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: 1055116
Sex: F
Age: 38
State: TX

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

Lab Data: None

Allergies: Penicillin- vomiting

Symptoms: Red flat rash on trunk, neck, back groin. I first noticed about 36 hours after second dose. It could have been there sooner, I was just so sick from fever/body aches, I would t have noticed. It progressively got worse by the end of the day so I finally took Benadryl before bed. The nurse told me to try not to take anything, but the night before my fever wouldn?t let up and I felt really bad so took Advil. The rash kept getting worse so I ended up taking Benadryl and it helped clear it up. It looked very drug allergy to me. Not raised, just red

Other Meds: Relpax for migraine Advil for fever

Current Illness:

ID: 1055117
Sex: F
Age: 67
State: WA

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

Lab Data:

Allergies: NKA

Symptoms: Genera side effects: fatigue, headache, muscle pain, joint pain, chills, nausea & vomiting, ? fever. Plus: Dizziness & weakness, tinnitus. 4"x5" hard, hot, swelling at site of injection. These effects were noted the same on first injection but not nearly as extreme. After 4 days feeling better but dizziness & tinnitus remains along with arm tenderness.

Other Meds: Rx: Spironalactone 25mg 1QD Multivite, Calcium/Magnesium/Zinc, Biotin, Fish Oil. One each QD

Current Illness:

ID: 1055118
Sex: F
Age: 0
State: TN

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

Lab Data: none

Allergies: No

Symptoms: Pt received an expired DTAP. The vaccine expired on 2/9/2021 and was given on 2/25/21. Mother and baby stayed in clinic room for 20 minutes while she breast fed her baby and monitored for reaction. Once 20 minutes was up and no reaction occurred mother and pt left. The DTAP was given about 9:30am on 9/24/21 and mother and baby left clinic around 9:55am on 9/24/21 am

Other Meds: none

Current Illness: No

ID: 1055119
Sex: F
Age: 73
State: NC

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

Lab Data:

Allergies: None

Symptoms: Patient received vaccine and 5 minutes after vaccine admin., she started with mouth and throat tingling, dizziness and headache. Evaluated by EMS at the scene and the transported to UNC-Nash Hospital to be evaluated.

Other Meds: None

Current Illness: Hypertension/High blood pressure, Obesity

ID: 1055120
Sex: F
Age: 31
State: WA

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

Lab Data:

Allergies: NA

Symptoms: Large red rash, skin slightly firmer to the touch where it's red. Only itched slightly the first day I noticed it. It spread the second day (today).

Other Meds: B-complex, 400mg folic acid, lactobacillus

Current Illness: NA

ID: 1055121
Sex: M
Age: 40
State: NJ

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

Lab Data: None

Allergies: None

Symptoms: I had extreme chills, aches, muscle pain, vertigo, headache, and fatigue for 72 hours. At one point is was so bad i could just lay with my eyes closed and could not sleep but just lay there. I had to take off of work and was bed ridden.

Other Meds: Dulexus

Current Illness: None

Date Died: 02/21/2021

ID: 1055122
Sex: F
Age: 88
State: ID

Vax Date: 02/20/2021
Onset Date: 02/21/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: No Known Allergies

Symptoms: Pale, Short of Breath, Hypoxic, Lethargic within minutes became unresponsive and died.

Other Meds: Loperamide , Tylenol 500mg, Acidophilus, Alka-Seltzer, Citalopram, D-Mannose, Docusate, Ensure, Losartan, MacuHealth, Naproxen, Omeprazole, Refresh tears, Gas X, Vagisil,

Current Illness: Nausea, Vomiting, Diarrhea on 2/19

ID: 1055123
Sex: M
Age: 57
State: TX

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

Lab Data: None

Allergies: unknown

Symptoms: Patient received first does of COVID-19 vaccine on 02/04/2021. Pt presented to clinic for second dose of vaccine. Patient was asked several times by front desk staff and nurse about getting second dose of COVID-19 vaccine. Pt stated yes and was given vaccine. While reviewing the patients chart, the provider noticed patient should have received one vaccine not other, but patient had already had vaccine administered to him. The event was reported to Dr and patient was counseled by PA and monitored in clinic for 15min after vaccine. Patient was advised he did not need to receive the second dose of the Covid vaccine. Patient was advised of possible side effects and instructed to contact the clinic with any adverse effects that were not normal.

Other Meds: unknown

Current Illness: unknown

ID: 1055124
Sex: M
Age: 1
State: WI

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

Lab Data:

Allergies: N/A

Symptoms: Patient developed fever, new onset erythematous rash on face and trunk, limping on L leg and toe walking, soft tissue swelling, and conjunctival injection. Patient admitted to hospital on 2/12/21 with diagnosis of Kawasaki disease and received treatment with IVIG and aspirin. Discharged on 2/15/21 with continued aspirin until follow-up. Re-admitted on 2/16/21 for overnight admission and received another dose of IVIG.

Other Meds: N/A

Current Illness: N/A

ID: 1055125
Sex: F
Age: 43
State: NC

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

Lab Data:

Allergies: tetracycline

Symptoms: General mild itchiness all over the body

Other Meds: levothyroxine

Current Illness: n/a

ID: 1055126
Sex: F
Age: 71
State: NY

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

Lab Data:

Allergies:

Symptoms: - erythema diffuse body, hot flashes, headache and ecchymotic areas

Other Meds:

Current Illness:

ID: 1055127
Sex: F
Age: 35
State: OH

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

Lab Data: None

Allergies: Tylenol, aspirin, naproxen, ibuprofen

Symptoms: Fatigue, nausea, fever, body aches, joint pain

Other Meds: Celexa, trazadone, QNSL

Current Illness: None

ID: 1055128
Sex: M
Age: 81
State:

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

Lab Data: CT and MRI of head

Allergies: AMLODIPINE

Symptoms: Patient presented to ED due to AMS, syncope. Wife reported that he became confused with generalized weakness and dropped his food on the floor and became unresponsive with his eyes and mouth open. Patient was febrile to 103 on admission w/o leukocytosis. He was admitted to hospital medicine for acute encephalopathy with associated loss of consciousness. Neurosurgery consulted but no neurosurgical intervention needed. Patient improved & discharged home 2/24/21.

Other Meds: AEDs

Current Illness:

ID: 1055129
Sex: F
Age: 46
State: AZ

Vax Date: 02/14/2021
Onset Date: 02/23/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: None

Allergies: Premarin

Symptoms: 9 days after vaccination, arm became slightly itchy, red about 2? diameter, knot-like to touch

Other Meds: Armour thyroid, levothyroxine, multivitamin, divigel, flaxseed oil, vitamin D/EPA/DHA, estarylla, calcium, melatonin

Current Illness: None

ID: 1055130
Sex: M
Age: 54
State: NC

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

Lab Data: None

Allergies: None

Symptoms: Covid-19 like symptoms for 28 hours after injection. Chills, headache, muscle ache, fever of 101.7. I had COVID in October and this was as bad as the worst day when I was positive.

Other Meds: Benazepril

Current Illness: None

ID: 1055131
Sex: F
Age: 61
State: IN

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

Lab Data:

Allergies: none known

Symptoms: numb face and tongue feeling different. no treatment yet. taking Benedryl.

Other Meds: vitamin D, multi vitamin, lispinidril,lipitor

Current Illness: none

ID: 1055132
Sex: F
Age: 52
State: GA

Vax Date: 02/20/2021
Onset Date: 02/23/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: None yet. My doctor said she is going to order an ultrasound if I still have this in a week from now.

Allergies:

Symptoms: I have a 3 inch in diameter mass of swollen lymph nodes under my left arm (had both shots in left arm). I read online that this is a sign of my body fighting the vaccine and it is a good sign. I went to my doctor just to have it checked out and because both of my eyes look like I have pink eye. My doctor isn't sure if my eyes have anything to do with the vaccine but said probably not. She said that I needed to report my mass as it is not one of the most common side effects. I also went to the health department, where I had both shots, and had them look at the mass. They said the same thing about my body fighting the vaccine. My doctor and the health department said that while they have seen the swollen lymph nodes from the shot, they haven't seen such a large mass like mine. Both of them said I needed to report this.

Other Meds: Amitriptyline Metoporol Soma Tramadol Gabapentin

Current Illness:

ID: 1055133
Sex: F
Age: 67
State: OH

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

Lab Data:

Allergies:

Symptoms: S/P Covid Vaccine 1st dose, pt alert/oriented, calm, answering Covid questions appropriately. Prior to vaccine. pt reports she doesn't really like vaccines. Vaccine administered at approx 2:34 pm. Pt reports she doesn't feel well, reports she did not eat or drink today. This nurse gave her water to drink. Pt unable to drink, briefly passed out in chair approx 2:36pm. Myself and RN lowered pt from chair to floor. Site Director called EMS. RN assisted by raising pt's legs above heart level. RN checked b/p 70 palp, pts airway maintained, rechecked b/p 80 palp. As pt returned to consciousness reports she is about to vomit, assisted pt to (R) side >vomited small amount clear liquid x2 into bag provided, pt reports she feels better. EMS arrived, transported pt to ED via stretcher @ 2/40 pm, pt's coat, eye glasses, and purse placed on stretcher with pt. Phamacist contacted pt's husband at 2:40 pm. Site Director notified.

Other Meds:

Current Illness:

ID: 1055134
Sex: F
Age: 29
State: NY

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: Seafood, almonds, cantaloupe

Symptoms: Effects started 2/10/21. Very sore arm (pain level 8/10). Inability to use my left arm for two days. Used ibuprofen 600mg every 6 hours for 2 days. On 2/11/21, felt chills, fatigue, malaise, body aches. On 2/12/21, symptoms subsided except slightly sore arm. Arm became itchy and developed 3 large red lumps on my shoulder/upper arm (only one lump was at the injection site. Other lumps were distal). Benadryl used for itchiness. Lumps subsided by 2/13/21 in the evening with slight skin discoloration. As of today, 2/25/21, experienced stabbing pain through my upper arm that lasts seconds and subsided. Occurs 2-3 times a day

Other Meds: Zyrtec, spironolactone, turmeric, allicin

Current Illness:

ID: 1055135
Sex: M
Age: 72
State: MD

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

Lab Data: none

Allergies: none listed

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

Other Meds: unknown

Current Illness: none at the time of vaccination

ID: 1055136
Sex: F
Age: 73
State: OK

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

Lab Data: no

Allergies: No drug allergies Seasonal allergies

Symptoms: Approx 5 hours following Pfizer injection her heart beat was rapid and the right half of her tongue was swollen and red. No other symptoms, resolved without treatment 3 hours later. She notified her physician who recommended not taking the 2nd dose.

Other Meds: Metoprolol 50 mg daily Radeprazole Sodium 20 mg daily MPThyroid 90 mg daily Imdur 30 mg daily Ranexa 500 mg twice a day Nac 600 mg daily, Alpha lipoic acid (ALA)600 mg daily, D3 125 mg daily, CoQ10 100 mg daily, Vit B complex daily, Trace M

Current Illness: No illnesses

ID: 1055137
Sex: M
Age: 93
State: NC

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

Lab Data: +COVID test

Allergies:

Symptoms: Pt admitted w/ severe COVID diagnosis on 2/20/2021.

Other Meds:

Current Illness:

ID: 1055138
Sex: F
Age: 52
State: FL

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

Lab Data: None

Allergies: Latex, Egg Whites, Codine

Symptoms: Following morning after vaccine: Adverse events started at 6:00 AM -Fainting? 3 times. Hit my head on the tile. Fainting occurred until 12 Noon. -Excessive Sweating-6-noon. Clothing was drenched -Diarrhea-Morning -7:00 AM -Vomiting-7:00 AM -Headache-All Day -Pain at injection site-All Day

Other Meds: Tylenol, Zyrtec D, Fluoxetine 10mg, VItamin D 2500 mg

Current Illness: None

ID: 1055139
Sex: F
Age: 71
State: CA

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

Lab Data: None. Using cortisone cream to relieve symptoms.

Allergies: Sulfa

Symptoms: Swelling, redness, and soreness at injection site for 3-4 days before subsiding. Woke up on the morning of the 9th day with major itching and redness. Using a cortisone cream for relief, yet symptoms are still apparent.

Other Meds: blood pressure, thyroid, Xyzal, Ibuprofin, Nasacort

Current Illness:

ID: 1055140
Sex: M
Age: 80
State: AL

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

Lab Data:

Allergies:

Symptoms: No adverse events at this time - Patient was given 0.6mL of vaccine instead of 0.3mL

Other Meds:

Current Illness:

ID: 1055141
Sex: F
Age: 37
State: WI

Vax Date: 01/28/2021
Onset Date: 01/30/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: antibiotics

Symptoms: itching, hives, welting x 1 week

Other Meds:

Current Illness:

ID: 1055142
Sex: F
Age: 77
State: MO

Vax Date: 02/12/2021
Onset Date: 02/14/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: none known

Allergies: none known

Symptoms: Patient had swollen injection arm, red rash and chills for 7 days following administration. Also had pain in calves and ankles

Other Meds: none known

Current Illness: none known

ID: 1055143
Sex: F
Age: 67
State: IA

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

Lab Data:

Allergies:

Symptoms: Moderna was given as First Dose on 12/23/2020 Pfizer was given as Second Dose on 01/15/2021

Other Meds:

Current Illness:

ID: 1055144
Sex: M
Age: 18
State: MO

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

Lab Data: 2/23/2021 - UA, CHEST XRAY, BLOOD WORK, AND EKG. ALL OF THESE RESULTS CAME BACK NORMAL PER PATIENT

Allergies: NONE

Symptoms: WITHIN 5 MINUTES OF VACCINE PATIENT FELT FAINT, LIKE HIS HEAD WAS SPINNING. BP WAS 80/40. PULSE WAS 42. BLOOD SUGAR WAS 125. VERY PALE, LIPS WERE PALE/BLUISH IN COLOR. HAD A DECREASED LEVEL OF CONSCIOUSNESS. SPO2 WAS 88%, OXYGEN WAS PLACED ON HIM. HE WAS TRANSPORTED TO HOSPITAL VIA EMS

Other Meds: FULFAMAF/TRIMETHOPRIM triamcinolone CREAM

Current Illness: NONE

ID: 1055145
Sex: F
Age: 75
State: CA

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

Lab Data: CT Abdomen and pelvis. No results related to adverse event.

Allergies: Penicillin.

Symptoms: Moderna COVID?19 Vaccine EUA Extreme difficulty breathing. Started earlier in the day. Hospitalized within 3 hours of onset. Breathing difficulties relieved somewhat prior to hospitalization by administration of two puffs of ProAir HFA. Experienced extreme abdominal pain. Hospital administered Albuterol, contact hospital for dose.

Other Meds: 200mg Trazadone

Current Illness:

ID: 1055146
Sex: F
Age: 16
State: CO

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

Lab Data:

Allergies: None

Symptoms: No adverse even occurred. Reporting because patient was too young for Moderna vaccine

Other Meds: Albuterol

Current Illness: None

ID: 1055147
Sex: M
Age: 80
State: FL

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: None

Allergies: None known

Symptoms: The day after the shot, my husband fell asleep on the couch for several hours. He was freezing and had a fever of 100.5 taken orally (under tongue). I gave him Tylenol and water He perked up that evening. People say the second dose is worse and I am concerned about him having a worse reaction. He was in the hospital with COVID 19 last August and September and was very ill. He came home in a wheel chair and oxygen 24/7. He is walking with a cane now and only uses oxygen at night. I am wondering what you think about him getting the second dose of Moderna. .?.? Please let me know what your expert opinion is. Thank you very much.

Other Meds: Clopidogrel 75 mg Furosemide 40 mg Warfarin 5mg Atorvastatin 10mg

Current Illness: None Had COVID 19 in August. Was hospitalized for 7 weeks.

ID: 1055148
Sex: M
Age: 73
State: LA

Vax Date: 02/09/2021
Onset Date: 02/11/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient reports having had a rash develop two days after the injection, self-treated with benadryl as directed by urgent care. Patient states a sore formed in his mouth the next day after the rash had started.

Other Meds:

Current Illness:

Date Died: 02/22/2021

ID: 1055149
Sex: M
Age: 95
State: MI

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: none

Allergies: ace inhibitors, codeine, lysynopril

Symptoms: This is a hospice patient under the care of Hospice at an affiliated nursing home. Pt received the vaccination around noon on 2-16-21 by a representative from Pharmacy. The following afternoon 2-17-21 at 14:45 the pt started to experience severe SOB resp rate 36, audible wheezing and use of respiratory accessory muscles. BP180/80, 113 pulse temp 98. Pt was given morphine and ativan. The respiratory distress was eased however pt never returned to baseline and died 2-22-21 around 4am.

Other Meds: Amlodipine, lasix, toprol XL, PRN: lorazipam and morphine

Current Illness: MEDICAL HISTORY; CHF (EF=20%), CAD, AAA (NO REPAIR) 5.3CM, ANEMIA (HISTORY TRANSFUSIONS ARANESP/PROCRIT), CKD STAGE 5 (BUN=110/CREATININE=6.09), HTN, ISCHEMIC CARDIOMYOPATHY, GLAUCOMA, HOH, COVID-19 PNEUMONIA 11-27-2020 THROUGH 12-12-2020, SEVERE NONRHEUMATIC MITRAL VALVE REGURGITATION, NSTEMI 03-27-2019, CAROTID ARTERY STENOSIS, CABG 2009, CARDIAC STENT PLACEMENT, FORMER SMOKER.

ID: 1055150
Sex: F
Age: 75
State:

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

Lab Data:

Allergies:

Symptoms: Client stated she had a wave of lightheadedness. No other complaints. Evaluated by EMS. BP146/82. 2:34 pm client states symptoms resolved, kept for additional monitoring. 2:54 client stood and became lightheaded. Evaluated by EMS. BP 151/78, repeat 147/85, HR-82, O2-99% on room air. 2:59pm client took Xanax 0.25 mg po pres ribed by her PCP. 3:14pm. Sx resolved. 3:20pm discharged home.

Other Meds:

Current Illness:

ID: 1055151
Sex: F
Age: 79
State: FL

Vax Date: 02/20/2021
Onset Date: 02/22/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: injection site soreness, tired, chills, nausea, headache

Other Meds: raloxifene 60mg, omeprazole 20mg, acyclovir 200mg, atenolol 25mg, simvastatin 40mg, famotidine 20mg, multi vitamin, calcium citrate with vitamin d

Current Illness: n/a

ID: 1055152
Sex: M
Age: 68
State: CA

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

Lab Data:

Allergies: erythromycin

Symptoms: Intense pain in upper left arm 15 hour after injection

Other Meds: alvesco, zyrtec, vit B12, vit D3, rosuvastatin

Current Illness: none

ID: 1055153
Sex: M
Age: 79
State: IL

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

Lab Data: EKG, CBC, BMP, troponin , Hemoglobin A1C, ABG, urinalysis, CT brain, Xray chest, D-dimer - all done 2/24/20

Allergies: Bee venom Sulfamethoxazole w/trimethoprim

Symptoms: Pt received COVID injection at doctors office. Approximately 1 hour later while sitting in recliner, wife noticed patient pale and unarousable. Paramedics were called and found patient with agonal respirations in asystole. Pt was intubated, received epinephrine, amiodarone and atropine per ALS care. Pt wife stated patient complained of dizziness and headache, but no chest pain or shortness of breath. Pt transported to ER. Following testing and treatment in ER, pt transferred to ICU.

Other Meds:

Current Illness:

ID: 1055154
Sex: F
Age: 23
State:

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: On 1/29/21 claims she got her menstrual cycle 2 weeks earlier than usual cycle. Total of 4 days of menstrual bleeding.

Other Meds:

Current Illness:

ID: 1055155
Sex: F
Age: 62
State: WI

Vax Date: 02/19/2021
Onset Date: 02/21/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: N/A

Allergies: Marigolds

Symptoms: Pain in left back/rib cage radiating to front of chest. No blistering rash yet. Patient also reports itching and burning sensations in affected area. Patient went to urgent care (2/25/21) and was diagnosed with shingles. Patient was prescribed valtrex.

Other Meds: Glipizide Trazodone Citalopram Zetia

Current Illness: N/A

ID: 1055156
Sex: F
Age: 55
State: ME

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

Lab Data: 2/24/2021 - CMP, CBC, RF, CRP, CCP, CK - normal ESR - 57, ANA 1:160

Allergies: NKDA

Symptoms: same day of injection - large area of swelling 6 cm, vomiting, high fever, chills, hallucinations, severe joint pain , fatigue, discoloration and pain in hands.

Other Meds: aspirin and multi-vitamin

Current Illness: none

ID: 1055157
Sex: F
Age: 49
State: WV

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 02/25/2021
Hospital:

Lab Data: Blood panel; all negative. Stress test; EGD; Echocardiogram.

Allergies: N/A

Symptoms: 12/22 vaccination 4pm. 4:05 PM, my HR went way up. I broke out on neck, chest, face; fire engine red. Felt like burning from the inside, out. Lightheaded and dizzy. Got puffy. Was NOT anaphylactic. 2 Benadryl. I didn't feel good for a couple weeks. 14-20 days, same experience with redness/burning. I took pictures. That happened every day for 4-5 more days. I went to doctor after doctor; ER after ER. About 6-7 times I have been to the ER; SOB, dizzy all the time, panic attack/anxiety, Stomach is not emptying correctly (NOT diabetic), eye keeps twitching, hurting behind my eyes, all my muscles are shrunken now. Blood panel, stress test; gastroparesis; positive; ringing in my ears; SOB; *COVID; negative.

Other Meds: Thyroid meds, Lip injections 10/2020

Current Illness: N/A

ID: 1055158
Sex: F
Age: 41
State: HI

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

Lab Data:

Allergies: None

Symptoms: Fever, chills, muscle aches, fatigue, soreness and lump at injection site.

Other Meds: None

Current Illness: None

ID: 1055159
Sex: F
Age: 79
State: AL

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

Lab Data:

Allergies:

Symptoms: No adverse event at this time - patient was given 0.6ml of vaccine instead of the indicated 0.3ml

Other Meds:

Current Illness:

ID: 1055160
Sex: F
Age: 79
State: AR

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

Lab Data:

Allergies: no

Symptoms: Pt felt "off" some minutes after receiving vaccine. reported to staff and fainted upon standing. eased her to floor and elevated legs. regained consciousness immediately. called 911. heart rate low blood pressure normal. clammy before faint quickly regained color. EMS took over and transported pt to hospital

Other Meds: unknown

Current Illness: unknown

ID: 1055161
Sex: F
Age: 71
State: FL

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: none yet

Allergies: none

Symptoms: I have NEVER had headaches, and since my first vaccine shot I have a headache EVERYDAY, along with pain in my upper back near kidney area on my left side. I have also had my second shot 02/19/2121.

Other Meds: none before the vaccination

Current Illness: none

ID: 1055162
Sex: F
Age: 71
State: NV

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

Lab Data:

Allergies: preservatives in food; in neosporin

Symptoms: Within 20 minutes of receiving vaccine ear began ringing loudly. This has not abated since injection.

Other Meds: Synthroid 137 mcg daily Amlodipine 2.5 mg daily

Current Illness: none

ID: 1055163
Sex: F
Age: 60
State: TN

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

Lab Data:

Allergies:

Symptoms: 1010 pt c/o eyes draining clear fluid, generalized tingling, redness Dr notified and assessed order received to administer po benadryl 25 mg po 1030 symptoms resolving continued to monitor for additional 30 min. 1100 pt stable and symptoms resolved left premises this time.

Other Meds:

Current Illness:

ID: 1055164
Sex: M
Age: 74
State: IN

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

Lab Data: blood work which was normal but deficient in vitamin D and calcium

Allergies: no

Symptoms: Modera vaccine and 4-5 hours later noticed I had a hard time focusing with brain fog, headaches, fever, pain and stiffness in neck.

Other Meds: Aleve

Current Illness: no

ID: 1055165
Sex: F
Age: 39
State: TX

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

Lab Data:

Allergies: PCN, Ampicillin

Symptoms: Enlarged lymph nodes, unspecified (R59.9) Suspected reactive lymphadenopathy due to recent Covid-19 vaccine. Rest, no increased activity. Warm compresses and analgesics for pain. Avoid strenuous activity for next 1-2 weeks depending on symptoms. Monitor, symptoms should improve or resolve in 1-2 weeks. Take Tylenol as needed for pain management. RTC in 2 weeks or sooner if needed.

Other Meds: unknown

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm