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: 1057228
Sex: F
Age: 26
State: IA

Vax Date: 02/18/2021
Onset Date: 02/25/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Itchy swollen arm at injection site appearing the day after vaccine and lasting for four days. No reaction for a few days and then resurgence of swelling, redness, and itching at injection site one week after vaccination. Ice and hydrocortisone cream are somewhat effective.

Other Meds: Sertraline (100mg), cetirizine (10mg), melatonin (10mg)

Current Illness:

ID: 1057229
Sex: F
Age: 54
State: OH

Vax Date: 02/24/2021
Onset Date: 02/26/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: None

Allergies: PCN

Symptoms: Left arm redness where vaccine was administered. Painful lymph node very swollen into breast tissue and I have a lot of pain in the arm.

Other Meds: Co enzyme Q 10, Statin for high cholesterol

Current Illness: None

ID: 1057231
Sex: F
Age: 39
State: GA

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: My kidneys began bleeding a little less than 24 hours after my second dose of the COVID-19 vaccine. I realized this because I had a large amount of blood in my urine. My particular kidney disease will cause my antibodies to fight my kidneys when I am sick and I will urinate blood. The second shot caused this to happen and I have been urinating blood for over 24 hours. 3 days is typical when I have an occurrence. I haven't had one of these occurrences in over a year or 2.

Other Meds: Cholesterol, blood pressure med and Zyrtec

Current Illness: none

ID: 1057232
Sex: F
Age: 48
State: CO

Vax Date: 01/27/2021
Onset Date: 02/04/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Approximately 7 days after first COVID vaccination patient had raised, red rash, warm to touch and tender at injection site. Lasted a few days. No other symptoms reported. Received her second vaccination 02/26/2021.

Other Meds:

Current Illness:

ID: 1057233
Sex: F
Age: 68
State: IL

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: macrodantun & cipro

Symptoms: I received my 2nd Moderna COVID-19 Vaccine EUA on 2/24/2021. Had only a mild sore arm. When I woke the next morning I was fine with still just a mild sore arm. Then 21 hours after my vaccine I started getting chills and fever 101.9 which I read I could have after the vaccine. The unusual thing that occurred was how cold my hands got, they became so cold they hurt. I had a difficult time warming them up when I checked my oxygen level it was low, 89. I assume because they were so cold. This was very uncomfortable. I have never experienced this freezing hands before, and I have not seen it has a symptom so I wanted to inform someone. I started taking Tylenol with my fever and it broke overnight and I feel fine now.

Other Meds: Lisinopril 20, Metoprolol succ er 25, Multi-Vitamin Alive,

Current Illness: No

ID: 1057234
Sex: F
Age: 73
State: TX

Vax Date: 02/19/2021
Onset Date: 02/25/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: topical iodine

Symptoms: 2/25/2021 a rash surrounding a brighter red spot appeared on left arm. It itches and is still visible today. I also have a sore throat, dry cough, and a stuffy head which all started this morning 2/2/2021. No fever.

Other Meds: glimepiride duloxetine gabapentin atorvastatin allopurinol bumex otezla plavix primidone biotin levothyroxine vit b vit d loww dose aspirin iron

Current Illness: none

ID: 1057235
Sex: F
Age: 67
State: FL

Vax Date: 02/16/2021
Onset Date: 02/23/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: Buckwheat

Symptoms: Large, red, itchy, hard lump surrounding injection site. Started on day 7 after injection. Spreading larger. Using hydrocortisone topical ointment.

Other Meds: Atorvastatin Latanoprost Aspirin CBD oil

Current Illness: None

ID: 1057236
Sex: F
Age: 66
State: PA

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

Lab Data: Patient reported blood sugar reading of 48. She does have a call in to her endocrinologist but is awaiting a call back.

Allergies: Sulfa, Heparin, ACE Inhibitors

Symptoms: A little more than 5 hours after vaccination, patient experienced symptomatic hypoglycemia with a Blood Sugar reading of 48 after eating 1/2 candy bar and drinking gatorade. She took a nap (knowing that what she had just consumed would increase her blood sugar) and woke up feeling better. She ate dinner, and her blood sugar afterwards was elevated at 397. She noted that this drop in blood sugar following the vaccine happened with the first dose as well, though she never reported it (symptomatic hypoglycemia with a blood sugar reading of 46).

Other Meds:

Current Illness:

ID: 1057237
Sex: M
Age: 43
State: TX

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: EKG Chest X-ray CT Scan

Allergies: Almonds

Symptoms: I have a video showing a tonic seizure less than 10 minutes after injection.

Other Meds:

Current Illness:

ID: 1057238
Sex: M
Age: 56
State: CA

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: None known

Symptoms: Episode of syncope approximately 14 hours after receiving the vaccination. Recovered within several minutes without adverse consequences.

Other Meds: Long-term use of red yeast rice (statin alternative), ubiquinol, Vitamins B and D, L-arginine, quercetin, and medical cannabis (indica, for sleep). No change in dosages before or after vaccination.

Current Illness: None

ID: 1057239
Sex: F
Age: 71
State: CO

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Aches, lethargy, exhaustion, dazed feeling, headache Tylenol and rest

Other Meds: Calcium, vitamin D, Macular Shield (Areds 2), Osteo Bio-Flex, Qunol, Simvastatin, baby aspirin, generic fosamax

Current Illness: none

ID: 1057240
Sex: M
Age: 57
State: CA

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: N/A. I am at home

Allergies: nka

Symptoms: Moderate dizziness: room spinning when I rolled over in bed the night of the vaccination (Wednesday), difficulty standing in the morning (Thursday), difficulty walking. Worse this morning. Settles down once I am up. I find I need to move slowly. BP 140/78 this morning.

Other Meds: lotrel, bystolic, zetia, crestor, vit D, muilti vitamin, ibuprofin for back pain

Current Illness: None

ID: 1057241
Sex: M
Age: 75
State: PA

Vax Date: 01/26/2021
Onset Date: 01/26/1921
Rec V Date: 02/26/2021
Hospital:

Lab Data: None

Allergies: Demorol - Lowers Blood Pressure to the point I required 2 NARCAN to be revived.

Symptoms: Migraine Headaches Nausea, Body Aches, chills, Joint pain, These symptoms lasted 2 days. After the 2nd dose I experienced Headaches after an hour, within hours experienced Migraine Headaches, Body aches, Chills, Fever, Several short duration of sever pain behind right eye, some residuals still after 3 days.

Other Meds: Lipitor10mg, Irbesartin (Avapro)300mg, ASA81 mg, Metoprolol Succinate ER (Toprol) 25mg BID, Metformin Hydrochloride 750 mg, Trulicity0.75/0.5ml 1 x weekly. Multivitamins, iron, Vitamin D-3, Vitamin B12 Injection 1x monthly.

Current Illness: none

ID: 1057242
Sex: F
Age: 67
State: NY

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Chills, low-grade fever (99 - 100), headache, body ache, fatigue - lasted for two days, then lifted. One day of feeling fine, then the next day starting getting stomach cramps in waves, then more chills and fatigue, which lasted through that day; by afternoon of the next day I felt fine.

Other Meds: Levothyroxine

Current Illness: None

ID: 1057243
Sex: F
Age: 73
State: IL

Vax Date: 02/17/2021
Onset Date: 02/25/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: Penicillin Codeine Hydrocodone Metoprolol

Symptoms: Moderna Covid-19 vaccine EUA 8 days after the shot I got hives just below the vaccination site. The area is warm to the touch and slightly raised and itchy. Applied cortisone cream and itching stopped. No fever.

Other Meds:

Current Illness:

ID: 1057244
Sex: F
Age: 67
State: PA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: none

Allergies: latex, codiene, dairy

Symptoms: started with chills and body ache, had momentary hearing loss (about 1-2-minutes), fever 101 degrees, headache and neck ache, vomiting, third day rash on left arm at shot site.

Other Meds: livalo, singular, vitamin C, D, Co-Q-10, calcium,

Current Illness: none

ID: 1057246
Sex: F
Age: 68
State: TX

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: None. Did notify My PCP. She is concerned about 2nd vaccine. SHOULD I GET VACCINE #2, ??? Scheduled for March 4. Because of my known allergies, I ALWAYS, carry with me Benadryl, Albuterol Inhaler and Epi-Pen. (Vaccine will be given at hospital setting).

Allergies: Seasonal/Pollen, grasses, etc. and cats = wheezing, runny nose, itchy eyes. Hydrocodone = itching. Tree Nuts = itchy throat. *******Watermelon and avocado = True Anaphylactic Reactions requiring emergency treatment.

Symptoms: 15 mins after injection, head, face, neck and chest turned bright RED. Felt hot. Alerted staff . I took 25mg ODT Benadryl. Observed by staff for 15 mins more. Skin returned to normal color. NO Swelling, No Breathing problems. Went home , no additional problems.(Slightly sore at injection site, expected).

Other Meds: Duloxetine 60mg, Zyrtec 10mg, Nexium 40mg., Montelukast 10 mg, and Centrum vitamins. Albuterol inhaler (PRN).

Current Illness:

ID: 1057247
Sex: F
Age: 51
State: NY

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: no known allergies

Symptoms: Patient was sitting for 10minutes when husband reported she started to slurr speech and inability to communicate Upon entering the room patient has head tilted against wall with arms and legs spread out Patient was responsive, but weak, reporting she felt paralyzed and couldn't open eyes Vitals taken, vitals we're stable Pulse ox-98%, BP-144/90, Pulse 90, glucose-110 After 5 minutes, patient was still weak, unable to open eyes, pupils had no response to light EMS called 1 hour post vaccine, symptoms have improved as per husband ER doctor told patient symptoms should resolve over course of day

Other Meds: n/a

Current Illness: none reported

ID: 1057248
Sex: M
Age: 64
State: NC

Vax Date: 02/19/2021
Onset Date: 02/24/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: Dilation of right eye for examination.

Allergies: Penicillin

Symptoms: Developed shingles around right eye. Symptoms began 4 days post-injection. I had received the Shingrix vaccine x 2 in 2018. I am currently treated by my PCP and ophthalmologist with valacyclovir and gabapentin.

Other Meds: Enalapril; Propranolol; Flomax; Atorvastatin

Current Illness: None

ID: 1057249
Sex: F
Age: 76
State: LA

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: None

Allergies: None known

Symptoms: Received shot at approximately noon and within a few hours, began not feeling well and by that night developed fever 102 with loss of appetite, chills, weakness, unable to stand - her legs developed spasms and jerking. The next day, temp continued to climb up to 102.6 with continued issues with spasms and jerking to lower extremities. Did not seek medical care but did take natural herbs and nutritional supplements to treat. Symptoms have lessened each day but were persistent for 10 days post vaccination. Has a hx of CLL diagnosed in 2008 and WBC runs persistently high.

Other Meds: Olive oil and lemon for muscle spasms. Takes no presriptions

Current Illness:

ID: 1057250
Sex: F
Age: 71
State: IL

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: N/A

Allergies: Monosodium Glutamate Shell Fish

Symptoms: Fifteen minutes after injection... Right side of face was swollen, and top lift was swollen. Took two Benadryl , and it helped within 30 minutes. Couples day after to the present day, left arm has been painful and swelling, continuously.

Other Meds: Irbesartan-Hctz 300, 12.5 MG, Atenolol 25 MG, Amloditine Besylate 10 MG, Atorvastatin 10 MG, Vitamin D3 5000MG, Vitamin C 1000MG, Multi Vitamin, Tylenol Arthritis 650MG, 2/Day, Baby Aspirin 81MG

Current Illness: Osteoarthritis High Blood Pressure High Cholesterol

ID: 1057251
Sex: F
Age: 40
State: IL

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: None

Allergies: Seafoods

Symptoms: I had diarrhea for 2.5 days, pain on injection site, no fever. I just hydrated myself and ate my normal meal.

Other Meds: Tylenol and claritin

Current Illness: None

ID: 1057252
Sex: F
Age: 68
State: CA

Vax Date: 02/20/2021
Onset Date: 02/21/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Fever 102 X 24 hours, Tylenol 500 mg Chilling and shakingX 4 hours x 2 episodes Headache x 24 hours

Other Meds: Metropolol, Atorvastatin, eliquis, taloxifene, Vit D3,

Current Illness: none

ID: 1057253
Sex: F
Age: 80
State: ME

Vax Date: 01/30/2021
Onset Date: 02/01/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: Ultrasound of right arm and right leg on 2/22/21

Allergies: NKA

Symptoms: 2 days after her first shot, woke up with sudden onset, acute edema of her right hand and right arm, not associated with any trauma or injury to that extremity. Her edema has continued since then. One day after her second dose of Pfizer vaccine (lot # EN6201) on 2/20, which she received in her left arm, she developed sudden acute edema in her right foot and leg. She was seen on 2/22 by a nurse practitioner and had ultrasounds of her right arm and right leg. The ultrasounds ruled out DVTs and/or vascular abnormalities. Her physician concluded that her edema is an adverse effect of the Pfizer vaccine.

Other Meds: synthroid, diuretic, antihypertensive, ropinerol, multivitamin, alieve

Current Illness: None

ID: 1057255
Sex: F
Age: 72
State: NC

Vax Date: 02/03/2021
Onset Date: 02/06/2021
Rec V Date: 02/26/2021
Hospital: Y

Lab Data:

Allergies: N/A

Symptoms: Developed respiratory distress, hypertensive emergency, and acute congestive heart failure with bilateral edema of lower legs

Other Meds: Aspirin, lidocaine 4% topical cream, Caltrate, Fosamax, cyanocobalamin, gabapentin, carvedilol, amlodipine, atorvastatin, Lasix

Current Illness:

ID: 1057256
Sex: F
Age: 50
State: AZ

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: CT scan

Allergies: None

Symptoms: Headache and dizziness frequently

Other Meds: Ibuprofen

Current Illness: Headache and fatigue

ID: 1057257
Sex: M
Age: 66
State: NY

Vax Date: 02/16/2021
Onset Date: 02/24/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: Normal ultrasound of arm muscle, CBC, CPK, GFR, BMP.

Allergies: None.

Symptoms: Recurrence of intense pain and limitation of movement of left arm 9 days after receiving the vaccine and after 4 days of complete recovery for the same symptoms. Both treated with Tylenol.

Other Meds: rosuvastatin vitamin D vitamin B12 Vonacor curcumin- started 2/22/2021

Current Illness: None.

ID: 1057258
Sex: F
Age: 39
State: MI

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: Almonds

Symptoms: Had a right sided headache mostly affecting the right eye. It lasted 4 days until treatment. Reminded me of the same pain I had when 2 years ago I had shingles around my Right eye. Also after a car accident 5/2020, I had similar headaches and eye pain. The thought being it seemed maybe the viral load with the injection was similar to the viral shingles incident?

Other Meds: Effexor, Lexapro, Multivitamin, Celebrex, Zinc, vitamin D, Fish Oil, Levothyroxine

Current Illness: None

ID: 1057259
Sex: F
Age: 83
State: IL

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Really sore shoulder. Couldn?t raise my arm for two days and still hurts. SHOT WAS GIVEN TOO HIGH

Other Meds: Blood pressure pills, vitamin D, melatonin, Ropinarole

Current Illness: Restless leg

ID: 1057260
Sex: M
Age: 74
State: TX

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

Lab Data: N/A at this time. Pt will follow up with his PCP on 2/26/2021

Allergies: N/A

Symptoms: Patient returned for there second dose and when stated that when he arrived home from his 1st vaccine he had 2 seizures that his wife witnessed and 1 while he was alone. Patient did not report the reaction to anyone at the office or the via the VSafe app. The provider was consulted and 2nd dose was not given. Patient is to follow up with his PCP as he does not have a history of seizures.

Other Meds: Duoneb 0.5mg-3mg nebulizer solution Aspirin 81 mg Lipitor 40 mg Plavix 75 mg Lasix 40 mg Zestril 10 mg Lopressor 25 mg Nitroquick 0.4 Home Oxygen Protonix DR 40mg potassium Chloride Proair HFA

Current Illness: n/a

ID: 1057262
Sex: F
Age: 65
State: CA

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

Lab Data: None

Allergies: Erythromycin (oral only), Vicodin

Symptoms: Itchy red rash, warm, hard circular bump (grown to size of silver dollar) at injection site, with mild pain when touched

Other Meds: Insulin, metformin, glipizide, losartan, atorvastatin, iron supplement, senior multivitamin, calcium supplement, aspirin (81mg), montelukast, wixela, spiriva, fluticasone propionate, ventolin HFA

Current Illness: None

ID: 1057263
Sex: M
Age: 72
State: AR

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: LOW GRADE TEMP, TIRED, FLU LIKE SYMPTOMS

Other Meds:

Current Illness:

ID: 1057264
Sex: F
Age: 74
State: ME

Vax Date: 02/17/2021
Onset Date: 02/21/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: adhesives - slight

Symptoms: Circular itchy rash on upper arm around injection site

Other Meds: Vit: C,D3,K-2,Calciu MoveFree Citrical,Centrum Silver Wom50+

Current Illness: none

ID: 1057265
Sex: F
Age: 38
State: SD

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

Lab Data:

Allergies: penicillin

Symptoms: Patient came into clinic for her first covid vaccine on 02/24/2021 and received the moderna vaccine in her left deltoid. She then came to a mass vaccination clinic at a pop-up location on 2/25/2021 and received a second COVID-19 vaccine in her right deltoid. Patient was screened prior to the second vaccination and denied getting the previous vaccine in order to obtain the door prizes that were being given out for getting vaccinated on that day. As the location was a pop-up site, the vaccinators did not have access to her chart prior to vaccinating the patient. Patient was contacted to report any adverse events to the clinic in relation to receiving two vaccinations in a span of two days. Patient has no complaints currently.

Other Meds:

Current Illness:

ID: 1057266
Sex: M
Age: 97
State: KY

Vax Date: 02/04/2021
Onset Date: 02/18/2021
Rec V Date: 02/26/2021
Hospital: Y

Lab Data: MRI (2/18/2021) ruled out stroke Bell's Palsy diagnosis (2/24/2021)

Allergies: Unknown

Symptoms: Bell's Palsy diagnosis. Following 2nd administration of Pfizer COVID vaccine, 97 year old male found on the floor by housekeeping. Sent to ER due to cuts and bruises. MRI ruled out Stroke. Patient presented with a droopy eye & mouth on one side of face. Complained of ear pain on the same side. Patient also tested positive for COVID without any presenting symptoms via PCR test. Patient's will to live has decreased.

Other Meds: Unknown

Current Illness: None

ID: 1057267
Sex: F
Age: 69
State: FL

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Very sore arm at injection site. Approximately 16 hours later developed 101 fever, severe body aches. Bed ridden most of day. Temp fluctuated between 101 and 100. Took Ibuprophen. Temp droped to 98 but jumped back to101 when it wore off. Next day, Thursday 02/25, temp fluctuated between 99 and 100. Body aches not as bad. Slept most of day. Today, Friday 02/26,temp 97, no aches but very tired.

Other Meds: Levothyroxin 125 mcg Muli Vitamin Hydrochlothiazide 25 mgm B Comlex Lotrel 5/20 mgm Lipitor 10 mgm Aspirin 81 mgm

Current Illness: None

ID: 1057269
Sex: F
Age: 45
State: PR

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: penicillin

Symptoms: pain on vaccination site , unable to move arm, body aches, fever, weakness for 48 hours

Other Meds: none

Current Illness:

ID: 1057270
Sex: M
Age: 71
State: AZ

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

Lab Data:

Allergies: Tetracycline

Symptoms: Extreme tiredness, weakness, allergy like symptoms, all around soreness.

Other Meds: Lisinopril, Multi vitamins, Vitamin D, Flonase, Advil PM, Prilosec

Current Illness: None

ID: 1057271
Sex: F
Age: 76
State: FL

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: Patient was encouraged to have evaluation at local emergency room or seek care with primary care physician

Allergies:

Symptoms: Fevers: 100.7-100.9 with Tylenol Fatigue Disorientation Itching

Other Meds:

Current Illness:

ID: 1057272
Sex: F
Age: 68
State:

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: Iodine, sulfa, latex

Symptoms: Lightheaded, high bp. Pt rest for about 30 mins and bp decreased and pt light headless subsided. Pt was released back to observation area and pt went to checkout.

Other Meds:

Current Illness: No illness

ID: 1057273
Sex: M
Age: 16
State: PA

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: ED evaluation

Allergies: seasonal allergies

Symptoms: Patient was given vaccines by RN, and was educated to remain on the table for 15 minutes. Ten minutes later, patient reported to dad that he "wasn't feeling well" and fell headfirst from the table. He was unresponsive for 5-10 seconds, sustained a lump to the center of his forehead, and scant bleeding in R nare. Persistent c/o headache and neck pain following the fall. Vitals were stable, patient was transported by EMS to Hospital ED for evaluation of head injury.

Other Meds: none

Current Illness: none

ID: 1057274
Sex: F
Age: 59
State: SC

Vax Date: 09/18/2020
Onset Date: 09/01/2020
Rec V Date: 02/26/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Guillain barre

Other Meds:

Current Illness:

ID: 1057275
Sex: F
Age: 57
State: IL

Vax Date: 02/02/2021
Onset Date: 02/07/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: I am seeking out an ENT to be examined as the ringing continues daily

Allergies: NKA

Symptoms: Ringing in left ear. I noticed on 2/7 but can?t be sure I didn?t have earlier.

Other Meds: Vitamin D, Zinc, Multivitamin

Current Illness: None

ID: 1057277
Sex: F
Age: 46
State: MO

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient states that since she received her COVID vaccine on 1/7/2021 she has been experiencing migraine headaches causing her to miss several days of work. Patient indicates that her first headache was the evening , a few hours after receiving her vaccine. Patient indicates that she has missed several days of work due to migraine headaches.

Other Meds:

Current Illness:

ID: 1057278
Sex: F
Age: 80
State: MA

Vax Date: 02/13/2021
Onset Date: 02/22/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: adhesive tape- silicones

Symptoms: Pt reports painful left arm right after her vaccine was administered. Nine days later, patient noticed arm was swollen and red and remained very painful. Called clinic 3 days later as there was no improvement. Pt was prescribed doxycycline 100 mg twice daily for 10 days

Other Meds: aspirin, vit D3, voltaren, lisinopril, lorazepam, trospium

Current Illness: none

ID: 1057279
Sex: F
Age: 54
State: MD

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: NA

Allergies: Bee stings Latex

Symptoms: Within 5 minutes of receiving vaccine, pt complained of tongue swelling. Was immediately evaluated by EMS . 90% O2 sat on RA, BP 180/100s, HR 120s wheezing throughout lung fields. Received 3 doses of epi , 50 mg benedryl, duoneb. O2. Transported out of facility within 10-15 mins.

Other Meds: unknown

Current Illness: none

ID: 1057280
Sex: F
Age: 77
State:

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 02/26/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Developed shortness of breath. To ER and then hospitalized. Oxygen therapy and lasix given. Possible excerbation of HF. Hospitalized 2 days at Hospital . Discharged home with PCP follow up.

Other Meds:

Current Illness:

Date Died: 02/19/2021

ID: 1057281
Sex: F
Age: 77
State: MD

Vax Date: 02/05/2021
Onset Date: 02/19/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: patient's husband reported her death that happened after first COVID-19 vaccine

Other Meds:

Current Illness: per husband, stage 4 pancreatic cancer

ID: 1057282
Sex: F
Age: 67
State: TX

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: BP: 140/78 P: 83 BP: 120/64

Allergies: Codeine, Iodine, Flowers, Shellfish and Mango

Symptoms: tachycardia, SOB, chills x 7 minutes. Pt given water and snack and recovered. Pt refused EMS transport to emergency department.

Other Meds: Lisinopril and gabapentin

Current Illness: none

ID: 1057283
Sex: F
Age: 70
State: IL

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: penicillin, Nyquil, Bactrim, bee stings, tetracycline

Symptoms: Developed redness and warmth at injection site with itching.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm