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: 1050079
Sex: F
Age: 49
State: CA

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: nka

Symptoms: rash and hives in different parts of the body. Symptoms are similar to chronic urticaria. Other potential allergens have been removed, such as switching to hypoallergic soaps, shampoo, laundry detergent, and dryer sheets.

Other Meds: none

Current Illness: rash/ hives approx. 1 week after the first dose of Moderna vaccine

ID: 1050080
Sex: F
Age: 34
State:

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

Lab Data: 2/23/2021 EKG: normal sinus rhythm

Allergies: none

Symptoms: Tachycardia HR 150s for 10 minutes associated with headache that awoke patient from sleep. Self resolved. EKG normal later that day and cardiac exam normal

Other Meds: none

Current Illness: none

ID: 1050082
Sex: F
Age: 50
State: NY

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

Lab Data: None

Allergies: None

Symptoms: Large red approximately 8 -10 inches in diameter circle inches harden swollen red patch around the injection site on left arm. Warm to the touch. Getting larger by the day. Will seek medical treatment by Thursday. Appeared days ago ...about a week after injection.

Other Meds: Eliquis B12 injection quisimia

Current Illness: Sarcoidosis

ID: 1050083
Sex: F
Age: 30
State: WA

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

Lab Data: n/a.

Allergies: pencilin

Symptoms: Arm soreness started 2-3 hours after injection. Intense body aches down spine and legs started 12 hours post-vaccine injection along with fever, chills, and headache. Body aches lasted for 24 hours. Fatigue lasted 3 days and had a strong headache that got worst with change of position 4 days after injection that lasted 18 hours. Returned to normal 5 days post injection.

Other Meds: sertraline, montelukast, skyla IUD

Current Illness: n/a.

ID: 1050084
Sex: F
Age: 73
State: WI

Vax Date: 02/09/2021
Onset Date: 02/18/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Symptoms: Rash, Hives,Swelling of lips occurred 9 days following first vaccination. Contacted doctor 3 days after symptoms began. Treatment: Doctor recommended starting Antihistamine and continuing through second vaccination.

Other Meds: Levothyroxine Estrodial

Current Illness: None

ID: 1050085
Sex: F
Age: 33
State:

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

Lab Data:

Allergies:

Symptoms: Received her vaccine on 02/09/21 at 3:00pm and started to feel fatigue, nauseous, and had body aches. At 6:00pm, she had a headache that lasted until Thursday evening (2/11/2021). On 02/09/21 her fever and chills began at 8:00pm and lasted until 02/10/21 3:00pm. She treated her fever with Tylenol and her body aches with Advil. On 02/10/21, she had diarrhea that lasted 6 hours.

Other Meds:

Current Illness:

ID: 1050086
Sex: M
Age: 86
State: MT

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

Lab Data:

Allergies: Morphine

Symptoms: Several hours after receiving the vaccine, patient developed a swollen tongue and was admitted over night to the hospital for observation.

Other Meds: Lisinopril

Current Illness: N/A

ID: 1050087
Sex: F
Age: 83
State: MT

Vax Date: 02/09/2021
Onset Date: 02/16/2021
Rec V Date: 02/23/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Patient hospitalized after first dose, but before second dose.

Other Meds:

Current Illness:

ID: 1050088
Sex: F
Age: 84
State: ND

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

Lab Data: None

Allergies: None

Symptoms: The client's daughter reported that the day following vaccination the client experience tremors all extremities bilaterally for approximately 24 hours. She reports the client stated the tremors were not "chills" but were uncontrollable tremors. No residual effects noted once they subsided.

Other Meds: Unknown

Current Illness: None at time of vaccination. Month prior unknown

ID: 1050089
Sex: F
Age: 67
State: CA

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

Lab Data: N/A

Allergies: None

Symptoms: On 2.23.21 at approximately 1 PM, Vaccine lead, , RN, was notified by temp nurse, , RN did an incorrect vaccine was administered on Upon review of vaccine card, RN discovered that client, received a first dose Moderna Vaccine at Site and was given a second dose of Pfizer vaccine. Client denies any adverse reactions and was observed post vaccine for 30 minutes.

Other Meds: Unknown

Current Illness: None

ID: 1050090
Sex: F
Age: 59
State: WV

Vax Date: 01/08/2021
Onset Date: 01/11/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: COVID-19-neg

Allergies: IVP dyes, Amoxicillin, Zanaflex, Bactruim, Viaxin, Cinnamon, Raisin, Cypro

Symptoms: A later the day after the vaccine I was very fatigued and by the 3rd day I had chills so bad I was shaking. I had a severe headache which felt worse than any migrane headache ever. Body aches, fever of 100.4 and nausea which caused me to have to take off work. I was tested for COVID-19 which was negative and I had a pounding HR as well which all symptoms pasted after about 2 1/2 days.

Other Meds: Sintyroid, Losartan, 325 mg aspirin, metroprol, Vit D., fish oil, protonics, Xanax

Current Illness: UTI

ID: 1050091
Sex: F
Age: 43
State: OK

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

Lab Data:

Allergies: Depo-Provera, Shrimp, nitrofurantoin

Symptoms: Patient became pale, cold, clammy with shortness of breath after getting vaccine.

Other Meds:

Current Illness: none stated

ID: 1050092
Sex: F
Age: 0
State: ND

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

Lab Data: none

Allergies: none

Symptoms: Red/swelling to entire thigh on right side. Warm to touch, patient very upset and crying in pain for several hours. Benadryl given to treat reaction.

Other Meds: none

Current Illness: none

ID: 1050093
Sex: F
Age: 71
State: CO

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

Lab Data:

Allergies: none

Symptoms: Severe chills, fever, vomiting, headache, loss of all urinary control, exhaustion. Lasted 3 days. (Tapered off after about 8 hours). Called doctor and was told to take Tylenol, which I did.

Other Meds: Prednisone, venlafaxine, trazodone, thyroxine, multivitamin, vitamin D

Current Illness:

ID: 1050094
Sex: F
Age: 36
State:

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

Lab Data:

Allergies: Sulfa, Reglan

Symptoms: Approximately 12 hours after (so around 230am) receiving my second Moderna vaccine, my arm became painful and woke me up in the middle of the night. I didn?t look at my skin yet, and went back to sleep. At around 838am I was changing and though my arm was still very painful to move (more painful than any shot I?ve ever had ) , I took my long sleeve shirt off and noticed an inch wide red splotch that was warm to the touch and 1/3 of a golf ball sized lump was on my right arm under the red splotch. I took Tylenol, and used ice packs throughout the day. The next day the lump was still the same size and the redness was a shade darker. I had a family member mark a border with pen around the red area. About another 12 hours later the area of redness outgrew the pen marked area to about 1 1/2 inches in diameter. Day 3 post vaccination, my arm splotch has grown to 2 inches and is still red but also started itching today. The hardness is there as well.

Other Meds: Levothyroxine

Current Illness:

ID: 1050095
Sex: F
Age: 30
State: NM

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

Lab Data:

Allergies: ibuprofen (unknown reaction)., milk products (unknown reaction)

Symptoms: 1415: Patient with history of COVID 8/2020 presented today for second dose of vaccine after approximately 5 minutes after patient had vaccine patient had syncopal episode, itching/ fullness. Covering physician present and assessed with EMS on Duty: VS: 110/80-BP, 18-RR, 96-HR, SaO2-98% on RA, CBG: 138 Patient awakened and reported "feeling funny" but was A & Ox4, MAEW x4 with equal strength, Lungs Clear to auscultation. 1420: Benadryl liquid PO given along with 8oz of water. Patient able to drink without issues. 1500: EMS called for ER transport to due prolonged recovery.

Other Meds: famotidine 20mg qday, methylphenidate 27mg ER qam, fludrocortisone 0.1mg qday, omeprazole 20mg qday, Pristiq 100mg qday, Rexulti 3mg qday, folic acid 1mg qday

Current Illness: unknown

ID: 1050096
Sex: F
Age: 53
State: CA

Vax Date: 01/05/2021
Onset Date: 01/07/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: Chemistry and CBC normal. ESR normal, ANA positive with positive SSB antibody.

Allergies: PCN

Symptoms: Dusky/blue fingers and hands, chest and abdominal pain, joint pains

Other Meds: Estrogen/Progesterone

Current Illness: None

ID: 1050097
Sex: F
Age: 0
State: CA

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

Lab Data:

Allergies:

Symptoms: Slight swelling redness itch

Other Meds:

Current Illness:

ID: 1050098
Sex: F
Age: 66
State: CA

Vax Date: 12/21/2020
Onset Date: 12/22/2020
Rec V Date: 02/23/2021
Hospital:

Lab Data: none

Allergies: Bactrim , sulfa, latex,

Symptoms: flu like symptoms, no fever/ chills, sleepy, couldn't stay awake,

Other Meds: simvastatin 40mg daily Plavix 75mg daily altace 5mg daily calcium 1200mg daily vitamin d3 10,000 mg daily pro air hfa 2 puffs q 5 minutes q 4 hours

Current Illness: none

ID: 1050099
Sex: F
Age: 58
State: ID

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

Lab Data: n/a

Allergies: n/a

Symptoms: Client was mistakenly administered a Moderna, Dose #2, rather than the Pfizer, dose #2 . After it was given and the mistake was realized, client was notified of the incident, information was corrected on her imm. card, and advised her that she would not need another dose of Pfizer, that her series is complete.

Other Meds: n/a

Current Illness: n/a

ID: 1050100
Sex: F
Age: 77
State: FL

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

Lab Data: None

Allergies: Penicillin

Symptoms: Mild temperature as high as 101 for 3 days

Other Meds: Amitriptyline, Klonipin, generic Fosamax, Biotin, Vit D ,Preservision, Monoxidil/ Finaster

Current Illness: No

ID: 1050101
Sex: M
Age: 28
State: CO

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

Lab Data: Basic Metabolic panel, CBD, Magnesium,ECG all normal

Allergies:

Symptoms: Pt states he was initially feeling fine s/p receiving his COVID vaccine. After 5-6 minutes he notes a syncopal episode that he describes as feeling like he randomly fell asleep. When this occurred, he fell back in his chair and hit his head. He notes blurry vision after this occurred but felt like he was slowly improving. While he was being brought to the ED in a wheelchair he began experiencing blurry vision again and his face became very pale. He was given some apple juice and reports that after 5-10 minutes he felt back to normal. While his vitals were being taken, his HR and BP were very low and he experienced another episode. Pt does not have a hx of passing out 2/2 needles and notes that he gets a flu shot every year and is totally fine. He does note that he became queasy when he tried to give blood in the past but that this does not normally happen. Of note, pt denies any leg swelling prior to these episodes. Pt endorses a low baseline HR in the 50s per his Fitbit but otherwise denies any known heart problems. He notes a fhx of heart problems and states that his dad had heart bypass surgery a couple years ago. Pt denies any daily medications other than vitamin gummies. Denies DVT risk factors or prior history of DVT.

Other Meds:

Current Illness:

ID: 1050102
Sex: F
Age: 51
State: CA

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

Lab Data:

Allergies: Mango, apricot

Symptoms: A little over 24 hours after my second dose I started to feel muscle aches, a fever of 102.4, headache, chills, fatigue, diarrhea, sweating, injection site pain, stomach pain and upset. I have been taking Tylenol and Ibuprofen to help with the aches and pains and NyQuil at night to help with fever and aches. It is helpful. I have been eating a BRAT diet and drinking a lot of vitamin water with 0 sugars.

Other Meds: Tylenol ibuprofen

Current Illness:

ID: 1050103
Sex: F
Age: 46
State:

Vax Date: 02/16/2021
Onset Date: 02/19/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: Rapid covid test 2/23/21-negative

Allergies:

Symptoms: HA and sore arm post vaccination immediately. On 2/19 Pt developed chills, low grade fever, fatigue, myalgia, worsening HA, cough, chest tightness. She still has those symptoms. Rapid covid negative so far.

Other Meds:

Current Illness:

ID: 1050104
Sex: F
Age: 66
State: OK

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

Lab Data: none

Allergies: Erythromycin causes rash

Symptoms: client says she was in distress prior to taking the vaccine because she had stood for over an hour in line waiting to be seen and she had a double mask on. She says by then she was dehydrated and feeling faint. She has a history of atrial fib off and on, which she takes medication for. She says she feels like she almost had a stroke and Nurse Pract told her she had a full blown panic attack. She was allowed to sit down and rest and rehydrate and eat and she felt better.

Other Meds: Toprolxl

Current Illness: hx atrial fib, but no other illnesses

ID: 1050105
Sex: F
Age: 62
State: CA

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

Lab Data: No test yet.

Allergies: No

Symptoms: Symptom first started with soreness in the left tonsil, then swelling and now the pain has moved to my ear canal. This has been going on for 3 days and I have to take Tylenol and provide relief so I can sleep.

Other Meds: Metoprolol Rosuvastatin

Current Illness: No

ID: 1050107
Sex: F
Age: 66
State: FL

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

Lab Data: no

Allergies: Betadine and Novocain

Symptoms: After vaccination I experienced very fatigue, nauseous, chills, fever, so cold, and sore, and today 48 hours it appears to have a menstrual cycle or vaginal bleeding that started today, I had a hysterotomy 20 years ago.

Other Meds: Lisinopril, Spiro lactone 25mg, Carvedilol 6.25mg, Aspirin, multivitamin, Vit D4000 and Biotin and took 2 Tylenol after the vaccine

Current Illness: no

ID: 1050108
Sex: F
Age: 59
State: MI

Vax Date: 02/12/2021
Onset Date: 02/15/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: Covid test administered on 02/22/2021 -- results were negative

Allergies: Sulfa drugs, onions

Symptoms: 02/13/2021 I developed mild side effects of pain at injection site & minor body aches, These resolved on 02/14/2021. 02/15/2021 I developed an altered sense of smell. I smell an medicinal or chemical smell. Husband does not smell this so it is not an environmental odor. Received a covid test on 02/22/2021 which was negative. The altered sense of smell is still persisting. Notified my doctor of it & she asked that I notify the CDC as it may be a potential side effect from covid vaccine.

Other Meds: Levothyroxine, Alendronate, Multi-Vitamin, Calcium supplement, Fish Oil supplement

Current Illness: None

ID: 1050109
Sex: F
Age: 79
State: WA

Vax Date: 02/15/2021
Onset Date: 02/20/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Got the shakes at 11PM on sat. night and at 2Am in the morning i am throwing up. I have a fever my head hurts and my neck. I am still sick. I do not feel good. I am not getting the 2 shot.

Other Meds: Losartan/High bloodpressure Atorvastatin Zink-B12 and probiotics

Current Illness: none

ID: 1050110
Sex: M
Age: 89
State: MT

Vax Date: 02/03/2021
Onset Date: 02/17/2021
Rec V Date: 02/23/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Patient hospitalized after first dose, but before second dose.

Other Meds:

Current Illness:

ID: 1050111
Sex: F
Age: 54
State: CA

Vax Date: 02/18/2021
Onset Date: 02/21/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: I had the expected flu-like symptoms for a couple of days, and then on Day 3 got nauseous and started feeling tingling on my face (below the nose and around my mouth. It felt like pins and needles. When it went on for several hours I called Hospital and they advised to contact them if it worsened of I began having symptoms of Bells Palsey or a stroke (not concerning at all!) I took tylenol then ibuprofen and it went away. It's come back two more days (up to today) but has not worsened. Just thought I should report it.

Other Meds: Xanax PRN (1/2 of a 25mg tablet) Atrantil supplement Curcumin

Current Illness: none

ID: 1050112
Sex: F
Age: 37
State: OR

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

Lab Data: none

Allergies: tested positive for shrimp allergy on allergy panel, but has never had a reaction

Symptoms: right sided facial swelling, erythema and itching onset 3 days after vaccine, as well as scattered urticaria. feeling of throat tightness. no wheezing.

Other Meds: devenlafaxine, lamotrigine, birth control pills, vit D, naturopathic prescriptions: OC companion, hyper GTF, ashwaganda, triphala

Current Illness:

ID: 1050113
Sex: M
Age: 36
State: CA

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

Lab Data: none

Allergies: doxy, and z-pack

Symptoms: fevers and chills by 10pm that night with fevers lasting till Sunday. injection site starting to feel itchy on Sunday. Now arm/abdomen/chest has a slight rash.

Other Meds: n/a

Current Illness: ./a

ID: 1050114
Sex: F
Age: 66
State: UT

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

Lab Data:

Allergies:

Symptoms: Dizzy, weak, feeling faint, tingling tongue and lips, tight jaw

Other Meds:

Current Illness: none

ID: 1050115
Sex: F
Age: 59
State: WV

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

Lab Data: no

Allergies: IVP dyes, Amoxicillin, Zanaflex, Bactruim, Viaxin, Cinnamon, Raisin, Cypro

Symptoms: Shortly after the vaccine I was very fatigued, nauseaed, body aches, bounding HR and a headache but no where as severe as before but GI cramping was associated this time and I also had a 104 fever but the fatigue and bounding HR lasted longer this time

Other Meds: Sintyroid, Losartan, 325 mg aspirin, metroprol, Vit D., fish oil, protonics

Current Illness: AE to the first vaccine

ID: 1050116
Sex: F
Age: 55
State: RI

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

Lab Data:

Allergies: Sulfa

Symptoms: 55 yr old arrived to medical room escorted by employee, pt was a/ox4 and c/o of tingling in tongue and lower lip. Pt had received her 2 dose of the moderna vaccine in her RT arm. Pt was brought into the medical room and sat on stretcher. Pt vs were taken and bp was 166/95, hr was 73, resp 18, spo2 was 97% ra. Pt rested in room for 15 mins and her last set of vs improved. Bp was 143/99, resp 18, hr was 72, spo2 was 96% ra. Pt felt better and signed a refusal to be transported to er. Pt was released by provider to observation area and pt checked out.

Other Meds: Lisinopril, hctz, atorvastatin, xanax

Current Illness: No illness

ID: 1050117
Sex: F
Age: 58
State: OR

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

Lab Data: n/a

Allergies: polyethelene glycol

Symptoms: began having itching inside ears and tongue, without tongue swelling; intermit cough within about 5 minutes after administered. Pt took 25mg of personal benadryl. Pt continually monitored for 30 minutes following benadryl administration. Cough resolved after 10 minutes, other symptoms remain unchanged. 25 minutes following benadryl, patient stated symptoms resolved. Pt monitored another 5 minutes, vital signs rechecked. Pt sent home with spouse in stable condition.

Other Meds:

Current Illness:

ID: 1050118
Sex: F
Age: 75
State: VA

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

Lab Data: none

Allergies: codeine, sulfa

Symptoms: chills' nausea, fatigue weakness still not back to myself after10 days

Other Meds: metformin .,hydrochlorothiazide, lisinopril ,pantoprazole ,fish oil ,baby aspirin

Current Illness: no

ID: 1050119
Sex: M
Age: 32
State:

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

Lab Data: None

Allergies: None

Symptoms: Began - General weakness, body aches, chills 12 hours later - 102 fever, full body/joint aches, chills 24 hours later - above continued 40 hours later - symptoms subsided fever came down below 100 minimal aches, etc 48 hours later - 102 fever, no body ache, chest/throat tightness (trouble deep breath), chills (considered urgent care) 64hours later - temp consistently normal bouts of chest tightness occasionally (believe fully recovered) Began regiment of Tylenol (500mg) every 4-6 hours (as close to 6 as possible) w inbuprphin (200mg) as needed (occasionally instead of Tylenol). Neither medication worked for all symptoms (Tylenol better for fever and chest tightness ibuprophin better for body aches)

Other Meds: None

Current Illness: None

ID: 1050120
Sex: M
Age: 73
State: WY

Vax Date: 01/29/2021
Onset Date: 02/14/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Client developed Bell's Palsy on right side of face approximately 2 weeks after receiving vaccine. Client reports his PCP is treating with steroids, which has helped.

Other Meds:

Current Illness: None

ID: 1050121
Sex: F
Age: 64
State: TX

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

Lab Data: I haven?t had any tests

Allergies: N/A

Symptoms: COVID arm. Large red, hot and raised around injection site. It?s been 2 1/2 weeks and there is still a rash although it?s not red and hot anymore.

Other Meds: Tamoxifen Multivitamin Vitamin D 3 Trazodone 50 mg

Current Illness: N/A

ID: 1050122
Sex: U
Age:
State: CA

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

Lab Data: none. Consulted Pharmacist and doctor They suggested taking Zyrtec 10 mg and Pepcid 20 mg the day before my scond dose and the morning of the second dose. I will do this.

Allergies:

Symptoms: 4:20 pm 3 hours after vaccine: tingling in throat. Took 10 mg. Zyrtec - resolved in 40 min. Next a.m. 2:30: awoke with tight band of pressure and deep ache around diaphragm and lung bases. Difficult to get full breath. For next 11 days, I was air hungry and unable to take a deep breath?but not during exercise. Awoke on day 12....and air hunger was gone.

Other Meds:

Current Illness:

ID: 1050123
Sex: M
Age: 74
State: MN

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

Lab Data: Standard blood tests and physical exam 2/23/2021

Allergies: none

Symptoms: Suffered severe dizziness beginning 56 hours after receiving 2nd shot. The dizziness last approximately 2 hours and the light-headed feeling continued for an additional 12 hours. All symptoms ceased by 7:00 am Feb 22, 2021

Other Meds: Lisinopril, simvastatin, adult multi-vitamin, supplements C, D

Current Illness: none

ID: 1050124
Sex: F
Age: 30
State: CA

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

Lab Data: Neurological evaluation ,CT of Brain, labs

Allergies: none

Symptoms: 1st Covid vaccine on 2/19/2021, patient had syncope in the parking lot, unbale to speak, confused taken to the hospital by ambulance.

Other Meds: none

Current Illness: none

ID: 1050125
Sex: F
Age: 41
State: MT

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

Lab Data: N/A

Allergies: None

Symptoms: Reported to vaccinating pharmacist by patient via phone on 2/23/2021 of dizziness shortly after the vaccine that lasted intermittently x 3 weeks, felt like had a fever (temperature not checked) x 3 weeks, swelling of face about 2 weeks after vaccine which was also directly after a massage (had botox "not long ago in the past"), swelling of the lymph glands, headaches and migraines started. Went to the hospital on 2/19/2021 via ambulance due to migraine. At the hospital patient was treated with anti-emetic, fentanyl, and other unknown medications that included benadryl. Was discharged same day. Continued to have a migraine next two days.

Other Meds: flexeril, norco, amoxicillin, Imitrex

Current Illness: flu-like viral illness of unknown cause 2 weeks prior to vaccine

ID: 1050126
Sex: M
Age: 31
State: IL

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

Lab Data:

Allergies: NKA

Symptoms: 1145 vaccine administered 1147 patient stood up from chair and then had syncopal episode. Fell face first onto floor. Hit head on wall trim on the floor. Eyes dilated, fists clinched, arms and legs shaking , not responding to verbal cues. Seizure like activity last approximately 1.5 minutes 1150 called 911 1200 ambulance arrived on scene. patient c/o lightheadedness and needing to continue to lay down 1210 transported patient to ER at Hospital

Other Meds:

Current Illness:

ID: 1050127
Sex: M
Age: 42
State: CA

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

Lab Data:

Allergies:

Symptoms: Immediate reaction - "not feeling well", dizzy to the point that he was not safe to walk Blood pressure had been a little above normal prior to vaccination and remained high during the half hour of observation, but had started to come down a few points by the time he was taken in a wheelchair to family to go home and rest.

Other Meds:

Current Illness:

Date Died: 02/14/2014

ID: 1050128
Sex: M
Age: 70
State: WV

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: 02/07/21 through 2/13/21 slightly fatiqued, took all his prescribed medications, ate breakfast, lunch and dinner was drinking eight 10 oz bottles of water. On 02/14/21 was very tired had a difficult time breathing after taking the normal meds. He took a breathing treatment with his prescribed Ipratropium Bromide and Albuterol Sulfate via home nebulizer. This did not improve his breathing. He was very weak and breathing was labored. 911 was called by wife. 911EMTchecked pulse and breathing. Informed him they would give him a breathing treatment.He started to go limp. EMT's got him to Ambulance and to Medical Center to the ER. Heroics done. He died. Pulmonary and Cardiac Arrest

Other Meds: Eliquis 5MG, Carvedilol 6.25MG, Ramipril 2.5 MG, Atorvastatin 80 MG 1 tab daily ,Stiolto Respimat Inhalation spray 2 puffs per day; Albuterol Sulfate Inhaler as needed, Ipratropium Bromide 0.5 mg and Albertol Sulfate0.3mg inhalation soluti

Current Illness: none

ID: 1050129
Sex: F
Age: 6
State: OH

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

Lab Data:

Allergies:

Symptoms: No adverse outcomes, but expired vaccine was given to the patient.

Other Meds:

Current Illness:

ID: 1050130
Sex: F
Age: 79
State: GA

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

Lab Data: None

Allergies: Codeine

Symptoms: Woke up Sunday morning 02/21/2021 with cold chills, quickly turning to hot flashes, continuing with a severe headache,vomiting,diarrhea ,and nausea. Continuing thru Monday 02/22/2021 and Tuesday 02/23/2021. Called my Dr?s office at 9:00;AM 02/23/2021. Have not heard back. There message recording asks not to duplicate calls, which I did not do.

Other Meds: Levothyroxin 100MCG Vitamin D3 2000 IU Pantoprazole SOD 40 MG Vitamin B 12 2500 mcg Atorvastatin 40 MG Magnesium 500 mg AMlodipine 5 MG

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm