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: 1049352
Sex: F
Age: 27
State: MI

Vax Date: 01/07/2021
Onset Date: 01/10/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: no

Allergies: treenut, dogs and cats

Symptoms: A few days after the vaccine I woke up to the lymph nodes in both sides of my neck swollen with the left being more affected than the right. On 1/13 my PCP advised rest, ibuprophen and tylenol to help with the pain. 1/14 I had to call out to work because I just couldnt move my neck from left to right.

Other Meds: Birth Control Inplant, 800mg Ibuprophen

Current Illness: no

ID: 1049353
Sex: F
Age: 47
State: MN

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: none

Allergies: eggs, latex

Symptoms: extreme headache lasting for 5 days. Felt immense pressure in whole head area. Headache not completely resolved with ibuprofen or acetminophen at maximum recommended doses . Headache did finally resolve after the 5th day.

Other Meds: none

Current Illness: none

ID: 1049354
Sex: F
Age: 65
State:

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache, Bodyache

Other Meds:

Current Illness:

ID: 1049355
Sex: F
Age: 20
State: IA

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

Lab Data: none

Allergies: none

Symptoms: 1 hour after vaccination L arm and neck were numb, L axillary lymph node swollen

Other Meds: birth control pills vit C

Current Illness: none

ID: 1049356
Sex: F
Age: 74
State: KY

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

Lab Data: None

Allergies: morphine, codeine, shell fish

Symptoms: Head ache within 5 minutes of vaccine. Then along with headache, high blood pressure and rapid pulse. Temperature of 101.4 for several hours. Nausea has lasted for 4 days. Dizziness, weakness, lack of appetite and severe cold sores on upper lip. Soreness at vaccination site.

Other Meds: tenormin, nexium, actos, levothyroxin

Current Illness: None

ID: 1049357
Sex: F
Age: 70
State: MD

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

Lab Data:

Allergies:

Symptoms: Delayed cutaneous hypersensitivity. Nine days after my first vaccination, my arm became pink, swollen, and sore near the injection site. It remains that way as I submit this form xxx days later. I'm expecting the issue to resolve at some point, but am submitting this report for information purposes.

Other Meds:

Current Illness:

ID: 1049358
Sex: F
Age: 73
State: CA

Vax Date: 02/09/2021
Onset Date: 02/17/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: About a week after the injection, I got a red rash that itched around the injection site that lasted about 4 days.

Other Meds: Multivitamin

Current Illness:

ID: 1049359
Sex: F
Age: 71
State: ME

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

Lab Data: No testing was done other than vital signs as noted above while in the vaccine clinic.

Allergies: Sulfa Antibiotics, Amoxicillin, Flagyl.

Symptoms: This patient started to feel lightheaded and had a dry mouth approximately 5 minutes after receiving her Pfizer mRNA COVID-19 vaccine. Over the next 20 to 25 minutes she progressed to having a sensation of tongue swelling, then difficulty swallowing, then chest tightness. Her vital signs were stable throughout the observation period (blood pressure 144/74 and 150/70, pulse in the high 80s to low 90s, and oxygen saturation 96-98% on room air) and she was able to speak in full sentences without any respiratory distress. Her lungs were clear and she had no stridor. She never had any pruritic symptoms or rash/hives. Because of the progressive nature of her symptoms, however, I felt she needed emergency room evaluation for observation. We never administered any medication while at the vaccine clinic including epinephrine or Benadryl. After approximately 25 minutes, 911 was called and she was transported by ambulance to the emergency room in stable condition.

Other Meds: Levothyroxine, Simvastatin, Omeprazole, Venlafaxine, Alprazolam, Sumatriptan, Trazodone, Estrogen Cream, Biotin, Calcium, Vitamin D.

Current Illness: None.

ID: 1049360
Sex: F
Age: 62
State: IL

Vax Date: 02/17/2021
Onset Date: 02/19/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: FEVER, HEADACHE, AND CHILLS

Other Meds:

Current Illness:

ID: 1049361
Sex: F
Age: 65
State: GA

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: none

Allergies: Levaquin Phenergan Codeine

Symptoms: Reported dizziness and lightheadedness 4 minutes after injection. VSS. Laid on stretcher for 30 minutes and felt good enough to go home.

Other Meds: Protonix Lopressor Flonase Meclizine

Current Illness: None

ID: 1049362
Sex: F
Age: 22
State: IA

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

Lab Data: None

Allergies: history of Allery to penicillin/amoxicillin

Symptoms: At 3:30pm after receiving vaccine patient began to notice itching of both arms and anterior of neck. Said she felt like she had something in had a lump in throat. She was given Benadryl 25mg tablet, orally and a ice pack placed on injection site due to complaint of pain in arm. BP was 118/80, pulse 80, respirations 16. She was alert, skin was pink, warm to touch and dry. 10 minutes later hives started to subside, BP was 116/72, pulse 68, respirations 16, skin was warm, pink and dry. 4:15pm left clinic site being driven by mother - no itching, no lump i throat, redness resolved.

Other Meds: None

Current Illness: None

ID: 1049363
Sex: F
Age: 68
State: VA

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

Lab Data:

Allergies: penicillin, nuts

Symptoms: Red, bumpy rash started Feb.20, 2021 on upper right arm. At first, area was somewhat itchy and occasionally sensitive to touch. Bumps are disappearing and area became less red as time goes on but is still visible.

Other Meds: Phenytoin 100 mg, low-dose aspirin, glucosamine-chondroitin, areds-2 eye vitamins

Current Illness: None

ID: 1049364
Sex: F
Age: 41
State: VA

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None.

Allergies: Oysters, Penicillin

Symptoms: I developed a relatively severe itch at the injection site. It lasted for about two weeks. I suspect it was an allergic reaction. It is not deterring me from getting the second shot and did not produce any other systemic anaphylactic symptoms. I used hydrocortisone on it for symptom relief.

Other Meds: Claritin, Naltrexone 50mg BID, Topiramate 200mg QD, lisinopril 10mg QD, sertraline 100mg QD, Pantoprazole 40mg QD, hydroxyzine 50mg QHS, Trazodone 75mg QHS, Symbicort 160/4.5mcg, 2 puffs BID, Zinc supplement QAM

Current Illness: None

ID: 1049365
Sex: F
Age: 47
State: CA

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

Lab Data: None I didn?t even visit with healthcare clinic and they noted it could be the hyper sensitivity and that there was nothing I can do about it

Allergies: Adverse reaction to macrobid

Symptoms: By next morning arm was red about the size of a quarter and sensitive to the touch and warm to the touch as well as Body aches, fatigue and joint pain. Later in the afternoon the red area around injection site started getting larger and itchy that was Sunday as my injection was given Saturday morning Monday still suffered from fatigue bodyaches and joint pain as well as redness on arm and itchiness the temperature of the site or the injection site was very warm too touch. By Tuesday the bodyaches and joint pain have begun to subside the arm is still painful to touch the redness is still extremely large around the site there?s still a knot at site of injection and it still itches but has mildly improved from day before.

Other Meds: Ibuprofen, Norco, multivitamin, biotin, magnesium, calcium, vitamin D, Mega red krill oil, gabapentin, hydroxychloroquine, arava, orencia, vitamin c, iron, vitamin B complex, Prozac, omeprazole, trazodone, Zyrtec.

Current Illness: Seasonal allergies a few days before due to high winds.

ID: 1049366
Sex: F
Age: 57
State: CA

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

Lab Data: 2/22/21 COVID Test- pending

Allergies:

Symptoms: Evening of vaccine date, experienced chills, fatigue. on Day 2 she developed fever 99.4 & sweats, and chills continued. Day 3 developed pain under arm pit &, headache. Day 4 woke up tired, restless sleep due to chills, stuffy nose and cough. Self treating: Tylenol, rest, fluids. Tested on 2/22/21 for COVID due to cough and stuffy nose. Results pending.

Other Meds:

Current Illness:

ID: 1049367
Sex: F
Age: 72
State: DE

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

Lab Data:

Allergies: Penicillin

Symptoms: Red Hives all over body very icitie

Other Meds: Flonase gabapentin amlodipine Hydrochloride. Loraladine,vitamins-E,D,C,B,fish oil Ginkgo

Current Illness: No

ID: 1049368
Sex: F
Age: 65
State:

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache, bodyache

Other Meds:

Current Illness:

ID: 1049369
Sex: M
Age: 69
State: CT

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

Lab Data:

Allergies:

Symptoms: Arm felt extra heavy for 10 minutes. Hours later it became sore for a day.

Other Meds:

Current Illness:

ID: 1049370
Sex: F
Age: 34
State: AL

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: I went to the doctor on day 5 because I couldn't eat due to nausea and headaches. The vomiting dehydrated me. I stopped taking my other medications as a result, which may have caused hormonal changes (stopped the pill for two days). I was given a Covid test before entering the doctor's office on day 5 to be sure that I was not experiencing symptoms of Covid. It was negative. My arm and shoulder are still tingling/sore, but not very painful. It is a discomfort. I am no longer experiencing vomiting/nausea. I do have persistent headaches, but not migraines. The pain is managed with ibuprofen. The hospital is investigating the resident doctor who administered the vaccine on 02/14/2021, because the shot was placed incorrectly.

Allergies: penicillin

Symptoms: The Moderna vaccine injection was placed in the acromion process above the deltoid. The placement was just below the joint of my left arm. Immediate burning/tingling sensation began. I was observed for 15 minutes and sent home anyway. I could not move my arm for 4 days. The pain level was a 9 out of 10. If I had to move or turn, I involuntarily would cry out in pain. There was no redness, rash or swelling at the injection site. Just intense pain that shot down the left arm to my middle and ring fingers, top of the hand, with pain in my left shoulder blade and mild pain in the left side of my neck. Fatigue and chills started the evening of day 1 and lasted 7 days. The fatigue intensified in day 2 and dissipated on days 5 and 6. No fever was present at any time. On day 2, the nausea started and I vomited twice- the night of day 4 and morning of day 5. Intense headaches with light sensitivity were present from the night of day 3 through day 6. These felt like extreme migraines. These, combined with nausea and arm pain, prevented/interrupted my sleep. I also had loose stools on days 2 and 4.

Other Meds: doxycycline antibiotic, Mirena IUD, Yaz birth control pill

Current Illness: skin infection/acne

ID: 1049371
Sex: F
Age: 74
State: ND

Vax Date: 02/12/2021
Onset Date: 02/19/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: NA

Allergies: None

Symptoms: ONE WEEK AFTER RECEIVING THE VACCINE, THE PATIENT HAD SWELLING, PAIN, AND A RASH THAT DEVELOPED AROUND THE INJECTION SITE. IT RESOLVED AFTER A FEW DAYS.

Other Meds:

Current Illness: None

ID: 1049372
Sex: F
Age: 56
State: IN

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

Lab Data:

Allergies: Sulfa, PCN

Symptoms: Pain at sight of injection. Ongoing since injection (4 days) Fatigue - ongoing Fever - 100.8 - resolved on 3rd day Confused thinking - ongoing Body and muscle aches - resolved on 4th day

Other Meds: Levoxyl Antacid

Current Illness: None

ID: 1049373
Sex: F
Age: 68
State: OH

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

Lab Data: No I've not been to a doctor since having the vaccine

Allergies: codeine and curry powder

Symptoms: rec'd on 2/12 and didn't have much of a reaction until 8 days later it felt like the shot was just received, arm began to sting and red and itchy and that's been since 2/12.

Other Meds: Hydroxide for dry eye, hair skin and nails vitamin

Current Illness: No

ID: 1049374
Sex: F
Age: 67
State: NY

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

Lab Data: none

Allergies: none

Symptoms: after administration, patient comes up with severe allergic reaction redness and rashes starting from left lower arm spreading all the way to the neck and swelling with patient itching and patient acknowledge and started saying he is having severe reaction. Epipen was administered and after about 4 to 5 minutes of administration of epipen all those reactions stopped and patient said he felt better and thank me for the care. I was going to call 911 but patient said he was ok and there is no need . Patient waited for another 25 to 30 minutes after the administration of epipen in the pharamacy area to observe the patient . Patient left after about 30 minutes with no further reaction

Other Meds: none

Current Illness: metabolic disoders

ID: 1049375
Sex: F
Age: 36
State: CA

Vax Date: 01/07/2021
Onset Date: 01/14/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: none

Allergies: allergy to shellfish and bee stings

Symptoms: Pain to left axilla with swelling, redness to inject site one week later, general fatigue x 1 week.

Other Meds: Azelasthine, Flonase, MVI

Current Illness: Daily headaches

ID: 1049376
Sex: M
Age: 79
State: MS

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

Lab Data: NONE

Allergies: CIPRO IV

Symptoms: HE WOKE UP AT 4:30 CONFUSED, TALKING OUT OF HIS HEAD, THEN WENT BACK TO SLEEP AND WOKE UP AT 0630 WITH HARD SHAKING CHILLS, JOINT PAIN (SHOULDERS AND KNEES), ALTHOUGH HE HAS HAD 2 TOTAL KNEE REPLACEMENTS), HEADACHE, FATIGUE AND MALAISE, AND TEMPERATURE OF 101,5(NOT RESPONSIVE TO EXTRA STRENGTH TYLENOL) 20BENADRYL 25MG EACH , PEPCID 20MG AND GATORAID. . COULD NOT RAISE EITHER ARMS AND STATED THAT THE "BALL JOINTS" IN SHOULDER WERE VERY PAINFUL. AT 4;20 PM TEMP WENT DOWN TO 101.4, AT 6;30 TEMP 100.3 AND 8:45PM TEMP 99.3. AFTER THIS HIS SYMPTOMS SUBSIDED EXCEPT FOR SORE ARM AND SHOULDERS, SIDE EFFECTS LASTED ABOUT 14 HOURS. BUT STRANGE THING HAPPENED ON 02/21/21 HIS ENTIRE MIDDLE FINGER ON LEFT HAND TURNED VERY RED, BUT NO SORENESS OR PAIN. , AND NO OTHER FINGERS WERE RED AND RESOLVED ON 2/22/21

Other Meds: IMMEDIATELY AFTER THE VACCINE, HE TOOK 1000 MG TYLENOL, 25GM BENEDRYL, 20MG FAMOTADINE,

Current Illness: NONE

ID: 1049377
Sex: F
Age:
State: NY

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

Lab Data:

Allergies:

Symptoms: Body aches, fever, headache

Other Meds:

Current Illness:

ID: 1049378
Sex: U
Age: 51
State: IL

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: HEADACHES AND FATIGUE

Other Meds:

Current Illness:

ID: 1049379
Sex: F
Age: 46
State: GA

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

Lab Data: EKG, Chest x-ray

Allergies: Torodol, Compazine, Imitrex

Symptoms: Patient complained of worsening of a headache she experienced since 2/8/2021 after receiving the vaccine. Reported the headache was 8/10 on pain scale. She also reported she has hx of migraine headaches 2-3 times weekly. Was taken to ER via ambulance. She was given medications to control B/P and pain, then discharged to home after six hours.

Other Meds: Descovy, Propranolol, Amplodipine, Plavix, Amitrityline, Phenergan, Keppra

Current Illness: Seizures, Migraines

ID: 1049380
Sex: F
Age: 75
State: IL

Vax Date: 02/08/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: NONE AT THIS TIME (2/22/2021)

Allergies: sulfa

Symptoms: LARGE RASH AND SORENESS AT INJECTION SITE ---WARM SENSATION , ITCTING SWELLING & UNSETTLING AND AGRAVATED FEELINGS THROUGH-OUT THE DAY

Other Meds: none

Current Illness: none

ID: 1049381
Sex: M
Age: 21
State:

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Chills, body ache, fatigue

Other Meds:

Current Illness:

ID: 1049382
Sex: F
Age: 73
State: FL

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

Lab Data:

Allergies: none

Symptoms: Extremely itchy rash at injection site.

Other Meds: Synthroid

Current Illness: none

ID: 1049383
Sex: F
Age: 85
State: CT

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

Lab Data: None

Allergies: None

Symptoms: My mom had a fever, chills, aches all over, sore arm, and had 2 days of memory loss/crazy behavior. It was almost as if she had dementia - she repeatedly called myself and my daughter claiming that her phone didn't work and she needed help. She was trying to tell me a phone number but kept giving me random words instead. She doesn't remember talking to any one of us who spoke to her Saturday and Sunday. She was repeatedly asking what a specific button did on her TV remote, and would then ask again a few minutes later the exact same question. This went on for 2 days.

Other Meds: Eliquis, Trulicity, hip (something) for UTI management

Current Illness: Rheumatoid arthritis, edema in leg due to lymphoma, pulmonary fibrosis/COPD

ID: 1049384
Sex: F
Age: 27
State: CT

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

Lab Data:

Allergies: Penicillin

Symptoms: After receiving the first dose of the Covid-19 vaccine, I started feeling numbness in my left fingers within seconds. The injection site with in my left arm. Within 5 minutes, I felt some numbness in my lower lip on the right side. Within a few days, the numbness decreased along with my other, more common symptoms, such as fatigue and headache.

Other Meds:

Current Illness:

ID: 1049385
Sex: F
Age: 49
State:

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

Lab Data:

Allergies:

Symptoms: Vaccine was received on 02/19/2021 at 0738. Symptoms began on 02/19/2021 at 1000. She experienced diarrhea and fatigue.

Other Meds:

Current Illness:

ID: 1049386
Sex: M
Age: 40
State:

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

Lab Data: None

Allergies: None

Symptoms: Fever, sweating, chills, malaise, soreness, muscle and joint pain, nausea, tenderness at injection site.

Other Meds: Zyrtec, flonase, Vitamin D

Current Illness: None

ID: 1049387
Sex: F
Age: 80
State: IL

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

Lab Data: none

Allergies: benzocaine methylchloroisothiazinoline melamine formaldehyde

Symptoms: itchy, red, hot upper arm around injection site

Other Meds: atorvastatin 20 mg lisinopril 10 mg Symbicort inhaler, 2 puffs q am

Current Illness: none

ID: 1049388
Sex: F
Age: 80
State: ND

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: Blood sugar -97 mg/dl

Allergies: Penicillin-HIVES

Symptoms: Client stated she "felt odd/disoriented" and exhibited strange behavior, unaware of surroundings. Had chills/headache.

Other Meds: Metoprolol/Irbesartan/Furosemide/Simvastin/Glyburide/Eliquis

Current Illness: NONE

Date Died: 02/20/2021

ID: 1049389
Sex: M
Age: 74
State: ID

Vax Date: 02/09/2021
Onset Date: 02/20/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: Nothing wife opted out for any test to be performed.

Allergies: No

Symptoms: Patient passed away Saturday at 14:04pm. Patient's wife reports his death was sudden, he passed away sitting in his chair his heart just stopped she said. They tried to perform CPR, 911 was called and paramedics arrived at the scene and he was given medication but never had any return of vital signs and so his death was called at the scene. Wife reports he was not ill, did not have any symptoms prior to the event. They are not going to be doing a autopsy. She wanted us to know based on timing that there may be some possible correlation with his COVID19 vaccine. He obtained the vaccine on 02/09/2021 - wife reports he had no symptoms, not even arm soreness after the vaccine. Had no fever, shortness of breath. Did not complain of chest pain. We can update chart to reflect the patient is deceased and lets make a card for the family.

Other Meds: Spironolactone, Atorvastatin, Gabapentin, Trelegy Ellipta, Januvia, Xarelto, Losartan, Metoprolol Succinate.

Current Illness: No

ID: 1049390
Sex: F
Age: 73
State: WA

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

Lab Data: none

Allergies: demerol, bee stings (anaphylaxis) , chlorhexidine,

Symptoms: very rapid heart rate for 45 minutes 6 hours after vaccine

Other Meds: synthroid, zyrtec, mucinex,

Current Illness: none

ID: 1049391
Sex: F
Age: 24
State: TX

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

Lab Data: none at this time

Allergies: NONE

Symptoms: Patient is getting the 2 dose in the series of 2. Patient got the dose in the morning and she had to wake up at night as she was feeling hot and when she checked herself she had rash on her chest and the arm on which she got the vaccine. she has mild soreness of the arm when she came back to the pharmacy at 11.00 am

Other Meds: NONE

Current Illness: NONE

ID: 1049392
Sex: M
Age: 54
State: IN

Vax Date: 02/14/2021
Onset Date: 02/23/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: PCR COVID swab negative 2/23/21

Allergies: Sulfa, aripiprazole

Symptoms: received 2nd vaccine on 2/14/21, on 2/16/21 started having cough, nasal drainage, fatigue. Went to urgent care on 2/23/21 and diagnosed with URI

Other Meds:

Current Illness:

ID: 1049393
Sex: M
Age: 74
State: NY

Vax Date: 02/15/2021
Onset Date: 02/21/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: After 1st vaccine they said he was dehydrated. We prepared for the second by hydrating with lots of water and Pedialyte. Still in hospital, inconclusive.

Allergies: No allergies

Symptoms: After 1st vaccine, (1/18/21 the next day. Went to hospital 1/20/21. incoherent and loss of balance. Went to hospital for 3 days. After 2nd shot 2/15/21 he got a reaction 6 days later. Very incoherent, delusional and loss of balance, unable to walk. Fever

Other Meds:

Current Illness: Parkinson?s, diabetes

ID: 1049394
Sex: F
Age: 24
State:

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever, Headache, Nausea

Other Meds:

Current Illness:

ID: 1049395
Sex: F
Age: 46
State: IL

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: CANT LEFT RIGHT ARM, FEVER, AND DIZZINESS

Other Meds:

Current Illness:

ID: 1049396
Sex: F
Age: 24
State: NJ

Vax Date: 02/20/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Redness with moderate pain and mild swelling beginning at injection site and spread distally/down arm. Began small in size but currently approx. 3" x 6". Started 2 days after receiving second dose. I had no issue with the first dose.

Other Meds: Venlafaxine 75mg Nexplanon implant in right arm

Current Illness:

ID: 1049397
Sex: F
Age: 69
State: PA

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

Lab Data:

Allergies: None known

Symptoms: Large red circle at the injection sight

Other Meds: Effexor XR 75mg. Effexor XR 37.5 mg. Vitamin D. Magnesium. Probiotics.

Current Illness: Clogged eye oil gland

ID: 1049398
Sex: F
Age: 70
State: AZ

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

Lab Data: None

Allergies: Artificial scent agents

Symptoms: Delayed cutaneous reaction. Swelling, heat, redness, itch, soreness. Started 7 days after injection at site.

Other Meds: Sertraline Buspar, Calcium, Vitamin D

Current Illness: None

ID: 1049399
Sex: F
Age: 40
State: MA

Vax Date: 02/16/2021
Onset Date: 02/18/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: Amoxicillin

Symptoms: Headache, muscle pain, sore throat, fever, sinus pressure, difficulty focusing eyes, fatigue. Memorable symptoms began on Feb. 19th, the worst day was Feb. 20th, when I was unable to complete my usual daily activities. My symptoms have begun to improve today, Feb 23rd. On Dec. 17th, 2020 I was diagnosed with COVID19.

Other Meds: Lithum Zoloft Lamictal Sprinolactone

Current Illness:

ID: 1049400
Sex: M
Age: 73
State: WA

Vax Date: 02/14/2021
Onset Date: 02/21/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: I had no reaction to the initial vaccination. On February 21 ? 8 days after the vaccination ? I awoke with a bit of swelling, light redness, and a slight itch at the vaccination site. I understand this is called "COVID arm" and am only reporting it for research purposes. The swelling has not increased and I have no real pain. I have no concerns about this reaction.

Other Meds: Lovastatin, fish oil, vitamin B, vitamin D, Tumeric, Glucosamine, multi-vitamin

Current Illness: none

ID: 1049401
Sex: F
Age: 76
State: TN

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: inhalent allergies, food allergies (minor)

Symptoms: Pfizer-BioNTech COVID-19 first dose, 1/23/2021, little reaction. second dose, 2/13/2021: headache one day later, disorientation/foggy mind 2 days after, then cleared up, muscle pain was short-lived, moderate chills, feeling unwell with weakness, restless leg syndrome (managed since 2004 with medications) returned 10 days after second shot.

Other Meds: levoxyl, clonazepam, fentanyl trasdermal, allergy injections

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm