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: 1052808
Sex: F
Age: 53
State: NJ

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

Lab Data: None. I have pictures if needed. A nurse did complain about the awful needles the facility was using. I doubt that's related.

Allergies: None

Symptoms: 24 hours after 2nd vaccine -- chills, flu like symptoms. 36 hours after 2nd vaccine covid arm appeared.

Other Meds: None

Current Illness: None

Date Died: 02/17/2021

ID: 1052809
Sex: M
Age: 73
State: CA

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

Lab Data: Unknown

Allergies: Lisinopril

Symptoms: Patient passed away

Other Meds: Neurontin, Proscar, Glucophage XR, Norvasc, Glucotrol, Lasix, Lipitor, Cozaar, Hygroton, Protonix, Hytrin

Current Illness: Pressure ulcers

ID: 1052810
Sex: F
Age: 42
State: NJ

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

Lab Data:

Allergies:

Symptoms: Chills, body aches, fever happened on Day 1 and day 2 of receiving the vaccine. swollen lymph node and cough started on day 3.

Other Meds: Aubagio

Current Illness:

ID: 1052811
Sex: F
Age: 74
State: SD

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

Lab Data: ABBOTT ID now test

Allergies: Codeine

Symptoms: Pt received Covid 19 vaccination on 02/01/2021-SX on 02/24/2021-Positive for COVID 19 on 02/24/2021

Other Meds: ALBUTEROL/IPRATROPIUM SOLN,INHL , METOPROLOL TAB 100MG,WARFARIN 2.5MG TAB 2.5MG, LISINOPRIL TAB 20MG

Current Illness: Atrial Fib

ID: 1052812
Sex: M
Age: 74
State: VA

Vax Date: 02/20/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Woke up approximately 3:30 AM Monday morning with abdominal cramping and a fever. Unable to get back to sleep. My wife woke up hours later and got a hot pad which helped relieve the cramping, managed to sleep until afternoon. Temperature was about 100 degrees. Very fatigued, stayed in bed most of the day. Woke Tuesday feeling better but still a temperature around 100 and fatigued, slept a lot. By Wednesday morning all symptoms gone.

Other Meds: lisinopril, atorvastatin, allopurinol, hydrochlorothiazide, aspirin (81mg), leutine

Current Illness: none

ID: 1052813
Sex: M
Age: 43
State: CA

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

Lab Data: None

Allergies: None

Symptoms: I received my first dose of Pfizer vaccine (lot # EN6200) around 10 AM. I was perfectly fine after the shot. However, 6 hours later around 4PM my Left outer ear turned bright red and get itchy (no raised or macular rash, no hives, no signs of insect bites or anything) No other redness or rashes in any other parts of my body. I did not develop any other symptoms (no SOB/difficulty breathing, etc) My R ear is fine too. I observed myself to see if the redness/itchiness will spread but after about an hour or so, the redness and itchiness went away. I did not take any antihistamine and did not I apply any hydrocortisone. Just went away on its own. Four days later, it happened again, my L outer ear turned red again, this time it is not itchy but more like throbbing pain. It went away after 1-2 hours without any treatment.

Other Meds: Vit D, Vit C, Quercetin with Zinc, multi vitamins

Current Illness: None

ID: 1052814
Sex: F
Age: 70
State: NY

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

Lab Data: NA

Allergies: NONE

Symptoms: TINGLING IN LIPS LASTED 10 MINUTES AND FLASHING IN THE FACE, FACE IS STILL FLUSHED

Other Meds: NON KNOWN

Current Illness: NONE

ID: 1052815
Sex: M
Age: 71
State: MA

Vax Date: 02/10/2021
Onset Date: 02/16/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Paresthesia of left foot and left hand, along with fatigue, apathy, dysphoria, some myalgias. Normal neurological examination, strength, sensation, reflexes. Symptoms were intermittent and transitory. No specific treatment.

Other Meds: Finasteride, rosuvastatin

Current Illness: none

ID: 1052816
Sex: M
Age: 88
State: MS

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

Lab Data: Head CT, Blood labs 02/16/2021

Allergies: Lisinopril, Aldactone

Symptoms: Patient became dizzy, passed out and hit head on wall, Ambulance called, taken to nearest Hospital.

Other Meds: Norvasc 2.5 mg, Plavix 75 mg, Lipitor, 40 mg, Metoprolol, 50mg, Valsartan 80mg, MVI, Calcium , Lutein, Omega-3, B-complex

Current Illness:

ID: 1052817
Sex: M
Age: 21
State: CO

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

Lab Data:

Allergies:

Symptoms: Patient reports left axillary lymph node swelling, fever, chills, headache.

Other Meds:

Current Illness:

ID: 1052818
Sex: F
Age: 60
State: TX

Vax Date: 01/10/2021
Onset Date: 01/11/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: The vaccine was not injected into the muscle as prescribed. The nurse pinched up the fat on my arm with a short needle. My upper arm swelled almost to the size of a baseball and was red and painful for over one week. I think it was administered SQ although intended to be IM. I am a nurse and thought to myself at the time of injection that the proper technique for administering the shot was not followed, but thought perhaps I could be wrong and the extra swelling might be normal with the second injection. My first injection was in left arm and did not swell and was only sore for a few days. If administered SQ, will the vaccine dose be effective?

Other Meds: Estrace vaginal cream

Current Illness: none

ID: 1052819
Sex: F
Age: 33
State: NH

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

Lab Data: CBC and CMP were both normal on 2/24/2021

Allergies: none known. But she had a severe reaction to BCG vaccine as a child

Symptoms: We did not administer the vaccine. This was done at the Nursing Home where she works. She presented to our Urgent Care c/o of headache, dizziness and fatigue for the last 11 days that started when she had the vaccine. She had felt fine for 8 weeks prior to this after recoverying from Covid the first week of December.

Other Meds: Vitamin D, C, Zinc, Vitamin B12

Current Illness: She had Covid the first week of Dec 2020, about 9 weeks ago, with not dissimlar symptoms.

Date Died: 02/19/2021

ID: 1052820
Sex: F
Age: 73
State: OH

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/24/2021
Hospital: Y

Lab Data: Bacterial pneumonia

Allergies: none

Symptoms: Approximately 2 weeks after the first COVID vaccine she developed shortness of breath that was much more significant than she had previously. This was the first time she had expressed this symptom to me as being something she was concerned about and difficult for her to manage (we have spoken almost daily for many years). Within 24 hours of the second dose of the mRNA vaccine, they called an ambulance to get her and she was taken to the hospital and diagnosed with bacterial pneumonia. The doctors said it was unrelated, but I found a study with a different vaccine (LAIV) that also seemed to increase the incidence of bacterial pneumonia. They hypothesized through diverting the immune system. So while I don't think the vaccine gave her the bacteria, I do think it may have caused her immune system to be temporarily compromised allowing the bacteria to grow out of control. I feel this is important to report to look for these types of patterns as perhaps it can help others avoid the death spiral that happened to my mother. There were also intervening events between her hospitalization and her death including two successful surgeries (one for a broken hip and another to put in stents in her leg). So to summarize, the first vaccine was within about 2 weeks of the onset of her breathing problems. Within 24 hours of the second vaccine she was hospitalized and diagnosed with bacterial pneumonia. As she was battling bacterial pneumonia in the hospital she broke her hip and was found to have reduced peripheral circulation and had 2 surgeries to correct those. They were successful according to the surgeons, however she died within a week or so of the surgeries. She had other comorbidities as well which I'm sure predisposed her such as diabetes, hypertension and cancer for many years.

Other Meds: A variety of medications for diabetes, blood circulation, hypertension

Current Illness: Diabetes, hypertension, cancer (lung)

ID: 1052821
Sex: F
Age: 77
State: MD

Vax Date: 02/11/2021
Onset Date: 02/21/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Moderna COVID-19 Vaccine

Other Meds:

Current Illness:

ID: 1052822
Sex: F
Age: 43
State: TX

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

Lab Data: None

Allergies: NKA

Symptoms: Patient received the COVID vaccine at 1327. After her 15 minute observation she went to the bathroom and noticed red areas on her arm. She came in and alerted the nurse. 1348 she was escorted to a chair. Raised red areas noted on both hand and arms: vs 97.3-108-22 138/87 o2 sat 98%, no difficulty breathing. She has a history of asthma. 1400 patient took her own Benadryl 50mg po. After 15 minutes rash less red: 1415 vs 98-104-20 131/82. 1440 ambulance here assessed pt. No discomfort noted. Pt refused to go to hospital. EMS escorted her to her car, rash faded, no discomfort noted, stated she felt just fine.

Other Meds: N/A

Current Illness: Asthma

ID: 1052823
Sex: F
Age: 47
State: TX

Vax Date: 12/29/2020
Onset Date: 01/05/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: Tested on January 7 for COVID - positive test

Allergies: no

Symptoms: I had COVID symptoms - cough first, fever, head pain, chills, body aches; lost of taste and smell - overall I had 11 days of symptoms. Once I got better, I was fine. I was given Ivermectin I took a dose on the 8th of Jan and a dose on the 10th - and another antibiotic - that I took for seven days. (Had second dose of vaccine on January 26th.) Telemed visit with Doctor on January 8th.

Other Meds: Almasartin - for high blood pressure; OTC Zyrtec

Current Illness: no

ID: 1052824
Sex: F
Age: 43
State: MD

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

Lab Data: None

Allergies: None known

Symptoms: Big red blotch on site of injection, about 3.5 inches in diameter, a little itchy and a feeling of dry/numbness on tongue.

Other Meds: Fluoxetine 10 mg

Current Illness: None known

ID: 1052825
Sex: F
Age: 33
State: AZ

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

Lab Data: none

Allergies: sulfa drugs and Ceclor

Symptoms: Numbness to L thumb since day after receiving the vaccine.

Other Meds: Kurvelo birth control

Current Illness: none

ID: 1052826
Sex: F
Age: 82
State: IN

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

Lab Data:

Allergies:

Symptoms: rash all over my back using an antibodic cream

Other Meds:

Current Illness:

ID: 1052827
Sex: F
Age: 42
State:

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

Lab Data:

Allergies:

Symptoms: 30 minutes post-injection, patient reported numbness in her feet similar to when she has PEG before. Pt. remained another 15 minutes and was advised to go to the ER and transported there, but wanted to go home instead and left without being seen. She said she would see her doctor if she started to feel bad. She was called 2/1/21 and reported feeling great and denied any needs.

Other Meds:

Current Illness:

ID: 1052828
Sex: F
Age: 37
State: NV

Vax Date: 02/17/2021
Onset Date: 02/20/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: none

Allergies: corn

Symptoms: I had the shot on a Wednesday. Thursday and Friday I felt a little achy and cold but Saturday I woke up with pain under my right clavicle (almost like post surgery gas pain). It has not gone away and is not relieved with ibuprofen. I also have weakness/numbness in my right arm and it feels crampy and uncomfortable. Today is day 8 since my shot.

Other Meds: birth control, magnesium, stool softener, liver detox, parasite detox, fulvic acid

Current Illness: none

ID: 1052829
Sex: M
Age: 44
State: OH

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

Lab Data: Echo, ekg

Allergies: Tetracycline

Symptoms: Fever, fatigue, low grade fever, swollen lymph node in arm pit and neck. Heart SVT, rapid heart beat 48 hours later

Other Meds: Vitamin c, elderberry, prilosec, allegra

Current Illness: No

ID: 1052830
Sex: F
Age: 0
State: ND

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

Lab Data:

Allergies: N/A

Symptoms: Thought 3rd dose of RotaTeq was being given when it was only the 1st dose and patient is 6 months old. No adverse effects noted at this time. Mother informed to monitor for side effects.

Other Meds: N/A

Current Illness: N/A

ID: 1052831
Sex: F
Age: 55
State: AZ

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

Lab Data:

Allergies:

Symptoms: Moderna COVID?19 Vaccine EUA - Right Shoulder Joint and Muscle Pain and stiffness - has not gone away

Other Meds:

Current Illness:

ID: 1052832
Sex: F
Age: 65
State: CA

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

Lab Data: None

Allergies: Certain opiods, scallops, tequilla

Symptoms: Extreme fatigue for 4 days, sleeping deeply and continuously for 10-12 hours (sleeping thru alarms), waking briefly, uncontrollable urge to go back to sleep thru 3rd day, then able to be up for a few hours then back to sleep. Only other side effect very sore arm and stiff neck 1st 48 hrs.

Other Meds: Atenolol, aprodyn

Current Illness: None

ID: 1052833
Sex: F
Age: 66
State: CA

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

Lab Data:

Allergies: Penicillin, Sulfa drugs, Benadryl, opiates, dairy (casein), almonds, zucchini, beef.

Symptoms: 4" rash on outside of upper left arm adjacent to injection site.

Other Meds: Tylenol, Methocarbamol, Beconase AQ, Protopic, Pepcid AC 10mg, Vitamin D, Vitamin B-12, Liquid Multivitamin, Omega-3 Liquid, Biotin

Current Illness:

ID: 1052834
Sex: F
Age: 47
State: TX

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

Lab Data: No

Allergies: no

Symptoms: I was woken up by fever, chills, body aches. Felt overall tiredness. I had these symptoms for about 24 hours. I took some Nyquil

Other Meds: Almasartin - for high blood pressure; OTC Zyrtec

Current Illness: COVID 19 - after vaccine dose 1

ID: 1052835
Sex: F
Age: 43
State: WA

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

Lab Data:

Allergies: Sulfa Amoxicillin

Symptoms: Rash at vaccination site 9 days post injection

Other Meds: Cylexa Hydroxychloroquin Cod liver oil Probiotic Super enzymes Iron Vitamin d Acacia fiber

Current Illness:

ID: 1052836
Sex: F
Age: 56
State: OH

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

Lab Data:

Allergies: Penicillin, sulfa (pt reports high fever)

Symptoms: Patient felt dizzy and nervous prior to receiving vaccination. After vaccination, patient reports her heart was racing and still feeling dizzy. EMS onsite and pulse was 90, BP of 170/88, patient was taken to hospital for further evaluation.

Other Meds: Otezla

Current Illness:

ID: 1052837
Sex: F
Age: 34
State: IL

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

Lab Data:

Allergies:

Symptoms: Nauseous, more abdominal pain, weakness for at least 7 days after

Other Meds: TUDCA, probiotic, digestive enzymes

Current Illness: Abdominal pain, queasy

ID: 1052838
Sex: F
Age: 42
State: IL

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

Lab Data: None

Allergies: Dust mites

Symptoms: Redness/pain/hard swelling at injection site from 22 hours post to present with gradual lessening on symptoms. Low grade fever/chills from 22 hours post to 28 hours post. Thoracic muscle spasms at 48 hours post. Lumbar muscle spasms from 72 hours to 100 hours post.

Other Meds: Multivitamin, probiotic, omega 3, omega 6, Nutriferon, vitamin D

Current Illness: Reaction to the first vaccine

ID: 1052839
Sex: F
Age: 31
State: MO

Vax Date: 02/19/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: No medical tests, but I did see NP yesterday morning

Allergies: No known allergies

Symptoms: Mon 2/22 had a few spots throughout my body at different times in the day starting in the morning, looked like mosquito bites, by evening, it had shown up on my legs, arms, back, stomach, my ears were hot and itchy, took 1 Benadryl 10:00 PM, went to bed Tue 2/23 6:30 AM widespread rash on both arms and both legs and isolated spots on my trunk, large areas raised red bumpy splotchy 9:40 AM sick visit appointment to see NP at my primary care office, prescribed zyrtec 10 mg in the morning, pepcid 20 mg at lunch, benadryl at night Took pepcid with lunch 3:00 PM put on a lot of lotion over my entire body, hives less pronounced, not as raised, still itchy but not as much Evening some small spots on face near hairline, took 1 benadryl Wed 2/24 morning upon waking hives not as severe, but still present and itchy, eyes slightly puffy, palms itchy but can?t see any hives, overall better than the previous 2 days Took zyrtec with breakfast, pepcid with lunch (now it is currently 4 PM haven't taken benadryl yet for the evening)

Other Meds: None

Current Illness: She had a cold about a week before her first vaccination dose (01/31/21)

ID: 1052840
Sex: M
Age: 85
State: MI

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

Lab Data: Inpatient Exam, Transthoracic Echocardiogram, Chest X-Ray, CBC WITH DIFFERENTIAL. Bradycardia present. Rhythm irregular. **Too many lab results to list. Contact hospital where admitted.

Allergies: None

Symptoms: DIRECTLY FOLLOWING ADMINISTRATION Involuntary shaking in both arms for 2-3 hrs (severe). Not just trembles Fatigue to near incapacitation (severe) Muscular movement unresponsive Unable to stand, sit up right, raise arms Incontinence Confusion, non-responsive, fog 101.3 F temperature Strained breathing

Other Meds: Diltiazem CD, Finasteride, Lisinopril, Terazosin, Hydrochlorothiazid, Allopurinol, Asprin

Current Illness:

ID: 1052841
Sex: F
Age: 58
State: WI

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

Lab Data: Did not seek medical treatment (just called urgent care who directed her to the ED, but she decided not to go).

Allergies: chlorahexadine (topical scrub for cleaning prior to surgery), seasonal allergies

Symptoms: Client reported that after receiving her vaccination in the morning, she noticed at 4pm that her right ear was red and hot. This was followed by her right cheek becoming itchy. At 5pm when she got home from work, she noticed that the right side of the back of her throat was itchy and a little puffy. She called urgent care who directed her to go the ED. Client decided to stay home under the careful watch of her husband. The symptoms went away on their own. That night and the next day she developed chills and body aches.

Other Meds: Sudafed (OTC per MD), claritin, buspar

Current Illness: None Client reported she had onset of joint pain and swelling in June 2020, which went away on its own. This recurred in fall 2020 and in January 2021. In both instances the symptoms went away on their own. Client has sought medical attention for symptoms

ID: 1052842
Sex: F
Age: 69
State: TN

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

Lab Data: N/A

Allergies: Unknown

Symptoms: ADMINISTRATION ISSUE ONLY. NO MEDICAL ADVERSE EVENT. Vaccinator was using 3ml syringe w/ 25G, 1in needle system. Vaccinator was not familiar with this model and did not realize that the needle system needed to be retracted by the push-button system while still in the patient's arm. Pressed plunger until usual resistance was met, thinking all of vaccine had been administered, and removed needle from patient arm. Immediately pressed the end of the syringe to retract the needle and a very amount of vaccine was expelled. Pt did not experience any adverse reactions and vaccinator re-educated on this model of syringe. Pt is scheduled for 2nd dose in 28 days.

Other Meds: Unknown

Current Illness: Unknown

ID: 1052843
Sex: F
Age: 75
State: PA

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

Lab Data: no

Allergies: morphine,

Symptoms: Pt stated that after she received the covid vax her nose was hurting and sinuses were burning. She was not able to sleep since she had a headache and her neck was hurting. Pt took a Tylenol pm and slept some. She was nauseated w/ dry heaves. Her temp was 100.7 . She took another Tylenol pm and slept the entire night. She feels better today but has developed a rash on the top of her left arm. She still has a dry cough that she has had since her first vax. Pt will contact her PCP and schedule a virtual appt.

Other Meds: metformin, losartan, rosuvastatin, acetaminophen,

Current Illness: dry cough

ID: 1052844
Sex: F
Age: 80
State: CO

Vax Date: 02/13/2021
Onset Date: 02/18/2021
Rec V Date: 02/24/2021
Hospital: Y

Lab Data: During hospitalization: LDL, HDL, and LDL cholesterol low, other values within normal ranges Echocardiogram: sclerotic aortic value, no evidence of pericadial effusion MRI brain: few small acute infarcts within the right middle cerebral artery territory as described, as well as a couple in the right cerebellum, all presumably embolic in origin. Prior seen right M1 occlusion appears resolved with preservation of distal right MCA flow voids CTA head and neck: No acute hemorrhage or CT evidence of territorial infarction. Right M1 occlusion, approximately 5 mm from the MCA origin with nonopacification of the entirety of the M1 segment and partial reconstitution of M2 and distal MCA branches. No significant atherosclerosis at the right carotid bifurcation. Calcified and noncalcified atherosclerosis at the left carotid bifurcation results in less than 50% luminal narrowing. Medialized and tortuous bilateral cervical ICAs. Thyroid goiter with substernal extension on the right. PT/INR, blood glucose, complete blood count all within normal ranges; electrolytes within normal ranges except carbon dioxide 20 mmol/L

Allergies: losartan-hydrochlorothiazide, amoxicillin

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA: five days after vaccination patient presented to emergency department with left-sided facial droop, right gaze preference, and left hemi-paresis. Patient diagnosed with right middle cerebral artery occlusion, likely thrombotic etiology, admitted to hospital, and underwent thrombectomy and recanalization with symptom improvement. Discharged to home improved, stable, with vital signs within normal ranges two days after arrival to emergency department.

Other Meds: vitamin D3, famotidine, alendronate, amlodipine, aspirin, atorvasatin, calcium, diclofenac gel, duloxetine, lidocaine patch, multivitamins

Current Illness: None reported

ID: 1052845
Sex: M
Age: 73
State: CA

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

Lab Data: Blood test; ultrasound February 22.

Allergies:

Symptoms: Blood clot in left arm.

Other Meds:

Current Illness:

ID: 1052847
Sex: F
Age: 28
State: CA

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

Lab Data: No

Allergies: No

Symptoms: Flu like symptoms body aches dizziness and chills no treatment yet .

Other Meds: No

Current Illness: No

ID: 1052848
Sex: M
Age: 87
State:

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

Lab Data:

Allergies:

Symptoms: Patient received both doses of Pfizer vaccine. Patient reports around 5 days after the vaccine, experienced shortness of breath, generalized weakness. On admission (about 10 days after completion of vaccination), patient is diagnosed covid-19 pneumonia with covid pcr positive and chest x ray consistent with pneumonia.

Other Meds:

Current Illness:

ID: 1052849
Sex: F
Age: 59
State: KY

Vax Date: 12/17/2020
Onset Date: 12/18/2020
Rec V Date: 02/24/2021
Hospital:

Lab Data: CT scan (low dose cancer screen) showed multiple peripheral pulmonary nodules, bilateral.

Allergies: none

Symptoms: Worsening breathing similar to asthma-like condition. It started the day after the first vaccine and worsened after the second. Requires use of albuteral inhaler on a PRN basis.

Other Meds: multivitamins, vitamin D, valtrex 500mg

Current Illness: none

ID: 1052850
Sex: F
Age: 31
State:

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pain at injection site for 3 days, and fatigue for 2 days.

Other Meds:

Current Illness:

ID: 1052851
Sex: F
Age: 35
State: TX

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

Lab Data:

Allergies: Shellfish

Symptoms: 5:36 complaint of tingling sensation to face and lips; no swelling observed, no other complaints. 5:45 patient drove self home

Other Meds: N/A

Current Illness: N/A

ID: 1052852
Sex: F
Age: 53
State: SD

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

Lab Data: None

Allergies: None

Symptoms: I was vaccinated for Covid-19 (second shot) 12/27/2021. The afternoon of 12/28/2021 I started feeling tired. 12/28/2021 I got up at 0545 and was not feeling well. I had a head ache and a back ache and I felt exhausted, at 0630 I broke out in a sweat and continued not to feel good, I decided to stay home at this point. I set my alarm to call into work at 0730. I stayed in bed until 1215 and continued feeling bad and tired until 1645 when I felt better.

Other Meds: None

Current Illness: None

ID: 1052853
Sex: F
Age: 75
State: CA

Vax Date: 02/04/2021
Onset Date: 02/15/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: Chest x-ray - clear. Urinalysis - clear. Covid nasal test, Feb. 23.

Allergies: Vanccomycin

Symptoms: Evening Feb. 15, chills, fever, muscle aches, and headache and exhaustion. Night sweats with temp. up to 101.8. Day temps 99 to 100. Have lasted to the present time. Treatment fluids and aspirin. Chest x-ray and urinalysis clear. Covid nasal test yesterday, Feb.23. The second Pfizer vaccine scheduled for today, Feb. 24, was cancelled.

Other Meds: Levo-thyroxin, Rosuvastatin, calcium, muti vitamin,

Current Illness: none

ID: 1052854
Sex: M
Age: 68
State: KS

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

Lab Data:

Allergies: none

Symptoms: Patient experienced confusion and shortness of air when he woke up the morning after vaccination. His daughter went over to his house to help him and stated that his condition improved after he took a breathing treatment.

Other Meds: Breathing treatments, blood thinner

Current Illness: none

ID: 1052855
Sex: M
Age: 71
State: FL

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

Lab Data:

Allergies: reaction to a medication at dentist 20+ years ago

Symptoms: Rapid response called 8 minutes into 30 min obsrvation. Client known to have a vague history of a reaction to an unknown medication from many years ago. Client states 'feeling off'; HR regular BP slightly elevated. Symptoms increasing with dizziness and cough. EMS called and client transported to ED via ambulance, RN

Other Meds:

Current Illness:

ID: 1052856
Sex: F
Age: 17
State: CA

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

Lab Data: N/A

Allergies: N/A

Symptoms: Felt light headed, ringing in her ears, c/o nauseated. BP 110/68 Pulse 68. Removing Jacket. Offered water. Offered oxygen but refused.

Other Meds: Advil

Current Illness: N/A

ID: 1052857
Sex: F
Age: 45
State: OR

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

Lab Data: Labs done today 2/24, not sure what labs were ordered

Allergies: Penicillin, Shrimp

Symptoms: Fatigue and exhaustion, body aches, chills and diarrhea continuing now for over 2 weeks

Other Meds: Protandim, Vit D 200 units, Biotin, CBD

Current Illness: none

ID: 1052858
Sex: M
Age: 14
State: KS

Vax Date: 08/31/2020
Onset Date: 08/31/2020
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: seasonal allergies, now with recurrent urticaria

Symptoms: mom reports that he had a brief seizure (his brother reported he was a complete zombie, eyes rolled out into his head, fell to the floor, shaking uncontrollably, lasted for 30-60 sec), he had another episode while taking a shower the next day (bathroom door was closed, so unwitnessed). He was not evaluated for these. He has not had any similar episodes since, but mom believes his skin rashes started around that same time. The first mention of hives in the PCP's records is on 10/19 when he was reported to have 3 weeks of intermittent hives. Rashes show up randomly, usually itchy, raised, usually last for 1-2 day, go away with hydrocortisone and Benadryl. Taking Claritin daily did not prevent them He is also very sleepy, tired, missed a lot of school from this. Continue to be able to exercise (baseball), no SOB, cough or excessive fatigue when exercising. Also has some nausea. the seizure-like episodes resolved, the rest of symptoms continue to be ongoing

Other Meds:

Current Illness: none that mother report

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm