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: 1041408
Sex: F
Age: 65
State: MA

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: none

Allergies: severe allergy to penicillin

Symptoms: 1)fever, chills, body aches, nausea, diahrrea, headache 2) fever, chills, body aches, nausea, diahrrea, confusion, headache, swollen glands, cough, ear aches, night fevers

Other Meds: lisinopril, levothyroxin, vitamin D, sodium bi-carbonate, prilosec, aspirin, allopurinol, metoprolol, montelukast, amlodipine, atorvastatin, combivent, symbicort

Current Illness: sick with Covid-19 virus from 12/21/20 through 1/03/21

ID: 1041409
Sex: F
Age: 61
State:

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient received 3 doses of Pfizer vaccine instead of 2. All 3 doses were 3 weeks apart. 12/29/21, 01/18/21, 02/10/21

Other Meds:

Current Illness:

ID: 1041410
Sex: F
Age: 23
State: CO

Vax Date: 02/12/2021
Onset Date: 02/19/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: A week after receiving the vaccine, I woke up with my arm red, swollen, and itchy around the injection site. The swelling is about 3-4 inches in diameter.

Other Meds: None

Current Illness: None

ID: 1041411
Sex: F
Age: 60
State: MD

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: aspirin ibruprofen

Symptoms: day 1- shivering and cold, muscle aches day 2 loss of appetite, malaise, syncope episode with loss of consciousness

Other Meds: chlorthalidone 25mg once a day vitamin d 1.25 mg once a week glucosamine chondroitin once a day

Current Illness: none

ID: 1041412
Sex: F
Age: 30
State: VA

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: reglan, zofran, cipro

Symptoms: Fatigue started at 8pm on 2/17/21, ran a low grade fever overnight, chills, sweating. By 7am on 2/18/21 body aches set it. Fever, chills, sweating, and fatigue continued throughout the day. Treated with Tylenol every 6 hours. Symptoms were gone by morning of 2/20 with the exception of slight fatigue.

Other Meds: birth control pills

Current Illness: none

ID: 1041413
Sex: F
Age: 41
State: MO

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: Penicillin, Sulfa Drugs, Celexa and several other antibiotics Nuts, Shellfish, Mushrooms

Symptoms: Within 10 minutes pt had tingling of lips and started itching all over; Given 50 mg oral Benadryl; Transported by EMS to Emergency Department; pt reports she was given epinephrine in the ED; Reports her B/P was 160/120 and pulse was 130 in ED; Reports she was kept in ED 3-4 hours and then discharged

Other Meds: Trulanz (For IBS) Vitamin D OTC

Current Illness: NONE

ID: 1041414
Sex: F
Age: 70
State: AZ

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Nausea, fatigue, soreness

Other Meds: None

Current Illness: None

ID: 1041415
Sex: F
Age: 21
State: MT

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache, Dizzy, & Fatigue

Other Meds:

Current Illness:

ID: 1041416
Sex: F
Age: 0
State: FL

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

Lab Data:

Allergies: Morphine Methadone, Erythromycin, Percocet, Celebrex, Vioxx, Atropine

Symptoms: After the second dose of the injection site on 02;09/21 on 02/17/21 about 10:30pm injection site started itching then on 02/19/21 around noon I looked at the site and it?s red puffy and a little swollen with a little heat

Other Meds: Pravastatin; Verapamil 360 SR; Trazodone; DuOmega 3 & 7 Siftgel; Centrum Silver

Current Illness: Follicular Lymphoma

ID: 1041417
Sex: F
Age: 33
State: PR

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

Lab Data:

Allergies: None

Symptoms: From 1:00 am I had chills, headache and fever. I took panadol every four hours until the morning.

Other Meds: None

Current Illness: Mitral valve prolapse

ID: 1041418
Sex: M
Age: 63
State: TX

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: N/A

Allergies: Unknown

Symptoms: Site Pain; Headache; Joint and muscle pain; fatigue; profuse sweating.

Other Meds: Unknown

Current Illness: Unknown

ID: 1041419
Sex: F
Age: 83
State: FL

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: no allergies

Symptoms: Adverse events experienced and are they still occurring now: -double vision (MRI done last week and everything seemed normal) What happened as a result of the adverse event? went to her pcp and did various check ups and everything was normal, doctor still recommended her to get her vision done also went to the eye doctor and they told her she doesnt have anything abnormal

Other Meds: -metoprolol -temazepam -omeprazole -Eye drops for glaucoma -simvastatin

Current Illness:

ID: 1041420
Sex: F
Age: 50
State: WI

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: Covid test 1/22/2021-negative Covid test 1/22/2021-negative Chest X Ray 2/3/2021-normal other than "minimal basilar atelctasis" Blood work 2/15/2021-normal, except for high white blood cells

Allergies: none

Symptoms: On the day after the first Moderna vaccine, I was extremely fatigued, had chills and generally felt bad. I stayed home from work and slept most of the day. I was able to go back to work on the following day, but still had fatigue, which never really went away. Starting on 1/22/21 I developed a cough and shortness of breath. I had to call in sick for a week of work (1/25-1/29), and call in for my air national guard drill (1/23-1/24/21). I had a covid test on 1/23/21 and 1/26/21, both of which were negative. I also called in sick on 2/5/21 and 2/8/21 and 2/18/21 due to fatigue and cough. I have bee prescribed Augmentin for 7 days, Advair and Albuterol inhalers, and am currently taking doxycyline. Achest xray was taken with no specific findings, and blood work was done, which was normal except for high WBCs. I have not had the second injection of Moderna vaccine due to illness.

Other Meds: none

Current Illness: none

ID: 1041421
Sex: F
Age: 76
State: NJ

Vax Date: 02/04/2021
Onset Date: 02/10/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: none

Allergies: cephalosporins, imodium, sulfa, thiazide

Symptoms: 6-7 days after she received injection to right arm she noticed a rash, slighly itchy that increased in size. came to office and redness, swelling noted 12 cmx12 cm. pt otherwise feels well. no fever, chills, aches. appears to be a delayed localized immune response at injection site. pt concerned that she had "covid arm" so wants it documented.

Other Meds: calcium-magnesium, borage oil, glucosamine-chondroit, vit D3 400 units, Garlic 350mg, omega 3 1200 cap, forteo 600mg sub q,

Current Illness: none

ID: 1041422
Sex: M
Age: 46
State: OH

Vax Date: 02/07/2021
Onset Date: 02/07/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: On 2/7/2021 approx 8 PM noticed some tightness of the right arm at the injection site. On 2/8/2021 in the afternoon some swelling and continued "tight skin" of the right bicep was noted. On 2/8/2021 approx 9:30 PM noticed some "flu-like" symptoms and "poor dexterity" of right arm. Flu-like symptoms lasted until 2/9/2021 but "poor dexterity" and pain of right arm continued through 2/10/2021. On 2/9/2021 noticed swelling of the lymph nodes in the right armpit area, described by individual as "golf ball" size. Swelling increased on 2/10/2021 to include right side of chest. Pain was noted in the pectoralis and right side of back. Individual self-treated with motrin and ice for a few days. Individual did not seek medical care. Individual did not require hospitalization or doctor visit. Individual denied that swelling/pain interfered greatly with quality of life or activities of daily living. Individual did not report symptoms to Medical Clinic until >10 days after symptoms began. At the time of report individual states that flu like symptoms and pain have completely resolved. However, individual still reports some mild swelling (reports improvement of 80-90%).

Other Meds: Omeprazole daily, Ibuprofen prn, Testosterone injection (1 mL q2weeks)

Current Illness: None

ID: 1041423
Sex: F
Age: 57
State: NC

Vax Date: 02/10/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None

Allergies: Opioids, nuts (pecans,walnuts,peanuts.

Symptoms: Swollen arm at injection spot. About the size of a cutie orange. Feels very hot and itchy. This is a week and 2 days after injection. Headache and achy all over.

Other Meds: Vitamin C & D3, zyrtec,metoprolol, losartan,pravastatin, omprezole

Current Illness: None

ID: 1041424
Sex: F
Age: 24
State: NC

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

Lab Data:

Allergies: none reported

Symptoms: Eyelids blinking/ Not Responding BP 164/106, EMS called In a few minutes she was responsive, anxious had a tremor, but according to caregiver at facility the tremor was normal. EMS took her to hospital as a precaution, thought she had a seizure due to anxiety. She is treated for anxiety and seizures.

Other Meds: lamictal

Current Illness:

ID: 1041425
Sex: F
Age: 45
State: PA

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: none

Allergies: Vancomycin Hydrocloride Medication, Anaphylaxis

Symptoms: at the time of initial assessment, patient does not have hives and is 98 to 99% on room air. She does report a sensation of feeling like difficulty breathing or swallowing and is initially treated with Solu-Medrol and Benadryl as well as IV fluids. She reports that symptoms are improving almost immediately after meds are pushed. As result epinephrine is initially deferred for continued monitoring. However upon reassessment approximately 1 hour after reported reaction, the numbness in the hands and feet have resolved, but she is complaining that she feels as though the back of her tongue is swollen and still making it difficult to swallow though she no longer feels short of breath. As a result, we have discussed the possibility of treatment with epinephrine in order to fully resolve symptoms, and she is agreeable to proceed. ,

Other Meds: Tamoxifen, Synthroid, Celexa

Current Illness: none

ID: 1041426
Sex: F
Age: 79
State: WI

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Localized itching since day of vaccine. 3 days ago area became red, slightly swollen. Patient seen by PCP, prescribed doxycycline twice daily for 10 days.

Other Meds:

Current Illness:

ID: 1041427
Sex: M
Age: 86
State: MS

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

Lab Data: None

Allergies: Bactrim, Cozaar, Demerol, Diflucan, Skelaxin, Tramadol, Norco

Symptoms: No adverse events have been reported as of yet. Patient received a 3rd dose of a 2 dose series vaccine.

Other Meds: Amlodipine 5 mg, Remeron 7.5 mg, Latanoprost 0.005% drops, Simvastatin 20 mg, Flomax 0.4 mg, Sertraline 50 mg, Toprol XL 25 mg, Pepcid 20 mg, Flonase nasal spray, Areds 2, Nitroglyercin 0.4 mg, Tylenol ES 500 mg, Robitussin Extra Strength,

Current Illness: None

ID: 1041428
Sex: F
Age: 37
State: OR

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: Penicillin, sulfa

Symptoms: Swollen lymph node in left underarm/armpit, fever, chills, body aches (neck and legs), headache

Other Meds: bupropion, magnesium, melatonin

Current Illness: none

ID: 1041430
Sex: F
Age: 58
State: NY

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Evening 12/30 chills with temp 102.3-100.1 , severe headaches . symptoms persisted for 3 days then disappeared

Other Meds:

Current Illness:

ID: 1041431
Sex: F
Age: 67
State: IL

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: na

Allergies: sulfa, levaquin

Symptoms: 02/13/2021 sore muscle and tender around injection site. 02/14/2021 small red spots on upper arm and itchy similar to a minor rash. Spots were spread out within 3 inch radius of injection 02/19/2021 still itchy and had red bumps size of mosquito bites spread out about 2 inches of injection site.. Muscle still sore.

Other Meds:

Current Illness: none

ID: 1041432
Sex: F
Age: 75
State: FL

Vax Date: 02/05/2021
Onset Date: 02/15/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Date and time of vaccination: (list both if they received both shots): First- 01/08/2021 Second- 02/05/2021 Patient complaining of decrease in appetite for the past 3 days. Patient states that she has no desire to eat anything and wanted to know if this could be related to her covid-19 vaccine. She denies any nausea or vomiting. She states that she had diarrhea all day yesterday and had no incident today.

Other Meds:

Current Illness:

ID: 1041433
Sex: F
Age: 67
State: CA

Vax Date: 02/11/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None at this time, Moderna to advise them of the rash.

Allergies: Iodine

Symptoms: Had the first Moderna Vaccine on February 11, 2021, on February 18, my left upper arm started itching and developed a rash under the injection site that today Feb. 19 is about 4 inches long and 2 inches wide. It has an oval shape with a distinct border around it. it feels hard and the skin feels tight at the rash area.

Other Meds: CO Q 10, Krill Oil, One A Day womens vitamin, Schifsf probiotic, Vitamin D

Current Illness: None

ID: 1041434
Sex: F
Age: 32
State: NY

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

Lab Data:

Allergies: NKDA, had hay fever as a child

Symptoms: 10 minutes post vaccination, patient began feeling a warm sensation under her left cheek and the tip of her tongue became itchy. No other signs or symptoms reported or noted. She was offered Benadryl but she stated her symptoms were waning and not worsening. She denies any history of allergies except having hay fever as a child. She denies any PMHX and she is not currently on any prescribed or OTC meds. Her vitals were stable and after 10 mins into observation, her symptoms began to wane. Patient was monitored for 45 mins and was stable prior to leaving the vaccination POD. She was educated on what signs and symptoms to monitor. She was advised to follow up with her PCP and or allergist for further evaluation. Patient was informed her 2 nd dose if cleared by her PCP would have to be in an observation facility with a higher level of care. Patient understood and agreed with the above. Patient does not want to evaluated by local ER facility.

Other Meds: none

Current Illness: denies

ID: 1041435
Sex: F
Age: 55
State: MT

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Nausea, Body aches, Chills, & Diarrhea

Other Meds:

Current Illness:

ID: 1041436
Sex: F
Age: 22
State: ID

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

Lab Data:

Allergies: Dust & pet dander

Symptoms: Client received moderna as 2nd dose when she should have received pfizer

Other Meds: NA

Current Illness: none

ID: 1041437
Sex: F
Age: 71
State: MI

Vax Date: 02/08/2021
Onset Date: 02/16/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None

Allergies: Latex, Macrobid

Symptoms: Itchy raised pinkish red 2 cm diameter patch on left arm at site of injection occurring on the 8th day after injection. Patch expanded to 5cm long by 9th day. Two Benadryl tablets reduced color and itchiness.

Other Meds: Elavil, Levothyroxine, Bromelain, Calcium/Magnesium/Zinc, Magnesium Oxide, Vit.D3,Premarin Cream, Baby Aspirin

Current Illness: None

ID: 1041438
Sex: M
Age: 31
State: NY

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: N/a

Symptoms: I received the 2nd dose of the Moderna Vaccine at 2:30pm. While eating dinner at 6pm, my sense of taste was greatly diminished. Eating normal food, such as Wonton Soup, tasted like 75% water and 25% wonton soup. Other parties confirmed it tasted normal. Was not able to taste salt well for the entire evening. Taste returned to normal the following morning.

Other Meds: Remicade IV 400mg every 4 weeks Imuran 50mg 2xday Men?s multivitamin Zyrtec

Current Illness: N/a

ID: 1041439
Sex: M
Age: 36
State: OH

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

Lab Data:

Allergies: None

Symptoms: Injected with empty syringe full of air, had to repeat injection

Other Meds: None

Current Illness: None

ID: 1041440
Sex: M
Age: 70
State: SC

Vax Date: 02/14/2021
Onset Date: 02/15/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: Kardia home Afib Diagnostic tool

Allergies:

Symptoms: I have been diagnosed with AFIB. This was well under control while taking Metoprolol for the past several years. Since taking the vaccine I have been experiencing several episodes of AFIB every day. I have a Kardia diagnostic tool which confirms the AFIB episodes.

Other Meds:

Current Illness:

ID: 1041441
Sex: F
Age: 52
State: OH

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

Lab Data:

Allergies:

Symptoms: patient felt like she was going to faint, but did not. Transferred by EMS to medical facility.

Other Meds:

Current Illness:

ID: 1041442
Sex: M
Age: 73
State:

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient allergic to ACE inhibitors had similar reaction with dry hacking cough for about 1 week.

Other Meds:

Current Illness:

ID: 1041443
Sex: F
Age: 16
State: AZ

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: NONE

Symptoms: LEFT SHOULD PAIN

Other Meds: NONE

Current Illness: NONE

ID: 1041444
Sex: F
Age: 68
State: IN

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: none done

Allergies: summer and fall allergies

Symptoms: Had common side effects for two days. After seven days, I noticed a dime-sized redness surrounding injection site. Three days later, the red area is 3" in diameter. The original injection site has continued to be painful. Now the reddened area itches.

Other Meds: Lamotrigine, 150mg trazodone: 150mg Venlafaxine: 200mg

Current Illness: none

ID: 1041445
Sex: F
Age: 45
State: MI

Vax Date: 02/04/2021
Onset Date: 02/14/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: none

Allergies: Soy

Symptoms: Large red rash on site that appeared several days after injection. Red, warm, itchy, swollen, achy

Other Meds: Hydrochlorithyozide

Current Illness: none

ID: 1041446
Sex: M
Age: 65
State: FL

Vax Date: 01/28/2021
Onset Date: 02/11/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: sore throat , trouble swollowing

Other Meds: mrio gabapentin msam

Current Illness:

ID: 1041447
Sex: M
Age: 29
State: CA

Vax Date: 02/17/2021
Onset Date: 02/19/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None

Allergies: Lactose

Symptoms: Numbness on the left side of body. Mostly on the arm, leg and slightly on the left side of the face.

Other Meds: None

Current Illness: None

ID: 1041448
Sex: M
Age: 73
State: CA

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

Lab Data: nne

Allergies: none

Symptoms: sore arm, headache, nausea, malaise

Other Meds: xeralto, plavix, lisinopril, crestor,

Current Illness: afib

ID: 1041449
Sex: F
Age: 72
State: OK

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

Lab Data:

Allergies:

Symptoms: low-grade fever, severe arm pain that woke patient from sleep, headache. patient took tylenol which helped to resolve symptoms.

Other Meds:

Current Illness:

ID: 1041450
Sex: F
Age: 58
State: WI

Vax Date: 12/21/2020
Onset Date: 12/23/2020
Rec V Date: 02/19/2021
Hospital:

Lab Data: MRIs-12/29/2020

Allergies: N/A

Symptoms: Patient developed extreme fatigue 2 days following the COVID vaccine which caused a clinical relapse of MS. No new radiographic lesions, but patient was/is much weaker than baseline.

Other Meds: gabapentin, baclofen, levothyroxine, multivitamin

Current Illness: None

ID: 1041451
Sex: M
Age: 76
State: GA

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

Lab Data:

Allergies: Tetracycline

Symptoms: mouth seems to have swollen up, my lips, my tongue feels like sand paper. My mouth feels like I've been gurgling with gasoline. and it is painful to brush teeth. Still have rash from the 1st shot on my shoulder. My lips are chapped.

Other Meds:

Current Illness:

ID: 1041452
Sex: F
Age: 33
State: CA

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: N/A

Allergies: Penicillin

Symptoms: Fever and large baseball sized knot in arm. Very large red welt, extremely hot and painful at slightest touch

Other Meds: Trazadone

Current Illness: None

ID: 1041453
Sex: M
Age: 37
State: NH

Vax Date: 02/10/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: n/a

Allergies: Penicillin (untested since birth) Oral Allergy Syndrome (birch)

Symptoms: On February 18th, a small area around my injection point became somewhat itchy, which has persisted since then. The area, about 2 inches in diameter, has a slight pinkish hue.

Other Meds: Clonopin .75 mg /d Ambien 10mg as needed Vitamin D 2000 IU

Current Illness: n/a

ID: 1041454
Sex: F
Age: 22
State:

Vax Date: 02/07/2021
Onset Date: 02/05/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 2 days after vaccine, she fainted and later contacted her PCP. Patient may have been dehydrated with headaches after vaccine. Advised to seek medical assistnace for ongoing issues.

Other Meds:

Current Illness:

ID: 1041455
Sex: M
Age: 57
State: MT

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache, Fatigue, & Body aches

Other Meds:

Current Illness:

ID: 1041456
Sex: M
Age: 63
State: TX

Vax Date: 02/02/2021
Onset Date: 02/06/2021
Rec V Date: 02/19/2021
Hospital: Y

Lab Data: Feel like this is potentially Acute Mediated Rejection from the COVID vaccination so this is why we are reporting. Donor Specific Antibodies on 2/17/21 include DR 4 = 2000, DR53 = 3000, DQ8 = 27,000, DQB1*06:03 = 2000, DQA*03:01 = 16,000 CT CHEST WO CONTRAST, 2/7/2021 5:18 AM CLINICAL HISTORY: The reason for the study is listed as Pneumonia. TECHNIQUE: Multislice helical CT images of the chest were obtained without IV contrast administration in the usual manner. Coronal and sagittal reformatted images were obtained. Automated exposure control was utilized for radiation dose reduction. COMPARISON STUDY: 3/20/2007. DISCUSSION: Severe patchy bilateral consolidations, nonspecific, consistent with bilateral pneumonia. More confluent alveolar opacities are present in both lower lobes, particularly the right lower lobe, consistent with atelectasis or more focal alveolar infiltrate. There is a tiny/small right pleural effusion. Chronic appearing pleural thickening also noted, particularly in the peripheral right lung, accounting for the pleural thickening seen on chest x-ray. The portions of the lungs which are not densely consolidated demonstrate nonspecific mosaic opacities with groundglass opacities and other intervening lucent areas.. There is cardiomegaly. Calcifications are present in the aorta and coronary arteries. Small amount of gas in the left subclavian vein, right atrium and main pulmonary artery may be from a peripheral IV. Enlarged lymph nodes are present in the aorticopulmonary window, right paratracheal and azygos regions of the mediastinum. An endotracheal tube projects between the clavicles and carina. An NG tube passes below the diaphragm into the stomach. Extensive surgical findings are noted. Limited assessment of the upper abdomen shows large calcified gallstones. Lower sternal wires are noted. Multiple healed rib fractures. IMPRESSION: 1. Diffuse bilateral infiltrates most consistent with pneumonia..

Allergies: Penicillin NSAIDS Aspirin

Symptoms: Shortness of breath - Initial ED Comments: Patient is a 63 y.o. male patient presenting to the ED via EMS with c/o shortness of breathin which began this morning. EMS reports that the pt had a bilateral lung transplant 1 year ago and has been on cyclosporine and cellcept. EMS also reports that the pt recently received his COVID vaccine. Pt denies fever, chills, chest pain, abdominal pain, back pain, nausea, vomiting, or lower extremity edema. EMS reports that the pt does not normally require supplemental O2 but states that his O2 sat was 75% on 3 L NC home O2. EMS reports that they gave 2 albuterol, 1 Atrovent, and solumedrol. EMS also reports that they placed the pt on 10-15 L NRB and states that his O2 sat was stable at 100%. Pt denies any aggravating factors for his symptoms

Other Meds: acetaminophen 1,000 mg Oral Every 6 hours PRN alendronate sodium 70 mg Oral Every 7 days, with water on empty stomach,nothing by mouth and don't lie down for 30 minutes; Wednesdays azithromycin 500 MG Oral Daily, Please take one tablet

Current Illness: Lung Transplant 3-26-20 Positive for Mycobacterium avium 7/29/20 and positive again on 9/30/20

ID: 1041457
Sex: F
Age: 64
State: NJ

Vax Date: 02/12/2021
Onset Date: 02/14/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: Sulfa Drugs

Symptoms: Symptoms: Nausea; Rapid and Skipping Heartrate. Duration: 3 Days

Other Meds: Metoprolol Succ ER 12.5 mg, Simvastatin 20mg, Rabeprazole Sod DR 20 mg, Lipofavonoid Night

Current Illness: Food poisoning

ID: 1041458
Sex: F
Age: 57
State: NY

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: sulfa drugs

Symptoms: strong arm pain and fever between 99.9 and 101.6 for about 2 days

Other Meds: medformin, simvastatin, levothyroxine, generic enalapril, coq10, centrem mulitvitamin

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm