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: 1047174
Sex: F
Age: 24
State: IL

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

Lab Data:

Allergies: None

Symptoms: The next day after receiving the vaccine I noticed the band aid over the injection site was wet, so I removed the band aid and there was a small (pencil eraser size) area of desquamated skin with clear liquid coming out. Over the next day it developed into a blister that did not rupture, and is now a dark red slightly raised area with scabbing/crusting around the edges. It is mildly pruritic but otherwise not bothersome

Other Meds: Completed Metronidazole 2 days prior to vaccine. Was not taking anything during the vaccine. Pt. uses NuvaRing and had ring in during vaccination

Current Illness: Fever, chills, headache, and heart burn for 24 hours after first dose of vaccine (1/22/21).

ID: 1047175
Sex: M
Age: 70
State: MA

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

Lab Data: None

Allergies: None

Symptoms: Intermittent dizziness.

Other Meds: Avorstatin, Baby Aspirin, Multi Vitamin. Vitamin D3

Current Illness: None

ID: 1047176
Sex: M
Age: 83
State: LA

Vax Date: 01/27/2021
Onset Date: 02/19/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: February 19 - CT scan of head which was negative for a recent stroke (it did show evidence of a previous known stroke from years ago) February 19 - ultrasound of carotid arteries and heart; EKG; chest x-ray, various lab work. ultimate diagnosis was Bell's Palsy - an active stroke was ruled out.

Allergies: no drug allergies, no food allergies, no other allergies

Symptoms: On Friday morning, February 19 around 9 am, patient felt like he was biting his lip but didn't say/do anything about it. He got up and got dressed, went about his day. Around 12:30 his nephew saw him and commented that his left eye was puffy and red, his face was swollen and drooped and he looked like he was having an allergic reaction of some kind. At that time, his speech became slurred. They got a neighbor, who is a nurse, to come over. She recommended medical attention. They went to an urgent care center and were immediately sent to the hospital.. Left side of his face was drooping and his speech was slurred. There were no cognitive issues. Arrived at hospital around 1:30. He was assessed immediately for a stroke and it was determined that he had not had a stroke. Bell's Palsy was diagnosed. He was given a steroid injection at the hospital and given a Medrol dosepak to begin on Saturday, Feb. 20 and sent home. As of today, Monday, February 22, his symptoms are improving.

Other Meds: finasteride, oxybutynin, famotidine (prn), lovastatin, super vitamin B complex, Bayer Aspirin 325 mg, ibuprofen

Current Illness: none

ID: 1047177
Sex: F
Age: 77
State: NC

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

Lab Data: none

Allergies: none listed

Symptoms: patient c/o lightheadness at 11:55am. Blood pressure was 142/90. Consulted with Doctor. observed for 10 more minutes. Patient started c/o numbness in face, shortness of breath and chest pain around 12:05pm. 02 was 99%. Consulted with Doctor and paramedics called. Patient was confused and had difficulty with balance while being transferred to ambulance. Transported to medical Center at 12:18pm

Other Meds: baby Aspirin

Current Illness: unknown

ID: 1047178
Sex: F
Age: 64
State: NM

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

Lab Data:

Allergies: Penicillen food sensitivities: dairy, egg, wheat

Symptoms: One week after receiving my first Moderna vaccine, I developed a rash and swelling at the injection site. The rash was about 6-8 inches across, and slightly itchy. The site is swollen and warm to the touch. I've had the rash now for 3 days.

Other Meds: Fluoxetine Hcl Tabs 10 Mg Multivitamin Calcium/magnesium supplement

Current Illness:

ID: 1047179
Sex: F
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: Body aches & Headache

Other Meds:

Current Illness:

ID: 1047180
Sex: F
Age: 45
State: MS

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

Lab Data: NONE AT THIS TIME OTHER THAN LABS DRAWN TODAY. RESULTS NOT BACK YET

Allergies: NKA

Symptoms: OUTER SIDE OF RIGHT FOOT AND 3RD AND 5TH DIGIT ARE BLUISH/PURPLE, THEN RED, SWOLLEN AND PAINFUL. NO OTHER EXPLANATION FOUND FOR THIS ISSUE

Other Meds: XIGDUO, METOPROLOL, LOSARTAN, OZEMPIC, ZETIA

Current Illness: NONE

ID: 1047181
Sex: F
Age: 82
State: TX

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

Lab Data:

Allergies:

Symptoms: Hospitalized for possible TIA or stroke or maybe Guillain Barre syndrome

Other Meds: Valsartan/HCTZ 160mg/25mg Gemfibrozil 600 mg

Current Illness:

ID: 1047182
Sex: M
Age: 71
State: CT

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: CT, blood work

Allergies: Nsaids

Symptoms: pt states the next day after he got the covid vax that he wasnt feeling well, he didnt feel right, foggy headed, felt disoriented and confused. He couldnt put words together to make a sentence. He got up to go into the kitchen and then urinated all over himself. He was worried about falling sleep, scared he would die in his sleep. The 3rd woke up and was feeling some better but still foggy headed. Pt went to the ER about 5 days later. They did a CT and blood work. He thinks the tests results came back negative. They wanted him to stay longer and maybe see a Neurologist but since there wasnt one available to see at that time the pt decided to go home. He has blood work and urine labs to be done at the facility on 2/23/2021. Pt states he is feeling better at this time.

Other Meds: probiotic 10, acetophetomine325 x4 daily, apixaban 5mg x1 every 12 hrs, folic acid 1mg, fluconazole 200mg x2 every 12 hrs, buprenorphine 8mg x 3 daily, simvastatin 40 mg, metoprolol 50mg 1 1/2 tab x2 daily, gabapentin 300mg 3 tabs x 3 dail

Current Illness: no

Date Died: 01/01/2021

ID: 1047183
Sex: F
Age: 82
State: MO

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

Lab Data:

Allergies:

Symptoms: Pt had expired before second dose was delivered.

Other Meds:

Current Illness:

ID: 1047184
Sex: F
Age: 44
State: CA

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

Lab Data: Labs all normal no X-Ray done.

Allergies: Penicillin, Sulfa, Bactrim, Codeine, Shell Fish

Symptoms: 1/27/21-About 2 hours after injection; developed facial, neck and chest rash, and itchy throat. 75mg Benadryl taken orally. - 1 hour later dizziness, heart rate 44, lost voice, face looked swollen. - 5 hours after vaccine administered went to outpatient clinic, heart rate 48 there. - After 1 hour, heart rate 120, sweaty, dyspnea and went to Emergency Room. 1/27/21-Amitted to Hospital -Given Solumedrol, Benadryl and Pepcid. Slowly improved. 1/29/21-Discharged Home on Pepcid 20mg BID x15 Days and PRN Benadryl. 2/8/21-Returned to work, but still has to take Benadryl daily for rash and uses Albuterol inhaler intermittently for "tightness" in throat.

Other Meds: Levothyroxin, Ibuprofen, Tylenol

Current Illness: None

ID: 1047185
Sex: F
Age: 75
State: NY

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

Lab Data: None.

Allergies:

Symptoms: Site of vaccination began itching about one week after injection. A red area surrounding the injection site was noted about 3 days later. Itching is insignificant, and the arm is otherwise completely normal. Since it is now about 10 days after the injection, I don't know how long it will take before the rash disappears.

Other Meds:

Current Illness:

ID: 1047186
Sex: F
Age: 77
State: WA

Vax Date: 02/18/2021
Onset Date: 02/21/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Problem # 1: Allergic contact dermatitis (ICD-692.9) (ICD10-L23.9) Diffuse erythematous plaque-like allergic appearing rash on face trunk arms and scalp. Timeline suggest it is a reaction to her second Covid vaccine injection. Only other new exposure was going to be pewter day prior to symptoms and eating popcorn but she has had this in the past with no problems Suggest we stated before that this is a reaction to Moderna Covid vaccine I would suggest she not get it in the future if able to We will treat with oral prednisone and continue antihistamines. Also use ice packs , oatmeal baths and calamine to help with itching She will call or portal if symptoms or not improving.

Other Meds: 1) Efudex 5 % External Cream (Fluorouracil) .... apply thin layer to sun damaged lesion once daily for 2-4 weeks. wash hands after use 2) Atorvastatin Calcium 40 Mg Oral Tablet (Atorvastatin Calcium) .... Take 1 tablet by mouth daily for ch

Current Illness: none

ID: 1047187
Sex: F
Age: 63
State: CA

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

Lab Data: None

Allergies: None

Symptoms: Patient complained of tingling sensation of the mouth and tongue, no numbness, sensation remains intact., not in respiratory distress, able to respond verbally. Patient stated that she also experienced tingling on f the mouth and tongue and pain on lower back after her first dose, but resolved after 15 minutes.

Other Meds: Atenolol, Metformin

Current Illness: DM 2, Hypertension

ID: 1047188
Sex: F
Age: 71
State:

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

Lab Data:

Allergies:

Symptoms: Day 7 post COVID shot she got redness around injections site and very itchy

Other Meds:

Current Illness:

ID: 1047189
Sex: F
Age: 37
State: TX

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies: rash with antibiotics like Amoxicillin, rash with peanut butter .

Symptoms: Fever, chills, body pain, headache and mild rash on the chest and back. took Advil every 8 hours. rash disappeared after 24 hours.

Other Meds: Excedrin Migraine. Omega-3 .

Current Illness: N/A

ID: 1047190
Sex: F
Age: 48
State: AZ

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

Lab Data:

Allergies: artichokes, latex, chemical allergies, adhesives

Symptoms: Felt as though she was having an asthma attack. Used her own inhaler with relief. Has clear lung sounds and oxygen sat. is good. Has minor swelling to both hands which she sts she had with the first COVID vaccine.

Other Meds: Synthroid, albuterol, singular

Current Illness:

ID: 1047191
Sex: F
Age: 33
State: NJ

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

Lab Data:

Allergies: n/a

Symptoms: For about 8 hours on the day after I received the second shot, I experienced sweats (no chills) and (possibly) a fever. I felt slightly achy and tired. I did not have pain at the injection site or any difficulty lifting my arm.

Other Meds: No pregnancy complications, due 3/23/21

Current Illness: n/a

ID: 1047192
Sex: F
Age: 82
State: MO

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

Lab Data:

Allergies:

Symptoms: Pt refused second dose of vaccine. She cited adverse effects but couldnt not provide specific details.....

Other Meds:

Current Illness:

ID: 1047194
Sex: F
Age: 52
State: NJ

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

Lab Data:

Allergies: sulfur, flagyl,

Symptoms: ed in ER: given predisone and breathing treatment and was was released at 1:36 pm. Was given an Rx to take 50 MG of Prevacid to take 1x a day for 5 days. Saturday: 2/20/2021 -- Took 50 mg of prevacid at 9 am and 10 mg of pepcid 4:50 pm. Eyes swelled, lump in throat Went to ER Was admitted for observation at hospital. Received predisone and benedryl through IV 1:30 bottom lip started to swell was given 25 mg of benadryl by mouth Around 7:30 am scalp started to itch - Was given 20 mg of predisone orally Around 9 am rash on face was given 50 mg of benadryl Around 2:30 pm Doctor came into room because my throat felt tight. She looked at it and said "its not too bad." She had the nurse give me benadryl via interveniously Was discharged around 3:30 pm on Sunday, February 21, 2021 Monday: 2/22/2021 Around 1:15 pm felt lump in throat, felt like my neck was swollen, took 25 mg of benadryl. Called Doctor. Took another 25 mg of Benadryl. Still didn't feel right. Went over to Dr office, my asthma and allergy doctor. At Dr office, I was given two injections of medication. (He told me what it was, but I cant recall the names.) He sent me home with the following instructions: zyretc 10 mg am and pm bendryl 25 mg every 4 hours as needed pepcid 20 mg am and pm predisone 20 mg 3x1 day tomorrow take 20 mg of predisone I am to call his office after 1 pm tomorrow 2/23/2021 to give status report on how I am doing

Other Meds: zyrtec, multi vitamins, rhinocort

Current Illness: No active illness. Was healthy at the time

ID: 1047195
Sex: F
Age: 69
State: TN

Vax Date: 02/08/2021
Onset Date: 02/17/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Covid arm Itchy, rash, a little swollen and warm Almost a cramping like pain in thigh muscle and bicep, which came and went for three days

Other Meds: Zyrtec d

Current Illness: No

ID: 1047196
Sex: F
Age: 81
State: MA

Vax Date: 02/10/2021
Onset Date: 02/21/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies: Sulfur drugs

Symptoms: Rash,itch, swelling. Headache, fatigue.

Other Meds: Lisinoprile, Hydro, Amlodipine, omeprosole.

Current Illness: none

Date Died: 02/20/2021

ID: 1047197
Sex: M
Age: 84
State: KS

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

Lab Data:

Allergies: NKDA

Symptoms: death

Other Meds: Morphine concentrate, Lorazepam Intensol, Clopidogrel, Vitamin D2, Tamsulosin, Amlodipine, Atovastatin

Current Illness: Pt on hospice

ID: 1047198
Sex: F
Age: 77
State: FL

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

Lab Data:

Allergies: none

Symptoms: swelling hard red itching and burning at the site. 10 days after injection.

Other Meds: thyroid meds

Current Illness: none

ID: 1047199
Sex: M
Age: 73
State: NY

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: Cystoscopy, urine tests and CAT Scan (02/04/2021 and 02/05/2021

Allergies: Alphagan drops

Symptoms: First dose received 01/22/2021 and second dose on above date (02/11/2021) These events may have no relation to the vaccination but due to their concomitance, I eventually felt it might be best to report them. Three days following the first dose, I started to experience hematuria as well as constipation. It has happened before as a result of radiation treatment back in 2005/2006. Saw my urologist on 02/02/2021, and had several tests, ruling out any return of cancer. Antibiotics improved the situation, which was getting closer to normal prior to getting the second dose. Again, three days following the second dose, hematuria returned and still prevails at various degrees. Also experience fatigue and weight loss.

Other Meds:

Current Illness: Glaucoma

ID: 1047200
Sex: M
Age: 40
State: OR

Vax Date: 01/13/2021
Onset Date: 02/05/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Patient had breakthrough seizure on 2/5/2021. Last prior seizure was 5/2020 before starting Keppra. It is not clear if seizure was related to vaccine.

Other Meds: Hydroxychloroquine, keppra, fenofibrate, aspirin

Current Illness: Chronic lupus, seizure disorder, hypertriglyceridemia

ID: 1047201
Sex: F
Age: 35
State: KS

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

Lab Data:

Allergies: Penicillin, Sulfa, Cipro, Cephalaxin

Symptoms: Rash and itchiness within 30 minute waiting period

Other Meds:

Current Illness:

ID: 1047202
Sex: F
Age: 75
State: OH

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

Lab Data: n/a nurses like to wait and see

Allergies: PCN, Norco, codiene, phenergan, Darvon. mild latex, seasonal, sole, flounder

Symptoms: About 11 am I was masked in church and developed a tickle in my throat. I cleared my throat to no relief. I took 2 cough drops. About 11:30 I got a bottle of water. No relief after drinking 8 ounces. I left the service, went outside, removed my mask and was coughing forcibly for about 15 minutes or so. Expectorated clear phlegm 6 - 8 times. Gradually I settled to normal. Just some residual soreness in throat. This was an unusual occurrence for me. I was covid positive in early Dec, but had a very mild case. Back in the 70's I would have reaction to allergy shots. I waited in the office 15 minutes, but 45 minutes later when I arrived home I had huge hives and severe itching.

Other Meds: Diltazem CD, pravastatin, fenobibrate, chlortrimeton, EC aspirin, MVI, calcium

Current Illness: n/a

ID: 1047203
Sex: F
Age: 44
State: AR

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

Lab Data:

Allergies: Codeine, hydrocodone, tramodol

Symptoms: Intermittent Loss of taste, rash, body aches, muscle aches, sore throat, tiredness, weakness, migraine, shortness of breath, ear pain

Other Meds: Lisinopril, adavan, lamotrogine, metropolol, trazodone

Current Illness: None

ID: 1047204
Sex: F
Age: 73
State: ME

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

Lab Data: brain MRI 2/21/2021

Allergies: Januvia, NSAIDs

Symptoms: Acute thalamic cerebrovascular event

Other Meds: Fish oil, gabapentin, glipizide, HCTZ, losartan, metformin, metoprolol, aspirin, oxybutynin, tramadol, Tresiba, venlafaxine

Current Illness: none

ID: 1047205
Sex: F
Age: 80
State: VA

Vax Date: 02/13/2021
Onset Date: 02/19/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: n/a

Allergies: none

Symptoms: very labored breathing i used albuterol nebulizer for breathing treatments to relieve symptoms. symptoms lasted for 2 days.

Other Meds: albuterol, calcium-vitamin D, diclofenac DR, gabapentin, levothyroxine, losartan-hydroCHLOROyhiazide, multi-Vitamin PO, Omega-3 Fatty Acids-Vitamin E, tramadol

Current Illness:

ID: 1047206
Sex: F
Age: 41
State: MA

Vax Date: 01/27/2021
Onset Date: 02/04/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: None

Allergies: Shellfish (specifically mollusks)

Symptoms: Red, itchy rash at injection site. Started 8 days after vaccine, increasingly worsening until day 12 after vaccine. Initially started about the size of a dime. Got to 6 x 6 inches with a raised red edge. After day 12 gradually improved. Now at day 26, still have a small red itchy patch at site of injection surrounded by a slightly larger discolored patch that is lighter than the skin around it.

Other Meds: None

Current Illness: None

ID: 1047207
Sex: F
Age: 36
State: NC

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

Lab Data: BP 140/90

Allergies: Modern vaccine

Symptoms: Itching, eyes swelling immediately after vaccine administration that did not resolve with Benadryl, and BP 140/90, patient was later taken away by EMS

Other Meds: Benadryl

Current Illness:

ID: 1047208
Sex: F
Age: 75
State: SC

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

Lab Data: None

Allergies: Penicillin; Tetracycline; Cleocin; Cipro; Bactrim

Symptoms: Sore arm; Temp of 100 for 2 days; general aches; fatigue; zero energy; headache on day 3

Other Meds: Armour Thyroid; Simvastatin; Singular: Meloxicam; Lisinoprol; Prilosec; Zolpidem - ASA 325; Melatonin; Zyrtec, Mucinex; Nasocort; Multi vitamin; Fish Oil; Salmon oil (I don't eat fish!!); Big B 100; C; Calcium; CLA; Cranberry; E; Flaxseed

Current Illness: None. Receive allergy shots every 1 - 2 weeks.

ID: 1047209
Sex: M
Age: 88
State: NC

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

Lab Data:

Allergies:

Symptoms: Upon entering vaccine administration information from today's clinic into immunization registry, I noticed the patient already received 2 doses of this vaccine.

Other Meds:

Current Illness:

ID: 1047210
Sex: F
Age: 84
State: MO

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

Lab Data:

Allergies:

Symptoms: Pt was discharge by the facility with no follow up instructions or their vaccination card. Pt is lost to followup

Other Meds:

Current Illness:

ID: 1047211
Sex: F
Age: 31
State: KY

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

Lab Data:

Allergies: None

Symptoms: Swollen red itchy rash at site one week post vaccination

Other Meds: Kurvelo birth control

Current Illness: None

ID: 1047212
Sex: M
Age: 57
State: FL

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: none

Allergies: NKA

Symptoms: Day after vaccine arm was very very sore, with a hard lump on arm at injection site. He states he felt hot flashed and then cold flashes that continue to this day. States ' I feel like I have critters crawling up my skin starting at my legs and going through my body. Has headaches that start at the top of his head then pain radiates down the left side and then head feels very warm. At times he feels "like I am in a tunnel " and "everything slows down (mental/cognitive)" Continues s to this day to feel like there are "lumps within soft tissue areas on inner thigh, back and burning sensations. Chills on and off daily Exceptionally tired, no energy, feels drained. No changes in blood pressure

Other Meds: Coreg Propanolol

Current Illness: None

ID: 1047213
Sex: F
Age: 80
State: LA

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

Lab Data: none

Allergies: No Known Allergies

Symptoms: Pt. felt extremely week and her legs gave out. She fell, the daughter put her in bed and she slept. She woke up around midnight to urinate and she felt better, still week but better.

Other Meds: Lisinopril, Metoprolol, Aspirin, Vitamin D3 1000u, Myrbertriq,

Current Illness: Cystitis

ID: 1047214
Sex: M
Age: 89
State: CA

Vax Date: 02/07/2021
Onset Date: 02/10/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies: Previously, only dust & pollen.

Symptoms: None stated.

Other Meds: Plavix, Testosterone, Slo Niacin, CirO2 & misc vitamins & minerals

Current Illness: None

ID: 1047215
Sex: M
Age: 26
State: NJ

Vax Date: 02/09/2021
Onset Date: 02/17/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: CRP 3116 H; Covid & influenza PCR negative

Allergies: NKDA

Symptoms: pt is hospitalized 2/21/21; current LP is pending; pt has fevers, occipital pain, malaise, neck pain, vomiting; elevated ESR & CRP; MRI & Ct Scan are negative. infectious disease physician Dr.'s differential diagnosis is: Meningoencephalitis (LP performed and is pending results) Vaccine

Other Meds:

Current Illness:

ID: 1047216
Sex: F
Age: 80
State: SC

Vax Date: 01/28/2021
Onset Date: 02/18/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: Results for patient as of 2/22/2021 16:50 2/18/2021 13:43 WBC: 6.4 RBC: 3.35 (L) Hemoglobin: 11.0 (L) Hematocrit: 32.8 (L) MCV: 98.0 (H) MCH: 33.0 MCHC: 33.7 RDW: 12.5 Platelets: 292 MPV: 8.6 Neutrophils, %: 62.0 Lymphocytes, %: 25.8 Monocytes, %: 9.2 Eosinophils %: 1.4 Basophils %: 1.6 Neutrophils, Abs: 3.9 Lymphocytes, Abs: 1.6 Monocytes, Abs: 0.6 Eosinophils, Abs: 0.1 Basophils, Abs: 0.1 Protime: 13.1 INR: 1.01 PTT: 33.7 Sodium: 139 Potassium: 4.6 Chloride: 110 CO2: 26 Anion Gap: 3.0 (L) Glucose: 85 BUN: 42 (H) Creatinine, Serum: 1.59 (H) eGFR African American: 35 (L) eGFR Non-African American: 30 (L) Calcium: 9.9 OSMOLALITY, Calculated: 287.3

Allergies: sulfonamides- shortness of breath

Symptoms: Patient is a 80-year-old female past medical history dementia, carotid artery stenosis, hypertension, GERD, anxiety/depression, etc. Patient presents to the emergency room with her husband secondary to muscle loss in the area where she received a Covid vaccine on 1/29/2021. Husband states that she had equal and normal symmetrical shoulders. On 29 January she did have her first Covid vaccine injection the left shoulder. Has been noticed that the muscle in the area started to reduce significantly almost where there is a hole/defect. Patient denies any pain or discomfort. There was no report of significant bruising over the area. No redness or fevers. Husband states that he is also noticed patient having bruising bilateral forearms intermittently over the past few weeks. No other complaint. No modifying features. * note physician note from ED visit says vaccinated on 1/29, but her appointment was on 1/28.

Other Meds: aspirin (BAYER) 81 mg chewable tablet candesartan (ATACAND) 32 MG tablet cyanocobalamin, vitamin B-12, 2,500 mcg tab tablet donepezil (ARICEPT) 10 MG tablet ferrous sulfate 325 mg (65 mg iron) tablet fluticasone (FLOVENT HFA) 44 m

Current Illness: Cath Mitral Valve Prolapse Add as: unknown 9/23/2016  Abscess of foot New 9/23/2016  Acute sinusitis New Add as: Acute infection of nasal sinus 9/23/2016  Allergic rhinitis New Add as: Atopic rhinitis 9/23/2016  Cerebral microvascular disease New 5/22/2017 5/22/2017  Cerumen impaction New 9/23/2016  2 Chronic lower back pain New Add as: Chronic low back pain 9/23/2016  Eosinophilic esophagitis New Add as: EE (eosinophilic esophagitis) 9/23/2016  Iron deficiency New 9/23/2016  MCI (mild cognitive impairment) New 5/22/2017 5/22/2017  Osteopenia New 9/23/2016  Overactive bladder New 9/23/2016  Resolve Gastroesophageal reflux disease without esophagitis On chart Local Medical Record 10/5/2017 10/5/2017 Acid reflux disease Similar Add as: Gastroesophageal reflux disease 9/23/2016  Resolve Health maintenance examination On chart Local Medical Record 10/5/2017 10/5/2017 Visit for screening mammogram Similar Add as: Encounter for screening mammogram for malignant neoplasm of breast 9/23/2016  Resolve Mixed hyperlipidemia On chart Local Medical Record 10/5/2017 12/19/2019 Hyperlipidemia Similar 9/23/2016  Resolve Weight loss On chart Local Medical Record 1/17/2018 1/17/2018 Weight loss, abnormal Similar Add as: Abnormal loss of weight 9/23/2016  Resolve Abno

ID: 1047218
Sex: M
Age: 77
State: NC

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

Lab Data:

Allergies:

Symptoms: CHILLES, LOW GRADE FEVERE

Other Meds: SIMVASTATEN

Current Illness:

ID: 1047219
Sex: F
Age: 76
State: OH

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

Lab Data: none

Allergies: Zofran, Oxycontin, Oxycodone, Penecillin, several antibiotics.

Symptoms: Slight fever, muscle aches, fatigue, light headedness, mild nausea.

Other Meds: Hydrochlorthiazide, Synthroid, Requip, Fosamax, Doxepin. Multi vitamin/mineral, magnesium, glucosamine, B-complex, Tart Cherry, Cranberry, Biotin, Selenium, Calcium, Vitamin D, Lecithin.

Current Illness: No but I did have Covid 19 starting 12-21. I tested positive on 12-24.

ID: 1047220
Sex: F
Age: 40
State: PA

Vax Date: 01/29/2021
Onset Date: 02/11/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Sore throat, difficulty swallowing. Left arm pit pain for a few days. Had swelling behind left knee with pain, but that has spontaneously resolved. Axillary pain both sides but greater on left side. Ibuprofen as needed.

Other Meds: Zyrtec, Flonase

Current Illness: None

ID: 1047221
Sex: F
Age: 70
State: GA

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

Lab Data: N/A

Allergies: NKA

Symptoms: Patient was given the Pfizer covid vaccine in left deltoid at 3:25 pm. At 3:32 pm patient c/o jaw-throat-tingling. Also reported, "Buzzing like a tuning fork." Patient reports hx of panic attacks and tremors. At 3:45 pm Benadryl 50 mg PO was administered. Patient questions, "Do you have anything stronger?" She also instructed, "Crush up the pills to make them work faster." Vitals signs were monitored: At 3:32 pm BP 156/85, at 3:42 pm BP 158/91, HR 72, at 3:48 BP 178/92, HR 85, Resp 15, O2 Sat 98% room air. Patient advised she needed to call her sister and was talking on the cell phone with full/complete sentences. No shortness of breath observed. No wheezing noted. DC BP was 167/79, HR 68. Sister arrived and assisted with decompression of symptoms. Discharged alert and oriented x 4.

Other Meds: Thyroxin, Losartan, Xanax, Celexa, Mucinex, Diclofenac

Current Illness: Unknown

ID: 1047222
Sex: F
Age: 32
State:

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

Lab Data:

Allergies: None

Symptoms: Migraine headache, exhaustion, pain at injection site, shortness of breath, body aches, chills. Took ibuprofen at onset of symptoms, headache subsided but the rest lingered for another 24 hours.

Other Meds: Microgestin FE 1/20 (contraceptive)

Current Illness: None

ID: 1047223
Sex: F
Age: 68
State: NY

Vax Date: 02/11/2021
Onset Date: 02/13/2021
Rec V Date: 02/22/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Itching started 24-48 hours after the vaccination and was reported to VSafe and has continued til today. My daily VSafe check ins have ended, so I'm reporting a new rash at the injection site. Only today did I notice a round rash about 2 inches in diameter with a leading red edge, but I didn't look at the injection site for the last couple of days, so it may have been there before.

Other Meds: levothyroxine, vitamin D3, Vitamin K2, New Chapter Bone Strength Take Care, Pure Encapsulations O.N.E. multivitamin

Current Illness: none

ID: 1047224
Sex: F
Age: 25
State: MA

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

Lab Data:

Allergies: Amphotericin B

Symptoms: Patient received vaccine, then proceeded to the monitoring station in the clinic. Upon arrival to the Monitoring station, client stated she felt light-headed and appeared dazed. Client escorted to recliner chair to recover. BP 120/78 while seated with legs reclined. Gatorade was given, which the client drank with good effect. After 20 minutes, the client sat up (no longer reclining) and tolerated the position change well. After an additional 5 minutes, the client stood up and felt she had recovered.

Other Meds: Unknown

Current Illness: None stated.

ID: 1047225
Sex: F
Age: 65
State: CA

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

Lab Data: None

Allergies: None

Symptoms: Feeling mostly normal but tired fell asleep at 11PM day of second vaccine. Woke up 1 hour later and got up to go to the bathroom but felt fine. Went out to the hall bathroom so as not to wake husband in Master bath. Urinited and got up slowly as I always do and walked out to the hallway to go back to bed. I lost consciousness and came to when my husband who heard a thud came and found me out having fallen down the stairs.. head on the landing and feet above the landing. I have no recollection of it once leaving the bathroom and i would have headed away from the stairs which was just to the left of the bathroom doorway. I didn't feel any pain. Later found a bump on my forehead of the right side of my face and a bruised lip. He said my back was wet with sweat and I took a couple minutes to come to. After returning to the bed.. i immediately had to empty bowels. Diarrhea.. then the rest of the night in Chills. No fever. Slept most of the next day and night. Headache and joint aches and swelled lymph nodes in neck.. Fatigue through 20th. Mostly better by the 21st. Still today on 22 I am being careful when going from prone to standing. I feel more head pressure getting up and maybe I notice a little nausea when rising. I may just be worried about fainting again. It has never happened to me before. I do have very good blood pressure on the lower side so I was always careful to get up slowly but never fainted. Neck is sore.. Not sure if lymph nodes or something to do with fall.

Other Meds: Levothyroxine. Bioidentical Estrogen and Progesterone cream

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm