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: 1052758
Sex: F
Age: 34
State: KY

Vax Date: 01/07/2021
Onset Date: 01/15/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient notified health facility about a large, red area on her left arm that was hard, and warm to touch that appeared on the 8th day after receiving her 1st COVID-19 vaccine. Patient stated that the area went away after a few days. Patient was previously diagnosed with COVID-19 and it was lab confirmed.

Other Meds:

Current Illness:

ID: 1052759
Sex: F
Age: 69
State: CT

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

Lab Data: None

Allergies: No

Symptoms: Injection site still sore two weeks after injection. Soreness causes sleep loss and pain seems to be circular around injection site (like a ring around my arm)

Other Meds: Calcium 600mg + D3 20 mcg (800 IU) One A Day Womens 50+ Multivitamin Vitasmin C 1000 mg with natural rose hips Aspirin 81 mg (Low Dose)

Current Illness: No

ID: 1052760
Sex: F
Age: 78
State: WA

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

Lab Data: None

Allergies:

Symptoms: Patient arrived at mass vaccination clinic with husband driving. Husband was asked if they were both here for their second Pfizer vaccination and her husband stated yes. Medic provided vaccination. Soon after the scribe stated their CDC Immunization Card had Moderna listed as their first vaccine.

Other Meds:

Current Illness:

ID: 1052761
Sex: F
Age: 37
State: OH

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

Lab Data:

Allergies: Codeine, Macrolides, Sulfa

Symptoms: Patient reported the COVID arm. Itchy, welts and red spot on the arm where injection was given.

Other Meds:

Current Illness:

ID: 1052762
Sex: F
Age: 46
State: MA

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

Lab Data:

Allergies: Lamictal

Symptoms: Body aches, low grade fever: 99-99.6

Other Meds: Rexulti Trileptal Hydroxizine

Current Illness: None

ID: 1052763
Sex: F
Age: 44
State: CA

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

Lab Data: NA

Allergies: Penicillin, cotton seed oil, xanthum gum

Symptoms: red blotchy rash on bilateral arms that started shortly after 30 minutes post injection. Immediately took 50mg Benadryl at symptom onset and repeated does 4 hours later.

Other Meds: Pro-Air

Current Illness: none

ID: 1052764
Sex: F
Age: 36
State: KY

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: Penicillin

Symptoms: ?Covid Arm? began within 24 hours, presented in red swollen, massively itchy area at injection site that grew four times its size in 48 hours. Ice and hydrocortisone cream was applied to provide slight relief. After 72 hours it Faded away to pink until 8 days after injection. Woke up with a ringworm looking circle, bright red, started at four inches in diameter and grew to six inches within 24 hours. Was swollen in the morning, but had subsided by that evening. Site still remains slightly pink and bruised looking.

Other Meds: Birth control Apri Multivitamin Zoloft 150mg daily Zyrtec 10mg daily

Current Illness: None

ID: 1052765
Sex: M
Age: 76
State: MA

Vax Date: 02/09/2021
Onset Date: 02/11/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Only one incidence of severe dizziness for 10 minutes or so. Very tired for that day and following day.

Other Meds: None

Current Illness: None

ID: 1052766
Sex: U
Age:
State: OH

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

Lab Data:

Allergies:

Symptoms: Patient reported symptoms presenting the next day after vaccination including tingling in the fingers and toes that progressed up the arms and legs followed by muscle weakness that progressed to difficulty walking due to muscle fatigue. Symptoms have not improved and continue to worsen. Patient told to immediately contact primary physician and recommended to wait on receipt of second moderna dose.

Other Meds:

Current Illness:

ID: 1052767
Sex: M
Age: 69
State: CA

Vax Date: 01/18/2021
Onset Date: 01/23/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: UA, Ferritin, Iron and Total Iron Binding Capacity, Sodium, Potassium, Creatinine and Calculted Glomerular Filtration Rate, Calcium serum, Magnesium, Phosphatase, TSH, A1C, Nonfasting Lipid Panel, Alt., Alkaline Phosphatase, Total Bilirun, CBC, White Blood Cell Differential, Chest X-ray.

Allergies: MS makes me nauseated.

Symptoms: Starting about 5 days after the vaccination I began to become extremely exhausted upon little exertion. My appetite decreased significantly and I began losing about a pound a day. I am having trouble sleeping even with sleeping medication.

Other Meds: Methadone, Norco, Baclofen, Astorvastatin, Quetiapine Furmarate, Lomotrigine, Mirtazapine,Vit D3, Vit. B12, Vit. C, Vit. E,Pepcid, Zinc, Zinc Picolinate

Current Illness: None

ID: 1052768
Sex: F
Age: 54
State: NY

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

Lab Data: none

Allergies: Lactose, Pineapple

Symptoms: left hand turned red and felt swollen, pt also cleared throat a couple of times but denied any SOB.

Other Meds: Hydrochlorothiazide, Azelastine HCL, Vit D, Calcium + Vit D, Monelukast, Vit B12, Lisinopril

Current Illness: none

ID: 1052769
Sex: M
Age: 67
State: CA

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

Lab Data: None

Allergies: Shellfish (shrimp, crab, lobster only)

Symptoms: 1st dose was 3-weeks prior and had sore upper arm for 2-days with no other problems. Second dose had much less soreness however on day 2 developed a slightly nauseating stomach which lasted a few hours.

Other Meds: Prilosec, Benazepril, Multivitamin, triple Omega, Calcium Citrate, red yeast, wellness formula, Triple flex, Essential Enzymes, Coq-10, Whey protein drink

Current Illness: None

ID: 1052770
Sex: F
Age: 67
State: SC

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

Lab Data:

Allergies:

Symptoms: Rash on back, legs, arms appearing 9 days after vaccination.

Other Meds:

Current Illness:

ID: 1052771
Sex: F
Age: 31
State: PA

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: none

Allergies: Allergy to penicillin's and Imitrex

Symptoms: Soreness on the first day and after. Unable to put at pressure on the Left arm where vaccine was given. Swollen lymph nodes. Inflammation, itching, irritation, redness at the insertion site about 5-7 days after the vaccine was given, continued for about 7-10 days from the day the redness and inflammation occurred.

Other Meds: Xanax Adderrall Wellbutrin Dexilant Folic Acid Multivitamin B12 injection (monthly) done about 2 weeks prior to vaccine

Current Illness: Sinus infection 1 week prior

ID: 1052772
Sex: F
Age: 72
State: CA

Vax Date: 02/10/2021
Onset Date: 02/20/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Arm turned hard, red, slight rash and itching. Upper arm and neck hurt. Getting better after a few days.

Other Meds: Daily: Losartan/HCTZ 100-25mg, Atorvastatin 10mg, multi-vitamin, Co-Q10, B-12, joint supplement, low-dose aspirin. Weekly: D2 50000iu

Current Illness: none

ID: 1052773
Sex: F
Age: 53
State: SC

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

Lab Data:

Allergies: NKDA OR FOOD ALLERGIES

Symptoms: 2/17 ; STARTED WITH CONGESTION/RUNNY NOSE AROUND 4:00 ; BY AROUND 5-6PM STARTED WITH CHILLS; HAD TWO BOUTS OF DIARRHEA THAT NIGHT; ARM OF INJECTION SITE HURT; WOKE UP AT 4:30 AM WITH HEADACHE ; STILL HAD CHILLS. EVERY JOINT IN BODY HURT; WOKE UP AROUND 10AM WITH CHILLS AND STILL HEADACHE; WALKING FELT LIKE MY LEGS WEIGHED 100 LBS A PIECE. I WAS VERY TIRED THE WHOLE DAY. STARTED GETTING ENERGY AROUND 7 PM ON 2/18. JOINTS STILL ACHY BUT NOT AS BAD.

Other Meds: Vitamins (D3; B; Folic acid; Collagen)

Current Illness: NO ILLNESSES

ID: 1052774
Sex: F
Age: 85
State: WI

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

Lab Data: MRI of the brain wo contrast 2/24/21: 1. Moderate-sized acute to subacute right-sided MCA infarct as detailed above. 2. Tiny focus of acute subacute infarct within the cortex or subcortical white matter of the right occipital lobe in a posterior cerebral distribution which suggests a central embolic source versus extension through a posterior to communicating artery.

Allergies: No known allergies

Symptoms: The patient has developed an acute ischemic stroke on the evening of receiving the COVID vaccine #1 dose. She is in the hospital with left sided weakness, facial droop and speech changes. She is receiving blood thinner and therapies.

Other Meds: Amlodipine, calcium carbonate, cetirizine, vitamin D3, fish oil, latanoprost ophthalmic solution, losartan, metoprolol succinate, multivitamin, saline nasal spray, timolol 0.5% ophthalmic gel

Current Illness: Osteoporosis Hypertension DJD Glaucoma vasomotor rhinitis Paroxysmal supraventricular tachycardia History of mycobacterium avium lung infection/ colonization Prediabetes

ID: 1052775
Sex: F
Age: 78
State: CA

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

Lab Data: None

Allergies: React to peanuts with Migraine & vertigo

Symptoms: Awakened by severe leg cramps in both legs, upper and lower, front and back. Pain so intense it? brought tears to my eyes and I woke my husband with my moaning. It lasted about 15-20 minutes. I have never had muscle cramping like this before or since.

Other Meds: Topiramate, Raloxifene,HCTZ, Metoprolol Calcium, MoveFree, Fish Oil, Vitamin D3, Iron, Mulitvit, Vitamin E,Probiotic, Turmeric, PreserVision

Current Illness: None

ID: 1052776
Sex: M
Age: 39
State: KY

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

Lab Data: None

Allergies: None

Symptoms: Soreness, fatigue, general anxiety.

Other Meds: Mirtazapine, Zoloft.

Current Illness: Nasal congestion

ID: 1052777
Sex: F
Age: 43
State: IL

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

Lab Data: no

Allergies: I don't know what they are but I do have some - have an epi-pen

Symptoms: About 11 hours after vaccine, I started to get the chills. I couldn't sleep and threw a bunch of blankets. I got a fever. Couldn't sleep and I didn't go to work the next day. I had a headache and random stomach, headache and joint pains The next day I was super fatigued for two days. After 24 hours of this - the symptoms were gone except catching up on the fatigue. Except I noticed I had the sniffles for about four days.

Other Meds: Atenolol; vit d; Pre and Pro-biotic; 2 Claritin 10 mg in morinng; pepsid - in morning; Zyrtec - 2 in the evening and 1 pepsid in the evening.

Current Illness: none besides adverse event after Covid dose

ID: 1052778
Sex: F
Age: 67
State: TX

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

Lab Data:

Allergies:

Symptoms: Patient complained of chest tightness, shortness of breath "tongue feels funny", cough, weakness. Patient monitored for 30 minutes by EMS, VSS, lung sounds clear, SPO2 100%. Patient remained on-site for an additional 15 minutes then went home.

Other Meds:

Current Illness:

ID: 1052779
Sex: F
Age: 61
State: NY

Vax Date: 12/21/2020
Onset Date: 12/27/2020
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: Gluten

Symptoms: I don't want to file two reports. I had an episode of feeling very dizzy and when I laid down for an hour and I got up I couldn't remember names of anyone, went to hospital to rule out stroke. EEG and double echo both normal. MRA and MRI, no evidence of stroke, transient global amnesia, it took a couple hours for me to get back to normal. I also had a shingles outbreak 10 days post both vaccines.

Other Meds: Baby Aspirin, Vitamin D, Avastin

Current Illness: No

ID: 1052780
Sex: F
Age: 42
State: AL

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

Lab Data: Vital signs stable throughout event.

Allergies: PCN

Symptoms: Patient received in monitoring area @2:11pm, slurring speech, slightly altered, flat affect, and slow to respond to questions. Patient stated she felt like she couldn't breathe and was repeatedly scratching at her neck. Patient placed in recliner and vital signs taken 160s/80s - baseline per patient. HR 90s, o2 sats greater than 98%. Patient stated she ate lunch but did not take her metformin this am. Wet cloth applied to forehead and juice given/encouraged. After approximately 20 minutes patient began to respond to questions more appropriately but still slow to respond. Vital signs with o2 sats taken every 5 minutes and remained stable throughout event. Benadryl 50mg po given for itching. Patient began reporting mild nausea. Response team arrived and encouraged patient to go to ED for continued evaluation and testing but patient refused. Daughter called to come pick patient up and patient wheeled to lobby for pickup at 3:07pm.

Other Meds: Metformin; Norvasc; Effexor

Current Illness: Concussion on 2/19/21. History of COVID November 2020.

ID: 1052781
Sex: F
Age: 67
State: VA

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

Lab Data:

Allergies: Allergic to codeine

Symptoms: Loss of Taste on 2/24/2021

Other Meds: Levothyroxin, Omeprazole, trazadone, cymbalta, calcium, B complex, Lutein, Glucosamine, multi-vitamin

Current Illness: None

ID: 1052782
Sex: F
Age: 73
State: CA

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

Lab Data: BP:165/88 Sat:98-99%, HR:69

Allergies: tetracyclin, macrobid, globborid, flax seed, cipro, lidocaine

Symptoms: pt felt vague tingling in her head and then it went down to her feet. Initially on the R then resolved then on the left then resolved. She also felt like her lungs were feeling weird. This gradually improved over the course of an hour.

Other Meds: Lantus, herbal powders, vitamins

Current Illness:

ID: 1052783
Sex: F
Age: 84
State: OH

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

Lab Data:

Allergies: aspirin

Symptoms: covid arm. itchy, red rash at injection site

Other Meds:

Current Illness:

ID: 1052784
Sex: M
Age: 78
State: AL

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

Lab Data:

Allergies: None

Symptoms: Fingers get cold few times a day constantly

Other Meds: Atorvastian 10mg Valsartan hctz 12.5 mg Montelukast 10 mg Azelastine 137 mcg nasal spr

Current Illness: None

ID: 1052785
Sex: M
Age: 63
State: MD

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

Lab Data:

Allergies:

Symptoms: Developed chills, mild headache, mild upset stomach within twelve hours of vaccination. Persisted until the morning of the 24th.

Other Meds: ibuprofen 400mg prior to vaccination

Current Illness:

ID: 1052786
Sex: M
Age: 56
State:

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

Lab Data:

Allergies: none

Symptoms: Lips swollen top left and bottom right. Took a 12 hour Allegra and Ibuprofen. The swelling subsided by noon on the 24th.

Other Meds: none

Current Illness: none

ID: 1052787
Sex: F
Age: 43
State: IL

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 02/24/2021
Hospital: Y

Lab Data: A MRI was conducted

Allergies:

Symptoms: "Received 2nd Covid vaccination have had headaches, earaches, tachycardia, and SOB since vaccination" TM was hospitalized 3xs after vaccination. On 1/24/21 TM was hospitalized and kept overnight for tachycardia and SOB and has to f/u with cardiology this week. The second time TM went to the hospital for a headache where an MRI was done. The third time she was also treated for a headache

Other Meds:

Current Illness:

ID: 1052788
Sex: F
Age: 93
State: FL

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

Lab Data: N/A

Allergies: NKDA

Symptoms: Day after vaccination patient reported arm was red and warm to the touch at injection site. Advised the patient to see her PCP. Called her to follow up and patient reported that she cancelled the PCP appointment because the reaction went away on its on a couple of days later.

Other Meds: LATANOPROST, ATORVASTATIN, AMLODIPINE, METFORMIN, METOPROLOL ER

Current Illness:

ID: 1052789
Sex: F
Age: 53
State: TX

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

Lab Data:

Allergies:

Symptoms: Patient complained of flushing, tingling tongue, dry mouth.

Other Meds:

Current Illness:

ID: 1052790
Sex: F
Age: 87
State: MN

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

Lab Data: none known

Allergies: Eggs Latex Norvasc Penicillins

Symptoms: shaking chills, temp of 99.9 Diaphoretic for 48 hours, in bed and slept 48 hours and then fatigue for a few days following Onset of symptoms was 24 hours following the injection - tolerated well at the time of the injection

Other Meds: 1. Advair Diskus 250-50 MCG/DOSE Inhalation Aerosol Powder Breath Activated; INHALE 1 PUFF INTO THE LUNGS TWICE DAILY 2. ALPRAZolam 0.5 MG Oral Tablet; take 1 tablet by mouth at bedtime 3. Aspirin 81 MG TABS 4. Atorvastatin Calcium 40 MG O

Current Illness: Diverticulitis of colon

ID: 1052791
Sex: F
Age: 54
State:

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

Lab Data:

Allergies: PCN

Symptoms: dizziness

Other Meds:

Current Illness:

ID: 1052792
Sex: M
Age: 65
State: SD

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

Lab Data: COVID 19

Allergies: NO

Symptoms: Pt received Covid 19 vaccination on 02/01/2021-SX on 02/16/2021-Positive for COVID 19 on 02/18/2021

Other Meds: AmLODIPine TAB 5MG, ATORVASTATIN TAB 10MG, LISINOPRIL TAB 40MG

Current Illness: None

ID: 1052793
Sex: F
Age: 65
State: KS

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

Lab Data:

Allergies: celebrax and nubatome

Symptoms: left arm is swollen around shot injection and rash

Other Meds: 40mg atorvastatin 12.5 mg hydrochlorothiazide and 160mg vaksartin

Current Illness: was fine

ID: 1052794
Sex: F
Age: 35
State: MN

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

Lab Data:

Allergies: PCN

Symptoms: Severe arm pain. Sweeping. Redness. Area hot and firm to touch. Lasting >72hrs after injection. Unable to lift >15lbs.

Other Meds: Zoloft. MVI

Current Illness: No

ID: 1052795
Sex: F
Age: 60
State: TX

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

Lab Data:

Allergies: Penicillin

Symptoms: The 2nd Covid shot had more side effects. Moderate headache, chills, body aches and joint pain. This lasted about 24-48 hours.

Other Meds: Zoloft and Claritan

Current Illness: None

ID: 1052796
Sex: F
Age: 37
State: NM

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

Lab Data: Monitored patient

Allergies: unknown

Symptoms: 1105: pt c/o of increased HR approximately 15-20 minutes after vaccine was given. Patient notified observer, and medical called to area. Patient taken to the first aide area for assessment. 1110: VS: B/P 116/76, HR 88, RR 18, SaO2-98% on RA. Patient A & O x3, Skin P/W/D, MAEW x4. Radial pulses 3+. PMHx: Hashimotos, hypotension, Depression Meds: Duloxitine, Buproprion, Pregalbin Patient reports symptoms resolved, continued monitoring until approximately 1140 Patient reassessed by Provider on duty, nurse, and EMS with VS: B/P 112/72, HR 82, RR 16, SaO2 99% on RA. No further symptoms noted at this time and provider cleared patient for discharge home.

Other Meds: Duloxitine, Buproprion, Pregalbin

Current Illness: unknown

ID: 1052797
Sex: F
Age: 78
State: FL

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

Lab Data:

Allergies: Amoxicillin- dizziness, weakness, fatigue Augmentin- dizziness, weakness, fatigue Bactrim- lip swelling Cefdinir- rash

Symptoms: Patient complained of tingling and numbness of lips after receiving vaccine. Patient stated this occurred with dose #1 and was instructed to take 12.5 mg of Benadryl 30 minutes prior to arrival for this dose, which she did. She was given 25 mg liquid Benadryl now and had swelling of bottom lip. She was monitored for an additional 30 minutes and had no further complaints of numbness/tingling and states that her symptoms had disappeared. She left with her family at that point.

Other Meds: Tudorza Pressair Rhinocort Aqua Vitamin B12 injection Diazepam Diltiazem Duloxetine Flovent HFA Arnuity Ellipta Nystatin topical Pantoprazole Prednisone Zantac Kenalog cream Ventolin

Current Illness:

ID: 1052798
Sex: F
Age: 69
State: SD

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

Lab Data:

Allergies: penicillin, sulfa, tetracycline, hydromorphone, vancomycin, butalbital, methyl gluceth-10, zoledronic acid-mannitol

Symptoms: severe generalized pruritis and erythema. diphenhydramine 50mg PO. Epinephrine autoinjector 0.3mg IM.

Other Meds: Simvastatin, montelukast, metformin, Advair Diskus, Fluticasone nasal spray, estradiol patch, vitamin D3, cetirizine, candesartan, calcium carbonate, azelastine nasal spray, aspirin,

Current Illness:

ID: 1052799
Sex: F
Age: 72
State: TX

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

Lab Data:

Allergies:

Symptoms: Patient complained initially of being sluggish, weak, lightheaded and felt like she was "about to pass out." Patient had not eaten since yesterday. Given orange juice. Patient began experiencing slight altered mental status (appeared to be losing consciousness in-and-out). EMS treating patient and transported patient to ED.

Other Meds:

Current Illness:

ID: 1052800
Sex: F
Age: 33
State: KY

Vax Date: 01/20/2021
Onset Date: 02/11/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: Allergy panel.

Allergies: None

Symptoms: Rash/Hives all over body. Been going on for two weeks now. I have been treated with prednisone pills, steroid shot, and doxycycline nothing has helped.

Other Meds: Prozac 20mg

Current Illness: None

ID: 1052801
Sex: M
Age: 80
State: AL

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

Lab Data:

Allergies: NKDA

Symptoms: Pt reports Aura in Left eye without Migraine pain daily since vaccine. States the aura started peripherally and then moved medial

Other Meds: None

Current Illness: None

ID: 1052802
Sex: M
Age: 76
State: FL

Vax Date: 02/14/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: none

Allergies: Penicillin, Bactrim

Symptoms: swelling redness rash

Other Meds: allopurinol, diltiazem, triamterene hctz, metoprolol,finasteride, potassium, multivitamin, calcium/vitamin D3, oxycodone/acetaminophen

Current Illness:

ID: 1052803
Sex: M
Age: 76
State: WA

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

Lab Data: None

Allergies:

Symptoms: Client arrived at our mass covid vaccination clinic. Medic asked if he was there for his second Pfizer vaccine. He stated yes. Medic provided vaccine then scribe noticed on Immunization card that his first vaccine was Moderna.

Other Meds:

Current Illness:

ID: 1052804
Sex: F
Age: 36
State: TN

Vax Date: 02/04/2021
Onset Date: 02/14/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: Imitrex

Symptoms: Shoulder blade pain with sharp pain that feels like it is on fire. Hurts to do daily activities (i.e. carry cup, extend arm, lift anything). Have tried Ibuprofen 800 mg, heat patch, and heating pad with no improvement. Ongoing all day since 2.14.21

Other Meds: Lexapro 10 mg

Current Illness: None

ID: 1052805
Sex: F
Age: 59
State: NY

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

Lab Data:

Allergies: beesting

Symptoms: nausea, vomiting, hoarse throat, diaphoresis

Other Meds: lisinopril, xanax, ambien

Current Illness: peritoneal tumors

ID: 1052806
Sex: F
Age: 65
State: AZ

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

Lab Data:

Allergies: Avelox (rash)

Symptoms: Within minutes of the shot, my face turned bright red and felt flushed, I developed a headache, and my tongue swelled slightly. I did not have any breathing difficulties. The reaction peaked about an hour after the shot, and by two hours after the shot the reaction had completely subsided. It was a slight reaction, with no medical emergency and no lasting effects, but it was definitely an allergic reaction. My primary care physician, Dr has advised me to not get the second dose of the Moderna vaccine.

Other Meds: Combipatch HRT, Losartan, Metrogel topical gel for rosacea, Claritin, Glucocoritcoid nasal spay, baby aspirin, fish oil, turmeric, glucosamine, multivitamin.

Current Illness: None

ID: 1052807
Sex: F
Age: 84
State: NJ

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

Lab Data:

Allergies: None

Symptoms: Itchy ness on day3- day 4 became inflamed and very red -I took Benadryl and the redness faded slightly but the area is still red around the outside - it is already 13 days- there is no pain but slight it hing

Other Meds: Levothyroxine..025mg in the am Prolix shot evert 6 months

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm