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: 1049829
Sex: F
Age: 75
State: CA

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

Lab Data: None

Allergies: Levofloxacin

Symptoms: Vaccination site presented with rash, itching, and warmth 48 hours after injection. Rash size diameter of approx. 4.0 inches; Itching, warmth, and redness is disappearing, beginning February 23, 2021. No other adverse affects noted. Husband (age 80) received the same dosage at same time with no adverse symptoms to date. Patient (Reporting Party ) is a Licensed Registered Nurse.

Other Meds: None

Current Illness: None

ID: 1049830
Sex: F
Age: 16
State: GA

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

Lab Data:

Allergies: unknown

Symptoms: "Pfizer-Bio-Tech COVID-19 Vaccine EUA" : Individual received the Pfizer Covid-19 vaccine. She began to feel dizzy and flushed at 1:00 pm. Her vitals were 82/46, 22, 68, 98% RA at1:00 pm. We applied ice to back of neck. B/P 72/42,20, 76 P, 98 % RA. 1:20 pm. Individual report that he had not drink any fluids and only had a few bites to eat. Patient swallowing intact. She was given bottle of water. 1:46 pm vitals were 82/54, 100% SATS, 81, 14. Individual stated she felt better and was not longer dizzy. 1:55 pm vitals 79/54. 14, 78, 98% RA. Individual went home with family with no noted distress.

Other Meds: unknown

Current Illness: unknown

ID: 1049831
Sex: M
Age: 68
State: CA

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

Lab Data: None, self-treated

Allergies: penicillin

Symptoms: Pain and inflammation in left knee starting at about 7:30pm on 2/22/2021. Chills starting at 11:30pm on 2/22/2021 Knee was bright red by 12:00am 2/23/2021. Hydrocodone 5mg-acetaminophen taken at 8:30 pm. No relief. Oxycodone-Acet. 5mg taken at 11:30 pm pain worse, no relief. By 2:30am considering ER. 2:30am took 2 Prednisone 10mg tablets, and 1 Ketrolac 10mg. Pain relief within 20 minutes. By 8:00am 2/23/2021 knee pain was gone. Did notice burning urination at that time, but none since. by 12:00pm 2/23/2021 mild fatigue but no pain or inflammation.

Other Meds: lisinopril, atenolol, atorvastatin, 162mg aspirin, glucasomine/condroitin, adult multivitamin, grapeseed resveratrol taken at approx 9:00am day of vaccination

Current Illness:

ID: 1049832
Sex: M
Age: 25
State: FL

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

Lab Data:

Allergies: Dust

Symptoms: I began to feel ill in bed. I stood up to get some water. While pouring the water, I felt much worse - out of it. I dropped the cup but it didn't register with me. I tried pouring again but dropped the pitcher too. My girlfriend came out, woken up by the noise, and then saw me collapse and start shaking. I don't remember anything after dropping the pitcher. When I came to (maybe a few seconds later?), I asked if I hit my head. She said I hadn't (luckily she was there to catch my head) but I did urinate on myself. I was very cold shivering, teeth clattering. She got me over to the shower where I turned the temperature all the way up and sat underneath. After a while I began to feel better - the fog had cleared for sure. I got in bed after and slept it off. When I woke up I had sweat through my clothes and still had a mild fever, but aside from that I felt almost entirely better. It's been about two days since then and I still feel completely well.

Other Meds: Finasteride

Current Illness: None

ID: 1049833
Sex: F
Age: 75
State: CA

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

Lab Data: none

Allergies: Penicillin

Symptoms: Red arm, rash 3 x 3 inches at injection site, very warm to the touch, itchy. Normal after four days.

Other Meds: Losartan, Atorvastatin, Calcium, Centrum Silver women 50+, Vitamin D3

Current Illness: none

ID: 1049834
Sex: F
Age: 32
State: OH

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

Lab Data:

Allergies: skelaxin, environmental/seasonal

Symptoms: swelling at base of neck on left side

Other Meds: nuva ring, zyrtec

Current Illness: none

ID: 1049835
Sex: M
Age: 49
State: OH

Vax Date: 02/04/2021
Onset Date: 02/16/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: N/A. Clinical diagnoses at ER

Allergies: NKDA

Symptoms: Patient developed R sided Bell's Palsy approximately 10 days after vaccination

Other Meds: Pantoprazole, bupropion, citalopram, fenofibrate, losartan, atorvastatin, Trulicity, Toujeo, metformin

Current Illness: NA

ID: 1049836
Sex: M
Age: 53
State: NJ

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

Lab Data: N/A

Allergies: N/A

Symptoms: Numbness and tingling in arm associated with vaccine- slight headache and feeling off.

Other Meds: N/A

Current Illness: N/A

ID: 1049837
Sex: F
Age: 21
State: NY

Vax Date: 02/14/2021
Onset Date: 02/20/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: Will get a test tomorrow

Allergies: tomato, cooked tuna, environmental

Symptoms: Hives all over my face and ears, onset 7 days post-vaccination, on and off for four days so far, on different parts of the face

Other Meds: vitamin c supplements, tyenol, birth controll

Current Illness: none

ID: 1049838
Sex: F
Age: 36
State: VA

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

Lab Data:

Allergies:

Symptoms: Unknown

Other Meds:

Current Illness:

ID: 1049839
Sex: F
Age: 67
State: CT

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

Lab Data: No

Allergies: No

Symptoms: Rash hot itchy dry 7 days later

Other Meds: Synthroid

Current Illness: No

ID: 1049840
Sex: F
Age: 66
State: CA

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

Lab Data: None

Allergies: Shellfish

Symptoms: Chills, feeling cold

Other Meds: Omeprazole, sertraline, artovastatin, vitamin e, glucosamine, calcium, ginko biloba,

Current Illness: None

ID: 1049841
Sex: U
Age:
State:

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

Lab Data: None

Allergies:

Symptoms: Evening of injection 2/16/21: arm pain, headache, feverish, flu-like feeling, lethargy. Next day and on and off on days since: gastrointestinal discomfort, loose bowel movements, lethargy, occasional headache.

Other Meds:

Current Illness:

ID: 1049842
Sex: M
Age: 75
State: AL

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None-did not notify Dr since symptoms were improving

Allergies: None

Symptoms: Severe arthralgia-difficult walking-disoriented, fever, headache-gradually improved over 48 hr period

Other Meds: Crestor,omeprazole,Wellbutrin, met form in, atenolol,amlodopine,prozac,fenofibrate, ASA Vitamin D

Current Illness: Pneumonia in December 2020

ID: 1049843
Sex: F
Age: 48
State: WI

Vax Date: 02/01/2021
Onset Date: 02/17/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: Ultrasound down to check for blood clots and ekg for heart attack all normal

Allergies: Pencillen

Symptoms: Within 10 mins flush face felt dizzy within 6 hours started to feel flu like symptoms. Still feel awful and at day 6. Went to ER and doc. High blood pressure, very bad headaches, anxious, stomach issues, tired and overall cannot function

Other Meds: Warfarin adderal ambien bystolic wellbutrin

Current Illness: None

ID: 1049844
Sex: F
Age: 40
State: MN

Vax Date: 01/30/2021
Onset Date: 02/05/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: started with a red rash and then kind of itchy warmness in my back lasted about two days and then today my left arm looks like covid arm and red circle with a spot that looks like raw skin and a blisters next to it

Other Meds: Yes

Current Illness: NO

ID: 1049845
Sex: F
Age: 78
State: NV

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

Lab Data:

Allergies:

Symptoms: 12 hrs after vaccination, pt reported mild tightness in throat and mild swelling of upper lip

Other Meds:

Current Illness:

ID: 1049846
Sex: F
Age: 46
State: CA

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

Lab Data:

Allergies: Plaquenil, etodolac, risperidone, olanzapine, geodon

Symptoms: Blotchy slightly raised rash on left arm in area of the injection site. Mildly itchy and warm to the touch

Other Meds: Clomipramine, bupropion, levothyroxine, omeprazole,azathioprine, cholecalciferol, vitamin c, zinc, Tylenol extra strength, Tramadol.

Current Illness:

ID: 1049847
Sex: F
Age: 49
State: KS

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

Lab Data:

Allergies:

Symptoms: Swollen lymph nodes in arm pit of left arm.

Other Meds:

Current Illness:

ID: 1049848
Sex: F
Age: 75
State:

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

Lab Data:

Allergies:

Symptoms: Patient called stating she received the second Pfizer vaccine on 2/21. That evening, she developed severe generalized weakness. She was unable to walk or stand. She laid on the floor from 2/21 3pm until 2/22 PM. She was incontinent of urine- reports urinating on towels throughout yesterday. She was unable to hold her head up due to weakness. She still feels weak today, but is able to stand and walk with husband's assistance. Also reports generalized muscle soreness and intermittent vertigo. She is drinking fluids well, has eaten a light meal today. Denies fever, shortness of breath, chest pain, palpitations.

Other Meds:

Current Illness:

ID: 1049849
Sex: F
Age: 61
State: FL

Vax Date: 01/01/2021
Onset Date: 01/16/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: penicillin

Symptoms: Temporary inflammation of lips. Had filler (Juvaderm) 12 months prior to vaccine. Symptoms lasted only 3 or 4 days.

Other Meds:

Current Illness:

ID: 1049850
Sex: M
Age: 87
State: FL

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

Lab Data:

Allergies:

Symptoms: Altered mental status, confusion, nausea vomiting, acute metabolic encephalopathy

Other Meds:

Current Illness:

ID: 1049851
Sex: F
Age: 51
State:

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

Lab Data:

Allergies: No

Symptoms: Dry cough, shortness of breath, Headache, fatigue,

Other Meds: Vitamins, Iron and Cholestorl medicen Astrostatin 10mg

Current Illness: No

Date Died: 02/05/2021

ID: 1049852
Sex: M
Age: 71
State: AZ

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

Lab Data:

Allergies: none

Symptoms: When calling to get billing information we were notified that patient had passed away. Patient's daughter said patient was having cvd a/s on 2.1.2021 got vaccine 2.2.2021 and passed away 2.5.2021. Cardiologist said not related

Other Meds: vitamin d 1.25 mg 1 per week

Current Illness:

ID: 1049853
Sex: F
Age: 59
State: PA

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

Lab Data: no

Allergies: sulfa and resperadol,

Symptoms: pt stated that she had some pain in left arm on 2/21/2021 that went away. Then she developed swelling in the left arm on 2/22/2021. On 2/23/2021 she noticed a red patchy ring around the injection site. Pt called the medical clinic which told her to call us.

Other Meds: losartan, metoprolol, calcium, Vitamin D, perphenazine, lorazepam, multivitamin, Tylenol,

Current Illness: no

ID: 1049854
Sex: F
Age: 64
State: MD

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

Lab Data: My dr informed me there's no treatment available, just have to wait it out

Allergies: Dilantin

Symptoms: Chills, fever, fatigue, nausea, vomiting, headache, started the next day, persisted for 2 days, gradually improving , no treatment aside from tylenol

Other Meds: Hydrocortisone, levothyroxine, xyzal, singulair

Current Illness: None

ID: 1049855
Sex: F
Age: 37
State: OR

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: N/A

Allergies: Penicillin

Symptoms: When I woke up the next morning after receiving the vaccine, my entire body hurt. -Achy muscles -Skin sensitivity -Excessive tiredness

Other Meds: Oral birth control, Celexa

Current Illness: N/A

ID: 1049856
Sex: F
Age:
State: IL

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

Lab Data: None

Allergies: None as far as I know

Symptoms: The day they gave me the vaccine I had a lot of pain in my left arm, I felt my arm very tired, if I grabbed something I could not hold it for a long time, the next day , on Thursday I had the same pain but it was also a pain in the armpit and it went to my left breast, along with a prick, on Friday I continued having pain in my armpit, like I was sore and I noticed that my neck hurt a lot, only on that side, I called my doctor and she told me to take ibuprofen and if I still having problems to go to the emergency room, by late in the night I felt a small ball near to my neck and when I touched it hurt a lot, to this day nothing hurts but the small ball still there, it doesn't hurts when I touch it nothing., I had palpitations but

Other Meds: Levotiroxine Carbamazepin Phentermine Vitamins in gummies

Current Illness: I have hypothyroidism and I have trigeminal neuralgia.

ID: 1049857
Sex: F
Age: 64
State: NC

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

Lab Data: 2/17: WBC 23.2, PLT 451, pH 7.350, pO2 62, SARS CoV-2 IgG Ab reactive; IgM non-reactive, COVID-19 swab negative. 2/22: D-dimer 3205

Allergies: None reported

Symptoms: 2/14: The day after receiving the vaccine, she noticed a rash on her chest and legs. She felt nauseous and endorsed vomiting, body aches, and fever. 2/16: Saw PCP and was found hypotensive. Was sent to ED and received 2L fluids, IM steroids, and PO ondansetron. She was discharged because she was feeling better. 2/17: Returned to hospital due to pleuritic chest pain and hemoptysis and was noted to have an elevated lactate (received 3L fluids) and was admitted to the hospital. SpO2 was in the 70s on presentation and she was placed on BiPAP (O2 improved to 100%). Per note: patient presented to the ED with hypoxia, tachycardia, tachypnea, and leukocytosis. Patient received dexamethasone 6mg, vancomycin, cefepime, azithromycin, furosemide, and ipratropium/albuterol. Patient is currently receiving the following medications: budesonide, ipratropium/albuterol, cefepime, acetaminophen, atorvastatin, benzonatate, enoxaparin, escitalopram, ferrous sulfate, guaifenesin, hydrocodone/acetaminophen, methylprednisolone, methylprednisolone, Montelukast, morphine, ondansetron, pantoprazole. Patient has been hospitalized since 2/17

Other Meds: Albuterol Apixaban Benzonatate Budesonide Escitalopram Famotidine Fexofenadine Lisinopril/HCTZ Montelukast Pantoprazole Simvastatin Triamcinolone ointment

Current Illness: Prior history of COVID-19 pneumonia reported in April/May 2020 (6-week intubation)

ID: 1049858
Sex: F
Age: 53
State: IL

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

Lab Data: N/A

Allergies: eggs - migraines

Symptoms: Arm got red, itchy, sensitive and sore, slightly discolored. Lasted about 3-4 days and has since resolved

Other Meds: vitamin d

Current Illness:

ID: 1049859
Sex: M
Age: 46
State: WA

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

Lab Data: None

Allergies: None

Symptoms: Headache, fever, muscle ache, and weakness throughout the body

Other Meds: 500mg Tylenol, 600mg ibuprofen,

Current Illness: Fever(temperature exceeds 100.9), headache, muscle aches, weakness throughout the body.

ID: 1049860
Sex: F
Age: 60
State: TX

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

Lab Data: Covid-19 Test 02/19/2021 - Negative

Allergies: Codiene

Symptoms: I received my second Moderna vaccine on 2/05/2021. Within 10 minutes of receiving the vaccine I got a real bad headache, was very dizzy and felt very hot all inside my body. I reported it to the nurse and she told me it was a normal reaction to the vaccine and to wait a little longer than the 15 minutes to see if it would go away. She gave me water and I did fell better and we left medical center. At around 5:30 pm that same day I started to get cold chills and body aches especially on my right side. my lower back and my right hip were hurting a lot and I was having trouble walking.at around 8:00 pm my husband notice my right foot was very swollen and I notice by breast, my arm and hand, my underarm and leg were extremely swollen and painful. I did take a Tylenol because that is what they told me to take. I was freezing cold by the time I went to bed during the night I was sweating a lot. As of that day my symptoms were: Swelling on my right side Body aches, Headaches Fever Difficulty breathing/Shortness of Breath Rapid heart rate ranging from 100-125 w/o doing anything My neck and throat were very swollen around my thyroid area Blurring vision Chills and hot flashes Fatigue/Malaise Big round red welt around my injection site about 4 inches wide and hot to the touch I finally called medical center on 2/18/21 because I still had right leg, hip pain and swelling. I had a tele-med appointment with one of their doctors and she told me I had to first get a Covid-19 test to see if I didn't have Covid. Which the test did come out negative. She also told me that maybe the vaccine triggered something in my body that was causing all the swelling. I do have an appointment for chest, hip spine x-ray and lab work for 3/22/21. I still have the hip pain but not as bad. The person who gave me my Covid test results said I should report my symptoms.

Other Meds: Thyroid medication CMPD T3 22MCG/T4 76MCG, Telmisartan 40 mg, low dose Aspirin, Vitamin D3, Vitamin B12, Magnesium, Vitamin C, Amberen

Current Illness: Thyroid problems and High blood pressure that is under control

ID: 1049861
Sex: F
Age: 66
State: CT

Vax Date: 02/16/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None

Allergies: Penicillin * No other KNOWN (!) medication or food allergies.

Symptoms: On 2/23/2021 @ 1:00 A.M.;- exactly one week after receiving my first dose of the Moderna CoVid 19 Vaccine on 2/16/21; I developed hives and itching on my left arm at the vaccination site. I awoke @ 10 A.M. on 2/23/2021 with itching , hives, redness and soreness in the same area. As of this writing, circa 3:45 P.M., the redness and itching persists. This is the only adverse reaction I have had thus far from the vaccine.

Other Meds: Flecainide 50 mg; low-dose aspirin; Vitamin C -500 mg; Zinc -50 mg; Astragulus- 500 mg; Turmeric -500 mg; Magnesium Gycinate -665 mg; Calcium 800 mg; Vitamin A -3,000 mcg; Biotin-10,000 mcg; B6/Folic Acid/ B12 complex;- 1,334 mcg; Melanto

Current Illness: None

ID: 1049862
Sex: F
Age: 76
State: PA

Vax Date: 01/26/2021
Onset Date: 02/02/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: no known allergies

Symptoms: shingles of face

Other Meds: atenolol, citalopram, atorvastatin, losartan, hydrochlorothiazide, amlodipine, vitamin B12, vitamin D3

Current Illness: none

ID: 1049863
Sex: F
Age: 57
State:

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

Lab Data: Vitals: O2: 98% Pulse: 72 bpm Reputation: 18 breaths per minute

Allergies: Sulfa (hives)

Symptoms: Approximately 10 minutes after vaccination (during post vaccination observation), patient reported feeling ?off? and that her throat hurt. I was contacted via radio to aid with assessment. Upon my arrival, patient reported that that she was experiencing slight difficulty swallowing, was feeling ?off? and felt ?like her head was in a fog?. Assessment of vitals revealed an intial vital signs of respiration rate of 18 breaths per minute, pulse of 74 beats per minute, 97% oxygen saturation levels. Blood pressure was obtained prior to arrival and was reported as 121/74. Lungs were clear to auscultation bilaterally. Clear S1 and S2 were present upon cardiac auscultation with no mumurs or gallops noted. Patient appeared slightly pale with a slightly hoarse voice. Patient did not have noticeable pharyngeal edema upon examination. Patiney had no increased work of breathing and was not using accessory Muscles for breathing. Patient was given a swallow test using bottled water and then solid food and demonstrated intact ability to swallow with no regurgitation, choking or drooling noted. Continuous oxygen saturation monitoring revealed 02 that never fell below 96%. Continuous pulse monitoring revealed a pulse that was between 74-79. Given the stability the vital signs, demonstrated ability to swallow and inappropriately labeled IM medication in emergency kit (ie three loose syringes were not drawn up by myself. Medications were labeled by hand with no expiration date, route or dose), I elected to give the patient 25 mg of oral diphenhydramine. Patient declined to seek emergency medical attention several times. Patient?s daughter was then called so that the patient could be driven home. Patient was advised to seek emergency medical attention if her symptoms worsened, she developed increased difficultly breathing or otherwise felt unwell. Advised to follow up with PCP within next 24 hours.

Other Meds:

Current Illness:

Date Died: 02/10/2021

ID: 1049864
Sex: M
Age: 77
State: IL

Vax Date: 01/22/2021
Onset Date: 01/27/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: TSH Third Generation ONE TIME 01/27/21 1319 Troponin Series ONE TIME 01/27/21 1319 EKG ONE TIME 01/27/21 1319 Oxygen Therapy Maintain O2 Sat at or Greater: 94%; Liter Per Minute: 4 LPM ONE TIME, Status: Canceled 01/27/21 1319 XR Chest Portable RAD ONE TIME 01/27/21 1319 CBC w Auto Diff ONE TIME 01/27/21 1319 Comprehensive metabolic panel ONE TIME 01/27/21 1319 BAG/MASK OXYGEN 1 Time ONE TIME, Status: Canceled 02/10/21 0727 EPINEPHrine PF 0.1 mg/mL (1:10,000) injection ONCE PRN 02/10/21 0657 sodium bicarbonate 8.4 % injection ONCE PRN 02/10/21 0657 EPINEPHrine PF (ADRENALIN) 1 mg/mL (1:1,000) injection ONCE PRN 02/10/21 0656 atropine syringe ONCE PRN 02/10/21 0655

Allergies: Sulfa Antibiotics

Symptoms: 1/27/21 Emergency room: HPI Patient is a 77 y.o. male who presents after a syncopal episode with cyanosis and shortness of breath. Patient came from rehab where they stated he was sitting on his bed, his oxygen saturation dropped down to 76% on 4L and he became cyanotic. By the time EMS arrived, patient was back to 95% on 4 L. On arrival to the ER, he is 98-100% on 4L. He has a history of COPD and has a chronic cough due to this.Currently, he has no pain, no shortness of breath, no weakness, no cyanosis. He is afebrile and sitting comfortably in bed. 2/10/21 emergency room HPI Patient is a 77 y.o. male who presents with in full cardiac arrest. Patient is resident of local nursing home. According to nursing home staff, a tech was in his room talking with him as patient was laying in bed. Tech began walking out of patient's room and turned around to tell him one last thing when the tech noticed patient had gone unresponsive. Patient had no spontaneous respirations or pulse, subsequently CPR was started immediately. 911 was called. This occurred around 5:30 a.m.. Upon EMS arrival on scene, they found a male unresponsive with CPR being performed. There was no spontaneous respirations or circulation. Thus, ET tube was placed and life support guidelines initiated. Patient was found to be in PEA, and according to EMS, patient was given a total of 6, 1 mg epinephrine IV push and 1, 1 Amp sodium bicarb. Patient was worked on at the scene for approximately 40 min before being transferred to ER. Upon arrival to ER trauma room 1 patient is still in full arrest. ET tube in place with good ventilation. Patient remains in PEA. Chest compressions and life support guidelines initiated. In reviewing patient's chart and nursing home notes, patient is a full code. Patient has a significant cardiac history including known coronary artery disease with 4 vessel CABG. Patient also has history of 3rd degree heart block and pacemaker placement. Patient has history of ischemic cardiomyopathy but last echo performed in 2020 shows ejection fraction of 45%.

Other Meds: Current Outpatient Medications: ? albuterol 108 (90 Base) MCG/ACT inhaler, inhale TWO PUFFS every FOUR hours as needed FOR FOR WHEEZING OR shortness OF breath, Disp: , Rfl: ? aspirin 81 MG EC tablet, Take 81 mg by mouth daily, Disp: , R

Current Illness:

ID: 1049865
Sex: M
Age: 44
State: NJ

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

Lab Data:

Allergies: no

Symptoms: Fever, chills, headache, dizziness, weakness, sweating, shaking.

Other Meds: no

Current Illness: no

ID: 1049866
Sex: F
Age: 68
State: CA

Vax Date: 02/09/2021
Onset Date: 02/14/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None yet

Allergies: Soy, Corn, Aspirin, Darvocet, codeine, etc. all prescription pain meds.

Symptoms: Woke up Sunday February 14th with flu like symptoms, transient nausea, weak and tired. My left arm was tingling from the elbow down to the side of my hand and my ring and little fingers and palm of my hand were numb. The tingling in my left arm has not stopped since then, my left elbow is sore to the touch and the two fingers tingle and are numb. The flu symptoms subsided by the following day but the numbness and tingling in my left hand has continued.

Other Meds: Amlodipine 5mg, Meloxicam 15 mg as needed for knee pain. Multi vitamin, digestive enzymes, zinc, vitamin D

Current Illness: None

ID: 1049867
Sex: F
Age: 37
State: MD

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

Lab Data: None

Allergies: Mild allergy to some shellfish and minor seasonal allergies.

Symptoms: 7 days post vaccine, swelling and a rash appeared at the injection site and through day 8 this was present at the injection site and within a 4 inch radius of the. Site of Injection. Exterior layer of skin was in tact and the swelling , redness and itchiness reduced within 72 hours of onset without taking any medication

Other Meds: Xeljanz XR

Current Illness: None

ID: 1049868
Sex: F
Age: 56
State: SD

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

Lab Data: None

Allergies: Tetracyclin, Sudafed, Amiltripiline, Flouride

Symptoms: At around 2:00 p.m. my neck on my left side started to hurt and it went to the shoulder area as well. It progressed more intense as time went on. I took some ibuphropen and tylenol but did not seem to help. The next day it was worse and could hardly move my head without pain. I had a couple tablets of Orphenadrine and I took 2 on Saturday and 1 on Sunday. Monday morning it was even worse so I called my Dr. office and he refilled the prescription of Orphenadrine and after a couple days it was better. I took them for about 1 week but pain never went away totally. I was afraid to get the second dose but my Dr. said it should go better the next dose. So I did get a second dose on February 4. Pain happened again but not as severe.

Other Meds: I took my prescription medications early in the morning and not at the time of the vaccination. I did take tylenol and ibruphropen after the vaccination later in the afternoon when symptoms started.

Current Illness: I was not sick at the time of the vaccination.

ID: 1049869
Sex: F
Age: 46
State: NY

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

Lab Data:

Allergies: Flu vaccine

Symptoms: While Pt was sitting in the waiting area she began to has partial upper body "seizure" also breathing problem that included tightness in her throat, husband alerted staff who then alerted EMS, upon arrival to the Pt she was saying under her breath "EPI" Pt quickly moved to the back of the tent to the EMS area where EPI .3 administered in the left thigh, lung sounds where having wheezes in both sides. within minutes she stated she felt much better. As we obtained Pt demographic she again stated her throat was feeling tight, second dose of EPI .3 given, within minutes it happened again a total of three EPI .3 given and 50mg of Benadryl given, ambulance arrived to transport.

Other Meds: Unknown

Current Illness: None

ID: 1049870
Sex: F
Age: 49
State: IA

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

Lab Data: Strep throat swab (results negative),Covid test(results negative)

Allergies:

Symptoms: I had a sore throat and white patches on tonsils lasting 2-3 days.

Other Meds: No

Current Illness: Strep throat

ID: 1049871
Sex: F
Age: 17
State: OR

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

Lab Data:

Allergies:

Symptoms: Reporting a vaccine administration error: unauthorized age group. Vaccinated while not yet 18 years of age. No adverse event.

Other Meds:

Current Illness:

ID: 1049872
Sex: F
Age: 68
State: FL

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

Lab Data:

Allergies: sulfa drugs caused headaches

Symptoms: I started seeing stars after showering the morning after receiving my shot and eventually blacked out, fell, and struck my head. When I came to, my head was bleeding where it struck the floor and I was in a cold sweat. I crawled to my phone and called 911. They arrived and checked me out, settled me on the couch and gave me tylenol, spoke with a doctor on the phone, and eventually told me that I could get a friend to take me to the ER if I wished. However, my husband is disabled and could not be left alone, so I'd have had to find another friend to stay with him. Although I might have a concussion, my condition seemed OK and I have not had any other severe symptoms so I have not sought further medical attention.

Other Meds: synthroid, amlodipine, telmisartan

Current Illness: none

ID: 1049873
Sex: M
Age: 76
State:

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

Lab Data:

Allergies:

Symptoms: Patient had the Moderna vaccine 1st dose roughly 5 days ago. Overnight, his wife woke to him having an episode of what appeared to be a tonic clonic seizure around 5 am on 2/23/21, followed by a period of disorientation and unresponsiveness consistent with a post ictal state. The patient has no history of seizures. It is unclear if this had anything to do with the Moderna vaccine, but I am reporting it due to the timing of the episode in conjunction with the vaccine.

Other Meds:

Current Illness:

ID: 1049874
Sex: F
Age: 70
State: GA

Vax Date: 02/03/2021
Onset Date: 02/11/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None

Allergies: NKA

Symptoms: On February 11, 2021, eight days after my shot, my arm became itchy, warm, swollen and red patches. The same arm I received my vaccine in. I took a Benadryl and applied Benadryl cream on the patches. It got better in approximately two days with some residual discoloration.

Other Meds: Armour Thyroid Inderal Lipitor

Current Illness: None

ID: 1049875
Sex: F
Age: 73
State: LA

Vax Date: 02/05/2021
Onset Date: 02/18/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: n/a

Allergies: PCN Doxocyclin Reclast

Symptoms: Covid arm. Light pink circle around the injection site

Other Meds: Amlodipine 2.5mg Aspirin 81 mg Atorvastatin 10 mg Calcium 600 Vitamin D3 Magnesium 400 mg Zyrtec 10 mg

Current Illness:

ID: 1049876
Sex: M
Age: 63
State: AL

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

Lab Data: None

Allergies: None

Symptoms: Fatigue, headache, muscle pain, and chills

Other Meds: Escitalopram

Current Illness: None

ID: 1049877
Sex: F
Age: 78
State: VA

Vax Date: 02/10/2021
Onset Date: 02/17/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: rash around the injection site. patient has taken benadryl and using topical cream. rash is still present

Other Meds:

Current Illness:

ID: 1049878
Sex: M
Age: 58
State: ME

Vax Date: 02/08/2021
Onset Date: 02/17/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: Statins

Symptoms: On the morning of the 17th, a week after the immune reaction from the second shot, started off with a painful rash on the right foot and unable to bear weight. Advised Benadryl and Claritin by physician after sending him a photo. Along with that developed a sore throat and painful swelling at the right base of tongue, almost as if it had been bitten, on and off sweats, temperature on and off to 99 degrees, myalgias and arthralgias. The sore throat got a little better by 2/20, but then started with severe headaches, worse at night, along with intense pain and burning with the neuropathy in my feet flaring up. Dizziness along with the headaches and sharp stabbing pains from the neck on each side up to the back of the years and marked sensitivity of the skull. Almost went to the ER in the middle of the night on 2/21, but increased Tylenol to every 4 hours. the symptoms of the rash and body aches and fever have subsided, but chills come and go. Today, 2/23, the headaches are continuing to get better, but marked sensitivity of skull and head, particularly on the left side, and overall feeling of being tired. I expect over the next few days the headaches will be gone. Didn't expect this delayed reaction after over a week after the second shot, but I guess anything can happen. Have discussed with other coworkers in the medical field that have heard of similar issues, so we are guessing this is a delayed reaction. At least there was no shortness of breath or difficulty breathing.

Other Meds: Metoprolol 12.5 mg daily Fosinopril sodium 20 mg daily Aspirin 81 mg daily Vitamin D3 1000 units daily Red Yeast Rice 2400 mg daily Co Q-10 200 mg daily Omega-3 Krill Oil 300 mg daily Asparagus 800 mg daily Magnesium 500 mg daily Levothy

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm