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: 1057951
Sex: F
Age: 65
State: CA

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

Lab Data:

Allergies:

Symptoms: one day later, headache and a few instances of vertigo. 3 days later sudden fatigue/weakness/dizziness in the evening that went into the next day.

Other Meds: Synthroid, vitamin D3, Vitamin C, mulitple vitamin

Current Illness:

ID: 1057952
Sex: F
Age: 71
State: CA

Vax Date: 02/18/2021
Onset Date: 02/22/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: none

Allergies: Neosporin [Neomycin-bacitracin-polymyxin] 12/5/2012 Penicillins 5/14/2004 rash

Symptoms: Patient is being seen today due to a rash that developed after receiving first dose of her Pfizer vaccine 2/18/21. Rash appeared on 2/22/21, mostly on the tops of her feet and her face. A few very mild patches on her body. She has been taking Benadryl and has used Cortisone 10 on the itchy areas. She says what alarmed her was that her eyes felt dry and tight. Nose was also puffed up and felt a slight sensation in her ears and teeth. No tightness in throat or difficulty breathing. No swelling in lips or tongue or throat. She has no redness at the injection site.

Other Meds: triamcinolone (TRIDERM) 0.1% Cream one application to affected area(s) twice daily as needed levothyroxine 75mcg Tab Take one Tab by mouth daily Take on an empty stomach 1 hour before eating. Do not combine with other medications or supple

Current Illness: tooth extraction procedure prior to vaccine, was on antibiotics until 2 days post vaccine

ID: 1057953
Sex: M
Age: 66
State: TX

Vax Date: 02/22/2021
Onset Date: 02/25/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Swelling in ankles, and around knees Mild discomfort around knees

Other Meds: Amlodipine 10mg/day Lovastatin 20mg/day vitamin D 5000 IU

Current Illness:

ID: 1057954
Sex: F
Age: 70
State: WI

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

Lab Data: n/a

Allergies: latex, PCN, peanut, adhesive, amoxicillin, contrast dye, pumpkin seed, shellfish, stevioside sulfate, cetfin, chocolate, Darvon, Keflex, sesonal, Ham, bacon, sucralose, nsaids, doxycline, moxifloxacin, sulfa, milk of magnesia, sodium phosphate, aspartame, dust mite , alendronate,molds and smuts, monosodium gluconate

Symptoms: Tightening chest, uncontrollable cough, short of breath, sweating, tingling lips and throat, shaking

Other Meds: albuterol, Zyrtec, Flovent, Flonase, Advair, hydrocortizone, solo-cortef injection, ketotofer, Synthroid, singulair, nystatin, prilosec

Current Illness: sinus infection, receiving treatment

ID: 1057955
Sex: F
Age: 74
State: ME

Vax Date: 02/15/2021
Onset Date: 02/17/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: Sulfa drugs

Symptoms: Redness and soreness at injection site.

Other Meds: 0

Current Illness: 0

Date Died: 02/17/2021

ID: 1057956
Sex: M
Age: 67
State: CA

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

Lab Data: unknown

Allergies: unknown, not reported

Symptoms: Heard through a family member had some feeling badly and some respiratory symptoms. We do not have any real information. This is a coroners case.

Other Meds: unknown

Current Illness: unknown

ID: 1057957
Sex: F
Age: 72
State: WA

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

Lab Data: None.

Allergies: None

Symptoms: Seven minutes after vaccine (10:07 AM) lighheadedness, Tacharida, hives, shortness of breath. Went to ER, given Prednisone, Benadryl, Pepcid at 11:00 AM. Discharged at at 12:30 after symptoms subsided. Fatigue present 2/24 and 25. Today is 2/26.

Other Meds: Ramipril Prebiotic Atorvastatin Viactiv calcium Hydrochlorothiazide

Current Illness: None

ID: 1057958
Sex: F
Age: 28
State: MO

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

Lab Data:

Allergies: Iodine contrast

Symptoms: Five minutes after vaccination, patient experienced itching and rash on her back. She was assessed by EMS. Benadryl and nebulizer treatments were administered some improvement was noted. However, the itching returned, and the patient stated the itching could be felt in other locations. Patient was transported to Emergency Room for further assessment.

Other Meds:

Current Illness:

ID: 1057959
Sex: F
Age: 70
State: ND

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

Lab Data: None

Allergies: Penicillin, Sulpha, Eggs

Symptoms: The client reported when presenting for her second dose that the day of her first doses starting at 4:00 PM she experienced nausea, followed by "cotton mouth" and then "throat tightness" that lasted until 9:00 PM . When asked if she had face, lips or tongue swelling she stated she "did not know. She did not seek medical care or evaluation. Second doses deferred due to history of allergies and report of throat tightness. Client states she felt this tightness was consistent with previous allergic reactions.

Other Meds: Unknown

Current Illness: None reported

ID: 1057960
Sex: F
Age: 86
State: KY

Vax Date: 02/12/2021
Onset Date: 02/19/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: Amiodarone; crestor; multaq; vytorin; red wine

Symptoms: 1st vaccine 2/12/21; developed diarrhea and abdominal pain 2/19/21; seen in ED for ongoing symptoms 2/20/21 and d/c'd home; seen again in ED for same ongoing symptoms 2/25/21 and d/c'd home.

Other Meds:

Current Illness:

ID: 1057961
Sex: F
Age: 66
State: CA

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: None

Allergies: Codine

Symptoms: Sore arm, body aches, nauseous

Other Meds: Nexium, Imodium

Current Illness: Nine

ID: 1057962
Sex: F
Age: 74
State: FL

Vax Date: 02/18/2021
Onset Date: 02/20/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: None

Allergies: Codeine Latex

Symptoms: Bowel cramping & diarrhea Herpes on CHIN

Other Meds: Synthroid Topiramax Decalent

Current Illness: None

ID: 1057963
Sex: M
Age: 82
State:

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

Lab Data:

Allergies:

Symptoms: Patient bruised immediately upon receiving the vaccination. A small hematoma formed around the injection site. Patient iced the area while waiting in the waiting area. She stated that this had happened before when receiving a vaccination and was not under any distress or experiencing further symptoms.

Other Meds:

Current Illness:

ID: 1057964
Sex: F
Age: 66
State: MD

Vax Date: 02/15/2021
Onset Date: 02/22/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: Mild adverse reaction to most all medications

Symptoms: Left are at the injection site was itchy 1 week after injection. Upon a closer look the area around the site injection is slightly red and tender. At the time of completing this form on 2/25/21 it is now 10 or 11 days after the injection on 2/15/21.

Other Meds: Occasionally a Zertec, Nightly Melatonin

Current Illness:

ID: 1057965
Sex: F
Age: 36
State: MN

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

Lab Data:

Allergies: Fruit allergies

Symptoms: Nauseous after 30 minutes Severe diarrhea after 40 minutes Vomiting after 2 hours Symptoms lasted 12 hours

Other Meds: Sertraline

Current Illness: Sinus pain headache Chills

ID: 1057966
Sex: F
Age: 69
State:

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

Lab Data:

Allergies:

Symptoms: Immediately following administration of the patient's second dose, the patient reported feeling "pulsation up to her neck". Vitals checked with HR in 160?s, BP 116/80, pulse 96. Denied chest pain, nausea, SOB and all other major symptoms. Tried vagal maneuvers, HR remained elevated. Called EMS.

Other Meds:

Current Illness:

ID: 1057967
Sex: M
Age: 72
State: NC

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

Lab Data:

Allergies: NKA

Symptoms: 2/26/2021 woke up with swelling of left eye after shot. Contacted cancer center to report this. Used cold compress, 2 Benadryl followed 45 minutes later with one decadron. Swelling went down and contacted cancer center to let them know. I have had a few reactions when I was getting chemo ,vidaza, and after getting platelets. The have used the same treatment I did today.

Other Meds: Blood pressure ,gerd, lasix, sleeping pill

Current Illness: Cancer patient since August 2015. Bone marrow cancer MDS

ID: 1057968
Sex: F
Age: 29
State: VA

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

Lab Data:

Allergies: None

Symptoms: Swollen lymph nodes in right arm (same as injection arm) going on for four days now.

Other Meds: Birth control

Current Illness: None

ID: 1057969
Sex: F
Age: 66
State: WA

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

Lab Data: None

Allergies: Amitriptyline

Symptoms: Large itchy rash from top of arm at injection site spreading to elbow. First noticed 6 days after injection.

Other Meds: Zoloft Hydrochlorothiazide Wellbutin

Current Illness: None

ID: 1057970
Sex: F
Age: 68
State: WI

Vax Date: 02/13/2021
Onset Date: 02/20/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: none

Allergies: adhesive tape

Symptoms: Itchy rash at site of injection - did not show up until a week later.1/2 inch tall, 2 inches wide. Minor, I have not called a doctor just treating it with Benadryl cream

Other Meds: Valsartin, Anastrszole, multi vitamin, vitamin D, Biotin, Glucosamine

Current Illness: none

ID: 1057971
Sex: F
Age: 16
State: AZ

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

Lab Data:

Allergies: Unknown

Symptoms: Patient received a Moderna Covid vaccine at 16 years old. I follow-ed up with her mother and she reported no side effects day of.

Other Meds: Unknown

Current Illness: Unknown

ID: 1057972
Sex: F
Age: 54
State: TX

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

Lab Data: None

Allergies: None

Symptoms: Fever 101 F Chills Body aches Nausea Joint aches

Other Meds: None

Current Illness: None

ID: 1057973
Sex: F
Age: 68
State: AL

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

Lab Data:

Allergies: NKDA

Symptoms: Severe pain to Right arm radiating to shoulder and neck, unable to lift right arm very high due to pain. Patient thinks vaccine was given to her in her joint since she is having so much pain. Using heat and ice to help with pain, taking Neurontin for nerve pain. Phone call to patient on 02/26/21 and she states pain is getting much better, still painful to lift arm but she can tell it is better.

Other Meds: Neurontin

Current Illness: Unknown

ID: 1057974
Sex: F
Age: 70
State: PA

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

Lab Data:

Allergies:

Symptoms: Patient reported having 2 seizures at 7:30am and another around 9:15-9:30am the day after vaccination. She has had seizures in the past and is not on any maintenance medication for this condition. She did not require immediate medical attention.

Other Meds:

Current Illness:

ID: 1057975
Sex: F
Age: 35
State: WI

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

Lab Data:

Allergies: none

Symptoms: Injection site pain, stiffness, weakness in the right shoulder from 8 pm until 8 am following day. On 2/20/21 (2 days later), had sudden episode of body aching, weakness, tachycardia, extreme fatigue, nausea that lasts 1-2 hours . on 2/22/21 again had episode suddenly of shaking, aching, nausea, stomach pain, fatigue, chills, no fever, clammy skin that lasted 1-2 hours

Other Meds: zoloft, multivitamin, melatonin

Current Illness: none

ID: 1057976
Sex: F
Age: 43
State: AL

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

Lab Data: None

Allergies: Bactrim Seasonal Allergies Toxic Black Mold

Symptoms: COVID Arm: Redness, hardness, swelling, warm to touch, and sore at injection site the following day. Lasted several days. The redness decreased and size with ice/cold packs and Ibuprofen. Then it went away. Body and muscle aches the 2nd day following vaccination and restlessness. It last a couple of days and then went away. Took OTC Ibuporofen and rested. The following week a rash and lumps under skin appeared on the right forearm extending to the top of the hand. Small papules with some itchiness. Took OTC allergy meds and used topical steroid. Rash cleared some, but still not completely gone yet.

Other Meds: Gabapentin 300 mg Triamterene-Hctz 37.5-25 Mg Tb Duloxetine Hcl Dr 30 Mg Capsule Omeprazole Dr 40 Mg Capsule Zinc

Current Illness: Noe

ID: 1057977
Sex: F
Age: 64
State: NC

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

Lab Data: N/A

Allergies: Chloral Hydrate

Symptoms: Resident received 3 doses of Moderna vaccine.

Other Meds: Mucinex , melatonin

Current Illness:

ID: 1057978
Sex: F
Age: 77
State: MD

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

Lab Data: None

Allergies: Penicillin

Symptoms: Patient describes "dry throat" and "metallic taste in mouth" starting immediately after vaccination. Patient was observed to repeatedly clear her throat. Denies shortness of breath, denies difficulty swallowing, denies cough, denies chest pain. After 30 minutes, she's no longer clearing her throat. She continued to deny shortness of breath, difficulty swallowing, cough, chest pain. She was advised to follow up with her primary care provider. Discharged with her son. Son states understanding of all. Patient was afebrile, pulse 72, BP 140/85, RR 16. Patients states that she took her hypertensive medications today and that her blood pressure is normally in this range.

Other Meds: Rhinocort, Atenolol, HCTZ, Benazepril, cholesterol med

Current Illness: Active hayfever, treated for sinusitis 2 weeks ago with Azithromycin

ID: 1057979
Sex: M
Age: 74
State: NC

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

Lab Data: None

Allergies: None

Symptoms: Pain and tenderness at injection site in left arm for 36 hours.

Other Meds: Methotrexate 2.5 mg; Folic Acid 1 mg; Simponi Aria Infusion; Atorvastatin 40 mg; Carvedilol 12.5 mg, Mature Adult Vitamins

Current Illness:

ID: 1057980
Sex: F
Age: 66
State:

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

Lab Data:

Allergies: Penicillin

Symptoms: Raised lump , sore , quite warm, rash at injection site, itchy, very lathargic, headache, sore muscles, cold, Occurred next day early afternoon

Other Meds:

Current Illness:

ID: 1057981
Sex: M
Age: 77
State: NY

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

Lab Data:

Allergies:

Symptoms: lower than normal blood pressure left arm 82-52 right arm 76-50 heart rate 60 (normal)

Other Meds: 1 hour before

Current Illness:

ID: 1057982
Sex: F
Age:
State: AR

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

Lab Data: 2 covid tests - both negative flu test - negative

Allergies: peanuts chocolate and codeine

Symptoms: an hour later I had arm pain and it kind of went numb and I started experiencing body aches feverish and chills, sat and sun and mon I still felt kind of sick and it went throughout the week and on Thursday I went to the nurse and that day they sent me home and I went to the dr since the symptoms weren't going away. I told the Dr I bought dayquil and nyquil which helped and she prescribed nasal spray and another medication for coughing at night and a sleep aid. I still have body aches that comes and goes and my neck stiffens sometimes

Other Meds: levothyroxine, flovent, albuterol, ibuprofen, maxol

Current Illness: no

ID: 1057983
Sex: F
Age: 38
State: IL

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

Lab Data: ECG done 2/26/21 - normal sinus rhythm; TSH ordered

Allergies: Cefzil, Sulfa, Propranolol, Amoclan, Augmentin, Asmanex

Symptoms: Intermittent episodes of discrete palpitations - heart beating strongly and has continued to occur, started day of vaccine. Also with vague sense of upper mid-chest tightness. Had brief symptoms after 1st dose. They have persisted after 2nd dose

Other Meds: none

Current Illness: none

ID: 1057985
Sex: F
Age: 65
State: MO

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

Lab Data:

Allergies: Codine

Symptoms: Within 5 minutes after vaccination, during the monitoring period the patient experienced a sudden onset severe headache and sinus pressure. The patient was assessed by on-site EMS, patient was found to be hypertensive. After monitoring, there was no improvement of BP and patient was transported to hospital Emergency Room for further evaluation. Patient stated she was observed at the Emergency Room and her Blood Pressure returned to normal limits.

Other Meds:

Current Illness:

ID: 1057986
Sex: F
Age: 67
State: ID

Vax Date: 02/12/2021
Onset Date: 02/21/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: 9 days after the shot, a red itchy rash around the site of the shot appeared. It continued to itch and be red for 6 days.

Other Meds: Levothyroxine; Liothyronine; Progesterone; HRT cream; Supplement

Current Illness: None

ID: 1057987
Sex: F
Age: 58
State: GA

Vax Date: 02/16/2021
Onset Date: 02/19/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: On the third day after my first vaccination, I began feeling badly in the late morning, when I got home in the afternoon, I was experiencing all the classic symptoms described on the pamphlet I had a fever of 100.8, chills, muscle aches, could not get warm, headache. By the following morning the fever was gone, still did not feel good but much better. Have has a constant dull headache ever since.

Other Meds: Vitamin D 1000IU; Melatonin 10 mg; Tamoxifen 20 mg; Oxybutynin 5mg; Atorvastatin 20mg

Current Illness: None

ID: 1057988
Sex: F
Age: 75
State: AZ

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

Lab Data: none

Allergies: penicillin, sulfa drugs, antibiotics ending in MYCIN

Symptoms: Vaccinated on Saturday, woke up Sunday with ringing ears, general malaise, dizziness, stuffed up sinuses, red burning eyes, constant sneezing and dripping nose, weak and shaky on my feet. Lose of appetite, constipation and nausea.. It lasted for 4 days and on Wednesday I called my medical care giver and she said that I probably had an allergic reaction to the vaccine and to not take the next dose, as this had been my first. I am still, periodically week and dizzy, and still have little appetite.

Other Meds: Turmeric

Current Illness: none

ID: 1057989
Sex: F
Age: 55
State: AL

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

Lab Data: 02/25/2021 MRI, X-Rays of Pelvic area, left shoulder, Left Leg and hip. Lab work done as well this day.

Allergies: Rocephine, Regaline, Latex,

Symptoms: I received injection at approx. 1:30 on 02/20/21. No issues. At around 5-6PM started to feel tired. Went to bed around 9 PM. Woke at around 4 AM to go to bathroom felt fine upon awakening, Once in bathroom felt nauseated, and dizzy. Washing hands felt REALLY nauseated, next thing I know, my husband is hovered over me, as I had passed out unconscious onto bathroom floor. I landed on my left side. No blood. Started immediately with visiable chills, and fever accompanied by headache and dizziness. Fever lasted until Wednesday mid morning. Dizzy lightheadedness, and Headache is still on going. Primary care Dr. had X-rays, and MRI to rule out broken bones and/or concussion. Tests confirmed I had not broken anything, and I had not a concussion. Dr. suspects the issues I am experiencing are from vaccine reaction.

Other Meds: Effexor 37.5mg 1x day, Amlodipine 5mg 1 x day, Vitamin D 5,000 units, 1xday,

Current Illness: none

ID: 1057990
Sex: F
Age: 65
State: AZ

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

Lab Data:

Allergies: Morphine, raw fruits and vegetables

Symptoms: 15 minutes after vaccination: stomach queasy and burning in esophagus 12 hours after vaccination: vomiting and diarrhoea and sore arm

Other Meds: None

Current Illness:

ID: 1057991
Sex: M
Age: 47
State: ND

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

Lab Data: None

Allergies: none

Symptoms: About 30 minutes after vaccination the client experienced numbness and tingling on the entire left side of his body lasting for a couple hours. It included the left side face, neck, arm and lower extremity. Client did have PCR diagnosed COVID 10/29/20. The symptoms resolved spontaneously with no residual effect.

Other Meds: Omeprazole, metoprolol, atvorstatin, allopurinol,

Current Illness: None

ID: 1057992
Sex: F
Age: 67
State: CA

Vax Date: 02/10/2021
Onset Date: 02/17/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: no

Allergies: medicine for muscle spasm

Symptoms: pt stated she developed a warm, red, swollen area around the injection site about a week after receiving the covid vax. Pt states on 2/26/2021 she still has a large red swollen area that is warm to the touch. Pt has only been taking Benadryl for her symptoms.

Other Meds: metformin 500mg, benazepril 20mg, aspirin 81mg, vitamin D3 1000 un,

Current Illness: no

ID: 1057993
Sex: F
Age: 46
State: TX

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: telemedicine visit to determine if wise to get second dose - NP says yes to get it

Allergies: none, reaction to flu shot in past

Symptoms: days 1-4 most extreme; very fatigued and no temperature regulation (body burning but cold extremities) day 5-6 kind of Ok but still recovering day 7 fatigue returns days 8-9 right side of body achy esp. in joints. sensitive to touch inside from knee to ankle on right side. must keep leg up. limping along with some fatigue and dizziness, some disruption of regulation of temperature day 10 improving day 11 reaction done

Other Meds: for asthma/allergy - montelukast,advair, nasal spray

Current Illness: none

ID: 1057994
Sex: M
Age: 39
State: OH

Vax Date: 02/20/2021
Onset Date: 02/22/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: Amoxicillin

Symptoms: Lump on opposite arm on inside of forearm near elbow. First noticed two days after vaccination, still present six days later. Somewhat firm and tender, no redness.

Other Meds: None

Current Illness:

ID: 1057995
Sex: F
Age: 40
State: OH

Vax Date: 02/22/2021
Onset Date: 02/24/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: bactrum, demeral, latex

Symptoms: Developed Shingles after 2nd Vaccine

Other Meds: Multi vitamin, effexor, welbutrin, buspar, prilosec, singulair, claratin, flonase, tylenol prn, benadryl prn

Current Illness:

ID: 1057996
Sex: M
Age: 57
State: WA

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

Lab Data: 12 lead EKG was performed on 2/25/21 that was unremarkable, vital signs were unremarkable. Patient was transported by ambulance to Medical Center for further evaluation.

Allergies: Unknown

Symptoms: Within 7-10 minutes after receiving his second dose of COVID-19, patient started complaining of rapid heart rate and palpitations which then progressed into dizziness and lightheadedness during his observation period. Patient was subsequently moved to a room and further evaluated including vital signs and 12 lead EKG. It was determined that patient is currently undergoing workup for possible cardiac issue, was recently started on Nitroglycerin yesterday and has a tentative angiogram scheduled Monday 3/1/21. After lying down during the evaluation patient's dizziness began to worsen. Talked with patient and spouse and recommended transport to the hospital for further evaluation.

Other Meds: Nitro

Current Illness: Unknown cardiac issue being worked up.

Date Died: 02/26/2021

ID: 1057997
Sex: M
Age: 69
State: SC

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

Lab Data: Autopsy to be performed on 02/27/2021 COVID-19 PCR to be performed on 02/27/2021

Allergies: Penicillin

Symptoms: "Feeling Hot" without fever and nausea 10 hours post vaccine and resolved within 1 hour. Seizure, Hypotension, Unresponsive followed shortly by cardiac arrest and pulseless electrical activity 21 hours post vaccine. Pronounced dead 22 hours post vaccine

Other Meds: Ibuprofen

Current Illness: None

ID: 1057998
Sex: F
Age: 46
State:

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: non

Allergies: latex

Symptoms: Within 3-4 minutes of receiving my 2nd COVID vaccine I had sudden onset of pounding in my chest. I was immediately hooked up to a monitor and found to be tachycardic to 160's. hypertensive to 160's/90's. My hands were clamped down and white. About 10 minutes later I was overcome with chills. I drank water and tea and gradually returned to baseline. I was monitored at the vaccine site for 1 hour.

Other Meds: ASA, pravastatin, cranberry, MVI

Current Illness: red rash 1 week after 1st COVID vaccine near injecction site

ID: 1057999
Sex: F
Age: 39
State: KY

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

Lab Data:

Allergies:

Symptoms: She was given the vaccine at 12:00. At 12:07 she (she is an RN employee here at the hospital) reported feeling as if she had lump in her throat and asked for some benadryl. Rapid response team was called at 12:08 as she became diaphoretic, flushed and reported blurred vision. MD ordered an IV to be started and a NS bolus x 1 liter. She broke out in hives on bilateral upper extremities. Benadryl, solumedrol, albuterol inhaler, zofran, scopolamine patch were all ordered and given to the patient. She reported that she felt some better and was transferred to the ER at 1245 for further monitoring.

Other Meds:

Current Illness:

ID: 1058000
Sex: F
Age: 48
State: VA

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

Lab Data: None

Allergies: Morphine, diladuid, aspirin, scopolamine, contrast dye, iodine, barium, gluten, soy, tree nots, peanuts, Lima bean, peas, mollusks, sweet potatoes, sesame, sunflower, celery

Symptoms: Fatigue, headaches, muscle and joint pain, neck pain, nausea and nosebleeds. Had shot yesterday morning and still having these side effects

Other Meds: Solu-cortef, spriva, breo, atenolol, Topamax, cymbalta, Wellbutrin, Buspar, Xanax, protonix, Fludrocortisone, Levothyroxine, abcrose, norethendrone, B12, D3, Lamictal, Zophran, combivent, Botox

Current Illness: None

ID: 1058001
Sex: M
Age: 69
State: WI

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

Lab Data: None

Allergies: None

Symptoms: Patient received vaccine on 2/19 noticed rash on arm yesterday 2/25 did not report to pharmacy, reported today 2/26 because it was spreading to chest/trunk. Was advised to take benadryl, told to report if still spreading and watch out for any other side effects and report to us. Of course any difficulty in breathing or any more serious reactions to seek medical attention

Other Meds: Famotidine

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm