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: 1058002
Sex: F
Age: 43
State: SD

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

Lab Data: None

Allergies: rash/hives when I take metaxalone, latex allergy as well, get a rash

Symptoms: As a prophylactic measure after my reaction to the 1st dose. I took 50mg of IM Benadryl prior to receiving the vaccine. . My vaccine appointment was for 9:40AM. I waited 30min at the vaccine site and felt ok so I went home. Got home around 10:30 and laid down. Felt drowsy because of the Benadryl. I woke up around noon feeling my lips "buzzing" and my tongue numb. Called my PCP who sent a RX for another IM Benadryl 50mg. I was able to take it around 3:30PM and that made the feeling on my tongue and lips go away. Around 9PM I started feeling chills, general malaise. And it went on through the night. Next day I felt really fatigued and slept most of the day. I went to work that night and it was a struggle. Took a Tylenol during my shift and next day once again slept throughout the day. At night I was feeling much better.

Other Meds: Omeprazole 40mg/daily, Vitamin D3, Zinc Sulfate 50mg, 5mg Melatonin and a probiotic

Current Illness:

ID: 1058003
Sex: F
Age: 52
State: WA

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: JOINT PAIN, CHILLS FOR 3 HOURS, FEVER, NAUSEA, FATIGUE

Other Meds:

Current Illness:

ID: 1058004
Sex: M
Age: 5
State: AZ

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

Lab Data: sent to ER no tests done yet

Allergies: nkda or other allergies

Symptoms: fever, severe vomit, unable to keep fluids, hallucinations, weakness in legs, unable to walk

Other Meds: claritin prn and tylenol prn

Current Illness: none

ID: 1058005
Sex: F
Age: 58
State: CA

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

Lab Data: NA

Allergies: Patient declined assessment.

Symptoms: Patient stated that she felt dizzy immediately following administration of the 1st dose of Moderna vaccine. Patient refused vital signs and assessment. Patient stated that she did not want to upset husband by staying long and that her dizziness was a result of anxiety.

Other Meds: Patient declined assessment.

Current Illness: Patient declined assessment.

ID: 1058006
Sex: F
Age: 39
State: IA

Vax Date: 12/29/2020
Onset Date: 01/05/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: Tests on January 6 - parking lot - Influenza A and B - negative COVID - positive

Allergies: no except nickel allergy

Symptoms: Woke up really fatigued. Within one hour January 6 - 10:00 and 10:45 here are all the symptoms that showed up in that 45 minutes. I was in the middle of treating a PT. Scratchy throat; mild cough; persistent moderate headache; runny nose; diarrhea; very pale. Never had a fever. I had weird neurological side affects (didn't lose taste or smell ) issues with facial recognition - didn't recognize my own face and finding words for every day objects and making sentences was difficult . I was easily winded and had tightness in my lungs. I called Public Health office - and asked them what to do. She told me to go home. Dr (telehealth visit) told me to take a test in the parking lot that day for COVID January 6. Treatment - none. All o f my symptoms lasted until Friday January 8 except being winded and fatigued. Those last two symptoms lasted until January 19. Verbal issues also lasted until the 19th of January. Facial recognition came back around January 12. On January 27 I had second dose.

Other Meds: Vit D; Echinacea; Probiotic; as needed I was taking Tramadol for shoulder surgery in October 2020

Current Illness: no

ID: 1058007
Sex: M
Age: 67
State: OK

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

Lab Data:

Allergies: None

Symptoms: Severe Headache Body Aches Swollen lymph nodes under arms Congestion

Other Meds: Norco Amlodipine Labetalol Plavix Tizanadine

Current Illness: None

ID: 1058008
Sex: M
Age: 45
State: PA

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

Lab Data:

Allergies: shellfish

Symptoms: Diffuse urticarial rash, fevers, tachycardia, transient hypotension, body aches

Other Meds: Servino, Lisinopril, Halobetasol, Flonase and clobtasol

Current Illness: eczema, HTN

ID: 1058009
Sex: M
Age: 86
State: MI

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

Lab Data:

Allergies: NKDA

Symptoms: Patient contracted COVID-19 8 days after administration of 2nd dose of Pfizer COVID-19 vaccine - confirmed with nasal PCR

Other Meds:

Current Illness:

ID: 1058010
Sex: F
Age: 37
State: MI

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

Lab Data: No tests were done

Allergies: Sulfa NSAIDS Compazine Flagyl Vicodin

Symptoms: Within minutes my arms had huge red blotches. I took a Benadryl from my purse and alerted a nurse. She talked to me and then my throat went tight. They had to administer an epi-pen. My throat did not feel better so I was transported by EMS to the hospital and was treated with IV Benadryl, steroids and Pepcid. I was prescribed Pepcid and Medrol 6 day dose pack to take home to prevent a delayed reaction.

Other Meds: Flonase, Allegra 12 hr, Inflectra, Vitamin D, Vitamin B-12, Multivitamin

Current Illness: None

ID: 1058011
Sex: F
Age: 72
State: GA

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: None were reported.

Allergies: Sulfa and Penicillin allergy

Symptoms: Patient reported redness and swollenness from shoulder to elbow of left arm. Also experienced itching and flu-like symptoms.

Other Meds: Paroxetine 10mg; Pravastatin 40mg; Furosemide 20mg; Metoprolol Tartrate 25mg; Omeprazole 40mg; Zolpidem 10mg; Lorazepam 1mg

Current Illness: None

ID: 1058012
Sex: F
Age: 68
State: FL

Vax Date: 02/15/2021
Onset Date: 02/21/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Low grade fever and fatigue 2 days after injection, resolved in 2 days. 6 days after vaccine noted swollen supraclavicular lymph node left side, became larger, tender. 11days post vaccine node is no longer tender, slightly less swollen but still evident

Other Meds: None

Current Illness: None

ID: 1058013
Sex: F
Age: 66
State: CA

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

Lab Data:

Allergies: dust, grass

Symptoms: Client c/o sensation of throat closing at 9:15AM, immediately after vaccine was administered. RN and MD notified. Assessed. 50MG IM Benadryl given at 09:25AM. BP 148/62, HR 64, Resp 18. MD/RN continued to monitor. ALS team contacted hospital to assess client and advised client to be transferred to hospital. Client stated she was feeling better and declined transport. AMA form signed with ALS transport team. Monitored for additional 30 minutes. Client left with husband (driver).

Other Meds: Unknown

Current Illness: Hx of lupus, diabetes

ID: 1058014
Sex: F
Age: 56
State: PA

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

Lab Data: none

Allergies: penicillin-hives

Symptoms: Pt. presents today at 1347pm after receiving 1st dose of pfizer vaccine to left arm at 1230 pm on 2/26/2021. Pt. states that she started feeling dizzy and sleepy along with a feeling of not catching breath which started about 3 minutes after receiving the vaccine. Pt. states that she was instructed to come to health facility. Patient states that she developed a headache about five minutes after receiving the covid vaccine. Pt. denies treatment.

Other Meds: multivitamin, vitamin d, vitamin b

Current Illness: denies

ID: 1058015
Sex: F
Age: 75
State: FL

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

Lab Data: No

Allergies: Almost all antibiotics, penicillin, cephacisporin and z-pac

Symptoms: After vaccine, the next day 3-4am woke up with horrible headache, slight fever, sweaty. injection site raised and red and still is, also has trouble keeping liquid or food in. Still gets fleeting headaches and sweats ever morning.

Other Meds: Acidophilus and Metamucil

Current Illness: no

ID: 1058016
Sex: F
Age: 43
State: WY

Vax Date: 02/23/2021
Onset Date: 02/25/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: Cephlasporins

Symptoms: Swelling and pain in right armpit started Thursday February 25 in the early afternoon. Causing pain to radiate down arm. acetaminophen and cold packet to help with pain

Other Meds: Potassium 99mg D3 5000IU Fish oil 4000mg (1200 mg Mega 3) buPROPion XL 150 mg 24 Hr tablet

Current Illness: N/A

ID: 1058017
Sex: F
Age: 65
State: MD

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

Lab Data:

Allergies:

Symptoms: Site: Itching at Injection Site-Medium, Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium

Other Meds:

Current Illness:

ID: 1058018
Sex: F
Age: 54
State: NE

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

Lab Data:

Allergies:

Symptoms: temperature of 100.3 F

Other Meds:

Current Illness:

ID: 1058019
Sex: F
Age: 41
State: TX

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

Lab Data:

Allergies: NSAIDS give me hives, seasonal allergies

Symptoms: 6-7pm after 4pm injection sore arm. 9pm sore arm, slight headache. Day 2 morning: headache, fatigue, sore arm, diarrhea. Day 2 evening: chills, joint pain, fatigue, sore arm, headache. Day 3: diarrhea, slight fatigue.

Other Meds: None

Current Illness: none

ID: 1058020
Sex: F
Age: 69
State: CA

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

Lab Data: None

Allergies: Coediene, compazine

Symptoms: Two days after receiving my Covid-19 second vaccine (Pfizer) I removed the bandage. I discovered a large area with red rash. Actually the there was also bruising and rash within the affected area. I would have periods when it was very itchy to points where it was extremely sore and tender. Upon this submittal, 48 hours from onset I also seem to have a large knot/lump in that area.

Other Meds: Claritin, Losartan, Lorazapam, Citalopcram, Multiple Vitamin, Vitamin C, E, D3, B12, B12, Biotin, Caltrate, Melatonin, Metamucil, Mucinex, Nascort spray, Azelastine Spray, Fonase Spray, Spiriva inhaler, Breo Inhaler,

Current Illness: Asthma,

ID: 1058021
Sex: M
Age: 71
State: NY

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

Lab Data: seen doctor regarding shingles rash and inflammation of right arm at injection site, treated with valacyclovir and ibuprofen.

Allergies:

Symptoms: swilling in right arm at vaccination site, started that day and has continued upon inspection at second dose 28 days later (02/26/21) injected second dose into left arm. Swelling if right arm is visible at deltoid muscle. also has got shingles rash soon after immunization.

Other Meds:

Current Illness:

ID: 1058022
Sex: F
Age: 45
State: OR

Vax Date: 01/24/2021
Onset Date: 01/24/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: Covid-19 Antibody test taken 2/20/2021, results NEGATIVE

Allergies: Unknown if any

Symptoms: Moderna vaccination #1: Low back around kidneys immediately tightened up. Got up 3-4 times in the night to urinate (which is not normal) FIRST THING IN THE MORNING WHEN GOT UP around 6:30/7:00am: body temperature felt extremely HOT and stopped being able to walk or function. Almost fell down from feeling dizzy/out of it. Had to drop to the ground and stay there for a while. Within about an hour felt mostly normal again. Did NOT take temperature or blood pressure, would have if I hadn't been in a state of fear/shock. Also itchiness in left deltoid 12 days after the vaccination, fingers on left hand accompanied this itchiness. Felt irritated in general at injection site up to two weeks after. Digestion affected - loose stools for the week after and increased gas up to a month after injection (current)

Other Meds: Multi Vitamins

Current Illness: N/A

ID: 1058023
Sex: F
Age: 80
State: IN

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

Lab Data: none

Allergies: Keflex

Symptoms: large red circle that is swollen & irritating. Also a mark where neddle inserted.Put cool compress on & took tylenol

Other Meds: levothroxine-propananol-asprin-valsartin-vitaminD

Current Illness: None

ID: 1058024
Sex: F
Age: 22
State: NC

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

Lab Data:

Allergies: Pencillin

Symptoms: Urticaria on right arm, chest, and neck starting about 3.5 hours after injection. No concern at time of evaluation for anaphylaxis.

Other Meds: None

Current Illness: None

ID: 1058025
Sex: F
Age: 39
State: IA

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

Lab Data: No

Allergies: no except nickel allergy

Symptoms: Around 5PM - arm hurting at site of injection - swelling red and itchy. Was getting fatigue, chills and fevers. I was talking in my sleep a lot which is something that I never do. The next morning severe migraine, nausea, my spine hurt, extreme fatigue, only spine was sore but it felt very hard to move my body - like I was moving in slow motion. I was back to having trouble forming sentences and finding correct words. These symptoms were far more severe than my actual COVID symptoms when I was sick with that. I had no appetite. That lasted all day. Tylenol - took that and did go to work to see two patients but should have stayed home. When I woke up the next morning (third day after the vaccine) I felt fine except for lingering fatigue. The fatigue was gone by the afternoon on Friday (the 29th).

Other Meds: Vit D; Echinacea; Probiotic; as needed I was taking Tramadol for shoulder surgery in October 2020

Current Illness: COVID after dose 1 of Moderna Vaccine

ID: 1058026
Sex: F
Age: 98
State: UT

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

Lab Data: Daughter stated there were several blood tests ran, chest xray, & CAT scan done at the time of the ER visit-Feb. 17, 2021

Allergies: PCN & Sulfa

Symptoms: Client's daughter described events to me. Stated mother experienced tingling, weakness in legs about 7-14 days after receiving 2nd Covid vaccine. Also spoke with client for a few minutes. Stated could only walk a few minutes then legs felt like they were paralyzed and became really hot feeling. States toes felt like they were curling under left foot. Daughter took mother (client) to ER on Feb. 17 (after this had been going on for 4 days). Client was not admitted to hospital. Client stated no adverse events noted with 1st Pfizer Covid Vaccination. Client & daughter stated that client had bladder infection 1 week after receiving 2nd Covid vaccination. Client states problem with legs improving each day.

Other Meds: Albuterol 90 mcg as needed --inhaler a couple of times a day Carbedilol 25 mg 1 tablet twice a day Cefurosine axteail 250 mg citalopram 10 mg once a day levothroxine 125 mcg 1 tablet a day flusiomide 20 mg 1 tablet a day, sometimes twice

Current Illness: UTI

ID: 1058027
Sex: F
Age: 58
State: WA

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

Lab Data:

Allergies:

Symptoms: Temperature 99.9 F

Other Meds:

Current Illness:

ID: 1058028
Sex: F
Age: 64
State: MI

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

Lab Data: see continuation page SpO2: 2/23/21 at 1550 = 81 on room air Sp02: 2/23/21 at 1715 = 89 on 2L Nasal Cannula Sp02: 2/23/21 at 1729 = 93 on 4L Nasal Cannula Sp02: 2/23/21 at 1937 = 94 on 2L Nasal Cannula Sp02: 2/23/21 at 2218 = 96 on 3.5L Nasal Cannula Sp02: 2/24/21 at 0332 = 97 on 4L Nasal Cannula Patient on room air from 0700 2/24/21 until 2/25/21 at 2006 SpO2: 2/25/21 at 2006 = 95 on 4L Nasal Cannula Sp02: 2/25/21 at 2255 = 93 on 4L Nasal Cannula Sp02: 2/26/21 at 0316 = 86 on 4L Nasal Cannula Sp02: 2/26/21 at 0320 = 91 on 5L Nasal Cannula On 2/26/21, she was working with Physical Therapy/Occupational Therapy and had a pulse ox reading of 75%. She was on 10 Liters of oxygen via nasal cannula by the time she make it back to bed and her pulse ox was 89%. Neurology exam shortly afterward the above event demonstrated an NIHSS of 21. Stat CT of the head was notable for a left occipital subarachnoid hemorrhage. Follow-up CTA, CTP preliminarily shows a left MCA and left PCA distribution penumbra with a small MCA core infarct, M2 filling defect without overt thrombus. No aneurysmal pathology was identified. Patient was transferred to another hospital on 2/26/21 for neurosurgical intervention.

Allergies: none

Symptoms: Moderna COVID-19 Vaccine EUA adverse event. Approximately 7 hours after the 1st COVID vaccination on 2/22/2021, patient developed symptoms of fatigue, aches, chills & fever. Her symptoms worsened into 2/23/21 with increasing shortness of breath. On arrival in the emergency center on 2/23/21, she was hypoxic with SpO2 81% on room air. Oxygen supplement via nasal cannula was given which improved her oxygenation. Covid 19 test negative. Chest Xray shows pulmonary edema and CTA chest shows no PE. She was admitted to the hospital and provided supportive care. Pulmonary Edema and inflammatory process is likely associated with the vaccine. Patient appeared to be improving, however, on 2/26/21, she was working with Physical Therapy/Occupational Therapy and had a pulse ox reading of 75% on room air. She was on 10 Liters of oxygen via nasal cannula by the time she make it back to bed and her pulse ox was 89%. Neurology exam shortly afterward the above event demonstrated an NIHSS of 21. Patient became non-verbal and stat imaging revealed an acute hemorrhage in the left occipatal lobe likely representing a SAH. Patient then transferred to another hospital that could provide neurosurgical intervention.

Other Meds: cetirizine tablets, fluticasone nasal spray, folic acid tablet ammonium lactate cream, isosorbide nitrate, lisinopril, metoprolol, nifedipine, semaglutide, sitagliptin, metformin, chlorthalidone

Current Illness:

ID: 1058029
Sex: F
Age: 28
State: CA

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

Lab Data: NA

Allergies: NKA

Symptoms: 0941 Patient vomited upon leaving vaccine area. Patient stated that she has a needle phobia. Assisted patient to sitting position for assessment. VItals: T 96.6, P 61, BP 110/70, O2 98%. Will monitor for 30 minutes. 1009 Patient states that she is feeling better. Vitals: T 97.2, P 49, BP 110/65, O2 99%. Educated patient on vitals and low heart rate. Patient states she will follow up with healthcare provider. Patient discharged to friend.

Other Meds: None

Current Illness: None

ID: 1058030
Sex: F
Age: 61
State: AZ

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

Lab Data:

Allergies: none known

Symptoms: Pt received vaccine at 10:52am and at 11:03 reported slight difficulty to breath and tingles throughout body. EMS took over with patient at 11:04 blood pressure 138/67. Pt received Benadryl IM at 11:10am on right deltoid. Pt released by EMS at 11:25am.

Other Meds: Metformin, HTN medication, Thyroid medication.

Current Illness: none reported

ID: 1058031
Sex: F
Age: 74
State: MO

Vax Date: 02/17/2021
Onset Date: 02/20/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Large area of redness down arm. showed up around 2/22 or so. she said it had been there for a few days. vaccine was on 2/17/21

Other Meds:

Current Illness:

ID: 1058032
Sex: F
Age: 47
State: TX

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

Lab Data: None

Allergies: Gluten

Symptoms: Small red area which spread to approx. 30% of my upper arm over next few days. Faded within a week or so. Hot and itchy (both minor). Faded within a week to 10 days.

Other Meds: Amlodipine, Progesterone

Current Illness:

Date Died: 02/22/2021

ID: 1058033
Sex: F
Age: 94
State: CA

Vax Date: 02/16/2021
Onset Date: 02/18/2021
Rec V Date: 02/26/2021
Hospital: Y

Lab Data: CT-angio Head

Allergies: Sulfa

Symptoms: Patient had a stroke two days after vaccine. Recevied TPA for treatment of stroke due to acute onset of altered mental status. Had a history of afib, not on anticoagulation, which is likely cause of stroke. Family opted for comfort measures given poor neurologic status. Passed awaiting hospice placement

Other Meds: Xanax, celecoxib, lexapro, lisinopril, mirtazapine, zolpidem valsartan

Current Illness: afib

ID: 1058034
Sex: F
Age: 51
State:

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

Lab Data:

Allergies: NKA

Symptoms: Hair falling out

Other Meds: None

Current Illness:

ID: 1058035
Sex: F
Age: 45
State: IL

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Saturday morning after waking up I felt extreme dizziness, fever, cold sweats, aches throughout shoulders, spine, and hips, and after getting up passed out twice.

Other Meds: Levothyroxine

Current Illness: None

ID: 1058036
Sex: F
Age: 65
State: CA

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: None

Allergies: Sulfa, formaldehyde

Symptoms: Chills, fever, muscle and body aches, nauseous, extreme fatigue.

Other Meds: Levothyroxine Progestrone Estradot,

Current Illness: None

ID: 1058037
Sex: F
Age: 21
State: OH

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

Lab Data:

Allergies: n/a

Symptoms: large warm red welt and pain. approx 3 inches in diameter

Other Meds: vitamin b, magnesium, coq-10, aspirin

Current Illness: n/a

ID: 1058038
Sex: F
Age: 62
State: NY

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

Lab Data:

Allergies:

Symptoms: Patient reports feeling lightheaded after receiving her first dose of pfizer vaccine. Vital signs taken, BP 162/78, slightly elevated, no other concerns. Patient refused second set of vitals or any other care, refused any transport. Patient left by self.

Other Meds:

Current Illness:

ID: 1058039
Sex: M
Age: 43
State: GA

Vax Date: 02/13/2021
Onset Date: 02/24/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: Md currently has me on prednisone

Allergies: None

Symptoms: 13 days since 2nd shot. Breaking g out in rashes throughout body

Other Meds: None

Current Illness: None

ID: 1058040
Sex: F
Age: 81
State: MI

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

Lab Data: Primary Dr seen on 2/26 and blood test reviled no infection. Dr prescribed Benadryl Cream for affected site.

Allergies: Lactose intolerant Milk alergy

Symptoms: Extreme itching at the site of vaccine. Few days later was swelling, warm to the touch, redness and hard muscle at the site. Itching continued. Symptoms are subsiding 5 days after initial itching started.

Other Meds: Diltiazem Pantoprozole Furosemide Levothyroxine Aspirin Primidone Metoprol Vitamin D Potassium Vitamin B Complex Calcium Centrum Silver Atorvastatian Prolia Optive Eye Miralax

Current Illness: None

ID: 1058041
Sex: M
Age: 72
State: IL

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

Lab Data: none

Allergies: none

Symptoms: none

Other Meds: none

Current Illness: none

ID: 1058042
Sex: F
Age: 55
State: CA

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

Lab Data:

Allergies:

Symptoms: Numbness in left upper extremity, especially hand. BP 142/83, pulse 59.

Other Meds:

Current Illness:

ID: 1058043
Sex: F
Age: 64
State: MO

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

Lab Data: PENDING LABS

Allergies: pcn

Symptoms: RASH, DYSPNEA, CHEST PAIN, FEVER JOINT PAIN, CHILLS, FEVER. TREATMENT: KENALOG, BENADRYL, PEPCID.

Other Meds:

Current Illness:

ID: 1058044
Sex: F
Age: 39
State: AL

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

Lab Data:

Allergies:

Symptoms: pt reports scratchy throat; wheezing noted bilaterally up wob us 147/90 rr22 hr97 o2 99% ra observed pt 5 min. pt requests to go to emergency department via personal vehicle instead of ambulance. pt transported to ed via own vehicle with escort from tsco. report called to ed; received im epi in er

Other Meds:

Current Illness:

ID: 1058045
Sex: F
Age: 57
State: TN

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

Lab Data:

Allergies: DOXYCYCLINE PO SULFA PO BOTH CAUSES RASH

Symptoms: PATIENT COMPLAINED OF ITCHING FROM HEAD TO NECK AND THEN "HER LIPS FELT TINGLY" APPROXIMATELY 30 MINS AFTER RECEIVING INJECTIONS. EPI AND BENADRYL WAS ADMINISTERED IM AND EMT ARRIVED TO EVALUATE. SHE REFUSED TRANSPORT BUT REPORTED SYMPTOMS WERE GETTING BETTER AND SHE WAITING FOR MONITORING FOR ANOTHER 30 MINUTES. SHE AGREED TO GO TO ER AND THE EMT AGREED TO FOLLOW HER TO BE SURE SHE WAS OK ALONG THE WAY.

Other Meds:

Current Illness:

ID: 1058046
Sex: M
Age: 73
State: KS

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

Lab Data:

Allergies: unknown

Symptoms: Patient stated he was extremely tired. Spouse stated he was not responding normally. Has a pituitary glad issue and has emergency steroids, but did not have with him or use in advance. Spouse was uncomfortable with how he was not acting normal. EMS was called at 12:00 pm due to history and at request of spouse. EMS arrived at 12:10 pm and transported at 12:26 pm. Vitals: 164/90 HR 40 blood glucose 137 170/92 HR 42 Ox sat 97%

Other Meds: meds for pituitary disorder, emergency steroids others unknown

Current Illness: unknown

ID: 1058047
Sex: F
Age: 17
State: VA

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

Lab Data: n/a

Allergies: unknown

Symptoms: Patient received first dose of Moderna vaccine 1.5 months prior to turning 18 months of age.

Other Meds: unknown

Current Illness: unknown

ID: 1058048
Sex: F
Age: 86
State: CO

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

Lab Data: None

Allergies: Celiac sprue alergic to wheat, rye, barley and oats

Symptoms: Stomach, no treatment

Other Meds: Preservision, Tramadol, vitamin d, cognium, elavil 10mg, amlodipine 5mg, calcium carponate-vitamin-d3, donepezil 5mg, fenofibrate 150mg,multivitamin, protonix 25mg, potassium chloride, sacrafate 1 g, levothyroxine 25mg, bentyl

Current Illness: none

ID: 1058049
Sex: F
Age: 48
State: OH

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

Lab Data: ED evaluation, head CT, multiple labs, overnight EEG

Allergies: shellfish, vancomycin, azithromycin, codeine, egg, gluten, meperidine, metoclopramide, pencillin, sulfa

Symptoms: She developed new onset acute psychosis. Was admitted to hospital for management and monitored overnight with head imaging, labs and an EEG that did not show any seizure activity. Psychosis appears to have resolved over past 24 h (several days after injection) - d/c from hospital last night 2/25.

Other Meds: keppra, vimpat, trental, zonegran, protonix, compazine, zofran, norco, ativan, metoprolol, celebrex, zoloft

Current Illness: metastatic lung CA with mets to brain and radiation necrosis causing seizures

ID: 1058050
Sex: M
Age: 78
State: IN

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

Lab Data: None

Allergies: None

Symptoms: Fever over 100 degrees with muscle aches. Took tylenol to treat the fever and aches. Both fever and aches persisted for 1 day. Next day I had no problems.

Other Meds:

Current Illness: None

ID: 1058051
Sex: F
Age: 55
State: AZ

Vax Date: 02/09/2021
Onset Date: 02/12/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: Medical attention 2/25/2021 Laboratory work 2/25/2021 waiting for results

Allergies: None

Symptoms: Both arms, hands and lower legs appear with red dots in the third day I got the second COVID-19 vaccine. I didn't report before thinking that will disappear in the follow days. I didn't develop any symptoms like fiver or any of the symptoms that are in V-Safe text. Two weeks passed and not get better I have to seek for medical attention and see my primary Dr. 02/25/2021. She send me to get laboratory work and now I'm waiting for the results . Hope in God this vaccine do not affect my health and my life.

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm