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: 1046973
Sex: F
Age: 45
State: KY

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

Lab Data:

Allergies: none

Symptoms: fatigue, aches

Other Meds: iron supplement calcium + vitamin D supplement probiotic

Current Illness: none

ID: 1046974
Sex: M
Age: 65
State: NC

Vax Date: 02/13/2021
Onset Date: 02/21/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Moderna COVID?19 Vaccine EUA 3" to 4" rash on upper arm appeared eight days after injection (1st shot)

Other Meds: Amlodipine 10mg, Vit B Complex, Vit. D3, Turmeric 1000 mg

Current Illness: None

ID: 1046975
Sex: F
Age: 87
State: MO

Vax Date: 01/13/2021
Onset Date: 01/01/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: We arrived on 02/10/2021 to give second doses to residents. 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 agency 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: 1046976
Sex: F
Age: 61
State: MT

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Rash, Fever. Chills, Headache, & Nausea

Other Meds:

Current Illness:

ID: 1046977
Sex: F
Age: 68
State: CA

Vax Date: 01/22/2021
Onset Date: 01/28/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Red, itchy rash and swelling developed near the injection site a few days after vaccine. The itching and redness subsided after approximately a week. However, now at four weeks since first dose, the area is still slightly discolored with dry skin.

Other Meds:

Current Illness:

ID: 1046978
Sex: F
Age: 81
State: VA

Vax Date: 01/26/2021
Onset Date: 01/28/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies: Shellfish, Penicillin, Erythromycin, Bactrim, Contrast media (dye)

Symptoms: COVID 19 Pfizer - 2nd dose, 2/16/2021 Lot number - EL9261 - About 48 hours later, I got this pain breastbone. I couldn't turn over to the left or right when down because of the pain. It was not shortness of breath. It was pretty bad. This pain lasted about 3 weeks. Soreness is my arm appeared the day of vaccination but that went away within 2 days. I also kept sneezing non stop, and my nose was runny this also started about 48 hours after vaccination. It is better but not completely gone yet. The sneezing is not constant, as of today but still there.

Other Meds: Crestor 2.5 MG daily, Eplerenone 50 MG daily, Norvasc 5 MG daily, Daily - Vitamin C, Vitamin D, Magnesium, Alpha-lipoic acid

Current Illness:

ID: 1046979
Sex: F
Age: 30
State: OH

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: D-dimer elevated // ct scan with dye done and EKG . Both came back okay.

Allergies: Penicillin

Symptoms: Extremely short of breath O2 was in low 90s and pulse was 130+ . Labs drawn and D-dimer was elevated . No active clot was found by the time I got to ER and seen . Due date June 11th 2021

Other Meds: Prenatal vitamin

Current Illness: None

ID: 1046980
Sex: F
Age: 17
State: CA

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

Lab Data:

Allergies: No

Symptoms: No adverse reactions reported. Client did not meet the age 18 criteria per Moderna's manufacture guidance.

Other Meds: No

Current Illness: None

ID: 1046981
Sex: F
Age: 73
State: NJ

Vax Date: 02/16/2021
Onset Date: 02/19/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: None

Allergies: Sensitivity to garlic, sucralose, latex, some antibiotics

Symptoms: Moderna COVID-19 Vaccine EUA Starting on third day after vaccination: pain and swelling in joints; pain and swelling of left jaw and face; difficulty opening mouth/eating due to pain and swelling of left jaw; intermittent earache in left ear Earlier more typical reactions first and second day after vaccine: pain and swelling at injection site; elevated temperature which responded to Tylenol; chills.

Other Meds: Valsartan, Multivitamin, Glucosamine-Chondroitin, Calcium, Probiotic

Current Illness: None

ID: 1046982
Sex: M
Age: 83
State: MD

Vax Date: 01/22/2021
Onset Date: 02/13/2021
Rec V Date: 02/22/2021
Hospital: Y

Lab Data:

Allergies: sulfa abx (hives)

Symptoms: Patient was admitted for pleuritic chest pain. It was determined during his hospitalization, that his pain was likely musculoskeletal in nature and was advised to follow up with PCP

Other Meds: atorvastatin, clopidogrel, gabapentin, levothyroxine, losartan, MVI

Current Illness:

ID: 1046983
Sex: F
Age: 51
State: AR

Vax Date: 02/12/2021
Onset Date: 02/14/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies: latex, aspirin

Symptoms: Enlarged lymph nodes on left and right side of armpits and both breasts. The left side enlargement was very visible to the naked eye and looked to be as large as a tennis ball. Both breasts where swollen and tender/sore. Right side enlargement of armpit as not as large (maybe the size of a golf ball).

Other Meds: Nitrofurantoin Mono/Mac, Ceterizine, Citalopram

Current Illness: UTI

ID: 1046984
Sex: M
Age: 81
State: OH

Vax Date: 02/20/2021
Onset Date: 02/21/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Flue like symptoms, dizzy, aches in shoulders joints, chills and fever for several hours. took two 500 mg acdmediphane tablets at 2AM.

Other Meds: nine heart and stroke meds

Current Illness: none

ID: 1046985
Sex: F
Age: 41
State: MT

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

Lab Data:

Allergies:

Symptoms: Fatigue, Fever, Body aches, & Chills

Other Meds:

Current Illness:

ID: 1046986
Sex: F
Age: 28
State:

Vax Date: 02/13/2021
Onset Date: 02/15/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies: Amoxicillin

Symptoms: Mild-moderate dizziness for past 8 days

Other Meds: Vitamins

Current Illness:

ID: 1046987
Sex: F
Age: 85
State: MO

Vax Date: 01/13/2021
Onset Date: 01/01/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: We arrived on 02/10/2021 to give second doses to residents. 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 agency 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: 1046988
Sex: F
Age: 73
State: AZ

Vax Date: 02/20/2021
Onset Date: 02/21/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies: penicillon

Symptoms: chills for 6 hours, exhausted for 8 hours joint pain 8 hrs next day chills for 2 hrs and tired. difficulty breathing used inhaler

Other Meds: none

Current Illness: none

ID: 1046989
Sex: M
Age: 75
State: IN

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

Lab Data: None

Allergies: None Reported

Symptoms: "panic attack" as patient described prior to vaccine. Patient jumped with Vaccine injection. Took deep breathe, became diaphoretic. gasping respirations. Patient then began to cough, breathe rapidly, returned to normal rate depth and quality. Patient advised prior to the injection that these events would occur as described. Episode lasted 5 minutes. At 10:25 hr 88 rr 30 bp 171/91 10:35 hr 73 rr18 bp155/82 10:50 hr 70 rr12 bp 141/84 Monitored by paramedic for 30 minutes

Other Meds: NKA

Current Illness: None Reported

ID: 1046990
Sex: M
Age: 78
State: NY

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

Lab Data:

Allergies: Iodine dye

Symptoms: Chills, 101.5 fever, aches, headache, stiffness, unable to walk (joints wobbly)

Other Meds: Rosuvastatin 5mg Biotin 5000mcg Gabapentin 200mg - 3X day. Vit D3 25mcg Allopurinol - 400mg Vit B12. - 1000mcg Low dose aspirin Levothyroxine. 75 mcg

Current Illness:

ID: 1046991
Sex: M
Age: 90
State: IA

Vax Date: 02/04/2021
Onset Date: 02/20/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: None

Allergies: NOne

Symptoms: Developed shingles on 2/20/21

Other Meds: advair inhaler atrovent inhaler fluticasone omeprazole tamsulosin ventolin inhaler

Current Illness: COPD

ID: 1046992
Sex: M
Age: 79
State: OH

Vax Date: 02/09/2021
Onset Date: 02/18/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: nothing other than treatment: steroid (depo-Medrol) shot on 2-18-2021 and again 2-22-2021 along with reducing dose of prednisone and atarax for itching

Allergies: None known

Symptoms: Client has developed a whole body rash/ hives (ankles to face) starting 2-18-202He still has the hives (2-22-2021)

Other Meds: Losartan Co-Reg Allopurinol Vit D 3 ASA- 81mg Lipitor every other day

Current Illness: no

ID: 1046993
Sex: M
Age: 23
State: CA

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Reported loss of taste and smell within 24 hours.

Other Meds:

Current Illness:

ID: 1046994
Sex: M
Age: 73
State: CT

Vax Date: 02/03/2021
Onset Date: 02/11/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: Specimen: BLOOD. HE 0222 52 Specimen Collection Date: Feb 22, 2021@06:54 Test name Result units Ref. range Site Code PERIPHERAL BLOOD SMEAR comment [689] WBC 1.9 L K/cmm 4.5 - 11.0 [689] RBC 3.79 L M/cmm 4.23 - 5.66 [689] HGB 13.6 g/dL 12.8 - 17 [689] HCT 37.9 L % 39.2 - 50.4 [689] MCV 100.0 H fL 82 - 99 [689] MCH 35.9 H pg 26.2 - 32.6 [689] MCHC 35.9 H g/dL 30.8 - 35.1 [689] RDW 13.3 % 12 - 16 [689] PLT 217 K/cmm 140 - 360 [689] MPV 10.0 fL 9.2 - 12.4 [689] NEUT % 29.7 L % 43.7 - 75.8 [689] LYMPH % 54.2 H % 14.0 - 42.3 [689] MONO % 13.5 % 5.1 - 13.7 [689] EOSIN % 2.1 % 0.4 - 6.8 [689] BASO % 0.5 % 0.1 - 2.0 [689] IMMATURE GRAN % 0.0 % 0.0 - 0.7 [689] ABSOLUTE NEUTROPHIL COUNT 0.57 L K/cmm 2.2 - 7.6 [689] ABSOLUTE LYMPHOCYTE COUNT 1.04 K/cmm 1.0 - 3.2 [689] NRBC/100WBC 0.0 %/WBC 0.0 - 0.0 [689] HIV and Hep C negative B12 338 pg/mL 200 - 900 [689] FOLATE,SERUM 12.2 ng/mL Ref: >=5.2 [689] No ETOH, peripheral smear revealed reactive leukocytosis, flow cytometry and MMA pending

Allergies: N/A

Symptoms: neutropenia of unclear origin or significance noted on labs 2/11/21 WBC 2.2, NT count 35%, other cell lines within normal limits last labs done was > 1 year prior and had normal WBC count 6-7 repeat labs 2/22/21 WBC 1.9, NT 25%, ANC 570 Asymptomatic, no infections, no fevers

Other Meds: Amlodopine, Lisinopril, Trazodone, Naltrexone

Current Illness: none

ID: 1046995
Sex: M
Age: 66
State: NE

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: None.

Allergies: No known allergies

Symptoms: He states that he began urinating every 2 hours at approximately 6 p.m. the day he received his second vaccine (approximately 4 hours after his vaccine) and this lasted until 8:00 a.m. the following morning (14 hours). He had no other urinary complaints to suggest an infection. He also had 3 episodes of diarrhea, fatigue, and joint pain following his second dose of vaccine.

Other Meds: Benadryl 25 mg by mouth, 1 to 2 tablets as needed at bedtime

Current Illness: N/A

ID: 1046996
Sex: F
Age: 26
State: MT

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

Lab Data:

Allergies:

Symptoms: Fever, Nausea, Injection site swelling

Other Meds:

Current Illness:

ID: 1046997
Sex: F
Age: 41
State: CA

Vax Date: 01/29/2021
Onset Date: 02/05/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: None

Allergies: Oranges, singulair

Symptoms: Large red rash approximately 5 inches in diameter surrounding injection site. Colored red to purple. Hot to the touch. Muscle very hard and swollen. Itchy rash covering entire surface of affected site. Very large bruise at injection entry. Treated with Benadryl, hydrocortisone cream and cool compresses. Rash cleared in approximately 5 days.

Other Meds: Advair 500 Claritin 5mg

Current Illness: None

ID: 1046998
Sex: F
Age: 36
State: PA

Vax Date: 02/20/2021
Onset Date: 02/21/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Around 9:30/10p, about 32 hours after receiving the vaccination, my whole body except for my face, hands and below my knees broke out in hives.

Other Meds: Lexapro Buspirone Loestrin Probiotic blend Vitamin C Astaxanthin Vegetarian Collagen Rhodiola Magnesium

Current Illness: No

ID: 1046999
Sex: F
Age: 46
State: NY

Vax Date: 02/12/2021
Onset Date: 02/20/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: Rash appeared on arm one week after the injection. It was approx 6x4 inches. The area was red, raised, hot to the touch and extremely itchy. Treated with ice packs, cortisone cream and Benadryl. As of today area is much improved but not completely resolved.

Other Meds:

Current Illness:

ID: 1047000
Sex: F
Age: 69
State: FL

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies: LATEX

Symptoms: PHARMACIST WAS INFORMED WHILE CALLING TO SET UP APPOINTMENT FOR THE SECOND DOSE OF THE MODERNA COVID VACCINE. PATIENT STATED THAT SHE STARTED HAVING REDNESS, FEVER, SWELLING, AND ITCHING AT THE INJECTION SITE A FEW HOURS FOLLOWING THE INJECTION. SHE STARTED TO DEVELOP RASH AND HIVES SYSTEMICALLY OVER THE NEXT FEW DAYS FOLLOWING THE INJECTION. PRESENTED AT AN URGENT CARE CENTER ON 02/20/2021 AND RECEIVED A STEROID FOR TREATMENT. PHYSICIAN AT THE URGENT CARE CENTER WANTED HER TO RECEIVE THE 2ND DOSE.

Other Meds:

Current Illness:

ID: 1047001
Sex: F
Age: 65
State: FL

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

Lab Data: LEFT WITH FIRE RESCUE

Allergies: PENICILLIN AND ADVERSE REACTION TO LEPTOSPIROSIS VACCINE

Symptoms: Patient reported feeling dizzy after few minutes of receiving the vaccine. No air way compromised, vital BP: 164/84, HR: 103, SpO2: 100.83. TAKEN TO THE HOSPITAL BECAUSE HISTORY OF ADVERSE REACTION TO PENICILLINE AND LEPTOSPIROSIS VACCINE.

Other Meds: unknown

Current Illness: NO REPORTED

ID: 1047002
Sex: F
Age: 59
State: GA

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

Lab Data:

Allergies: Codiene

Symptoms: swelling, hot to touch with tenderness, enlarge lymph node right side of neck, fever

Other Meds: Glipizide Plavix Effexor Coreg Vitamin E Omega 3 Lantus Jardinance

Current Illness: diabetes hypertension heart stent

ID: 1047003
Sex: F
Age: 37
State: CA

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

Lab Data: Vitals taken and stable.

Allergies: Sulfa, shellfish

Symptoms: Patient was observed for 30 minutes following her vaccine and then was dismissed of, symptom free. She then returned after 12 minutes complaining of feeling hot and flushed and throat, face and arms itching. Her O2 sat was 99% on room air, heart rate 71, respiratory rate of 18. She was given Benadryl 50 mg PO and after 10 or 15 minutes stated she did not have any of noted symptoms any longer.

Other Meds: Levothyroxine

Current Illness: na

ID: 1047004
Sex: F
Age: 79
State: UT

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: none

Allergies: Pennicillin

Symptoms: Temp 101.8 for about 30 hours. Vomiting multiple times in 24 hour period.

Other Meds: Valcyclovir, Levothyroxin, Tramadol, Sotalol, Zinc, Vitamin C, Calcium

Current Illness: None

ID: 1047005
Sex: F
Age: 51
State: TX

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies: UNK

Symptoms: itchy, red, fir, swollen site and Headache

Other Meds: UNK

Current Illness: UNK

ID: 1047006
Sex: F
Age: 79
State: IL

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

Lab Data: N/A

Allergies: Carafate [sucralfate] Celexa [citalopram Hydrobromide] Hydralazine Hydrocodone Meperidine And Related Morphine Xanax [alprazolam]

Symptoms: Patient received COVID- 19 (Moderna) Vaccine on 2/20. She reported for a follow up appointment with her PCP 2/22 and reported redness and swelling at the injection site. Patient's PCP diagnosed her with cellulitis and prescribed 10 days worth of Keflex for treatment.

Other Meds: albuterol (PROVENTIL, VENTOLIN) (2.5 MG/3ML) 0.083% Nebulizer Soln ALBUTEROL 108 (90 Base) MCG/ACT Aerosol Solution amLODIPine (NORVASC) 5 MG Tablet atorvastatin (LIPITOR) 40 MG Tablet butalbital-acetaminophen-caffeine-codeine (FIORICET

Current Illness: N/A

ID: 1047007
Sex: M
Age: 44
State: NJ

Vax Date: 01/12/2021
Onset Date: 02/09/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: CT Scan with IV and PO contrast 2/20/2021 WBC count 15,000

Allergies: Penicillin

Symptoms: Acute diverticulitis (first ever episode) and peritonitis

Other Meds: Metformin, Vitamin D, Vitamin B12, Vitamin C

Current Illness: None

ID: 1047008
Sex: U
Age: 82
State: KY

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

Lab Data: 02/22/21 @ 1342 EKG SHOWED SVT WITH EART RATE 182. 02/22/21 @ 1418 EKG PERFORMED AFTER ADENOSINE HAD BEEN ADMINISTERED, NSR WITH J POINT ELEVATION, HEART RATE 84. 02/22/21 ELEVATED BNP 2650.0

Allergies: ACE INHIBITORS DARVON MORPHINE PENICILLINS SULFA ANTIBIOTICS CORTIZONE-5

Symptoms: RECEIVED BOTH DOSES OF PFIZER COVID-19 VACCINE ON 01/31/21 & 02/21/21. ON 02/22/21 WENT TO ER WITH COMPLAINTS OF TACHYCARDIA AND SHORTNESS OF BREATH. PLAN TO ADMIT TO HOSPITAL DUE TO INCIDENCE OF SVT.

Other Meds:

Current Illness:

ID: 1047009
Sex: F
Age: 79
State: NY

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

Lab Data:

Allergies: LYRACA & ADHISIVE TAPE

Symptoms: PAIN IN BOTH ARMS, CHILLS, WHOLE BODY ACHED

Other Meds: A-Z VITAMINS, ATORVASTAIN, BACLOFEN ,BALSALAZIDE, CRESTOR, DULOXETINE, FOLTANX,HYDROCHLOROTHIAZIDE,TOVIAZ, TRAMADOL, 8 HR. TYLENOL, WARFARIN, CALTRATE + D & VITAMIN D3

Current Illness: NEUROPOTHY IN FEET, LEG VEIN PROBLEMS

ID: 1047010
Sex: F
Age: 33
State:

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

Lab Data: N/A

Allergies: Skin Allergies to many common household items (lotions, soaps etc.) - result in hives, rash, on face, scalp, chest, neck, ears, and back (all skin above bellybutton)

Symptoms: Almost immediately my arm was sore (as expected). However, about 7 hours after the shot I developed a fever (101), body aches, weakness, reduced O2 saturation (95-95), tightness in my chest, fatigue, nausea, and headache. These symptoms were severe and persistent from 8pm 2/19 through overnight on 2/21. I treated it with Extra Strength Tylenol 1,000mg every 6 hours like clockwork, hydration and rest. I slept about 18-20 hours each day (Saturday and Sunday). I awoke on 2/22 with only fatigue, sporadic tightness in my chest and O2 at 95 remaining. As of today 2/22 at 2:40pm the tightness in my chest has gone and my fatigue is gone. I do not know my O2 saturation right now as I left my reader at home.

Other Meds: Birth control - brand not known right now Extra Strength Tylenol 1,000mg as needed for pain

Current Illness: I had COVID-19 in December 2020 - diagnosed positive on 12/26/2020

ID: 1047011
Sex: F
Age: 38
State: KY

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

Lab Data:

Allergies:

Symptoms: Patient reports she had numbness in her tongue for approx 24 hours after Moderna Covid 19 Vaccine dose #1. Pt also reports approx one week after receiving first dose of Moderna Cov19 vaccine she had edema to left side of face. Nurse suggest patient consult with per PCP before receiving 2nd dose of Monderna Covid19 vaccine. Pt called her PCP office, who suggested not to receive 2nd dose of vaccine. Patient currently declines to receive 2nd dose at this time.

Other Meds:

Current Illness:

ID: 1047012
Sex: F
Age: 67
State: CO

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies: Allergies to flu vaccine, iodine, latex, adhesives, percoset, vicodin, morphine, flagil, macrobid, bactrim

Symptoms: Throat was closing up, had heart palpitations and trouble catching her breath; alarmed her that her heart was beating fast.

Other Meds: Multiple

Current Illness: None

ID: 1047013
Sex: F
Age: 73
State: IL

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

Lab Data: none

Allergies: muscle relaxants

Symptoms: Red rash at site of injection. started out splochy and then filled in

Other Meds: No

Current Illness: nonw

ID: 1047014
Sex: M
Age: 85
State: NY

Vax Date: 02/09/2021
Onset Date: 02/13/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: 2/14/21 - X-ray -

Allergies: None

Symptoms: Severe muscle spasm in lower left side of back

Other Meds: Eliquis, clonazePAM, hydroCHLOROthiazide, losartan, metoprolol, montelukast, rousuvastatin, silodosin

Current Illness: None

ID: 1047015
Sex: F
Age: 36
State:

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

Lab Data:

Allergies:

Symptoms: C/o red rash at injection sits extending to upper chest and neck. Denies itching. 1:13pm evaluated by EMS. BP 171/113. Recheck improved. Discharged home with significant improvement in rash.

Other Meds:

Current Illness:

ID: 1047016
Sex: M
Age: 28
State: MT

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

Lab Data:

Allergies:

Symptoms: Fever, Chills, & Nausea

Other Meds:

Current Illness:

ID: 1047017
Sex: F
Age: 57
State: PA

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

Lab Data:

Allergies: cipro, Bactrim, morphine, percocet

Symptoms: Pt. presents today with itching post receiving 1st pfizer covid vaccine on 2/22/21 to right arm on 2/22/21 at 14:38 pm/ Pt. states that she started having itching shortly afterwards. Pt. denies shortness of breath, denies

Other Meds: none

Current Illness: none

ID: 1047018
Sex: F
Age: 35
State: NY

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: None

Allergies: Nickel, ragweed

Symptoms: About 3 hours after the injection, I was hit all of a sudden with extreme fatigue and dizziness. This lasted several hours until a took a 2-3 hour nap after lunch. I felt better enough after the nap to at least get through the rest of the day. However, by around 8 pm I had uncontrollable shaking chills. Could not get warm. Eventually fell asleep, and woke up 3 hours later with fever and severe body aches. My temperature was 101.5, but consider that my normal body temp is a full degree lower than average, so for me this was extremely hot. I felt like my body was radiating heat like a furnace. I was so hot and uncomfortable that I couldn't sleep, and gave up after an hour. I got up and had a Tylenol, tea, and snack (so as to not have the Tylenol on empty stomach). A little before 4 am I finally fell asleep again. When I woke up around 7 am, I didn't feel quite so hot anymore but there were still the body aches. As the morning went on, the aches reduced to just my upper body, neck, and the sore injection arm. I had a headache through the morning and early afternoon, but by late afternoon I was feeling more normal again.

Other Meds: Multivitamin, Omega, D, probiotic

Current Illness: None

ID: 1047019
Sex: F
Age: 61
State: AZ

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 02/22/2021
Hospital: Y

Lab Data: Hospitalized for 4 day, labs run several time, several IV drips, antibiotics

Allergies: Penicillin, latex

Symptoms: Vomiting, rash, dizziness, weakness

Other Meds: Atorvastatin, omerprazole, vitamin C, multi vitamin

Current Illness: N/A

ID: 1047020
Sex: F
Age: 54
State: NY

Vax Date: 02/13/2021
Onset Date: 02/20/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: Of note: tested positive for Covid antibodies in December 2020.

Allergies: none

Symptoms: A week post-injection, developed systemic hives. Hives (large and itchy) covered arms, legs, and part of face. Three days thus far.

Other Meds: Benicar

Current Illness: none

ID: 1047021
Sex: F
Age: 46
State: MD

Vax Date: 01/25/2021
Onset Date: 02/14/2021
Rec V Date: 02/22/2021
Hospital: Y

Lab Data:

Allergies: NKA

Symptoms: Patient was admitted s/p hysterectomy, found to have PE and AKI. Patient treated with heparin drip, transitioned to Eliquis and discharged

Other Meds: none

Current Illness:

ID: 1047022
Sex: F
Age: 55
State: NJ

Vax Date: 02/03/2021
Onset Date: 02/20/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: none

Allergies: gluten-intolerant

Symptoms: Initially had some redness and swelling, as expected, but then the redness and swelling returned and is also itchy. Taking allegra, tylenol and topical benadryl to try to control symptoms. Low-grade fever of about a degree or so that varies.

Other Meds: Vitamin D, Synthroid, Advair, Pepcid, Zegerid, Losartan Potassium, Tylenol, SAM-e

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm