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: 1053059
Sex: F
Age: 65
State: MN

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

Lab Data:

Allergies:

Symptoms: Pfizer vaccine was reconstituted with sterile water instead of normal saline and administered. The patient has not reported any adverse effects at this time.

Other Meds:

Current Illness:

ID: 1053060
Sex: F
Age: 47
State: CA

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

Lab Data:

Allergies: Tetracyclines

Symptoms: My dad received the same shot at the same location the day before. He told me his left shoulder was hurting real bad, like arthritis. I recived my shot the day after. I, now, have a bad pain in my left shoulder and left side neck.

Other Meds: Zoloft

Current Illness:

ID: 1053061
Sex: F
Age: 84
State: MN

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

Lab Data:

Allergies:

Symptoms: The Pfizer vaccine was reconstituted with sterile water instead of normal saline and administered to the patient. The patient did not report any adverse effects.

Other Meds:

Current Illness:

ID: 1053062
Sex: F
Age: 34
State: IL

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

Lab Data: no information

Allergies: None

Symptoms: Patient emailed Employee Health yesterday stating that on 2/8/2021 one hour after receiving her 2nd dose of Moderna vaccine she had to call 911 because she felt short of breath, dizzy and had heart palpitations, she reports that since then she still has mild symptoms and she also has numb sensation on her arms, dry mouth and feels fainty. On Sunday 2/22/2021 she went to ER again due to feeling short of breath and dizzy spells. Symptoms made her miss one day of work next day because she still had mild symptoms and was very tired.

Other Meds: None

Current Illness: None

ID: 1053063
Sex: F
Age: 38
State: OK

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

Lab Data:

Allergies: Penicillin

Symptoms: Rash and hives all over low arms (right and left), back, neck, chest. Injection site is normal with no rash

Other Meds: Zyrtec

Current Illness:

ID: 1053064
Sex: F
Age: 48
State: FL

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

Lab Data:

Allergies:

Symptoms: PATIENT REPORTED SWELLING, REDNESS, AND ITCHING (ALL MODERATE) IN THE INJECTION SITE/ARM THAT SUDDENLY APPEARED 7 DAYS FOLLOWING THE VACCINATION. PATIENT CALLED HER PCP AND WAS ADVISED TO USE ICE, BENADRYL, AND A TOPICAL ITCH CREAM. SHE USED AN ICE PACK, TOOK CETIRIZINE, AND APPLIED TOPICAL DIPHENHYDRAMINE. SHE WAS FEELING SOME BETTER WHEN SHE CALLED THE PHARMACY TO REPORT THE EVENT.

Other Meds:

Current Illness:

ID: 1053065
Sex: F
Age: 72
State: NY

Vax Date: 02/12/2021
Onset Date: 02/19/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: penicillin

Symptoms: One week after vaccine was received - redness, swelling and itching approximately one inch below inoculation site. Swelling was approximately 1 inch in diameter. Through Sunday 2/21 the swelling started getting darker and spreading. Due to itching, otc Cortizone was applied to affected area. Yesterday, my doctor suggested warm compresses. The swelling is almost gone and the redness is not spreading.

Other Meds: vitamin D3, calcium/magnesium, CoQ10

Current Illness: none

ID: 1053066
Sex: F
Age: 46
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 tingling of lips & tongue, tingling of throat w/ cough, tight breathing. Cleared by EMS after supportive care.

Other Meds:

Current Illness:

ID: 1053067
Sex: F
Age: 0
State: TX

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

Lab Data: blood sugar was 78 when paramedic took it at vaccination site. BP was 78/124 which is high for me as my BP is normally 74/100.

Allergies: Penicillin Demerol Sodium Pentothal

Symptoms: At vaccination site 30 minutes after 2nd dose vaccination I started having numbness in my front teeth then quickly went to nose, lips, roof of mouth and throat. Honked horn physician came over, performed simple neurologic test and advised allergic reaction. Had me roll down windows and sip water and to wait another 10-15 minutes. After 5 minutes throat and nose felt like they were closing. Paramedics came over and checked BP, which was elevated, and blood sugar which was very low. They continued to monitor me until symptoms started subsiding. Asked if I wanted to go to ER, declined. They recommended me to take 50 mg of Benadryl and to go to ER or call 911 if symptoms persisted or worsened. Took Benadryl within 15 minutes of leaving and about 10 minutes afterwards all symptoms were gone.

Other Meds: Glimepiride Metformin Levothyroxine Welchol

Current Illness: None

ID: 1053068
Sex: F
Age: 59
State: CA

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

Lab Data: None

Allergies: None

Symptoms: "Covid Arm". My arm became very red, hot to touch, and itchy beginning about 7 days after the shot and lasting a little over two days.

Other Meds: None

Current Illness: None

ID: 1053069
Sex: F
Age: 70
State: KS

Vax Date: 02/13/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: N/a

Allergies: Shellfish

Symptoms: I noticed some itching at the injection sight. Then a day or so later I noticed it was hard and red. It has been red and a little warm since. I haven't noticed it going down any in size or redness and it still itches some. I had the shot at my local Pharmacy and have not notified them or my dr.

Other Meds: Zinc, Calcium, Vitamin D3, Prilosec, Simvastatin, Oxybutinin, Levothyroxine

Current Illness: N/A

ID: 1053070
Sex: F
Age: 67
State: MN

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

Lab Data:

Allergies:

Symptoms: The Pfizer vaccine was reconstituted with sterile water instead of normal saline and administered to the patient. The patient did not report any adverse effects.

Other Meds:

Current Illness:

ID: 1053071
Sex: M
Age: 69
State: IN

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

Lab Data:

Allergies:

Symptoms: Patient presented for second dose without an appointment during a 30 minute period that our computer tracking system was down. Due to system being down, patient received 2nd dose today only 12 days after receiving the first dose. The patient and her husband thought they were instructed to return 10 days after the 1st dose, but this was misunderstood by them. They were only able to get through as we had no way to look up their previous appointment during that brief time period. Their appointment for second dose in the system was appropriately scheduled dosing interval. I spoke with patient's wife, and he was feeling fine as of several hours after the 2nd dose.

Other Meds:

Current Illness:

ID: 1053072
Sex: F
Age: 33
State: TN

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

Lab Data: none

Allergies: none

Symptoms: At about 1458 patient received first dose of Moderna COVID-19 vaccine Lot number 031L20A expire 07/22/2021 in Left Deltoid by RN at vaccine site. Pt was instructed to wait 15 minutes in personal vehicle in designated parking area for monitoring. At 1508 patient whom was sitting the passenger seat of personal vehicle c/o SOB, and chest tightness to LPN who was monitoring the parking lot. Nursing Supervisor was dispatched over to the patients vehicle. On assessment patient stated she had a "loss of senses, SOB, chest tightness and cold chills". Pt confirmed she has no allergies and never had any reactions to medications or vaccinations. When asked pt to elaborate on s/s pt explained tunnel vision and sweating and "throat itchiness". Pt was breathing slightly labored 12 respirations a minute pulse rapid and bounding pt pale and diaphoretic and cool to touch. 1510 called made to 911. 1510 bp 60/30 Diphenhydramine and Epinephrine drew up into syringe for precaution. While RN rechecked bp to confirm. Recheck was confirmed 60/30. At 1513 pt states "I think I am feeling better, my senses are starting to come back and breathing feels better" Pt reports she passed out once giving blood. EMS arrived at 1515. At 1515 recheck b/p was 80/40. It was determined that pt did not require Diphenhydramine and Epinephrine due to pt quickly feeling better and s/s improving pt was determined to have a vasovagal response. At 1520 b/p 106/62 normal respirations at 14 a minute. EMS left at 1522 gave pt a cold paper cloth and water to drink. Dr. was called at 1525 where he was made known of the situation. His instructions where to advise pt to get second dose of Moderna in a hospital setting for close monitoring and advise that pt do not drive home. Pt made aware of instructions from MD. Pt was not driving. At 1552 patient feeling better and requests to leave. Pt reported she has no feeling of SOB or tightness. Pt not as pale as she was at begging of the event.

Other Meds: none

Current Illness: none

ID: 1053073
Sex: M
Age: 27
State: AZ

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

Lab Data: none

Allergies: Ibuprofen

Symptoms: The patient received the undiluted Pfizer vaccine on 2/22/2021 as their second dose. The following day he experienced a headache and mild fever, which resolved. The patient was not evaluated for this by a health professional, but I called him on 1/22 (5 pm) and 1/23 (7 pm) to ask about symptoms or adverse reactions. He reported the headache and mild fever on 1/23, which had resolved when I called him. Of note, the patient was diagnosed with COVID-19 on 6/12/20 by PCR test performed by . He was incarcerated at the time, and he had mild illness that did not require any medical visit.

Other Meds: None

Current Illness: none

ID: 1053074
Sex: M
Age: 64
State: TN

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

Lab Data:

Allergies: None

Symptoms: Fever, chills, dizzy

Other Meds: To many to count

Current Illness: Covid

ID: 1053075
Sex: M
Age: 40
State: WA

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

Lab Data: none

Allergies: none

Symptoms: Felt fine during the 15min waiting period, but once I got back to work started getting hot flashes but no temp and face went numb. still had smell and taste just felt like I went to the dental where they numb your face. Went to the ER because Nurse Advice Line said to. ER gave me Benadryl and that is all. Had symptoms for about two weeks.

Other Meds: none

Current Illness: none

ID: 1053076
Sex: F
Age: 27
State: PA

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

Lab Data: N/A

Allergies: Penicillin, Sulfa, Morphine, Ocycodone

Symptoms: Fever of 100.4 *F less than 24 hrs after vaccine, chills, headache, bodyaches

Other Meds: Zoloft, Advil, Dramamine

Current Illness: Migraine Headache

ID: 1053077
Sex: F
Age: 88
State: MS

Vax Date: 01/29/2021
Onset Date: 02/18/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: Emergency room physician administered a shot and two prescriptions. Stated I had shingles.

Allergies: Codeine

Symptoms: Red rash, itchy, sharp pains, swelling, sensitive to touch in area (left side of the back to the front of the body below the breast). Illness began on 02/18/2021. Due to wintery weather I went to the emergency room on 02/20/2021.

Other Meds:

Current Illness: None

ID: 1053078
Sex: F
Age: 63
State: ID

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

Lab Data: None

Allergies: Citrus and gluten intolerance

Symptoms: Vision - brightly colored light flashes at edge of vision, left eye at 11:20 am, 10 minutes later also added blurred vision left eye. Both symptoms gone by 1:40 pm with no residual effects from the side effect afterwards. Fatigue for remainder of the day. No treatment other than rest in a chair until vision returned to normal.

Other Meds: Synthroid, famcyclovir, trazadone, melatonin, zinc, calcium citrate, one a day essential, vitamin D, low dose aspirin, sudafed decongestant

Current Illness: None

ID: 1053079
Sex: M
Age: 67
State: MN

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

Lab Data:

Allergies:

Symptoms: The Pfizer vaccine was reconstituted with sterile water instead of normal saline and administered to the patient. The patient did not report any adverse effects.

Other Meds:

Current Illness:

ID: 1053080
Sex: F
Age: 52
State: OR

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

Lab Data: I have not seen the doctor. I do not think this is a significant adverse reaction. I will go tomorrow if the symptoms ae much worse. I live in a rural town, 30 minutes drive to the hospital and don't go in unless it's an emergency

Allergies: Sensitivity to NSAIDS (due to Gastric Bypass)

Symptoms: This is for the EAU for the Moderna vaccine. Due to recent injury to my left side, including an old Rotator Cuff injury on the left, I opted for my right arm. As with the first dose, the actual injection was nearly painless. The first dose resulted in localized pain to upper left arm for a day or two. Second dose was significantly different. I have a headache that is nearly the worst in my life (and I've recently cracked or traumatized my skull on 1/5/2021). If I laugh, cry, raise my voice, the pain increases to "worst ever" but only stays there for a few moments. The pain is around the base of my head and facial bones, particularly strong behind the eyes. In addition to this monumental headache, I have the same fleshy soreness to the arm as occurred last time. Except this is extremely more painful. Extending my arm forward feels very painful for the entire joint. Even flexing my muscles in that arm leads me to a severe pain in the entire arm that is most intense in the joint. My fever --- With acetaminophen --- is about 102*. I am having chills, exhaustion, wheezing. I feel like the worst hangover of my life (I've only ever had one, this dwarfs it). I understand that "If it hurts, that means it works." so probably these are minor symptoms that will pass, but I had no idea how difficult it would be!

Other Meds: Oxycodone Zoloft Lunesta Buspar Flexeril

Current Illness: None

ID: 1053081
Sex: F
Age: 53
State: OR

Vax Date: 02/19/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: Sulfa drugs

Symptoms: itching and redness at injection site

Other Meds: Prozac, Wellbutrin, Zyprexa

Current Illness: None

ID: 1053082
Sex: F
Age: 51
State: OR

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

Lab Data:

Allergies: none

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA she has had persistent fevers, chills, sore throat for 10 since vaccine, not abating.

Other Meds: lisinopril

Current Illness: none

ID: 1053083
Sex: F
Age: 78
State: AZ

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

Lab Data: None

Allergies: Pencillin

Symptoms: Golf ball size swelling; Red with bumps; Could not sleep night of vaccination; Severe flu symptoms; Right and left shoulders hurt; both shots on right shoulder; Left are and leg go num

Other Meds: Htdroxzine. D3 folbic. Mature vitamins. Calcium

Current Illness: None

ID: 1053084
Sex: M
Age: 68
State: TX

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

Lab Data:

Allergies: NO KNOWN ALLERGIES

Symptoms: VAC WAS NOT GIVEN IN THIS CLINIC PT WAS TREATED AFTER SURGERY PT RECIVED THE FIRST ROUND 12/23/20 AND SEC ROUIND 1/20/2021 THEN 7 DAYS POST VAC PT SUFFERED FROM A SUBDURAL HEMATOMA .

Other Meds: UNKNOWN

Current Illness: NO NONE ILLNESSES AT TIME

ID: 1053085
Sex: M
Age: 72
State: MN

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

Lab Data:

Allergies:

Symptoms: The Pfizer vaccine was reconstituted with sterile water instead of normal saline and administered to the patient. The patient did not report any adverse effects.

Other Meds:

Current Illness:

ID: 1053086
Sex: F
Age: 58
State: NV

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

Lab Data:

Allergies: Advair and Tape

Symptoms: She had a redness in her arm, swelling , rash and hives.

Other Meds: N/A

Current Illness: N/A

ID: 1053087
Sex: F
Age: 82
State: CO

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

Lab Data:

Allergies: PCN

Symptoms: right arm cellulitis. had to be hospitalized due to tachycardia, fever, clinical exam consistent with cellulitis

Other Meds: ? Mirtazapine (REMERON) 15 mg Oral Tab Take one-half tablet by mouth at bedtime as needed 45 tablet 3 ? Cyanocobalamin (VITAMIN B-12) 1,000 mcg Oral Tab Take 1 tablet by mouth daily for B12 deficiency 100 tablet PRN ? Lisinopril (PRINIVIL/Z

Current Illness: none

ID: 1053088
Sex: F
Age: 70
State: CO

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

Lab Data:

Allergies: Contrast dye Shellfish

Symptoms: Shortly after receiving vaccine patient reported that she felt like her throat was really dry and she was hoarse. Did not feel like she had swelling or trouble breathing but reported a history of anaphylaxis to contrast dye. Patient was given Benadryl 50mg IM in rt deltoid and observed for another hour. Sent home with EpiPen and instructed to take Benadryl 25mg every 6 hours x 24 hours. ER precautions given.

Other Meds:

Current Illness:

ID: 1053089
Sex: M
Age: 80
State: MD

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

Lab Data:

Allergies: allergy to pineapple and kiwi

Symptoms: STARTED AROUND 630PM WITH NOT FEELING WELL; BY 900PM ACHES IN SHOULDERS AND BACK; ALL NIGHT LONG ACHES BECAME WORSE UNTIL AROUND 800AM; AROUND 300AM TEMP 100.6; STAYED LISTLESS UNTIL AROUND 400PM; WHILE FEELING "BETTER" AROUND 600PM. STILL TIRE EASILY.

Other Meds: lisinopriL 5 MG tablet (1Xday); gabapentin 100 MG capsule (1x2day); finasteride 5 mg tablet (1Xday); hydroCHLOROthiazide 12.5 MG table (1Xday); metoprolol TARTRATE 50 MG tablet (1x2day); folic acid 1 MG tablet (1Xday); doxazosin 4 MG table

Current Illness:

ID: 1053090
Sex: M
Age: 66
State: MN

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

Lab Data:

Allergies:

Symptoms: The Pfizer vaccine was reconstituted with sterile water instead of normal saline and administered to the patient. The patient did not report any adverse effects.

Other Meds:

Current Illness:

ID: 1053091
Sex: F
Age: 73
State: OK

Vax Date: 02/16/2021
Onset Date: 02/21/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: Penicillin, Sulfa

Symptoms: Delayed reaction began on day 5 (2/21/21) after Moderna booster. Experienced extreme fatigue, muscle and bone aches, nausea, weakness, slept most the day. 2/22 still weak, fatigued but up and about. 2/23 nausea and vomiting single episode. No fever.

Other Meds: Metoprolol, Valsartan/HCTZ, Atorvastatin, Amlodopine, Celebrex, Famotodine, ASA 81, Vit D.

Current Illness: None

ID: 1053092
Sex: M
Age: 63
State: AL

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

Lab Data: None as of this date

Allergies: penicillin, skelaxtin, metformin

Symptoms: approx. 95% of body covered in severe rash, some turning into whelps. Rash is like a prickly heat rash or shingles and extremely itchy and stings. The rash has continued after 4 weeks and is still affecting patient. Physician has given triamcinolone acetonide, decadron injection, and oral prednisone but none have helped. The only thing that seems to relieve the itching temporarily is OTC antibacterial hand sanitizer with isopropyl alcohol.

Other Meds: cylcobenzaprine, methadone, diltiazem, pantoprazole, gabapentin, terazosin, potassium cl, metoprolol tartrate, furosemide, trelegy, januvia, nateglinide, hydralazine, albuterol sulfate, ondansetron, tamsulosin

Current Illness: n/a

ID: 1053093
Sex: F
Age: 46
State: MN

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

Lab Data:

Allergies:

Symptoms: Pfizer vaccine was reconstituted with sterile water instead of normal saline and administered. The patient has not reported any adverse effects at this time.

Other Meds:

Current Illness:

ID: 1053094
Sex: F
Age: 34
State: OH

Vax Date: 12/31/2020
Onset Date: 01/05/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: Periodontist/ dentist biopsy of gum diagnosed with Lichenoid micousus

Allergies: Clindamycin,Strattera,Zyprexa,Penicillins

Symptoms: Lesion in gum.

Other Meds: Buspar 10mg Intiniv 3mg

Current Illness:

ID: 1053095
Sex: M
Age: 17
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 shortness of breath, heart racing. EMS cleared and released to home.

Other Meds:

Current Illness:

ID: 1053096
Sex: M
Age: 73
State: MN

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

Lab Data:

Allergies:

Symptoms: The Pfizer vaccine was reconstituted with sterile water instead of normal saline and administered to the patient. The patient did not report any adverse effects.

Other Meds:

Current Illness:

ID: 1053097
Sex: M
Age: 71
State: MA

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

Lab Data:

Allergies: None

Symptoms: Rash on trunk (front and back), itchiness

Other Meds: Sotolol, eliquis, Lipitor, lasix, multivitamin

Current Illness:

ID: 1053098
Sex: M
Age: 69
State: UT

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

Lab Data: None

Allergies: None

Symptoms: Swollen, Itchy arm for three days, first night I kept getting up to Pee and the next day I slept the entire day. My second shot, same reaction, but still do not feel well. Also had temperature of 100 both shots.

Other Meds: Hydrochlorothiazide Tabs 12.5 MG per tablet Atorvastatin Tabs 20 MG per tablet Metformin HCL Tabs 1000 MG per tablet Trandolapril Tabs 4 MG per tablet Amlodipine Besylate Tabs 10 MG per tablet Bupropion HCL ER (XL) 300 MG per tablet Levothy

Current Illness: None

ID: 1053099
Sex: M
Age: 74
State: MN

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

Lab Data:

Allergies:

Symptoms: The Pfizer vaccine was reconstituted with sterile water instead of normal saline and administered to the patient. The patient did not report any adverse effects.

Other Meds:

Current Illness:

ID: 1053100
Sex: F
Age: 52
State: VA

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

Lab Data: None

Allergies: Tetracycline

Symptoms: Red swollen arm at injection site 7 days after shot

Other Meds: No

Current Illness: No

ID: 1053101
Sex: F
Age: 60
State: PA

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

Lab Data:

Allergies: Peanut: anaphylaxis Shellfish: anaphylaxis

Symptoms: Patient reported feeling throat closure feeling, throat scratchiness, tingling, and mild shortness of breath 12 minutes after vaccine. Patient chair also beside table with wrapped muffins containing nuts, doctor discussed possibility of peanut particles around but more likely a vaccine effects.

Other Meds: Aspirin 81mg QD Lipitor 20mg QD Ibuprofen 600mg TID

Current Illness:

ID: 1053102
Sex: F
Age: 50
State: NM

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: none

Allergies: NONE

Symptoms: SWELLING OF LIPS x 3 different occasions since the second dose. My lips got puffy and tingly, they were red, swollen and very irritated for days after the initial second dose and then again two different occasions during the month of February. Treatment was taking antihistamine when I got home. After the third reaction of lip swelling I called my primary doctor to let him know about my symptoms and he recommended an over the counter anti-histamine, which I am currently taking.

Other Meds: IBUPROFEN

Current Illness: NONE

ID: 1053103
Sex: F
Age: 69
State: SC

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

Lab Data: None

Allergies: None that I know of

Symptoms: Fever 102 Dizziness Chills Nacious Weak

Other Meds: Nortriptyline 75 mg bed time Telmisartan HCTZ 80-12.5 mg Aspirin 81 Allopurinol 300 mg Colchicine 0.6 mg

Current Illness: None high blood pressure High cholesterol

ID: 1053104
Sex: U
Age:
State:

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

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 1053105
Sex: M
Age: 74
State: MN

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

Lab Data:

Allergies:

Symptoms: The Pfizer vaccine was reconstituted with sterile water instead of normal saline and administered to the patient. The patient did not report any adverse effects.

Other Meds:

Current Illness:

ID: 1053106
Sex: F
Age: 34
State: IL

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

Lab Data: None

Allergies: Azithromycin

Symptoms: 1 min: Metallic taste. 3 min: very mild tingling to lips. 40 min while driving: Pronounced tingling to lips spreading to face, squeezing feeling to center upper chest, sensation of not being able to breathe, tight/wheezy/labored breathing, sensation of being about to become unconscious. 911 called. Squeezing sensation self-resolved after call. Paramedics arrived about 1 hr post-vaccination. BP 89/66. (Note my normal BP runs 90-110s/50s-70s.) HR 70s-90s. Pulse Ox high 90s. Paramedics not concerned that reaction was allergic, no rescue meds advised. I felt well enough to drive home despite persisting facial tingling and tight breathing. Allegra and albuterol taken upon arrival home, resolved breathing but not facial tingling. Facial tingling better but not resolved after about 24 hrs.

Other Meds: PRN allegra, not taken for over a week before vaccination.

Current Illness: None

ID: 1053107
Sex: F
Age: 27
State: NY

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

Lab Data:

Allergies: codeine, "pain meds", "seizure med".

Symptoms: 15 minutes after receiving the first pfizer covid19 vaccine in the RUE, the patient began to develop right arm numbness and heaviness, dizziness, facial pain, and tongue tingling. This lasted for about 30 minutes, and began to improve. The RUE numbness improved, but the facial symptoms were still present. Overall patient felt better. Cranial nerves, heart, lungs, and head exam were reviewed and were grossly WNL. Despite this, patient advised to go to ER for concerns of serious allergic reaction and neurologic symptoms. She refused, stating she will go if symptoms worsen. Advised not to get 2nd covid shot without seeing allergist.

Other Meds: armorthyroid individual vitamins

Current Illness:

ID: 1053108
Sex: M
Age: 73
State: NV

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

Lab Data:

Allergies: none

Symptoms: Patient had severe vertigo on the early morning of 2/24 @ 2:00 a.m. Pacific time; date of vaccination was 2/18. Patient had never had vertigo in the past. This was the first bout.

Other Meds: Omega fish oil, B-complex, Multi-vitamins

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm