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: 1054108
Sex: F
Age: 83
State: WI

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

Lab Data: Returned to emergency department days later and troponin was elevated.

Allergies: Selenium (metamucil) - 3/30/2009

Symptoms: Hypertension: systolic pressure above 200 at pharmacy, taken to emergency department and physician determined the hypertension to be anxiety related.

Other Meds: Hydrochlorothiazide 12.5 mg QD; Warfarin 6 mg QD; Amlodipine 5 mg QD; Metoprolol Succinate ER 12.5 mg QD; Losartan 50 mg BID

Current Illness:

ID: 1054109
Sex: F
Age: 71
State: IL

Vax Date: 02/16/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: It is probably just a coincidence, since this would be a DELAYED reaction. On the 8th day after first vaccine, I woke up with moderate muscle soreness all over, but especially in back and trunk area. Also had a moderate headache. No fever. Very uncomfortable all day, movements slow. Much fatigue. I took two naps, which is very unusual. Next day, today, still with symptoms, but improved.

Other Meds: Magnesium, Biotin

Current Illness: None

ID: 1054110
Sex: M
Age: 44
State: FL

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Around 4 hrs after vaccine, he felt down and tired. that night he had worsening flu like symptoms. Since the vaccine he endorses having a fever, feeling tired and aches all across the body. He also complains of being dizzy and numbness of both his hand that developed since the vaccine. He has taken tylenol and it resolves all the symptoms, however he says that the symptoms return as soon as the tylenol wares of. Denies constipation, diarrhea, chest pain, SOB but endorses nausea. Suggested to contact PCP and to see a doctor, also advised that if symptoms worsen, he should visit an ED.

Other Meds:

Current Illness:

ID: 1054111
Sex: F
Age: 65
State: NH

Vax Date: 01/20/2021
Onset Date: 02/17/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: Trees and Grass

Symptoms: Rash with hives: Ears, mouth, groin, buttocks, lips, breasts. Itching with discomfort. Not resolved despite taking over the counter Anti-histamines. Vaccines received on 2/17. Rash/hives continues. PCP aware.

Other Meds: Vit C, magnesium, Omperzole, B12, Multi Vitamin, D3, Ariborne (supplement). These are not new for Veteran.

Current Illness: none

ID: 1054112
Sex: F
Age: 36
State: FL

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Side-effects begain that evening 12/28: fever of 101.9, chills waking her up at 11 pm, pain in arm that lasted until 12/31, severe & pulsating headache lasting until 12/29 severe enough to cause nausea and the inability to get out of bed, fatigue. Resolution of symptoms: 12/31. TM set up for testing 1/3 at medical office.

Other Meds:

Current Illness:

ID: 1054113
Sex: F
Age: 55
State: TX

Vax Date: 01/01/2021
Onset Date: 01/30/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: PCN

Symptoms: Chills, Fever 101.3 severe headache malaise joint pain

Other Meds: T3 T4 compounded thyroid Progesterone/Testosterone compounded Low Dose Naltrexone Bergamot Vitamin C Zinc Estro Dim

Current Illness: None

Date Died: 02/01/2021

ID: 1054114
Sex: F
Age: 102
State: IL

Vax Date: 01/27/2021
Onset Date: 02/22/2021
Rec V Date: 02/25/2021
Hospital: Y

Lab Data: All done at hospital from 2/11/2021-2//18/2021

Allergies: NKDA

Symptoms: Patient was hospitalized 15 days after receiving vaccine. Admission was not due to vaccine and was admitted for acute ascites and patient had reported fever and hypoxia. Patients admission resulted in death 7 days after being admitted to hospital.

Other Meds:

Current Illness:

ID: 1054115
Sex: F
Age: 10
State: NY

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

Lab Data:

Allergies: Seasonal allergies

Symptoms: The pediatrician had patient sit on the table for a few minutes after the vaccine was given to make sure she didn?t get dizzy. She was fine after that time was up, she jumped off the table and walked down the hall fine. We went to check out and she collapsed. She passed out, she was stiff and gargling. At her mouth so I tried to roll her over in case she vomited or anything but she was stiff so it was difficult to do so. She was twitching a bit as well. She was monitored and released from the pediatrician afterwards.

Other Meds: Trileptal

Current Illness: None

ID: 1054116
Sex: F
Age: 49
State: AL

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/25/2021
Hospital: Y

Lab Data: Hospital, Al 2-18-21, fluids and observation for low blood pressure As a result I have a broken nose and can not breath very well. I am in pain from this injury but have not sought medical attention at this time. ER DR. looked at nose but there is not much that can be done immediately except ice for swelling.

Allergies: n/a

Symptoms: My left arm was very sore , red and hurting pretty bad. I went to bed around 10:00pm thinking everything was ok and it was a normal reaction. Woke up around 1:30am arm hurting so I got up to get some more tylenol. I immediately felt sick to my stomach (both ways) and I passed out and broke my nose. I was coherient at times and other times I could not seem to answer any questions. My husband got me to the ER and they took my blood pressure 4 or 5 times and the nurse said "I can't get a blood pressure". Another nurse came in and said we will take this one ! My blood pressure had bottomed out and caused all sorts of things going on. I left ER after 4 1/2 hrs. with a BP of 107/57 but I am not sure how low it got! At one point my husband looked at monitor and my bottom number was 39 but it is all a blur to me. As of today I still feel week (heavy arms) and I am concerned about taking my second dose!

Other Meds: Welbutrin, nexium, zinc, vit. C, multi-vitamin, thyroid med.

Current Illness: n/a

ID: 1054117
Sex: F
Age: 32
State: NC

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: n/a

Allergies: unknown

Symptoms: neck pain, unresponsiveness, increased BP

Other Meds: unknown

Current Illness: unknown

ID: 1054118
Sex: M
Age: 59
State:

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: N/A

Allergies: Morphine

Symptoms: About 24 hours after the second dose, I experienced tenderness in an area about 1.5" in diameter around the injection site. Around 6 PM that day, I started feeling fatigued and my body felt achy. I felt like my breath and body were warm, as though I had a fever, but my temperature was normal. Drinking a lot of water did not help the feeling go away. On the second morning following the vaccination (about 42 hours after the injection), I felt fine, but around 6 PM (52 hours after the injection), I felt tired again but not achy. On the third morning, the only symptom that I felt was very mild tenderness near the injection site.

Other Meds: Adderall, Lisinopril, atorvastatin, Valtrex, low dose aspirin, multivitamin, naproxen sodium, Claritin, Lantus

Current Illness: N/A

ID: 1054119
Sex: F
Age: 32
State: FL

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: States tingling in arm right after injection, resolved

Other Meds:

Current Illness:

ID: 1054120
Sex: F
Age: 67
State: FL

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: BP 127/79 Pulse 70

Allergies: Tylenol

Symptoms: Note from observer, RN: 0836am at 15 min. check patient with complaint of some slight chest pressure while in observation post COVID Vaccination. States this has happened previously with nervousness during vaccinations. At time of discussion reports pressure was better. BP 127/79/Pulse 70. Denies symptoms at this time. Patient agreed to remain additional 15 min. At 0851 am, patient denies any symptoms. At 0852 ampatient left on own.

Other Meds: None Listed

Current Illness: None Listed

ID: 1054121
Sex: F
Age: 55
State: OK

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: 5" diameter by 1" height lump on my arm after injection, still present today, but smaller 1.5" x 1"

Other Meds: tejeou (insulin)

Current Illness: none- had covid in October 2020

ID: 1054122
Sex: F
Age:
State: FL

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

Lab Data:

Allergies:

Symptoms: body aches , rash in the arms , sore arm

Other Meds: birth control spirnolactone zirtec

Current Illness:

ID: 1054123
Sex: M
Age: 42
State: TX

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

Lab Data: If I go to the doctor they are going to want an MRI and I simply cannot afford it. I'd have to sell my vehicle. I'm going to contact my doctor today but I don't expect much help. The fluid just needs time to be absorbed. It's going to take a long time for that to happen, probably weeks. When I go back for my second dose I am going to absolutely find out the name of the person who did this to me.

Allergies: None

Symptoms: The person who stuck me with that needle injected the vaccine way too high and the entire dose wound up inside my shoulder socket and now I cant use my arm. I know exactly what happened because I've had my other shoulder broken no less than three times. I know exactly what a shoulder socket full of fluid feels like. There is no discerible swelling it redness, and absolutely none of the bruise-like pain normally associated with any if the dozens of vaccinations a person gets throughout their lifetime. The pain is inside my shoulder and comes from trying to use my arm. It feels like my arm is going to come out if the socket if I so much as move my arm away from my body. If this person is doing this to other people then he needs to be stopped ASAP. No names were given. He is a shorter male, medium build, darker skin, (far as I could tell from the PPE), and spoke with a slight accent.

Other Meds: None

Current Illness: None

ID: 1054124
Sex: M
Age: 73
State: MD

Vax Date: 02/19/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: 2/24/21 patient was admitted after a cath lab procedure; reason for admission: chest pain per the EUA, hospitalizations are to be reported irrespective of attribution to vaccine This hospitalization does not appear to be related to the vaccine

Other Meds:

Current Illness:

ID: 1054125
Sex: M
Age: 95
State: NC

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: Was seen by local PCP on 2/19. Reportedly labs were drawn.

Allergies: ASA - wheezing Formoterol - stomatitis Celebrex - angioedema Sucralfate - rash

Symptoms: Per his son: LEFT ARM TURNED BRIGHT RED FROM HIS SHOULDER DOWN TO HIS ELBOW Reportedly has improved slowly; son was concerned as his dad did not have this reaction to the first dose, and is on Plavix.

Other Meds: Synthroid, Allopurinol, Finasteride, K+, Rosuvastatin, Tamsulosin, Plavix, Singulair Albuterol/ipatropium, Mometasone, Fluticasone Vit. E, D, B12, MVI

Current Illness:

ID: 1054126
Sex: F
Age: 32
State: AZ

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: Effexor, primidone

Symptoms: Severe body aches and trembles for the first 36 hours. Followed by diarrhea and nausea. Have had a continuous headache the entire duration of time since getting the vaccination. As well as two days with a fever of 102?, that Tylenol nor Motrin could relieve.

Other Meds: Pantoprazole, topamax, singulair, estrodial

Current Illness: N/A

ID: 1054127
Sex: F
Age: 62
State: FL

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: started chills and fever 12/29, stayed home 12/30 due to symptoms, previous + COVID TM 12/7/20 - Saw PCP for return to work note

Other Meds:

Current Illness:

ID: 1054128
Sex: M
Age: 30
State: OH

Vax Date: 01/16/2021
Onset Date: 02/15/2021
Rec V Date: 02/25/2021
Hospital: Y

Lab Data: 2/18: WBC 13, HgB 14.2, PLTS 195, Cr 0.77, lymphocyte count 0.52, ALT 148, AST 80, TBili 1.3, CRP 26, ferritin 869 2/21: WBC 15, HgB 13.1, PLTS 205, Cr 1.42, INR 2, lymphocyte count 0.63, ALT 1004, AST 1358, TBili 2.4, Triglycerides 202, CRP 34, ferritin 24,281 2/25: WBC 17, HgB11.5, PLTS 196, Cr 0.65, INR 1.3, lymphocyte count 0.16, ALT 905, AST 328, TB 2, Triglycerides 295 sIL-2R pending, NK activity pending 2/16: NP swab negative for COVID19 by PCR 2/17: blood cultures no growth 2/17: respiratory panel by PCR (biofire) with COVID negative 2/19: Acute and remote hepatitis panels negative for hepatitis A, B and C 2/19: stool pathogen panel (biofire) negative 2/20: blood cultures no growth 2/21; CMV DNA PCR negative 2/21: TB quantiferon indeterminate due to poor mitogen response 2/22: bone marrow cultures negative thus far 2/22: bone marrow PCR testing pending 2/25: HIV and syphilis testing pending 2/21: EBV DNA PCR negative 2/21: CT abdo/pelvis: enterocolitis of terminal ileum to proximal ascending colon increased since 2/18 images. multifocal mesenteric and retroperitoneal adenopathy 2/21: CT chest: no infiltrates or adenopathy 2/22: ileal biopsy pathology: terminal ileum biopsy shows a focal active enteritis characterized by rare crypt abscesses and scattered lamina propria neutrophils. Pyloric gland metaplasia, indicative of ongoing, chronic mucosal injury, is not appreciated. Granulomas, viral inclusions and pathogenic organisms are not identified. Overall, the histologic findings demonstrate a focal active enteritis. 2/22: Bone marrow biopsy: Left shift, vacuolated neutrophils. Absolute lymphopenia. Normocytic erythroid elements with anisocytosis rare hemophagocytosis.

Allergies: Cephalosporins (hives) Gluten

Symptoms: Patient lives with family in private residence with parents and 2 siblings. Spends most of time in own room. First family member diagnosed with COVID-19 on 12/21 2020, the other 3 family members diagnosed with symptomatic mild COVID on 12/26/2020. Parents are healthcare providers and used specific informed diligent protective strategies to prevent infection in patient with minimal close contact and gloves, masks. Patient never had symptoms and was not tested for COVID.. Had first vaccine dose on 1/16. On 1/17 had shaking chills with temp to 101.3F, gone on 1/18.. No other overt reactions. Subsequently in usual state of health. On 2/15 he developed vomiting and fever with progressive abdominal pain and transient wheezing. Outpatient testing for SARS-CoV2 was negative and full respiratory pathogen panel (including SARS-CoV2) also negative. With worsening fever to 40.2C and abdominal pain, was admitted on 2/18. Found to have high leukocyte count, low lymphocyte count and transaminitis. CT imaging with terminal ileitis, thought possibly infectious but extended GI pathogen panel negative. Experienced persisting daily high grade fevers to up to 39.1.C. Developed transaminitis and hypotension and was transferred to intensive care unit on 2/21. Was intubated for hypoxia, agitation, required levophed, large volume resuscitation and empiric antimicrobials. Had transient AKI. Antimicrobials stopped on 2/22 with negative cultures. Colonoscopy performed with leal biopsy of identified ulcerative disease with focal active enteritis without specific etiology identified by stains. Ferritin rose to 24,000 with hypertriglyceridemia and thought to have possible HLH and underwent bone marrow biopsy which showed leukocytosis and lymphopenia, and rare hemophagocytosis. Dobutamine was started for low LVEF and levophed weaned. High dose dexamethasone started on 2/23 and pressor further reduced, dobutamine weaned to off on 2/25. Extubated on 2/24. Febrile still to 39 on 2/24 and with leukocytosis but transaminases, ferritin and triglycerides improving. Discussion ongoing about HLH vs macrophage activation syndrome. Currently meets 4 criteria for HLH with soluble IL-2R and NK activity pending.

Other Meds: Albuterol Memantine Naltrexone Synthroid Venlafaxine PredForte eye drops Clobetasol topically Miralax

Current Illness: No acute illnesses

ID: 1054129
Sex: F
Age: 36
State: PA

Vax Date: 02/11/2021
Onset Date: 02/20/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: COVID 19 swab- negative

Allergies: None

Symptoms: On day 9 after my second vaccine, I experienced extreme fatigue, muscle aches and joint pain with neuropathy in feet, hands that has continued until today day 14 I was tested for COVID 19 and was negative on day 12

Other Meds: multivitamin vitamin C

Current Illness: common cold

ID: 1054130
Sex: M
Age: 70
State: NY

Vax Date: 02/14/2021
Onset Date: 02/21/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: none

Allergies: Sulfa drugs, bee stings

Symptoms: "Covid arm"-redness,itchy-started 1 week after injection, last 5 days

Other Meds: pro-biotic, vitamin D3, vitamin B12

Current Illness: none

ID: 1054131
Sex: F
Age: 69
State: NC

Vax Date: 02/13/2021
Onset Date: 02/21/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: After more than a week, the injection area became a hard area about the diameter of a quarter. I massaged this area gently for 3-4 days and the hardarea disappeared and seemed fine. Today(12 days after the shot) there is a large redish pink circle about 2 inches in diameter around the injection site. It is warm to the touch but does not hurt

Other Meds: Probiotic

Current Illness: None

ID: 1054132
Sex: M
Age: 62
State: WA

Vax Date: 02/01/2021
Onset Date: 02/03/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: None as yet

Allergies: NA

Symptoms: Initially chills fatigue. Ongoing tinnitus and insomnia

Other Meds: Crestor-

Current Illness: NA

ID: 1054133
Sex: F
Age: 35
State: FL

Vax Date: 12/28/2020
Onset Date: 01/01/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 1/1 started having mild pain left armpit, no swelling, pain worse 1/5

Other Meds:

Current Illness:

ID: 1054134
Sex: F
Age: 67
State: CO

Vax Date: 02/16/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Swelling, redness, itching, soreness, and heat around injection site 8 days after injection. Still experiencing. Will be patient and wait for it to go away.

Other Meds: Atenolol; Gabapentin; Synthroid; Multivitamin; B-12 vitamin; Tylenol for headaches (every day)

Current Illness: IBSD

ID: 1054135
Sex: F
Age: 59
State: GA

Vax Date: 02/16/2021
Onset Date: 02/18/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: unknown

Allergies: per staff can not digest eggs written on consent sheet. staff stated redness swelling tetanus ( reaction to vaccination in past written on consent )

Symptoms: staff stated left arm was itchy, little rash, redness the size of 50 cent coin

Other Meds: unknown

Current Illness: unknown

ID: 1054136
Sex: F
Age: 67
State: FL

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

Lab Data:

Allergies: latex

Symptoms: 911 was called by covid hotline nurse, stayed on the line with dispatch and the individual until paramedics arrived patient was alert and coherent able to answer questions appropriately. reported throat swelling and difficulties swallowing. 911 called spoke to dispatch, EMS in route to her home. stayed on the line until paramedics arrived.

Other Meds: amitriptyline 50mg PRN sleep levothyroxine 25mcg qAM atorvastatin 10mg qHS fiorcet 50-300-40mg PRN headaches acyclovir X2-3 times a day PRN herpes outbreak

Current Illness:

ID: 1054137
Sex: F
Age: 73
State: AZ

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/25/2021
Hospital: Y

Lab Data:

Allergies: none

Symptoms: COPD on 2L BL O2 requirement, hypothyroidism, cachexia, GERD with similar presentation earlier this month post-covid vaccine # 1, who presetned for feeling sick and SOB. Patient received her second dose of the covid vaccine on 2/19/21, 3 days prior to presentation. The following day, she started having "breathing issues" so she was given a dose of prednisone. 1 day prior to presentation, her breathing had improved but she was feeling generally sick, so she was given tylenol but not pred. Then, today, day of admission, patient was having bodyaches, weakness, headache, and breathing issues again. She took prednisone this morning, but still had to turn up her O2 because her work of breathing kept fluctuating. Admitted 2/22/21 ? 2/24/21.

Other Meds: Prescriptions: Albuterol MDI and Nebs, aspirin, atorvastatin, Wixela (fluticasone/salmeterol), ipratropium, levothyroxine, lidocaine patch and jelly, mirtazapine, sodium chloride tablets. Over-the -counter: Tylenol, Refresh eye drops, docus

Current Illness: Patient admitted after 1st COVID vaccine for acute on chronic hypoxemic respiratory failure due to exacerbation of severe combined obstructive/restrictive idiopathic ILD possibly due to COVID vaccine reaction 1/31/21 ? 2/2/21.

ID: 1054138
Sex: M
Age: 67
State: GA

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Injection site soreness that lasted about 36 hours. fatigue that started the next day and lasted about 24 hours. Intermittent hip joint pain that was very sharp and lasts about 4 to 5 seconds. This started about 24 hours after the second injection. It is still ongoing 2 days after the second injection. This is an infrequent pain and does not affect my ability to go about my normal routine.

Other Meds: 5 MG Methimazole, vitamin D3, 2000iu(50mcg), zinc(50mg)

Current Illness: none

ID: 1054139
Sex: F
Age: 73
State: CA

Vax Date: 02/05/2021
Onset Date: 02/09/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: None

Allergies: Bee sting

Symptoms: Covid arm. 3? diameter red, raised, itchy

Other Meds: CoQ10 K2+D3 Folic acid Turmeric+Bromelain Pravastatin Diltiazem Atenolol chlorthal Hydroxychloroquine Allopurinol Gabapentin Sulfasalzine

Current Illness: None

ID: 1054140
Sex: F
Age: 28
State: FL

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Tingly in front of armpit area.

Other Meds:

Current Illness:

ID: 1054141
Sex: F
Age: 24
State: IN

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt post receiving first Moderna Covid-19 Vaccine was in hallway, standing in line to schedule second Covid 19 Vaccine, per patient "became light headed, had tunnel vision". Pt noted to start leaning toward wall by RNs at schedule table, bumped right shoulder on wall. RN steadied patient, RN2 came to assist - held patients head as lowered to floor. Patient was alert and oriented to person, place and time once on the floor. Pt "stated she usually passes out with lab draws". Pt rested on floor, then moved to a seated position and offered juice which she accepted and drank one carton. Pt was moved to a chair next to RN and observed for 30 minutes. Pt told nurse who had administered the vaccine that she had just worked out prior to coming to her appointment. Patient was told to go to the ER to be examined. Patient refused, stating "I am good, this has happened before and I am comfortable driving home and do not want to go to the ER." RN 2 offered to call a family member or friend and patient refused the need to call anyone.

Other Meds:

Current Illness:

ID: 1054142
Sex: F
Age: 42
State: MD

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

Lab Data: none

Allergies: none

Symptoms: Patient may have inadvertently received 1cc of Moderna COVID vaccine instead of 0.5cc. Patient was notified. State of MD was notified

Other Meds: none

Current Illness: none

ID: 1054143
Sex: F
Age: 83
State: MA

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: Sulphur; Dye used in CT Scans

Symptoms: None stated.

Other Meds: Losartan Potassium 25mg; Spironolactone 50mg; Omeprazole 20mg; Crestor 5mg; Women's Multivitamin; Eliquis 2.5mg; Vitamin D 1000 units; Cranberry Calcium 600mg; Magnesium 400mg; ALL 1 a DAY

Current Illness: None

ID: 1054144
Sex: F
Age: 68
State: CA

Vax Date: 02/12/2021
Onset Date: 02/20/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Large, red lesion around the injection site. Size approximately 2in x 2in. Slightly swollen and warm to touch.

Other Meds: Multi Vitamine

Current Illness: None

ID: 1054145
Sex: F
Age: 45
State: FL

Vax Date: 12/28/2020
Onset Date: 01/03/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: R arm itching, redness, swelling, warm to touch started 1/3/21. Received COVID (Moderna) vaccine on 12/28/20. Declined med tx. Report only.

Other Meds:

Current Illness:

ID: 1054146
Sex: M
Age: 75
State: CA

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

Lab Data:

Allergies:

Symptoms: Fever 102 Nauseous Gas

Other Meds: Benicar Cestor Latanaprost Asa 80mg

Current Illness:

ID: 1054147
Sex: F
Age: 42
State: NH

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: Tetanus vaccine

Symptoms: Misery. At 12 hrs after, fatigue, moderate headache (lasted about 6 hours), fever of 100 degrees and chills for a couple hours; progressed to all over severe body aches for several hours. All symptoms cleared within 12 hours.

Other Meds: venlafaxine (150mg); Synthroid (75mcg)

Current Illness: None

ID: 1054148
Sex: F
Age: 47
State: PA

Vax Date: 02/15/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Developed Covid arm rash

Other Meds: Synthroid , cymbalta, vit D

Current Illness: None

ID: 1054149
Sex: F
Age: 67
State: FL

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt. states the symptoms started bilateral leg tingling and numbness. Patient has history of cardiovascular issues. She states she takes 325mg of Aspirin daily and also has multiple stents.

Other Meds: Aspirin 325mg daily

Current Illness:

ID: 1054150
Sex: M
Age: 29
State: MD

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: Unknown

Symptoms: Tongue and throat swelling, hives and itching, nausea. Epinephrine, benadryl, and zofran administered. Transported to ER.

Other Meds: Unknown

Current Illness: Unknown

ID: 1054151
Sex: F
Age: 4
State: OH

Vax Date: 02/23/2021
Onset Date: 02/25/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Swollen Itchy Red at injection site

Other Meds:

Current Illness:

ID: 1054152
Sex: F
Age: 55
State:

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

Lab Data:

Allergies: No

Symptoms: Severe chills, back and neck ache, fever,- onset 10:00PM to 4:30AM, residual fever reduced after Tylenol taken at 6:00AM; localized soreness left arm- onset 1:00PM, reduced but still present today, 2/25 at 10:48AM

Other Meds: No

Current Illness: No

ID: 1054153
Sex: F
Age: 18
State: TX

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

Lab Data:

Allergies: No known allergies

Symptoms: Patient received 2nd dose of Moderna COVID-19 vaccine on 2/24/2021 around 1:30 PM at a drive through vaccination site. Around 3:45 PM patient developed sudden cough, congestion, and shortness of breath. She presented to our clinic around 4:29 PM and treatment included IM epinephrine 0.5ml, albuterol HFA 4 inhalations, Xyzal 5 mg tablet, and Breo 100mcg 1 inhalation in office. Symptoms greatly improved and patient was discharged in stable condition.

Other Meds: Unknown

Current Illness: No recent illnesses.

ID: 1054154
Sex: F
Age: 68
State: NE

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

Lab Data: none

Allergies: levaquin, cephalexin, metronidazole, amlodipine besylate, omeprazole, lipitor, zetia, epinephrine, nickel, cobalt dichloride, tobramycin .3% eye drops, bactrim, omnipaque 300 CT IV contrast, gluten sensitivity, food spices

Symptoms: After 4 hours from injection had nausea and very rapid heartbeat. Went away after 2 hours

Other Meds: candesartan 16mg, levothyroxin 0.1mg, , diltiazem ER 360mg, lansoprazole 30mg, piroxicam 20mg, pravastatin 40mg, amitrityline 10mg, flovent hfa 110mcg, zyrtec 10mg, glucosamine 1000mg, vitamin d3 2000iu, vitamin c 1000mg, osteo bi flex, al

Current Illness: none

ID: 1054155
Sex: M
Age: 45
State: AZ

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

Lab Data:

Allergies: None

Symptoms: Common flu like symptoms (fever, headache, body chills, weakness, muscle aches)

Other Meds: Multi-vitamin (Centrum), Fish Oil, Baby Aspirin, Allegra 180mg, Losarten Potassium 50mg

Current Illness: None

ID: 1054156
Sex: F
Age: 28
State: FL

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 12/29 Client began experiencing chills, cough, fatigue, muscle aches, H/A, sore throat, congestion all of which resolved end of day 12/30. Had nausea x 1 12/29. Has ongoing chest discomfort as " like when you take a deep breath and it's cold outside". States had this when she had Covid in October.

Other Meds:

Current Illness:

ID: 1054157
Sex: F
Age: 57
State: FL

Vax Date: 02/01/2021
Onset Date: 02/17/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: SHINGLES: UPPER LEFT SCALP

Other Meds: multi vitamin

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm