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: 1040166
Sex: F
Age: 22
State: WI

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

Lab Data:

Allergies:

Symptoms: Patient complained of feeling warm, and that heart was racing. Stated "I feel funny". Alert and oriented speech clear. HR 42 BP 80/42, type one diabetic BG self monitor 142. Stat call made. Patient declined to be taken to the ER when offered.

Other Meds:

Current Illness:

ID: 1040167
Sex: F
Age: 40
State: CA

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

Lab Data: None

Allergies: PCN- hives (childhood)

Symptoms: Patient complained of dizziness and nausea during post-vaccination observation.

Other Meds: Metformin 1000mg BID (has not taken it in the last 2 days per patient)

Current Illness: Diabetes Mellitus

ID: 1040168
Sex: M
Age: 50
State: CO

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

Lab Data: none

Allergies: None

Symptoms: Developed right facial nerve palsy--treated with famciclovir and prednisone

Other Meds: famciclovir, gabapentin, allopurinol

Current Illness: herpes zoster in right C3 dermatome

ID: 1040169
Sex: F
Age: 47
State: MA

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: did not report to MD because I did not want to go to the ER alone.

Allergies:

Symptoms: Pain in shoulder/arm more than what would be described as being "punched in the arm" for three days. Intermittent chest pain/squeezing sensation over the period of 10-14 days tapering off in frequency and intensity during that time period.

Other Meds: D3 B12 benefiber pantapraole

Current Illness:

Date Died: 02/13/2021

ID: 1040170
Sex: F
Age: 37
State: OR

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

Lab Data: labs from ER on 2/13/2021 - trop 2.49; WBC 55, lactate 21.5, creat 1.29, postassium 6.2, mag 3.4, glucose 57, AST 3024, ALT 3088, acetaminophen < 10, salicylate < 1.

Allergies: reclast - caused fever in 2014, leading to hospitalization, seizure from the fever.. tegretol (no reaction noted)

Symptoms: Received vaccine on 2/6/2021. was a bit off all week per caregivers - low grade temp and reporting pain which they treated with Tylenol. She was pretty much herself on morning of 2/13/2021 - got up, had shower. caregivers noted her extremities were cool and face was red. temp was 97.4. She was placed in wheelchair with book in the living room. caregivers noted she was not turning pages of the book as she usually would. She was tracking, so they don't think she had a seizure. Caregiver moved her back to bed with blanket and noted that her lips were blue and at that point called 911. She was found with agonal breathing, CPR started, intubated by EMS, taken to the ER and diagnosed with cardiac arrest upon arrival. CPR was continued until family could be reached and decision was made to stop resuscitation.

Other Meds: Tylenol, calcium citrate, antifungal cream to stoma, Bisacodyl suppository as needed, calcium citrate, tube feeds, lansoprazole, reglan, centrum multivitamin, polyethylene glycol every other day, norgestimate-estradiol daily, trazodone, tiz

Current Illness: none. she had been very stable on her medication regimen and in her living arrangement for years. No issues whatsoever. Caregivers had been caring for her for as long as 19 years.

ID: 1040171
Sex: F
Age: 47
State:

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

Lab Data: Neuro responsive tests conducted- all were normal. Cognitive tests given- normal

Allergies: Sulfa drugs and preservatives Soy

Symptoms: Within about 3 minutes, the right front of my neck and the right side of my face went numb up to my temple and lower orbital socket. My face felt as if I had been administered novocain. I called a nurse over and asked if my face was still symmetrical, and it was and remained so. Neuro tests were nominal. The numbness dissipated after about 3 hours.

Other Meds: Zyrtec OTC; Spironolactone 100mg/day

Current Illness: Allergies- Environmental

ID: 1040172
Sex: F
Age: 36
State: CO

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

Lab Data: cbc,renal panel,crp,esr,ua,lfts 2/17/2021

Allergies:

Symptoms: joint pain,fevers,nausea,left axillary adenopathy and left breast swelling,redness and pain

Other Meds:

Current Illness:

ID: 1040173
Sex: U
Age:
State: OR

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

Lab Data: I went to the urgent care clinic after 12 days for evaluation. I took a Covid test which took 5 days to get results. Negative results. I have a Dr. appt tomorrow for further advice and care.

Allergies:

Symptoms: Fever, chills, body aches, and fatigue began the night of the injection. I am currently 20 days out and am intermittently experiencing all. I have had a fever every day. The other symptoms have gone a few day over the last few weeks.

Other Meds:

Current Illness:

ID: 1040174
Sex: F
Age: 75
State: CA

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

Lab Data:

Allergies:

Symptoms: within minutes of injection, c/o feeling like her heart was racing, feeling flushed, nausea, dizziness

Other Meds:

Current Illness:

ID: 1040175
Sex: F
Age: 60
State: CA

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Associate experienced a headache immediately after receiving vaccine. Headache progressed into a migraine that lasted for 1 week.

Other Meds:

Current Illness:

ID: 1040176
Sex: M
Age: 69
State: FL

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

Lab Data: None known

Allergies: Unknown

Symptoms: Administering nurse states some of the vaccine "leaked out of injection site"

Other Meds: unknown

Current Illness: unknown

ID: 1040177
Sex: F
Age: 87
State: TN

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

Lab Data: UNKNOWN BY PHARMACY

Allergies: None listed on Vaccine Administration Record and Informed Consent Form

Symptoms: PATIENT STATED SHE FELT LIGHT HEADED A FEW MINUTES AFTER INJECTION. SHE THOUGHT IT WAS HER DIABETES AND SON BROUGHT HER ORANGE JUICE. SHE VOMITED SHORTLY AFTER THAT. SHE CONTINUED TO FEEL LIKE SHE MIGHT FAINT. EMT'S CAME AND TRANSPORTED TO HOSPITAL. WE TELEPHONED SON LATER AND HE STATED MI WAS RULED OUT AND THEY THOUGHT IT MIGHT BE AN ISSUE WITH BLOOD PRESSURE AND HEART RATE.

Other Meds: none listed on Vaccine Administration Record and Informed Consent Form

Current Illness: None Listed on Vaccine Administration Record and Informed Consent Form

ID: 1040178
Sex: F
Age: 48
State: NE

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

Lab Data: None

Allergies: Penicillin, cats, fall hayfever

Symptoms: Very sore area at injection site starting the evening of getting vaccine. Next day range of motion in arm limited due to swelling and severe pain. By mid-morning I began to feel fatigued, headache, body aches, joint pain, chills, and slight nausea. While getting ready for bed I noticed pain in armpit and swelling. Next morning only experiencing pain, redness and swelling in upper R) arm and pain and swelling in R) armpit. Still experiencing limited range of motion, hard to lift arm and hard to keep arm next to side due to swelling and pain.

Other Meds: Pantoprazole 40mg, Escitalopram 20mg, Prenatal vitamin, Vitamin D3 50mcg(2000 IU), Chromium 1000mcg

Current Illness: None

ID: 1040179
Sex: F
Age: 49
State: MI

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: none

Allergies: Penicillin

Symptoms: 2/5 Shot was given in left upper arm 2/6 8am - moderate pain in left upper arm, light body aches and hot flashes started Later in the day - severe pain in left upper arm & unable to raise arm @ the shoulder, continued light body aches, and hot flashes continued, fatigue 2/7 Still unable to use/raise left arm, light body aches, fatigue but hot flashes stopped. 2/8 Motion & function of left arm is good. Still sore where shot was actually given, but able to move & use the arm. Up for approx an hour, took a shower & out of the shower the left side of my cervical neck locked up and was unable to flex left ear to left shoulder. This lasted until 2/18 before full ROM returned.

Other Meds: none

Current Illness: none

ID: 1040180
Sex: F
Age: 72
State: CA

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

Lab Data: NA

Allergies: Ace inhibitors

Symptoms: 1235 Patient reported feeling lightheaded. Patient denies any other symptoms. BP 140/80, R 17, P 77, O2 95%. 1300 Patient denies dizziness, able to stand and ambulate with a strong even gait. Declined need for EMS services. Discharged from clinic. 1330 Called patient and she stated that she feels better and has no further concerns.

Other Meds: Fish oil, Aspirin, Glucosamine, Multi vitamin, Green tea

Current Illness: None

ID: 1040181
Sex: M
Age: 49
State: WA

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

Lab Data: Unknown

Allergies: Unknown

Symptoms: Difficulty breathing, sharp pains in the center of the chest, and tingling in the throat. Patient was offered ambulance transport and denied due to no insurance, his daughter took him immediately to the ER net door to be seen.

Other Meds: Unknown

Current Illness: Unknown

ID: 1040182
Sex: F
Age: 46
State: VA

Vax Date: 01/21/2021
Onset Date: 01/24/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: Above

Allergies: Naproxen

Symptoms: Starting day 3- Headache, neck, dizziness Day 5- same as above but started fever in evenings Day 7- same as above but getting worse minus fever End of 2 week - getting worse went to med express because my bp went to 200/113 they sent me to ER where I was getting treated for bp and vertigo. Started having severe muscle spasms at night Got blood work taken a week later and change bp medication to try and get in under control Blood work came back great, no family history of high blood pressure, bp still not where it needs to be so had to upper medicine go back in 2 weeks for re check. All of this happened right after vaccine and it has been awful.

Other Meds: Adderall

Current Illness: None

Date Died: 02/04/2021

ID: 1040183
Sex: F
Age: 94
State: OH

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

Lab Data:

Allergies:

Symptoms: Patient had swelling around her jaw after her second shot of the covid , Pfizer vaccine ( .5 ml IM) on the Friday morning, January 29th, I took her to a follow up appointment with the cardiologist at 3:00 pm, as a follow up to a small heart attack event with hospitalization two weeks previously, at the cardiologist she was given the ok/all is well. That next morning early, she had a 911 event at her assisted living apartment and was sent back to the hospital, having had another heart attack. Patient died on the following Thursday, February 4, 2021. I do not know if the vaccination had any cause for my mothers death; but I feel it is necessary to report this series of heart attacks after she received the pfizer vaccine. Her Certificate of Death records the cause of death as "Coronary Artery Disease".

Other Meds:

Current Illness: CHF

ID: 1040184
Sex: F
Age: 33
State: CA

Vax Date: 12/20/2020
Onset Date: 12/20/2020
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: approx 3:30 pm she got her covid vaccine. Shortly after she had a rash over her face and felt tingling around her tongue. She was given benadryl and sent to the ED for further evaluation. She states that she had some heaviness over her chest initially but that this is gone as well. Pt given a dose of famotidine 40mg PO x1; SX's resolved and dc home on Epi pen, famotidine and diphenhydramine. Received 2nd dose on 1/9 with no reaction.

Other Meds: none

Current Illness: none

ID: 1040185
Sex: F
Age: 68
State: CA

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

Lab Data:

Allergies:

Symptoms: COVID arm

Other Meds:

Current Illness:

ID: 1040186
Sex: F
Age: 69
State: CA

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

Lab Data: Monitor vital signs. Gave Benadryl 50 mg orally.

Allergies: Ciprofloxacin, Bee Venom, Shrimp Agent, Latex

Symptoms: tingling sensation of upper lip at 13:40. Injection given at 13:27. Tingling and numbness of lips

Other Meds: Baby Aspirin 81 mg.

Current Illness: None

ID: 1040187
Sex: F
Age: 73
State: KS

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: stated her arm hurt the evening of getting her shot, then on 1-30-21 she noticed a red flat rash approx 4-5 inches long and approx 1-1.25 wide on the front of her bicep muscle, and was warm to touch. On 1-31-21 it was warm to touch and a little tender but itched like fire. Called her on 2-3-21 stated no itching, not red, warm or even sore. Totally resolved.

Other Meds: Blood pressure medication

Current Illness: none

ID: 1040188
Sex: F
Age: 26
State: WA

Vax Date: 01/14/2021
Onset Date: 01/21/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: none

Allergies: Amoxicillin, Augmentin, shell fish, cat hair, grass

Symptoms: c/o lymphadenopathy left subclavian and axilla started 1 week after injection, lasted 2 weeks

Other Meds: tri-lo-estarylla, motrin, zyrtec, mtv with iron

Current Illness: none

ID: 1040189
Sex: F
Age: 76
State: MT

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

Lab Data:

Allergies:

Symptoms: 2nd dose was given early. 1st dose given on 02/03/2021

Other Meds:

Current Illness:

ID: 1040190
Sex: F
Age: 35
State: KY

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

Lab Data:

Allergies: penicillin

Symptoms: Patient has redness and swelling at injection site initially but it cleared up. About 10 days after vaccine, the redness and swelling at injection site returned and the area continues to get bigger. I advised patient to apply cold compress and benadryl cream, or take benadryl orally. I will follow up with her in 2 days.

Other Meds:

Current Illness:

ID: 1040191
Sex: F
Age: 80
State: PA

Vax Date: 02/04/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: None

Allergies: Penicillin. Wound dressing adhesive.

Symptoms: Patient stated she has a red round mark at the site of injection 13 days after receiving vaccine. Spot was itchy and 3 inches round.

Other Meds:

Current Illness:

ID: 1040192
Sex: F
Age: 31
State: GA

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

Lab Data:

Allergies: Mangos, Pine nuts

Symptoms: A few hours after injection I developed a small rash at injection site which lasted about an hour (no medications taken for it) I became extremely tired and pain spread from the injection site up to my neck and down to my elbow. I did not want to take any painkillers and continued to stretch and move my arm as much as I could. I noticed discomfort and a rash under my armpit area as well. I slept for about 12 hours and woke up feeling significantly better, but the discomfort under my arms persists. I was not sure who to contact for this as it's not an emergency. I am the caregiver for 2 elderly people and it has hindered my ability to care for them in the last 24hrs, so I just wanted to report my symptoms for others to be aware.

Other Meds: None

Current Illness:

ID: 1040193
Sex: F
Age: 73
State: CA

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: Cough and sneezing to dry leaves

Symptoms: Severe flu like symptoms Chills Body aches Fatigue slight fever

Other Meds: Metformi Losartan Triamterene Zolof Ibuprofen

Current Illness: Tested positive for Covid in January

ID: 1040194
Sex: U
Age: 43
State: CA

Vax Date: 02/19/2021
Onset Date: 02/22/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: CBC, UA and cxr

Allergies: SULFA

Symptoms: 1/22/21- began having dizziness and Nausea, then had emesis x5. On 2/1 /21 developed positional dizziness which worsened with time, unable to work 2/1-2/5. Seen by my oncologist and urgent care. Now symptoms resolved.

Other Meds: Tamoxifen, pentoxfilline, Effexor xr, Vit. D3,

Current Illness:

ID: 1040195
Sex: F
Age: 74
State: CA

Vax Date: 01/27/2021
Onset Date: 02/03/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: I just waited for them to subside

Allergies: Septra Nitrfurantoin Macro

Symptoms: 1. Severe Knee Pain in Right Knee area - I had had a complete knee replacement in that knee 07/18/2011 that started about a week following injection and lasted for approx 10 days. Knee was really swollen, hot and painful. 2. Left arm ( Covid Arm) I had my shot in the left arm with very little issues. About 8 days after the injection my left upper arm at injection site became very hot, red, swollen and itched. the area was about 6 " in wide. This lasted for approximately 10 days.

Other Meds: Synthroid 0.1mg/gm Estradiol Oral 0.1.mg Prelief COQ10 Mega Red Krill Mult Vit Gummy Vit B-12 Vit D3 Vit C Zinc Vit E

Current Illness: None

ID: 1040196
Sex: F
Age: 58
State: NJ

Vax Date: 02/11/2021
Onset Date: 02/15/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: None

Allergies: ?slight rash on hands after po cipro

Symptoms: Day 1-2 left arm pain, difficulty abducting left shoulder- resolved in 24 hrs Day 5 - anterior neck erythema rash - resolved after 12 hours with Benadryl

Other Meds: SAMe, MVI, Ca++, Vit D3, biotin

Current Illness: None

ID: 1040197
Sex: F
Age: 52
State: NV

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

Lab Data: None

Allergies:

Symptoms: Pale, nausea tingling, light headed Solu medrol 2mg/kg Weight 56.7 kg Benadryl 50 mg iv Ativan 1 mg iv

Other Meds:

Current Illness:

ID: 1040198
Sex: F
Age: 80
State: CA

Vax Date: 02/05/2021
Onset Date: 02/09/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: none

Allergies: raw bananas, Musk Melon

Symptoms: first 3 days arm sore. Next 2 days, nothing. 6th. day redness, itching , size 3 by 3 patch. Soreness to touch. 7th. day larger, redness, warm, itching. Each day growing in size . Today Feb. 18, 2021 the rash is 5 inches wide and 9 inches long. Warm, pink, itching, sore to touch moderate.

Other Meds: Synthroid Actonel

Current Illness: none

ID: 1040199
Sex: F
Age: 73
State: NY

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

Lab Data: None

Allergies: Codine

Symptoms: My tongue began to feel funny like a tingling. My tongue and inside my mouth feel like I had eaten something spicy. The inside if my mouth and lips is red and slightly swollen. I itch around my nose and mouth. It almost feels like chapped skin. I did not take anything for it until 7:00 pm today (2/18/2021). I took a Benadryl tablet.

Other Meds: Claritin, spironolactone, atenolol, magnesium, vitamin C, and Tylenol were all taken the morning of the vaccine

Current Illness: None

ID: 1040200
Sex: F
Age: 31
State:

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

Lab Data:

Allergies:

Symptoms: Low fever 100.2, aches

Other Meds: Trintellix-15mg daily

Current Illness: None

ID: 1040201
Sex: F
Age: 48
State: ID

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: no

Allergies: amoxicillin; NSAIDS

Symptoms: By 8 am, I recognized I realized I felt different - headache and foggy and tired. By 12 pm my headache became really severe - even when walking or chewing. My face was really hurting me; very tender by left eye. I felt so tired. I had to go home from work at 2:30. Felt very cold and I put on really warm clothes and got under three 3 blankets and I slept for three hours. I felt better by that evening, I slept normally that night. Face was very swollen under my eyes - two days after vaccine. (I have filler under my eyes - it's been a year since I had that put in.) Benadryl every six hours. It took 12 hours for pain to go away and for it to decrease. But it did help. Everything resolved.

Other Meds: multi-vitamin

Current Illness: no

ID: 1040202
Sex: M
Age: 63
State: CA

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

Lab Data:

Allergies:

Symptoms: Observed patient for 30 minutes, no adverse event reported

Other Meds:

Current Illness:

ID: 1040203
Sex: F
Age: 28
State: PA

Vax Date: 02/05/2021
Onset Date: 02/14/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: Minocycline

Symptoms: 3 inch wide, heart shaped, red and risen mark where injection was about 9 days after administration. Itchy. Helped to take oral benadryl and to apply hydrocortisone ointment and ice to spot.

Other Meds:

Current Illness:

ID: 1040204
Sex: F
Age: 51
State: TX

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

Lab Data: EKG

Allergies: Duro morph

Symptoms: After my first dose of Pfizer injection, my heart raced. I placed a vital sign machine on my finger to get a reading of my heart rate and it was 120/126. I had two irregular heart beats twice since the first dose injection. I also experienced itchiness to my body, skin and hair. I went to the ER where they did an EKG and I also got fluids. I was also given Benadryl IV for itchiness and and anti-histamine. I went to see my doctor the following day and was placed on Metoprolol and Benicar medication. I was told to see a cardiologist for my irregular heart beat. I was given Prednisone by my doctor to take for two days. I also filed a report through my employee health of my symptoms.

Other Meds: Vasaglar 80 units OD, Glyburide/ Metformin 2.5/500mg BID (taken AM, PM), Metoprolol 50mg, Benicar for blood pressure

Current Illness: I had a cough, sore throat with nasal drainage. Took Covid-19 test, was negative.

ID: 1040205
Sex: F
Age: 48
State: CA

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

Lab Data:

Allergies: None

Symptoms: Patient reported experienced itching on the Left hand extending to wrist during post-vaccination observation. Patient went home and self-monitored her symptoms. At around 1:30pm, she noticed rash/itching on the upper body including both arms and abdomen, torso. She denied pain and other symptoms. Patient was advised to seek PCP consult.

Other Meds: Fish Oil Daily (been taking for years per patient)

Current Illness: None

ID: 1040206
Sex: F
Age: 37
State: CA

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

Lab Data: I was tested for COVID and the flu after speaking with a doctor over the phone, and both were negative.

Allergies:

Symptoms: About 5-10 min later I started getting tingling sensation on my lips and tongue. After 15, my lips got numb, along with my jaw. The numbness was only on my left side and went from my jaw to my eye. I also had a headache as well. I also felt like something was stuck in my throat, but not like I couldn't get air. Those symptoms lasted about 2-3 hours. When I got home, about an hour after I got the vaccine, I ended up breaking out on torso. I took Benadryl and went to sleep. The next morning, I was itchy and breaking out in hives in torso area. I took Benadryl again and the numbness and itchiness improved, but I had a headache for like 8 days. On the 6th day, I had really bad body aches and my headache was extreme. Per on call allergist, I wasn't allowed to get 2nd dose based on CDC guidelines.

Other Meds: Adderall Effexor Vitamin D

Current Illness: I had a headache at the end of Dec. It went away and I was negative for COVID (had to get tested for work).

ID: 1040207
Sex: F
Age: 29
State:

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

Lab Data: N/A

Allergies: NKDA/NKFA, No other allergies

Symptoms: Complained of sudden onset of generalized chills and "feeling of pressure and heaviness in my head" which lasted about 2 minutes. Symptoms resolved on own by 1305 same day.

Other Meds: Methatrexate

Current Illness: Arthritis

ID: 1040208
Sex: F
Age: 66
State: CA

Vax Date: 02/09/2021
Onset Date: 02/11/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: On a pain scale of 1 to 10, inner aspect of right leg 7 or 8. So weird! Limping. Awakened throughout night with every movement in sleep. This lasted about 48 hours. Pressing inside aspect of right knee shot pain up to 10, radiating down to ankle and up inner thigh. Also had injection site redness, tenderness, and a raised lump, not unexpected. Had some brain fogginess two days post injection as well. No treatment; just time. Note: I'm sure I had Covid-19 in February 2020. No test available then.

Other Meds: Estradiol 0.5 mg daily, Olmesartan medoxomil 5 mg daily.

Current Illness: None

ID: 1040209
Sex: M
Age: 27
State: CA

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

Lab Data:

Allergies:

Symptoms: fever chills dryness

Other Meds:

Current Illness:

ID: 1040210
Sex: M
Age: 86
State: OR

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

Lab Data:

Allergies: NKDA

Symptoms: During the 15 minute respite the patient appeared to have a primary cardiac event and rolled forward off their chair onto the floor. Hitting their nose causing significant bleeding. 911 was immediately called Found to be pulseless, CPR was initiated within 30 seconds of event. Patient received 2 rounds of CPR, 1 AED shock, 1 mg Epi, Oral airway placed, High flow O2 with Bag Mask. ROSC returning in approximately 3+ minutes. Patient was able to talk appropriately after ROSC minus some coughing due to postnasal blood. Patient was transferred via EMS to local ED for cardiac workup. Code was run by Cardiac Surgeon, National Guard EMTs, Redmond Fire Paramedics

Other Meds: unknown

Current Illness: Unknown

ID: 1040211
Sex: F
Age: 26
State: AZ

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

Lab Data:

Allergies: Individual denied having any known allergies to foods, medications, or other products.

Symptoms: Vaccine given at approximately 1143am. Individual told to sit in waiting area so they could be observed for 15 min. Within approximately 5 mins individual reported having a rapid heart rate, tingling in hands, & felt they were having issues catching their breath. Individual walked into medical area for evaluation & additional medical staff including LIP called to scene. 1150 am HR 150 & O2 86% before nonrebreather applied. Nurse applied O2 at 15L with nonrebreather while LIP assessed, 1154am 50mg IM benadryl given per verbal order from LIP. 911 called. vitals at 1154 were O2 99% on 15L HR 115 BS 99. Ice packs & cold compresses placed on individual while additional questions asked by LIP. Individual admitted to having a little chest tightness 3 days prior, which was not told to the RN giving the covid 19 vaccine prior to vaccination. Individuals breathing began to slow down after 5 mins and they stated they were able to catch their breath more easily. At 1215 O2 was removed O2 sat 98% RA and HR 107. Individual began to feel more tired after benadryl injection and was more lethargic in response. Ambulance arrived at approx 1215 & individual transported to ER for further evaluation.

Other Meds: Individual did not state they are currently taking any medications at this time.

Current Illness: unknown.

ID: 1040212
Sex: F
Age: 67
State: FL

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

Lab Data:

Allergies:

Symptoms: Swollen Tongue post injection

Other Meds:

Current Illness:

ID: 1040213
Sex: F
Age: 78
State: NY

Vax Date: 02/04/2021
Onset Date: 02/10/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pain and redness at injection site 8 days after vaccine. Lasted for days 8, 9, and half of 10.

Other Meds: Blood pressure medicine, HRV

Current Illness:

ID: 1040214
Sex: F
Age: 73
State: CA

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

Lab Data:

Allergies: ? Iodine And Iodide Containing Products Rash Also shellfish causing breathing problems ? Shellfish Containing Products Itching ? Ciprofloxacin Rash, "throat closed up" ? Clarithromycin diarrhea ? Clindamycin Diarrhea ? Diltiazem Bradycardia ? Hydrocodone-Acetaminophen Makes me sick to my stomach ? Iodinated Contrast Media ? Penicillins Rash hives ? Prednisone ? Shellfish Derived ? Vancomycin Analogues flushy ? Verapamil Bradycardia verelan ? Ezetimibe Diarrhea ? Oxycodone-Acetaminophen Rash ? Propoxyphene N-Acetaminophen Rash

Symptoms: Covid19 vaccine Pfizer: mild itching (L) forearm, benadryl 25mg given PO at 1400, pt observed until 1430, pt reported resolution of symptoms at 1430 and d/c'd from vaccine clinic; advised to f/u with PCP if any further questions/concerns

Other Meds:

Current Illness:

ID: 1040215
Sex: F
Age: 70
State: MD

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

Lab Data: None

Allergies: None

Symptoms: Today, 2/18/21 I noticed a large red patch on my upper left arm. I believe it?s now referred to as ?COVID arm?. The two evenings before, the injection site was itchy which it hadn?t been before . But only turned red and slightly swollen and warm this morning. Not painful.

Other Meds: Trelegy, VITAMIN D, Benadryl,

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm