State: NC

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

Lab Data:

Allergies: dust allergy congestion runny nose headache itchy and scratchy throat. Asian herb lead to anaphylaxis had to use epinephrine through the IV.

Symptoms: 12:50pm shot received, 1:00pm headache started, 97%spo2, head feels heavy. 1:05pm 1,000 mg apap taken. 1:13 pm slightly harder to breath, 65bpm, 95%spo2. 1:18pm 50mg Benadryl taken, 98%sp02, 66bpm, 97.7temperature, headache worsens. 1:24pm breathing improved, headache very strong, 97.7temperature, pt feels cold. 1:30pm nausea gone, very sleepy, watery mouth gone. 1:33pm 66bpm, 98%sp02, 98.2temperature pt no longer cold. 1:35pm head feels tight. 1:35pm 140/85mmHg. 1:46pm 4oomg ibuprofen taken. 1:52pm 151/91mmHg. 2:08pm 158/90mmHg, headache stronger. 2:19pm134/77mmHg.

Other Meds: none

Current Illness: none

ID: 1039035
Sex: F
Age: 81
State:

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

Lab Data:

Allergies:

Symptoms: patient was diagnosed with pneumonia

Other Meds:

Current Illness:

ID: 1039036
Sex: F
Age: 78
State: LA

Vax Date: 01/22/2021
Onset Date: 02/05/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: None known

Allergies: Allergic to most pain meds - makes sick to stomach

Symptoms: Had CoVid vaccine #1 1/22/21 - felt fine. 2/5/21, eyes became swollen and red - called her eye Dr, who met her after hours at his clinic and diagnosed with shingles. She does not remember ever having chicken pox but states she might have forgotten. She called MC to inform us she could not return 2/11/21 for her second vaccination d/t the shingles. We also had a second person vaccinated the same day that also called with shingles so decision was made to enter this variance report.

Other Meds: Levothyroxine,Crestor, HCTZ,

Current Illness: none

ID: 1039037
Sex: F
Age: 16
State: WI

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

Lab Data:

Allergies:

Symptoms: Error: Patient Too Young for Vaccine Administered

Other Meds:

Current Illness:

ID: 1039038
Sex: F
Age: 52
State: NC

Vax Date: 10/14/2020
Onset Date: 10/14/2020
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: Denies intolerance or known allergy to any foods or medications Reports local site reaction from latex contact. Denies adverse event after exposure to stinging insects or hymenoptera,

Symptoms: 52 yo complains of continued pain in the deltoid and shoulder at the intersection with the collar bone. Both herself and vaccinator were sitting. She does not recall atypical site placement. Pain onset was about 6 hours later followed by dysfunction and ROM limitation due to pain. Pain has been 8/10 and currently 6/10 with motion and unable to lift things. She self treated with heat and NSAIDs. She was seen in ER 28 OCT 20 and diagnosed myalgia and treated with Naprosyn and ice. She was refered to PT starting 21 DEC 20. She saw ortho who provided steroid injection 11 JAN 21. Ortho referred to OT due to development of left lateral epicondylitis, and left carpal tunnel syndrome.She denies any history of injury to her affected shoulder. At this time she has substantial improvement in both pain and ROM, but not full resolution

Other Meds: Victoza Lantus Novolog naprosyn.

Current Illness:

ID: 1039039
Sex: M
Age: 86
State: FL

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

Lab Data: Urgent care visit on 2/10/2021. Was given an antibiotic doxycycline (still taking); may need PCP follow up for the nodules

Allergies: no allergies other than hay fever to pines

Symptoms: covid shot estimated at Feb 1st between 1-2 PM, first shot, and then had a trip and fall that day. 3-5 days later noted cellulitis on his leg with redness, swelling, pain, edema and went to urgent care on the 10th, given some antibiotics which he is currently taking and the site is looking much better. Patient notes also painless nodules going down his bicep, but not where lymph nodes are (more in the middle of the arm from the site, not near elbow or armpit). Pt also noted some bruising initially at the injection site which is better. Should he still get his second shot even with the abx and cellulitis? Adv cellulitis on the leg more related to the fall than the shot. The nodules could be from the shot but as they aren't where I would typically expect to see lymphadenopathy would rec FU with PCP if the nodules persist or worsen. None of this is a contraindication to getting the second dose of the vaccine, but inform the vaccine providers that you are on elliquis so they can be aware to watch for additional bruising/bleeding, which is common after the shot. Discussed also Q518.

Other Meds: Elliquis 2.5 mg, Carvedilol 25 mg, lisinopril 40 mg, clopidogrel 75 mg, potassium 10 mEq, Lasix generic 40 mg, atorvastatin 80 mg, APAP 500 mg PRN 4 daily, NG PRN, Viagra

Current Illness:

ID: 1039040
Sex: F
Age: 63
State: CA

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

Lab Data: 2/17/21-CBC with diff, Tryptase, Chem 7, CT Head.

Allergies: Keflex Lisinopril Mango

Symptoms: Pt with hives/rash approx 30 minutes after receiving 2nd dose of Pfizer vaccine. Pt also c/o of headache. Blood pressure was elevated initially 185/112. Multiple blood pressures taken with decrease to 174/105 then 154/95. Rash and hives decreased 60 minutes post vaccine administration.

Other Meds: Esbriet Epi pen PRN Sertraline Xopenex Losartan

Current Illness: Vaginal bleeding, 1st dose vaccine reaction

ID: 1039041
Sex: M
Age: 17
State: MN

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

Lab Data:

Allergies: Unknown

Symptoms: Patient is 17 1/2 and received his first dose of Covid vaccine (Moderna) which is used for ages 18 and up. Mother called and she is aware of error and will call PCP for follow up. Reviewed standard work flow with nurse to always verify age on the front of the registration form, now what age the vaccine she is giving is used for and verbally verify age with client when appropriate. Mother reports patient has Down's Syndrome.

Other Meds: Unknown

Current Illness: Unknown

ID: 1039042
Sex: F
Age: 45
State: KY

Vax Date: 01/09/2021
Onset Date: 01/18/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: Ultrasound right axilla 2/1/21 Diagnostic Mammogram 2/12/21

Allergies: None

Symptoms: Nine days after receiving dose one of Moderna, the patient developed a 1.8X0.8X1.5 palpable lymph node in the right axilla. This prompted a complete workup for breast cancer in this 45 year old woman, and severe emotional distress. This also resulted in 2 visits to a healthcare provider, and two additional visits to a health care facility for radiographic procedures.

Other Meds: None

Current Illness: None

ID: 1039043
Sex: F
Age: 62
State: FL

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: codeine and sulfa

Symptoms: Client called approximately 12:35 pm on 2/12/2021. Reports s/s: redness and warmth at the injection site; swelling under arm to under breast and up to neck area; mild discomfort. Recommended Benadryl and a ice pack to area periodically. Follow up phone call to client approximately 4:30 pm. Client reports improvement in s/s. Will continue to use Benadryl. Follow up phone call on 2/15/2021. Client is doing fine. Reports the swelling and redness are almost gone.

Other Meds:

Current Illness: no

ID: 1039044
Sex: F
Age: 44
State: MN

Vax Date: 01/31/2021
Onset Date: 01/31/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Site: Pain at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Joint Pain-Severe, Systemic: Numbness (specify: facial area, extremities)-Medium, Additional Details: Coordinator reached out via email on 2/17 stating the employee had been experiencing numbess and pain in her arm since COVID vaccine shot 2. She will be following up her MD 2/18.

Other Meds:

Current Illness:

ID: 1039045
Sex: M
Age: 79
State: FL

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

Lab Data: None

Allergies: None

Symptoms: The normal site pain from the needle stab, and several minutes later a sympathetic pain in the right shoulder. Sounds crazy, but the same thing happened to my sister and one of her friends. Sometime later after arriving home, I developed chills. At 10:30 pm I took two extra strength acetaminophen capsules (500 mg, ea.). That eliminated both the chill and the right shoulder pain by 11:30. Today, the 18th, I am feeling fine except for the injection site pain.

Other Meds: Saw Palmetto, 360mg, once daily Krill Oil, 600mg, twice daily Vitamin D3, 5,000 IU, once daily Visicort (modified AREDS2), 1 capsule, twice daily

Current Illness: None

ID: 1039046
Sex: F
Age: 62
State: AZ

Vax Date: 02/01/2021
Onset Date: 02/16/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: None

Allergies: Penicillin

Symptoms: Severe dizziness, low grade headache

Other Meds: Levothyroxine, duloxatine

Current Illness: None

ID: 1039047
Sex: M
Age: 40
State: VA

Vax Date: 01/11/2021
Onset Date: 02/13/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: Rapid, PCR and Flu differential tests conducted on 2/16 at 1430

Allergies: ceclore and sulfa drugs

Symptoms: My parents live with my family of four. My father was exposed to COVID when he was in the hospital from 1/19-1/21 getting his hip replaced. My mother and wife lost their sense of smell on Sunday 1/24. They got rapid and differential PCR tests on Tuesday 2/2. The rapid test came back positive for both of them. I served as primary care provider for all four of them during their illness. I started to experience mild symptoms on 2/13. Symptoms included: reduction in sense of taste and smell (could not smell cinnamon or taste spicy foods), headaches, runny nose, waves of nausea. I went to an medical center on 2/16 to receive the Rapid, PCR, and flu differential tests. My Rapid test came back negative but my PCR test came back positive on 2/17.

Other Meds:

Current Illness: none

ID: 1039048
Sex: F
Age: 84
State: PA

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

Lab Data: On 3/1, 2 weeks after vaccine: will do blood work.

Allergies: None

Symptoms: Pt possible may have been given the NSS diluent instead of the Pfizer vaccine . Pt has no sign or symptoms of an adverse reaction. Pt was notified on 2/16/21

Other Meds: Vitamin D3, 2,000units, 1 tablet, once a day

Current Illness:

ID: 1039049
Sex: M
Age: 66
State: NY

Vax Date: 02/11/2021
Onset Date: 02/16/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: cephalexin

Symptoms: patient called the pharmacy (2/18/21) stating that on 2/16/21 he lost muscle control of both legs and was unable to walk. As of 2/18/21 he had not contacted his doctor and full muscle control had not returned.

Other Meds:

Current Illness:

ID: 1039050
Sex: F
Age: 72
State: FL

Vax Date: 02/12/2021
Onset Date: 02/16/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: Spoke with caller, feeling better, eating and drinking ok. Will follow up with PCP if needed.

Allergies:

Symptoms: feb 12 at 1500 was given the Moderna vaccine . On the 16th developed a headache , muscle aches , and nausea. Symptoms have improved today with no treatment. Patient states had similar symptoms 6 months ago. Patient was given the Pneumonia and Shingles vaccine on the same day. Persistent symptoms see PMD.

Other Meds:

Current Illness:

ID: 1039051
Sex: F
Age: 84
State: PA

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

Lab Data:

Allergies:

Symptoms: Systemic: Allergic: Anaphylaxis-Severe, Systemic: Allergic: Difficulty Breathing-Severe, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe

Other Meds:

Current Illness:

ID: 1039052
Sex: F
Age: 77
State: NC

Vax Date: 01/29/2021
Onset Date: 01/31/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: In ER on 1/31 negative CT head w/o contrast TFTs, BMP ok Low total WBC and lymphs

Allergies: Glutin sensitivity Dairly Intolerance

Symptoms: Severe virtigo and intractable nausea requiring ER admission. Sxs ameliorated with Ativan, meclizine, Metachlopramide in ER. Persistent sxs of virtigo, decrease hearing, nausea resolving over several days treated with meclizine, ativan, phenergan, Virtigo improved but still persisting when moving quickly or looking up or down Left frontal discomfort and sinus congestion; hearing returned to near baseline after 10d Steroid 5d dose pack and Augmentin started 2/13 Still unsteady (untrustworthy gait), excess fatigue and fatigability, wt loss, head pain Has not had fever

Other Meds: Synthroid nortriptyline Creon Vit D Probiotic Citrocel

Current Illness: Sinus congestion

ID: 1039053
Sex: M
Age: 32
State: TX

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: I developed a rash above my left eyebrow. It started on the left side of my forehead and spread down towards my left eye. They then developed into what appears to be hives.

Other Meds: None

Current Illness: None

ID: 1039055
Sex: F
Age: 40
State: IL

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

Lab Data: CBC, TSH. THYROID PEROXIDAS (TPO), DONE ON 2/15/21

Allergies: NONE

Symptoms: WEDNESDAY: HA, BODY ACHE, FRIDAY: FACE SWOLLEN. HA. FRIDAY WENT TO ER. MONDAY: SEVERE HA, NAUSEA, SEVERE ACHES. WENT TO DR OFFICE.

Other Meds:

Current Illness: NONE

ID: 1039056
Sex: F
Age: 37
State: NY

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

Lab Data:

Allergies:

Symptoms: The day after the vaccine--fever of 103, generalized weakness and dizziness

Other Meds:

Current Illness:

ID: 1039057
Sex: F
Age: 62
State:

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

Lab Data:

Allergies:

Symptoms: Tingling in fingertips, chills, generalized body or rapidly worsening itching.

Other Meds:

Current Illness:

ID: 1039058
Sex: F
Age: 58
State: MA

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/18/2021
Hospital: Y

Lab Data: urinalysis, blood tests, CT scan on 02/17/2021

Allergies:

Symptoms: Stomach pain, nausea, back pain, acute appendicitis by 02/17/2021 appendectomy on 02/17/2021

Other Meds:

Current Illness:

ID: 1039059
Sex: F
Age: 64
State:

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

Lab Data:

Allergies: Latex, seasonal allergies

Symptoms: Rapid Heart rate , Heart palpitations within 15 minutes of receiving vaccine. Pulse 122. when checked by EMT. Waited half hour longer went home. About 4 hours later went to . ER B/p 204/104 Pulse 108 at check in.

Other Meds: Lisinopril, Hydrochlorothiazide, Potassium chloride ER, aspirin, Multivitamin/multimineral, Refresh tears eye drops

Current Illness:

ID: 1039060
Sex: F
Age: 49
State: TX

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 02/18/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: woke up morning after vaccine feeling fatigued, difficult to get out of bed, diffuse body aches, low grade fever (100), chills, difficult to do household duties and did not leave the house for 2 days. symptoms responded to every 4-6 hour dosing of acetaminophen and ibuprofen. by day 2 was able to do household activity a little easier. day 3 symptoms resolved.

Other Meds: Fluoxetine, Lo Lo Estrin, magnesium, ashwaganda

Current Illness: none

ID: 1039061
Sex: F
Age: 49
State: MA

Vax Date: 01/28/2021
Onset Date: 02/03/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: X-ray, Ortho visit

Allergies: Penicillin

Symptoms: Very bad shoulder tendinitis about 5 days after the vaccine that got progressively worse where I could not sleep from pain by about day 7. Dx by an Orthopedic MD. Now I am about 20 days out and aggressive icing and ibuprofen have my shoulder almost back to normal but still hurts to reach behind my back.

Other Meds: Esomeprazole

Current Illness: None

ID: 1039062
Sex: F
Age: 31
State: CA

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

Lab Data:

Allergies:

Symptoms: 0905: Patient feeling shaky & nauseous 0910: HR 89 SpO2 100%, Benadryl 5ml [12.5mg] given with apple juice & saltines 0925: HR 68 SpO2 100% Pt states she feels much better; released home

Other Meds:

Current Illness:

ID: 1039063
Sex: F
Age: 57
State: CA

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

Lab Data:

Allergies: None.

Symptoms: At 3:00 AM on 1/18/21 she was awoken from sleep with shoulder pain, hip girdle pain, long bones of the thighs, could not raise arms above head, neuropathy of the palms, pain in wrist, tingling, numbness, stiffness of wrists, stiff fingers, hurt to bend fingers with pulsing capillaries. Started more centrally then extended down to extremities, did have some pain in ankles, neuropathy to the feet. Much worsening of the mucosal dryness of her eyes, mouth, lips, throat to the point that she was hoarse, and also her vaginal mucosa started to dry up as well. She took Acetaminophen, etc. She then was given some narcotics, which did not help the pain symptoms either. Her doctor had no answers, and did not prescribe her anything. Her eyes and throat dryness has waned somewhat. She is still having pain in her shoulder girdle. Does have the neuropathy pain, still hard to bend fingers. She had a very severe reaction this past weekend where she could not eat from Saturday to Wednesday due to nausea. She did get an order for Zofran on Monday, 2/15/21. She is still taking the Acetaminophen and Naprosyn, not taking the Norco due to constipation. Started taking her Synthroid again, but low dose. She is an RN and not able to work due to this condition. She also become leukopenic, her WBC's were lower than normal at 2.9, and her neutrophils dropped to a suboptimal level as well. She is now immunocompromised, and another reason for her not going to work as she works in an overflow unit for COVID patient's.

Other Meds: None.

Current Illness: Radiation therapy for breast cancer diagnosed in October/November, last treatment 1/6/21.

ID: 1039064
Sex: F
Age: 93
State: MA

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

Lab Data:

Allergies:

Symptoms: Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Hypertension-Mild, Systemic: Shakiness-Medium, Systemic: Tachycardia-Mild

Other Meds:

Current Illness:

ID: 1039065
Sex: F
Age: 56
State: MA

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

Lab Data: n/a

Allergies: vicodin

Symptoms: pt experienced nausea, vomiting and dizziness with in 15 min of vaccination

Other Meds: none reported

Current Illness: none reported

ID: 1039066
Sex: F
Age: 40
State: ID

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

Lab Data:

Allergies: Compazine

Symptoms: Burning, numbness, tingling, numb spots, shooting pains into bilateral lower legs

Other Meds: Paxil, Ativan, Prilosec, gabapentin, ropinirole, seroquel, abilify , melatonin, vistaril

Current Illness: None

ID: 1039067
Sex: M
Age: 37
State: AZ

Vax Date: 02/15/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: Pollen, dust, and ibuprofen

Symptoms: Fatigue and low fever around the third day after the vaccination.

Other Meds: No

Current Illness: No

ID: 1039068
Sex: F
Age: 78
State: PA

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

Lab Data:

Allergies:

Symptoms: Error: Incorrect Reconstitution

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm