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: 1055569
Sex: F
Age: 76
State: CT

Vax Date: 02/15/2021
Onset Date: 02/23/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: None

Allergies: none

Symptoms: Initially, itching at injection site. Five hours later, swelling at injection site with itching spreading down arm to above elbow. Difficulty sleeping. Next day, lethargic with other symptoms continuing. Next day, swelling decreasing but itching continuing. Noticed a small cyst in upper arm the size of a small pea. Energy has returned.

Other Meds: vitamin D3

Current Illness: none

ID: 1055570
Sex: F
Age: 63
State: PA

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: no

Allergies: Penicillin; Avelox

Symptoms: I woke up at 2:00 in am on 12th with chills and sore left arm. When I got up at about 09:00 am on 12th, I had a temp of 100.7. Still had the sore arm. The temperature ranged from 100 to 100.7 for the next couple of days - so on 14th it was done. I had fatigue too and that lasted until about the 14th. My sore arm lasted until the 17th or 18th. I called my Dr and he thought it was due to vaccination. I had had the COVID virus back in November 2020.

Other Meds: Probiotic; Vit D3; Vit B12; Calcium

Current Illness: no

ID: 1055571
Sex: M
Age: 41
State: IL

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

Lab Data:

Allergies: sulfa

Symptoms: 95.4 body temp, grogginess, confusion, fatigue, headaches, confusion, irritation, lack of appetite, lethargic

Other Meds: n/a

Current Illness: n/a

ID: 1055572
Sex: F
Age: 69
State: NM

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

Lab Data:

Allergies: Tea tree oil Previous allergy to shellfish ( 20 + years ago)- crab, shrimp, lobster

Symptoms: My heart began racing about 3 minutes after receiving the shot. It lasted about 10 minutes. I was slightly light headed for a minute or 2.,I felt fine after about 20 minutes.

Other Meds: Xarelto 20 mg./day, Atenolol 12.5 mg./day, Pantoprazole 40mg./day. Daily Supplements- Nature Made Multi Complete vitamins, Vitamin D3( 1000 mg.), Iron 65mg. Biotin 10,000mcg, Magnesium 250 mg.

Current Illness:

ID: 1055573
Sex: F
Age: 35
State: SC

Vax Date: 02/04/2021
Onset Date: 02/19/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: EKG, blood work (awaiting results)

Allergies: NKA

Symptoms: Stabbing chest pain, right side. Prolonged elevated blood pressure

Other Meds: Losartan 100mg HCTZ 12.5mg Amethyst birth control One A Day women's multivitamin

Current Illness: None

ID: 1055574
Sex: F
Age: 69
State: GA

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

Lab Data:

Allergies: allergic to codeine (itching) and demerol (agitation, anxiety)

Symptoms: After receiving the first dose on Thursday afternoon, I noticed an itchy area on my chest Sunday afternoon, but didn't pay attention to it. On Monday morning, the spot was larger and tingly. By Tuesday there were blisters so I called the dermatologist and saw them on Wednesday. I was given a prescription for Valacyclovir 1 gm tab to take for 7 days and Triamcinolone 0.1% OIN to use on the spot. It went away in a few days though the spot is still discolored. There are no other lasting effects.

Other Meds: Atenolol 50mg 1x daily Amitriptyline 10mg 1x daily Vitamin D2 1250mcg 1x weekly Nexium 20mg 1x daily Aspirin 80mg 1x daily Omega 3 1200mg 1x daily

Current Illness: None

ID: 1055575
Sex: M
Age: 55
State: TX

Vax Date: 02/12/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Classic example of 'Covid Arm' with rash appearing 12 days after receiving shot.

Other Meds: Tamsulosin .4mg Levetiracetam 500mg (x2) Ipratropium .06 nasal spray Vitamin D3 - 5000iu Chelated Zinc

Current Illness: None

ID: 1055576
Sex: M
Age: 36
State: RI

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

Lab Data:

Allergies:

Symptoms: Strong headache first to develop followed quickly ny full body and muscle aches. Shortly thereafter a rapidly rising fever accompanied by mild nausea and severe bout of chills. Loss of appetite, brain fog, poor concentration. Fever lasted from 9pm rapidly increasing to a highest measured temp (oral) of 102.9F for approximately 12 to 14 hours before gradually decreasing to under 100 roughly 36 hours after onset. Tylenol did help slightly to control fever but did not seem to lower it. Did nothing to reduce body aches. Significant fatigue and soreness lasted approximately 3 days after dosage.

Other Meds: Prozac, lipitor, citracel

Current Illness:

ID: 1055577
Sex: F
Age: 64
State: CA

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

Lab Data: None

Allergies: Gluten Wheat, Beans, Lobster, squid, eggs, turkey, mushrooms, spinach, kale, oranges, lemons Adhesives

Symptoms: migrane chills, fever fatigue tingling /numbness in fingers of both hands

Other Meds: Gleevec (400 mg) Plaquenil (200mg) Budesonide (3 mg) Multivitamin Calcium Fiber Probiotic Turmeric Glucosamine Chondroitin Glutathione Glutamine Zinc Vitamin C Fish oil Magnesium NAC Saccharomyces Boulardi Prelief Red Yeast Rice Adrenall Fo

Current Illness: Cancer (peritoneal mesothelioma)

ID: 1055578
Sex: M
Age: 18
State: AZ

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

Lab Data: Non

Allergies: None

Symptoms: - 3 hours after vaccination: Tensing occurred around the injection site. Pain can be described as fatigue, making it painful to move the muscles around the area of injection. The symptom lasted for two days. - 0215 the next day (1/26/2021): Headache occurred and lasted for approximately 36 hours.

Other Meds: None

Current Illness: COVID-19 Positive

ID: 1055579
Sex: F
Age: 41
State: AK

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

Lab Data: 1/6/21 Exam completed per PA

Allergies: Ancef

Symptoms: At the site of injection, about 1 week after vaccination, at the injection site arm started to turn red. Arm began swelling, being red, and was painful especially with any movement.

Other Meds: Asthmanex Montelukast Albuterol Vitamin D Magnesium Glutathione

Current Illness: none

ID: 1055580
Sex: F
Age: 82
State: NY

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

Lab Data:

Allergies: unknown

Symptoms: About 4 hours after receiving the first dose of the Moderna COVID-19 Vaccine, patient felt headache, itchy face/neck, right side ear ache. Headache persisted into the next day. Took Tylenol which mildly relieved symptoms of headache and ear ache.

Other Meds: unknown

Current Illness: unknown

ID: 1055581
Sex: M
Age: 64
State: NY

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

Lab Data: NA

Allergies: NA

Symptoms: Flu like symtoms, body aches , joint pain. sleepy, chills, slight headache, enough to keep in bed all day

Other Meds: Lozartan / 100mg / Bisoprolol 025.mg / Atrovastating 40mg / Zoloft 100mg / Bentyl 100mg/ Flucticasone0.05% / Omeprazole 20mg. Vitamins C, D3, Fish oil

Current Illness: Highpertension

ID: 1055582
Sex: F
Age: 33
State: MN

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

Lab Data: No medical texts were completed at a clinic or hospital, however my Dexcom six blood glucose sensor had showed me that my blood sugar stayed the same, and the insulin had no effect. The insulin did not bring my blood sugar down like it should have.

Allergies: None

Symptoms: I am a type one diabetic and if I do a shot of NovoLog insulin in my left arm (the same arm I got my vaccine in), my body acts as if I took no insulin. If I take a shot of NovoLog insulin in my right arm, legs, stomach, or buttocks, the insulin works like normal. This same thing happened when I got my 1st dose of the Moderna Vaccine. I did not realize this effect was happening right after I got the first dose of the vaccine, but when I look back at my diabetes blood sugar & insulin record, I clearly see the same effect. Since I didn?t realize it, I took a shot of Novolog insulin in the same arm I got my 1st dose of vaccine once, an hour after I got the vaccine & it didn?t work. Then I took a dose of Novolog insulin in the same arm as the vaccine 12 hours later and the insulin worked about half as well as it usually does. The next day when I took a shot of Novolog insulin in the left arm, it worked like usual & it has worked like usual in that arm ever since, until I took a shot of Novolog insulin in the same arm that I got my 2nd dose of vaccine in, about 3 hours after the vaccine was administered.

Other Meds: Novolog insulin

Current Illness: None

ID: 1055583
Sex: F
Age: 66
State: TX

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

Lab Data: Three days after the vaccine the patient was in the hospital for a cardia work-up. At that time they discovered history of a stroke or mild heart attack. Her cardiac medication was changed and she was released. The medical professionals at the hospital told her they did not believe the vaccine had anything to do with her cardiac symptoms, but she reported to the pharmacy so we chose to report.

Allergies:

Symptoms: The patient had a low grade fever and discomfort in the vaccinated arm the evening of the vaccine. She knew this was to be expected but as the next few days progressed she continued to have pain her arm and chest. After three days she went to the hospital for evaluation.

Other Meds:

Current Illness:

ID: 1055584
Sex: F
Age: 44
State: AK

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

Lab Data: NA - spoke with doctor's office on 2/24/21

Allergies: PCN, Doxycycline, tomatoes, shellfish, soy

Symptoms: ~4 hrs after: muscle spasms in back and sciatca running down R leg. ~6 hrs after: generalized body aches, extreme soreness in L arm, chills. From ~ 9pm 2/19/21 to evening of 2/20/21 - extreme body pain (9 out of 10 on scale), aches, fever, stiffness, woozy, weak, barely able to move/walk, upset stomach and diarrhea. 2/21/21 - body aches and pain decreased from level 9 to level 6/7. Very weak - legs get wobbly if stand for more than a few minutes, feel "spent" as though had just done a long bike ride, low level headache. 2/22 - current (2/25) still very tired, run down and weak. Body aches and stiffness, particularly in the legs and arms. It feels as though the reaction the vax sparked a "fibromyalgia flare".

Other Meds: Levothyroxine, Cymbalta, Lipitor, Allegra XR, CoQ10, Vit D

Current Illness: none

ID: 1055585
Sex: F
Age: 87
State: WA

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: ekg, revised BP med, and order several labs and referral to cardiology for bradycardia scheduled for 03/02.

Allergies: NKA

Symptoms: Patient received vaccine in public vaccine clinic, was recovered for 15 minutes and drove self home. Upon walking into her apartment, began feeling extremely tired, dizzy and weak, then developed GI symptoms. Was seen by her pcp on 02/19. It was noted that she was newly bradycardic, 40 bpm.

Other Meds: Methotrexate 2.5 mg 2 tabs one time per week (taken 01/31) Zoloft 100mg daily Lipitor 40 mg daily Aldactone 50 mg bid (after vaccine event, changed from daily to bid) Bio-freeze roll on OTC Synthroid 50mcg daily Calcium Vit D Prilosec 20

Current Illness: Feeling well at the time of the vaccination

ID: 1055586
Sex: M
Age: 32
State: KY

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

Lab Data:

Allergies: None that I know of

Symptoms: Intense itchiness from thighs to neck leaving behind swollen red lines when scratched. Dermatographia? Applied aloe vera and took Benadryl, which seemed to help Itchiness first started about 4 - 5 hours after shot, and has thus far continued ~28 hours later

Other Meds: Men's multivitamin

Current Illness: None

ID: 1055587
Sex: F
Age: 79
State: NY

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

Lab Data:

Allergies:

Symptoms: Itchy red and warm arm where she got the shot. Symptoms lasting for a week

Other Meds:

Current Illness:

Date Died: 02/18/2021

ID: 1055588
Sex: F
Age: 83
State: WA

Vax Date: 02/05/2021
Onset Date: 02/15/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt tested positive for COVID-19 on 2/10/2021 and was hospitalized on 2/15/2021 and deceased on 2/18/2021 at the hospital of admission, per caregiver.

Other Meds:

Current Illness:

ID: 1055589
Sex: F
Age: 79
State: NC

Vax Date: 11/06/2020
Onset Date: 11/07/2020
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient called pharmacy complaining of severe soreness shortly ( i believe the next day ) after receiving the immunization. I did not speak with her but am basing this on the patient's history. She still has pain and difficulty moving the arm. She has been seen by her physician and is now being referred to a specialist.

Other Meds:

Current Illness:

ID: 1055590
Sex: F
Age: 63
State: PA

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

Lab Data: no

Allergies: Penicillin; Avelox

Symptoms: I had severe chills that started around 10:00 PM that night and continued until 1:00 in the morning. I slept 14 hours that night - I did sleep. Got up at 2:00 in afternoon. That fever when I woke up was 100.5. That fever lasted most of that day 2/9/2021. My temperature went anywhere from 99.7 to 100.5 and I had a fever until 11th of February. I also had muscle aches like the flu. I had fatigue, too. I had the sore arm, too, and that lasted until about the 13th or so. No dr. appt. I still have a little fatigue lingering - still need to take a nap sometimes which is unusual for me.

Other Meds: Probiotic; Vit D3; Vit B12; Calcium

Current Illness: Adverse symptoms of 1st vaccine of Moderna COVID 19

ID: 1055591
Sex: F
Age: 54
State: HI

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

Lab Data: none

Allergies: shellfish, chocolates, pollen, dust

Symptoms: I noticed a slight swelling of my palms near the wrists on the following morning of my first dose of the Covid vaccine. I took a dose of pseudoephedrine and the swelling went down. Other reactions were tiredness and injection site pain.

Other Meds: rosuvastatin, levothyroxin, Xolair

Current Illness: none

ID: 1055592
Sex: F
Age: 61
State: NJ

Vax Date: 02/22/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: Had no testing done related to side effects yet am planning to see my doctor in next couple of days

Allergies: None

Symptoms: Day 1 and 2 after vaccine was fever, headach, fatigue, nausea, body aches, weakness, unable to eat or drink much. Day 3 after vaccine was red, flat rash down arms and legs, some fatigue, headache.

Other Meds: Atorstatin

Current Illness: None

ID: 1055593
Sex: F
Age: 37
State: CT

Vax Date: 02/17/2021
Onset Date: 02/22/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: None.

Allergies: None

Symptoms: 4 days after injection soreness developed in my left armpit and soreness in left and right side of neck - where lymph nodes are. 5 days after soreness in lymph nodes in neck were gone. Tender and soreness in armpit continued. 6 days after noticed for the first time redness and skin slightly raised at injection site. No itching or burning which is why I didn't notice until I saw my arm in the mirror. Soreness and tenderness still in armpit. My conclusion is that my lymph nodes are swollen and tender. There is no additional pain or discomfort. Treatment - Massaging lymph nodes with hopes to helping them drain.

Other Meds: Vitamin E, Iron, D3, Fish Oil, Collagen, IUD

Current Illness: None

ID: 1055594
Sex: F
Age: 65
State: OH

Vax Date: 02/15/2021
Onset Date: 02/22/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: Codeine ,morphine , sulfa , dye in mris, get sick on anethesia

Symptoms: Big red swollen area around injection like a allergic reaction to spider bit. Throbs hot and sore and swollen and is getting bigger ea day

Other Meds: No

Current Illness: Minerezer , arthritis

ID: 1055595
Sex: F
Age: 47
State: OR

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

Lab Data:

Allergies:

Symptoms: After 10 minutes of observation time, the patient developed difficulty breathing and swelling of the neck and tongue. 50 mg of Diphenhydramine was given by mouth. There was no change after 30 minutes post-Diphenhydramine. Online medical control was contacted. Dr. suggested the patient be transported to the hospital via ambulance.

Other Meds:

Current Illness:

ID: 1055596
Sex: F
Age: 66
State: WA

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

Lab Data: None. Ive been in bed.

Allergies: None known

Symptoms: I've been sicker than a dog. Extreme shaking due to being so cold due to high fever. Nausea. Hurt all over.

Other Meds: Hormone replacement, thyroid, LDN, muti vitamin, lysine

Current Illness: None

ID: 1055597
Sex: M
Age: 71
State: NJ

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

Lab Data:

Allergies: Severe allergy to Lamictal.

Symptoms: Pulse elevated by 25-30 bpm for five days.

Other Meds: Propanolol, Avapro, Metformin,sertraline, lipitor.

Current Illness:

ID: 1055598
Sex: F
Age: 73
State: CA

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

Lab Data: CXR on 2/23 showing "Mild interstitial markings could be CHF vs atypical viral pneumonia such as COVID-19" CXR on 2/25 showed "Worsening interstitial edema." BNP on admission: 367

Allergies: lisinopril allergy

Symptoms: Patient received Moderna Vaccine on 2/20/21 at pharmacy. She has a history of atrial fibrilation and diastolic heart failure. On 2/23/21 she presented to ED with symptoms of SOB, hypoxia and cough with findings of fluid overload likely due to exacerbation of diastolic heart failure. Also reports of tongue swelling per ED provider (was not witnessed by me) for which she received IM epinepherine, solumedrol, and decadron. She is currently receiving IV diuresis with improvement of high flow nasal canula requirements

Other Meds: amiodarone 200mg BID amlodipine 5mg daily eliquis 5mg BID lipitor 20mg daily glimepiride metformin metoprolol pantoprazole

Current Illness:

ID: 1055599
Sex: M
Age: 69
State: CA

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

Lab Data: na

Allergies: nka

Symptoms: The incorrect 2nd dose COVID vaccine was administered. Pt. received first dose Moderna. Pt booked for second dose 28 days later. LVN did not validate 1st dose vaccine per protocol. LVN administered incorrect 2nd dose Pfizer.

Other Meds: reglan, meloxicam, lipitor, hctz, proscar, lisinopril, lopressor, metformin

Current Illness: GI issues

ID: 1055600
Sex: F
Age: 76
State: IL

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

Lab Data: None

Allergies: Latex, bananas, almonds, cooked tomatoes, avocados, potatoes, certain apples, perfumes, molds, dust, cats, dogs, bird dust, goldenrod & other pollinating plants.

Symptoms: 2/23/2021, 6:30 PM facial flushing, 10:30 PM diminished. 2/24/2021, 3 am awakened from restful sleep, sinus congestion progressed to bronchial congestion to chest tightness to difficulty breathing, throat tightening sensation, tongue tingling progressed to thickened sensation, slight difficulty swallowing water. Symptoms occurred over the course of 1.5 hrs. 4:45 am symptoms spontaneously ended. 5:00 am symptoms no longer present, body fatigue, restful sleep.

Other Meds: Latanaprost 1 drop ea eye nightly, Ca citrate + D3 1000 mg:400 iu twice daily, D3 2000 iu daily, AZO bladder control 1 cap twice daily

Current Illness: None

ID: 1055601
Sex: F
Age: 82
State: CT

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

Lab Data: to be done at ER

Allergies:

Symptoms: Patient received vaccine on her left arm and was instructed to stay for 15 minutes per protocol. After 5 minutes, patient complained of left arm numbness that radiated from injection area. patient was brought in to Minute Clinic for evaluation and after period of 10 minutes, complained of left leg numbness. Patient has history of high blood pressure, and high cholesterol. Minute clinic personel consulted with their MD after examination and patient was prefered to ER to rule out stroke. Physician assistant at Minute Clinic verified that shot was in proper placement. Pt was taken to ER by son.

Other Meds:

Current Illness:

ID: 1055602
Sex: F
Age: 19
State: IN

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: Neurology appt scheduled in 13 days. Will see what they recommend. Meanwhile, she is no longer wearing headband or ponytail and is drinking more water as her doctor advices (thinking daily headaches due to dehydration).

Allergies: None

Symptoms: Awoke the next morning with severe headache, fatigue, muscle pain (?felt Like being hit by a truck?). Slept 1.5 days, out of breath walking to bathroom from bed. Treated with sleep and sips of water, soup. However, her mild daily migraine became more severe 2 weeks after the 2nd dose, her vision has worsened, and her eyes spontaneously dilated with pounding headache a few days ago along with nausea. It appears this 2nd dose has made her daily (mild) migraines much more severe.

Other Meds: None

Current Illness: None

ID: 1055603
Sex: M
Age: 57
State: CA

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

Lab Data: n/a

Allergies: n/a

Symptoms: Patient received 0.3ml of undiluted Pfizer vaccine. Nurse then reconstituted same Pfizer vial with 1.8ml of Sodium Chloride and administered a 0.3ml reconstituted dose to patient. Patient was observed in the Observation Area for 30 minutes by EMT and RN with no complications or adverse side effects. Patient exited Observation Area safely and with a steady gait.

Other Meds: n/a

Current Illness: n/a

ID: 1055604
Sex: M
Age: 18
State: AZ

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

Lab Data: None

Allergies: None

Symptoms: - 3 hours after vaccination: Tensing occurred around the injection site. Pain can be described as soreness that makes moving the muscles at and around the injection sight difficult. Pain lasted for 3 days. - 1430 of 2/25/2021: A headache occurred that lasted for approximately 24 hours. The headache got worse at around 1600.

Other Meds: None

Current Illness: None

ID: 1055605
Sex: F
Age: 24
State: CA

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

Lab Data:

Allergies: N/A

Symptoms: Swelling, pain, redness at injection site

Other Meds: Buproprion, lamotrigine, atenolol, methimazole, yaz, vitamin B 12 SL drops, folic acid, probiotics, naturelo daily vitamin

Current Illness: Hyperthyroidism, anemia

ID: 1055606
Sex: F
Age: 80
State: NY

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

Lab Data:

Allergies: doxycycline, aspirin

Symptoms: hypotension, diaphoresis, dyspnea

Other Meds: fluticasone, acetamionophen, plaquenil, levothyroxines, omeprazole, atorvastatin, sulfasalazine, Pulmicort, Spiriva, escitalopram, ventolin

Current Illness:

ID: 1055607
Sex: F
Age: 18
State: IL

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

Lab Data: None

Allergies: None.

Symptoms: 18 year-old G1P0 female who was given the varicella vaccine while being pregnant at 17 weeks and 1 day. Patient's estimated date of delivery is 8/2/2021. Patient did not experience any immediate adverse events. The vaccine was administered as a mistake.

Other Meds: Pre-natal vitamins.

Current Illness: Chlamydia infection Bacterial vaginosis

ID: 1055608
Sex: F
Age: 68
State: AZ

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

Lab Data:

Allergies: Yes

Symptoms: 2.5 inch redness, swelling, itching, painful with a couple of hive looking spots at injection site Also headache, fever, malaise

Other Meds: Vitamin d, calcium

Current Illness:

ID: 1055609
Sex: F
Age: 37
State: VA

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

Lab Data: None

Allergies: Strawberries, latex, milk, eggs, doxycycline, cipro

Symptoms: Fever, chills, rigors, nausea, dizziness, loss of appetite, profuse sweating, joint and muscle pain. Fever and chills started 3 hours post vaccination. The other all started 12 hours after first symptoms. Still having fever today 2 days post vaccination

Other Meds: Zyrtec, breo inhaler, multivitamin, adderall

Current Illness: None

ID: 1055610
Sex: F
Age: 26
State: WA

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

Lab Data:

Allergies: None

Symptoms: I have a fever, chills and body aches, exhaustion and cannot get up off of my couch.

Other Meds: None

Current Illness: None

ID: 1055611
Sex: F
Age: 45
State: AR

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

Lab Data:

Allergies:

Symptoms: Fever, chills, severe body aches, especially the back and buttock area, nausea and vomiting, headache

Other Meds:

Current Illness:

ID: 1055612
Sex: M
Age: 48
State:

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

Lab Data:

Allergies: None

Symptoms: I tested postive for COVID-19 on December 2, 2021. I got my first vaccine shot on January 20, 2021. I didn't feel the shot at all. In fact, it is the gentlest shot I have ever received. Later that night I felt some pain in my left arm, which increased significantly that next day. The pain last for about two days, then almost suddenly went away. The pain then moved between by arm and neck for about 12 hours before going away. There were no other symptoms that I was aware of. No fever, no fatigue, etc. SEE ATTACHED

Other Meds: None

Current Illness: None

Date Died: 02/16/2021

ID: 1055613
Sex: F
Age: 97
State: WA

Vax Date: 02/05/2021
Onset Date: 02/10/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt tested positive for COVID-19 on 2/10/2021 and was deceased on 2/16/2021 per the caregiver.

Other Meds:

Current Illness:

ID: 1055614
Sex: F
Age: 54
State: TX

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

Lab Data: Blood work 2/24/2021, MRI

Allergies: Yes zomig, imitrex, diocicycline, flagyl, CT dye

Symptoms: Blood pressure elevated from norm of 90/60 to 179/100, lethargy, disorientation, low respiratory rate, slurred speech

Other Meds: Estradiol

Current Illness: None

ID: 1055615
Sex: F
Age: 54
State: WI

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

Lab Data:

Allergies:

Symptoms: Reported redness on left arm, cheeks, ears, and small amount on chest at 2:23 pm, reported itchy left arm at 2:31, itching resolved at 2:34, redness decreased by 2:55. Client left clinic with husband at 3:05 and called staff at 4:32 reporting redness had resolved without treatment.

Other Meds:

Current Illness:

ID: 1055616
Sex: F
Age: 71
State: CT

Vax Date: 02/16/2021
Onset Date: 02/23/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Swelling, itching, warmth and redness at site 7 days after shot

Other Meds: Lisinopril, calcium/vit d, glucosamine, fish oil, zzz melatonin, baby aspirin

Current Illness:

ID: 1055617
Sex: F
Age: 38
State: SC

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

Lab Data:

Allergies:

Symptoms: 100.2 fever- 5 hours Body aches- 8 hours Fatigue- 12 hours Painful injection site with large rash- ongoing

Other Meds:

Current Illness:

Date Died: 02/16/2021

ID: 1055618
Sex: F
Age: 80
State: WA

Vax Date: 02/05/2021
Onset Date: 02/16/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt tested positive for COVID-19 on 2/10/2021, and was deceased on 2/16/2021 at.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm