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: 1058540
Sex: F
Age: 52
State: NC

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

Lab Data:

Allergies: Sulpha, imatrex

Symptoms: Chills, high fever (106.4), pain and lump at base of neck on left side, extreme fatigue and Covid headache

Other Meds: Plaquinil, Wellbutrin, gabapentin

Current Illness: NA

ID: 1058541
Sex: F
Age: 33
State: WI

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

Lab Data: Pt was given epinephrine Lab Results TROPONIN I POINT OF CARE (Final result) Component (Lab Inquiry) Collection Time Result Time TROPONIN I - POINT OF CARE 02/26/21 13:16:00 02/26/21 13:16:00 <0.10 Previous Results 01/08/21 15:46:00 01/08/21 15:46:00 <0.10 03/17/16 02:53:00 03/17/16 03:12:02 <0.10

Allergies: Allergies Contrast Media DIZZINESS, SHORTNESS OF BREATH High 3/17/2016 Past Updates... Pt states she felt like her throat was closing up. CT contrast Covid-19 (mrna) Vaccine SWELLING, SHORTNESS OF BREATH High 1/8/2021 Past Updates... Sulfa Antibiotics RASH Medium 2/14/2021 Past Updates... Bactrim Ds RASH Not Specified 11/12/2018 Past Updates... Phentermine Palpitations Not Specified 10/26/2020 Past Updates... Anxiety

Symptoms: pt developed arm tingling and throat tingling

Other Meds: none

Current Illness: knee pain

ID: 1058542
Sex: F
Age: 54
State: AZ

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

Lab Data: NA

Allergies: NA

Symptoms: On the 23rd, explosive diarrhea; high grade fever; chill; achy body all night. On the 24th, massive headache; high grade fever; achy body; no appetite all day. On the 25th, low grade fever; headaches; achy body in the morning; sweat like crazy and body aches were going away in the afternoon. I had a small meal at the end of the day. On the 26th, all the symptoms were gone except my left upper arm is still red, swollen and hot.

Other Meds: NA

Current Illness: NA

ID: 1058543
Sex: F
Age: 72
State: TX

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

Lab Data: not applicable

Allergies: none given

Symptoms: Patient received a 3rd dose of the Pfizer vaccine today. Long term care facility did not have documentation that patient had received 2nd dose and had patient ready to receive a dose today. When pharmacy staff returned to store to enter today's vaccination into patient's profile, it was discovered that patient had already received 2nd dose on Jan 27 2021. No adverse reaction reported at the time dose was given.

Other Meds: unknown

Current Illness: none given

ID: 1058544
Sex: M
Age: 88
State: TX

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

Lab Data: None

Allergies: nkda

Symptoms: Patient was inadvertently given Moderna as a second dose at the vaccination site instead of Pfizer. He was given Pfizer EL9269 on 2/5/2021

Other Meds: Fosfomycin 3 Gm Nitrofurantoin

Current Illness: none known

ID: 1058545
Sex: F
Age: 51
State: DE

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

Lab Data: unknown- sent to ER

Allergies: Bactrim -rash

Symptoms: About 15 min after administration, patient started c/o numbness/tingling in chin and lips. Patient was given oral diphenhydramine 50mg and notified EMS. When EMS arrived about 15 min later, patient initially declined to go to ER for eval. About another 15 min later, patient returned to clinic as face and chin were starting to swell slightly. Re-notifed EMS and the returned and picked up the patient. Patient left in awake condition, no respiratory distress.

Other Meds: Atenolol, Bupropion, estradiol, progesterone, omeprazole

Current Illness: unknown

ID: 1058546
Sex: F
Age: 39
State: UT

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

Lab Data:

Allergies: No known allergies.

Symptoms: Patient developed mild oral tingling and sensation of chest tightness while in COVID post-vaccination observation area. Diphenhydramine 25 mg/10 ml administered and patient observed for 30 min. Patient reported feeling well and left the observation in good condition.

Other Meds:

Current Illness:

ID: 1058547
Sex: M
Age: 87
State:

Vax Date: 02/11/2021
Onset Date: 02/23/2021
Rec V Date: 02/26/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: I recently reported that patient was admitted for covid-19, CTA positive for covid-19 pneumonia and covid-19 PCR positive, after 2 completed doses of Pfizer vaccine. I am re-reporting as we have recently realized that patient has history of CLL and hypogammaglobulinemia which may have affected the efficacy of the vaccine.

Other Meds:

Current Illness:

ID: 1058548
Sex: M
Age: 50
State: CA

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

Lab Data:

Allergies:

Symptoms: Temperature started 02.25.21 temp at 100.4 to 102.00, feel like Flu, came on very fast. Chills, nausea, shaking

Other Meds:

Current Illness:

ID: 1058549
Sex: F
Age: 63
State: NY

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

Lab Data:

Allergies: Gluten, dairy, soy

Symptoms: Swelling of lips and face, racing pulse. 50 mg of Benadryl

Other Meds: Vit D, albuterol sulfate

Current Illness:

ID: 1058550
Sex: F
Age: 95
State: PA

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

Lab Data:

Allergies: None

Symptoms: Fever Chills Lethargy Pain at injection site

Other Meds: Eliquis Diltasm Atovstatin B12 Levethroxin

Current Illness: A-Fib

ID: 1058551
Sex: F
Age: 32
State: CA

Vax Date: 02/17/2021
Onset Date: 02/23/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: no

Symptoms: Hives on face and neck, burning sensation, red flashing spots on face and neck. Symptoms started on day 6 with severe itching lasting for about 24 hours. Then severe hives covered face and neck on the left side (the same as injection site). Burning sensation and itching with hives went away after taking antihistamine. Next day (day 8) burning sensation came and went, face turned red. Next day burning sensation still lasts, face covered with flashing red spots.

Other Meds: no

Current Illness: no

ID: 1058552
Sex: F
Age: 87
State: AL

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

Lab Data:

Allergies:

Symptoms: Sharp pains in stomach, hip, and back muscles aprroximately 32 hours after vaccine. Spasms in stomach continue to date, as do weakness in legs to the point of using a walker to get arounds, and an overall feeling of unwellness. Have had no fever. Contacted personal physician 8 days after vaccine and was advised to take Tylenol, which I have been doing for a few days, but am now taking consistently every 8 hours as directed.

Other Meds: levothyroxine, amlodipine, celebrex,

Current Illness: Diarrhea

ID: 1058553
Sex: F
Age: 21
State: OK

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

Lab Data: EMS evaluated

Allergies: yes

Symptoms: received vaccine at 8 AM, reaction not noted until 3 PM. Complained of hot, flush, tired, anxious, heart racing, EMS came, evaluated and pt refused to go to hospital.

Other Meds: Epi-Pen as needed

Current Illness: none

ID: 1058554
Sex: F
Age: 59
State: CO

Vax Date: 02/06/2021
Onset Date: 02/09/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: None performed.

Allergies: None known

Symptoms: Moderna COVID-19 Vaccine EUA: Three days after second dose of Moderna COVID-19 vaccination patient reported headache, erythema at injection site, swelling, voice changes, coughing, and myalgias. Patient advised on OTC/home remedies and to return to clinic if symptoms worsen or fever or streaking from injection site develop.

Other Meds: Cholecalciferol; Estradiol, Metronidazole; Omeprazole

Current Illness: None reported

ID: 1058555
Sex: M
Age: 68
State: IN

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

Lab Data:

Allergies: Codiene

Symptoms: After 6 hours developed very severe pain in upper right arm at vaccination site, In addition for 24-30 hours felt some chills, on and off fever of 100-101. Headache . After 48 hours just now able to lift my arm againbut still some pain, other symptoms seem to have subsided.

Other Meds: Glimipiride 4mg 1Xdaily, Metformin 1000mg 2Xdaily, Valsartin 160/12.5mg 1Xdaily, Pantroprazole 40mg. 1Xdaily, Atorvastatin 20mg. 1Xdaily. Trulicity 1.5 injection 1Xweekly Sundays. Eyedrop Timolol Maleate 0.5 2Xdaily. Multi vitamin daily

Current Illness: I am diabetic on oral medication

ID: 1058556
Sex: F
Age: 78
State: PA

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

Lab Data:

Allergies:

Symptoms: Patient reports that approximately 1 week after receiving first dose, she developed a rash below the injection site. It was a red oval area below the injection site. It was itchy but no pain. Treated with body lotion. Lasted 4-5 days, then went away.

Other Meds:

Current Illness:

ID: 1058557
Sex: F
Age: 74
State: GA

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

Lab Data: n/a

Allergies: unknown

Symptoms: Patient reports:"lips feel puffy" Vitals: 4:55pm 190/92 76 18 O2 97%; 5:10pm 178/88 69 18 O2 96% 5:25pm 172/88 72 18 O2 96%; 4:55pm Patient given Oral diphenhydramine 25mg. po. Disposition: Stable upon leaving.

Other Meds: unknown

Current Illness: unknown

ID: 1058558
Sex: F
Age: 77
State: AZ

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

Lab Data:

Allergies:

Symptoms: Fatigue for about a month, weight loss, no treatment, symptoms resolved before second dose (less than a month)

Other Meds: Levothyroxine, simvastatin, lisinopril, loratadine, fluticasone, carboxymethylcellulose 0.1% oph

Current Illness:

ID: 1058559
Sex: F
Age: 38
State: CO

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

Lab Data:

Allergies: Minocycline, NSAIDs, Wellburtin

Symptoms: Pt waited in clinic for 30 minutes. Approximately 5 minutes after leaving she felt swelling in the lips. She took Zyrtec and called the clinic about 20 minutes later to report incident. She was having improvement of symptoms at that time and when called (30 min after using Zyrtec) and she states the swelling was almost completely resolved. Advised to use Zyrtec in the AM and Benadryl in the PM for the next 5 days. Go to the ER if symptoms start worsening

Other Meds: Humira, Cetirizine, Vit D3, Duloxetine, Mirtazapine, Montelukast, Clinda Topical, Tretinoin topical

Current Illness: None

ID: 1058560
Sex: F
Age: 72
State: WA

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

Lab Data: N/A

Allergies: Eggs

Symptoms: Moderna Covid-19 Vaccine EUA. Started 12 hours after receiving 2nd vaccine with fever, chills, aching back and severe headache. Fever started at 100.2, went up to 101.2, and down to 99.9 by noon today. Other symptoms persist as of 1:45 pm PT. I am not able to take over the counter pain relievers because I had acute hepatitis in late October. No cause was determined and I tested negative to all the various versions. All my liver function tests returned to normal within 2 weeks or so.

Other Meds: Simvastatin, fluticasone nasal spray

Current Illness: None

ID: 1058561
Sex: M
Age: 53
State: KS

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

Lab Data:

Allergies:

Symptoms: The booster dose was given too early according to the manufacturer's guidelines.

Other Meds:

Current Illness:

ID: 1058562
Sex: F
Age: 65
State: CA

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

Lab Data: none

Allergies: Shellfish

Symptoms: Client stated she had a slightly "swollen tongue", denied any respiratory difficulties, was alert and orientedX3. Benadril 25 mg PO was given. Symptom went away and stated she felt "just fine", denied any respiratory difficulties. Was observed for 30 min and left unassisted.

Other Meds: Unknown

Current Illness: unknown

ID: 1058563
Sex: M
Age: 73
State: OH

Vax Date: 02/08/2021
Onset Date: 02/12/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Developed Shingles 3 days after shot

Other Meds: Pyridostigmine, Azathioprine, Vitamin D

Current Illness: None

ID: 1058564
Sex: F
Age: 78
State: WY

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

Lab Data:

Allergies: morphine, codine, penicillin, sulfer, soy

Symptoms: Client reports that at 1500 on 2/24/21 (same day as vaccination) she noted her lips were swelling and "tingly feeling." Client denies rash, difficulty breathing, dizziness, or other symptoms. Client advised to try Benadryl and check in with physician if needed. Client reports she has not had anything new to eat, but did have a yogurt with fruit from the local senior center and she does have a soy allergy. Follow up on 2/26/21 client explains that she took benedryl at 1600 on 2/24/21, again at 2000, went to bed, and woke on 2/25/21 and took a 3rd dose. Client reports that at that time the swelling was improved and she has not had any symptoms since.

Other Meds:

Current Illness: none reported

ID: 1058565
Sex: F
Age: 42
State: NM

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

Lab Data: 2/19/21: vital signs

Allergies: ceftriaxone, Imitrex, nitrofurantoin

Symptoms: 13:50- Approximately 5 minutes after vaccine administered pt became flushed, nauseated and c/o lightheadedness. Patient alerted observer and medical assistant called for transfer of the patient to the first aide office. Patient then evaluated by EMS on duty: VS: b/p 142/80, SaO2 100% on RA. PMHx: Migraines Medications: Fiornial, patient had same s/sx after 1st vaccine. 1435: Patients symptoms resolved and patient was cleared by EMS to discharge home. Ambulated on own without weakness. Escorted out by Paramedic to car.

Other Meds: Fiorinal, fish oil, multivitamin

Current Illness: headache, migraine

ID: 1058566
Sex: M
Age: 76
State: FL

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

Lab Data: none

Allergies: ? minimal to band aid

Symptoms: Several days after receiving my vaccination with the Moderna product I developed a significant rash of both hands on the dorsal side. It is non-blanching and it's only mildly tender and itchy. It was on my neck a little initially, but that has cleared.

Other Meds: ruvastatin, carbidopa/levadopa, metoprolol asa

Current Illness: parkinsons

ID: 1058567
Sex: M
Age: 72
State: TN

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

Lab Data: none

Allergies: Morphine

Symptoms: Pt received vaccine (outside clinic) and complained of sweating and slight SOB and feeling anxious at 2:45 pm. Pt alert and talkative, and requested use of his own albuterol inhaler. Pt was given one does of Benadryl 25 mg also. Pt calmed after spoken to. BP and pulse ox attached, monitored, attached. Pt improved and then watched for an hour.

Other Meds: Albuterol HFH Benadryl 25 mg po Famotidire 10 mg

Current Illness: asthma, copd, anxiety (severe), depression

ID: 1058568
Sex: F
Age: 39
State: CA

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

Lab Data: none

Allergies: Penicillin (rash)

Symptoms: Covid19 vaccine (Pfizer): Pt was employee receiving second dose of vaccine. Per report to had reaction to first therefore premeditated with 25 PO benadryl prior to shot. Pt received shot at 13:40. Around 13:44 pt felt right face and neck swelling, chest pain. BP 121/74, HR 93 and 100% on RA. Patient transported to ED for evaluation. symptoms improved. Discharged home after 2h of observation.

Other Meds:

Current Illness:

Date Died: 02/26/2021

ID: 1058569
Sex: M
Age: 55
State: AR

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

Lab Data:

Allergies:

Symptoms: PATIENT DIED IN HIS SLEEP NIGHT AFTER ADMINISTRATION

Other Meds:

Current Illness:

ID: 1058570
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: Erythromycin Ethylsuccinate Penicillin V Potassium

Symptoms: pt co upper lip tingling 10 minutes after injection, waited another 10 min to see if symptoms resolved. pt stated lip tingling continues with right arm tingling and tightness across chest. 0.3 EpiPen injection to right thigh. 911 activated. 1:00 injection 1:10 upper lip tingling 1:13 upper lip tingling, right arm tingling, chest tightness 1:13 0.3 EpiPen to right thigh 1:20 Fire arrived 1:30 pt transported to ED

Other Meds: Triamcinolone Acetonide (ARISTOCORT/KENALOG) 0.1 % Top Oint Diclofenac Sodium (VOLTAREN) 1 % Top Gel Ibuprofen (MOTRIN) 600 mg Oral Tab Cyclobenzaprine (FLEXERIL) 5 mg Oral Tab Tacrolimus (PROTOPIC) 0.1 % Top Oint

Current Illness:

ID: 1058571
Sex: F
Age: 52
State: SC

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

Lab Data:

Allergies:

Symptoms: Pt received the Pfizer vaccine (Pfizer Lot#:EN6200, 1st dose) at 1232 on left arm. Pt reported to lead RN that she got up and felt dizzy. Pt reported not being able to see anything for approximately 5 seconds. Pt stated that she immediately sat down. Pt stated that she has suffered from hypoglycemia in the past. Lead RN gave pt water. Pt was given a piece of candy by one of her friends in the observation area. No vital signs were taken. Pt was kept an extra 15 minutes for observation. Pt immediately started feeling better after eating candy. Lead RN reassessed pt and educated pt on s/sx that would warrant a trip to the ED. Pt stated that she was feeling a lot better. Pt left building after being observed for 30 minutes. Pt walked out of building with a steady gait.

Other Meds:

Current Illness:

ID: 1058572
Sex: M
Age: 81
State: AL

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

Lab Data:

Allergies: Imurin, 6MP, Erithimycian

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA

Other Meds: Lipitor, Lopreessor, Lisinopril, Chlorthalidone, Eliguis, Januvia, Pantoprarole, Allopurinole, Eye Vitamin, Anit-Didarheal, Vitamin C, Vitamin D w/Calcium, Multi-Voitamin, Vitamin B-12

Current Illness: Hospitalized for renal failure

ID: 1058573
Sex: F
Age: 27
State: MD

Vax Date: 02/14/2021
Onset Date: 02/16/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: Allergies to cats, horses

Symptoms: Dermal Hypersensitivity after 1st dose on1/21/2021. It got better and then I had the 2nd dose on 2/14/2021 and it is back

Other Meds: None

Current Illness: None

ID: 1058574
Sex: F
Age: 74
State: TX

Vax Date: 12/28/2020
Onset Date: 01/04/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: no

Symptoms: one week after first dose of vaccine developed intense itching right arm with purpura and swelling resulting from itching , itching continued to spread to all over body arms back legs torso neck. intensity would wake me up at night. ice pack only relief. have consulted 3 dermatologists, one internal medicine, and one neurologist. 9 weeks of itching .

Other Meds: estradiol patch 0.1mg

Current Illness: no

ID: 1058575
Sex: F
Age: 21
State: FL

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

Lab Data: 1606: BP: 140/87, HR 98, spo2 98, Temp 98 1622: BP: 133/85, HR: 85, spo2 96, Temp 97.3

Allergies: none

Symptoms: 1552:Pt c/o Left arm numbness.Pt assessed and able to lift arm above head and grasp firmly. Pt unable to feel pinch on Left arm from fingers to shoulder. VSS(ventricular septal rupture). Monitoring patient longer than 15 min fir observation. 1624: Pt states the numbness is going away and is feeling better. She is using her cell phone and VSS. 1629: Pt moving arm without difficulty. Ok to go home.

Other Meds: none

Current Illness: none

ID: 1058576
Sex: M
Age: 67
State: GA

Vax Date: 01/20/2021
Onset Date: 02/03/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: Notified doctor of rash on 2/14/2021 submitted picture Office visit with doctor on 2/26/2021

Allergies: Shrimp

Symptoms: Rash on legs developed about 2 weeks after the first COVID-19 vaccination, Early treatment with Calamine lotion for itching. Rash begin spreading and made an office visit. Current course of treatment starting 2/26/2021: Methylprednisolone, Triamcinolone Acetonide Cream, Zyrtec, Pepcid. Will recheck with the doctor after treatment. If the rash has not improved or is clearing up a biopsy may be necessary.

Other Meds: Allopurinol, Amplodipine-olmesartan, Besivance, Durezol, Fenofibric Acid, Glipizide, Lovastatin, Prolensa, Restasis, Trulicity, Centrum-Silver, Omega-3

Current Illness: none

ID: 1058577
Sex: F
Age: 27
State: OK

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

Lab Data: 110/81 18 RR

Allergies: None

Symptoms: Tingling injection site, tingling mouth/lips

Other Meds: Benadryl 25 mg after reaction

Current Illness: Unknown

ID: 1058578
Sex: F
Age: 21
State: KS

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

Lab Data:

Allergies:

Symptoms: Progress Notes (Nurse Practitioner) ? ? Family Medicine Cosign Needed Expand AllCollapse All COVID VACCINE CLINIC 2/24/2021 Date: 02/24/2021 Subjective Patient is a 21 y.o. adult who was seen at COVID Vaccine Clinic today for patients first dose of the COVID 19 vaccination. Patient was given the Pfizer vaccination in the left deltoid muscle. During patient's 30 minute waiting period after the injection, the patient began to experience throat tightness and itching. Patient denied rash, difficulty breathing, difficulty swallowing, wheezing, hoarseness, stridor, itching, lightheadedness, dizziness, facial swelling, lip swelling and tongue swelling. This provider was notified of patient reaction and patient was then assessed in the emergency bay area. Monitored patient for severe reaction symptoms, including but not limited to blood pressure abnormality , drooling, increased swelling, rapid progression of symptoms, respiratory distress, skin changes and tongue swelling. PMH: includes peanut allergy, carries epi-pen. She takes 75 mg of benadryl nightly to help with insomnia and seasonal allergies. ALLERGY REVIEW OF SYSTEMS: Patient complains of itching of skin Patient denies chills, malaise/fatigue, facial swelling, itching in ears, sore throat, frequent throat clearing, eyes itching, cough, chest tightness, shortness of breath, wheezing, rash, abdominal pain, muscle aches, dizziness and headaches Previous Reactions: she was brought back to bay intially for observation as she reported to pass out when she gets shots. Shortly after injection, she developed symptoms above. No vagal issues arose. Objective Vitals Vitals: 02/24/21 1048 02/24/21 1100 02/24/21 1136 BP: (!) 153/85 106/76 124/72 Pulse: (!) 101 86 81 Resp: (!) 22 16 SpO2: 99% 100% 100% Physical Exam Vitals and nursing note reviewed. Constitutional: General: Patient is not in acute distress. Appearance: Normal appearance. Patient is well-developed. Patient is obese. Patient is not diaphoretic. HENT: Mouth/Throat: Mouth: Mucous membranes are moist. Pharynx: Oropharynx is clear. Comments: Clear oral airway Eyes: General: Right eye: No discharge. Left eye: No discharge. 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. Skin: General: Skin is warm and dry. Capillary Refill: Capillary refill takes less than 2 seconds. Comments: Injection site without rash, erythema or swelling Neurological: General: No focal deficit present. Mental Status: Patient is alert and oriented to person, place, and time. Psychiatric: Mood and Affect: Mood normal. Behavior: Behavior normal. Thought Content: Thought content normal. Judgment: Judgment normal. Assessment/Plan Treatment included: antihistamines Follow up response to treatment: excellent. Patient discharge: Stable to go home and follow up with PCP. Differential Diagnosis: Vaccine-Related Anxiety (include misc mental health) and Anaphylaxis (dyspnea, stridor, drooling, tongue swelling) Close monitoring. Pt improving. Doing well with medication intervention. Pt has ride. Pt wheeled out to the front. Pt ambulates without difficulty. No dizziness. Instructions given on when she can take her next benadryl dose. APRN Electronically Signed 2/24/2021 11:25 AM

Other Meds:

Current Illness:

ID: 1058579
Sex: M
Age: 80
State: WI

Vax Date: 02/09/2021
Onset Date: 02/25/2021
Rec V Date: 02/26/2021
Hospital: Y

Lab Data: Positive SARS-CoV-2 via PCR

Allergies: baclofen, scopolamine, lamictal, lisinopril, methadone, metoprolol, salsalate, hydrochlorothiazide

Symptoms: Pt received first dose of Pfizer COVID-19 vaccine on 2/9/2021. Pt developed COVID symptoms and presented to hospital, tested positive 2/25/2021 via SARS-CoV-2 PCR NP. Symptoms: generalized fatigue and malaise, max temp 103, confusion with hallucinations, needed supplemental O2. Admitted on 2/25/2021.

Other Meds: alfuzosin, amlodipine, aspirin, fentanyl patch, hydrocodone-acetaminophen, losartan, metformin, pravastatin, venlafaxine

Current Illness:

ID: 1058580
Sex: M
Age: 49
State: CA

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 1/22 ? Received second dose of vaccine 1/23-1/25 ? started having LLQ abdominal, flank, and back pain. The pain was isolated, sharp in nature and rated 7/10. No rash or blistering in the area. 1/25 ? Contacted primary care physician and referred to medical facility for work up. Ruled out kidney stone. Abdominal CT scan negative. Treated with Torodal and Dilaudid with minimal relief. Discharged dx of muscle spasm and rx for muscle relaxants. 1/26 ? Follow up appointment with primary care physician. Added NSAIDS for ongoing pain. 1/27 ? Represented to ETC for ongoing LLQ abdominal, flank, and back pain. Noted constipation. KUB(kidney, ureter, and bladder) showed ileus. 1/28 ? Follow up appointment with primary care physician. Started on gabapentin 100mg TID for ongoing pain. 2/3 ? LL abdominal bulge noted (16cm x 10cm). Contacted primary care physician and referred back to hospital. Repeat KUB(kidney, ureter, and bladder) and CT scan are negative. 2/4 ? Follow up appointment with primary care physician. MRI of lumbar spine ordered. 2/10 ? Appointment with colorectal surgeon. Appreciated continued bulge. Recommended follow up appointment with hernia surgeon. 2/11 ? Appointment with hernia surgeon. Noted that the bulge decompresses when laying flat. Abdominal ultrasound ordered to rule out spigelian hernia. 2/12 ? Ultrasound negative for any kind of defect. Lumbar MRI performed. 2/17 ? follow up appointment with hernia surgeon. Based upon everything they believe that this is a pseudohernia likely caused by the COVID vaccine and possible irritation of HZ virus. Continued to not show any rash or blistering. Continue with gabapentin and added acyclovir."

Other Meds:

Current Illness:

ID: 1058581
Sex: F
Age: 35
State: NY

Vax Date: 01/14/2021
Onset Date: 02/26/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: Ultrasound, quantitative HCG measurements.

Allergies: None.

Symptoms: Miscarriage at 6 weeks; 4 days gestation.

Other Meds: Prenatal vitamins.

Current Illness: None.

ID: 1058582
Sex: F
Age: 60
State: MN

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

Lab Data:

Allergies: None

Symptoms: Quarter size bump with redness, itching and tender to touch appeared on 2/25/2021 at 8pm. By morning of 2/26 spot increased to 1 inch by 3inch, more itching and same redness. At 4pm on 2/26 still itching, increased tenderness, spot about 2in by 4in and larger bump with redness. Feeling sluggish since initial injection and has not increased or decreased. No other side effects other than headache first two days after dose.

Other Meds: None

Current Illness: None

ID: 1058583
Sex: F
Age: 63
State: MN

Vax Date: 02/11/2021
Onset Date: 02/17/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Approximately one week after the vaccine was administered, I noticed my arm was sore again and it began itching a lot. There was a large, red, itchy and painful area on my arm for over a week. Two days after this started, I had a day of not feeling well. I did not notice a fever but had a bad headache, was nauseous and tired. The next day I felt okay. I do not have any lingering effects now.

Other Meds: Vitamin D, Vitamin B12, Fish Oil

Current Illness: N/A

ID: 1058584
Sex: F
Age: 67
State: OH

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

Lab Data:

Allergies: Sulfa drugs, codein

Symptoms: Itchiness and hardness at injection site..

Other Meds: Iron supplement, vitamin, calcium supplement

Current Illness: None

ID: 1058585
Sex: F
Age: 53
State: MO

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

Lab Data:

Allergies: Dyes in OTC medications (Tylenol OTC medication 13 years ago)

Symptoms: Patient started experiencing tingling of her tongue, similar to what she experienced when she took OTC Tylenol 13 years ago which caused her to have an anaphylactic reaction. She took OTC Benadryl after talking to staff at the clinic and her tingling has gotten better but has not gone away completely.

Other Meds:

Current Illness:

ID: 1058586
Sex: F
Age: 60
State: IL

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

Lab Data:

Allergies: +h/o severe allergies

Symptoms: throat closing, slight facial swelling epipen given. symptoms resolved. pt back to baseline.

Other Meds:

Current Illness:

ID: 1058587
Sex: M
Age: 78
State: KS

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

Lab Data: no

Allergies: fish,

Symptoms: pt stated that after he got his covid vax he had no symptoms so had normal activities. Pt woke up feeling bad and was constipated on 2/26/2021. He has 101.6 fever. Pts wife called the PCP but wasnt able to speak to anyone. She asked them to call back but office closed for the day and they did not get a CB. She will try to call back. Pt has taken decalux for the constipation.

Other Meds: vitamin D, atorvastatin 20mg x 2 daily, Trandolapril-Verapamil ER 4-40 mg, ferrous sulfate325mg, multivitamin, aspirin 81 mg, rabeprazole 20mg, hydrochlorothiazide 25mg, carvedilol 12.5 mg x 2 daily, iron,

Current Illness: no

ID: 1058588
Sex: F
Age: 68
State: CA

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

Lab Data: None

Allergies: No

Symptoms: At 10:15 p.m. I experienced extreme bodily cold that no matter how many blankets I put on, the coldness persisted throughout the night. I was not able to sleep all night. I had a low temperature (100 degrees)

Other Meds: N/A

Current Illness: Thyroid, cholesterol

ID: 1058589
Sex: F
Age: 68
State: FL

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

Lab Data: None

Allergies: none

Symptoms: Day 1: Nausea, headache 8 hrs. post injection. Day 2: Headache, fatigue, fever. Temp @ 9:30 am =100.1; Temp @ 4:15 pm=101.6 Ibuprofen 200mg X2 P.O. @4:20 pm Treatment evaluation ongoing

Other Meds: Armour, Progesterone, Bio-identical hormone, Zanax, multi-vitamin, Omega 2

Current Illness: IBS, Asthma, fibromyalgia

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm