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: 1040316
Sex: F
Age: 47
State: MA

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

Lab Data:

Allergies: None

Symptoms: Swelling, heat, itchiness, and redness of upper arm on the side of the injection

Other Meds: Multi vitamin, vitamin D, multi probiotic, magnesium

Current Illness: None

ID: 1040317
Sex: M
Age: 70
State: WI

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

Lab Data: DREW BLOOD AND CHEST X-RAY, CT SCAN. DR CALLED THIS MORNING TO CONFIRM THE DIAGNOSIS. SAID PT'S "KIDNEY NUMBERS WERE UP" AND TOLD PT TO DRINK MORE WATER. PT IS DUE FOR BLOODWORK RECHECK NEXT THURSDAY

Allergies: GRASS ALLERGY / SEASONAL ALLERGIES

Symptoms: INCREASED BEGAN DAY AFTER DOSE (FRIDAY), SPOUSE NOTICED SLURRED SPEECH AND DROOLING STARTING SATURDAY MORNING AND EXTREME FATIGUE ABOVE BEYOND NORMAL "ROCK BOTTOM TIRED". RIGHT SIDE OF FACE A LITTLE SLACK. SPOUSE GOT PT IN TO OFFICE YESTERDAY, WEDNESDAY THE 17TH, AND WAS DIAGNOSED WITH BILATERAL PNEUMONIA AND BELL'S PALSY. DR ADVISED THEM TO CONTACT US TO REPORT.

Other Meds: AMLODIPINE 10MG DAILY, ACETAMINOPHEN AS NEEDED, ASPIRIN 81MG DAILY, CETIRIZINE 10MG DAILY, CLOBETASOL 0.5% TOPICAL, DICLOFENAC SOD 75MG TWICE DAILY, FUROSEMIDE 40MG DAILY, KETOCONAZOLE 2% SHAMPOO, COAL TAR TOPICAL, LISINOPRIL 15MG DAILY (10

Current Illness: N/A

ID: 1040318
Sex: F
Age: 68
State: GA

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

Lab Data: None

Allergies: Penicillin

Symptoms: Muscle pain, joint pain, and fatigue which came on suddenly, lasted about 14 hours and then cleared up. Symptoms were strong enough to keep me in bed all day. Took one ibuprofen. Symptoms cleared up after 14 hours and the next day I felt fine..

Other Meds: Fish oil

Current Illness: None

ID: 1040319
Sex: F
Age: 42
State: NY

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

Lab Data: None

Allergies: Tixocotrol

Symptoms: Since Sunday 2/14 , pain that comes and goes in both legs. Mostly thighs. Weakness in thighs. Pain feels mostly like tight muscle, but also had nerve like pain in upper outer right thigh for about 1.5 days. Not sure if related to the vaccine. Felt fine from 2/2-2/14.

Other Meds: None

Current Illness: Sore/dry throat

ID: 1040320
Sex: F
Age: 17
State: NM

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

Lab Data:

Allergies:

Symptoms: Error: Patient Too Young for Vaccine Administered

Other Meds:

Current Illness:

ID: 1040321
Sex: F
Age: 55
State: CA

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

Lab Data: None

Allergies: None

Symptoms: Headache, joint pain, back pain, sharp stomach pain, chills, cold extremities, fatigue, sleepy, can?t open eyes, Cnt fully taste food. Nauseated. All night 2/17/21 and took two Tylenol symptoms decreased for two hours. Came back. All day 2/18. Cancelled work yesterday and today.

Other Meds: None

Current Illness: None

ID: 1040322
Sex: F
Age: 73
State: MN

Vax Date: 02/06/2021
Onset Date: 02/14/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: NONE

Allergies: UNKNOWN

Symptoms: LUMP, AND ITCHING AT INJECTION SITE, TOOK A COUPLE OF DOSES OF BENADRYL, RESOLVED IN 2 DAYS

Other Meds: UNKNOWN

Current Illness: NONE

ID: 1040323
Sex: F
Age: 29
State:

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

Lab Data:

Allergies:

Symptoms: Extreme diarrhea - started with typical bowel movement, bowel movement changed to a pale/clay color, and then changed to pale/clay with a green tint and became diarrhea. My diarrhea became completely green. I spent 3 hours on the toilet. Nausea

Other Meds:

Current Illness:

ID: 1040324
Sex: F
Age: 60
State: CA

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

Lab Data: None

Allergies: History of mouth numbness and throat fullness with in 30 minutes of previous vaccines including influenza and Tdap

Symptoms: 15 minutes after vaccination mouth numbness, tip of tongue swelling, some fullness in throat. Person took 50 mg diphenhydramine 20 minutes after symptoms began approximately and symptoms began improving within 5 minutes. Patient observed for one hour and minimal symptoms present at time of discharge from vaccine POD.

Other Meds: Benadryl

Current Illness:

ID: 1040325
Sex: F
Age: 40
State: IL

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

Lab Data: None

Allergies: None

Symptoms: Red rash around the injection site appeared one week after vaccine was given.

Other Meds: None

Current Illness: None

ID: 1040326
Sex: M
Age: 40
State: NJ

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

Lab Data: I had a telehealth call on 2/18/2021 regarding my symptoms and the doctor thought it was vertigo. I never experienced vertigo before.

Allergies: None

Symptoms: On Day 6, I started feeling tightness around the rotater cuff and inner arm muscle. On Day 8 I started feeling extreme fatigue and weakness. On Day 9 I started feeling extreme dizziness, as well as itchiness and raised rash on the injection site.

Other Meds: Vitamin D, Vitamin C, Mens Multivitamin, L-Lysine

Current Illness: None

ID: 1040327
Sex: M
Age: 84
State: PA

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

Lab Data:

Allergies:

Symptoms: Error: Wrong Vaccine Formulation (ex. different manufact. initial and booster)

Other Meds:

Current Illness:

ID: 1040328
Sex: F
Age: 38
State:

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

Lab Data: CT scan and lab work

Allergies: None

Symptoms: I have experienced chest discomfort for 8 days now. I have what I would describe as an ache in my chest or like something is stuck in my chest or ive been lifting weights and sore in my chest.

Other Meds: Protonix

Current Illness: Left swollen lymph node

ID: 1040329
Sex: F
Age: 51
State: NM

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

Lab Data: n/a

Allergies: NKDA

Symptoms: Patient having flu-like symptoms (body aches, fever 101 degrees, chills, malaise)

Other Meds: methotrexate,prednisone

Current Illness: N/A

ID: 1040330
Sex: F
Age: 73
State: GA

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

Lab Data:

Allergies:

Symptoms: Patient came in today and said she received her 2nd Moderna vaccine on 02/15/2019 and the arm became very sore and red the next day. She went to her primary care physician who advised her to report her adverse effect to the location where she received her COVID -19 vaccine which she did.

Other Meds:

Current Illness:

ID: 1040331
Sex: F
Age: 54
State: UT

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

Lab Data: N/A

Allergies: No known allergies

Symptoms: Swelling, itching, fever, pain, redness at injection site

Other Meds: Simvastatin 20mg, cyclobenzaprine 5mg, celecoxib 200mg, escitalopram 20mg

Current Illness: Patient did not report prior illnesses

ID: 1040332
Sex: F
Age: 57
State: AZ

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

Lab Data: MRI

Allergies: None

Symptoms: Bells Palsy

Other Meds: Venlafaxine, alprazolam, zolpadeim

Current Illness: None

ID: 1040333
Sex: F
Age: 74
State: IL

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

Lab Data: None performed so fare

Allergies: Atorvastatin

Symptoms: On 2/10 about 2 hours after the shot, my arm was too sore to move and I was extremely thirsty. I had trouble sleeping because of the pain in my arm. On 2/11 I was exhausted, still thirsty, had muscle aches (especially in my calves) and dull headache.. On 2/12 I felt better in the AM. but by afternoon all symptoms returned, lower back ached, I was queasy. On 2/13 I felt better but was very tired. After that I felt more like myself for the next 5 days. Today, 2/18 at 3PM I developed a rash at the injection site. It was very itchy. I used calamine lotion to calm the rash, which helped.

Other Meds: levothyroxine 25 mcg simvastatin20 mg Losartan 25 mg

Current Illness: none

ID: 1040334
Sex: F
Age: 34
State: KS

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

Lab Data:

Allergies: Codine, Morphine

Symptoms: Body chills so bad my teeth chattered, swollen lymph nodes, blisters on face.

Other Meds: Levothyroxine

Current Illness: COVID-19

ID: 1040335
Sex: F
Age: 76
State: MD

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

Lab Data:

Allergies: Penicillin

Symptoms: Raised Rash/welts/hives at injection site and down the entire left arm/forearm.Itchy, and hot arm.. started day after injection and is still ongoing now 6 days later. Now also spreading to the right upper arm( 6 days later). Headache beginning directly after injection and lasting 3 days. Extreme fatigue evening of injection and lasting foe 2.5 days

Other Meds: Metaprolol Er Isosorb mono Er Ramipril Sertralene HCL Aspirin low dose Cartia xt Atrivastin Vitamin D

Current Illness: None

ID: 1040336
Sex: F
Age: 67
State: NC

Vax Date: 02/10/2021
Onset Date: 02/16/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: A week after injection at injection site itching and a circular raised swelling about 2 inches at diameter. No pain or soreness but intermittent itchiness.

Other Meds: Levothyroxin 100

Current Illness: None

ID: 1040337
Sex: F
Age: 71
State: CA

Vax Date: 02/09/2021
Onset Date: 02/15/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: Amoxicillin, bactrim sulpha antibiotics

Symptoms: COVID arm, redness, itching, heat, at the injection site, starting about day 7, now receding about day 10. I have a picture I can forward from day 9, if needed.

Other Meds: None

Current Illness: None

ID: 1040338
Sex: M
Age: 80
State: CT

Vax Date: 01/14/2021
Onset Date: 02/04/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Came down with case of Shingles

Other Meds: Atenolol, warfarin, flomax, avodart

Current Illness: None

ID: 1040339
Sex: F
Age: 37
State: PA

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

Lab Data:

Allergies: Azithromax

Symptoms: Moderna-covid 19 vaccine EUA- 9 days after 2nd dose shot started with hive rash to B/L arms, back and legs; rash noted on arms and legs near joints and only occurring at night, resolved in am and reoccured on day 10 post vaccine

Other Meds: VitaminD3, synthroid, humalog, basaglar, multivitamin, melatonin

Current Illness:

ID: 1040340
Sex: F
Age: 66
State: PA

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

Lab Data: Echocardiogram, testing for bacterial and viral infections, bloodwork

Allergies: unknown

Symptoms: Enlarged or inflamed heart, lungs full of fluid, myocarditis, vomiting, dehydration

Other Meds: Bi-polar medications

Current Illness: None

ID: 1040341
Sex: F
Age: 21
State: IL

Vax Date: 01/31/2021
Onset Date: 02/03/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: n/a

Symptoms: I have blister looking rounded, red, inflamed lesions on my toes on both feet on all 3 middle toes. They are uniform in shape. No bumps seen. Red is continuous and uniform. This started mildly less than a week after the vaccination and has progressively gotten worse now 2.5 weeks post vaccine.

Other Meds: Zyrtec, birth control, nasacort

Current Illness: n/a

ID: 1040342
Sex: F
Age: 50
State: GA

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

Lab Data: None

Allergies: None

Symptoms: About 45 minutes after the vaccineI left I literally felt very shakey, heart racing. About 6:30 pm I got really nauseated and vomited for about 15 minutes straight ( it was horrible). About minutes after that I vomited again until I had dry heaves. Woke up at 5:08 a.m. to a horrible headache and a low grade fever. Finally started feeling better about 6:00 p.m. the next evening.

Other Meds: Vyvanse 70mg Benazepril-HCTZ+20-12-5 mg Vit D2

Current Illness: None

ID: 1040343
Sex: F
Age: 70
State: NY

Vax Date: 02/09/2021
Onset Date: 02/12/2021
Rec V Date: 02/18/2021
Hospital: Y

Lab Data: Negative: Blood work including venous blood gas, urine, COVID -19, EKG, CT with & w/o contrast, CTA, CT perfusion scan, MRI, EEG

Allergies: Codeine, Benadryl

Symptoms: 2/9: Received vaccine 2/12: Brain fog - actions disassociated from thoughts 2/14: Altered mental status - in a "fog"; transported to ER via ambulance; neuro exam , diagnostics (CT with & w/o contrast, CTA, CT perfusion, MRI, EEG), COVID -19 PCR, blood work/urine - all negative for intracranial bleed/stroke/tumor, ischemic changes, perfusion issues, seizures, COVID, etc. Diagnosis: Transient Global Amnesia (TGA). Admitted overnight. Amnesia event lasted 7hrs from onset and mental status returned to baseline with no residual effects. The 7hr amnesia period is unable to be recalled.

Other Meds: Ramipril, Coreg, Levothyroxine, Fosamax, Minocycline, Flonase, Vit D3, Probiotics, Vitamin C, Calcium/Mag/Zinc

Current Illness: 2/1/2021: Sinus headache w/nausea & vomiting

ID: 1040344
Sex: M
Age: 42
State: MI

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

Lab Data: None

Allergies: None

Symptoms: I received my first Covid-19 Moderna injection and felt slightly groggy and tired as the day progressed. Just before bed I noticed my arm was quite sore and I still felt tired and slightly light headed. The next day (Feb 4) I had a very sore left arm at the injection site but felt good otherwise. I came home from work and took one 200mg Ibuprofen as my arm was still quite sore. The following day (Feb 5) my arm pain subsided but I still felt light headed during the evening. I am writing this on Feb. 18th and each day I have bouts of being light headed and have difficulty concentrating. There is no real pattern to what time of day I get the symptoms. I do not have the classic headache but definitely feel pressure in my head and behind my eyes. I also find that I wake up after a full nights sleep and feel not well rested. I spoke with my doctor last week and he suggested I give it until this week to see where things are at. I plan on contacting him soon to schedule an appointment to discuss my symptoms more. Before getting the vaccine I did not have any of these symptoms as I describe.

Other Meds: None

Current Illness: None

ID: 1040345
Sex: F
Age: 54
State: GA

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

Lab Data:

Allergies: No known allergies

Symptoms: Patient states she developed a fever and chills starting a few hours after receiving the vaccine. She states that her lips turned blue the next day, She states feeling unwell and still does not feel well since having the vaccine.

Other Meds:

Current Illness: N/A

ID: 1040346
Sex: F
Age: 24
State: KY

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

Lab Data:

Allergies:

Symptoms: From hour 8 to approx. hour 30 post vaccination fever and chills

Other Meds:

Current Illness:

ID: 1040347
Sex: M
Age: 50
State: VA

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

Lab Data: NONE

Allergies: NONE

Symptoms: PATIENT RECEIVED SHINGRIX VACCINE ON 1/13/2021 IN THE MORNING WENT HOME FELT SLIGHTLY FEVERISH AND LETHARGIC. THESE SYMPTOMS GOT PROGRESSIVELY WORSE THE NEXT DAY AND PATIENT HAD A FINE RASH. ON 1/15/2021 HE SAW A MORE PRONOUNCED RASH AND PAIN ON THE BODY AND SATURDAY1/16/2021 HE WAS DIAGNOSED WITH SHINGLES AND GIVEN A COURSE OF ACYCLOVIR. HE HAS RECOVERED BUT TOOK APPROXIMATELY 2 WEEKS TO GET OVER THE BLISTERING AND PAIN.

Other Meds: Allegra d

Current Illness: NONE

ID: 1040348
Sex: F
Age: 0
State: PA

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

Lab Data:

Allergies:

Symptoms: On 2/17 and 2/18 I was extremely fatigued. On 2/18 I was also nauseous after lunch time and had sweats toward the evening.

Other Meds: Levothyroxine, Effexor, Vitamin D, chewable iron tablet

Current Illness:

ID: 1040349
Sex: F
Age: 34
State:

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

Lab Data:

Allergies: none

Symptoms: Itchy redness at shot site starting 24 hours after and persisting for 8 days and counting now

Other Meds: None significant

Current Illness:

ID: 1040350
Sex: F
Age: 21
State: FL

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

Lab Data: N/A

Allergies: Sulfa antibiotics, kiwi

Symptoms: The day after the second dose, a small red bump first appeared on the stomach. 8:10 PM to spread all over the trunk of the body and spreads every day little by little covering the whole body. Bumps are very itchy.

Other Meds: Lo loestrin

Current Illness: None

ID: 1040351
Sex: F
Age: 58
State: OR

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

Lab Data: COVID negative on 2/17/2021

Allergies: None

Symptoms: "2nd Moderna 2/10/2021 (032L20A) Brain fog in 12hrs. Started experiencing headaches, neck/throat pain, fatigue, lightheaded/dizzy, adrenaline rushes, nauseated, muscle aches, chills/sweats, light sensitivity, intermittent bloody nose, one episode of face numbness, SOB, arm swollen and sore. Sunday late afternoon some symptoms were leaving some continuing. Monday the snow/ice hit. Normally I would walk to work but still feeling, dizzy, SOB, adrenaline rushes, jittery, brain fog and fatigue I didn't feel safe to walk, called out. Went to work Tuesday and Wed still feeling off. It was suggested by my TL to get a Covid shot. I did and went home. I called employee health left a message. Thursday Covid results negative"

Other Meds: Vitamin C, B, A 10000mg Vit D

Current Illness: N/A

ID: 1040352
Sex: M
Age: 58
State: IL

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

Lab Data: Haven?t been to doctor yet

Allergies: No

Symptoms: Lump in left neck above collar bone radiating down the chest. Very warm to touch about 2 degrees warmer that body temp and sore.

Other Meds: None

Current Illness: Nono

ID: 1040353
Sex: F
Age: 67
State: WA

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

Lab Data: Blood pressure, pulse and oxygen level

Allergies: Yes

Symptoms: Mild allergic reaction

Other Meds: None

Current Illness: None

ID: 1040354
Sex: M
Age: 68
State: MO

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

Lab Data:

Allergies:

Symptoms: We arrived on 02/10/2021 to give second doses to residents at facility. Upon arrival we were told several had contracted COVID-19 after their first immunization. Upon reviewing their records, it had been greater than 14 days of recovery, per CDC recommendations, they should have received their second doses. The director of nursing and the facility physician however told us we were not to vaccinate the residents until 30 days from their last negative test. After discussing guidelines and recommendations they would not change their minds. This is 1 of 18 patients that did not receive their second dose in the 6-week window at this facility.

Other Meds:

Current Illness:

ID: 1040355
Sex: F
Age: 54
State: NJ

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

Lab Data:

Allergies: none

Symptoms: 1:00 am (15 hours post injection) chills, fever, body aches, 4:00 am (18 hours post injection) nausea, vomit, dizzy, fainted 3 times 8:00 am(22 hours post injection) severe headache, fever lasting 8 hours

Other Meds: synthroid 150

Current Illness:

ID: 1040356
Sex: F
Age: 70
State: MO

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

Lab Data: none

Allergies: yes marked, but nothing added by pharmacist

Symptoms: Patient passed out for a couple of minutes. She was moved to a couch and her feet propped up. After 30 minutes, she was doing well.

Other Meds: unknown

Current Illness: none given

ID: 1040357
Sex: F
Age: 37
State: FL

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

Lab Data:

Allergies: None

Symptoms: Red Circle around injection site Itchiness

Other Meds: None

Current Illness: None

ID: 1040358
Sex: F
Age: 33
State: NY

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

Lab Data:

Allergies:

Symptoms: I developed a lump in my left armpit. My 1.5 year old nursing baby developed a face rash on her cheeks and chin that is red and raised.

Other Meds:

Current Illness:

ID: 1040359
Sex: M
Age: 74
State: MO

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

Lab Data:

Allergies:

Symptoms: We arrived on 02/10/2021 to give second doses to residents at facility. Upon arrival we were told several had contracted COVID-19 after their first immunization. Upon reviewing their records, it had been greater than 14 days of recovery, per CDC recommendations, they should have received their second doses. The director of nursing and the facility physician however told us we were not to vaccinate the residents until 30 days from their last negative test. After discussing guidelines and recommendations they would not change their minds. This is 1 of 18 patients that did not receive their second dose in the 6-week window at this facility.

Other Meds:

Current Illness:

ID: 1040360
Sex: M
Age: 55
State: TX

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

Lab Data: No

Allergies: None

Symptoms: Exactly one week after vaccination date injection site has become very itchy and hot. Left arm temp = 98f Right arm injection site 100.5F

Other Meds: None

Current Illness: None

ID: 1040361
Sex: F
Age: 47
State: CA

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

Lab Data: None yet

Allergies: Hay fever, grass

Symptoms: Searing pain in injection site w/red band & welted. inflamed joints in that arm. Lasted 5 days. Got way better for a few days and then re-occured suddenly 10 days after vax.

Other Meds: N/A

Current Illness: Autoimmune disorder: reactive arthritis HLAB27

ID: 1040362
Sex: F
Age: 92
State: MO

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

Lab Data:

Allergies:

Symptoms: We arrived on 02/10/2021 to give second doses to residents at facility. Upon arrival we were told several had contracted COVID-19 after their first immunization. Upon reviewing their records, it had been greater than 14 days of recovery, per CDC recommendations, they should have received their second doses. The director of nursing and the facility physician however told us we were not to vaccinate the residents until 30 days from their last negative test. After discussing guidelines and recommendations they would not change their minds. This is 1 of 18 patients that did not receive their second dose in the 6-week window at this facility.

Other Meds:

Current Illness:

ID: 1040363
Sex: F
Age: 44
State: VA

Vax Date: 01/29/2021
Onset Date: 02/03/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: n/a

Symptoms: Heart palpitations began about five days after vaccine. Started just a few times a day, but increased to several times per hour over the course of the last two weeks. I have just visited my GP to investigate. Lab tests and heart monitor have been ordered.

Other Meds: 20 mg daily Xarelto

Current Illness: n/a

ID: 1040364
Sex: F
Age: 68
State: MO

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

Lab Data:

Allergies:

Symptoms: We arrived on 02/10/2021 to give second doses to residents at Medical Resort . Upon arrival we were told several had contracted COVID-19 after their first immunization. Upon reviewing their records, it had been greater than 14 days of recovery, per CDC recommendations, they should have received their second doses. The director of nursing and the facility physician however told us we were not to vaccinate the residents until 30 days from their last negative test. After discussing guidelines and recommendations they would not change their minds. This is 1 of 18 patients that did not receive their second dose in the 6-week window at this facility.

Other Meds:

Current Illness:

ID: 1040365
Sex: M
Age: 77
State: MO

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

Lab Data:

Allergies:

Symptoms: We arrived on 02/10/2021 to give second doses to residents at. Upon arrival we were told several had contracted COVID-19 after their first immunization. Upon reviewing their records, it had been greater than 14 days of recovery, per CDC recommendations, they should have received their second doses. The director of nursing and the facility physician however told us we were not to vaccinate the residents until 30 days from their last negative test. After discussing guidelines and recommendations they would not change their minds. This is 1 of 18 patients that did not receive their second dose in the 6-week window at this facility.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm