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: 1041760
Sex: F
Age: 77
State: NC

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

Lab Data: NO MEDICAL TEST.

Allergies: PENICILLIN

Symptoms: COVID-19 VACCINE EUA; MY ARM SWELLED REAL BAD TURNED A DEEP RED, VERY PAINFUL, AND AS OF YESTERDAY 02/16/2021 HAD PURPLE SPOTS.

Other Meds:

Current Illness: HIGH BLOOD PRESSURE, OSTEOARTHRITIS, ACID REFLUX

ID: 1041761
Sex: F
Age: 71
State: AZ

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: Medical exam 2/18 at 2 pm

Allergies: None

Symptoms: Bell's Palsy Trigeminal nerve pain in jaw Swollen glands and lymph nodes in neck, throat, right breast, under arm

Other Meds: Losartan Rosuvastatin Hydrochlorothiazide Potassium CL Levothyroxine Vitamin D3 Omega-3

Current Illness: None

ID: 1041762
Sex: F
Age: 44
State: IL

Vax Date: 02/09/2021
Onset Date: 02/19/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: Sulfa drugs

Symptoms: My arm is all the sudden red, warm, tender, and a bit itchy at the sight of the injection.

Other Meds: None

Current Illness: None

ID: 1041763
Sex: F
Age: 69
State: CA

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

Lab Data:

Allergies: Benzoin Compound Tincture, tea tree oil, other unknow

Symptoms: severe skin rash on buttocks area, burning sensation, developed about 36 h ours after first doze of vaccination, lasted 5 days, treated with mupirocin oitment

Other Meds: levothyroxne tablet

Current Illness:

ID: 1041764
Sex: F
Age: 50
State: MD

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

Lab Data:

Allergies: unknown

Symptoms: Patient felt dizzy after her 15 minutes in recovery room when she got up from chair

Other Meds: unknown

Current Illness: none

ID: 1041765
Sex: F
Age: 70
State:

Vax Date: 02/10/2021
Onset Date: 02/14/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Chills, joint pain, body aches, syncopal episode, diarrhea, headache, malaise

Other Meds:

Current Illness:

ID: 1041766
Sex: F
Age: 26
State: CA

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

Lab Data: cbc/bmp/trop/ekg/upreg nml

Allergies: bees

Symptoms: tingling to right arm and face, then throat itchiness and nausea

Other Meds:

Current Illness:

ID: 1041767
Sex: F
Age: 80
State: MI

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

Lab Data:

Allergies:

Symptoms: This resident sustained 2 seizures, 45 minutes apart, and an elevated temperature of 101 F on 2-19-21. The first seizure occurred at approximately 8:45 am and the second at approximately 9:30 am. The resident does not have a seizure disorder or history of seizure activity other than 1 day after receiving the first dose of the same vaccine on 1-20-21.

Other Meds:

Current Illness: Seizure and fever 1 day after first Covid-19 vaccination administered 1-20-21.

ID: 1041768
Sex: F
Age: 52
State: MI

Vax Date: 01/23/2021
Onset Date: 01/25/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: N/A

Allergies: NKA

Symptoms: Client called on 2/18/21 and stated 48 hrs after her vaccine she had extreme fatigue and chills that lasted 24 hrs, and body aches and sweating that lasted 48 hrs. Client felt "foggy" in the brain for 1 week and was tachycardic for this week. 1 week after the vaccination she had dizziness. The symptoms have since resolved. She will not be getting her 2nd dose of vaccine.

Other Meds: Unknown

Current Illness: No

ID: 1041769
Sex: F
Age: 65
State: CA

Vax Date: 02/04/2021
Onset Date: 02/13/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None

Allergies: MRI contrast, garlic, hot spices, gluten

Symptoms: Rash about 10 days later, on upper right arm where shot injected. Rash on and off for days afterwards. NOT serious, just reporting since so much later than shot. No other reason known for rash at that time. Otherwise, just a bit sore at injection site for 1 week after injection. Nothing serious to report, just for public database.

Other Meds: Anastrazole, Pulmicort, Levothyroxine, Nasacort, Astelin.

Current Illness: None

ID: 1041770
Sex: F
Age: 26
State: IA

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

Lab Data:

Allergies: None

Symptoms: Started to bruise right after shot and was very sore, was red and hot to touch that night. Next day red spot was bigger, swollen, and very hot to the touch. Drew line around spot and was bigger the next day, still red, hot to touch, and swollen. I have had fatigue since shot, a slight fever today, and yesterday was nauseated for a couple hours.

Other Meds: NP Thyroid 60 mg, Nortriptyline 10 mg, Diazepam 2 mg, Zyrtec

Current Illness: Post-Concussion syndrome

ID: 1041771
Sex: F
Age: 66
State: SC

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

Lab Data: na

Allergies: none

Symptoms: reddish rash on arm at site of injection 2" x 3" slight itch at first not now 24 hours later still there

Other Meds: metroplol, lostartan, lexapro, calcium, vit c, vit d

Current Illness: none

ID: 1041772
Sex: M
Age: 32
State: MN

Vax Date: 02/11/2021
Onset Date: 02/13/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: BINAXNOW Antigen testing for Covid-19 antigen- pending

Allergies: N/A

Symptoms: lost sense of taste and smell 2/15/21 from shot 2/11/21 sinuses clogged 2/13/2021

Other Meds: Multivitamin, Vitamin D,

Current Illness:

ID: 1041773
Sex: F
Age: 52
State: AZ

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

Lab Data: None

Allergies: Nothing ?severe? for food allergies

Symptoms: Bone and joint aches - especially in lower spine and hips, chills, headache. Whole body ached.

Other Meds: Vitamin D, calcium, multivitamin- Centrum, biotin, Bupropion

Current Illness: No

ID: 1041774
Sex: F
Age: 66
State: IA

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

Lab Data: Lymphedema is a chronic condition; unknown if flare-up is related to the vaccine.

Allergies: no known allergies

Symptoms: 2/13/21 -- c/o fatigue; slept most of the day, cold; warmed with blankets 2/14/21 -- chilled, can't warm with blankets; no thermometer available 2/15/21 -- somewhat tired, better 2/16/21 -- visited ED for lymphedema treatment (chronic idiopathic condition) of ankles and mid-calf; treated with prednisone

Other Meds: Aspirin 81 mg; 2 per day Voltaren 1%; apply 5x/day Calcium 500 -- 100 mg chewable, 2 per day Gabapentin 100 mg -- po 2x/day Gabapentin 300 mg - po 1x/day

Current Illness: n/a

ID: 1041775
Sex: F
Age: 72
State: CO

Vax Date: 02/01/2021
Onset Date: 02/17/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: gluten

Symptoms: Fist size swelling at injection site; 3 day fever 103; weakness; aches muscle and joints;

Other Meds: Enalapril; novolog insulin; basaglar insulin; vitamins; probiotics

Current Illness: none

ID: 1041776
Sex: F
Age: 73
State: FL

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: Donnatol Septocaine . Dairy

Symptoms: 9-10 hrs after shot, joint aches, tiredness, fevers from 100-102 for 2.5 days

Other Meds: Lisinopril 20 mg Evamist 1 spray/day Folic Acid 1 mg Levothyroxine 75 mcg. Atenolol 25 mg 2xper day Simvastatin 20 mg Vitamin D3 2000 units

Current Illness:

ID: 1041777
Sex: F
Age: 65
State: IA

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: Phenergan, iodine dye, vicodin, aminoglycocide opthalmic drops,

Symptoms: Left shoulder/arm pain daily for 2 weeks and intermittently the third week.

Other Meds: Hydrochlorothiazide 25 mg daily Supplements: Calcium, Vitamin D, Turmeric, multi vitamin/mineral

Current Illness: none

ID: 1041778
Sex: F
Age: 62
State: CA

Vax Date: 02/09/2021
Onset Date: 02/19/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: Antibiotics

Symptoms: Covid Arm Red area Rash

Other Meds: Synthroid

Current Illness:

ID: 1041779
Sex: F
Age: 63
State: MA

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

Lab Data: NONE

Allergies: EMYCIN AND SULFOR

Symptoms: HIGH TEMP 100 THEN IT WENT UP TO 102 HEADACHE ACHY MUSCLES

Other Meds: NORVASC OXYBUTYIN ZOLOFT PROPANADOL LISINPRIL WERE TAKING IN MORNING PRIOR TO VACCINE

Current Illness:

ID: 1041780
Sex: F
Age: 59
State: WI

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: HEADACHE, NAUSEA, CHILLS, FATIGUE

Other Meds:

Current Illness:

ID: 1041781
Sex: F
Age: 62
State: CO

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

Lab Data: None

Allergies: gluten sensitive codeine compozine phenergan

Symptoms: I woke up with runny nose and constant sneezing, muscle aches and pains. Fever 103 and chills and uncontrollable vomiting. Suspects cerebral edema because of head ache and vomiting. Took 8 mg of dexmetholzone and Zofran. Neither were helpful. I took a shot of emetrex in case of a migraine. Vomiting has stopped but fatigue and weakness persists.

Other Meds: taltz for 1 monthly psoriatic arthritis clonepin Prozac Wellbutrin

Current Illness: None

ID: 1041782
Sex: F
Age: 70
State: CA

Vax Date: 02/08/2021
Onset Date: 02/15/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: Sulfonomide antibiotics (rash), Benzocaine, Tetracaine, Dibucaine, Risedronate Sodium (itching), Codeine (nausea), Alendronate

Symptoms: redness around vaccine site post vaccine itching on day 7 rash and increased itching on day 8-9 less itching and no rash on day 10 less redness on day 11

Other Meds: none

Current Illness:

ID: 1041783
Sex: F
Age: 70
State: NY

Vax Date: 02/05/2021
Onset Date: 02/11/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: About 5 days after injection started itching at injection site. Itching continued down the upper arm in the following days. Red rash appeared. 2 weeks later itching and rash are starting to subside. Used cortisone cream.

Other Meds: Aspirin 81, atorvastatin 20 mg, calcium w d, cetirizine hci 10 mg, coq10, duloxetine hci 60 mg, famotidine 40 mg x2, gabapentine 600 mg x2, hydrocortisone crime 2.5%, ketoconazole 2% shampoo, lisinopril 10 mg, metoprolol succ er25 mg, probi

Current Illness: None

Date Died: 01/27/2021

ID: 1041784
Sex: M
Age: 73
State: WI

Vax Date: 01/23/2021
Onset Date: 01/25/2021
Rec V Date: 02/19/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: On the 25th he was home alone, he called 911 and let them know he thought he was having a stroke. EMS arrived and transported him to Hospital. It was massive stroke, he was not able to comprehend anything, he was put into Hospice the following day and passed away on the 27th. There was no autopsy preformed.

Other Meds: Multivitamin, Thiamine, Amlodipine, Cholecalciferol, Donepezil, Folic Acid, Atorvastatin

Current Illness:

ID: 1041785
Sex: M
Age: 22
State: IL

Vax Date: 02/11/2021
Onset Date: 02/17/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: amoxicillin

Symptoms: rash and itchiness all over body

Other Meds:

Current Illness:

ID: 1041786
Sex: F
Age: 25
State: KY

Vax Date: 01/06/2021
Onset Date: 02/04/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Diagnosed with shingles, shingles culture collected 2/4/21

Other Meds:

Current Illness:

ID: 1041787
Sex: F
Age: 73
State: CA

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

Lab Data: A few days later, an EKG and oxygen monitor were done and everything was normal. My doctor had not heard of this as a side effect of the vaccine, but the timing was suspicious and it was unusual enough for me that I thought I should report it.

Allergies:

Symptoms: The day after my second Covid shot, while just standing still and with nothing to precipitate it, had about 3 minutes of very rapid (~167) heartbeat with very strong heart movement in my chest. My heart rate is normally in the 60's, blood pressure low, no heart or health problems, and nothing like this has ever happened before. Within a few minutes, I felt fine and have not changed my regular exercise or anything else.

Other Meds:

Current Illness: none

ID: 1041788
Sex: F
Age: 34
State: CA

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

Lab Data:

Allergies:

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA I experienced almost all of the listed potential symptoms after the SECOND shot (fever, chills, headache, nausea, tiredness, muscle pain, feeling unwell), and then also got an intensely itching rash on the inside of my left thigh which gradually got worse and spread up to my vaginal area, skipped across it and started a little bit on the right inside thigh. This was listed as a potential allergic reaction

Other Meds: Omeprazole 10mg, AHCC, NAC, zinc, multivitamin

Current Illness:

Date Died: 01/17/2021

ID: 1041789
Sex: F
Age: 77
State: NY

Vax Date: 01/15/2021
Onset Date: 01/17/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: no

Allergies: unknown

Symptoms: As per patient daughter - patient had some minor chills on the day of the vaccination - Friday 1/15/21; felt well next day -Saturday, than she was found slumped and lifeless on the couch on Sunday 1/17. Cause of death on death certificate was reportedly put as COPD, Lung Ca and ASHD.

Other Meds: Advair, Albuterol, ASA, Alendronate

Current Illness: no

ID: 1041790
Sex: F
Age: 33
State: NJ

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

Lab Data:

Allergies: None

Symptoms: Severe headache lasting for 36 hours, chills, joint pain, nausea, fever

Other Meds: None

Current Illness: Possible ?cold? the week before vaccine

ID: 1041791
Sex: F
Age: 23
State:

Vax Date: 01/20/2021
Onset Date: 01/22/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Runny nose, sore throat, fatigue 1/22-1/24 Body aches 1/22-1/23

Other Meds:

Current Illness:

ID: 1041792
Sex: M
Age: 41
State: WA

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

Lab Data: None

Allergies: Phenobarbital

Symptoms: None

Other Meds: N/A

Current Illness: Intellectual Disability, Cerebral Palsy, Scoliosis

ID: 1041793
Sex: F
Age: 66
State: FL

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: Unknown

Allergies: Sulfa and Iodine-IV contrast

Symptoms: She states she woke at 02:00am with her palms of her hands, bottom of her feet, and toes all itching and burning, like they were on fire. She took 2 Benadryl. It eased up and she back to sleep. She woke about 8:00am with rash on her arm around her wrist area that was itching and had welts. This rash progressed up the inside of her arm, to her back, and on both insides of her legs down to her ankles. Her lips swelled, but not her tongue. She was treated at Emergency Room with Steroids and more Benadryl and given Rx for Steroids. She states she also developed a blister on her top lip and inside her right nostril both of those lasted about 4 weeks. Her rash resolved after taking the Steroids for 5 days. She states every now and then she still has some tingling in her finger tips. She follow up with her Primary Care Provider's office and told not to get the 2nd dose of the vaccine.

Other Meds: Rosuvastatin, Med for Hypertension (doesn't know name), Med for Hypothyroidism (doesn't know name), Magnesium, Vitamin D, Zinc, and a Multivitamin.

Current Illness: none

ID: 1041794
Sex: F
Age: 51
State: WI

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

Lab Data:

Allergies:

Symptoms: Vaccine administered at 10;25am; at 10:32, the individual began experiencing swelling of the throat and tongue while seated in the observation area. Vital signs were checked and were withinnormal limits; she remained alert and oriented. A Code White was called; she had already taken Prednisone po from own supply since she has a history of an autoimmune disorder. The Code Team transported the individual to the ED via w/c for further observation.

Other Meds:

Current Illness:

ID: 1041795
Sex: M
Age: 55
State: VA

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

Lab Data:

Allergies: None known

Symptoms: fatigue, muscle pain in left arm, muscle pain and stiffness in neck and upper back, headache, chills, poor circulation in hands and feet (could not get warm), pain in lymph nodes (under arms, especially left, started 2/18)

Other Meds: losartan, pravastatin, aspirin, CO-Q10, synthroid

Current Illness:

ID: 1041796
Sex: F
Age: 73
State: CA

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

Lab Data: Just sent a message to my doctor.

Allergies: Lisinopril, Azithromycin

Symptoms: Rashes on the left arm (receiving arm), starting from inside area of the elbow, second day spread to lower and upper areas of the same arm. In addition, rashes were seen on shoulder and other areas. Pain in the injection site and near by areas

Other Meds: Metformin, Losartan, Levothyroxine, Lipitor, Calcium citrate, VitD3, Aspirin 81 mg every other day.

Current Illness:

ID: 1041797
Sex: F
Age: 72
State: NY

Vax Date: 02/12/2021
Onset Date: 02/15/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: Consult with Neurologist.

Allergies: NKDA

Symptoms: Received Pfizer vaccine #1 on 01/22/21 and seven days after developed severe vertigo and vomiting. Received Pfizer vaccine #2 on 2/12/21 and 3 days later developed severe Vertigo and Vomiting.

Other Meds: Synthroid, Lotrael, Zoloft, Lipitor.

Current Illness:

ID: 1041798
Sex: F
Age: 85
State: TN

Vax Date: 02/14/2021
Onset Date: 02/16/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None

Allergies: Penecillin, Voltarin, Zyban, Naprosen

Symptoms: Two days after I got the shot, I felt severe "brain fog" (disoriented) all day. The third and fourth days after the shot, I felt severe dizziness at all times. (I had seasonal allergies at the time - sneezing and runny nose, and my doctor thinks this affected my middle ear, causing the dizzy feeling.)

Other Meds: Prednisone, Metoprolo, Prevastatin, Calcium, Fish Oil, Multi-Vitamin, Turmeric, Tylenol for Arthritis

Current Illness: Arthritis, hypertension

ID: 1041799
Sex: F
Age: 37
State: IL

Vax Date: 02/05/2021
Onset Date: 02/12/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: Blood work performed at doctors office on 2/12/21 came back normal. Doctor prescribed 2 day dose of prednisone and a cream to relieve the itch.

Allergies: Penicillin, avocado, banana, kiwi, and mango.

Symptoms: 7 days after the vaccination developed a large rash which burned, hot to the touch, and itched for 7 days. The lymph nodes in the left armpit became swollen and painful. After 7 days the rash dissipated, but there is a persistent pain deep inside the arm and in the shoulder joint.

Other Meds: Bupropion

Current Illness: No

ID: 1041800
Sex: F
Age: 35
State: PA

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

Lab Data: n/a

Allergies: n/a

Symptoms: Fatigue, joint and muscle soreness - lasted for a little over 48 hours Injection site reaction on left arm - began a few hours after injection and continued to spread. As of 2/19/21 at 3:30pm, has grown to the size of an index card. Feels sore, warm and firm.

Other Meds: Concerta Spironolactone Women's Daily Vitamin

Current Illness: n/a

ID: 1041801
Sex: F
Age: 30
State: TX

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

Lab Data:

Allergies: UNK

Symptoms: experienced site pain, redness, itching swelling. Chills Fever, HA, Pain,nausea,vomiting,diarrhea, rash, swollen glands

Other Meds: UNK

Current Illness: UNK

ID: 1041802
Sex: F
Age: 59
State: WI

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: HEADACHE, BODY ACHES

Other Meds:

Current Illness:

ID: 1041803
Sex: F
Age: 74
State: CA

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

Lab Data: Glucose check 119 mg/dL on 2/19/21 Vital recheck at 09:57am: BP: 143/89, HR:81, Spo2:95%

Allergies: Unknown

Symptoms: PHN called to 15 minute observation post-immunization by Nurse and Nurse who were with px upon PHN arrival at 9:50am. Px found to be cool to the touch, crying yet unresponsive; px was unable to verbalize or open her eyes. Respirations were even and non-laborious, rise and fall of chest was visible. VItals monitor brought to scene, Fireman/Paramedic called to scene and 911 called. BP: 161/111, SpO2:95% RA, HR: 80. Husband brought to scene to provide medical Hx information. Hx of High Blood Pressure confirmed with husband, Hx of Diabetes denied by husband. EMS Arrived at 9:56am, blood glucose checked and recorded at 199. PHN rechecked vitals at 09:57am , BP: 143/89, HR:81, SpO2: 95%. EMS advised px received first dose of Pfizer immunization at 9:36am. Px taken to Hospital for further medical work up at 10:08am via ambulance.

Other Meds: Unknown

Current Illness: Unknown

ID: 1041804
Sex: M
Age: 30
State: DC

Vax Date: 02/15/2021
Onset Date: 02/17/2021
Rec V Date: 02/19/2021
Hospital: Y

Lab Data: Labs: Troponin 600.3 -> 609.9 COVID negative Lipase 24 PT 13.5, INR 1.0 140/4.6|100/28|10.4/0.87<114 D-Dimer 0.54 10.1>14.3/42.9<200, 83% neutrophils Pro BNP 524.6 CK 556 EKG: t-wave inversions in lead II and leads V3-V6 Radiology: 2/17 CXR IMPRESSION: No radiographic evidence of acute cardiopulmonary process. CT PE IMPRESSION: 1. No evidence of pulmonary embolism. 2. Asymmetric left axillary lymphadenopathy for which malignancy is a differential consideration. A regional reactive, inflammatory, or infectious process may be considered after the exclusion of malignancy. Further evaluation with PET/CT would be useful for further imaging evaluation as clinically needed. 3. Incidental, indeterminate liver findings as above. Recommend nonemergent liver MRI for further evaluation. 19FEB2021 TTE Summary Normal LV cavity dimensions, wall thickness, global and segmental systolic function. Normal LVEF estimated at 60-65%. Normal diastolic filling pattern. Normal right ventricular size and function. Normal valvular structure and function. Intracardiac pressures: Unable to estimate pulmonary artery systolic pressure due to lack of tricuspid regurgitation. Normal IVC, normal right atrial pressure. 19FEB2021 Coronary CTA CONCLUSIONS: 1. No coronary artery disease, normal coronary arteries. 2. Bibasilar atelectasis. Otherwise, unremarkable visualized extra cardiac structures. CAD-RADS 0: No plaque or stenosis. RECOMMENDATIONS: Recommend therapeutic lifestyle changes and medical therapy as clinically indicated. 2/19/2021 Cardiac MRI Consistent with myocarditis

Allergies: No known allergies

Symptoms: 30 yo man with no significant past medical history presents to the ED for chest pressure and SOB that started this morning when he woke up. It was a constant 8/10 pressure squeezing at the sides of his sternum with the sensation of a plate pushing down on his sternum, that worsened by taking deep breaths. He had never experienced anything like it before. The pain was neither worsened with exertion nor relieved by rest. It did not change with position, and it did not radiate to his arm/neck. He denies any tenderness to palpation of his chest. Ibuprofen 400 mg did not provide any relief. At time of interview denies SOB and reports decrease in chest tightness to 2/10. CP was significantly relieved with a bolus of normal saline in the ED. Tylenol also effectively reduced his pain. Of note, the patient received the second Moderna COVID vaccine shot 3 days ago. For 2 days after receiving the second shot he experienced fevers, chills, nausea, and intermittent vomiting (10 bouts of non-bloody emesis).

Other Meds: MVI Vitamin D

Current Illness: None

ID: 1041805
Sex: F
Age: 53
State: TX

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

Lab Data:

Allergies:

Symptoms: Report fever, HA left arm swelling itchy rash with lump at injection site. Treatment: Tylenol Outcome: Fever and HA resolved, itchy rash with lump at injection remains unchanged.

Other Meds:

Current Illness:

ID: 1041806
Sex: F
Age: 71
State: NC

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None

Allergies: Atorvastatin (Lipitor) Valsartan Hydrochlorothiazide Amlodipine Gadolinium contrast dye Eggs

Symptoms: black and blue very sore. Lump is tender. It is still a little black and blue today 2/19

Other Meds: Carvedilol 6.25mg 1@Am & 1@PM (Coreg) Enalapril 10mg (Vasotec) 1@AM &PM Blood Pressure Rosuvastin 5mg (Crestor) Cholesterol 1@PM Nitroglycerin.04mg (Nitrostat) chest pain under tongue every 5 min as needed Biotin 10,000 MCG daily Caltra

Current Illness: None

ID: 1041807
Sex: F
Age: 65
State: ID

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

Lab Data: None

Allergies: None

Symptoms: Extreme dizziness Diarrhea Dry heaves Tingling in arms and legs Extremely weak Chills and hot Husband cared for me. Spoke to nurse at my doctor?s office. Water. Eventually bland food. Condition improving. She told me to go to ER if extreme dizziness recurs.

Other Meds: Thyroid Clobetasol Premarin Progesterone

Current Illness: None

ID: 1041808
Sex: F
Age: 47
State: PA

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

Lab Data:

Allergies: Ceclor Cipro

Symptoms: Fever over 101, severe headache, muscle aches and body pains, chills

Other Meds: Daily multi vitamin Effexor 150 mg Birth control pill

Current Illness:

ID: 1041809
Sex: F
Age: 63
State: PR

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None

Allergies: Sulfa Clyndomicyn Doxyclcline Cold Urticaria Physical Urticaria

Symptoms: Vasovagal reflex Numbness of the lips Tachycardia Aluminum flavor

Other Meds: Zynthroid .125mcg Evista 60mg Crestor 20mg Zetia 10mg Multi vitamins Calcium D3 Vit C Elderberries Pepcid Protonix

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm