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: 1039386
Sex: F
Age: 68
State: MN

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

Lab Data:

Allergies:

Symptoms: About 45 minutes after vaccination, patient felt light headed/dizzy. After she sat down and drank some water she was feeling much better. She did not want any additional help. She said she had not had enough water before the injection.

Other Meds:

Current Illness:

ID: 1039387
Sex: F
Age: 66
State: GA

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

Lab Data: None. I went to the pharmacy and told them what had happened. She suggested I take either some claiton or benedryl and told me to be sure to report the side effect.

Allergies: None known

Symptoms: Started with a red area the size of a quarter with a knot in it. The redness and knot has gotten about the size of a half a dollar. The redness and knot is at the injection site. Only part of arm that is painful is the injection site.

Other Meds: Omeprazole Atorvastatin Hydrachlorothiazide COQ10 Vitamin D Multi vitamin-gummies

Current Illness: N/A

ID: 1039388
Sex: F
Age: 88
State: NY

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

Lab Data: Just went to the ophthalmologist (retinal specialist) to have a scan that showed the bleed in the eye.

Allergies: penicillin

Symptoms: She said that it looks like she is looking through water. She has a retinal bleed. She is going tomorrow 2/19/21 for a shot in the eye to stop the bleeding. The outcome is pending.

Other Meds: Vitamin D3 2000iu for 6 days a week, Vitamin D2 50,000 iu once a week, metoprolol 50am 25pm, diltiazem, atorvastatin, latanoprost, dorzolamide, levothyroxine, victoza, novolog, lantus, eye supplements, Asa 81, HCTZ (prescribed, but not take

Current Illness:

ID: 1039389
Sex: F
Age: 62
State: CA

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

Lab Data: none so far

Allergies: none

Symptoms: First day of vaccine I experienced ache at injection site which I thought was normal until the next day. The next day I noticed increased pain and when I checked my arm I noticed a red circle around the injection site in upper left arm about the size of a silver dollar. It feels hard underneath. That evening the pain increased and during night, sleep interrupted due to pain. Next day I experienced pain all day and in late afternoon, site began to itch. Red circle was somewhat larger. By the following night, the pain decreased and itching was minor. Today, redness is still there although faded and not as large. Pain and itching has also decreased.

Other Meds: Atorvastatin , Benazepril, Vitamins B12, D3, mini fish oil, and Calcium

Current Illness: none

ID: 1039390
Sex: F
Age: 71
State: CA

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Several hours after being vaccinated my vaccinated arm became moderately sore. The next day arm felt much better but I felt quite fatigued. The fatigue only lasted one day. Eight days after my vaccine I developed a large (approximately 3" in diameter) oval red and swollen area on my arm. It lasted 3 days before clearing up.

Other Meds: multi-vitamins estradial patch

Current Illness:

ID: 1039391
Sex: F
Age: 82
State: SC

Vax Date: 01/08/2021
Onset Date: 02/05/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: None

Allergies: pine nuts/anaphylaxys five times prednisone

Symptoms: Vaccine #1 had no issues. Vaccine # 2 had the following: Site of shot was hot, large, inflamed 4 days/ started to imrove on day 5 Day #1 Woke up at midnight with severe shooting pain in neck and went straght up head/followed by inability to move legs/eased off and the next morning could use legs and pain gone, but arm had started to swell at site of shot Day #2 Very sick, flu like symptoms, sleepy, no headache, chills Day #3 same as day 2 Day #4 Same as day 2 and arm easing off Days 5-9 severe fatigue , abnormally tired and unable to function normally Day nine severe dizziness started and has continued to day 13. Cannot drive, wobbly

Other Meds: Crestor, zetia, candisartin, xyzal,

Current Illness: none

ID: 1039392
Sex: F
Age: 79
State: CA

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

Lab Data: none

Allergies: Fluegen, skin test positive reaction IV contrast, rash after !st dose

Symptoms: Rc'd apx 12noon on 2nd, following am 2/3 expected sore arm, but shoulder also painful which progressed and more intense , left side neck pain , between shoulders, and left shoulder. appx 2/6 pain more intense, weakness unable to raise arm fully saw Dr. 2/11 which he dx as Roto Cuff injury, and injected shoulder. 3 days later pain started to lessen. Pain now with certain movements but still unabe to raise arm fully

Other Meds: Lasix 20-40 mg prn, Benazepril 20 mg qd, motrin 400-600 mg as needed for pain, Tylenot ex 2 as needed for pain, multi vit , B12 1000 mcg, D3 25 mcg, Zinc 50mg, topical ointment for leg wound

Current Illness: treatment for leg wound at wound center, topical rx only

ID: 1039393
Sex: F
Age: 59
State: FL

Vax Date: 01/26/2021
Onset Date: 02/14/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: EKG done, labs to follow, cardiac consult to be scheduled.

Allergies: NKA

Symptoms: 2/14/2021 felt faint and shaky, lasted approximately 30 minutes, very weak and tired after this, MD appt on 2/16/2021 (previously scheduled, not for this) had an abnormal EKG, right bundle branch block. No previous heart problems, no family history of heart problems.

Other Meds: Aleve

Current Illness: Positive covid test taken 2/17/2021

ID: 1039395
Sex: F
Age: 75
State: MN

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

Lab Data:

Allergies:

Symptoms: Weakness, dizziness, elevated Blood pressure. Was sent to the ER and admitted

Other Meds:

Current Illness:

ID: 1039396
Sex: F
Age: 32
State: PA

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

Lab Data:

Allergies: None

Symptoms: Miscarriage: vaginal bleeding with clots and tissue within 1 week of a positive home pregnancy test, two days after vaccination. Blood HCG take once vaginal bleeding commenced was <5.

Other Meds: Levothyroxine, calcium, calcitriol, folic acid

Current Illness:

ID: 1039397
Sex: F
Age: 68
State: NY

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

Lab Data:

Allergies: Bee stings Penicillin

Symptoms: Hives

Other Meds: Benefiber

Current Illness:

ID: 1039398
Sex: F
Age: 45
State:

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

Lab Data:

Allergies:

Symptoms: Mild-moderate headache and muscle aches post vaccination

Other Meds:

Current Illness:

ID: 1039399
Sex: F
Age: 29
State: WI

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

Lab Data:

Allergies:

Symptoms: MIGRAINE, " COULD BARELY MOVE."

Other Meds:

Current Illness:

ID: 1039400
Sex: F
Age: 49
State: IL

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: CLINDAMYCIN, AFRIN, LATEX, SEASONAL ALLERGIES

Symptoms: 1ST DOSE: more than 24 hrs. after joint pains, fatigue, hyperacidity not relieved with food or TUMS, dizziness when standing. After 48 hrs. was lightheaded when standing for 2 days, right armpit pain that lasted for 4 days. 2nd DOSE: less than 24 hrs. after injection,high BP 140's( been on the 120's in the morning for over a month), got better in the evening. Also had generalized body aches , brief armpit pain then diarrhea that lasted for 4 days. Feb. 1 was lightheaded at work, nauseous/gagging. Covid test done and the result was negative. Feb. 2 severe upper abdominal pain radiating to the back, midsternal pain almost go to ER, gagging. Labs. was done the next day to r/o infection, pancreatitis. Results came back normal except for elvated AST and ALT.

Other Meds: VALSARTAN AND HCTZ 160MG /12.5 MG DAILY VITAMIN D 5000 IU DAILY FOLIC ACID 400MCG DAILY VITAMIN C 1000MG DAILY

Current Illness:

ID: 1039401
Sex: F
Age: 68
State:

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

Lab Data:

Allergies:

Symptoms: Pfizer vaccine diluted with 0.8 ml of sodium sodium chloride instead of 1.8 ml of sodium chloride. Patient contacted and notified of event. NO patient harm or adverse reactions noted. Advised to seek medical attention if needed. patient verbalized understanding

Other Meds:

Current Illness:

ID: 1039402
Sex: F
Age: 97
State:

Vax Date: 01/28/2021
Onset Date: 02/16/2021
Rec V Date: 02/18/2021
Hospital: Y

Lab Data: MRI head

Allergies: dilaudid, atorvastatin

Symptoms: Left arm and left leg weakness following administration of the vaccine. She had similar symptoms with a stroke one year ago, but MRI reveals no new acute stroke symptoms. Her symptoms had improved over the course of the last year and worsened after the COVID vaccine.

Other Meds: aspirin, plavix, pravastatin

Current Illness: UTI

ID: 1039403
Sex: F
Age: 57
State: PA

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

Lab Data:

Allergies:

Symptoms: Body aches, fever, headache, sweats, sore arm

Other Meds:

Current Illness:

ID: 1039404
Sex: F
Age: 71
State: NC

Vax Date: 02/04/2021
Onset Date: 02/13/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: Latex penicillin

Symptoms: Itchy red warm raised patch around shot injection site red rash

Other Meds: Estradiol

Current Illness:

ID: 1039405
Sex: F
Age: 43
State: WI

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

Lab Data:

Allergies: NSAIDs/aspirin

Symptoms: Started feeling mild throat tightness around 5 minutes after vaccination, then 10-15 minutes after vaccination lips felt numb. Client was able to swallow and there was no swelling. Client was monitored for worsening symptoms which did not present, and client refused transport to ER. Client's partner agreed to transport to nearby urgent care for further evaluation, outcome unknown.

Other Meds: Zyrtec

Current Illness:

ID: 1039406
Sex: F
Age: 0
State: OR

Vax Date: 08/17/1974
Onset Date: 02/18/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt. presents with red face "reports skin on fire, itching." No rash

Other Meds:

Current Illness:

ID: 1039408
Sex: F
Age: 68
State: MI

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

Lab Data: I was told to call # on fact sheet, and follow what they say. Fill out this form. I need to know if it's safe to get shot #2?

Allergies: Tetracycline

Symptoms: Extreme dizziness while lying flat in bed, sat up and lost all balance at 10:00am 2/17/21. Fell into dresser on my way to the bathroom. Dizziness cont throughout the day but was not as bad. Went to bed that night and after reading, turned to my right to turn off the light and the bed started "turning". Next morning full on dizziness again. I've never had problems with dizziness before.

Other Meds: Zyrtec, Effexor, Gabapentin, Nabumetone, Lotrel, Norco, Vit D3,, Fish oil, CoQ10, Zinc, Stress vitamin

Current Illness: None

ID: 1039409
Sex: F
Age: 51
State: GA

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

Lab Data: None

Allergies: Morphine

Symptoms: Soreness at injection site, fever, chills, nausea, headache

Other Meds: Cetirizine hydrochloride 10mg Modafinil 200 mg Topiramate 100 mg X2 daily Montelukast 10mg Vitamin D2 50,000IU X1 weekly Fluticasone Propionate Nasal Spray 50mcg per spray X2 sprays per nostril Omega-3 1,000 mg X2 daily Magnesium glycinate

Current Illness: None

ID: 1039410
Sex: F
Age: 46
State: VA

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

Lab Data:

Allergies:

Symptoms: Tingling down arm. Wait longer.No worse.Stretch arm. Prn PCP or ER

Other Meds:

Current Illness:

ID: 1039411
Sex: F
Age: 67
State: NC

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

Lab Data:

Allergies: Mango and poison ivy (need EpiPen); Lovastatin; Clindamycin HCl; Sulfamethoxazole TMP800, 160mg tabs.

Symptoms: Serious chills at night of injection, causing me to wake up and take a hot bath; intense headache lasting from night around 6pm until about 4pm the next day, finally too 100mg Tylenol at 1pm the next day, which helped; aching in muscles throughout the night and morning of the next day, including injection site; cramping in extremities on night of injection (hot bath solved this).

Other Meds: My normal prescriptions: Ocrevus injection every 6 months for PPMS, last given in September 2020. Provigil 200mg tabs, 1 tablet in am, and 1 tablet at lunch Prolia 1ml 60Mg/mL solution injection - every 6 months, last given in December 202

Current Illness: minor sinus cold rash from mask

ID: 1039412
Sex: F
Age: 53
State: MT

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

Lab Data: No laboratory tests were done at time of visit.

Allergies: Hydrocodone, Tylenol #3, Oxycodone, Lisinopril, Ketotifen, Morphine

Symptoms: Patient stated that approximately 11:30 am she noted left facial cheek feeling numb and tingling. Then became tingling all over face that lasted for approximately on hour. Patient returned to Clinic to report symptoms at approximately 1445. Patient stated that symptoms had resolved prior to arrival. Patient was seen for symptoms by FNP.

Other Meds: None reported

Current Illness: None reported

ID: 1039413
Sex: F
Age: 23
State: MO

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

Lab Data:

Allergies: Unknown

Symptoms: Felt like her throat was closing and was having check tightness in the lower rib area. Her heartrate was 136 and an elevated blood pressure (149/112). Went to the ER for further care.

Other Meds: Unknown

Current Illness: Unknown

ID: 1039414
Sex: F
Age: 32
State:

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

Lab Data:

Allergies:

Symptoms: Muscle pain, joint pain, chills, fever, headache, nausea.

Other Meds:

Current Illness:

ID: 1039416
Sex: F
Age: 57
State: MA

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

Lab Data: None

Allergies: Plaquinil Pineapple Keflex

Symptoms: Strong Metallic taste in mouth with mild nausea lasting over 5 days. The same thing happened with the first dose, but I wasn?t sure it was attributable to the vaccine.until it happened with the second dose.

Other Meds: Vitamin D CoQ10 Atorvostatin Multi vitamin Tumeric

Current Illness: None

ID: 1039417
Sex: F
Age: 40
State: IA

Vax Date: 02/08/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: None

Allergies: None.

Symptoms: 9 days after vaccination, patient developed local site reaction where 2 inch wide by 6 inch long square area of erythema and induration developed.

Other Meds: None.

Current Illness: None.

ID: 1039418
Sex: M
Age: 65
State: GA

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

Lab Data: tested positive on feb. 3 2021

Allergies: none

Symptoms: I tested positive for covid 10 days after getting first shot

Other Meds: plavix lipitor lipitor lisinopril zetia

Current Illness: none

ID: 1039419
Sex: F
Age: 36
State: OR

Vax Date: 01/20/2021
Onset Date: 01/22/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: Levaquin

Symptoms: 28 post injection extreme joint pain, stiff neck

Other Meds: Melatonin, aleve, Prozac, ibuprofen, zolpidem

Current Illness: No

ID: 1039420
Sex: M
Age: 69
State: NC

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

Lab Data: no

Allergies: lisinopril aspartame

Symptoms: I have had a mirgraine, and excessive fatigue and tiredness. I also have a cough that keeps getting worse.

Other Meds: nortriptamine burpropion aspirin metropolol sertriline montolose singulair

Current Illness: sinus infection

ID: 1039421
Sex: F
Age: 68
State: MI

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

Lab Data:

Allergies: sulfa, quinolones, contrast dye

Symptoms: Significant headache that lasted about 12 hours.

Other Meds: lisinopril, Wellbutrin, curcumen

Current Illness: none

ID: 1039422
Sex: F
Age: 39
State: MD

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

Lab Data: none

Allergies: none

Symptoms: fever, (100.4) chills, fatigue, migraine starting 9 hours post injection of 2nd covid dose, lasting 18 hours

Other Meds: daily multivitamin

Current Illness: cold between first and second covid vaccine dose

ID: 1039423
Sex: F
Age: 71
State: WI

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

Lab Data: none

Allergies: ciprofloxacin, gemfibrozil, iron, lovastatin, penicillin, phenobarbital, pravastatin, rosuvastatin, simvastatin, sulfamethoxazole-trimethoprim, temazepam, topiramate, warfarin, chicken, orange juice

Symptoms: Patient became lightheaded 30 seconds after receiving her first Moderna COVID vaccine on 2/17/21. Approximately one minute after the injection the patient was feeling back to her baseline normal. Pulse was regular. Patient was given a light snack and water and was then observed closely for 40 minutes before leaving the facility. Patient denied any symptoms upon her departure.

Other Meds: albuterol sulfate 90mcg HFA aerosol inhaler; clonazepam 1mg tablet; darifenacin 15mg ER tablet; diclofenac sodium 1% topical gel; ezetimibe 10mg tablet; fluticasone 110mcg aerosol inhaler; gabapentin 300mg capsule; ipratropium-albuterol 0.5

Current Illness: none

ID: 1039424
Sex: F
Age: 25
State: CA

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

Lab Data:

Allergies: No know drug allergies or food allergies

Symptoms: I had headaches 3 ours after the vaccine along with body aches. The next day symptoms worsened My face swell up along with my body due to the vaccine. I got treated where I work here at medical group by one of the FNP she gave me a Depo medrol shot for the allergic reaction I had.

Other Meds: Does not take any

Current Illness: None

ID: 1039425
Sex: F
Age: 54
State: PR

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

Lab Data:

Allergies: Morphine

Symptoms: Fever,, migraine and swollen and red and painful area of vaccine administration

Other Meds: Tamoxifen, Caltrate, Vit D

Current Illness: None

ID: 1039426
Sex: F
Age: 25
State: WA

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

Lab Data: None

Allergies: None

Symptoms: Fever (101.5) Chills Hot/cold flashes with sweat Muscle and joint aches

Other Meds: Ibuprofen Mono-linyah birth control

Current Illness: None

ID: 1039427
Sex: M
Age: 36
State: MD

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

Lab Data:

Allergies: unknown

Symptoms: 5-10 minutes after patient received vaccination he complained of feeling disoriented. Patient was seated approximately 6 feet in front of pharmacy counter and I went out to check on him. Patient was sweating profusely and again complained of feeling disoriented. I asked if he was feeling nauseous and he said no. I placed a cold compress on the back of his neck and had him try to relax and breath evenly. I then got a ice pack for him and wrapped it in towels to protect the patient from the cold. Offered patient some water which he denied. Offered to call an ambulance and patient denied. I took the patients blood pressure and it was 140/84. Patient states this is slightly higher than normal for him. After 5 more minutes patient began to recover quickly. Sweating stopped and his color returned to normal. Patient stated he felt much better. I took patients blood pressure again and it was 133/94. Patient stayed under observation for another 15 minutes and said he felt fine and left the pharmacy.

Other Meds: unknown

Current Illness: unknown

ID: 1039429
Sex: F
Age: 61
State: CO

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

Lab Data:

Allergies: aspartame, cefpodoxime, latex, loratadine, peanuts, shellfish.

Symptoms: on 2/16/21 PM home health nurse administered 1st COVID vaccine Moderna dose to the patient - patient had no immediate reaction in the first 30 minutes after the vaccination. on 2/17/21 AM visit (about 8:50am) - same nurse - patient was found confused, unable to speak in full sentences, repeating herself , "really off". Patient had tremors throughout her body, had abnormal vital signs - temp 98.8, HR 112, RR 24 and labored breathing, BP 88/42, O2 saturation variating constantly between 88-96% on 4 liters O2. Patient initially refused to have 911 called. Nurse has called patient's PCP and PCP spoke with patient who then agreed to call 911 to go to a hospital. 911 was called, report given to paramedics, the patient taken to local ER. Per patient and family - some tests were done in ER (?including CT of head from patient's description). Patient's cognitive status and vital signs have improved and patient was sent home. Per ER, they think this was a reaction to the COVID vaccine. Today 2/18/21 AM visit, same nurse - patient's cognition is at baseline. Patient seems very tired but vital signs are better.

Other Meds: Toviaz, Pravastatin, Allopurinol, Trazodone, Montelukast, Citalopram, Medroxyprogesterone, zinc sulfate, albuterol, nephro-vite, cetirizine, levothyroxine, oxycodone, nystatin, alprazolam, elderberry, diflucan, ibuprofen, omeprazole, klonop

Current Illness:

ID: 1039430
Sex: M
Age: 83
State: CT

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

Lab Data: Unknown-

Allergies: Unknown

Symptoms: VAMS ID 100781798. On the day following vaccine administration, the wife of named individual called to report non-allergic symptoms that occurred approximately 7 hours after vaccine administration. Wife reports that after husband awoke from a nap that lasted about 2 hours she observed him to have bilateral "whole body" muscle stiffness including "legs crossed and could not uncross them" and stiff jaw like a "lock jaw". Lasted 20 minutes and then he was well the following day and beyond. He has a known but unspecified, well controlled seizure disorder but symptoms did not resemble usual seizure activity. Reporter notified usual health care office, and patient was seen by Dr. on 2/8/21. I spoke with his wife who reported symptoms to our office. Wife advised that per Dr. he classified it as a post-vaccination "adverse neurological event". Wife further advised that per Dr., patient can proceed with getting his second dose of Moderna COVID-19 vaccine.

Other Meds: Primidone (Rx) Synthyroid (Rx) Aspirin 7K2 (Supplement) Multi-vitamin Vitamin D Vitamin B-12 Calcium Carbonate

Current Illness: Unknown

ID: 1039431
Sex: M
Age: 74
State: VA

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

Lab Data: CBC-wnl 2/18/21 ESR, CRP, CMP pending, drawn 2/18/21 Covid PCR test test 2/15/21 -negative; Repeat PCR test 2/17/21-pending

Allergies: Procaine

Symptoms: On 2/7/21 developed fever to 102, severe headache and fatigue. Fever resolved over 1 day. Headaches resolved over next week. On 2/15/21 (11 days after vaccine) he developed maculopapular blanching rash over torso. Had stopped his medications a few days prior to see if would help headache. Denies any new exposures, medications, supplements, etc. Seen by me 2/18/21. Was tested for COVID w/ PCR test on I treated him with Medrol dose pak after checking labs. CBC wnl. ESR/crp pending. Still very fatigued. No LN's on exam.

Other Meds: Lipitor 80 mg qhs, Vitamin D 2000 IU daily, Magnesium 400 mg daily, Cialis 5 mg daily, Omeprazole 20 mg daily, and a multivitamin

Current Illness: none

ID: 1039432
Sex: F
Age: 91
State: NY

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

Lab Data: Went to family dr on Feb 9th, he had no idea as to what it was or cause? Went to dermatologist on Feb 11th, she sent me for extensive bloodwork which I am still awaiting results for.

Allergies:

Symptoms: On Feb 3 woke up very dizzy, lightheaded, arm pain. Feb 9th developed rash on both arms from elbows to hands, extremely itchy and also had a large blister develop on left arm.

Other Meds: hi blood pressure meds, cholesterol, blood thinner

Current Illness:

ID: 1039433
Sex: M
Age: 75
State: WI

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

Lab Data:

Allergies: NKA

Symptoms: On 2/17/21 at 1135 patient was sitting in a chair completing his 15 minute monitoring period. Patient dropped his educational materials, reached over to pick up his papers off of the floor, and as he was bending over experienced a right leg cramp causing him to drop to the ground on his hands and knees. Patient stated "I broke the fall with my hands." Client denied any chest pain, dizziness, heart palpitations, trouble breathing, or pain at the time of the fall. Patient had full active range of motion and was able to walk without difficulty to his vehicle following his 15 minute waiting period. On 2/18/21 at 1030 PHN followed up with patient via phone. Patient denied any pain, bruising, or injury at this time. Patient continues to have full active range of motion. PHN educated patient to follow up with his PCP if he would develop any pain or injury. Patient verbalized understanding.

Other Meds: Patient is on insulin. Patient indicates he takes multiple blood pressure medications but cannot recall the names of the medications.

Current Illness: Patient relays that he had cold signs and symptoms on and off the month prior to vaccination, but he denies having any symptoms at the time of vaccination.

ID: 1039434
Sex: F
Age: 45
State: PA

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

Lab Data:

Allergies: sensitivity to Augmentin

Symptoms: Had fevers, body aches and fatigue upon waking the day after receiving the vaccine. Also have a local reaction at the vaccination site - approximately 3 x 4 inch area of redness, swelling, warmth and itching.

Other Meds: humalog

Current Illness: none

ID: 1039435
Sex: M
Age: 82
State: CO

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: Skin Biopsy taken from shoulder of left arm.

Allergies: Clindamycin , ace inhibitor,

Symptoms: Pt broke out in a rash over his entire the day after receiving the vax. Pt had office visit w/ PCP on 1/20/2021 which was then referred to a Dermatologist. Doctor took biopsy that showed he was allergic to something and was told that it could be the vax but it could also be from something else as well. Pt was told to change soaps and detergents. He was prescribed Aquaphor healing ointment, Claritin, Fluocinolone. Pt still has the rash on his entire body.

Other Meds: no

Current Illness: arthritis in both legs

ID: 1039436
Sex: F
Age: 33
State: NY

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

Lab Data:

Allergies: None

Symptoms: Tenderness and swelling of lymph nodes in same arm of the injection (neck, axillary, groin); swelling of left side of face

Other Meds: Meclizine, Motrin

Current Illness: BPPV

ID: 1039437
Sex: M
Age: 70
State:

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

Lab Data:

Allergies:

Symptoms: Pfizer vaccine diluted with 0.8 ml of sodium sodium chloride instead of 1.8 ml of sodium chloride. Patient contacted and notified of event. NO patient harm or adverse reactions noted. Advised to seek medical attention if needed. patient verbalized understanding

Other Meds:

Current Illness:

ID: 1039438
Sex: F
Age: 87
State: IN

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

Lab Data: None

Allergies: None aware of

Symptoms: Started feeling ?queasy?. After a few hours had dry heaves. Still later had a fever of 100. This happened on Saturday after having the shot on Friday night. Sunday a.m. my temp was 99 and I just felt lethargic. However, I had a large red patch at the injection site - as I did following the first injection. This has itched very much. I had felt fine since Monday until today when I have had some stomach cramping.

Other Meds: Simvastatin, Toprol, multi vitamin, Co-Q 10, calcium, ground flaxseed

Current Illness: None

ID: 1039439
Sex: F
Age: 69
State: FL

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

Lab Data:

Allergies: No

Symptoms: None stated.

Other Meds: No

Current Illness: No

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm