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: 1058240
Sex: F
Age: 27
State: SC

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 02/26/2021
Hospital: Y

Lab Data: 1/23/21 CMP Anion Gap 19 Potassium 2.9 1/26/21 EGD Gastritis in esophagus and stomach

Allergies: none

Symptoms: Nausea and vomiting as well as cramping that lead to being unable to eat for a week. After a week passed, was admitted to hospital for dehydration and to make sure GI problems were nothing more serious

Other Meds: Yazmin, Prosac, Pantoprazole

Current Illness: none

ID: 1058241
Sex: F
Age: 87
State: CA

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

Lab Data: Physical therapy.

Allergies: Penicillin, iodine dye, clams

Symptoms: Forty minutes after second shot, I got a bad pain in the back of my upper right thigh. I had to limp to my apartment. I didn't think it could be related to the vaccine as it was so soon, and only in the one place. It had lasted until now and I've had three physical therapy visits so far, though it is not as bad, but it's over three weeks. I didn't think it could be related until my doctor's office said they had four cases of the exact same thing, and in younger people. (20's and 30's). At first, the PT said it was due to a pulled muscle, though I had done nothing at all to account for that.

Other Meds: Rx's for diabetes, blood pressure, COPD, atrial fibrillation, IBS. Too many to name. No change in prescriptions for years.

Current Illness: None

ID: 1058242
Sex: F
Age: 53
State: NM

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

Lab Data: Vitals

Allergies: NKDA Food: Shellfish, shrimp, Citrus, poultry, nuts, mushrooms

Symptoms: Patient received vaccine at 0935 and reported approximately 10 minutes after vaccine experienced itching to arms and face, progressing to the Bilateral arms and back. Alerted observation staff @ 25 minutes and patient was taken to the first aid station. Patient denies any SOB, Swelling, no CP and Patient is A & O x 3, VSS at B/P 1238/76, HR 76, RR 18, SaO2 at 95% on RA. 1025-Itching had improved. 1030-B/P 126/68, HR 80, RR 16, SaO2:96% on RA. 1045-Itching improved but residual itching continues-repeated Benadryl 25mg Oral liquid. 11:00-Observed patient for 45 minutes and discharged patient after itching had improved with instructions for the patient to follow up with PCP. Patient communicated understanding and had no further question prior to discharge home today. 1019- Patient given Benadryl 25 mg Oral liquid.

Other Meds: Levothyroxine (unknown dose), Wellbutrin (unknown dose)

Current Illness: None

ID: 1058243
Sex: F
Age: 78
State: FL

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

Lab Data: Four or the SK's were removed and sent to the lab for biopsy. The result came back as irritated SK's but no mention was made of the discoloration. After one week Friday (2/19), the blue color began to fade and by Sunday (2/20) the smaller of the SK's had returned to their original color while the larger still retain some of the blue color. During this time I felt fine.

Allergies: None

Symptoms: 36 Hours following the vaccine shot, I noticed a number of dark spots under my arms and on my back. A trip to the Dermatologist on Monday 2/15/2021 determined that the vaccine had caused most if not all of the Seborrheic Keratoses (SK's) skin growths on my body to change color to a blue color. Four or the SK's were removed and sent to the lab for biopsy. The result came back as irritated SK's but no mention was made of the discoloration. After one week Friday (2/19), the blue color began to fade and by Sunday (2/20) the smaller of the SK's had returned to their original color while the larger still retain some of the blue color. During this time I felt fine.

Other Meds: Prescriptions: Atorvastatin 40mg, Omeprazole 20mg, Metrogel Topical 1% Supplements: Centrum Silver, B-Complex, Vitamin C 500mg, Aspirin 81mg, Co Q-10 100mg, Saw Palmetto, Fish Oil 1200mg, Magnesium 250mg, B12 1000mcg and D3 2000IU

Current Illness: None

ID: 1058244
Sex: F
Age: 31
State: IA

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: no

Allergies: penicillin

Symptoms: Within a couple of hours, my arm was sore. About 24 hours later - body aches, chills, muscle aches and fatigue and that was gone the following the day and the arm soreness was gone the following day.

Other Meds: levothyroxine

Current Illness: adverse event after dose 1 of Moderna vaccine

ID: 1058245
Sex: F
Age: 42
State: KY

Vax Date: 02/12/2021
Onset Date: 02/25/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: 1st vaccine 1/22/21; 2nd vaccine 2/12/21; developed cough and chest tightness onset 2/25/21 and seen at ICC same day; was COVID tested at ICC negative

Other Meds:

Current Illness:

ID: 1058246
Sex: F
Age: 48
State: LA

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

Lab Data:

Allergies: IV contrast

Symptoms: Throat Swelling / Difficulty Swallowing

Other Meds: Prozac Synthroid

Current Illness:

ID: 1058247
Sex: F
Age: 51
State: NC

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

Lab Data: Everything below is from 2/25/21 Chest x-ray - no active pulmonary disease ECG - Sinus rhythm Lactic acid - 2 Troponin - <0.03 X 3 COVID-19 - not detected COVID-19 antigen - not detected

Allergies: Amoxicillin Tetanus vaccines and toxoid Clavulanic acid (from Augmentin) Ceftin Corn Shellfish Latex

Symptoms: Patient presented to the ED due to shortness of breath and chest pain stating that the symptoms developed yesterday after receiving COVID-19 immunization. Patient stated that she has taken multiple albuterol and Benadryl doses yesterday. Pain is located at the center of the chest and bilateral ribs (right more than left). When taking deep breaths the pain increases.

Other Meds: Albuterol inhaler Azelastine nasal spray Duloxetine Epinephrine Hydrochlorothiazide Lisinopril

Current Illness: None

ID: 1058248
Sex: F
Age: 17
State: MI

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

Lab Data:

Allergies:

Symptoms: Client presented for 2 dose of Modern Covid-19, and it was discovered that she was underage for the Moderna vaccine. Client is 17 and Moderna Covid-19 is approved for those 18 years and up. The error was caught before the 2nd vaccine was given, but it was determined by our Medical Director to continue with the Moderna product for dose 2. Parent aware and consented.

Other Meds:

Current Illness:

ID: 1058249
Sex: F
Age: 65
State: CA

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

Lab Data:

Allergies:

Symptoms: Headache; BP 136/84 (pulse 74), O2 sat 98%. Given crackers and water.

Other Meds:

Current Illness:

ID: 1058250
Sex: M
Age: 91
State: ME

Vax Date: 02/17/2021
Onset Date: 02/19/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: 2/22 CRP 92, 2/23 69, 2/26 pending CBC, CMP WNL

Allergies: NKDA

Symptoms: 1 day after shot pt developed grogginess, chills in the evening, and the next morning, 2 days later scarlet red rash appeared on bilateral legs, left worse than right, ongoing, evaluated for possible cellulitis, versus vasculitis (elevated CRP), and venous stasis dermatitis, versus drug eruption (as he was placed on augmentin). seen at acute care, local dermatology and ER within 6 days. Rash abating and now followed by extensive lower extremity swelling.

Other Meds: vitamin D, Vitamin B-12, Flonase, HCTZ, synthroid

Current Illness: None known, as doing well at annual wellness visit in June

ID: 1058251
Sex: F
Age: 36
State: WA

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

Lab Data:

Allergies: Food sensitivities - wheat, green peppers

Symptoms: Within first few days of shot... Headache arm soreness, exhaustion, dizziness. Today 2/25/2021- Headache/exhaustion 2/26/2021- GI issue

Other Meds: AM - Sertriline 150mg, Dextroamphetamine (30mg ER & 5mg QR), Esomeprazole ER 40 mg PM- Levothyroxine .05 mg at bedtime

Current Illness: Allergies

ID: 1058252
Sex: F
Age: 58
State: AL

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

Lab Data: COVID nasal swab test on 2-26-2021 (the deep Swab)

Allergies: Aspirin

Symptoms: Fatigue, body aches, joint pain, feeling overly warm accompanied by sweating on face, headache, diarrhea, mostly FATIGUE

Other Meds: Levothyroxine, abilify, Prozac, Wellbutrin, omeprazole, vitamin D

Current Illness: None

ID: 1058253
Sex: F
Age: 70
State: CO

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

Lab Data: None

Allergies: Penicillin I weigh 110 lbs. - results in being sensitive to dosage amount.

Symptoms: React occurred 15 hours after receiving the vaccine. Arm swollen red hot. THROAT & FACE SWOLLEN. Throbbing headache Fever. RAPID HEART RATE.

Other Meds: Vitamin D3. Cal/mag. Vitamin C Strontium

Current Illness: None

ID: 1058254
Sex: M
Age: 42
State: AZ

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

Lab Data:

Allergies: NKA

Symptoms: I had a mild fever, Chills, aches and pains and ear congestion in my ears that lasted about a day

Other Meds: Zoloft 100mg daily wellbutrin 100mg sr daily zyprexa 20mg daily haldol 5mg in morning haldol 10mg in evening propranolo 10mg Three times a day trihexyphenidyl 5mg three times a day atorvastatin 20mg daily

Current Illness: Schizoaffective Disorder Depression Controlled Hypercholesteralemia

ID: 1058255
Sex: M
Age: 56
State: NC

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

Lab Data:

Allergies: Biaxin, IV dye, morphine and sulfa drugs

Symptoms: Patient developed seizure 30 minutes after receiving injection. This was witnessed so EMS was called and taken to ED and had another seizure which was witnessed by our staff. I examined patient post ictal.

Other Meds: Atorvastatin, oxycodone, oxycontin, duloxetine, gabapentin

Current Illness: He had just completed concurrent chemo radiation therapy for advanced non small cell lung cancer. Chemotherapy - Carboplatin and Pemetrexed last day of treatment 01/13/21

ID: 1058256
Sex: M
Age: 67
State: NH

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

Lab Data: None.

Allergies: None

Symptoms: Cold/flu-like overnight 12 hours after vaccine, fading later in the day. Symptoms increased the next night, increasing each day to peak on day 8 (02/19/2021. Symptoms gradually decreased thereafter until 02/26/2021 at the time of this note. Symptoms are now very minor residual intranasal congestion and slightly more significant chest congestion. Symptom trajectory started as rhinorrehia and pronounced nasal congestion that partially responded to decongestants and improved more with nasal fluticasone. Bronchial congestion began after on day 3 to 4, with shortness of breath experienced overnight (never before experienced). Remarkable, intense aerobic exercise was done with no difficulty during the day, with some moderation taken on 02/19/2021. Fatigue did affect daily activities, but not dramatically. That this was a vaccine side effect signal is clear to me.

Other Meds: None

Current Illness: None

ID: 1058257
Sex: F
Age: 67
State: MN

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

Lab Data: None reported

Allergies: None reported

Symptoms: Perceived headache starting about 10 minutes post administration. Discussed treatment with Acetaminophen and/or Ibuprofen OTC. Pt unsure if headache due to stress or vaccination.

Other Meds: Unknown

Current Illness: None reported

ID: 1058258
Sex: M
Age: 82
State: AZ

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

Lab Data: None

Allergies: Hazelnuts bee stings

Symptoms: Woke at midnight the following day with chills headache and shaking.Very fatigued. No fever. Rested the next day .felt better no fever.but still tired.Next day. (Fri) woke up with swollen neck gland on the left side.Still tired but improving

Other Meds: Lumigan timolol pilocarpine simvistatin dutasteride centrum silver vitaminscd3 fish oil milk thistle biotin

Current Illness: None

ID: 1058259
Sex: F
Age: 67
State: AZ

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

Lab Data:

Allergies:

Symptoms: Itchy-bumpy red rash on upper left arm. Started 9 days after injection. Getting larger every day. Still have it 14 days after injection.

Other Meds: Temazepam; Bupropion; Losartan; Omeprazole; Levothyroxine; Vitamin D

Current Illness:

ID: 1058260
Sex: M
Age: 69
State: WV

Vax Date: 02/09/2021
Onset Date: 02/11/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: workup for chest pain including nuclear myocardial stress test(normal)

Allergies: Tolectin

Symptoms: esophageal reflux resulting in angina-like pain, severe whole body urticaria and pruritis, weakness nausea/vomiting Treated with 40mg prednisone x 4 days resulting in prednisone-induced hypertension. Symptoms completely resolved by 14 days

Other Meds: multivitamins, phenytoin, escitalopram, Qvar

Current Illness: none

ID: 1058261
Sex: F
Age: 93
State: RI

Vax Date: 02/08/2021
Onset Date: 02/21/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: None

Allergies: No

Symptoms: Sharply demarcated pruritic 2.5 x 1.5 inch oval shaped red area of inflammation / erythema at site of injection. Symptoms started 2/21/21, 13 days after the first dose Moderna COVID-19 vaccine series. Treated with diphenhydramine for 2 days. No longer pruritic. Red area completely resolved by 2/26/21

Other Meds: Metoprolol, lisinopril, Caltrate with vitamin D, Centrum Silver, melatonin

Current Illness:

ID: 1058262
Sex: M
Age: 68
State: GA

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

Lab Data: Not Known

Allergies: Not Known

Symptoms: Patient passed out at the milk department but the patient says it is not due to the vaccine he just did not eat.

Other Meds: Not Known

Current Illness: Not Known

ID: 1058263
Sex: F
Age: 42
State: CA

Vax Date: 02/17/2021
Onset Date: 02/24/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: Doxycycline Lodine

Symptoms: Experienced severe flu symptoms, but recovered in about 48 hours. One week later, injection site on left arm starting itching and a large hard lump formed, worsening each day. After 2 days it is currently about a 4" circle on my arm, itching and hot to the touch. I have a tele-doc appointment with my PCP today to discuss issue

Other Meds: Omeprozole Nasal allergy spray Naproxen sodium Kyleena Gabapentin

Current Illness: N/A

ID: 1058264
Sex: F
Age: 28
State: IN

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

Lab Data:

Allergies: Varicella Vaccine Influenza Vaccine

Symptoms: Injection site pain, redness, swelling, bruising, itching, warm to the touch. Rash continued to grow from the injection site 9 days following the vaccine. Measured 9 inches by 4 inches. Nurse Practitioner prescribed Keflex 3 times daily.

Other Meds: Metformin, 500mg twice daily Femara Loratadine, 10 mg daily

Current Illness:

ID: 1058265
Sex: F
Age: 78
State: UT

Vax Date: 02/09/2021
Onset Date: 02/13/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: Clinic... 2-15-2021 due to pain in foot. Xray"s of foot due to concern there was an infection in the bones. Thought maybe gout because a few years ago I had a bad Gout attack. Put me on Naproxen which helped some with the pain. Must say the pain I had was much different than the pain I had when I had the Gout. Also put me on Docycycine Monohydrate because of an infection in my big toe on the left foot which would not heal.

Allergies: Red food dye, SMZ/TMP DS, Codiene

Symptoms: Four days after injection right foot became inflamed and hugely swollen. Top of foot and all along the outside side of it both on top and at bottom of foot all very painful. Ankle and leg very swollen and painful. Can't walk on foot. As of 2/26/2021 swelling is not as bad and not so discolored but still some swelling and redness burning and very painful and still cannot use the foot. Also have noticed places where I have had surgery or injuries is hurting and being stiff. Am questioning whether or not I should get the 2nd shot. Concerned it will make situation even worse.

Other Meds: Humalog 75/25, Symbicort, Albuterol Sulfae, Euthyrox, Furosemide, Atenolol, Lisinopril, Potassium Chloride, Vitimin D3, Vitimin B12, Aspirin

Current Illness:

Date Died: 02/26/2021

ID: 1058266
Sex: M
Age: 71
State: ID

Vax Date: 02/20/2021
Onset Date: 02/24/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: Carbidopa/Levodopa, penicillin, Pramipexole

Symptoms: Pale, not eating, no urine output

Other Meds: Morphine, Haldol

Current Illness: Lewy-Body dementia

ID: 1058267
Sex: F
Age: 74
State: NE

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

Lab Data: None

Allergies: none

Symptoms: I had heavy chills from 6pm on the 24th until 2am on the 25th. Then, more heavy chills from 6am on the 25th until 1 pm on the 25th. My headache was moderate but relentless throughout those days and into the 27th. I was extremely tired, having no energy or interest in doing anything but lying down. My body ached all over and I was somewhat dizzy and nauseated. I took a Tylenol during the night of the 25th. Today is the 26th and I am still very tired and my eyes are bleary.

Other Meds: none

Current Illness: none

ID: 1058268
Sex: M
Age: 87
State: NC

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

Lab Data: 2/25/2021: Chest X-ray - No acute infiltrates or CHF 2/25/2021: head CT - No acute intracranial abnormality 2/25/2021: brain MRI - No acute infarct. Chronic small vessel ischemic changes

Allergies: Rosuvastatin Finasteride Gabapentin Metronidazole Pravastatin Statin Atorvastatin Tamsulosin

Symptoms: Patient presented to ED with reports of weakness stating that he was lightheaded and felt like he was going to pass out. Also stated that he had nausea. Patient lowered himself to the ground and called his son to help and take him to the hospital. Stated that he frequently has dizziness in the mornings (for the past 5 years) and that they have increasing in frequency. On arrival to the ED, he continued to have generalized weakness and was unable to sit up.

Other Meds: Aspirin Doxycycline Ezetimibe Levothyroxine Multivitamin

Current Illness: Unknown

ID: 1058269
Sex: F
Age: 73
State: CA

Vax Date: 02/17/2021
Onset Date: 02/22/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: N/A

Allergies: PCN, Atenolol

Symptoms: Itching mild to acute over 12-14 hours persisting for 5 days. Redness starting after about 12 hours & persisting for 5 days. Swelling by 32 hours and persisting for 4 days - now reducing. Pain by 32 hours for 2days. Starting area about size of quarter to max size of 3 1/2 inches - now reducing.

Other Meds: Metformin, Glipizide, Atorvastatin, Prozac, Claritin, Cozaar, CoQ10, Alvesco, Albuterol

Current Illness: None

ID: 1058270
Sex: F
Age: 65
State: DC

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

Lab Data:

Allergies: None

Symptoms: After I got my first shot 2-days later I had a sore throat and and I started gargled with salt and warm water and I drink some hot peppermint tea and I drink a cup of Sambucol Black Elderberry with water daily I do all of this daily. Now I got my second shot on 2/25/21 and my throat is sore and my sore throat never went away. My sore throat also changed my talking a little bit in the evening and at night. This started like I said right after I got my first vaccine shot the second day and when I got second vaccine shot on 2/25/21 then her comes the sore throat again. But like I said with the first shot on the 2/29/21 my throat got soar.

Other Meds: Nonone

Current Illness: None

ID: 1058271
Sex: M
Age: 73
State: GA

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

Lab Data:

Allergies: None

Symptoms: The following afternoon after receiving experienced deep/extreme confusion. Now going in and out of stages of deep confusion.

Other Meds: Rosuvastatin 20 mg, Losartan Potassium 100mg, Tamsulosin HCL 4 mg, Lansoprazole 5 mg, Low Dose Asprin, B12 1000mg

Current Illness: None

ID: 1058272
Sex: F
Age: 66
State: IL

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

Lab Data: 12:48-VS T-97 HR-110 R 18 B/P 150/98

Allergies: Erythromycin, Zantac

Symptoms: Patient experienced increase heart rate with mild itching on right hand and right ear.

Other Meds: None

Current Illness: None

ID: 1058273
Sex: F
Age: 29
State: KS

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

Lab Data:

Allergies:

Symptoms: 29 y.o. female who was seen at SVH COVID Vaccine Clinic today for her first dose of the COVID 19 vaccination. She was given the Pfizer vaccination in the right deltoid muscle. During her 15 minute waiting period after the injection, the patient began to experience throat and chest tightness. She denied rash, difficulty breathing, difficulty swallowing, wheezing, hoarseness, stridor, itching, lightheadedness, dizziness, lip swelling and tongue swelling. This provider was notified of patient reaction and she was then assessed in the emergency bay area. Monitored patient for severe reaction symptoms, including but not limited to blood pressure abnormality , hypotension, rapid progression of symptoms, respiratory distress and tongue swelling. PMH includes anxiety. Takes lexapro 10 mg for this. She is currently 21 weeks pregnant. Feels baby moving. ALLERGY REVIEW OF SYSTEMS: Patient denies chills, malaise/fatigue, facial swelling, sore throat, frequent throat clearing, cough, chest tightness, shortness of breath, wheezing, rash, dizziness and headaches Previous Reactions: none Objective Vitals Vitals: 02/24/21 0857 BP: 126/68 Pulse: 93 SpO2: 100% Physical Exam Vitals and nursing note reviewed. Constitutional: General: She is not in acute distress. Appearance: Normal appearance. She is well-developed. She is not diaphoretic. HENT: Mouth/Throat: Mouth: Mucous membranes are moist. Pharynx: Oropharynx is clear. Comments: Clear oral airway Eyes: Conjunctiva/sclera: Conjunctivae normal. Neck: Thyroid: No thyromegaly. Cardiovascular: Rate and Rhythm: Normal rate and regular rhythm. Heart sounds: Normal heart sounds. Pulmonary: Effort: Pulmonary effort is normal. No respiratory distress. Breath sounds: Normal breath sounds. No wheezing. Musculoskeletal: Cervical back: Neck supple. Skin: General: Skin is warm and dry. Neurological: General: No focal deficit present. Mental Status: She is alert and oriented to person, place, and time. Psychiatric: Mood and Affect: Mood is anxious (slightly). Thought Content: Thought content normal. Judgment: Judgment normal. Assessment/Plan Treatment included: water and snacks Follow up response to treatment: good. Patient discharge: Stable to go home and follow up with PCP. Differential Diagnosis: Vaccine-Related Anxiety (include misc mental health)

Other Meds:

Current Illness:

ID: 1058274
Sex: F
Age: 30
State: NC

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

Lab Data:

Allergies: mango, Flagyl

Symptoms: The evening of shot: feeling out of it, light-headed, soreness at the injections site The morning after shot: intense fatigue, physical weakness, difficulty standing for extended periods; diarrhea

Other Meds: levothyroxine, zyrtec, zoloft, singulair, probiotics, symbicort, Kyleena

Current Illness: n/a

ID: 1058275
Sex: M
Age: 68
State: NY

Vax Date: 02/08/2021
Onset Date: 02/10/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: Compazine Eggs

Symptoms: I have what is described as Covid arm. After initial vaccination arm hurt where injected for a few days but continued to hurt deep into area for following week and by two weeks have developed cellulitis and rash with pain throughout upper arm and into shoulder. Went to my Nurse Practitioner and was prescribed cephalexin and is really not improving on day 4 of treatment.

Other Meds: levothroxine amlodipine

Current Illness: none

ID: 1058276
Sex: F
Age: 49
State: NY

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

Lab Data: Vital signs and enhanced observation

Allergies: fish derived products

Symptoms: patient complained of head pain post vaccination.

Other Meds: aspirin, atorvastatin, coreg, colace, lasix, ibuprofen, lisinopril & metformin

Current Illness:

ID: 1058277
Sex: F
Age: 62
State: CA

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

Lab Data: They ordered Keflex 500 mg bid. And E S Tylenol. On day of vaccine redness only dime size. When they marked and measured it yesterday said 6 cm x 6 cm

Allergies: Sensitivity to emu in,kennalog injection,ibuprofen,naprosyn cause N/V

Symptoms: General post vaccine arm soreness to start than Increasing redness. Warmth heat chills , Dx by ER was cellulitis at injection site. Before bed temp had gone up to 100.6

Other Meds: Flonase bid,patanase bid,fenofibrate Qd,folicacid qd,Mai qd,fish oil qd,biotin qd ,albuterol inhaler prn

Current Illness: paroncyia txed feb 8. Occ eczema to back

ID: 1058278
Sex: M
Age: 68
State: IA

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

Lab Data: none

Allergies: NKMA

Symptoms: Patient was given prime dose on 2/19/21, lot # 010AZ1A, and then given boost dose on 2/24/21 lot #016M20A. Patient was contacted on 2/2521 once error was discovered. Reports feeling fine with no side effects

Other Meds: Adalimumab 40mg/0.4mL Sig: 0.4ml every two weeks Allopurinol 100mg daily Atorvastatin 20mg daily Lisinopril Hydrochlorothiazide 20/25mg daily Metformin 1000 mg twice daily

Current Illness: None

ID: 1058279
Sex: F
Age: 56
State: PR

Vax Date: 02/05/2021
Onset Date: 02/08/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: Blood & Head's Plaque (Ray X)

Allergies: No

Symptoms: To whom it May concern: I want to report that after the first dose of Pfizer's COVID-19 vaccine I suffered from peripheral facial paralysis and it affected my mouth. My right upper lip does not rise and I have trouble eating, drinking, and washing my mouth. This is the first time something like this has happened to me. Thanks for your attention.

Other Meds: To whom it May concern: I want to report that after the first dose of Pfizer's COVID-19 vaccine I suffered from peripheral facial paralysis and it affected my mouth. My right upper lip does not rise and I have trouble eating, drinking, and

Current Illness: No

ID: 1058280
Sex: F
Age: 69
State: AR

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

Lab Data:

Allergies:

Symptoms: Patient states with in 5 minutes she felt an odd sensation across her body. She was dizzy and sleep. She waited for 30 minutes at the pharmacy and then proceeded home. She states at home within an hour her blood pressure spike to 151/85 and had a dull headache. She has itchyness at the site of injection. She was sleepy but could not sleep at night and still had a dull headache in the morning.

Other Meds:

Current Illness:

ID: 1058281
Sex: F
Age: 25
State: RI

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

Lab Data:

Allergies: None known.

Symptoms: On 2/23/2021, 1 week after my first shot of the vaccination (on 2/16/2021), I experienced an slightly itchy arm right around the injection sight. Later in the day I noticed that same area turn red. The following day the reddened, itchy, area became slightly darker in color but less red and had a darker ring around the edge of the discolored area. The next day the discolored area looked the same. By Friday (2/26/2021) the discolored area began to go away but the ring around it was still prominent.

Other Meds: Protein powder.

Current Illness: None known.

ID: 1058282
Sex: F
Age: 41
State: KS

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

Lab Data: None- pt pre-medicated at home with 50mg benadryl and steroid pta

Allergies: tramadol

Symptoms: Pt pre-medicated with home benadryl and steroids due to initial vaccine reaction of itching. Pt c/o itching, nausea, dizziness, flushing at neck/chest, and feeling light headed. Sx did not improve during observation. VS 122/60 HR 87 SaO2 98%. Pt transferred to ER via w/c

Other Meds: hydrocortisone 10mg daily 50mg benadryl prior to arrival for pre-med tylenol ibuprofen

Current Illness:

ID: 1058283
Sex: M
Age: 30
State: TN

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

Lab Data:

Allergies: Ceclor causes rash.

Symptoms: Approximately 15 minutes after injection; patient complained that his eyes feel "puffy/full and he says he feels warm." No other symptoms. After 5-6 minutes he says he felt back to normal and left.

Other Meds:

Current Illness:

ID: 1058284
Sex: F
Age: 73
State: NV

Vax Date: 02/18/2021
Onset Date: 02/23/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Tenderness at injection, then 5 days later, redness and itching, the redness spreading down the upper arm and turning a purple/red shade. a topical ointment applied to stop the itching. the redness remains.

Other Meds: Revlimid; Sevelamer; Acyclovir; Doxycycline; bayer low dose aspirin; Ezetimibe.

Current Illness:

ID: 1058285
Sex: M
Age: 76
State: PR

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

Lab Data: None

Allergies: Cipro and Sulfa

Symptoms: After vaccination patient developed expiratory wheezing's Treated with Decadron 4 mg IM x 1

Other Meds: Tamsulosin 0.4 mg daily omeprazole 40 mg daily Amlodipine 10 mg daily Teophilline 300 mg twice a day Albuterol sulfate as necessary

Current Illness: none

ID: 1058286
Sex: F
Age: 86
State: KY

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

Lab Data:

Allergies:

Symptoms: 1st dose vaccine 2/3/21; 2nd dose 2/24/21; developed weakness, inability to keep balance, and worsening LE edema 2/25/21 ; seen in ED 2/25/21 for above symptoms; DX 1. Hypervolemia, unspecified hypervolemia type 2. Weakness

Other Meds:

Current Illness:

ID: 1058287
Sex: F
Age: 46
State: PA

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

Lab Data: none

Allergies:

Symptoms: I experienced a severe migraine headache and threw up several times. I woke up out of my sleep around 4:30 in the morning with the headache and felt weak and dizzy all day. On 1/27/2021, the headache was gone, but I felt weak.

Other Meds: Imuran, Alopurinol, Multi vitamin, vitamins C, B, and D3, Zyrtec, Tylenol, Young Living Sulferzyme, Young Living Multigreens

Current Illness: none

ID: 1058288
Sex: F
Age: 45
State:

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: First dose, z track was done, zero pain, only discomfort at injection site the next day. 2nd dose: skin was pinched, immediate 3/10 pain after injection, radiating to left side of my neck. It became a dull pain 2/10 in my neck until two days post-injection while arm pain worsened to 5/10. There is a 3mm red ?dot? at the injection that appeared about 2 hours after injection. Fever (101F) started about 10 hrs after injection, lasted about 48 hrs, Tylenol ATC. The next day, arm pain was 8/10 and there was redness about 3x3 inches, swelling, and stiffness under the site. Skin became more red and swelling present x2 days. Day three, skin was less red, but itchy, swelling resolved. 9 days later, skin is still itchy and area is still a faint pink vs rest of arm.

Other Meds: None

Current Illness: None

ID: 1058289
Sex: F
Age: 45
State: TX

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

Lab Data: N/A

Allergies: Sulfa drugs

Symptoms: Tingling/Pins & Needles in hands and feet.

Other Meds: Zyrtec, Vitamin C, Zinc, D3

Current Illness: N/A

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm