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: 1053209
Sex: M
Age: 82
State: IL

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

Lab Data:

Allergies: Ibufrofen

Symptoms: tingling of the tongue

Other Meds: aspirin 81mg Carvedilol12,5mg Chromium picolinate 500mg cinnamon capsule Entresto 24mg/26mg Furosemide 40mg Garlic oil Levorthyroxine 75mg Metformin 75mg Pantoprazole 40mg Spironolactone 25mg warfarin 500 mg

Current Illness: High blood pressure, heart disease, diabetes, under active thyroid, sleep apnea

ID: 1053210
Sex: F
Age: 55
State: IL

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

Lab Data:

Allergies: ceclor

Symptoms: The day after the vaccine I developed a rash and severe itching and pain to the touch this was on 2-16-2021. The rash, itching and pain are still present on 2-24-2021. The rash is about 2 -3 inches below injection site. I have taken oral benadryl and topical cream with no real relief other than to help me sleep at night. I also tried cool compresses which only exasperated the symptoms . Called my doctor and had a telemed visit that only said to keep doing what I have been doing. I was told to keep using cool compresses which I repeated over and over made symptoms worse.

Other Meds:

Current Illness: none

ID: 1053211
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: 1053212
Sex: M
Age: 68
State: WA

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

Lab Data: None

Allergies: None reported

Symptoms: Feeling dizzy, nauseated, sweaty and lightheaded. Vital signs checked and monitored. Feeling better lying down. At 10:30, approximately 10 minutes after sent to observation room, felt better. B/P 120/70; HR 61; O2 Sat 98. Client went home.

Other Meds: Taking metformin for DM and Lipizyne

Current Illness: DM

ID: 1053213
Sex: F
Age: 70
State: FL

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

Lab Data: N/a

Allergies: N/ A

Symptoms: Armpits hurt after first and second vaccine

Other Meds: Trazadone

Current Illness: None

ID: 1053214
Sex: F
Age: 46
State: NY

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

Lab Data:

Allergies: none

Symptoms: Patient received dose #1 of covid-19 vaccine at approximately 6:55PM. After 10-15 minutes, patient reported difficulty breathing and "sticky" feeling in throat. Patient stated she was prone to panic attacks. EMS was called for further evaluation to determine if patient wants to go to hospital for follow up.

Other Meds: none

Current Illness: none

ID: 1053215
Sex: F
Age: 32
State: FL

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

Lab Data: None

Allergies: None known

Symptoms: Red, Itchy, circular rash at injection site

Other Meds: Gianvi Celebrex Zoloft Requip Artoravistatin

Current Illness: None

ID: 1053216
Sex: F
Age: 53
State:

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

Lab Data:

Allergies:

Symptoms: Symptoms of malaise, chills, fever, headache, and body aches and lose of appetite started about eleven and one-half hours after 2nd injection. Treatment Tylenol and Benadryl.

Other Meds:

Current Illness:

ID: 1053217
Sex: F
Age: 78
State: CA

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

Lab Data:

Allergies:

Symptoms: Had Moderna Covid 19 Vaccine Dose 2 on 2/11. On 2/19 had itchy rashes below the neck across neck line above blouse area. Took zyrtec, applied .1% topical generic cortizine creme. It has improved. But on 2/22 had rashes on the right arm and it was itching. It has improved today. But now I have rashes, not itchy, on the belly and left fore arm.

Other Meds: Synthroid Amlodopine Biotin Vitamins

Current Illness:

ID: 1053218
Sex: F
Age: 68
State: PA

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

Lab Data: None

Allergies: Bactrim and penicillin

Symptoms: A few days after I received the first Moderna vaccine, after I was out in the cold with gloves, bumps and swelled areas appeared on the fingers of both hands, on the bottom side (palm side). This had never happened to me before. These lesions persisted for a few days ie probably less than a week, and some of the bumps became raw at the tops before healing. They went away but have reappeared twice since, at least once on what appeared to be exposure to cold (with gloves). My latest batch appeared this past Thursday and is still evident although it is fading. It has affected primarily my right hand, on both the top and bottom sides of the fingers and also one small red spot on the top of the hand.

Other Meds: Zetia; Omega 3; AREDS multivitamins; Estrace and vagifem; baby aspirin, supplemental iron

Current Illness: None

ID: 1053219
Sex: F
Age: 64
State: SC

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

Lab Data: Bloodwork 02/24/2021 Wednesday was good per and advised to see primary Physician. It may be a stroke. He recommended a series of test and return in March 01, 2021

Allergies: N/A

Symptoms: (A few of the same symptoms when hospitalized 05/01/2020) *Low energy *slur speach *forgetting basics(daughter phone number and passwords) * bell palsey- more noticable

Other Meds: Bayer aspirin

Current Illness: N/A

ID: 1053220
Sex: M
Age: 67
State:

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

Lab Data:

Allergies: nkda

Symptoms: lightheadedness, anxious, diaphoretic

Other Meds:

Current Illness:

ID: 1053221
Sex: F
Age: 84
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: 1053222
Sex: F
Age: 82
State: CA

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

Lab Data: Magnesium: 0.5 EKG: AF RVR, NSVT Elevated troponin, CK

Allergies: Morphine, amlodipine,

Symptoms: headache, chills, fever, palpitations found to have NSVT, A Fib with RVR and hypomagnesemia

Other Meds: losartan, doxazosin, metoprolol, aspirin

Current Illness: None

ID: 1053223
Sex: F
Age: 57
State: PA

Vax Date: 02/10/2021
Onset Date: 02/19/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: Tetracycline, Talwin, Wellbutrin

Symptoms: Developed Covid Arm. Red itchy circle at injection site approx 2 inches in diameter with firm lump underneath. The date I first noticed it is approximate. It?s almost gone and it?s been approx 4 days. Did not need any treatment.

Other Meds: Keytruda, Carvedilol, Valsartan, Levothyroxine, Atorvastatin, Myrbetriq, Paroxetine, Multi-vitamin

Current Illness:

ID: 1053224
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: 1053225
Sex: M
Age: 96
State: MA

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

Lab Data:

Allergies:

Symptoms: Recently my grandfather presented at clinic for a flu shot, and received a COVID vaccine in error. He had received his first (Pfizer) vaccine dose 9 days prior. This incident is being reported because we are concerned about (i) mixed series (1st dose Pfizer on 2/9; 2nd dose Moderna on 2/18), (ii) Interval error (10 days between 2 series), and (iii) immunity concerns (Moderna 28; Pfizer 21 days). He reports feeling fine, and we are closely monitoring him during this time.

Other Meds:

Current Illness:

ID: 1053226
Sex: M
Age: 74
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: 1053227
Sex: F
Age: 86
State: TN

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

Lab Data:

Allergies: penicillins tramadol

Symptoms: 2.12-fever, flu-like symptoms, confusion and disorientation 2.15 - resident presented with extreme confusion and weakness in arms and legs. unable to do usual daily activities. unable to self-transfer. Taken to ER and diagnosed with UTI. 2.18 - resident complained of headache and being unable to sleep previous night. VS: temp 101.8; BP:135/63; P:93; R:20; SP02:79-80%; HOB elevated. Resident send to ER via ambulance. Diagnosed with pneumonia. hospitalized for 5 days.

Other Meds: amlodipine lantus letrozole levothyroxine cetirizine escitalopram pantoprazole tresiba melatonin donepezil cerovite metamucil vitamin D3 janumet carvedilol irbesartan tobramycin diclofenac gabatenin humalog lorazepam polyethelene glycol

Current Illness: n/a

ID: 1053228
Sex: M
Age: 75
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: 1053229
Sex: F
Age: 54
State: UT

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

Lab Data:

Allergies: In March 2019 had large welts after shingles vaccine. In 2020 had throat swelling after shingles vaccine. Her MD was notified.

Symptoms: Sore, raspy throat, felt like it was closing. Lump in throat. Lightheaded and increased HR. Nurse administered 12.5 mg/5ml Benadryl and monitored pt until symptoms lessened. Instructed to go to ER if symptoms returned or pt. has difficulty breathing.

Other Meds: Took Losartan and Jenadueto in morning prior to vaccine.

Current Illness:

ID: 1053230
Sex: F
Age: 49
State: CA

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

Lab Data:

Allergies:

Symptoms: Pt reported tongue numbness and mild swelling. Observed mild tongue swelling. BP noted to go high up to 186/90, and came back down to 145/92 over the course of about 30-40 minutes. Otherwise vitals normal, tongue swelling improved, symptoms improved. No meds given. Pt remained calm and spoke with clear speech the entire time.

Other Meds:

Current Illness: COVID positive 1/2021

ID: 1053231
Sex: F
Age: 70
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: 1053232
Sex: F
Age: 34
State: OH

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

Lab Data:

Allergies: Eggs, peanuts, tree nuts, and some animals (reaction is throat swelling)

Symptoms: No symptoms with first dose, but 10-15 minutes after receiving her second dose of Pfizer vaccine, her throat began to swell and she felt dizzy. EMS came to take her vitals and gave her oral Benadryl. The patient felt much better after 15 minutes. She said it was a similar reaction to when she is exposed to eggs or nuts.

Other Meds: N/A

Current Illness: None

ID: 1053233
Sex: M
Age: 94
State: SC

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

Lab Data: CT scan of head and neck, normal for his age blood work WNL

Allergies: PCN nexium

Symptoms: tonic clonic seizure hospitalized for observation

Other Meds: q HS afluzocin prn TUMS slow iron

Current Illness: n/a

ID: 1053234
Sex: F
Age: 40
State: CA

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

Lab Data:

Allergies:

Symptoms: I noticed about 2:15 (15 minutes after injection)my elbow (funny bone) was very sensitive. Then the pain went up my arm, over my left shoulder blade, up the left side of my neck, and up into the left side of my chest. It has lasted and seemed to be more intense more than 24 hours after. 1:00pm the next day, I got extremely light headed and dizzy, sat down and it went away after a couple of minutes. Called my Primary Dr. and was told to report it. I will be seeing a Dr tomorrow the 25th. The pain, I thought was maybe a hit nerve from the injection, its kind of like an electronical zap

Other Meds:

Current Illness: Liver Disease with Cirrhosis

ID: 1053235
Sex: F
Age: 65
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: 1053236
Sex: F
Age: 73
State: CA

Vax Date: 02/05/2021
Onset Date: 02/13/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: chemistry panel, lipase, cbc, and liver function tests in ER all normal.

Allergies: : Penicillins Class, Latex, Meloxicam, Tetracycline Hydrochloride

Symptoms: Vaccinated 02/05/21 reports felling unwell though no specific symptoms until 02/13/21 developed red rash on forehead and eye swelling. 02/21 Reports blister and gum swelling and shortly later developed abdominal cramping and diarrhea 5-6 times. Felt shaking and nauseous. Went to the ER treated with IV fluids, ativan and zofran. Improved. Headache 02/22/21 resolved following day. Feels now back to normal 02/23 since receiving the vaccine.

Other Meds: Lisinopril-hydroCHLOROthiazide (PRINZIDE/ZESTORETIC) 10-12.5 mg Oral Tab Estradiol (VAGIFEM/YUVAFEM) 10 mcg Vagl Tab Pimecrolimus (ELIDEL) 1 % Top Crea Mometasone (ELOCON) 0.1 % Top Crea Cholecalciferol, Vitamin D3, (VITAMIN D Li

Current Illness:

ID: 1053237
Sex: F
Age: 73
State: CA

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

Lab Data: none. I called my doctor but they didn't have me go in for an office visit.

Allergies: none

Symptoms: chils, fever extreme body aches for about 30 hours. Injection site and surrounding area was swollen and started itching. Has been itching since 2/9/2021 . Yesterday 2/23/2021 I developed a rash in that area and it itches.

Other Meds: None

Current Illness: Cirrhosis of the liver stage IV

ID: 1053238
Sex: F
Age: 81
State: OR

Vax Date: 02/14/2021
Onset Date: 02/15/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: Trazadone Sulfites

Symptoms: Hives /Urticaria on lower back and up between shoulder blades. Extremely itchy. Came on about 1 day after the vaccination and has not improved in 9 days. Very concerned about whether or not to get the second dose! Please contact me with any advice on this.

Other Meds:

Current Illness:

ID: 1053239
Sex: M
Age: 63
State: TX

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

Lab Data:

Allergies: Bee sting

Symptoms: I had a nasty reaction to 2nd dose of Moderna 8-12 hours after. Began with body aches and chills so severe it was hard to breath. No fever. When I got under covers and warmed up so chills subsided and breathing returned to normal it felt like I was being squashed in a Panini press. Every cell in my body felt like it was vibrating in pain. I had to get up ever hour or so to urinate. I would be back in sever chill mode before i made it to the bathroom and it took about 5 minutes back in bed for chills to stop and breathing back to normal. I was also nauseous the whole time but did not vomit Then. The room temperature was 72F. This continued for 12-14 hrs. I then tried to drink cranberry juice and eat 3 bites of a banana which I immediately regurgitated. The rest of the day I was drained of energy. No sleep 48hrs. 3 days

Other Meds: Atorvastatin, Nexium, Finasteride, Fluticasone Propionate spray, Losartin/HCTZ, Certraline, Amlodopine, Budesonide w/saline nasal rinse Aspirin, Zyrtec,Centrum silver,Glucosamine/Chondrointin,Preservision,Pre/pro-biotics, fish oil,Vit C,Dox

Current Illness:

ID: 1053240
Sex: F
Age: 16
State: IL

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

Lab Data:

Allergies: No

Symptoms: Swelling, redness, warmth over left deltoid region

Other Meds: Vitamin C, vitamin D

Current Illness: COVID19

ID: 1053241
Sex: F
Age: 36
State: MA

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

Lab Data:

Allergies: Apples and cherries

Symptoms: Rash on neck and chest, itchy.

Other Meds: Advil

Current Illness: NA

ID: 1053242
Sex: F
Age: 74
State: WA

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

Lab Data:

Allergies: No

Symptoms: When vaccination was being conducted, the entire dose of 0.5 cc ran down his arm. After consulting with agency doctor, he ordered that a full dose be administered.

Other Meds: NA

Current Illness: NA. Client passed screening questions

ID: 1053243
Sex: F
Age: 22
State: OH

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

Lab Data:

Allergies: nortriptyline, kiwi

Symptoms: Patient felt dizzy, nauseas, and lightheaded like she might pass out. EMS came to take a look at her. Her blood pressure was elevated and her heart beat was rapid. This was not typical for her after vaccines. She felt this way around 5 minutes after receiving her second vaccine.

Other Meds: hydroxyzine, nuvaring

Current Illness: Had COVID in November (over one month prior) ; was hospitalized for 5 days (Cardiac SVT)

ID: 1053244
Sex: F
Age: 74
State: CA

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

Lab Data: None

Allergies:

Symptoms: Ringing in my ears and feeling flushed. Not serious, but friends insisted I report it. I didn?t go to the Doctor or feel I required any care.

Other Meds: Armour thyroid , Welbrutin, DHEA, D3

Current Illness:

ID: 1053245
Sex: F
Age: 44
State:

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

Lab Data:

Allergies: Severe seasonal allergies to ragweed, grass, pollen, mold and dust mites

Symptoms: Fever of 101 starting at 6:30 am, chills, tired achy and very large itchy hot red arm at sited

Other Meds:

Current Illness:

ID: 1053246
Sex: F
Age: 75
State: CA

Vax Date: 01/21/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: Penicillin, Lactose intolerant, Polymox, Sulfa, Amoxcillin

Symptoms: Numbness and tingling in tips of left hand starting after first dose.

Other Meds: Edarbi, Plavix, Lipitor, Tradjenta, Lantus, Pepcid, Protonix, Aspirin, Allegra, Calcium, Vitamin D, Glucosamine, Magnesium

Current Illness:

ID: 1053247
Sex: F
Age: 44
State: VA

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

Lab Data: no tests were done

Allergies: n/a

Symptoms: About 15 minutes after receiving the second dose of the Moderna COVID-19 vaccination my face started tingling and my tongue started to swell and feel numb. My tongue sensation subsided in about 30 minutes. It took about two hours for the tingling in my face to subside. I took Benadryl and all symptoms went away.

Other Meds: metoprolol 12.5 mg, valtrex 500 mg, vitamin D3, vitamin C, multivitamin, alrex eye drops

Current Illness: n/a

ID: 1053248
Sex: F
Age: 50
State: MT

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

Lab Data:

Allergies:

Symptoms: Patient presented to immunization clinic for asplenia vaccinations on 2/22/21. Pt rcvd PPSV23 via SubQ to Left arm. On 2/23/21 pt reported having chills, body aches, and shivers. Reported redness and some swelling to LUA where PPSV23 was administered. Pt's temp increased to 101.3 in the middle of the night. Pt reported going to local hospital for evaluation on 2/24/21. Pt is currently (2/24/21) admitted to local hospital and seeking treatment for cellulitis of L arm. Pt is being treated with ABX and antipyretics.

Other Meds:

Current Illness: Status Post Splenectomy 01/2021.

ID: 1053249
Sex: F
Age: 47
State: NC

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

Lab Data:

Allergies: N/a

Symptoms: Fever 102, tiredness, weakness, headache, shaking, sore throat, congestion, bloody mucas

Other Meds: Hctz, gabapentin, advil, mvi

Current Illness: N/a

ID: 1053250
Sex: F
Age: 34
State: UT

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

Lab Data:

Allergies: none

Symptoms: Small hives on forearms 10 min post vaccine. Pt observed. 50 min. post vaccine slight increase in hives. 25mg Benadryl given PO. VS stable , Pt released.

Other Meds: none

Current Illness: none

ID: 1053251
Sex: F
Age: 84
State: LA

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

Lab Data: Feb. 3, 2021 - Emergency Room exam and tests - for dehydration, infection Feb. 5, 2021 - Emergency Room exam and tests for dehydration Feb. 7, 2021 - Emergency Room exam and tests

Allergies: None

Symptoms: Fever, loss of appetite, mental confusion, weakness

Other Meds: Metformin Ibuprofen

Current Illness: Pre-diabetic

ID: 1053252
Sex: F
Age: 40
State: WA

Vax Date: 02/03/2021
Onset Date: 02/17/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: Development of shingles on scalp.

Other Meds: Cetirizine 10mg daily, levothyroxine 0.125mg daily, elderberry sambucus 1250mg daily

Current Illness: None

ID: 1053253
Sex: F
Age: 70
State: GA

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

Lab Data: None

Allergies: Penicillin, aspirin, sulfur drugs, and G6PD Factor

Symptoms: Around 5:30 PM, I had to stop putting up groceries, get into lounging clothes, and put a box fan on me while lying down. I experience shortness of breath, rapid heartbeat, dizziness, and weakness. My left upper quadrant is sore from the Moderna vaccine. It appears to be spreading circular to the size of a quarter to about the size of a fifty-cent piece. I had gone to sleep. I contacted the veteran 24 hour nurse, my best friend, and my brother to tell them my health status. I had eaten dinner, taken a Tylenol, and went back to sleep before brushing my teeth.

Other Meds: None

Current Illness: None

ID: 1053254
Sex: F
Age: 54
State: TX

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

Lab Data: mri's, mra, autoimmune panel and eye test. I do not know the dates.

Allergies:

Symptoms: pt began experiencing tingling and numbness in face and head area 3 days after receiving vaccine and also blurred vision 4-5 days after. Patients dr ran mri's with and without contrast of brain and spinal cord and also "mra" test to check blood flow and an autoimmune panel. All turned out negative. Pt also had eye dr check her eyes and he stated nothing wrong with optic nerve. Both drs attributed her reaction the the vaccine despite her not experiencing those symptoms with the first dose. All adverse reactions were resolved in about 2 weeks.

Other Meds:

Current Illness:

ID: 1053255
Sex: F
Age: 68
State: OH

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

Lab Data: None, did not contact my primary care doctor

Allergies: None

Symptoms: The injection site was hot, itchy, a lump and red.

Other Meds: Simvastatin 20 mg once/day, aspirin 81 mg once/day, CoQ-10 once/day, vitamin D 1000 IU once/day, multi vitamin once/day, fish oil 1000 mg once/day

Current Illness: None

ID: 1053256
Sex: F
Age: 51
State: DC

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

Lab Data:

Allergies: Food- nuts, pancake

Symptoms: Swelling on injection site, itchiness

Other Meds: Multi vitamins

Current Illness: None

ID: 1053257
Sex: M
Age: 79
State: OH

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

Lab Data:

Allergies: penicillin

Symptoms: "Pfizer-BioNTech COVID-19 Vaccine EUA" Exagerrated numness on the left side of my face from ear to mouth

Other Meds: omeprazole 40 mg losartain potassium 50mg

Current Illness: none

ID: 1053258
Sex: F
Age: 74
State: WA

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

Lab Data:

Allergies: Sulfa drugs, Lorazepam

Symptoms: Patient had reaction to COVID-19 vaccine. Patient was monitored after COVID-19 vaccine as recommended per agency guidelines. The following reaction signs/symptoms were observed: difficulty swallowing, nausea and other : felt "woozy," felt like tongue and throat were swollen. Patient in passenger seat of car with her husband in driver's seat. Symptoms started about 5 minutes after vaccination. Pt reports that she is on BP meds for the last few months, took her BP meds today, lately BP ~120/80. She did eat lunch before coming. Called EMS due to feeling of tongue, throat swelling. EMS arrived, assessed pt, released her to home with her husband.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm