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: 1052165
Sex: F
Age: 68
State: FL

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Insomnia 1 night, no appetite 48 hours, terribly sore mouth 72 hours, shortness of breath 24 hours

Other Meds: Wellbutrin SR 200MG, Effexor 75mg, Promethazine 50 mg, Synthroid 12.5mg, Armour Thyroid 35mg, Bone-up 4 capsules, Methyl Folate 2000

Current Illness: None

ID: 1052166
Sex: F
Age: 29
State: NJ

Vax Date: 02/15/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: Penicillin, Sulfa drugs

Symptoms: Redness and swelling, oval darker ring around outer border 4inches by 2 inches, around injection site 8 days after injection. Presented as itchy and now is localized muscle soreness

Other Meds: Methimazole, levothyroxine, Blisovi 24 Fe, vitamin D, vitamin B12

Current Illness:

ID: 1052167
Sex: M
Age: 17
State: MD

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

Lab Data:

Allergies:

Symptoms: Patient presented at vaccination table and identity was confirmed with two unique identifiers (including DOB). Present writer reviewed patient's responses to screening form completed in PrepMod and also screened patient to confirm he was feeling well, had no history of anaphylaxis, does not carry an epi-pen for allergies, and had not received COVID vaccine previously. Educated patient on possible side effects of Moderna product. Pt indicated he wished to be immunized, received Moderna vaccine, and proceeded to observation area where waited for fifteen minutes before departing from clinic without reporting any adverse event. Patient later found to be under the minimum age of 18 years for receiving Moderna.

Other Meds:

Current Illness:

ID: 1052168
Sex: M
Age: 79
State: KS

Vax Date: 01/21/2021
Onset Date: 01/23/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: none reported

Allergies: NKA

Symptoms: Client reported reaction to 1st Covid vaccine during 2nd dose of vaccine. Client reported he woke up at 2:20 am 2 days after receiving first Covid 19 vaccine with itching on head, Rt lateral side of torso and lateral Rt leg. Reports of rash and itching on head lasted 1 week and rash and itching on Rt lateral torso and Rt lateral leg lasted 2 weeks. Client stated he saw the doctor the week of 1/23/21. took oral Benadryl and topical anti itch cream for rash and itching. Client reports he was told it was ok to have 2nd vaccine.

Other Meds: Lovastatin 20mg dly, metoprolol 75mg BID, Finasteride 5mg dly Prednisone 5mg dly

Current Illness: None

ID: 1052169
Sex: F
Age: 45
State: MD

Vax Date: 02/12/2021
Onset Date: 02/21/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Red circular rash around injection site (mildly itchy and warm to touch), soreness at site and under and arm pit, and hardening in and around injection site.

Other Meds: None

Current Illness: None

ID: 1052170
Sex: M
Age: 65
State: IL

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

Lab Data:

Allergies:

Symptoms: Difficulty ambulating.

Other Meds:

Current Illness:

ID: 1052171
Sex: F
Age: 73
State: OH

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

Lab Data: none

Allergies: codeine, latex

Symptoms: Starting 12 hours after receiving vaccine: chills, 2 degree fever, sore arm, tired, headache Starting 18 hours after, nausea, 1 incident of vomiting, dizziness, weakness, This lessened as day went on. Still had headache and small fever. Morning of next day - headache gone, body temp back to normal. Felt only a little less energetic; otherwise, back to normal.

Other Meds: synthroid, simvistatin

Current Illness: none

Date Died: 02/19/2021

ID: 1052172
Sex: M
Age: 55
State: MI

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

Lab Data: Autopsy completed 2/20/2021 at medical school by MD

Allergies: statins- stated no allergic reaction but can't take

Symptoms: Agency contacted 2/19 In evening by employer representative- client Died Suddenly after work"

Other Meds: unknown

Current Illness: unknown

ID: 1052173
Sex: M
Age: 82
State: MA

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Caller states he received Moderna vaccine last Wednesday. Since receiving the vaccine has notice an exacerbation of a condition he has of leg weakness and now with falls. Instructed to contact PCP for an evaluation of his condition.

Other Meds:

Current Illness:

ID: 1052174
Sex: M
Age: 21
State: TX

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

Lab Data: None

Allergies: KNDA

Symptoms: Headache, cough, sore throat within 15 minutes of vaccine, tx was observation x 15 min and sx started to improve

Other Meds: Vitamin C

Current Illness: denies

ID: 1052175
Sex: F
Age: 69
State: CA

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

Lab Data:

Allergies: Versed Anaprox Morphine

Symptoms: Very sore and swollen arm. Light headed, dizzy. Ankle swelling, which I had never had before. Headaches, lethargy

Other Meds: Insulin: Novolog, Toujeo, Ozempic Oxybutynin Cl Doxazosin Labetalol Pravastatin Losartin-K B-12 injections Hydralizine

Current Illness: None

ID: 1052176
Sex: F
Age:
State: SC

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

Lab Data:

Allergies: Adhesive

Symptoms: Since my second vaccine I have been experiencing vertigo, lightheaded spells accompanied by nausea and headache. I did not have these prior and it had now been 10 days since my second vaccine.

Other Meds: Iron

Current Illness:

ID: 1052177
Sex: F
Age: 65
State: OK

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

Lab Data:

Allergies: No

Symptoms: 5:00 pm 2/23 headache/ fatigue 1:30 am 2/24 chills, headache, racing heart, shortness of breath, low grade fever , aches

Other Meds: Losartin

Current Illness: No

Date Died: 02/21/2021

ID: 1052179
Sex: M
Age: 77
State:

Vax Date: 01/25/2021
Onset Date: 02/21/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

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

Other Meds:

Current Illness:

ID: 1052180
Sex: F
Age: 63
State: MI

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

Lab Data: n/a

Allergies: n/a

Symptoms: cold sweat, ear ringing, chest tightness, nausea, cold extremities, light headed, severe headache, upset stomach, fatigued

Other Meds: losartan 25mg, rosudastatin calcium 10mg, levothyroxine sodium 50mcg

Current Illness: graves disease

ID: 1052181
Sex: F
Age: 34
State: MO

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

Lab Data:

Allergies:

Symptoms: Chest tightness, facial flushing Benadryl Given (25mg) Ran out of O2, breathing became labored, increased chest tightness, contacted EMS, transported to local hospital

Other Meds: 3 L O2

Current Illness:

ID: 1052182
Sex: M
Age: 26
State: MD

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

Lab Data: None

Allergies: N/A

Symptoms: Fever, chills, sore muscles and joints

Other Meds: Green vibrance

Current Illness: None

ID: 1052183
Sex: F
Age: 71
State: IN

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

Lab Data:

Allergies:

Symptoms: Approximately 15 min after receiving the vaccination pt. reported feeling lightheaded, having a headache, possible palpitations, feeling anxious. Pt was able to ambulate and in no acute distress. Her B/P was 142/88, pulse 67, O2 sat 96%. 15-30 min later she stated she felt better but noticed her tongue was tingling and her vision disturbance was improved. She states her vision was hazy earlier. B/P at this time was 130/86, P 68, O2 sat 99%. Benadryl was offered as well as water and juice. Pt. declined. An hour after receiving the vaccine pt. stated she felt much better and left clinic ambulatory in no acute distress. Advised if symptoms worsen to go to the ER or call 911, pt. voiced understanding.

Other Meds:

Current Illness:

ID: 1052184
Sex: F
Age: 24
State: WA

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: starting 4 hours after the shot sore arm. 5-6 hours after shot sever chills, soreness in neck under arm and chest. 6+ hrs fever 103.5, chills, fatigue, sweats, heart palpitations severe aches and hurt to touch around neck and clavicle.

Other Meds: N/A

Current Illness: none

ID: 1052185
Sex: F
Age: 18
State: MI

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

Lab Data: CBC and BMP were both normal.

Allergies: none

Symptoms: pt was monitored for 10 min after vaccine. She had initially felt light headed so she laid down immediately following vaccine. She stated she felt fine and went to the clinic's checkout desk. At that time patient became lightheaded, felt very warm. she sat down and then passed out. She was pale and unresponsive with shallow breathing and a thready pulse. She started to regain consciousness with good breathing and strong pulse, then passed out again when transferred to wheelchair. After another 30 seconds, she regained full consciousness. Due to an abundance of caution, she was transferred to the emergency room where she was evaluated with CBC and BMP which were both normal. She was given one liter of fluid and monitored for approximately an hour before discharge home with mother.

Other Meds: none

Current Illness: none

ID: 1052186
Sex: F
Age: 82
State: CA

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

Lab Data: No test taken, visit only .

Allergies: Penicillin

Symptoms: Third day symptoms after first shot, extreme muscle pain , upper leg ,knee, foot, and groin! Pain level aroun 7 for two weeks ,on and off ,nights mostly. Pressure excellent the pain. Tylenol, Tramadole , no help. Dr visit on the 23 th , question of taking the second shoot.

Other Meds: Lisinopril. ,atorvastatin, metoprolol, meloxicam,lorazepan when needed.

Current Illness: None

ID: 1052187
Sex: F
Age: 68
State: MI

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

Lab Data: SEE ABOVE

Allergies: Allergy status to other drugs, medicaments and biological subs

Symptoms: Patient had an allergic reaction. Onsite EMS was called vitals BP 108/70 97% 02 room air HR 100. Patient refused evaluation/care and released against medical advice.

Other Meds: Vitamin D

Current Illness:

ID: 1052188
Sex: F
Age: 40
State: IL

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Severe Headache for five-six days. Took over the counter headache, migraine, tension headache, and Aleve to attempt to alleviate symptoms. On the sixth day (Thursday) headache finally subsided enough to not have to take pain medication to control it.

Other Meds: Multi-vitamin Zyrtec Birth Control

Current Illness: None

ID: 1052189
Sex: F
Age: 39
State: PA

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

Lab Data: N/A

Allergies: Tetracycline

Symptoms: About a week after the first shot, I experienced COVID arm and had redness, swelling, lesions, and itchiness at the injection site. The itchiness and lesions lasted a couple of days as I used hydrocortisone on the area. The redness lasted for about a week.

Other Meds: One A Day Vitamin; 81mg Aspirin; B12 Vitamin; Birth Control pill

Current Illness: None

ID: 1052190
Sex: M
Age: 40
State: MN

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

Lab Data: None.

Allergies: None.

Symptoms: Chills, body aches.

Other Meds: Sertraline 25mg; vitamin c 500mg; vitamin d3 125mcg; black elderberry 1000mg; calcium 600mg.

Current Illness: None.

ID: 1052191
Sex: M
Age: 81
State: FL

Vax Date: 02/17/2021
Onset Date: 02/19/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: N/A

Allergies: None

Symptoms: Two days after the vaccine I received inordinate back and midsection pain every time I tried to sit, bend or lay down to sleep. This has continued through today although it shows some, but not complete, but complete signs of subsiding.

Other Meds: levothyroxine 75mcg, 80mg chewable aspirin, clopidogrel 75mg, atorvastatin 80mg.

Current Illness: None

ID: 1052192
Sex: F
Age: 67
State: NY

Vax Date: 02/10/2021
Onset Date: 02/18/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: Sulfamethoxazole, Nitrofurantoin, Trimethoprim, Azithromycin

Symptoms: Feb 10th shot. Feb 18th round red circle around vaccine shot. Feb 23 went to doctor's office found out I had COVID arm (big rash around the shot area); warm to touch, itchy. Called pharmacy to report they told me to register my symptoms.

Other Meds: Amitriptyline, Levothyroxine, Pantoprazle, Losartan, Atorvastatin, Calcium, One-A-Day Vitamin, Vitamin D3, Magnesium, Vitamin C

Current Illness: None

ID: 1052193
Sex: F
Age: 79
State: DC

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

Lab Data:

Allergies: none

Symptoms: left arm erythema and swelling

Other Meds: levothyroxine, amlodipine, multivitamin, vitamin D, vitamin C, zinc, turmeric

Current Illness:

ID: 1052194
Sex: F
Age: 72
State: OK

Vax Date: 02/13/2021
Onset Date: 02/19/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: None known

Symptoms: 6 days following booster injection, developed burning/itching in left arm from her shoulder to elbow. The area was red blotches without raised areas. No other areas were affected. She took Benadryl 25 mg approx 30 minutes later and symptoms resolved by the following morning.

Other Meds: Metoprolol 25mg BID, Xarelto 20 mg daily, Omeprazole 20 mg once daily as needed, Multi vit daily, D3 25 mg, Zinc 50 mg, Potassium 99 mg, Biotin 10,000 mg

Current Illness: None

ID: 1052195
Sex: F
Age: 67
State: WA

Vax Date: 02/09/2021
Onset Date: 02/18/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Itchy rash 8x4 cm raised and red 9 days after dose given, treated with 1% hydrocortisone cream X 4 days

Other Meds:

Current Illness:

ID: 1052196
Sex: F
Age: 40
State: NC

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

Lab Data:

Allergies: Crab, ciprifloxacin

Symptoms: Headache lasting greater than 1 week, extreme fatigue and vaginal bleeding. Normally no headaches and very regular cycle

Other Meds: Multivitamin Vitamin D

Current Illness: NA

ID: 1052197
Sex: F
Age: 54
State:

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

Lab Data:

Allergies:

Symptoms: ABOUT AN HR AFTER RECEIVING MY 2ND DOSE OF THE PFIZER VACCINE I FELT COLD AND A SLIGHT HEADACHE AND FATIGUED. LATER THAT EVENING AROUND 7PM THE SYMPTOMS I EXPERIENCED GOT WORSE, POUNDING HEADACHE, AND CHILLS, AND EXTREME MUSCLE ACHE,. INSOMNIA AS WELL. 7AM THE NEXT MORNING CHILLS WERE LESS BUT STILL THERE, BUT THE HEADACHE PERSISTED AND THE NAUSEA GOT WORSE. STILL UNABLE TO SLEEP. AROUND 3PM HEADACHE SLIGHT AND MILD NAUSEA. NO CHILLS. TODAY 2/24/2021 STILL HAVE SLIGHT NAUSEA AND HEADACHE. BUT MUCH BETTER.

Other Meds:

Current Illness:

ID: 1052198
Sex: F
Age: 77
State:

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

Lab Data:

Allergies: None

Symptoms: Allergic reaction - Rash (located at injection site - left deltoid, back of neck, abdomen, thigh)

Other Meds: Finished a 3 day course of Ciprofloxacin a day ago

Current Illness: UTI

ID: 1052199
Sex: F
Age:
State: IL

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

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 1052200
Sex: U
Age:
State: WI

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

Lab Data: None

Allergies: UNKNOWN

Symptoms: Insulin syringes inadvertently delivered and 1 was used to vaccinate a patient. 100 unit syringe, 30 units were administered. Person vaccinated was unknown we were unable to identify the patient. No averse outcome that we were aware of.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1052201
Sex: M
Age: 54
State: NY

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

Lab Data: Refer to note above

Allergies: Zosyn Swelling High 4/20/2017 Past Updates... Swelling in the hands, throat closing and tongue swelling. Occurred when in patient in the hospital. Angiotensin Receptor Blockers Not Specified 4/20/2017 Past Updates... History of angioendema

Symptoms: Vaccine reaction, initial encounter +7 more Dx Medication Problem Reason for Visit Progress Notes Chief Complaint Patient presents with ? Medication Problem HPI: patient here for COVID vaccine and received at 0923 He states he started feeling lightheaded and hot within 5 minutes Patient appears diaphoretic, flush and unsteady Hx of two COVID infections one in March and second in May 2020, today is first dose of vaccine BG 191, apical pulse 82, LS clear bilateral Patient able to answer all questions After 20 minutes patient still reports feeling off, denies SOB, mouth or throat tingling, headache or CP appointment scheduled two days for PCP Requested patient have his daughter pick up patient and he should avoid driving for today and tomorrow Patient re-evaluated Patient still nauseated Chest tightness-new symptom Cannot stand, unsteady gait Facial flushness Daughter here to give father a ride but decision to transport to ED by provider, discussed with patient and daughter-pt verbalized understanding 121/83 (T50.Z95A) Vaccine reaction, initial encounter (primary encounter diagnosis) Comment: symptomatic treatment discussed Plan: (R42) Light headed Comment: Plan: RANDOM GLUCOSE IN HOUSE, RANDOM GLUCOSE IN HOUSE, OXYGEN 2 LITERS VIA NASAL CANNULA (R61) Diaphoresis Comment: Plan: (R26.81) Unsteady gait Comment: Plan: daughter to drive patient home PLAN: Discussed symptoms requiring immediate provider contact or when to call EMS-pt verbalizes understanding Patient given water, patient able to grasp cup and and drink without difficulty VS retaken 1032 Possible reaction to antibodies due to two COVID inections rtc 2 days as discussed Other Notes All notes Progress Notes from RN (Family Practice) Additional Documentation Vitals: BP 132/89 Pulse 87 Temp 98 ?F (36.7 ?C) (Non Contact) Resp 12 SpO2 100% Pain Sc 0-None SmartForms: TIME SPENT FOR ENCOUNTER -2021 PHYSICIAN FEE SCHEDULE Encounter Info: Billing Info, History, Allergies, Detailed Report Communications Letter sent to patient

Other Meds: Outpatient Medications as of 2/24/2021 Disp Refills Start End Adalimumab (HUMIRA PEN) 40 MG/0.8ML Subcutaneous Pen-injector Kit 1/12/2018 Class: Historical Med ALBUTEROL SULFATE (PROAIR HFA) 108 (90 Base) MCG/ACT Inhalation Aero Soln

Current Illness: None reported

ID: 1052202
Sex: F
Age: 73
State: CA

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

Lab Data:

Allergies: penicillin

Symptoms: rash at injection noticed 11 days after injection

Other Meds: Xarelto, metoprolol, multi vitamin, complete omega, lutein, calcium

Current Illness: none

ID: 1052203
Sex: F
Age: 77
State: NY

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

Lab Data: lactic acid 12.3 AST 1297 shock liver from cardiac arrest

Allergies: blueberries

Symptoms: the patient had hypoxemia the evening of the shot, and then was found unresponsive the next morning, in cardiac arrest at home. Temperature on arrival to ED was 91 degrees. found to have severe anoxic brain injury after 60+ minutes of CPR. may already be brain dead.

Other Meds: warfarin, losartan, lisinopril, metoprolol, hydrochlorothiazide

Current Illness:

ID: 1052204
Sex: F
Age: 52
State: MO

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

Lab Data: NA

Allergies: No known allergies

Symptoms: nausea, vomiting and headache Prescription given for zofran

Other Meds: Duoneb, Advair, Spiriva, ProAir inhaler, oxcarbazepine, Cymbalta, singulair, requip, atorvastatin, lisinopril, omeprazole, miralax, Tylenol

Current Illness: No

ID: 1052205
Sex: F
Age: 53
State: LA

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

Lab Data: None

Allergies: Neosporin

Symptoms: Soreness and swelling at injection site(beginning overnight) lightheadedness/dizziness, slight shortness of breath(just before noon the following day)

Other Meds: Lisinopril, Adderall, Centrum multivitamin

Current Illness: None

ID: 1052206
Sex: F
Age: 72
State: MT

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

Lab Data:

Allergies: Sulfa drugs

Symptoms: Unknown lot number or facility where vaccine was received. 2nd dose of Pfizer given in left arm. Patient with swelling of external right lip and rash on shoulder around 5 hours after vaccination which improved with benadryl

Other Meds: Propanolol, Cyclosporine, Duloxetine, Fluticasone nasal, Omeprazole, ProAir, Pramipexole, Biotin, Calcium, Cimetidine, Gabapentin, Synthroid, Vit C and D

Current Illness: Unknown

ID: 1052207
Sex: F
Age: 66
State: NC

Vax Date: 02/09/2021
Onset Date: 02/18/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: Rapid test - Negative - 2.22.21 Slower test - POSITIVE covid 2.23.21 reported (tested on 2.22.21 Recovering slowly and hope to let out on Monday Mar 1 with no fever and no symptoms. Hives going down. no fever.

Allergies: Macrolid Antibiotics Allergies to dust mites, tress, grasses (Take shots)

Symptoms: Was diagnosed WITH Covid first symptom on 2/18/2021. Day 1: felt slight fever; Day 2: Extreme headache (which I never get) low grade fever; Day 3:Hives and itche sin addition to dry cough; Day 4 - Hives deep red, full torso and back, top of legs and pubic areas. Deep and extreme.Chills Steady, Night Hard vomiting, Hives, Soaking Night sweats (never had before), Temp 101.5. Day 5 Morning - rapid test negative, fever 99.9. Started Ibuprofen Day 6 - Hives same - extremely dark and red. itchy. # day swab test was POSITIVE. Put on Prednisone. Day 7 - Fever normal, Hives going down but still ugly. Not sure whether this was really an adverse event as it was a positive test result AFTER the vaccine. I am an allergig person whose eosinophils report for duty quickly and obviously too much! I will assume that they were the result of the virus and NOT the drug as the drug does not have an active virus included. Your call.

Other Meds: Levothyroxine (Synthroid) 112 mcg Am Montelukast (Singulair) 10 mg Pm Omeprazole (Prilosec) 40 mg Pm Rousuvastatin (Crestor 40 mg Pm Escitalopram (Lexipro) 10 mg Am Pepcid 20 mg Pm Omega 3 500 mg Am Vitamin D

Current Illness: None

ID: 1052208
Sex: F
Age: 29
State: PA

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Red, swollen, hard lump the size of a baseball for 1 week

Other Meds:

Current Illness:

ID: 1052209
Sex: F
Age: 71
State: MN

Vax Date: 02/14/2021
Onset Date: 02/21/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: Not yet

Allergies:

Symptoms: Red circle on arm and soreness appeared a week later. None

Other Meds:

Current Illness:

ID: 1052210
Sex: F
Age: 66
State: NY

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

Lab Data: NONE

Allergies: penicillin

Symptoms: Flu-like illness for about 24 hours. Low-grade fever (100 with tylenol), muscle aches, malaise, fatique, skin hurt to touch.

Other Meds: Tylenol (55-mgx5), aspirin (325mg 2x), Pantoprozole (40mg)

Current Illness:

ID: 1052211
Sex: F
Age: 82
State: IL

Vax Date: 02/20/2021
Onset Date: 02/21/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: She has not called or seen a doctor.

Allergies: Allergic to Red-40, chocolate, Latex, PCN. Husband states her rash is not from latex allergy.

Symptoms: A red rash has been gradually going down her arm since the night of the vaccine. The right arm is also swollen.

Other Meds: Benazepril, Cymbalta, Omeprazole, Evista, Meloxicam, Amlodipine, Jentadueto, Amitriptyline, Crestor, Metoprolol, Aspirin

Current Illness: Mersa in hip.

ID: 1052212
Sex: F
Age: 68
State: IL

Vax Date: 02/02/2021
Onset Date: 02/04/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None at this time

Allergies: Egg allergy

Symptoms: Rapid heart beat, tingling in right arm, disturbed sleep. I suffer with anxiety and am no longer on medication for it. I am no sure if this is a reaction to the vaccine or my anxiety worsening. I have consulted my doctor for advise.

Other Meds: Vitamins C, D, B complex; Potassium, CoQ10, Osomeprazole Magnsium, melatonin, magnesium, baby aspirin, St. John Wart.

Current Illness: anxiety

ID: 1052213
Sex: M
Age: 71
State: MI

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

Lab Data: SEE ABOVE

Allergies: Allergy status to penicillin, Allergy status to other drugs, m

Symptoms: Patient hypertension. Onsite EMS was called vitals BP 158/84 98% 02 room air HR 67. Patient refused evaluation/care and released against medical advice.

Other Meds:

Current Illness:

ID: 1052214
Sex: F
Age: 79
State: ID

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

Lab Data:

Allergies: None

Symptoms: Client reported on 2/17/21, at approximately 9:30am, she had shortness of breath that started at about 5:00am. Client was clearly in mild respiratory distress. She was able to walk and talk, although those activities exacerbated shortness of breath. Asked client and spouse if they would like me to call ED; and both declined. Referred to nearest ER. Spouse reported he would take her to the ER. Assisted client to car and client left with spouse driving.

Other Meds:

Current Illness:

ID: 1052215
Sex: F
Age: 39
State: ID

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: Macrobid (hives)

Symptoms: Severe injection site pain started the evening of 2/4/21 and resolved in 48 hours. Intermittent injection site pain reoccurs daily especially when lifting up arm (getting dressed, reaching for something). Pain resolves when my arm is not lifted up.

Other Meds: Vitamin D, magnesium, doxycycline

Current Illness: Folliculitis

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm