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: 1053159
Sex: F
Age: 24
State: GA

Vax Date: 01/21/2021
Onset Date: 01/26/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: Chemistry profile, CBC all normal

Allergies: Augmentin

Symptoms: No history of hypertension . After receiving 1st vaccine experienced high blood pressure 159/110. Blood pressure has remained elevated . continued to monitor blood pressure at home with elevation. Seen in urgent care after 2nd vaccine blood pressure 151/109. Started on blood pressure medication.

Other Meds: Tumeric, Multi- Vitamins, Emergen-C, Birth Control Pill, Vitamin D

Current Illness: none

ID: 1053160
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: 1053161
Sex: F
Age: 67
State: CA

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

Lab Data:

Allergies: hydralazine, inorganic iodine

Symptoms: Two hard, red, itchy patches each about the size of a quarter near the injection site. I looked online and it was described as "COVID arm." The article said I should report it.

Other Meds: Hydrochlorothiazide, , Klor Con (potassium), lisinopril, low dose aspirin

Current Illness: none

ID: 1053162
Sex: M
Age: 39
State: MT

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

Lab Data:

Allergies:

Symptoms: After receiving 2nd dose Pfizer COVID vaccine, patient developed symptoms of being light headed and dizzy. Observation RN reported he became flushed and appeared very anxious. She was going to continue to observe, but the patient requested to go ED for observation. Patient transported to ER, but did not require any additional treatment. Only required monitoring and was discharged.

Other Meds:

Current Illness:

ID: 1053163
Sex: M
Age: 77
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. Patient is not reporting adverse effects at this time.

Other Meds:

Current Illness:

ID: 1053164
Sex: F
Age:
State: CT

Vax Date:
Onset Date: 11/30/1976
Rec V Date: 02/24/2021
Hospital:

Lab Data: I never told the doctor about it.

Allergies: None that I knew of at the time.

Symptoms: I volunteered at a clinic to help old people get their swine flu vaccine. At the end the doctor announced that the people who helped out could get a free shot. I knew that my son who had a heart condition would need one so I wanted to get it first to see if it would be safe for him. Within a half hour after getting the shot my fingers on my left hand started to get numb and turn white - one at at time. Then, the right hand the same thing. It went away after a while. I do not remember how long it took but every time my hand got very cold they would again get white and numb. That lasted many for years later.

Other Meds: Most likely none. It was a long time ago. I am 79 now.

Current Illness: I do not think so.

ID: 1053165
Sex: M
Age: 69
State: FL

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

Lab Data: NONE

Allergies: SULFA DRUGS, BARBITUATES, AVOCADOS, BIVALVES

Symptoms: ABOUT 2 HOURS AFTER INJECTION, I NOTICED DISCOMFORT IN MY JOINTS WHICH PROGRESSIVELY WORSENED OVER THE COURSE OF THE DAY AND ACCOMPANIED BY FEELING OF FATIGUE THAT INTERFERED WITH CONCENTRATION ON MY WORK.

Other Meds: METFORMIN, GLIPIZIDE, ENALAPRIL, BUPROPION, GEMFIBROSIL, TAMULOSIN, FINASTERIDE, TRULICITY, MULTIVITAMIN SUPPLEMENT

Current Illness: HYPERTENSION, MODERATE RHEUMATOID ARTHRITIS, TYPE 2 DIABETES

ID: 1053166
Sex: F
Age: 71
State: MN

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

Lab Data:

Allergies:

Symptoms: The 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: 1053167
Sex: F
Age: 47
State: OK

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

Lab Data:

Allergies: Penicillin, sulfa

Symptoms: Injection site rash, red skin, hot to touch, hardened

Other Meds: Synthroid, pantoprazole, spironolactone, Wellbutrin, tizanadine, linzess, singular, Claritin, vitamin D3, magnesium, omega 3

Current Illness: Strep test positive January 25, 2021. Covid test same day negative.

ID: 1053168
Sex: F
Age: 19
State:

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

Lab Data:

Allergies:

Symptoms: Extreme pain to injected arm a few hours later lasting for about an hour, arm sore to the touch for two days, feverish feeling and body aches 12 hours later.

Other Meds:

Current Illness:

ID: 1053169
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: 1053170
Sex: F
Age: 50
State: VA

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: n/a

Allergies: Ciprofloxacin, Bactrim (sulfamethoxazole and trimethoprim), and possibly permethrin cream

Symptoms: Adverse reactions started approximately after 14h -- Headache for 12 hours, pain to left arm/shoulder for 16 days; malaise and extreme fatigue for 5 days.

Other Meds: none

Current Illness: n/a

ID: 1053171
Sex: F
Age: 31
State:

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

Lab Data:

Allergies: nkda

Symptoms: Red, raised, itchy, warm, hard spot at injection site. Started the day after as a dime sized spot, but then grew to a much larger area about the size of patients hand.

Other Meds: blood thinner

Current Illness:

ID: 1053172
Sex: F
Age: 61
State: KS

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

Lab Data: None

Allergies: Ibuprofen, naproxen, and zofran

Symptoms: Severe HA, chills, neck and back pain, and nausea that for 36 hours

Other Meds: Lisinopril 10 mg, Magnesium 400mg

Current Illness: None

ID: 1053173
Sex: F
Age: 66
State: CA

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

Lab Data: none

Allergies: Codeine

Symptoms: Raised red circular rash that is extremely itchy and sore and is 2" by 3" in size. Started after injection about 2 hours later, got itchy and sore for 4-5 days. Started to get better and then got worse on 7th day post injection. Being treated with Benadryl tablets by mouth and ice packs. Severe enough to wake me from sleep and keep me awake.

Other Meds: Azelax, Yuvafem, NP Thyroid, Magnesium, potassium citrate, K2, Vitamin D, Kelp

Current Illness: none

ID: 1053174
Sex: F
Age: 34
State: CA

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

Lab Data: None

Allergies: None

Symptoms: I received a vaccine at 4 PM on 2/23/21. In the middle of the night I started having the chills. I woke up around 6 AM the following day and felt extremely fatigued. Around 6:30 AM I became nauseous and very lightheaded. I had to brace myself against a counter so I would not fall down and faint. I rested all day then around 1 PM I got up and fainted. I woke up a moment later and had an intense ringing in my ears for several minutes. I felt fatigued the rest of the day.

Other Meds: Spironolactone 50mg Tazarotene Ortho Tri-Cyclen Lo Vitamin B12 Vitamin D Iron

Current Illness: None

ID: 1053175
Sex: F
Age: 45
State: OR

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

Lab Data:

Allergies: unknown

Symptoms: headache, flushing, nausea , vomiting and chest pain after 2nd dose. vitals were stable with strong pulses pt took zofran that she brought home. encouraged rest, and fluids. provided cold compress and reassurance pt laid down in a stretcher and rested for about an hour before getting discharged home.

Other Meds: unknown

Current Illness: unknown

ID: 1053176
Sex: M
Age: 65
State: IN

Vax Date: 02/08/2021
Onset Date: 02/10/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: severe reaction within 48 hours of the vaccine , sent to the hospital with uncontrollable bleeding, in ICU with thrombocytopenia

Other Meds:

Current Illness:

ID: 1053177
Sex: F
Age: 25
State: CA

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

Lab Data: At ER they took an EKG, chest x ray, and blood are urine (all done 2/24)

Allergies: Morphine at age 2

Symptoms: At 9:40 started to feel like my heart was racing, a weight on my chest, pain in my left chest area. Called nurse when I got to work, and they recommended going to ER. Was light headed when walking, slight headache, and chest pain moved between left chest, left arm, middle of chest.

Other Meds: Flonase Neddy Pott Singular Nortiplyne Multivitamins

Current Illness: None

ID: 1053178
Sex: M
Age: 70
State: MN

Vax Date: 02/23/2021
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 is not reporting and adverse effects at this time.

Other Meds:

Current Illness:

ID: 1053179
Sex: M
Age: 76
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: 1053180
Sex: F
Age: 52
State:

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

Lab Data:

Allergies: penicillin, sodium ferric gluconate

Symptoms: rash, dyspnea, throat tightness

Other Meds:

Current Illness:

ID: 1053181
Sex: F
Age: 45
State: IL

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

Lab Data:

Allergies: No known allergies

Symptoms: Tingling sensation in extremities followed by an itchy rash, redness, and hives in arms, neck, face, and chest.

Other Meds: Multivitamin; Lisinopril-Hydrochlorothiazide 12 mg; Divalproex ER 250 mg; Vitamin D3; B-12 Vitamin; Calcium and Magnesium Citrate

Current Illness: None

ID: 1053182
Sex: F
Age: 65
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: 1053183
Sex: F
Age: 72
State: NC

Vax Date: 02/11/2021
Onset Date: 02/16/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Itchy rash about w inch diameter around injection site

Other Meds: Aimovig, Estradiol 10mcg, flax seed oil, B Complex, D-3,, turmeric, calcium with K2, magnesium, C, Melatonin

Current Illness: None

ID: 1053184
Sex: M
Age: 81
State: NY

Vax Date: 02/13/2021
Onset Date: 02/16/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: Saw cardiologist on Feb. 22, 2021. Had a cardiogram. Scheduled for a cardioversion on Feb. 26, 2021.

Allergies: none

Symptoms: Went into A-Fib. Had not had an A-Fib episode since an ablation in November, 2018. Saw cardiologist on Feb. 22, 2021. Had a cardiogram. Scheduled for a cardioversion on Feb. 26, 2021.

Other Meds: Rx related to conditions listed below

Current Illness: MDS Non-alcoholic liver disease

ID: 1053185
Sex: F
Age: 48
State: OK

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

Lab Data: Waiting on callback from dr, taking antihistamine, Claritin. Spoke with nurse friends who said to report this.

Allergies: Ceclor, bees. Xylitol and asparagus sensitive,

Symptoms: Redness, warmth, itchiness at injection site, 2 inch diameter redness. Facial flushing bilateral. Shoulder lymph and neck lymph on left side.

Other Meds: Synthetic, Bayer Aspirin

Current Illness: Mild eczema flare

ID: 1053186
Sex: F
Age: 53
State: KS

Vax Date: 01/13/2021
Onset Date: 01/22/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: I never saw my Dr., but I called that morning and told the nurse what was going on, she said she would get with my dr. and get back with me. She called back and told me that my dr. advised me not to get the second vaccine due to the reaction I had. This would have been 1/22/21.

Allergies: None

Symptoms: Two days after red dots on chest, welts at injection sight, went away. Nine days later woke up, injection sight looked like a bee sting before I got into shower. After I got out of shower, my whole body was itching, injection sight was welted up three times as big, and felt nauseous. Also had the red spots on chest again.

Other Meds: Synthroid 150 mcg Estradiol 1 mg Medroxyprogesterone 2.5 mg Qsymia 15/92mg

Current Illness: None

ID: 1053187
Sex: F
Age: 23
State: NC

Vax Date: 02/14/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: The day after receiving the shot (02/15/2021), had a golf ball sized knot in my arm for 2 days. After 2 days the redness and swelling went down. Yesterday (02/23/2021), the injection site began to turn red and it is now swollen a little and itchy. The size of the wheal is around 2 1/2 inches.

Other Meds: Sprintec

Current Illness: None

ID: 1053188
Sex: M
Age: 69
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: 1053189
Sex: F
Age: 27
State: UT

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

Lab Data: Pt. stated that an hour after shot was administered she had chest pain, fatigue and confusion. Pt. went to Dr., Urgent care and an emergency room stating that she was concerned about an "air embolism". She received an EKG, Blood work, xray and CT scan. She was told that her symptoms were not related to the vaccine.

Allergies: none

Symptoms: Empty syringe inserted in pt, left deltoid. Syringe withdrawn, error explained to pt. Nurse filled a new syringe with vaccine and administered the dose in left deltoid. Pt. recovered.

Other Meds:

Current Illness: no

ID: 1053190
Sex: F
Age: 74
State: CO

Vax Date: 02/03/2021
Onset Date: 02/16/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: Photos taken by Dr. 2/24/2021.

Allergies: Atorvastatin, Vicodin

Symptoms: Lower inside lip mouth lesions. No pain. I saw Dr. 2/24/2021 and he took photos. No treatment suggested.

Other Meds: Benazapril, AmLODIPine, B-12, Biotin, Xiidra, D-3, CoQ-10, Emergen-C, Glucosamine, L-Lysine, One-A-Day Vitamins, Probiotics, Zinc

Current Illness: None

Date Died: 02/19/2021

ID: 1053191
Sex: F
Age: 67
State: IN

Vax Date: 02/08/2021
Onset Date: 02/11/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Vaccine administered 02/08/2021 , by Thursday 02/11/2021 patient almost nonverbal, by Monday 02/15/2021 patient went to the hospital with bruising, sores on her stomach and clots reported as thrombocytopenia, deceased by Friday 02/19/2021.

Other Meds:

Current Illness:

ID: 1053192
Sex: F
Age: 67
State: MN

Vax Date: 02/23/2021
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: 1053193
Sex: M
Age: 65
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: 1053194
Sex: M
Age: 35
State: GA

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

Lab Data:

Allergies:

Symptoms: Soreness at injection site

Other Meds: Adderall XR, Sertraline

Current Illness: Asthma

ID: 1053195
Sex: F
Age: 47
State: IA

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

Lab Data: No tests, but doctor appointment for follow up 2/24/21

Allergies: penicillin; tree nuts; wasps

Symptoms: Patient reports her hands feeling itchy approximately 5 minutes after the injection. The itching progressed into involving her hands, arms, face, and feet over the next 24 hours. She reports no hives or rash, just an intense itching sensation under her skin. She saw her primary care physician's Physician Assistant today, February 24th, 24 hours after her injection. They prescribed hydroxyzine 25mg, prednisone 20mg, and an Epipen injector. The itching was still present when I spoke with her, but she hadn't started the new prescriptions yet.

Other Meds: Ropinirole 0.5mg, Sertraline 100mg, Lorazepam 0.5mg, Zyrtec 10mg, Nexium 20mg, Multivitamin, Mirena

Current Illness: None

ID: 1053196
Sex: M
Age: 67
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: 1053197
Sex: M
Age: 71
State: MN

Vax Date: 02/23/2021
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: 1053198
Sex: F
Age: 81
State: KS

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

Lab Data: None

Allergies: None

Symptoms: Became lightheaded within 5 minutes after receiving the vaccine. Initially thought it was because she had to stand and walk for over an hour before receiving the vaccine and had not had much to drink or eat. Dizziness/ lightheadedness continued off and on for 10 hours. She also experienced a rapid heart rate (90-100 bpm, which is high for her) and elevated BP (140/80, also high for her) that started about an 2 hours after receiving vaccine. The increased heart rate and elevated BP occurred intermittently over the next 10 hours and she also felt occas. palpitations. After the 10 hour period she felt fine

Other Meds: Atorvastatin and Losartan

Current Illness: none

ID: 1053199
Sex: F
Age: 68
State: CA

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

Lab Data:

Allergies: Codeine, Erythromycin

Symptoms: Itchy rash on trunk and upper arms. Started February 24, 2021 during early morning hours.

Other Meds: Calcium, Vitamin D3, Iron.

Current Illness:

ID: 1053200
Sex: F
Age: 76
State: CA

Vax Date: 02/12/2021
Onset Date: 02/14/2021
Rec V Date: 02/24/2021
Hospital: Y

Lab Data: Radiology reports: #MRI brain w/ gad: "Multiple ill-defined subcentimeter enhancing lesions throughout the brain most prominent in the periventricular regions, brainstem, corpus callosum, and bilateral cerebellar hemispheres." #MRI c-spine w/ gad: "There are numerous enhancing intramedullary lesions suspicious for demyelinating disease. The dominant lesion is identified at C6 eccentric to the right within the cord measuring 2.6 cm in craniocaudal span. There are 2 smaller lesions are identified at the craniocervical junction eccentric to the left. There is diffuse cord signal abnormality on T2-weighted imaging. " MRI T-spine w/ gad: "There is a small enhancing lesion at L1-2 eccentric to the left within the cord. This measures 4 mm. At L1 there are 2 small adjacent dorsal enhancing lesions identified measuring 5 mm in total. There is diffuse central cord T2 hyperintensity extending from the described cervical lesions into the upper thoracic spine to approximately level of 3." MRI L-spine: "There are enhancing lesions identified along the conus and lower thoracic cord suspicious for ADEM." Lumbar puncture fluid analysis: CSF RBC: 2 cells/mcL CSF nucleated cell: 12 cells/mcL CSF lymph: 98% CSF mono/macro: 2% CSF glucose: 59% CSF protein: 94 mg/dL

Allergies: Sulfmethaxole

Symptoms: Within 1-2 days of second COVID vaccine, patient developed ataxic gait. After ~7-10days of symptoms, she saw her primary care, who referred the patient to the ER for stroke work-up. MRI of the brain with and without gadolinium contrast showed sub-CM lesions. Pan-CT scan showed no evidence of malignancy. LP for CSF analysis shows lymphocytic pleocytosis. Complete axonal MRI of the spine (cervical, thoracic and lumbar) shows T2 cord signal abnormalities concerning for demyelinating process. Overall, highly concerning for COVID mRNA vaccine induced acute disseminated encephalomyelitis (ADEM). Treatment initiated with glucocorticoids.

Other Meds: Alendronate. Cholecalciferol. Levothyroxine.

Current Illness:

ID: 1053201
Sex: F
Age: 55
State: MD

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

Lab Data: Labs done on 2/20/2021 All within normal range except for platelets 128 normal range 145-400 Neutro % 89.2% (43.0 - 75 Normal) Lymph % 6.1 (Normal 15.0 -45.0)

Allergies: None

Symptoms: Two episodes of syncope close together, 2nd episode resulted in fall with head hitting a wall, diarrhea/loose stools after 2nd episode Treated at ER with fluids, CT scan of head, chest x-ray, ECG all normal

Other Meds: Multivitamin

Current Illness: UTI 2/3/2021 treated and resolved

ID: 1053202
Sex: M
Age: 86
State: TX

Vax Date: 02/12/2021
Onset Date: 02/15/2021
Rec V Date: 02/24/2021
Hospital: Y

Lab Data: CBC AND BMP

Allergies: UNKNOWN

Symptoms: GI BLEED

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1053203
Sex: F
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: 1053204
Sex: F
Age: 46
State: TX

Vax Date: 01/26/2021
Onset Date: 02/09/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: Penicillin allergy

Symptoms: Circular red rash that appeared at injection site approximately 2 weeks after vaccination. Rash lasted for 3-4 days before fading away.

Other Meds: Beta blocker, multivitamin, allergy medicine

Current Illness:

ID: 1053205
Sex: F
Age: 49
State: AZ

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

Lab Data: Visual examination at urgent care

Allergies: none

Symptoms: Pfizer-BioNTech COVID-19 Vaccine I received my injection on 2/6/21. On 2/9/21 or 2/10/21, I began to feel swollen nodes under my left arm (injection arm) and developed a mild rash on my left arm. The rash worsened and spread to my torso, right arm, and both legs. I saw a teledoc on 2/16/21 who told me to take benedryl every 6 hours and pre-treat prior to getting the second shot. I took benedryl for two days, but then switched to Allegra, to reduce fatigue. Rash did not improve. I saw an urgent care provider on 2/23/21 who prescribed antihistimine, anti-itch med, and steroid pac.

Other Meds: Levothyroxine, Vitamin D (Rx), multivitamin, magnesium, acidophilus

Current Illness: none

ID: 1053206
Sex: F
Age: 54
State: CA

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

Lab Data: None

Allergies: Sulfa antibiotics Azithromycin Pseudoephedrine Feline saliva Pine tree

Symptoms: Chills, body ache, headache, excessive thirst, headache, lightheaded/dizzy, fever up to 102.5 F

Other Meds: None

Current Illness: None

ID: 1053207
Sex: F
Age: 67
State: MN

Vax Date: 02/23/2021
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: 1053208
Sex: F
Age: 42
State: IL

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

Lab Data:

Allergies: IODINATED CONTRAST, SOY

Symptoms: ON 2/20, PT BEGAN HAVING ITCHY ARM AT INJECTION SITE AND A HEADACHE

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm