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: 1048793
Sex: F
Age: 73
State: CT

Vax Date: 02/11/2021
Onset Date: 02/20/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None

Allergies: Synthetic morphime

Symptoms: 9 days post injection Red raised hard rash around injection site 3+ inches in diameter Itchy

Other Meds: Forteo subcu

Current Illness: None

ID: 1048794
Sex: F
Age: 41
State: IL

Vax Date: 02/15/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None

Allergies: Penicillin and Clindamycin

Symptoms: Moderna COVID-19 Vaccine EUA Rash near the injection area 1 week after receiving 1st dose of the vaccine. Itchy and appears to be patchy/legions.

Other Meds: None

Current Illness: None

ID: 1048795
Sex: F
Age: 26
State: KS

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Fever, fatigue, nausea, and R arm pain (like a lot)

Other Meds: Nuva Ring

Current Illness: None

ID: 1048796
Sex: M
Age: 80
State: FL

Vax Date: 01/15/2021
Onset Date: 02/01/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: Lips swollen, painful and then bleeding. Chest burning, sore throat, fatigue, mouth mucus membranes and tongue swollen and sensitive.

Allergies: No

Symptoms: Fatigue swollen lips mouth and tongue sore lips bleeding chest burning No treatment Lasted one week

Other Meds: Eliquis, Olmesa Medox

Current Illness: No

ID: 1048797
Sex: F
Age: 74
State: MD

Vax Date: 02/09/2021
Onset Date: 02/11/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Light headed, not functioning in a normal manner, moving slow/ balance, mildly dizzy, and lack the feeling without well being and conscious control

Other Meds: Pravastatin Sodium 20mg, Synthroid 75 mcg, Enalapril HCTZ 10 - 25 mg , Ezetimibe 10 mg, and two (2) over the counter medications CoQ10 200 mg and Aspirin 81 mg

Current Illness: None

ID: 1048798
Sex: M
Age: 70
State: GA

Vax Date: 02/18/2021
Onset Date: 02/20/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: none.

Allergies:

Symptoms: Post nasal drip, runny nose, chest discomfort, cough. Began two days after injection. Improved after two days, but still have mild symptoms. No fever.

Other Meds: Bupropion Eliquis Synthroid Pantoprazole

Current Illness:

ID: 1048799
Sex: F
Age: 50
State: WA

Vax Date: 02/20/2021
Onset Date: 02/21/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: N/A

Allergies: Penicillin, Flu Shot

Symptoms: Headache, muscle ache, fatigue. labored breathing but not severe enough to go to the Emergency Room.

Other Meds: Benadryl, flonase, Lisinopril

Current Illness: N/A

ID: 1048800
Sex: F
Age: 72
State: KY

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: none

Allergies: Wool

Symptoms: Researched Covid Arm --Pain and hard red spot about the size of a quarter -- faded after 3 days but return after 10 days when scratched or rubbed site, fading again

Other Meds: Omeprazole 20mg, Simvastatin 40 mg, Lubrisyn, Vitiman B12 1000mcg

Current Illness: none

ID: 1048801
Sex: F
Age: 81
State: FL

Vax Date: 01/30/2021
Onset Date: 02/11/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: I was told to have a mammogram. The Clinic told me I should not have one until 4 weeks after my 2nd Covid shot due to to the occurance of lymph node lumps. My second shot is scheduled for 2/27/2021 and my mammogram is schedled for 3/26/2021.

Allergies: None

Symptoms: As I washed up in the morning, about 8 a.m., I noticed my underarm was sore. As I examined the area several times during the next couple of hours I noticed a lump. The lump was moveable, but seemed about the size of a nickle. It scared me even though it was not actually in my breast. The doctor told me since it was moveable and felt smooth he thought it to be a reaction to the Covid vaccine, but ordered a mammogram. I called for the mammogram and was told I could not have one until 4 weeks after the 2nd shot. I have a mammogram scheduled 3/26/2021.

Other Meds: Once a month (taken the first day of the month) Ibandronate Sodium Tablet.

Current Illness: None

ID: 1048802
Sex: F
Age: 62
State: MA

Vax Date: 12/24/2020
Onset Date: 12/25/2020
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: after the first moderna vaccine on 12/24, i had pain in both legs that persisted for over a month. i didn't think it was related to the vaccine. then after i had the 2nd vaccine on 1/21, i developed very painful aching in both shoulders, arms, wrists, which has persisted and worsened, along with persistent fatigue. i met (remotely) with my pcp. lab tests were unremarkable.? she prescribed prednisone and the pain?was much less during the day, but severe when I woke in the mornings.??I met with a rheumatologist who advised me to stay off prednisone for 10 days to allow further testing?to r/o polymyalgia reumatica secondary to the vaccine.? Since stopping prednisone the pain?in my shoulders, arms, wrists and hands has intensified, as has my fatigue.? i have no prior?hx of pain, autoimmune or rhematolocal conditions. I'm pretty stubborn, and have continued to work despite sxs.? I missed last Friday 2/19 because the pain was so severe.?

Other Meds:

Current Illness:

ID: 1048803
Sex: F
Age: 44
State: NH

Vax Date: 02/11/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: On 2.23.20321 began to note itchy hives over both arms. More concentrated at vaccine sites, legs and torso.

Other Meds:

Current Illness:

ID: 1048804
Sex: F
Age: 46
State: NJ

Vax Date: 02/12/2021
Onset Date: 02/20/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Itchy, hot rash developed on arms. 24 hours later rash progressed to chest, neck and lower face. Not located at injection site.

Other Meds: None

Current Illness: None

ID: 1048805
Sex: M
Age: 63
State: NY

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Sore arm with moderate pain, felt tired, unusually severe joint and muscle pain, a bad headache, stomach pain, diarrhea, suspected fever, then few hours later, sweating, shivering (could not get warm) and insomnia as a result of the suspected fever/chills/sweating.

Other Meds: Tremfya, multi vitamin, vitamin D, Milk Thistle, Tumeric, Flax Seed oil

Current Illness: None

ID: 1048806
Sex: F
Age: 68
State: FL

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

Lab Data:

Allergies:

Symptoms: Sudden appearance of redness around injection site 10 days after the injection. Not itchy

Other Meds:

Current Illness:

ID: 1048807
Sex: M
Age: 78
State: OH

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/23/2021
Hospital: Y

Lab Data: Neurology work-up, including MRI and 72 hr EEG were unremarkable, although he learned retrospectively that there was a time during EEG where HR was only 35. EENT found no auditory or other issues .

Allergies:

Symptoms: Patient received his first dose of vaccine on 2/10 at 11:30am. (His 2nd is scheduled for 3/3) He started with sx ~13 hrs later - He started drifting out of consciousness, then had labored breathing through night rendering him unable to sleep. After getting up in the morning, his breathing was better but he felt lightheaded/weak through the day. By the next morning (Friday 2/12), he was so bad next morning that wife called 911 - He reports that he was there and then not there and was losing track of train of thought. He was taken to ER via EMS, where his HR was initially 15 - He was admitted to hospital - initially a temporary pacer was placed, then a permanent one on Monday, 2/22. He has had other episodes like this in past 13 mos. PCP referred him to neurologist and EENT. Neurology work-up, including MRI and 72 hr EEG were unremarkable, although he learned retrospectively that there was a time during EEG where HR was only 35. EENT found no auditory or other issues . *MD in ER told him that if issues were not neuro in nature, they were probably cardiac.

Other Meds: Eliquis, carvedilol, losartan, hydralazine, rosuvastatin, levothyroxine; apap prn

Current Illness:

ID: 1048808
Sex: M
Age: 69
State: TX

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: penicillin

Symptoms: strong groin pain made it difficult to stand erect. pain is still present today although not as severe.

Other Meds: warafarin, doxazosin, atoravastin, lasix, klor-con, montelukast sodium, valsartan

Current Illness:

ID: 1048810
Sex: F
Age: 66
State: OK

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: About 8 hrs after shot my mind started feeling foggy and heavy head, i got nauseous and achy joints and having breathing problems. i was just sic. or like i had the flu or covid again. went on through the night. was up all night. my arm was just killing me. The next morning i was full on sick. the nausea was intense my temp throughout day was 99.6 and 99.9 . out of breath. That night i went to bed and woke up at midnight and was drenched my hair was soaked Got up at showered. at the 3:30 woke up again totally drenched. yesterday i woke up and 6:00 am i was feeling better but still trouble breathing but everything else was gone. I was tired still. About 10:30 yesterday Everything was fine. I do still have a little trouble breathing but not as bad.

Other Meds:

Current Illness:

ID: 1048811
Sex: F
Age: 27
State: PR

Vax Date: 12/17/2020
Onset Date: 12/22/2020
Rec V Date: 02/23/2021
Hospital:

Lab Data: COVID-19 Rapid Test , Influenza Test.

Allergies: None.

Symptoms: Patient indicates that after 5 days after administration started feeling headaches, body aches. Test results indicate Positive to COVID-19.

Other Meds: None.

Current Illness: None.

ID: 1048812
Sex: F
Age: 74
State:

Vax Date: 02/11/2021
Onset Date: 02/19/2021
Rec V Date: 02/23/2021
Hospital: Y

Lab Data: MRI, ct, vascular scans, blood work, head/neck/heart dopplers TEE pending

Allergies: morphine, sulpha, procaine,

Symptoms: 8 days after vaccination - stroke/full right side of body paralyzed - clot buster drug at ER

Other Meds: No Rx

Current Illness: none

ID: 1048813
Sex: F
Age: 66
State:

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Rash on trunk. 13 and still profuse

Other Meds: Lipitor

Current Illness:

ID: 1048814
Sex: F
Age: 81
State: FL

Vax Date: 01/20/2021
Onset Date: 01/27/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: ULTRASOUND OF ARM NEGATIVE FOR DVT.

Allergies: NONE

Symptoms: DELAYED LOCAL REACTION AT INJECTION SITE, WITH MUSCULAR INVOLVEMENT, STILL PRESENT FIVE (5) WEEKS.AFTER INJECTION 1- SEVERE PAIN IN LEFT ARM, INCREASING OVER TIME, LIMITING MOVEMENT; 2-SWELLING IN THE AREA AROUND INJECTION SITE; 3- AREA WARM TO THE TOUCH; 4-RUBOR IN THE AREA. SYMPTOMS SUGGESTED DEEP VENOUS THROMBOSIS, BUT ULTRASOUND FOUND NO CLOTS.. ANOTHER POSSIBILITY COULD BE BICEPS TENDONITIS, BUT ETIOLOGY NOT CLEAR. MEDROL GIVEN FOR 5 DAYS DECREASED SYMPTOMS, BUT SWELLING, RUBOR, AND PAIN PERSIST FIVE WEEKS AFTER INJECTION. SEVERE LOCAL REACTION TO INJECTION, AFFECTING MUSCLE?

Other Meds: NONE

Current Illness: NONE

ID: 1048815
Sex: M
Age: 60
State: ME

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None

Allergies: none known

Symptoms: approximately 24 hrs after shot in left arm, IM, Left armpit swelling, assume lymph nodes. Slightly painful. Pain went from a 4 out of 10 to a 2 in 24 hrs, to 0 after 48 hours. Armpit is still swollen now. Visually obvious but no pain.

Other Meds: Multi-vitamin, Ginseng, Flax seed oil capsules

Current Illness: no other illnesses Positive Covid test 01/05/2021, negative Covid test 01/17/2021

ID: 1048816
Sex: F
Age: 48
State: KY

Vax Date: 02/03/2021
Onset Date: 02/05/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: Saw doctor for a wellness exam after it appeared, dr encouraged to get 2nd dose

Allergies: n/a

Symptoms: Reddened warm knot area on arm where injection was done. Still there 2 weeks later improving

Other Meds: n/a

Current Illness: n/a

ID: 1048817
Sex: F
Age: 46
State: AL

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: Going to my family practitioner this afternoon for labs

Allergies: codeine

Symptoms: Day 2-3: fever, chills, body aches, joint and muscle pain, headache, nausea, fatigue and vomiting Day 4-5: felt completely fine Day 5-6: that evening, all of the same symptoms returned, including fever of 102 Day 7-9: felt completely fine Day 10-11: all symptoms returned, including fever of 101 Day 12: today, feel completely fine

Other Meds: Losartan 25mg, Pristiq 50 mg

Current Illness: Hypertension

ID: 1048818
Sex: F
Age: 84
State: AZ

Vax Date: 02/13/2021
Onset Date: 02/23/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None

Allergies: None that I know of

Symptoms: Never even felt the shot No adverse effects - not even sore at the site Today (10 after receiving the shot) the arm has red blotches at the site, is itching, hot, there is a hard lump Otherwise I feel fine

Other Meds: Atorvastatin Estradiol Losartan Potassium Mature Multi Vitamins Naproxen Sodium Calcium Citrate Magnesium Zindw/Vitamin D3 Bayer Aspirin 81 mg Flaxseed Oil 1000 mg

Current Illness: No

ID: 1048819
Sex: F
Age: 74
State: FL

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None

Allergies: Sulfa

Symptoms: Low grade fever (100 degrees) for 24 hours Pain at injection site for 48 hours Pain when lifting my left arm for 36 hours

Other Meds: Fish Oil 1200mg Calcium 600+D 1200mg Centrum Silver for Women

Current Illness: None

ID: 1048820
Sex: M
Age: 60
State: SC

Vax Date: 02/01/2021
Onset Date: 02/18/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: Penecillan

Symptoms: Bells Palsey

Other Meds: Glipizide. Hydralazine. Sidenifil. Bostolic. Lisinopril. Amlodapine. Atorvastatin. Beet Root supplement. Saw Palmetto

Current Illness: None

ID: 1048821
Sex: M
Age: 90
State: OH

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 02/23/2021
Hospital: Y

Lab Data:

Allergies: Sulfa- Unknown

Symptoms: Subsequent morning after vaccination, client was too weak to get out of bed (per wife). He stayed in bed for 3 to 4 days , then wife called PCP. Client stayed in bed for a total of 3 weeks , and had 3 home visits from PCP. Was admitted for rehabilitation on 2-13-2021. for a diagnosis of failure to thrive. Client is still at this facility as of this date.

Other Meds: Mirtazapine. Simvastatin, Levothyroxine, Tamsulosin, Fish Oil, Vitamin D, Carvedilol, and Iron.

Current Illness: None per Wife.

ID: 1048822
Sex: M
Age: 89
State: FL

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/23/2021
Hospital: Y

Lab Data: Negative COVID 19 test Elevated lactic acid level normal blood test results normal CT Scan

Allergies:

Symptoms: Aches, Extreme chills(Chattering Teeth), no strength in legs.Could not stand up.EMS took him to hospital at 6:30 PM 2/20/2021. Extremely dehydrated. He was discharged the next afternoon at4 PM. Diagnosis: Elevated lactic acid level and fever after COVID -19 vaccination.

Other Meds:

Current Illness:

ID: 1048823
Sex: F
Age: 79
State: TX

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: Not known for sure, patient went to emergency room.

Allergies: Sulfa

Symptoms: Patient received her Covid 19 Vaccination on 2-11-21. I counselled her about side effects and asked her to wait 15 minutes. She waited and as she was leaving she fell to the floor and hit her head. The other patients around her said it looked like she slipped, but when speaking to her it seemed that she had become dizzy and fell. I spoke with her after she fell, she did not loose conscienceness, but was disoriented. She did know what day it was, who she was and where she was. She said her head hurt and she could move all her limbs. I asked the store director, to call for an ambulance. I sit with her for a few minutes and talked to her, then asked store director to stay with her until the ambulance arrived. They arrived and spoke with her and decided to transport her to the hospital. Later that day, her sister in law came by and said she was doing fine and had been released. The doctors indicated they thought she because dizzy due to dehydration

Other Meds: Synthroid 88mcg, Timolol 10mg tablets, Estradiol 2mg, Citalopram 40mg, HCTZ 25mg, Nexium 40, Magnesium Oxide 400mg, Cyclobenzaprine 10mg, Norco 10/325, Hyoscyamine 0.125mg, Xiidra Opthalmic,

Current Illness: Not Known

ID: 1048824
Sex: F
Age: 84
State: AZ

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: Pneumococcal vaccine

Symptoms: UKNOWN BRAND OF VACCINE; lightheadedness and arm "heaviness" status post receiving the first COVID vaccine 30 minutes PTA.

Other Meds: allopurinol, omeprazole, spironolactone, clonidine

Current Illness:

ID: 1048825
Sex: F
Age: 75
State: IN

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

Lab Data:

Allergies: none

Symptoms: Extreme backache, fever, redness at injection site

Other Meds: 2,5 mg prednisone 75mcg levothyroxine 200mg hydroxychloroquine

Current Illness: none

ID: 1048826
Sex: F
Age: 85
State: KY

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/23/2021
Hospital: Y

Lab Data:

Allergies: NKA

Symptoms: 1st Dose vaccine 1/29/21; Admitted to Hospital from ED 2/1/21-2/4/21 Dx PNA, d/c'd home. ; 2nd dose vaccine 2/19/21; seen in ED 2/22/21 for SOA, congestion, N/V, and Left flank pain x 3 days; admitted to hospital from ED 2/22/21 Dx: 1. Epigastric pain R10.13 789.06 2. Elevated brain natriuretic peptide (BNP) level R79.89 790.99 3. Dyspnea, unspecified type R06.00 786.09 4. Abnormal CT of the abdomen R93.5 793.6 5. Hypomagnesemia E83.42 275.2 6. Hypokalemia E87.6 276.8 Currently still admitted to hospital at time of this report.

Other Meds:

Current Illness:

ID: 1048827
Sex: F
Age: 72
State: SC

Vax Date: 02/16/2021
Onset Date: 02/20/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None

Allergies: Sulfa

Symptoms: Rash on vaccine site and neck

Other Meds: Pravastation 40mg Triamterene/Hctz 37.5 Castrates 600 Centrum silver Fish oil 1000. Vitamin D3. Ashwagandha, pure Selenium, potassium

Current Illness: None

ID: 1048828
Sex: M
Age: 60
State: MA

Vax Date: 02/15/2021
Onset Date: 02/18/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: Consulted with PCP who advised was related to Vaccine

Allergies: None

Symptoms: Swollen lymph nodes under right armpit about the size of an egg.

Other Meds: Pantoprazole 40mg, Losartan 100mg, Rosuvastatin 5 mg, Magnesium 200 mg, Resveratrol 250 mg, Multi Vitamin, Fish Oil 1200 mg, Ubiquinol CoQ10 100mg

Current Illness: None - Note this occurred on my second Pfizer shot. No side effects on the first shot administered on 1/25/21.

ID: 1048829
Sex: F
Age: 66
State: NC

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: H1N1 VACCINE

Symptoms: This was the second dose in the vaccine series. The patient reported doing well for the first dose. A few minutes after receiving her second dose, the patient started to complain of lightheadedness, lethargy, arm weakness. She reported she did have an anaphylactic reaction to the H1N1 vaccine . Patient reported about 10 minutes after she received the vaccine she was starting to feel better- less lightheaded and was gaining arm strength. She was moved to a chair and she could not support her weight. EMS was called to the scene and she was transported to the ER.

Other Meds:

Current Illness:

ID: 1048830
Sex: F
Age: 71
State: FL

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

Lab Data:

Allergies: Lisinopril, Codeine

Symptoms: Rash on both wrist area. Pimples on each armpit/breast area and left forearm.

Other Meds: Amlodipine, Diclofenac, Paroxetine, Omeprazole, B12, D3, Zinc, 81mg aspirin, Calcium,

Current Illness: Arthritis pain and inflammation

ID: 1048831
Sex: M
Age: 39
State: AZ

Vax Date: 01/18/2021
Onset Date: 01/28/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: presenting to the emergency department via car for evaluation of Herpes Zoster to the left side of the patient's face. The patient was evaluated at Urgent Care yesterday and sent by the NP. Patient reports three days of rash to the left side of his face with redness and swelling. The patient initially thought the rash was acne due to his face mask. There is intermittent pain to the area which is rated 10/10 severity at its worst. The patient has been unable to sleep the past two days due to the pain. Pain is worse with cold weather and at night with increased clenching of his jaw and grinding of his teeth. He was prescribed Valtrex at Urgent Care and took one dose just PTA to the ED. There is concern given a bump just lateral to the patient's left eye. The patient received his first COVID-19 vaccination on 01/18/2021 and explains that the Urgent Care provider believes this may be an adverse reaction.

Other Meds:

Current Illness:

ID: 1048832
Sex: F
Age: 22
State: PA

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient had rash on face and chest, vomiting for over 24 hours, fever, chills, extreme fatigue and body aches. Benadryl was taken.

Other Meds:

Current Illness:

ID: 1048833
Sex: F
Age: 31
State:

Vax Date: 01/22/2021
Onset Date: 02/07/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: HCG & Transvaginal ultrasound 2/8 & 2/9

Allergies: ibuprofen, shrimp, strawberries

Symptoms: ~ 5 weeks pregnant at the time of 2nd vaccination. Miscarriage ~2 weeks later. Transvaginal ultrasound shows gestational age only 5 weeks when should have been 7. HCG level reflects only 4-5 weeks when should have been 7.

Other Meds: zyrtec, calcium w/ vitamin d, prenatal vitamns

Current Illness: N/A

ID: 1048834
Sex: M
Age: 86
State: IL

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: Lisinopril, Sulfa antibiotics

Symptoms: No adverse reaction. Patient hospitalized in December for COVID. Given FFP while hospitalized. Patient given 1st Moderna vaccine 1-28-21 which was not 90 days after the FFP.

Other Meds: Ca-MG-ZN, Vit D 3 Januvia 50, Toprol XL 25

Current Illness: COVID diagnosed 12-2-2020, given FFP in the hospital

ID: 1048835
Sex: M
Age: 74
State: MD

Vax Date: 02/03/2021
Onset Date: 02/05/2021
Rec V Date: 02/23/2021
Hospital: Y

Lab Data:

Allergies: None

Symptoms: Multiple Seizures: no long term side effects

Other Meds:

Current Illness:

ID: 1048836
Sex: F
Age: 53
State: IN

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: na

Allergies: na

Symptoms: At approximately 9:30 pm, my bpm increased dramatically. I normally have a 70 - 85 bpm and last my my heart rate ranged from 120 - 152 while lying in bed. It still is above 100 today.

Other Meds: Tylenol Metformin Montelukast Pravastatin Duloetine Vitamin C Vitamin B12 Vitamin B Complex Melatonin Apple Cider Vinegar

Current Illness: Insulin resistance

ID: 1048837
Sex: F
Age: 74
State: PA

Vax Date: 02/19/2020
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: The second day I got a fever of 101.9 and later 101. The fourth day my arm was hotter and more sore than previously and noticed it had a big red circle around the injection site. It is now the next day and after putting ice on it it still itches and is less sore.

Other Meds: Synthroid, Valsartan-HCTZ, Metoprolol Suc, Atorvastatin

Current Illness: None

ID: 1048838
Sex: F
Age: 81
State:

Vax Date: 02/06/2021
Onset Date: 02/20/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient was administered the second dose 15 days after the first dose (administration error).

Other Meds:

Current Illness:

ID: 1048839
Sex: F
Age: 33
State: MA

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

Lab Data:

Allergies:

Symptoms: Patient got unconscious. Patient was sent 911. After following up with facility, patient was stable and doing well. Patient was sent home that evening.

Other Meds:

Current Illness:

ID: 1048840
Sex: F
Age: 69
State: OH

Vax Date: 02/08/2021
Onset Date: 02/20/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Slight itch, red rash around injection site, skin warm for 3 days (so far)

Other Meds: Atorvastatin 10 mg, Hair, Skin & Nails

Current Illness: None

ID: 1048841
Sex: M
Age: 89
State: ME

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: Venous Doppler

Allergies:

Symptoms: DVT Right leg Femur

Other Meds:

Current Illness:

ID: 1048842
Sex: F
Age: 27
State: KY

Vax Date: 02/20/2021
Onset Date: 02/21/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: dairy and beeswax

Symptoms: fever of 103, chills that lasted hours, nausea and a headache that would not go away.

Other Meds: none

Current Illness: none

ID: 1048843
Sex: F
Age: 27
State: MA

Vax Date: 02/15/2021
Onset Date: 02/18/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: severe cough, phlegm, severe asthma flare up, headaches

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm