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: 1047023
Sex: F
Age: 50
State: AZ

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

Lab Data: none

Allergies: None

Symptoms: Broken blood vessel in right eye. Noticed about 20 min after vaxx. No pain.

Other Meds: None

Current Illness:

ID: 1047024
Sex: M
Age: 59
State: MD

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: Tired, sleepy, vomiting , headache for 3 days after shot, no more vomiting from day 4 and forward, but tired, low energy first 5 days.

Other Meds: Pentoxifylline, nifedipine, vitamin D3, cilostazol, nitroglycerin, mupirocin ointment, formula 7 tolnaftate, genvoya

Current Illness: Frostbite on both feet

ID: 1047025
Sex: F
Age: 51
State: MT

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

Lab Data:

Allergies:

Symptoms: Chills, Nausea, & Body aches

Other Meds:

Current Illness:

ID: 1047026
Sex: F
Age: 59
State: NJ

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

Lab Data:

Allergies:

Symptoms: Low fever, chills, slight aches in joints... sudden onset, reminded me of flu. (Pain at injection site was expected!)

Other Meds:

Current Illness:

ID: 1047027
Sex: F
Age: 73
State: MA

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

Lab Data:

Allergies: NONE

Symptoms: I woke up extremely cold and. shaking the day after my injection. I became weak and dizzy . I could not keep my balance and fell head first into the kitchen cabinet. It was extremely hard to get up from the floor since I was very weak. I used a cane to walk around the house for the next two days. My symptoms returned to normal 2 days later.

Other Meds:

Current Illness: NONE

ID: 1047028
Sex: M
Age: 70
State: ME

Vax Date: 02/04/2021
Onset Date: 02/13/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: CBC + DIFFERENTIAL Order: 202483433 Status: Final result Visible to patient: Yes (MyChart) Next appt: 03/01/2021 at 10:30 AM in Primary Care (MD) Dx: Rheumatoid arthritis involving multip... Component Ref Range & Units 3d ago Leukocytes 4.2 - 9.9 thou/uL 12.2High Erythrocytes 4.08 - 5.74 mil/uL 4.82 Hemoglobin 13.0 - 17.4 g/dL 15.1 Hematocrit 38.0 - 50.0 % 47.4 Mean Corpuscular Volume 82.0 - 100.0 fL 98.3 Mean Corpuscular Hemoglobin 27.0 - 34.0 pg 31.3 Mean Corpuscular Hemoglobin Conc 32.0 - 36.0 g/dL 31.9Low Platelet Count 140 - 440 thou/uL 241 Mean Platelet Volume 8.6 - 12.7 fL 11.0 Erythrocyte Distribution Width SD 37.0 - 48.0 fL 50.7High Erythrocyte Distribution Width CV 12.0 - 14.6 % 13.9 Neutrophils Percent 47 - 80 % 88High Lymphocytes Percent 14 - 46 % 6Low Monocytes Percent 5 - 13 % 6 Eosinophils Percent 0 - 5 % 0 Basophils Percent 0 - 2 % 0 Immature Granulocytes Percent <1 % 0 Neutrophils Absolute 2.40 - 7.60 thou/uL 10.70High Lymphocytes Absolute 1.00 - 3.30 thou/uL 0.77Low Monocytes Absolute 0.25 - 0.90 thou/uL 0.71 Eosinophils Absolute 0.00 - 0.40 thou/uL 0.00 Basophils Absolute 0.00 - 0.12 thou/uL 0.02 Immature Granulocytes Absolute 0.00 - 0.05 thou/uL 0.03 Resulting Agency Specimen Collected: 02/19/21 16:50 Last Resulted: 02/19/21 17:22 Lab Flowsheet Order Details View Encounter Lab and Collection Details Routing Result History Result Communications Result Notes MD 2/22/2021 12:50 PM He can stop the aspirin. I sent my note to Dr but patient might want to call them to report in especially since he is still on the prednisone. I would report this on VAERS. I do not have any other explanation for it. I would like to know what Dr. thinks about the rash and getting a second Covid shot. As long as his symptoms settle down, I would favor getting the second shot. MA 2/22/2021 9:21 AM Wondering also if he should stay the course on the baby asa? Also: do you need me to put in a VAERS report if you think this is vaccine related? MA 2/22/2021 9:19 AM Per wife. He is doing okay. Saturday: he got up and had Left hip pain, top of right foot was red. It was swollen red and it hurts. His left hand hurt and was able to pick up things. Sunday: right Thumb was painful. Right foot better but still red and swollen. Today. The thumb with no pain. The right hand is better. Right foot swollen but still a little red. Done with Pred inose 2/27. Today starts down to two tabs. Sleep is better than it was earlier, but notes he has a CPAP which wakes him up a lot anyway. Wondering if you had Dr.? Employee is his right hand gal in that office. Wondering if all this is related to covid injection? February 2nd. Due for dose two in March: wondering if okay to have second dose 3/4/2021? Taking Tylenol 1000mg TID for pain. He reports he cannot take "a lot" of ibuprofen. MD 2/22/2021 7:59 AM See encounter from 2/19. Let him know nothing exciting on the lab. Ask how the migrating pain and swelling is doing. Follow-ups 2/22/2021 Telephon

Allergies: azithromycin

Symptoms: 2/16/2021: Telephone call to PCP/DR: I. This is all a little strange. Especially with the fever. I would like him seen by NP if we can get him in with fever. I am OK with office visit since we likely have a source in his wrist and he has had first Covid shot. We need to worry about shingles or gout or cellulitis. If no sign of infection, he may benefit from some prednisone unless shingles. 2/16/21 11:08 AM You routed this conversation to, MD 2/16/21 11:08 AM Note:Saw Dr on Friday. He was told to go back on Mycophenolate which he started on Friday. Left hand pain from palm to wrist on Saturday. Some shoulder pain on the left and right side. Sunday pain got worse. Went to the ER at hospital yesterday. Dx'd with carpal tunnell syndrome and gave him a wrist brace. He is taking tylenol/ibuprofen (200mg two tabs q 8 hours) as directed. Temp was 99.8 yesterday. Temp is 99.5 this morning altho he is taking ibu/tylenol as directed. His wife reports he has traveling pain. Today is pain is in the Right hand and right shoulder. No left sided pain today. Today he is able to hold a spoon in the left hand. He had a "real rough night last night", didn't sleep much. She has called Rheum but hasn't heard from them. Okay to put him in with NP? For ER follow up? Or should something else be done? 2/19/2021: Call to office PCP/DR. His wife called saying that he went to the emergency room for severe pain in his left hand and swelling he could not hang on to anything. The pain started on Friday and kept getting worse all weekend . The er told him that it was carpel tunnel and gave him a wrist splint. His wife says that she call his rheumatologist and they started him on prednisone 40 X 3 days, 30 X3 days, 20 X 3 days, 10 for 3 days then stop. She states that now he is having traveling pain it went into his left shoulder and arm. Now it is in his right shoulder and hand the right hand is very swollen can not make a fist. This am she states that he is limping on the right leg the cord in the back is very painful, She then states that now that she thinks about it over a week ago in the evening he told her several nights that he was having difficulty swallowing first it was on the left side then the right side of his throat he did salt water gargles and was fine in the morning but it has continued to come back every night she states now he is saying that it fells like there is something in his throat. Since yesterday it is on the left side of his throat. She is call the rheumatologist but wonders what you think. 2/19/2021: OV with PCP see previous.

Other Meds: ? triamcinolone 0.1 % Cream ? clonazePAM 0.5 MG Tab ? omeprazole 20 MG Capsule Delayed Release ? tamsulosin 0.4 MG Cap ? hydroxychloroquine 200 MG Tab ? Cholecalciferol 1000 units Tab ? ketoconazole 2 % Cream ? cyclobenzaprine 5 MG

Current Illness: 2/11/2021: Bilateral cerumeninosis, removed with manual debridement. Rash: Left lower inner leg: Triamcinolone did not help, this appears fungal. He will use clotrimazole 2-3 times daily for up to 2 weeks, wash with antibacterial soap as needed. Call if not clearing over the next two weeks 2/15/2021: ER visit to hospital. Patient is a 70-year-old male who presents to the emergency department for evaluation of left wrist and hand pain. Symptoms have progressively gotten worse over the course last several days. In triage, and in speaking with Dr., he did endorse intermittent bilateral shoulder pain and discomfort which has been occurring sporadically over the course of the last several months. 2/19/2021: OV with PCP; 1. Migratory polyarthritis He appears to have some form of a migratory arthritis or more of a tendinitis. It has moved too fast to be a true inflammatory arthritis. I wonder if this could be a reaction to the Covid vaccine that he received 2 weeks ago. I suggested that he continue the prednisone as it might be helpful. I will try to get a sedimentation rate and CBC today. I suggested taking some low-dose aspirin for a few days just in case there might be some microscopic clot formation.

ID: 1047029
Sex: F
Age: 56
State: MD

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

Lab Data:

Allergies:

Symptoms: Nausea and Vomiting over 2.5 hours Chills 2 hours Headache 3 days

Other Meds:

Current Illness:

ID: 1047030
Sex: F
Age: 81
State: NE

Vax Date: 02/18/2021
Onset Date: 02/20/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: No

Allergies: Levaquin Clindamycin Flagel Bactrim

Symptoms: I had some shortness of breath. I had chills. 99.4 temp. I was nauseated but never vomited. irregular heartbeat. very tired most of the day. 3 days later I broke out in a rash on my arm below the injection site and around my arm.

Other Meds: metoprolol atorvastatin Losartan Symbicort Inhaler Albuterol Femcyclovere (cold sores) Hydrochlorothiazide Multi vitamin Probiotic Vitamin D3 Metamucil fiber

Current Illness: couldnt urinate

ID: 1047031
Sex: F
Age: 71
State: MA

Vax Date: 02/11/2021
Onset Date: 02/20/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: none

Allergies: iodine taken internally

Symptoms: On 2-20-21, nine days after vaccination, there appeared a "hot pink" blotch on my left arm about an inch below the injection site. It was not swollen or painful but was a little warm. I called the on-call doctor who suggested cold compresses and wait to see if any other changes. By Monday 2/22/21 it appeared less red but still warm and no change in shape. continue to monitor. Called doctor's office to report same. (My doctor on leave)

Other Meds: Synthroid, Lisinopril, Hydrochlorothiazide, Vit C, Calcium, Multi-vitamin

Current Illness: none

ID: 1047032
Sex: M
Age: 50
State: CA

Vax Date: 02/01/2021
Onset Date: 02/03/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: EKG, XRAY, Blood Work, Covid Test - negative, CT,

Allergies: antibiotics

Symptoms: pt stated that on 2/2/2021 he developed and SOB, choking sensation and fatigue. On 2/3/2021 he went to the ER for these symptoms. His O2 level was 98. He as given EKG, XRAY, tested for pneumonia, heart condition and Covid. All test came back negative. He was diagnosed w/ Acute Bronchitis and prescribed an Inhaler and Mucinex. . On 2/4/2021 pt went to his ENT Dr. where he was scoped for possible cancer reoccurrence. The triage of head and neck was negative for any illness. He was told to continue the Inhaler and Mucinex. On 2/5/2021 he went to his PCP and was told there was nothing they could do for him. Told him to wait about 10 days to see if his symptoms subsided, if not he was going to refer him to a Pulmonologist. From 2/5 to 2/19 the shortness of breath and choking sensation continued but the fatigue had subsided. On 2/19 pt woke up w/ severe SOB and choking sensation so pt went back to the ER. They performed another EKG, CT of neck and lungs, Covid Test, blood work, O2 level was 99 with wheezing symptoms. All test were negative but pt still had SOB. Pt was released and referred to ENT Doctor once again on 2/25 w/ Dr. which they will do another scope where they will go further down. Pt thinks his next option maybe a referral to a Pulmonologist.

Other Meds: Levothyroxine

Current Illness: flu like symptoms

ID: 1047033
Sex: F
Age: 82
State: MI

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: 2/16 - went to Cardiologist 2/25 MRI AND CAROTID ULTRASOUND 2/26 APPOINTMENT WITH NEUROLOGIST

Allergies: TENUS TOXIN AND PREMARIN

Symptoms: Had vaccine on 2/15 , then on 2/16 evening had stroke like symptoms trying to turn the TV channel and could not find numbers on remote. then her friend called and could not formulate words to her on the phone and could not say the words that she was thinking. Then she called her brother who is a doctor and he told her to go to Cardiologist and get in. She was talking normal by the time she talked to him. Adverse reaction was TIA. TIA symptoms lasted 5-10 minutes max per patient.

Other Meds: atenoloL (TENORMIN) 25 mg tablet CALCIUM CITRATE ORAL cholecalciferol (VITAMIN D3) 10 mcg (400 unit) capsule FOLIC ACID/MULTIVIT-MIN/LUTEIN (CENTRUM SILVER ORAL) lansoprazole (PREVACID) 15 mg delayed release capsule losartan (COZAAR) 50 mg

Current Illness: HIATAL HERNIA

ID: 1047034
Sex: M
Age: 52
State: WA

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

Lab Data:

Allergies:

Symptoms: Slightly sore arm for a day. Starting ten hours and lasting maybe thirty hours was a series of intense chills and strong, flu=like weakness. From about 24 hours for maybe the next 4 days, significant aggravation of legacy rashes from my chronic skin conditions. After 4 days, they reverted to normal.

Other Meds:

Current Illness:

ID: 1047035
Sex: F
Age: 73
State: TN

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

Lab Data: Xray of swollen arm

Allergies: Codine,fentanol

Symptoms: Very dizzy,headache,violate vomiting, pain swelling in arm

Other Meds: Famotidine isosorbide atorvastatin, tyanol

Current Illness: None

ID: 1047036
Sex: F
Age: 29
State: OH

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

Lab Data:

Allergies: none

Symptoms: after 24 hrs from receiving the second Covid vaccine, I started to feel the typical body aches and low grade fever. However, that evening my lips swelled and my hands and feel swelled along with being itchy on the hands and feet. I took a zyrtec and was better by morning. I did have intense shaking throughout the night and was freezing. I did take 2 doses of ibuprofen during the day on the 21st.

Other Meds: Zoloft 100mg Vyvance 60mg

Current Illness: none

ID: 1047037
Sex: F
Age: 89
State: MD

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

Lab Data:

Allergies: none

Symptoms: Patient was admitted for possible CVA, presented with right facial droop. MRI unable to be completed due to pacemaker. Pt was treated and transferred to inpatient rehab

Other Meds: ascorbic acid, aspirin, atenolol, vitamin d

Current Illness:

ID: 1047038
Sex: F
Age: 19
State: MT

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

Lab Data:

Allergies:

Symptoms: Hot and Cold Flashes, Body aches

Other Meds:

Current Illness:

ID: 1047039
Sex: M
Age: 54
State: NJ

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: After the patient received the second dose of the Moderna vaccine, he experienced Bell face. After two days time, he was okay, and was not experiencing any other symptoms.

Other Meds:

Current Illness:

ID: 1047040
Sex: M
Age: 68
State:

Vax Date: 02/04/2021
Onset Date: 02/16/2021
Rec V Date: 02/22/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Pt admit 2/16 with angioedema after receiving Moderna COVID-19 vaccine 2/4/21 given at store. He was treated with benadryl, pepcid and solu-medrol and symptoms improved. 2/17 solu-medrol dose decreased from 60mg bid to 40mg daily. ADR admitted to VAERs and Moderna. Pt discharged in stable condition.

Other Meds:

Current Illness:

ID: 1047041
Sex: F
Age: 41
State: PA

Vax Date: 02/05/2021
Onset Date: 02/12/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: None

Allergies: None known

Symptoms: Raised rash that was warm to the touch, wasn?t painful but made the arm feel tingly and tired, similar to a flu shot. Seeker care at a clinic where they told me I had cellulitis from the injection site. Prescribed an antibiotic for 7 days.

Other Meds: Women?s one a day vitamin Vitamin c Vitamin d

Current Illness:

ID: 1047042
Sex: F
Age: 77
State: MS

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

Lab Data: None

Allergies:

Symptoms: Chills, fever, nausea, body aches for about 36 hours

Other Meds: Low dose aspirin,losartan, tamoxifen

Current Illness:

ID: 1047043
Sex: F
Age: 66
State: FL

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

Lab Data: None

Allergies: NSAIDS

Symptoms: At 3 a.m. on the 21st, approximately 18 hours after vaccine, got up to go to the bathroom. Felt weak and passed out on bathroom floor.

Other Meds: Crestor and Montelukast

Current Illness: None

ID: 1047044
Sex: M
Age: 69
State: TX

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

Lab Data: Have an appointment tomorrow with my physician

Allergies: No

Symptoms: Involuntary movements on my right hand finger (index) Contacted Moderna for clarification, they said that it was up to me to receive the second dosis since it was not approved by CDC. I was supposed to have the second shot last weekend, I did not take. The Moderna employees referred me to to the fact sheet of the vaccine. One of the components is PEG-2000, Polyethylene Glycol. Reading the CAS it says that this product is not to be used by animals or humans. Please clarify

Other Meds: Lipitor, Hytrin

Current Illness: No

ID: 1047045
Sex: F
Age: 35
State: NY

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

Lab Data:

Allergies:

Symptoms: Reported body aches, fever 100.6F, and headache. 1st dose administered on 1/28/21 Pfizer EL9262 / 2nd dose administered on 2/18/21 Pfizer EN5318

Other Meds:

Current Illness:

ID: 1047046
Sex: F
Age: 66
State: NC

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

Lab Data: n/a

Allergies: xylocaine

Symptoms: after 30 minutes of observation patient was c/o tingling tongue. Benadryl 50 mg given by Physician Assistant and patient was observed for 25 more minutes. Patient stated she felt better and was released.

Other Meds: unknown

Current Illness: unknown

ID: 1047047
Sex: M
Age: 90
State: AL

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: None

Allergies: Codeine, Tramadol, Benadryl, Zinc oxide, Cortisone, Peniccillin, Endal CD

Symptoms: Significant fatigue - Notable in 91 year old lady, with associated fall - Began day following injection and persisting at least three weeks later

Other Meds: Aspirin 81 mg PO daily, Zyrtec 10 mg PO daily, Tylenol 500 mg PO q6h, Levothyroxine 66.25 mcg daily, Zocor 40 mg PO daily, Cymbalta 30 mg PO daily, amlodipine 5 mg PO daily, Lisinopril 10 mg PO daily, Trileptal 150 mg PO BID,

Current Illness: Brief flare of trigeminal neuralgia two weeks earlier

ID: 1047048
Sex: F
Age: 40
State: MT

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

Lab Data:

Allergies:

Symptoms: Sore Arm, Headache, Nausea, & Body aches

Other Meds:

Current Illness:

ID: 1047049
Sex: F
Age: 44
State: MA

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

Lab Data: None

Allergies: Sulfa Codeine

Symptoms: difficulty swallowing- felt like food was stuck in the esophagus approx 30 mins after vaccination was administered. i had a sip of iced tea and stopped eating. This was resolved after about 45 mins.

Other Meds: None

Current Illness: Sinus/Ear Infection weeks prior to 2nd vaccine

ID: 1047050
Sex: F
Age: 58
State: PA

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: none

Allergies: adhesive tape, pcn and latex and other environmental allergy

Symptoms: itching, facial and lip swelling and wheezing /SOB

Other Meds: Humera ( not the same day ) cetirizine, omeprazole, ginger, biotin, flaxseed, multivitamin, mag, turmeric and zinc

Current Illness: none

ID: 1047051
Sex: M
Age: 80
State:

Vax Date: 02/10/2021
Onset Date: 02/18/2021
Rec V Date: 02/22/2021
Hospital: Y

Lab Data:

Allergies: none

Symptoms: Dizzyness/vertigo

Other Meds: metformin, sulfasalizine, bisoprolol, irbsartin, xeralto

Current Illness:

ID: 1047052
Sex: M
Age: 14
State: CA

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

Lab Data: None

Allergies: NKA

Symptoms: Adverse Effect: syncope (Per Father, less than a minute) Tx: Assessed by Provider and VS taken Outcome: Pt in fowler's position x15 additional minutes, with apple juice and H20 provided

Other Meds: None.

Current Illness: None

ID: 1047053
Sex: F
Age: 75
State: FL

Vax Date: 02/16/2021
Onset Date: 02/20/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: NONE

Allergies: Azithromycin

Symptoms: C/O LEFT ARM SORE, RED, PUFFY AND ITCHING X6 DAYS AFTER 2ND VACCINE GIVEN ON 2/16/21. CLIENT WENT TO URGENT CARE AND WAS DIAGNOSED WITH CELLULITIS.

Other Meds: Metoprolol; Lasix; Meclizine; Macrobid; fluconazole; Imipitrium inhaler; aspirin 81mg; losartan; hydrocodone; pantoprazole; reseuvastatin; baclofen

Current Illness: UTI

ID: 1047054
Sex: F
Age: 72
State: NY

Vax Date: 02/08/2021
Onset Date: 02/15/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies: cat and horse dander

Symptoms: Erythema about 3 inches in size around vaccination site with itching

Other Meds: Levothyroxine 75 mcg. daily Centrum Silver daily

Current Illness: none

ID: 1047055
Sex: M
Age: 85
State: CA

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

Lab Data: Troponin

Allergies: NKA

Symptoms: Aprox. 5 minutes post vaccination patient complained of dizziness. When interviewed he stated he had not had any water only coffee today. Patient was provided a bottle of water to sip on while he finshed waiting in the vechile for observation for 15 min. About 5 mins later, checked on patient and patient reported to be doing fine, no complaints and dizziness had resolved. 5 minutes later patients wife called over observation staff reporting patient was having chest pain. Patient appeard altered, but with history of dementia. 911 was called and patient was transported via ambulance. Complaining of 5/10 dull pain in his left upper chest improved when given nitroglycerin en route ED department. No SOB and patient denies ever having pain like this in the past. Observed in the ED for approx 6 hours. Patient then discharged home. Per ED provider "85 y/o male who presents w/ CP s/p COVID vaccine inj. Low clinical suspicion for acute cardo pul pathology give atypical hx, neg ED workup. No recurrence of sx while being observed in ED. Dc w/ con sx care, f/u PCP

Other Meds: Paroxetine, aspirin, donepezil, ezetimibe/simvastatin, fludracortisone, lisinipril, rivastigmine

Current Illness:

ID: 1047056
Sex: F
Age: 54
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, & Body aches

Other Meds:

Current Illness:

ID: 1047057
Sex: F
Age: 49
State: KY

Vax Date: 02/11/2021
Onset Date: 02/21/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies: LATEX ZYRTEC CHLOHEXIDINE

Symptoms: RECEIVED BOTH DOSES OF PFIZER COVID-19 VACCINE ON 01/21/21 & 02/11/21. ON 02/21/21 REPORTED TO ER WITH COMPLAINT OF LEFT ARM PAIN (TINGLING, HEAVY SENSATION). DIAGNOSED WITH PARESTHESIA OF LEFT UPPER EXTREMITY, GOITER, AND DEGENERATIVE DISC DISEASE. DISCHARGED TO HOME SELF CARE.

Other Meds:

Current Illness:

ID: 1047058
Sex: F
Age: 48
State: MD

Vax Date: 01/08/2021
Onset Date: 02/14/2021
Rec V Date: 02/22/2021
Hospital: Y

Lab Data:

Allergies: Penicillins (rash)

Symptoms: Patient admitted after syncopal episode, found subsequently to have a splenic artery aneurysm for which surgery not recommended. Pt was discharged on small-dose anxiolytic

Other Meds:

Current Illness:

ID: 1047059
Sex: F
Age: 62
State: PA

Vax Date: 02/12/2021
Onset Date: 02/19/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Itchy rash at injection site one week after administered. Stopped itching soon after. Faded over the next week

Other Meds: Hydrochlorithiazide, vitamin D, biotin, flaxseed oil.

Current Illness: None

ID: 1047060
Sex: F
Age: 55
State: AZ

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

Lab Data: None

Allergies: NKDA

Symptoms: Left lateral neck pain approximately 5 minutes after vaccination. Pain is rated at a 2 out of 10. Symptoms persisted until she left 20 minutes after vaccine.

Other Meds: Metformin, Levothyroxin

Current Illness:

ID: 1047061
Sex: F
Age: 74
State: PA

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

Lab Data: None

Allergies: Aspirin, quinolone,tetracycline,NSAIDS

Symptoms: Generalized rash legs and arms. Red,warm facial cheeks under mask. Mild bronchospasm better with albuterol. Resolved in 3 hours

Other Meds: Atorvastatin

Current Illness: None

ID: 1047062
Sex: F
Age: 64
State: IN

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

Lab Data: Blood sugars 2/18/21 through today

Allergies: Sulfa

Symptoms: Elevated blood sugars into the 300's. Started next day and have persisted for 4 days requiring me to contact my physician.

Other Meds: Novolog insulin. Lanus insulin. Simvastin. Clonazepam. Vit E, b6, b12. Hctz. Zoloft. Estradiol. Zyrtec. Colace. Fibercon. Levothyroxin. Meclazine hcl.

Current Illness:

ID: 1047063
Sex: F
Age:
State: TN

Vax Date: 02/17/2021
Onset Date: 02/19/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: none

Allergies: Cefdinir

Symptoms: Red swollen ring around vaccine site- warm to touch and painful

Other Meds: Vyvanse

Current Illness: none

ID: 1047064
Sex: F
Age: 44
State: NY

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

Lab Data:

Allergies:

Symptoms: Patient reports that she received the injection "high up" on her shoulder and she thinks that the injection may have gone in to the joint. She had excruciating pain for 48 hours, especially if she tried to move it. It was better after 4 days, but still is uncomfortable 4 weeks later, when she reported this to us. She reports that she will go to her PCP if the pain does not resolve totally. She has been doing ROM excerises that her cousin who is a PT has recommended for her.

Other Meds:

Current Illness:

ID: 1047065
Sex: F
Age: 71
State: CA

Vax Date: 02/12/2021
Onset Date: 02/16/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: None. I don't know if there will be any long term effects from this.

Allergies: sensitive skin

Symptoms: 4 days after the vaccine, I had EXCRUCIATING nerve pain, starting at the upper vertabrae and shooting down both arms to fingertips. Sometimes all the way down my back and the back of my legs. I vomited all day, had a low fever which lasted for 24 hours, then the pain and fever subsided. Still have nausea but no more vomiting . I went to a doctor after that, he also thinks it was a reaction.. On the 7th day, a purple splotchy rash showed on my skin and my hands started swelling up at night, so painful I couldn't even pull up the sheet. The hand swelling goes down during the day and comes back at night. I plan to get an antibody test on Feb. 26. I am 98% certain that I had COVID in July, it was precisely the same symptoms and I had with the vaccine. No treatment, just resting tilll it's over. I am almost 80% better now, but not completely. I worry that I will never get back to 100%, it's been 11 days now.

Other Meds: Atenolol, celexa, meloxicam, baby apririn, amlodipino,

Current Illness: none

ID: 1047066
Sex: M
Age: 77
State: VA

Vax Date: 02/10/2021
Onset Date: 02/15/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies: no known allergies

Symptoms: 2/15/21- client started with itching rash on cheek which then spread to neck, top of head, temple, and eyelid. Still present 2/19/2021

Other Meds: blood thinner- unknown name

Current Illness: 1st dose of Moderna Vaccine

ID: 1047067
Sex: F
Age: 79
State: NE

Vax Date: 02/09/2021
Onset Date: 02/16/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: The patient's arm as been examined by her primary care provider on 02/22/21.

Allergies: Sulfa -- sick stomach

Symptoms: Seven days after receiving the vaccine, the patient's right arm itched, and she reached up to scratch it, and noticed that the area around the deltoid was red. The area does not really itch, but is just red. For the first two days, the rash didn't move. Then over the next several days, the rash starting spreading down the upper arm. On February 18, the patient experienced bad diarrhea. On February 21, the patient put a cold damp cloth over the area to soothe the area. Some areas within the rash are improving, but the redness continues to spread down the arm. The area felt like a bad sunburn, and the patient put some salve on it one day, but did not notice a difference.

Other Meds: Tylenol Alkaselser Stool Softener (OTC)

Current Illness: N/A

ID: 1047068
Sex: M
Age: 31
State: VA

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

Lab Data: n/a

Allergies: NKDA

Symptoms: Initial attempt to administer vaccine in LA was unsuccessful due to vaccine leaking from syringe. Second attempt to vaccinate performed by clinical instructor Dr. and was successful in administering full dose in RA.

Other Meds: n/a

Current Illness: n/a

ID: 1047069
Sex: F
Age: 25
State: MA

Vax Date: 02/14/2021
Onset Date: 02/20/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: Seen by provider on Day 8

Allergies: Some tree nuts (walnuts, pecans, pine nuts) - anaphylaxis

Symptoms: Day 6, woke up with swollen armpit/lymph node and pain on left side. Day 8, lump at injection sight, including red, itchy, and warm to touch

Other Meds: Depo Provera injection, Adderall 10 mg/day, Sertraline 100 mg/day, Vitamin B2 100mg/day; epipen as needed for food allergies

Current Illness: None

ID: 1047070
Sex: F
Age: 80
State: CA

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

Lab Data:

Allergies: n/a

Symptoms: Sore arm, fatigue, muscle aches, loss of appetite.

Other Meds: synthroid .50

Current Illness: none

ID: 1047071
Sex: F
Age: 71
State: OK

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

Lab Data:

Allergies:

Symptoms: Pt developed rash on back. This was her second dose. She feels it is getting better. She states it is not itching. I advised her to call her physician as well.

Other Meds:

Current Illness:

Date Died: 02/18/2021

ID: 1047072
Sex: M
Age: 62
State: CA

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/22/2021
Hospital: Y

Lab Data: not provided

Allergies: no allergies to medications, or food but allergic to cats

Symptoms: Patient had sore arm on the day of vaccination. Per patient's nephew , the next morning patient experienced body pains, aches, headache . Onn Tuesday patient had fever. Patient's condition progressively got worse. He had difficulty breathing by Wednesday night. He had low oxygen levels at 80 per pulse ox reading. Patient was coughing up blood. Family took him to hospital on Thursday morning due to breathing difficulty and patient died 2.18.21 at 10 am

Other Meds: Topamax,

Current Illness: COPD, seizures( patient on medications and controlled), Hernia operation 2 years ago

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm