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: 1052608
Sex: F
Age: 65
State: OK

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: n/a

Allergies: codeine. had vigorous reaction to shingrix vaccination

Symptoms: pt developed rash on b hands that appeared to be chillblains, along with usual side effects of myalgias, fever, chills, arthralgias. rash lasted a little over a week and resolved on its own.

Other Meds: atrovastatin 20 mg, fish oil capsule, loratidine 10 mg, metoprolol/hctz 100/25 mg.

Current Illness: none

ID: 1052609
Sex: F
Age: 63
State:

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Vaccine vial diluted with 0.8mL normal saline and should have been diluted with 1.8mL normal saline

Other Meds:

Current Illness:

ID: 1052610
Sex: F
Age: 65
State: IL

Vax Date: 12/29/2020
Onset Date: 01/11/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: Allergy to Augmentin (diarrhea)

Symptoms: Severe frontal sinus headache that started around 5 pm. No relief with Extra Str. Tylenol. Pain so severe, I could not sleep all night. Had telehealth visit on 1/12/2021 and APN recommended I take 1000 mg. Tylenol and 600 mg Ibuprofen at the same time and to rest and to repeat these medications in 6 hours. Headache resolved after 2nd dose of medications. Since that episode, I continue to have intermittent frontal sinus headaches, not as severe as the first one.

Other Meds: Lisinopril 10 mg, Singulair 10 mg, Calcium 800 mg., Zyrtec 10 mg.

Current Illness: None

ID: 1052611
Sex: F
Age: 55
State: WA

Vax Date: 02/18/2021
Onset Date: 02/20/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Dose 1 on 1/21/21 - very sore upper left arm Dose 2 on 2/18/21 - arm not as sore. Developed 3 small pimples on lip edges: 2 on edge of upper lip, and 1 on edge of lower lip. This is very unusual, I have very clear skin and no problems with pimples or acne. No new or different skin products or makeup was used. No new/different soap or cleansers used. I just thought this was a weird reaction. The pimples went away after about 5 days.

Other Meds: none

Current Illness: none

ID: 1052612
Sex: F
Age: 76
State: MD

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

Lab Data:

Allergies: Erythromycin Scallops (no other shellfish)

Symptoms: 2/11 -13/21 Sore arm first 2 days. Then I felt fine with no effects until the following week. On 2/18 my arm begin to itch at site of injection. 2/21 itching subsided but I noticed a red circular area around injection site. The area also feels warm. I feel okay physically. Today 2/24, the red circular area is still present.

Other Meds: Pravachol Levothyroxine Potassium Citrate Vitamins B6, B12, D3

Current Illness: None

ID: 1052613
Sex: F
Age: 67
State:

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

Lab Data:

Allergies:

Symptoms: Blotchy redness mostly face. Denies respiratory distress,chest pain. b/p 140/82 pulse62 respirations 18. Denies feeling warm. Denies need for further medical care. 1316 Patient she feels fine and would like to leave. Advised to call MD or 911 is shortness of breath or chest pain. 1259 returned to clinic with reddish blotches on face. None else where. 1316 b/p 122/72 pulse 62 respirations 16 Patient denies any other signs or symptoms of reaction to vaccine. Lungs sounds are clear. Denies itching or pain.

Other Meds:

Current Illness:

ID: 1052614
Sex: F
Age: 52
State: WI

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

Lab Data: none

Allergies: Morphine, Codiene, bupropion, daptomycin, fentanyl, hydrocodone, ibuprofen, lidocaine, Meloxicam, Mesalamanie, Mirtazapine, Vancomycin, Varenidine

Symptoms: Given 7 days too early no adverse reaction with patient

Other Meds: Aspirin, Acetominophen, Albuterol, Apixaban, Aripiprazole, Atorvastitin Calcium, Carvedilol, Cefuroxime, Clonidine, Glucogon, Insulin, Hydralazine, Nasofloxin, Nifidepine, Ondanstratin, pantopranolol, ropinirole hydrochloride, sevelamar car

Current Illness: hospitalized 2/17 pancreatitis

ID: 1052615
Sex: F
Age: 74
State: IN

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

Lab Data:

Allergies:

Symptoms: At 1050 Patient reported that she was feeling "weird" states that she felt like her chest and arms were tingling. We sat her down and asked her if she had ever felt this way before and she stated that once she had a medication that made her break out in a rash that started out with tingling but eventually got worst. Nurse at this time recommended to patient that she should stay for 30 mins for further observation, patient refused. When questioned patient denied itchiness, shortness of breath, or any other symptoms except for tingling. Nurse offered benadryl prior to her leaving and she agreed, dose administered at 1058. At 1100 patient left the premises. At 1445 Nurse called patient with CDC recommendation that she does not receive her second dose of Moderna per her reaction. Patient stated that she wants to continue with receiving her second dose because as soon as she "took off her tight brawl" the symptoms went away. Patient does not believe symptoms were related to vaccine. Patient denied having any further symptoms; rash, shortness of breath, or further tingling at this time.

Other Meds:

Current Illness:

ID: 1052616
Sex: F
Age: 61
State: NH

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

Lab Data: None

Allergies: Feathers, kelflex, metformin

Symptoms: Angioedema, SOB, Uticaria, scleral edema

Other Meds: Tramadol, Pregabalin, Prednisone, Potassium Chloride ER, Omega 3 Fatty Aci, Multivitamin, Lasix, Fexofenadine, Famotidine, EpiPen, Duloxetine, Diphenhydramine, Diclofenac Sodium, Cyanocobalamin, Cholecalciferol, celocoxib, Caltrate, Atenolo

Current Illness: none

ID: 1052617
Sex: F
Age: 52
State: NY

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

Lab Data: None

Allergies: None

Symptoms: Sore/painful left arm 2pm starting on 2/10/21 for 24 hours Felt cold intermittently 4 pm on 2/10/21for 4 hours Skin hypersensitivity 6pm starting on 2/10/21 for 14 hours Slight headache 6 pm starting on 2/10/21 for 14 hours Fatigue 6pm starting on 2/10/21 for 24 hours

Other Meds: Esomeprazole Mag Amlodipine Besylate Escitalopram D3 B-12 C

Current Illness: None

ID: 1052618
Sex: F
Age: 66
State: PA

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

Lab Data:

Allergies: seafood,

Symptoms: I went got the shot and I waited 20 minutes because I wanted to make sure I didn't have any problems. The next morning I woke up my face was itching like crazy, and red. I was nauseous. I was "queasy" to my stomach. My left arm it was hot and red. It looked like it spreading. It was 4 fingers down from my shoulder where the shot was put in. I spoke with my Pharmacy on the 13th and the pharmacist told me to use my Flonase and to take Tylenol or Ibuprofen. She told me if my breathing or anything got worse to go to the ER ( I have SOB due to Alpha-1). I did speak with my Doctor's office as well and they told me the same thing if I got worse to go to the ER. The 14th I still felt nauseous, queasy, and my arm was still sore but the itching had improved. I took more of my allergy medication and by the 15th I was fine.

Other Meds: Eliquis 5 MG twice a day, Buspar 15 MG twice a day, Klonopin 1 MG at bedtime, Neurontin 300 MG three times a day, Lisinopril 10 MG daily, Prilosec 20 MG daily, Synthroid 112 MG daily, Efsexor-XR 150 MG twice a day weekly Prolastin-C in

Current Illness:

ID: 1052619
Sex: M
Age: 73
State: MS

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

Lab Data: n/a

Allergies: no known allergies

Symptoms: Patient was administered second dose Moderna vaccine early (Day 20). Patient has experienced no s/sx of adverse effect. Patient is being monitored per caregiver and home health daily. Caregiver has been instructed to notify home health of any s/sx of adverse effects of vaccine.

Other Meds: amlodipine, aspirin, atorvastatin, Combigan, coreg, aricept, ferrous sulfate, gabapentin, isosorbide mononitrate, losartan, mangesium oxide, metformin, pantoprazole, zoloft, Januvia, sucralfate

Current Illness: no known illness noted/reported

ID: 1052620
Sex: M
Age: 50
State: VA

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

Lab Data:

Allergies: Sulfa-rash Penicillin-rash

Symptoms: Fever- chills- headache. Severe pain in right arm/injection site Pain on right side of body

Other Meds:

Current Illness:

ID: 1052621
Sex: F
Age: 71
State: CA

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

Lab Data: N/A

Allergies: topical iodine

Symptoms: left upper lip swelling and tingling

Other Meds: Acetaminophen (TYLENOL) 500 mg Oral Tab Take 1 to 2 tablets by mouth every 6 hours as needed for pain 9/19/2019 (S) 100 tablet 0 of 0 remaining Alendronate (FOSAMAX) 70 mg Oral Tab Take 1 tablet orally every week in the morning wit

Current Illness: none

ID: 1052622
Sex: F
Age: 26
State:

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

Lab Data:

Allergies:

Symptoms: Rec'd vaccine yest around 4pm - reports body aches, fatigue and headache began this morning. States she has been sleeping most of the day and just recently checked her temp and has a fever of 101.8F.

Other Meds:

Current Illness:

ID: 1052623
Sex: F
Age: 72
State: PA

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

Lab Data:

Allergies: Sulfur drug at a very young age

Symptoms: Lips starting tingling and numbness. Lasted for two hours.

Other Meds: Furosemide 40mg Losartan 25mg Carefully 3.125mg Aspirin lo dose 81 mg

Current Illness: None

ID: 1052624
Sex: M
Age:
State: MN

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

Lab Data:

Allergies:

Symptoms: Covid vaccine was reconstituted with sterile water instead of normal saline. Patient did not alert us of any adverse events

Other Meds:

Current Illness:

ID: 1052625
Sex: M
Age: 65
State: NJ

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

Lab Data: none

Allergies: None

Symptoms: Finger nail size welts/rash on both thighs and forearms. appears during night and was itchy. Applied hydrocortisone cream at night and in morning. Took 1 Benadryl after about 14 hours after onset. Mostly disappeared by 3 PM

Other Meds: Atenolol, Xarelto, Olmestarten Medoxomil, Flecainide, Atorvastin, Norvasc, Omeprazole, Nasacort Spray, Hemp CBD drops

Current Illness: None

ID: 1052626
Sex: F
Age: 57
State: IL

Vax Date: 02/12/2021
Onset Date: 02/18/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: Valtrex, prednisone

Allergies: NKDA

Symptoms: Shingles within 10 days of vaccine

Other Meds: Lisinopril 20 mg, heliocare, zinc, calcium, flaxseed,

Current Illness:

ID: 1052627
Sex: F
Age: 80
State: OR

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

Lab Data: None

Allergies: Sulfa Drugs, pollens

Symptoms: Severe rash over entire body appearing in the evening after the shot. Initial treatment with antihistamine had little effect. Eventually used triamcinolone cream and that helped to reduce the rash. Still persists 4 weeks later with lingering rash on legs.

Other Meds: Timolol, Provastatin, synthroid, calcuim, Vitamin D

Current Illness: Glaucoma, hypthyroidism

ID: 1052628
Sex: F
Age: 83
State:

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

Lab Data:

Allergies:

Symptoms: Pfizer-BioNTECH COVID -19 vaccine reconstituted with 1.7 ml of 0.9 ml NS instead of 1.8 ml. As a result only 5 doses administered. Pt had no adverse reaction noted during the 15 mins observations.

Other Meds:

Current Illness:

ID: 1052629
Sex: F
Age: 78
State: WA

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

Lab Data:

Allergies: Keflex, Ketex, Velosef, avacadoes, bees, marciane, lydocaine, zithromax

Symptoms: slight fever, redness and soreness of site, diarega

Other Meds: estrodial, levothyroxin, , prevacid,

Current Illness: none

ID: 1052630
Sex: F
Age: 51
State: WI

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

Lab Data: None. Transferred to eD.

Allergies: Sulfa: rash IVP dye: anaphylaxis

Symptoms: Pt received dose #1 of Pfizer vaccine at 12:48 PM. After about 10-12 min wait period in waiting area, c/o feeling "whoozy", a metallic taste in mouth and tingling of mouth. A short time later, reports that symptoms are worsening. Walked with stand by assist of two to cot. BP elevated, other VSS. C/o feeling "whoozy", middle tongue feeling swollen, metallic taste in mouth, mouth feeling numb/tingling. Symptoms progressed to rest of body feeling "tingling". Denies dizziness. Symptoms progressing. Denies SOB, itchy throat or throat swelling sensation. Denies any itching of skin. No hives or rash noted. Due to worsening of symptoms, a First Responder was called at 2:01 PM for transport, monitoring and treatment in ED.

Other Meds: CALCIUM CARBONATE/VITAMIN D3 (VITAMIN D-3 ORAL) by mouth . cephALEXin (KEFLEX) 500 MG capsule One tab after intercourse for UTI prevention. esomeprazole (NEXIUM) 20 MG capsule TAKE 1 CAPSULE TWICE DAILY. estradioL (ESTRACE) 0.01 % (0.1 m

Current Illness: Allergic rhinitis GERD (gastroesophageal reflux disease) (*) Menopause syndrome

ID: 1052631
Sex: F
Age: 76
State: FL

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

Lab Data:

Allergies: NKDA

Symptoms: Patient developed a rash on both feet day after vaccination. Rash resolved with hydrocortisone 2.5% cream, Benadryl, and Allegra after 3 days.

Other Meds: N/A

Current Illness:

ID: 1052632
Sex: F
Age: 41
State: CA

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: I received the vaccine around 1:30 pm on 2/17. At just after midnight in the early morning of 2/18, I awoke with with a stabbing left sided frontal headache (4/10) and diffuse itching from head to toe, including my throat. I only had a few (3) pinpoint lesions on my abdomen, I did not have trouble breathing and my oxygen saturation remained above 98% so I did not take Benadryl or feel the need to seek medical attention. The headache subsided the next day while the diffuse itching lasted a total of 3 days.

Other Meds: Levothyroxine Vitamin D Zinc Prenatal vitamin

Current Illness: None

ID: 1052633
Sex: M
Age: 79
State: CA

Vax Date: 02/16/2021
Onset Date: 02/20/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: started Saturday on his calf and up his knees to his thighs in the morning and by the afternoon it got redder and skin started to get hot but the night it went to his arms and wrist and shoulder and back and up to the neck. then on Sunday he was getting blotches on his legs on the front and the back. his skin was getting puffed up around the blotches and then it started to spread to his feet. Monday saw the doctor was told its a Induced eruption rash- full body. was given steroids- methylprednisolone 4 mg DOSPK prescription is a 6 tablet 1st day and decrease tablet each day for 6 days. The itch currently is at a low level and Dr. Did advise not to get the 2nd dose.

Other Meds: high blood pressure- Hydrochlorothiazide 12.5 mg 1 a day, Amlodipine besylate 5 mg

Current Illness: No

ID: 1052634
Sex: U
Age: 49
State: GA

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

Lab Data: N/A

Allergies: unknown

Symptoms: Patient c/o feeling a "Wave" or headache. Vitals taken: 10:47am 103/78 70 T 97; 10:50am 111/72 69 T 97; 11:00am 116/69 67 T 97; 11:02am 103/78 70 T 97; Patient wanted to leave after the 3rd set of vitals.

Other Meds: unknown

Current Illness: unknown

ID: 1052635
Sex: F
Age: 76
State:

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

Lab Data: Rapid covid test. Negative

Allergies: Sensitive to most meds, allergic to shell fish, bees

Symptoms: Ongoing symptoms for the last 2 weeks. Primary exhaustion, a few days ago fever, chills.

Other Meds:

Current Illness:

ID: 1052636
Sex: F
Age: 23
State:

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

Lab Data:

Allergies:

Symptoms: Joint pain and cracking at shoulder lasting a whole week now. After receiving my injection, I noticed that it was given very high up on my arm, just barely 1 finger width's away from my shoulder joint. As a healthcare provider myself, I know to be aware not to administer too high as this can result in shoulder injury. I unfortunately seem to have encountered this firsthand myself. I wanted to wait a week hoping the pain would go away, but it is still there even after a week. It was severe pain starting about 36 hours after receiving the shot, then for two more days, the pain was about 8/10. The pain has become less severe over time, but I am unable to use my left arm to the same capacity anymore due to this constant shoulder joint pain. Prior to this, I have never had any shoulder pain.

Other Meds:

Current Illness:

ID: 1052637
Sex: F
Age: 80
State: CT

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

Lab Data: no

Allergies: tree nuts, fresh tree fruits, eggplant, celery, and carrots Zithromax, Kenalog,

Symptoms: pt states that she had a left arm and mild body aches for a couple of days after getting the covid vax. Three or four days later she started getting dizzy and nauseated. She says she feels hungry even after she eats. Pt states the dizziness comes and goes and is normally in the morning. She doesn't feel right and feels unsafe when she walks like she may fall. Pt contacted her PCP on 2/23/2021 and they just told her to see if the symptoms went away and the FU if they did not.

Other Meds: Synthroid, clorazepate, Probiotic, Multivitamin,

Current Illness: no

ID: 1052638
Sex: F
Age: 62
State: MO

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

Lab Data: none needed

Allergies: NKA

Symptoms: severe chills, body aches and fever for 36 hours. The side effects were worse than COVID in December 2020

Other Meds: levothyrixne (synthroid) Vitamin D, multi vitamin

Current Illness: NONE

ID: 1052639
Sex: F
Age: 73
State: MA

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

Lab Data: None. Due to adverse reaction I am reluctant to get 2nd vaccine because 2nd has been said to have more reactions than the 1st vaccine.

Allergies: Nsaids, oxycodone, silver, paba, ace inhibitors, sulfa, lactose intolerant, all adhesives, heart monitor leads (adhesive).

Symptoms: Upset stomach a few hours after injection. Next day Saturday left arm sore at shot area, and continued upset stomach. Sunday night slight cramping in stomach. Monday AM Full blown cramping , afternoon 99.2 fever, chills, hands cold continued severe cramping. Took Tylenol. Tuesday slight cramping from stomach to rectum, normal temp. Wednesday slight cramping comes and goes. Feeling much better.

Other Meds: Albuterol, Advair Diskus, Blink eye drops, Fish oil, Lactase Enzyme, Losartan-Potassium, Magnesium Oxide,Metformin, OneAday women's 50+, Pantoprazole, Pravastatin Sod, Propranolol, Vit D, Yupelri, Synthroid, Coconut oil and peppermint.

Current Illness: None

ID: 1052640
Sex: M
Age: 77
State: FL

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

Lab Data: CONTINUATION OF 18, ABOVE - 0800, AWAKENING FREE OF ALL SYMPTOMS TO WORK A NORMAL DAY.

Allergies: None

Symptoms: FEBRILE - 101 (2200), TACHYCARDIA (100+ BPM), RAGING A-FIB (ARRHYTHMIA) & HYPOTENSION (75/50); SLEEP MEDICATION INEFFECTIVE. ALL SYMPTOMS PERSIST (NO DETECTABLE DEHYDRATION) , INTO 4 FEB 2021. NO PAIN OR FEVER ABATEMENT MEDICATIONS APPLIED. AT 1600, 4 FEB 2021, 10 MG ZALEPLON AND 5 MG AMBIEN ADMINISTERED. 75 MINUTES OF SLEEP, FOLLOWING WHICH SUB-LINGUAL TEMPERATURE WAS NORMAL, BUT OTHER SYMPTOMS PERSISTED. SLEEP IMPAIRMENT AND OTHER SYMPTOMS PERSISTED 4, 5 AND 6 FEB, BUT SLIGHTLY IMPROVING EFFICACY OF SLEEP MEDICATIONS AND OTHER SYMPTOMS. AT 2000, 6 FEB, 10 MG AMBIEN (SLEEP ONSET UNTIL 2130), 10 MG ZALEPLON AT 2200 (SLEEP UNTIL 0030, 7 FEB), 10 MG AMBIEN 0030 (SLEEP UNTIL 0430), 10 MG ZALEPLON 0430 (SLEEP UNTIL

Other Meds: tamsulosin, bupropion, xarelto, atorvastatin, ambien, zaleplon

Current Illness: sleep maintenance insomnia, paroxysmal a-fib

ID: 1052641
Sex: M
Age: 51
State: IL

Vax Date: 02/19/2021
Onset Date: 02/21/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: Insect stings

Symptoms: Nausea, chills, sweating, loss of consciousness and low blood pressure

Other Meds: Jardiance, Lantus, Lispro insulin, Metformin, multivitamin, omega 3 fish oil, quinapril, rosuvastatin

Current Illness: none

ID: 1052642
Sex: F
Age: 47
State: TX

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

Lab Data:

Allergies:

Symptoms: Immediately post vaccination patient complained of heart rate increase to the high 90's, low 100's. Patient waited an additional 15 minutes and heart rate normalized back to the 80's.

Other Meds:

Current Illness:

ID: 1052643
Sex: M
Age: 64
State: WI

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

Lab Data: None

Allergies: Cisapride, Diclofenac, Erythromycin, Lansoprazole, Secobaratal, Sulfa Antibiotics

Symptoms: Vaccine given 7 days before due date no adverse patient reactions noted

Other Meds: Acetominophen, Allopriniolol, Asprin, B complex with Folic Acid, Ca Acetate, Carboxymethylcellulose, Carvediolol, Flexitine, Lasix, Gabopentin, Glucogon, Hydrocodone/Acetominophen, Insulin, Levothyroxine, Miralax

Current Illness:

ID: 1052644
Sex: F
Age: 49
State: NH

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: COVID x2; negative

Allergies: n/a

Symptoms: 1/5 vaccination 1/6 woke up dizzy, nausea, no fever. By 10am I felt fine. 1/7 loss of taste and smell. Lasted for 11 days. *were exposed to possible COVID+ patients; 2 days prior to vaccination, both tested negative Advised COVID rapid test; negative Loss of taste for 11 days. 2/5 second vaccination

Other Meds: n/a

Current Illness: n/a

Date Died: 02/11/2021

ID: 1052645
Sex: F
Age: 77
State: IL

Vax Date: 02/06/2021
Onset Date: 02/10/2021
Rec V Date: 02/24/2021
Hospital: Y

Lab Data: See above

Allergies: Latex, penicillin, sertraline

Symptoms: Cardiogenic shock occurred on 2/10/2021, approximately 12 hours after patient received her 12th dose of pemetrexed/pembrolizumab and 4 days after COVID vaccine. Coronary angiography was done on 2/10/2021 and no significant coronary narrowing or blockage were noted. Baseline troponin on 2/10/21 was 0.02 and later on 2/10/21, troponins were 9.99 & 25.27. Creatinine increase from 1.2 to 3.4 within 24hours, and AST/ALT increased from 23 & 31 to 4,220 & 4,786 respectively on 2/11. Patient expired on 02/11/2021.

Other Meds: prednisone, Armour thyroid, folic acid, cholecalciferol, coenzyme Q 10, tumeric pemetrexed/pembrolizumab - 12 doses, last dose o 02/09/2021

Current Illness: Stage IV adenocarcinoma of lung

ID: 1052646
Sex: F
Age: 66
State: TX

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

Lab Data:

Allergies: Allergies to codeine, Tetracyclines, and lisinopril

Symptoms: patient reports tingling sensation to the lips tongue. IM Benadryl 50 mg given at the vaccine site. patient sent to Emergency room for further evaulation

Other Meds: On medication for high blood pressure and high cholesterol

Current Illness: None

ID: 1052647
Sex: M
Age: 38
State: KY

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

Lab Data:

Allergies:

Symptoms: patient was give two 2nd doses at same clinic moments apart. there were two consent forms (one printed & one paper copy), one was handed to one nurse she vaccinated, and then another was handed to 2nd nurse where she vaccinated.. facility takes responsibility for issue as they directed him into the room twice and also had 2 consent forms for him present. there are currently no adverse reactions

Other Meds:

Current Illness:

ID: 1052648
Sex: M
Age: 46
State: NY

Vax Date: 01/03/2021
Onset Date: 01/04/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: "I had an uncomfortable night and bad dreams, left arm soreness more painful than flu soreness. 1/4/21 5am fever 100.5, and took Tylenol at 5am." Reported feeling better now at 10:30 am

Other Meds:

Current Illness:

ID: 1052649
Sex: F
Age: 61
State: NH

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

Lab Data: no tests.

Allergies: Keflec, feathers, metformin

Symptoms: angioedema, uticaria, SOB. Treated with Benadryl, ativan, duoneb, famotadine, epinephrine

Other Meds: tramadol, pregabalin, prednisone, potassium chloride ER, lasix, MVI, Fexofenadine epinephrine, duloxetine, diphenhydramine HCL, Diclofenac sodium, cyanocobalamin, cholecalciferol, celecoxib, caltrate, biotin, atenolol

Current Illness: none

ID: 1052650
Sex: M
Age: 77
State:

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

Lab Data:

Allergies:

Symptoms: Pfizer-BioNTECH COVID -19 vaccine reconstituted with 1.7 ml of 0.9 ml NS instead of 1.8 ml. As a result only 5 doses administered. Pt had no adverse reaction noted during the 15 mins observations.

Other Meds:

Current Illness:

ID: 1052651
Sex: F
Age: 45
State: PA

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

Lab Data:

Allergies: Penicillin

Symptoms: Face went numb and tingly approximately 2 hours after receiving second dose of Moderna vaccine. This effect lasted 1-2 hours.

Other Meds: Apri, Tretinoin 0.5% cream, Valtrex (as needed)

Current Illness: None

ID: 1052652
Sex: F
Age: 67
State: MD

Vax Date: 02/15/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: codeine

Symptoms: Itching, slight redness and swelling at vaccination site. Area is a little hard at vaccination site. Applying ice, will apply benadryl

Other Meds: Atorvastatin, bisoprolol/HCTZ, amlodopine, losartan

Current Illness:

ID: 1052653
Sex: M
Age: 56
State: TX

Vax Date: 02/01/2021
Onset Date: 02/09/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Extreme dizziness for 3 days, onset about 6 hours after dosage. Dizziness to the point it was difficult to walk.

Other Meds: Synthroid, testosterone, truvada, vit d3,

Current Illness:

ID: 1052654
Sex: F
Age: 55
State:

Vax Date: 02/10/2021
Onset Date: 02/17/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient reports itchy, raised red rash on chest and back x 1 week, states began 8 days after receiving Covid vaccine. Reports rash is worse with moisture and heat. Has been using zyrtec, hydrocortisone and H2 blocker - help but rash returns without continued use of each, per Pt. Denies any airway involvement, SOB, blistering/draining areas.

Other Meds:

Current Illness:

ID: 1052655
Sex: F
Age: 69
State: OH

Vax Date: 02/11/2021
Onset Date: 02/19/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: Amoxicillin

Symptoms: Moderna Covid-19 Vaccine EUA. I got my vaccine at 3:00 on February 11. My right arm was a little sore for about 24 hours.( but not as sore as when I got my flu shot in October.) On Friday night the following week, I was on the couch watching TV and suddenly my upper right arm started itching. I felt it, and there was a bump there, maybe an inch in diameter. I first wondered if maybe it was associated with the Covid vaccine, but it was a little lower on my upper arm than where I got the shot, and I assumed any reaction would occur shortly after I got the shot, not 8-9 days later. I decided it was probably a bug bite. It still itched somewhat the next morning. The itching went away later that day but the bump remained until the following day. (Sunday) I didn't think anything about it until my husband told me yesterday that 2 friends recently had a similar delayed reaction after getting their Covid shots. Today I did some research online that discussed "Covid Arm," and I wondered if maybe that was what happened to me. I looked at the paperwork I received with my vaccine and it suggested either calling or emailing the FDA/CDC Vaccine Adverse Event Reporting System. The reaction wouldn't prevent me from getting my second shot, but I thought it important that I report what happened.

Other Meds: Vitamin E, Lisinopril 5 mg, Simvastatin 20mg

Current Illness: None

ID: 1052656
Sex: F
Age: 69
State:

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

Lab Data:

Allergies: Penicillin

Symptoms: Violent chills Headache Profuse Sweating Nausea Diarrhea Light-headedness Weakness

Other Meds: Xarelto

Current Illness:

ID: 1052657
Sex: M
Age: 66
State: IL

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

Lab Data: none

Allergies: NONE

Symptoms: Gentleman received his 2nd dose Pfzier Covid 19, and 10-15 minutes later complained or trouble breathing. Had him sit down, called 911 and monitored breathing. Said he started feeling better and when EMS showed up they took vitals and suggested the gentleman go to the ER for further evaluation to make sure he was ok. NO Benadryl/epinephrine was administered.

Other Meds: NONE

Current Illness: NONE

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm