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: 1054424
Sex: F
Age: 83
State: WI

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

Lab Data: CBC, chest x-ray, x-ray of left knee, CT of head at Hospital; later transported to another Hospital for neurology assessment. Initial diagnosis was neurological incapacitation and family was told to anticipate nursing home care following hospitalization. She received antibiotics prior to transportation to 2nd hospital due to potential for UTI/sepsis. On Tuesday, February 23rd she received an MRI of her head which revealed no sign of recent stroke. An EEG and ultrasound of her heart revealed nothing. Monitored overnight Tuesday and ruled out stroke, UTI and sepsis. She continued to progress back to normal baseline functioning by Wednesday morning.

Allergies: NKA

Symptoms: Patient resides in an assisted living facility and received the second COVID-19 vaccination. She experienced fatigue in the morning following vaccination. She fell on 2/22/21. Ambulance was called and she was transported to the hospital. Initial symptoms included fever of 101 F, disorientation, left face droop, unresponsive to commands and loss of memory.

Other Meds: levothyroxine, clopidogrel, senna, aspirin

Current Illness: None

ID: 1054425
Sex: F
Age: 67
State: VA

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

Lab Data:

Allergies: Darvo/ Penicillin

Symptoms: Itching to face/ eyes- Given oral Benadryl and monitored in office

Other Meds: Allopurinol/ Amiodarone/ Atorvastatin/ Entresto/Metoprolol/ Spironolactone/ Torsemide/ Xarelto

Current Illness:

ID: 1054426
Sex: M
Age: 71
State: TN

Vax Date: 02/05/2021
Onset Date: 02/18/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Per Patient, he developed facial droop approximately 12-13 days after receiving his first Pfizer COVID-19 vaccine. He called his PCP at the VA, who advised him to present to the ER. Patient states that the ER ruled out stroke and diagnosed Bell's Palsy. He was prescribed prednisone 20 mg TID x7 days and valcyclovir 1g q8 hours x7 days--he will take his last dose today. Patient stated he has been diagnosed with Bell's Palsy at least twice in the past, and sustained "some" nerve damage from a previous episode.

Other Meds: metformin, glipizide, aspirin, sertraline, atorvastatin, multi-vitamin, CoQ10, vitamin D3, fish oil

Current Illness: none

ID: 1054427
Sex: F
Age: 45
State: TX

Vax Date: 02/12/2021
Onset Date: 02/19/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Initially had small, localized reaction 1-2 days after vaccine. Included redness and soreness at vaccination site. It then went away. One week later, on 2/19/2021, I noticed itching at the vaccination site and a raised, warm red spot the size of a quarter. The redness has continued to grow with occasional itchiness. Now , almost 14 days post vaccine, the redness is the size of a tennis ball. No pain at site. Been treating itchiness with steroid cream.

Other Meds:

Current Illness:

ID: 1054428
Sex: M
Age: 67
State: NV

Vax Date: 02/21/2021
Onset Date: 02/22/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: No

Allergies: none known

Symptoms: Brain fog and speech issues developed after vaccine lasted for one day.

Other Meds: Levemir injection, Lisinopril, Metformin, Multivitamin, Empagliflozin,

Current Illness: week before I had a stomach distress

ID: 1054429
Sex: M
Age: 76
State: MO

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

Lab Data: none

Allergies: non reported

Symptoms: Pt called to report having chills and diarrhea on 2/24/2021. Spoke to pt on 2/25/2021 and he only reported chills and he took some Tylenol and they subsided. Pt is having no issues reported on 2/25/2021.

Other Meds: unknown

Current Illness: none reported up to one month. Pt reported he was COVID + in November and received monoclonal antibody therapy on Nov. 3, 2020.

ID: 1054430
Sex: M
Age: 39
State: FL

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

Lab Data: None

Allergies: None

Symptoms: Individual received Pfizer for 2nd dose and not Moderna.

Other Meds: None

Current Illness: None

ID: 1054431
Sex: F
Age: 67
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 possibly inadvertently received 1cc of COVID vaccine instead of 0.5cc. Patient was notified. State was notified

Other Meds: unknown

Current Illness: none at time of vaccination

ID: 1054432
Sex: F
Age: 79
State: OH

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 02/25/2021
Hospital: Y

Lab Data: Patient required supplemental oxygen and Prednisone. Developed UTI during length of stay. She now requires daily oxygen treatments and lasix for edema as the hospital stay caused her state to be weakened due to the lengthy hospital stay. She was diagnosed with asthma exacerbation, presented with wheezing and chest pain. She had an IV for Prednisone and a bronchodilator, a portable chest x-ray, EKG, echocardiogram, and blood work done during her stay, along with a urine sample taken to diagnose UTI.

Allergies: None

Symptoms: Patient was given the vaccine and waited the recommended time (15 minutes) after the administration of the vaccine and did not report any reaction at that time. Approximately six hours after the injection, she suddenly noticed she was having trouble breathing, could not catch her breath, and a call was made to 911. She was transported via ambulance to the hospital, where she remained for a week.

Other Meds: Riluzole (50mg), Melatonin (5mg), Eliquis (5mg), Lansoprazole (30mg), Nutren (feeding tube), Albuterol (3mg), Carvedilol (3.125mg), and Acetaminophen (325mg).

Current Illness: ALS

ID: 1054433
Sex: F
Age: 45
State: AK

Vax Date: 02/17/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: Have not sought medical attention

Allergies: milk sensitivity

Symptoms: Matches description of 'COVID Arm'. Some tenderness reappeared around injection site 6 days after injection in evening with light red rash. Visual red rash increased (about 4"x2"), deepened in color overnight and became swollen in same general area. Became itchy.

Other Meds: Esomeprazole Vitamin D

Current Illness: none

Date Died: 02/24/2021

ID: 1054434
Sex: M
Age: 83
State: KY

Vax Date: 01/29/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Patient reported to emergency room on 2/20 with increasing of shortness of breath, quantitated unable to walk from room to room in his house. Patient was admitted.

Other Meds:

Current Illness:

Date Died: 01/28/2021

ID: 1054435
Sex: M
Age: 89
State: AL

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient passed on 01/28/2021 per family member.

Other Meds: Low dose oral Chemo

Current Illness: Patient has CLL

ID: 1054436
Sex: F
Age: 65
State: CA

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

Lab Data: none yet but concerned may be thrombocytopenia caused from vaccine.

Allergies: yes, sulfur, iodine, many antibiotics

Symptoms: Bruising on lip and stomach after 28 hours and light headed

Other Meds: none

Current Illness: arthritis

ID: 1054437
Sex: F
Age: 65
State: MD

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

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds:

Current Illness: None

ID: 1054438
Sex: M
Age: 66
State: UT

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

Lab Data:

Allergies: none

Symptoms: Day following vaccination at 7:00 a.m., I expreienced a nose bleed while blowing my nose - lasted about half an hour. Never had this happen before.

Other Meds: Metformin 500 mg, irbesar/hctz 300-12.5, prevastatin 80 mg, low-dose aspirin,

Current Illness: none

ID: 1054439
Sex: F
Age: 41
State: IA

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

Lab Data: None

Allergies: Bee stings, prepackaged fruits

Symptoms: Nausea and dizziness within an hour of vaccination; reports chills and body aches x2.5 days.

Other Meds: B12, Vit D, Trulicity, Metformin

Current Illness: No

ID: 1054440
Sex: F
Age: 84
State: AZ

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: none reported

Allergies:

Symptoms: Patient reported that she felt like her throat was closing few hours after receiving her vaccine. She reported that she took Benadryl and she felt better. She reported that the next day the roof of her mouth and her lips started swelling and again took Benadryl and the swelling did not go away then she started taking prednisone 20mg along with Benadryl and she felt better.

Other Meds: Benadryl and Prednison 20mg

Current Illness: none

ID: 1054441
Sex: F
Age: 65
State: IL

Vax Date: 01/27/2021
Onset Date: 02/03/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: ibuprofen

Symptoms: one week after vaccine, developed itching at injection site; two large round red blotches appeared; one at the site and one a little higher on the arm; they were each about 1.5 in diameter; slowly faded over the next 3 days

Other Meds: none

Current Illness: none

ID: 1054442
Sex: F
Age: 62
State: AR

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

Lab Data: None

Allergies: Levaquin

Symptoms: Arm very sore after the first dose. After the 2nd dose my arm was sore after a few hours. Woke up at 3 am with slight fever and chills. Fever kept going up and when it reached 102.2 with a mercury thermometer (the accurate ones) I took 2 extra strength Tylenol and fever is still at 102.2.

Other Meds: Imuran and Plaquenil

Current Illness: None

ID: 1054443
Sex: F
Age: 56
State: OH

Vax Date: 01/11/2021
Onset Date: 01/25/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: Lab test to check my thyroid (symptoms the same as if my thyroid was out of whack). February 23, 2021 Covid test (symptoms the same). February 24, 2021

Allergies: Sulfa drugs

Symptoms: Tired, fatigue, muscle aches, headache, brain fog, no energy, hard to get out of bed in the morning(worse in the morning). Symptoms started out mild. Thought I was having sinus issues. Symptoms got worse after my second dose of the vaccine. I have been in touch with my primary provider. Today February 25th I seem a little better.

Other Meds: Synthroid, lexopro, fomatidine, cetirizine, stool softener, turmeric, multivitamin, calcium and vitamin D,

Current Illness:

ID: 1054444
Sex: M
Age: 32
State: AZ

Vax Date: 02/21/2021
Onset Date: 02/23/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Sharp pain in my upper back / neck / shoulder area. Radiates from the left side. Pain started at an 8 on a 1-10 scale. Has slowly gotten better (at a 5 pain scale today 2/25).

Other Meds:

Current Illness:

ID: 1054445
Sex: F
Age: 35
State: TX

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

Lab Data:

Allergies: Mushrooms

Symptoms: Nausea, chills, headache, body aches, diarrhea, burning feeling running up and down right arm

Other Meds: Metronidazole 500mg

Current Illness:

ID: 1054446
Sex: M
Age: 32
State: CA

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: NA

Allergies: Peanuts; Tree nuts; Beans; Soy; Peas; Wheat / barley; Beef / red meat; Carrots Sesame Fish/seafood

Symptoms: Body aches, fever (100), nausea and diarrhea, fatigue Lasted 3 days

Other Meds:

Current Illness: NA

ID: 1054447
Sex: M
Age: 63
State: CA

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

Lab Data: none

Allergies: Bactrim DS

Symptoms: fatigue, diarrhea

Other Meds: Vitamin d3 5000 units vitamin B complex 50mg vitamin c 1000mg

Current Illness: none

ID: 1054448
Sex: F
Age: 49
State: VA

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

Lab Data:

Allergies: Allergic to penicillin, vancomycin, codeine. Sensitive to chocolate, grapes, apples, citrus

Symptoms: low grade fever, sore throat, chills, leg aches, minor headache, moderate arm pain (injection arm).

Other Meds: Zyrtec, multi-vitamins, vitamin D, valerian tablets

Current Illness: Minor cold prior

ID: 1054449
Sex: F
Age: 73
State: TX

Vax Date: 12/29/2020
Onset Date: 01/05/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: COVID test - positive (Got the test about 10 days after the vaccine.) - UMC clinic

Allergies: Codeine; anything to do with fish products

Symptoms: A week later after vaccine, I had fatigue and about three days of headache. I have a lot of auto-immune diseases but this was worse fatigue than I normally feel but the fatigue was just about the same time. My husband got sick and so I went and got tested with him for COVID. Received an IV treatment for COVID - I don't know what the name of it was. I received that at UMC. My son works for UMC and he made sure that I got the IV treatment - my doctor was aware of it.

Other Meds: Once a day of Multi-Vitamin; Vit D; Vit B; Vit C; calcium/magnesium; ESOMEPRAZOLE; Fluoxetine; Furosemide; IV solution - SIMBONI; Hydrocodone - 1/2 a day; Levothyroxine; Lisinopril; Pravastatin; Prednisone; Pregabalin; Rizatriptan as needed

Current Illness: no

ID: 1054450
Sex: F
Age: 39
State: OK

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: Peanut allergy, penicillin drugs, codeine

Symptoms: Pain at the injection site - evening of injection and 2 days following; Headache - morning after injection, continuing 48+ hours after onset

Other Meds: Nuva Ring (birth control), probiotic pearl (daily)

Current Illness:

ID: 1054451
Sex: M
Age: 79
State: CA

Vax Date: 01/29/2021
Onset Date: 02/08/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: coughing, dizziness, 2/19 urgent care, prescribed antibiotic for week (Cefpodoxime)

Other Meds: levothyroxine 100mcg, amlodipine 5mg, atorvastatin 80mg, finasteride 5mg, Tamsulosin 0.4mg, meloxicam 15mg, aspirin 81 mg, vitamin d3 2000iu, core essential vitamins,

Current Illness: n/a

ID: 1054452
Sex: F
Age: 65
State: WI

Vax Date: 02/13/2021
Onset Date: 02/20/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: None at this time

Allergies:

Symptoms: Started on day 8 of Injection became very sore, itchy and hard. A red rash,ring appeared around injection. Into day 6 and still same symptoms.

Other Meds:

Current Illness:

ID: 1054453
Sex: F
Age: 24
State: TX

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Severe fever and chills, flu like symptoms approx. 8 hours after injection lasting approx. 36 hrs.

Other Meds:

Current Illness:

ID: 1054454
Sex: F
Age: 89
State: AZ

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: Apparent vasovagal syndrome, came on suddenly, unable to walk, somehow was able to call son who came right over. I fell on floor, unable to get up. He called 911 and the firemen helped me sit up. I was cold and clammy, but could talk and answer all questions. The firemen said I should be all right and they left. They said they had had extra calls for the same symptoms. I went to bed, and my blood pressure was 93/53. I slept all right. The next day, yesterday, I was tired but feeling all right with the highest temp of 98.4. Today, February 25, I am doing better. I called and left a message for Dr.

Other Meds: Valsartan, Levothyroxine, Omeprazole, Amlodipine

Current Illness: None

ID: 1054455
Sex: F
Age: 64
State: TX

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

Lab Data:

Allergies:

Symptoms: Radiating sharp pain that started in neck, then went to L of chest to L upper arm. Evaluated by EMS, cleared.

Other Meds:

Current Illness:

ID: 1054456
Sex: F
Age: 27
State:

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

Lab Data:

Allergies:

Symptoms: Patient received 1st dose of covid-19 vaccine however had received tetanus booster 9 days before. It was discovered after patient was given vaccine that she had marked "yes" on her questionnaire regarding the question about any vaccines in the last 14 days.

Other Meds:

Current Illness:

Date Died:

ID: 1054457
Sex: M
Age: 83
State: AZ

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

Lab Data:

Allergies: NKA

Symptoms: Pt had normal afternoon after vaccine without complications, went to bed. The patient passed away in the middle of the night. ER report indicates cardiac arrest

Other Meds: Aspirin Carvedolol Finesteride omeprizole simvastatin spironalatone tamsulosin

Current Illness: unknown

ID: 1054458
Sex: F
Age: 64
State: NY

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

Lab Data:

Allergies:

Symptoms: Lightheadedness, Dizziness, HTN, patient with severe anxiety, EKG done via EMS, Sinus Tachycardia.

Other Meds:

Current Illness:

ID: 1054459
Sex: F
Age: 64
State: NJ

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

Lab Data:

Allergies:

Symptoms: Raised red itchy rash at site of injection 6 days post receiving.

Other Meds:

Current Illness:

ID: 1054460
Sex: F
Age: 26
State: MI

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

Lab Data: None.

Allergies: None.

Symptoms: my arm became sore a few hours after receiving the second dose of Moderna COVID19 vaccine. When I laid down to sleep,approx. 12 hours after receiving the injection, I experienced a headache and shaking/chills. I woke this morning to a headache and exhaustion.

Other Meds: None.

Current Illness: None.

ID: 1054461
Sex: F
Age: 23
State: AZ

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

Lab Data:

Allergies:

Symptoms: very bad body aches mainly in upper body area swollen lymph node in left armpit

Other Meds: probiotics, tumeric

Current Illness:

ID: 1054462
Sex: M
Age: 40
State: PR

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

Lab Data:

Allergies: none

Symptoms: Felt nausea a few minutes after the shot. 6 hours later, still some mild nausea.

Other Meds: none

Current Illness: none

ID: 1054463
Sex: F
Age: 45
State: PA

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

Lab Data: Symptoms resolved fully after a few days. No further testing was performed.

Allergies: None

Symptoms: Experienced swollen lymph node in right arm about 2 days after the first vaccination on 1-25-21. Experienced swollen lymph node in right arm about 3 days after second vaccination on 2-22-21.

Other Meds: Calcium 500mg w/D 1 po QD MVI 1 po QD Mirena IUD

Current Illness: None

ID: 1054464
Sex: F
Age: 75
State: CT

Vax Date: 01/25/2021
Onset Date: 02/05/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: Laural Sulfate - Lips swell up

Symptoms: Generalized red rash starting on the right fore arm (Immunized on right arm) and then the rash spread to whole body with in 24 hrs. Benadryl did not provide any benefit. Started on steroids.

Other Meds: Alendronate 70 mg Prednisone 4 mg Atorvastatin 10 mg Zyrtec 10 mg Vitamin and minerals Vit D3 Iron

Current Illness: PMR

ID: 1054465
Sex: F
Age: 86
State:

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

Lab Data: As possible for visit.

Allergies:

Symptoms: Pt seen on 2/24/2021 for vaccine reaction, initial encounter, acute gastroenteritis, chest pain, unspecified type; GI s/s following COVID vaccination and 4 days of chest pain, cardiac workup negative, MD felt overall may be from recent GI Illness causing chest pain, IV's given and antiemetics, able to eat small amount of food here in ER, discharged home, close follow up with PCP and cardiology, concerned over possible COVID - tested and negative in ER, shortly after COVID vaccine began to have nausea, vomiting, diarrhea, inter. stomach cramping, sensitive stomach, past 4 days chest heaviness and pain around heart, cardiac history in past. To follow up with APNP ASAP.

Other Meds:

Current Illness:

ID: 1054466
Sex: F
Age: 70
State: FL

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

Lab Data:

Allergies: PCN , INH, crestor, salacliates

Symptoms: fever, muscle pain extreme, chills , in bed for 33 hours. could not walk with pain, dizzy . No food only water

Other Meds: HCTZ 12.5mh daily, flexeril 10 mg 1-2/day, tramadol 50 mg 2 / day. atrovastatin 10 mg 1 daily, amlodipine 5 mg daily, acetaminophen 5000mg prn, monteleukast10 daily, benazepril 40 daily, fish oil, zinc, b12, d3, vit c

Current Illness: SI joint inflammation

ID: 1054467
Sex: F
Age: 73
State: CA

Vax Date: 02/12/2021
Onset Date: 02/21/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: None

Allergies: Sulfa drugs, pollen etc

Symptoms: Itching at vaccine site starting 2/21 in the evening, 8 days after the vaccination. Redness near site the next day, and rash appearing on 2/23. Both the redness and rash are below the site of the vaccine on the same arm. It?s a very mild rash and is getting better now. I have photos if you want them.

Other Meds: Multivitamin, Mushroom blend, D3, CocoaVia

Current Illness: None

ID: 1054468
Sex: F
Age: 87
State: CT

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

Lab Data: None

Allergies: NKA

Symptoms: Dose of 0.3 ml ordered. Reminder of vial had 3 doses- 3 doses given to other patients. RN drew up the reminder of what was left in vial 0.9 ml and administered to patient. The doctor was notified immediately and was monitored carefully. No adverse reaction has been noted. This was supposed to be the patient's second dose.

Other Meds: Apixaban, Diltiazem HCI, Metoprolol Tartrate, Pantoprazole, Furosemide, Levothyroxine Sodium, Multivitamin, Pravastatin Sodium, Magnesium Oxide, Senna/Docusate Sodium, Acetaminophen, Melatonin, Brimonidine Tartrate, Chlorhexidine Gluconate,

Current Illness: S/P CVA

ID: 1054469
Sex: F
Age: 74
State: GA

Vax Date: 02/08/2021
Onset Date: 02/10/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: 2/16/21 ANA positive 1:40 nuclear, homogeneous Anemia Hemoglobin 11.4 (previous 12.9 on 8/14/20) AKI GFR 41 (previous GFR 86 on 8/14/20) Sed rate elevated 46 CRP elevated 25.3 Absolute eosinophil count 591 (NL 15-500)

Allergies: None

Symptoms: 2 days after vaccine (2/10/21) patient developed an intensely red rash on extremities that was itchy. She self medicated with Allegra. She was seen at the doctor's office. Labs were drawn. No further treatment administered. Patient was seen for follow up visit on 2/25/21 and advised that the rash had resolved on 2/20/21.

Other Meds: Anastrozole 1 MG Oral Tablet Atorvastatin Calcium 40 MG Oral Tablet Colestipol HCl 1 GM Oral Tablet Cyanocobalamin (Vitamin B-12) 1000 MCG Oral Tablet Diclofenac Sodium 75 MG Oral Tablet Delayed Release Escitalopram Oxalate 10 MG Oral Table

Current Illness: Urinary tract infection treated 2/4/21 x 5 days Nitrofurantoin

ID: 1054470
Sex: F
Age: 76
State: CA

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

Lab Data: None so far

Allergies: Latex, Tetanus vaccine (40 years ago) had a similar reaction as I am having to the Moderna vaccine

Symptoms: Have a soreness in the armpit of my left arm as well as a small lump at the base of my neck on the left side. I had the same type of reaction 40 years ago to a Tetanus vaccination.

Other Meds: Biotin, Folic Acid, Probiotics, Famotidine, Tapazole, Lisinopril, Simvastatin, Methotrexate Sodium, Calcium with Vitamin D, Citirizine Allergy Tablets, CoQ-10, Cranberry, Mucus tablets, Mega Red Capsules, Iron, Magnesium, Multivitamin, Tyl

Current Illness: None

ID: 1054471
Sex: F
Age: 71
State: AZ

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: Plan to have antibody testy tomorrow

Allergies: Sulfa Penicillin

Symptoms: Woke up extremely hot, nauseaus. At 0410 I felt like I had to have a bowel movement, sat on toilet for awhile, projectile diarrhea began. Then vomiting. Same symptoms I had with Covid in June. extremely tired for about a week. Called my son who works for Pfizer the next day (the 4th of February). I want to reschedule my second vaccine for later in March because my Endocrinologist has put in a referral to have my antibodies tested. Unfortunately I just had a tooth extracted and am on antibiotics, not sure if that will affect the antibody test or the second vaccine.

Other Meds: Lantus Ozempic Telmisartin

Current Illness:

ID: 1054472
Sex: F
Age: 37
State: TX

Vax Date: 02/12/2021
Onset Date: 02/22/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: None

Allergies: No known allergies

Symptoms: I have what's known as COVID arm: big red splotch on arm (around 4 in in diameter). Experienced firmness, redness and itching around the injection site.

Other Meds: Synthroid, metformin and multi-vitamin

Current Illness: none

ID: 1054473
Sex: F
Age: 83
State: MN

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

Lab Data:

Allergies: Lipitor; Codeine

Symptoms: Injection pain, tired, chills, joint pain, nausea, and didn't feel well. I had diarrhea. I had COVID in November and the symptoms were pretty much the same. Feeling much better today.

Other Meds: Tylenol; Imodium; Prilosec

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm