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**
PLEASE CHECK BACK SOON
Download the files above while you wait.







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: 1052062
Sex: F
Age: 68
State: ID

Vax Date: 02/11/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: None known

Symptoms: Hot red circular patch around injection site. Skin is a little rough and feels warm to touch and a little itchy. Started yesterday and remains today.

Other Meds: None

Current Illness: None

ID: 1052063
Sex: F
Age: 79
State: MA

Vax Date: 02/06/2021
Onset Date: 02/14/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: t/c from this person who reported mild injection site discomfort x 2 days. 10 days after vaccination, she developed redness, swelling, itching at injection site and contacted her PCP who prescribed 7 day course of antibiotic to treat "cellulitis" infection and recommended dose #2 in the other arm but to make sure she did go for dose #2.

Other Meds:

Current Illness:

ID: 1052064
Sex: F
Age: 78
State: KS

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: N/A

Allergies: sulfa, codeine, streptamycin, cardiazem

Symptoms: Patient reports that starting Wednesday afternoon she felt "yuck". Continues to state that from Wednesday afternoon until approximately Saturday afternoon she had flu like symptoms, consisting of fever, chills, aches, muscle cramps in her legs.

Other Meds: magnesium, bumex, losartan, carvedilol, potassium, atorvastatin, warfarin, albuterol

Current Illness: Denies any illnesses.

ID: 1052065
Sex: F
Age: 59
State: MO

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None.

Allergies: Most medications and vaccines. OK with the pneumonia vaccine

Symptoms: Got the vaccine, started having dizziness when she got up to leave the facility. Then through the night had chest tightness. The area turned red with spots on her chest. Then her head felt like someone was blowing up a balloon inside of her head (tight feeling). Then she had a migraine, with a temp of 101.1 that lasted one day. She then got fatigued that started that night, then started coughing and sneezing. She then started with nausea, her nose started running. Then she had severe pain all over her body, and told her that she could feel something going throughout her whole body. The next day she felt it going throughout the other side. When she got the vaccine there was nothing there, the next day it was red about the size of two half dollars. The following day after that half of her arm was red. It took about 5 days before all of the symptoms completely subsided. They have now all gone away. She did not take anything as she is so allergic to medications.

Other Meds: None

Current Illness: None

ID: 1052066
Sex: F
Age: 47
State: MN

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: none

Allergies: no

Symptoms: Sore arm (not too bad). Extreme body aches, lethargy, I felt extremely cold all over. This was on the day after I got the second dose. I took the day after that off from work. Fully recovered by day three

Other Meds: amitriptyline omeprazole venlafaxine

Current Illness: no

ID: 1052067
Sex: F
Age: 0
State: TX

Vax Date: 02/01/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: penicillin, lyrica

Symptoms: Sore arm, rash at injection site, low grade fever

Other Meds:

Current Illness:

ID: 1052068
Sex: M
Age: 85
State: FL

Vax Date: 01/15/2021
Onset Date: 01/17/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: Ointment and drops for the right eye Motrin 600 mg for pain Gabapentin 100 mg and Val acyclovir 500 mg

Allergies: Cy pro and sulfa antibiotics

Symptoms: Squeezing headaches started Sunday afternoon and ended late Tuesday or Wednesday morning. On Wednesday, I had what I thought was a bug bite on my forehead but my wife said it looked like a broken blister. Thursday morning I had more blisters on the right side of my head (Forehead to the back of the my hairline). and went to a doctor. We all thought it ws a burn from a barbecue blow back on Sunday but the ophthalmologist a week later diagnosed it as Shingles. A week later the wound care specialist also said it was shingles.. I am starting the 6th week of Shingles.

Other Meds:

Current Illness: None

ID: 1052069
Sex: F
Age: 69
State: NY

Vax Date: 02/16/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: skin reaction, welt on arm

Other Meds:

Current Illness:

Date Died: 02/23/2021

ID: 1052070
Sex: F
Age: 95
State: NJ

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: N/A

Allergies: No known drug or food allergies

Symptoms: 2/22/2021 10:09 pm resident reported 1 episode of being nauseous and having dry heaves, no temperature, MD notified and nurse was told to continue to monitor, no new orders, daughter made aware. Vital signs being done every 4 hours. 2/23/2021 3:04am resident complains of nausea, scant BM amount x 2, MD notified and no new orders, continue to monitor and encourage fluids, vital signs continue every 4 hours.

Other Meds: Aspirin EC tablet delayed release 81mg once a day, Lasix 20mg tablet once a day, Multivitamin once a day, Omeprazole tablet delayed release 20mg once a day, Probiotic Capsule 2 per day, Refresh PM eye ointment at bedtime, Tylenol Extra Str

Current Illness: No

ID: 1052071
Sex: F
Age: 71
State: ID

Vax Date: 02/17/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: none

Allergies: Allergic to penicillin

Symptoms: 5 days after my vaccination, I began to have itching on my right arm where my vaccine was given. in the next few hours multiple raised lesions appeared on my right deltoid area. The itching has continued since that time, and has not yet resolved. I am taking Benadryl for the itching, and using Benadryl lotion as well. No other systemic affects.

Other Meds: Humira, Celebrex, Methotrexate, folic acid, levothyroxine, Sertraline, Vitamin D3

Current Illness: none

ID: 1052072
Sex: F
Age: 64
State: MI

Vax Date: 02/18/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: Lamisil

Symptoms: Headache 48 hours Fatigue 48 hours

Other Meds: none

Current Illness: none

ID: 1052073
Sex: F
Age: 56
State: UT

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

Lab Data: Staff followed up with the MD today, he said he gave her Epinephrine upon arrival to the office and kept her for an hour after. He then sent her home on a long-acting antihistamine. MD said he called her last night at 9 pm and she was doing well, she went to work today.

Allergies: Codeine Phosphate Demerol Darvon

Symptoms: Approx 10 minutes after the immunization the patient started showing s/s of difficulty breathing and c/o itching. The patient was very flushed. Mouthed "I can't breathe". Wasn't able to speak a full sentence. Staff at the clinic first administered IM Benadryl out of the emergency bag, with Epinephrine on stand-by. About 2 minutes after the Benadryl was given, she started showing signs of breathing easier, and was starting to speak to staff. She said her doctor's office was across the street and he told her to go to his office if there was any reaction. She was able to walk out on her own, accompanied by her friend who was able to take her to her doctor's office.

Other Meds: Unknown

Current Illness: Unknown

ID: 1052074
Sex: F
Age: 72
State: AL

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Headache, fever, felt like I had the flue, swollen and red circle around injection site, and very painful, joints all over painful, weakness, no appetite, stayed in bed for 4 days. Did NOT loose taste or smell.

Other Meds: none

Current Illness: none

ID: 1052075
Sex: F
Age: 26
State: MI

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: SEE ABOVE

Allergies:

Symptoms: Patient complained of chest tightness and throat tightness. Onsite EMS was called vitals BP 108/73 100% O2 room air. Patient seemed cheerful & talkative, feels better. Patient treated and released against medical advice.

Other Meds:

Current Illness:

ID: 1052076
Sex: F
Age: 50
State: MT

Vax Date: 02/12/2021
Onset Date: 02/16/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever and Body aches

Other Meds:

Current Illness:

ID: 1052077
Sex: M
Age: 79
State: NM

Vax Date: 02/13/2021
Onset Date: 02/16/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Extreme itching and red areas on torso. Stopped in 48 hours. Then 8 days after shot, flashes of nerve pain in left upper arm (like electric shock). Then 10 days after shot, this flash of "electric" pain has occurred across the top of left foot.

Other Meds: None

Current Illness: None

ID: 1052078
Sex: M
Age: 52
State: MN

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

Lab Data:

Allergies: None.

Symptoms: Approximately 12-13 hours after injection, I experienced chills/shakes for approximately one hour. Severe muscle and joint pain (mostly upper body). Fatigue, minor headache, and severe malaise lasting for circa 15 hours after initial onset of the symptoms. I have received many vaccines throughout my life and this was the most adverse reaction and discomfort I felt. nurses advised not/not to take pain killer and allow body, "to do it's thing."

Other Meds: None.

Current Illness: None.

ID: 1052079
Sex: M
Age: 53
State: FL

Vax Date: 01/28/2021
Onset Date: 01/30/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Experienced fatigue, arm pain, fever, chills as expected. Continue to feel mild tightness at base of neck. Shirt collars are even bothersome. Went to physician who did not feel adenopathy. Wondering if this is normal. Due for second shot and have concerns.

Other Meds: Citalopram 20mg

Current Illness: None

ID: 1052080
Sex: M
Age: 29
State: PA

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

Lab Data:

Allergies: None

Symptoms: MODERNA COVID-19 VACCINE EUA Severe headache, body aches and chills that began 20 hours later. Lasted throughout entire next day. Low Grade Fever (sub 100.0 F) for initial 8 hours after onset of symptoms, even with recommended dosage of Acetaminophen (per label). Fever was gone at 1200hrs 24FEB21 after 6 hours of initial dose of Acetaminophen, then all symptoms returned as severe as they were at onset, minus the low grade fever.

Other Meds: One-a-Day Men's Multi-vitamin Airborne (was taken day of vaccination - half dose) Whey Protein - powder

Current Illness: None

ID: 1052081
Sex: F
Age: 89
State: FL

Vax Date: 02/21/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: N/A

Allergies: Erythromycin, chicken

Symptoms: Hives 30 hours later, both legs arms, stomach and back.

Other Meds: N/A

Current Illness: N/A

ID: 1052082
Sex: F
Age: 19
State: IL

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

Lab Data: unknown

Allergies: Penicillin

Symptoms: Patient was administered the vaccine around 6:15 pm on 2/23/21 and she waited in the pharmacy recovery area for the full 15 minute time. Patient called the pharmacy after she had just returned home (around 7 pm) and said her throat felt funny and she had a metallic taste in her mouth. Confirmed no difficulty breathing at that point, but that her throat felt a "little thick". As patient was already at home and not near the pharmacy area, recommended that she immediately go to ER to be seen as felt the delay of driving back to potentially get epi injection and then be sent to ER could be detrimental to the patient. She confirmed that she would head to the nearest ER.

Other Meds: unknown

Current Illness: unknown

ID: 1052083
Sex: F
Age:
State: IN

Vax Date: 02/08/2021
Onset Date: 02/16/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: Clarithromyan and doxycycline

Symptoms: Spot where shot was given is itchy and red bumps have surfaced. Area is very itchy.

Other Meds: Fluoxetine, allertec, Flonase and esomeprazole.

Current Illness:

ID: 1052084
Sex: F
Age: 60
State: NJ

Vax Date: 02/16/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: Tetrecycline

Symptoms: I only had 1 dose on 2/16/2021 and got the reaction 1 week later 2/23/2021.. Not sure if that's possible but wanted to report it anyway. body ache, joint discomfort, migraine headache all day, fever, chills & nausea - this started about 10am on 2/23/2021 and lasted until 2am the following morning 2/24/2021. I took 600 mg of motrin every 6 hrs and 600 mg of tylenol every 4 hrs. I feel fine today

Other Meds: Metoprolol 50 mg - Flecainide 250mg - Eliquis 10mg Magnesium-250mg Vitamin C multi vitamin

Current Illness:

ID: 1052085
Sex: F
Age: 78
State: MA

Vax Date: 02/14/2021
Onset Date: 02/15/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: codeine, penicillin, tetracycline, CIPRO

Symptoms: Beginning the next day and continuing for the next 8 days, frequent violent sneezing fits every single afternoon; duration of about 4 hours. Not something horrendous, but definitely, in my opinion, a side effect to the vaccine.

Other Meds: Levothyroxin, piroxicam,simvistatin, gabapentin, Vitamin D

Current Illness: none

ID: 1052086
Sex: M
Age: 76
State: IL

Vax Date: 12/30/2020
Onset Date: 01/19/2021
Rec V Date: 02/24/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Received1st dose of Moderna on 12/30/2020 and was in the hospital on 1/19/21-1/25/21 for a neck mass.

Other Meds:

Current Illness:

ID: 1052087
Sex: F
Age: 33
State: PR

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: HER DR DID NOT SENT ANY MEDICAL TEST or LABORATORY

Allergies: POLLEN, FUNGUS AND GRASS

Symptoms: Patient waited 15 minutes after the vaccination at the facilities, then indicated she went home but while on the way she already manifested symptoms of fatigue, drowsiness, arm pain and headache. Between January 29 and January 31, she had strong symptoms that kept her on bed during those days. She described the following symptoms: no appetite, nausea, headache, tiredness, fever, arm numbness, chills and pain in the vaccination area.

Other Meds: MULTIVITAMINS, COLAGEN, TYLENOL, PANADOL EVERY 4 HRS AND OTHER

Current Illness: NO

ID: 1052088
Sex: F
Age: 66
State: IL

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: Sulfites, Augmentin

Symptoms: Approximately 10 hours after the injection, she experienced one hive on her right cheekbone. She had bilateral ocular swelling the next morning. She used topical benadryl 1-2 times that day and her symptoms resolved completely within 3 days

Other Meds: Folic acid, Tylenol, Centrum for Women, Calcium, Vitamin D, B12, Resveratrol, Prednisone 5 mg

Current Illness: None

ID: 1052089
Sex: F
Age: 81
State: CA

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: EKG -1/26/21

Allergies:

Symptoms: Patient c/o feeling dizzy/lightheaded and her face was warm. Reported feeling anxious. Facial flushing noted. Patient taken to private room for further observation via w/c. Patient reports SOB and chest pressure 9/10 BP 204/85 hr 71 spo2 99%. Nitroglycerin 0.4 mg SL given. Pt continues to appear flushed, and c/o h/a and chest pressureEKG completed and handed to doctor at bedside. FM replaced with O2 2LNC. Patient's facial flushing, redness to upper extremities and tremors, has subsided notably and pt is reports feeling better. Continues to deny chest pain. Pt's affect improving and she is able to smile when she answers questions. BP 144/53 HR 88 Spo2 100%. Pt discharged via w/c with family in stable condition as per doctor. Patient aware allergy department will be following up on her reaction and she will be provided with further instructions regarding second dose of moderna covid vaccine.

Other Meds: Norvasc 2.5mg oral tab Disclofenac Sodium 1% Metoprolol Tartrate 100mg Benazepril 40mg Gabapentin 300 mg Aspirin 81mg

Current Illness: hypertension

ID: 1052090
Sex: M
Age: 74
State: OH

Vax Date: 02/10/2021
Onset Date: 03/23/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: No Known Allergy

Symptoms: First noticed itching at injection site two weeks post dose. Noticed redness on skin 4cmx4cm. Not painful. No treatment at this time.

Other Meds: Oxybutynin Chloride Er 15mg tab Valsartan 160mg tab Cadi Trulicity .75mg sub q injection

Current Illness: None

ID: 1052091
Sex: F
Age: 51
State: IA

Vax Date: 02/12/2021
Onset Date: 02/14/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: Allergic to Pyridium.

Symptoms: At first it got a very hard lump about the size of a nickel at the injection site. The lump lasted about a week, Then the area turned red and felt hot and itchy. It is 8 inches by 5.5 inches in size.

Other Meds: Zarah Losartan Zytec Amlodipine

Current Illness:

ID: 1052092
Sex: F
Age: 69
State: IL

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: Positive covid test 2/23/2021

Allergies: Iodine

Symptoms: Got sick with flu like systems. Did not get better. Got Covid test on Tuesday of next week and tested positive. Was not sick before the shot.

Other Meds: Lisinopril, amlodipine besylate, met forming and muti vitatmin

Current Illness: None

ID: 1052093
Sex: F
Age: 58
State: MI

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: SEE ABOVE

Allergies:

Symptoms: Patient complained of numbness in the arm of the injection after vaccination. Onsite EMS was called vitals BP 144/95 HR 106 . Patient feels better. Patient treated and released against medical advice.

Other Meds:

Current Illness:

ID: 1052094
Sex: F
Age: 58
State: GA

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: penicillin

Symptoms: Extreme malaise with loss of apatite for 16 hours beginning the morning after vaccine, no further tiredness the second day after vaccine. Red, painful rash around injection site going up and down the arm; painful to touch all rash, not just at injection site; lasting five days.

Other Meds: Lyrica, Ropinirole, Vitamin B-12, Oxycodone, Tramadol, Flexeril, Flecainide, Celebrex, nitrofurantoin, multivitamin, calcium citrate + D3, Krill oil, Biotin, Cranberry, D-mannose, biotin

Current Illness:

ID: 1052095
Sex: F
Age: 32
State: MI

Vax Date: 01/24/2021
Onset Date: 02/14/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: US of left lower extremity confirming DVT of femoral, popliteal, soleus, gastro

Allergies: None

Symptoms: DVT left lower extremity

Other Meds: Humira, budensonide, estarylla

Current Illness: None

ID: 1052096
Sex: F
Age: 31
State: CA

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fatigue, Headache, Muscle/Body Aches. Headache lasted for a week.

Other Meds:

Current Illness:

ID: 1052097
Sex: F
Age: 71
State: WA

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: Wheat, dairy, egg, soy, numerous other foods

Symptoms: Triggered rapid heart beat that started morning after the dosealong with other more expected sx, lasted 16 hours at rate of 100-130 and was still occurring when I went to bed. Had stopped by morning when I awoke. Extra flecainide didn?t interrupt it at all. A 20 mg dose of propranolol brought rate down to 99 just before bedtime.

Other Meds: Edoxaban, diltiazem, flecainide, hydrochlorothiazide

Current Illness: Afib, celiac disease, blood pressure

ID: 1052098
Sex: M
Age: 70
State: PA

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/24/2021
Hospital: Y

Lab Data:

Allergies: NKA

Symptoms: Syncope, rash itching

Other Meds: Synthroid, Avodart, Tylenol, Benadryl, zyrtec, hYZAAR, mULTIVITAMIN, PREDNISONE, Simvastatin

Current Illness:

ID: 1052099
Sex: F
Age: 42
State: TX

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: patient was advised to go to ER as she reports chest pain

Allergies: Penicillin

Symptoms: per patient she experienced nausea and pain after 1st dose received on 1/14/2021 patient states that after her second dose she experienced facial swelling, hives, chest pain , joint pain and feels tingling in her body

Other Meds: Naproxen, vitamin D

Current Illness: Shoulder MRI IMPRESSION: 1. Mild tendinosis of the supraspinatus tendon with articular sided fraying of the anterior fibers . 2. Subacromial bursitis. 3. Mild acromioclavicular degenerative changes. 4. Thickening of the inferior glenohumeral ligament suggestive of adhesive capsulitis. Please correlate clinically

ID: 1052100
Sex: M
Age: 79
State: GA

Vax Date: 01/20/2021
Onset Date: 01/23/2021
Rec V Date: 02/24/2021
Hospital: Y

Lab Data: labs and tests ran while in hospital

Allergies: NKA

Symptoms: on 1/23, rt became winded and confused, weak and began to require more assistance with ADL's, 1/24/21 acting bizzare, anxious, uncomfortable, increasingly more confused, restless, 1/27 blood noted in urine, SOB and abdominal breathing, was sent to ER - returned with dx of SOB and UTI. 1/29/21 confused and trouble voiding, very restless, 1/30/21 confused and restless, 1/31/21, confused and anxious, 02/02/21, very low heart rate, lethargic, admitted to hospital with cystitis and bradycardia, 2/4/21 returned to facility, 2/11/21 received second dose of Pfazer_ BioNTech vaccine, 2/17/21 very lethargic, bradycardia, 2/21/21 large amount of rectal bleeding, sent to hospital and admitted - remains in the hospital at this time

Other Meds: Synthroid, Aspirin, K-Dur, Cozaar, Coreg, Lexapro, Folic Acid, Proair HFA, Augmentin

Current Illness: pneumonia

ID: 1052101
Sex: F
Age: 82
State: CT

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: Benadryl topical anti itching cream ordered

Allergies: NKDA

Symptoms: Pt received her second dose of the Covid-19 Moderna vaccine on 2-18-21 and within a few hours developed a slightly raised, red rash on her lower back and complained of moderate itching. No other adverse symptoms reported. Pt saw primary care physician, and was given instructions to use a topical OTC Benadryl cream prn. RN from the health department, followed up with the patient of 2/24/21 via phone call and pt reported that the rash was still there but improving with the Benadryl cream. Company report filed and pt encouraged to follow up with physician if symptoms get worse and to call 911 if any anaphylactic symptoms present. Pt verbalized understanding.

Other Meds: Hydroxyurea 500mg TID Asprin 81mg QD Plavix 75mg QD Levothyroxin 100mcg QD Metformin/Januvia 50mg/1000mg BID Losartin 25mg QD Pioglitazone 15mg QD Rosuvastatin 5mg QD

Current Illness: small itchy rash noted on the center of the pt's lower back noted 2 weeks after first covid-19 vaccine Pt treated rash with topical anti-itch cream

ID: 1052102
Sex: F
Age: 41
State: MA

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: none

Allergies: unknown

Symptoms: chills, body aches, HA fever 101

Other Meds: tylenol

Current Illness: denies

ID: 1052103
Sex: F
Age: 71
State:

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Compliant of dizziness. Patient is insulin dependent diabetic. AM Blood sugar 140. Had 60 units of NPH in the morning. Felt better after drinking some juice. Discharged home after 15 minutes observation.

Other Meds:

Current Illness:

ID: 1052104
Sex: F
Age: 45
State: NE

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

Lab Data:

Allergies: UNKNOWN

Symptoms: PATIENT EXPERIENCED CHEST TIGHTNESS, MILD SOB, SENT TO ER FOR OBSERVATION, RELEASED WITHIN HOURS, NO MEDICAL TREATMENT NECESSARY, NO FURTHER REACTIONS

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1052105
Sex: M
Age: 64
State: IL

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 02/24/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Hypoxia

Other Meds:

Current Illness:

Date Died: 02/17/2021

ID: 1052106
Sex: F
Age: 53
State: OR

Vax Date: 02/11/2021
Onset Date: 02/17/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: none Last hgbA1c was Jan 19 when if was 9.6%. BUN on that date was 36 and creatinine was 1.27. Potassium was 4.6. Random glucose was 185. LDL was 127 and total cholesterol was 211. Triglycerides were 232.

Allergies: Augmentin and NSAID

Symptoms: While at counseling appointment on February 17 patient had witnessed sudden cardiac arrest and was not able to be resuscitated. She was pronounced dead at 12:09. At the time of death her glucose was about 500.

Other Meds: Metformin 500 2 tablets bid glipizide 10 mg bid Alopliptan 25 mg daily Prescribed statin, ASA and ace inhibitor but she was not taking them

Current Illness: DM with proteinuria and foot complications hyperlipidemia

ID: 1052107
Sex: F
Age: 60
State: OR

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None- Not needed by me.

Allergies: yes

Symptoms: 1. Strange taste in mouth 2. Strange feeling in mouth. ( SLIGHT feeling of numb tounge. Similar to when novicane is almost wore off) I became very thirsty. Craved water. 3. Began to resolve/ did not get worse. 5-7 min after onset, as I was reporting to the nurse at the viewing station. By 5pm that evening the sensation was totally gone. 4. I mostly felt really good and safe taking this vaccine. Because I am sensitive to chemicals, and do have reactions to the flu vaccine, I had taken 2 aspirin and an antihistimne the day prior to the vaccine to blunt any adverse effect. Just in case. I was not worried. 5. The only other symptom was getting tired easily, which was listed.

Other Meds: None

Current Illness: None

Date Died: 02/19/2021

ID: 1052108
Sex: F
Age: 91
State:

Vax Date: 01/28/2021
Onset Date: 02/19/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient passed away within 60 days of receiving the COVID vaccine series

Other Meds:

Current Illness:

ID: 1052109
Sex: M
Age: 59
State: CA

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None done

Allergies: I am allergic to pineapple, I break out in a rash when I eat it. I cannot wear neoprene because it causes me to get a rash and ithciness.

Symptoms: Around 18 minutes after my shot I started to experience itchiness on the top of my right hand. I t started with the middle fingers and then it spread to the back of my right hand. The left hand followed suit but just that back of the hand it did not start with my fingers on my left hand.

Other Meds: I take Allopurinol, Metformin, Meloxicam and Fish supplement pills for high cholesterol. On the morning of the shot I took one Allopurinol and one Meloxicam. I am not sure about the esact time of the shot but I started to feel the the top o

Current Illness: None

ID: 1052110
Sex: F
Age: 40
State: CA

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

Lab Data: none

Allergies: Shellfish

Symptoms: Swelling and itchiness of the upper lip and tongue about 10 minutes after the vaccination.

Other Meds: none

Current Illness: none

ID: 1052111
Sex: F
Age: 37
State:

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Redness at injection site starting the same day. Over the past few days reports pustules developed around vaccination site, redness, swelling, burning, soreness.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm