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: 1058742
Sex: F
Age: 43
State: WI

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: no

Allergies: Reaction to Humira - central nervous demyelination; leflunomide - hair loss; methotrexate - multiple mouth sores

Symptoms: I felt extra tired before bed that night. I woke up at 06:30 I had some body aches and felt really fatigued and had some nausea. I felt well enough to work from home. I logged on and worked but by 08:30 am - I had a fever 101.6. I did take two Tylenol 325mgs at 09:00 am. I kept on with chills and fever and it went down to 99.6 and it bounced back up in afternoon and I took another dose of Tylenol (325 mgs each) - at 1:30 because it was up for 101.6 - with nausea, chills and body aches. Tylenol did help again this time. I didn't take my temp after work. Right before bed, the chills had basically gone away but I took another dose of Tylenol (two of the 325 mgs) before bed. I woke up the next morning feeling really well with just a little a bit of fatigue (so I was 95% back to normal).

Other Meds: Sulphasalazine 500mg tablets - 2 twice a day. Vit D - 1000 mcg daily; Vit B12 - 1000mcg

Current Illness: Adverse symptoms after dose 1 of Moderna COVID 19 vaccine

ID: 1058743
Sex: F
Age: 29
State: KS

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

Lab Data: None

Allergies: Allergies to medications- morphine (stop breathing), doxycycline(hives) , tegretol- (pins & needle sensation), lidocaine (stop breathing)

Symptoms: She reported her left arm started hurting about an hour after injection. Started having a mild to moderate headache around 5:30 pm on 02/23/21. She reported that she was able to sleep that night. Woke up around 4:30 am with a severe migraine, swelling in her left arm and fingers which continued to get worse throughout the day. She took Tylenol, Ibuprofen, Benadryl, Maxalt before contacting the health department and physician. She was seen by her primary care physician on the 02/24. She received a Toradol shot, and was prescribed Flexeril. She reported that her headache started to lessen around 9:00 pm on 02/25/21. She reports a mild head ache the morning of 02/26/21 and by 11:00 am her headache has resolved. She is still having chills, and nausea.

Other Meds: Omeprazole Nortriptyline (headache prevention) Lorazepam (anxiety) Lithium Maxalt (rescue meds for migraines)

Current Illness: No recent illnesses

ID: 1058744
Sex: F
Age: 37
State: TN

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

Lab Data: No tests administered

Allergies: Sulfa, biaxin, floxin

Symptoms: Hives and facial swelling approximately 30 minutes after vaccine; went to urgent care; doctor administered epinephrine and steroid; started series of benedryl and Pepcid for 48 hours; swelling and hives went away

Other Meds:

Current Illness:

ID: 1058745
Sex: F
Age: 69
State:

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

Lab Data:

Allergies: None

Symptoms: Fever, chills, headache, arm pain and into back and under arm... some stomach issues

Other Meds: None

Current Illness: None

ID: 1058746
Sex: F
Age: 22
State: TX

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

Lab Data: N/a

Allergies: None

Symptoms: Chills, body ache, fever, nausea and vomiting, headache

Other Meds: I took birth control, and tylenol

Current Illness: N/a

ID: 1058747
Sex: M
Age: 59
State: NC

Vax Date: 01/27/2021
Onset Date: 02/25/2021
Rec V Date: 02/26/2021
Hospital: Y

Lab Data: 2/26: Ammonia: 56 Sodium: 130

Allergies: iohexol

Symptoms: Patient experienced general weakness and unsteady gait as well as unexplained hyperammonia and hyponatremia.

Other Meds: ferrous sulfate 325 mg, hydroxyurea 1000 mg, hydroxyurea 500 mg, acetaminophen 650 mg, aspirin 81 mg, atorvastatin 5 mg, carvedilol 6.25 mg, citalopram 20 mg, divalproex ds 500 mg, docusate 100 mg, famotidine 20 mg, lorazepam 0.5 mg, mineri

Current Illness: None

ID: 1058748
Sex: F
Age: 17
State: TX

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

Lab Data:

Allergies:

Symptoms: Patient is a 17-year old female that was given the Moderna COVID-19 Vaccine, against ACIP/CDC Guidelines of 18 years age or older. No adverse reaction that we know of.

Other Meds:

Current Illness:

ID: 1058749
Sex: F
Age: 75
State: AR

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

Lab Data:

Allergies:

Symptoms: Resident was inadvetantly given 3 Covid vaccines. The resident was on the facility list to receive a second dose AND was on the report to receive a 2nd dose. The vaccine was administered. The error was discovered when the VaccinationRecord Card was pulled to update. The resident is not currenlty experiencing any adverse reactions. She will be monitored every shirt for the next 7 days.

Other Meds:

Current Illness:

ID: 1058750
Sex: M
Age: 41
State: MN

Vax Date: 02/11/2021
Onset Date: 02/19/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Very sore muscles especially shoulders and upper arms. Extreme fatigue. Initial arm pain subsided after day 2. Progressively been getting worse.

Other Meds:

Current Illness:

ID: 1058751
Sex: F
Age: 42
State: PA

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

Lab Data: Ultrasound

Allergies: No

Symptoms: The evening of my vaccination, I began to feel feverish, weak and achy. During the night I woke with heavy bleeding and found out the following morning I had miscarried my otherwise healthy pregnancy.

Other Meds: No

Current Illness: None

ID: 1058752
Sex: F
Age: 36
State: AZ

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

Lab Data:

Allergies: None

Symptoms: 12w 1d pregnant, The first day I had nausea, fatigue, injection site discomfort, metallic taste in my mouth. The second day (today), I had nausea, fatigue and diarrhea.

Other Meds: Sertraline, Diclegis, prenatal vitamin Fish oil, probiotic, vitamin C, b complex Vaccishield

Current Illness: I am 12w 2d pregnant. I have had injection site discomfort (mild), fatigue, nausea, diarrhea.

ID: 1058753
Sex: F
Age: 23
State: NM

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

Lab Data: 2/9/21: vitals

Allergies: PEG (unknown product, unknown reaction), Typhoid vaccine (unknown reaction)

Symptoms: Pt arrived for 2nd dose of vaccine today patient stated that she did have a previous reaction of hives, rash, and itching for 2 weeks status post 1st vaccine dose. 12:20- Pt given 2nd dose of vaccine by this nurse and began monitoring on stretcher. 12:33-Pt stated she was experiencing some dizziness and itching to the left posterior neck 1235-Pt stated she was now experiencing itching to the back and noticed some increased work of breathing and redness to her left side of the neck. Patient stated: " Hard to breath and it feels like I am unable to take a deep breath." 1237-Provider and medics on duty notified and patient assessed and patient's VSS and lungs clear to auscultation. Provider ordered Benadryl 25mg oral liquid to be given to the patient. 1237: Patient given Benadryl 25mg Benadryl by nurse. Patient observation continued and it was found that after calling patient's mother that the patient did have a reaction to the Typhoid Vaccine in the past with a noted PEG Allergy. Patient denies any other allergies but does take allergy injections and her last dose was 2/8/21. Provider spoke with patient and patient's mother who came to pick up the patient that the recommendation at this point would be to follow up with either Urgent care of Emergency room due to the known PEG Allergy. Mother arrived and pt was to be transported via private vehicle to Urgent care. Patient strongly encourage to establish with a PCP and after speaking with the Lead provider it was noted that the patient could go home with mother but monitoring should occur at home and the patient should take another dose of Benadryl 25mg four house after the initial dose of Benadryl. Patient and mother educated of this and communicated understanding. 1337: Provider gave detailed discharge instruction to the patient and when also when to follow up if any swelling, increased itching, hives, or worsening of shortness of breath should occur. Pt should take additional precautionary dose of Benadryl 25mg at 1630. 13:40-Patient denied any further itching and redness had decreased. Patient discharged home with mother and mother also stated that if needed there is an Epi Pen in the house and readily available if needed.

Other Meds: Unknown

Current Illness: Unknown

ID: 1058754
Sex: M
Age: 77
State: AZ

Vax Date: 02/03/2021
Onset Date: 02/05/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: the E. R. gave patient some limited pain pills and muscle relaxers - no help - still in great amount of constant pain . Made appmt . with a chiropractor - saw him on 2/ 18 , 2/22, 2/24 - more appmts on books . was given spinal shots to alleviate pain and relax spine -

Allergies: sulphur drugs

Symptoms: Increasing severe lower back pain - ache all the time - difficult to walk as of a week after shot - -putting topical relief measures to no avail . continued to get worse - as of 2/12 - could not walk without crutches . went to E. R. on 2/13/21 in ambulance - could not walk - could not get up out of a chair at all .... tests done - said severe inflamation in lower back - arthritis - inflamed - - disc impacted .The patient had no symptoms of this condition prior to the vaccine . normal walking - driving , going up and down stairs just fine before vaccine .

Other Meds: High blood pressure medicine , xeralto ,tylenol , potassium , vit. d

Current Illness: recent heart attack

ID: 1058755
Sex: F
Age: 66
State: MO

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

Lab Data: n/a

Allergies: sulfur, iodine

Symptoms: pressure in temple of head, left eye issues, upper back pain left side,heavy body weight

Other Meds: Montelukast, Bystolic, levothyroxine, Benadryl

Current Illness: kidney stones

ID: 1058756
Sex: F
Age: 75
State: CO

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

Lab Data:

Allergies: Iodinated contrast; HCTZ; Lisinopril

Symptoms: Patient had COVID shot on 2/5/21 Friday afternoon and waited her observation period. She started having a sharp chest pain on drive home. She pulled over and the feeling went away. No other symptoms. On sat morning patient started getting twinges of chest pain on left side bottom by her breast. On Saturday night and Sunday morning patient started belching. She doesn't normally have belching. This morning patient felt like her heart racing. She is still having a chest pressure. Was sent to ED 2/8/21 after triage. Labs unremarkable, troponin negative, instructed to f/u with PCP, discharged in stable condition. F/U w/ PCP 2 weeks later and reported weight loss, weakness, possible facial droop (although not noticed today on exam). Symptoms appear to be improved.

Other Meds:

Current Illness:

ID: 1058757
Sex: M
Age: 77
State: GA

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

Lab Data:

Allergies: Lisinipril

Symptoms: Itching, redness, circular rash

Other Meds:

Current Illness: Alzheimer's Disease, Hypertension, quadruple heart bypass in 1994

ID: 1058758
Sex: F
Age: 69
State: GA

Vax Date: 01/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: none. I have not seen a doctor. A medical doctor recommended to file this report

Allergies: none

Symptoms: Nails and hair have stopped growing and blood is not coagulating when I had a tiny cut on my finger. It took 2 days wearing a bandage before the cut stopped bleeding.

Other Meds: crestor, 40mg daily 81mg aspirindaily coreg 25mg daily Potassium 90mgdaily , Zinc 50mg vit D 2000IU daily

Current Illness: none

ID: 1058759
Sex: F
Age: 94
State: MD

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

Lab Data:

Allergies:

Symptoms: Dementia patient in skilled nursing facility inadvertently administered 3rd dose in 2 dose series. First dose 1/12/2021, Second Dose 2/1/2021, Third Dose 2/25/2021

Other Meds:

Current Illness:

ID: 1058760
Sex: F
Age: 67
State: OH

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

Lab Data: none

Allergies: none

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA

Other Meds: lipitor, effexor

Current Illness: none

ID: 1058761
Sex: F
Age: 43
State: IL

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

Lab Data: None. I literally didn't say anything because I thought it was a panic attack and left like that. Didn't realize it could be a reaction to the shot at the time. Thought it was like getting a flu shot.

Allergies: Allergy to cough syrups and antidepressants.

Symptoms: Felt like a panic attack. Short of breath, heart racing, tunnel vision, dizzy tingling face/lip. Worst of it lasted about 2-3 hours. Very fatigued afterward.

Other Meds: None

Current Illness: None

ID: 1058762
Sex: F
Age: 56
State: IL

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

Lab Data: None

Allergies: Shellfish allergy, bee stings

Symptoms: Fever of 100.812 hours after injection that lasted over 24 hours. Large raised bump add injection site itching eyes itching scalp and rash on my chest

Other Meds: Turmeric

Current Illness: None

ID: 1058763
Sex: F
Age: 77
State: CA

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

Lab Data:

Allergies:

Symptoms: Dizziness, feeling palpitation, cold. BP 172/80 (HR 100). Thirty minutes later, BP 132/71 (pulse 63). Water given.

Other Meds:

Current Illness:

ID: 1058764
Sex: F
Age: 88
State: IN

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

Lab Data: ER visit pt received 1mg of IV lorazepam and 500ml of NS bolus. Pt vital signs stabilized and returned to normal limits within 5-10 minutes. ER physician concludes that symptoms were a result of anxiety and no other abnormalities were discovered. Pt remained alert and oriented x4 during the visit and was discharged home under own self care within the hour.

Allergies: ciprofloxacin, levo floxacin = hives penicillin = hives sulf antibiotics = hives cephalexin = facial swellng iodine = unknown reaction

Symptoms: During monitoring after vaccine, pt stated she was experiencing racing heart and feeling faint. BP was taken and found to be 174/97 with pulse of approximately 104. Pt was escorted to emergency room for eval and treatment.

Other Meds: aspirin 325mg po daily Vit D3 5000 units po daily levothyroxine 50mcg po daily meclizine 12.5mg po TID PRN dizziness B-complex 1 tab daily

Current Illness: none known other than chronic hypothyroidism

ID: 1058765
Sex: M
Age: 30
State: NC

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: Primary care visit, emergency department visit, cardiologist visit, electrocardiogram, echocardiogram, bloodwork.

Allergies: N/A

Symptoms: Premature Ventricular Contractions lasting more than two weeks.

Other Meds: Venflaxine ER 150mg Esomeprazole 20mg Amlodipine 10mg Losartan/Hydrochlorothiazide 100/25mg Fluticasone 2 sprays per nostril daily

Current Illness: N/A

ID: 1058766
Sex: M
Age: 51
State: NY

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

Lab Data:

Allergies:

Symptoms: No adverse events- but patient was reportedly given a 3rd dose of the Pfizer vaccine.

Other Meds:

Current Illness:

ID: 1058767
Sex: F
Age: 70
State: CO

Vax Date: 02/04/2021
Onset Date: 02/08/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: iodinated contrast, vicodin

Symptoms: Pt received dose #1 Pfizer COVID vaccine 2/4/21 @ vaccine clinic. 2/8/21 @ 1155 presented to ED for workup of myalgias, nausea, fatigue. Per ED note "chills, onset 4 days ago. Pt recently had the COVID19 vaccine and since, has been experiencing "flu like sx's" and "she feels horrible". She tried imodium, with minimal relief. Endorses abd pain, nausea, diarrhea, GERD, feeling gassy, trying to stay hydrated, decreased appetite. Denies fever, sore throat, congestion, cough, urinary sx's, SOB, CP. Patient is otherwise healthy and has no other complaints." Workup negative, prescribed zofran and discharged home without escalation of care.

Other Meds:

Current Illness:

ID: 1058768
Sex: M
Age: 60
State:

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

Lab Data: none

Allergies: Shellfish

Symptoms: Patient began feeling tingling sensation and tightness in chest. Denies difficulty swallowing, swollen tongue, or shortness of breath. States he feels like heart is racing. Lungs auscultated and BBS clear. EMT in attendance. Patient declines w/c to private observation area. Patient called wife to come into vaccine building (she is outside in car). 1630: HR 113; O2 sat 99% 1632: Patient having vigorous tremors. Fingers cold to touch. Gave Benadryl liquid 20 mL/50 mg PO. Patient declines ambulance transport. Patient wants to go home with wife. BP 158/98. 1635 wife in attendance. Wife states he will not want to go via ambulance. Strongly recommended that patient transports via ambulance. Recommended that patient go to urgent care clinic or ED for further evaluation. Wife went to bring car to exit area. 1640: O2 99%, HR: 105; no shortness of breath noted. Patient remains alert and oriented, still having tremors. 1645: convinced patient to go outside in w/c for fresh air. Patient agreed and taken to private observation area out back door. Patient removed mask and patient encouraged to deep breath. Upper body shaking continues. Hands remain very cold. 1650: patient's wife returned. Wife states she will take him to an urgent care area. She states she also has an epi pen if he worsens. She states if he improves she will take him home and monitor him. Patient declined w/c transport to private vehicle. 1655: patient left ambulatory with wife, no shortness of breath. Continues to shake.

Other Meds: thyroid medication, benadryl as needed for allergies.

Current Illness: none

ID: 1058769
Sex: F
Age: 66
State: TX

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

Lab Data: N\a

Allergies: None

Symptoms: 12 hours after vax till now (27 hours). Crushing body pain, fevers up to 101.6, severe headache, chills, nausea and insomnia

Other Meds: Duloxetine, trazadone, Letrozole, atorvastatin, ferrous gluconate, Flonase, vit D, vit C, calcium, hydroxychloroquin

Current Illness: None

ID: 1058770
Sex: F
Age: 51
State: TX

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

Lab Data: None-considered ER

Allergies: Sulfa

Symptoms: Upon waking, very lightheaded and had to sit down to shower. Took blood pressure, 93/66 HR 91. Arrhythmia- could not tell if atrial or ventricular in nature. Had missed beats with fast and slow rate. Upon getting to work, temp 99 increased to 100.6 throughout day. Arrhythmia lasted for a 24 hour period with the majority in the AM and no regularity. Long and short runs of arrhythmias. Unable to work. Body aches. 9pm night of 25th, BP 75/57 HR 102 after going upstairs. Taken 20 min later after resting, 101/57, HR 87. Next day- no arrhythmia but increased HR and difficulty with standing and movement. No appetite for 2 days.

Other Meds: Meloxicam-prn

Current Illness: None

ID: 1058771
Sex: F
Age: 69
State: CA

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

Lab Data: None

Allergies: penicillinnone

Symptoms: Woke up in middle of night with body aches, especially in my legs. Kept me awake for hours. I was exhausted the next day. Aches and exhaustion subsided over 48 hours. After 2nd injection I experienced the same but milder reaction on the tenth day after the injection. However, I have been tired for a longer period of time. About 3 days.

Other Meds: multi vitamin, plus 2000 units of D

Current Illness:

ID: 1058772
Sex: M
Age: 68
State: MT

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

Lab Data:

Allergies: NONE REPORTED

Symptoms: ON 2/25 THE PATIENT CALLED AND REPORTED BEING SHORT OF BREATH OVERNIGHT. HE STATED THAT IT WAS SOMEWHAT BETTER ON THE MORNING OF 2/25. PT WAS REFERED TO HIS PCP FOR EVALUATION

Other Meds: UNKNOWN

Current Illness: NONE

ID: 1058773
Sex: M
Age: 60
State: WY

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

Lab Data: EKG when EMT arrived, this RN unsure of outcome

Allergies: Amoxicillin

Symptoms: Pt received vaccine at 11:20. At 1132 staff member asked RN to assess pt as he began slurring his words and mumbling. VS 97% RA, HR 92, temp 99.8, BP 168/92. Pt is conscious but unable to tell me his name or location. Skin is clammy, patient?s hands are shaky. Wife was notified that we are calling an ambulance for further assessment. Ambulance arrived at 11:48 and pt was taken out shortly before noon.

Other Meds: none

Current Illness:

ID: 1058774
Sex: F
Age: 75
State: CA

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

Lab Data:

Allergies: Clindamycin, erythromycin, penicillins, sulfa drugs

Symptoms: Swelling and redness x4 days in the injection area which initially resolved and then recurred 4 days later, improved with Benadryl

Other Meds:

Current Illness:

ID: 1058775
Sex: F
Age: 68
State: MI

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

Lab Data:

Allergies: Lidocaine, Tetracycline, Tizanidine, Topiramate

Symptoms: Patient developed angioedema and rash around 8 am on 2/26/21. Rash was macular and erythematous located on the arms, torso, and legs. Angioedema involved the tongue. Patient presented to the emergency department and received epinephrine, Benadryl, methylprednisolone, and famotidine. She was admitted to the hospital overnight for observation.

Other Meds: Amitriptyline, vitamin C, vitamin D-3, Lotrisone, Flexeril, Relpax, Krill Oil/Omega 3 and 6, Claritin, Multivitamin, Corgard, artificial tears, Prilosec, Norco

Current Illness:

ID: 1058776
Sex: F
Age: 71
State: NC

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

Lab Data: none

Allergies: none

Symptoms: fever, achy, chills..... day 2, day 3 and day 4

Other Meds: none

Current Illness: none

ID: 1058777
Sex: F
Age: 71
State: VA

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

Lab Data: none

Allergies:

Symptoms: Chills, fever, some nausea, tiredness, headache, didn't want anything to eat

Other Meds: Tylenol taken after the vaccination, during last night and today

Current Illness:

ID: 1058778
Sex: F
Age: 75
State:

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

Lab Data:

Allergies:

Symptoms: Patient was given her second dose of Pfizer COVID vaccine. After 15 minutes patient was C/O difficulty breathing. Vital signs B/P:155/77,HR: 90, RR: 22, Breath sounds clear bilaterally, O2 98 room air. Patient continued to experience chest pressure

Other Meds:

Current Illness:

ID: 1058779
Sex: F
Age: 33
State: CO

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

Lab Data:

Allergies: pollen, shellfish, melon, azithromycin

Symptoms: Pt received first dose of Moderna COVID19 Vaccine Lot 029L0A. History of allergies and anaphylaxis to pollens and shellfish. Cleared to receive vaccine by her provider. Pt pre-medicated with Zyrtec earlier today. Patient observed for 30 minutes. Cough started without difficulty breathing. Pt went to her office, used her inhaler. Symptoms continued, pt self administered Epi pen. Observation RNs notified. Pt taken to ED, ambulatory for additional treatment. Monitored for 4 hours then d/c'd home

Other Meds:

Current Illness:

ID: 1058780
Sex: F
Age: 60
State: GA

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

Lab Data: n.a.

Allergies: n.a.

Symptoms: Next day after 2nd dose of Moderna vaccine: Fever, chills, malaise, arm pain for one day - took Ibuprofen Better following day.

Other Meds: Allegra, Vit C

Current Illness: n.a.

ID: 1058781
Sex: M
Age: 71
State: MI

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

Lab Data: none

Allergies: none

Symptoms: Pain in the area of appendix.. it lasted several days and almost caused me to go to a clinic, but I began taking doxycycline 100 mg and after several days the pain went away (2 and then 1 per day)

Other Meds: exforge with HCT

Current Illness: none

ID: 1058782
Sex: F
Age: 57
State: PA

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

Lab Data:

Allergies: Z-pac

Symptoms: Covid Arm. I have a very large, swollen, painful rash underneath, not on, the injection site.

Other Meds: Synthroid, vitamin, Vit D, Vit E

Current Illness: none

ID: 1058783
Sex: F
Age: 54
State: AL

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

Lab Data: BP: 125/86 10:55A 12/26/21

Allergies: not known

Symptoms: Patient received Moderna vaccine. Around 5 minutes later, she began to feel lightheaded. Blood pressure was checked and was bnormal. Patient started to feel better after about 5 minutes. She was evaluated by EMT.

Other Meds: not known

Current Illness: not none

ID: 1058784
Sex: M
Age: 45
State: WI

Vax Date: 02/12/2021
Onset Date: 02/23/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Bell's palsy left side of face

Other Meds: Albuterol Sulfate 108 (90 Base) MCG/ACT buPROPion XL 24hr (WELLBUTRIN-XL) 150 MG tablet cetirizine (ZYRTEC ALLERGY) 10 MG tablet Ferrous Sulfate 324 MG TBEC fluticasone propionate (FLONASE) 50 MCG/ACT nasal spray montelukast (SINGULAIR) 10

Current Illness:

ID: 1058785
Sex: F
Age: 66
State: MI

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

Lab Data:

Allergies: no

Symptoms: can't move shoulder or arm, stiffness, tenderness, burning, pain at injection site

Other Meds: no

Current Illness:

ID: 1058786
Sex: F
Age: 87
State: WY

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

Lab Data: Seen by local doctor - 10cm x 12cm area of erythema with slight induration on her medial aspect of her upper arm where she had her Covid vaccine administered. Patient states her symptoms have been worsening, given her symptoms placed her on linezolid 600 mg, take 1 tablet every 12 hours as needed for next 7 days. Advised her to monitor her symptoms for now, further workup if she has no benefit with the medication.

Allergies: Penicillin

Symptoms: Had her 2nd dose on 2/18 in the morning. on 2/19 the injection site started itching. On 2/20 the site became irritated, red, and swollen. Symptoms were getting worse over time. She came into the clinic 02/25 for an appointment with the doctor

Other Meds: Amlodipine 2.5mg - 1 QD atrovastatin 40mg - 1 QD Eliquis 2.5mg - 1 QD Metoprolol Succ 50mg - Hydrochlorothiazide 12.5mg - 1 QD Pantoprazole 40mg - 1 QD Vitamin B12 2,500 mcg - 1 QD Vitamin D3 25 mcg (1,000 unit)- 1 QD

Current Illness: None

ID: 1058787
Sex: F
Age: 45
State: NY

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

Lab Data: I had a metabolic panel /CBC /EB bloodwork on 2/23 all came back normal . My EB test showed previous infection . I have an appointment on 3/1/2021 to do imaging on the lymph node with an ENT

Allergies: sulfer

Symptoms: I experienced a swollen lymph node after the first shot on 1/12/2021. It went away within a week. After the second dose 2/2/2021 the same lymph node (left side above my collar bone , became inflamed again. It never went away but decreased in size after about 10 days. ON 2/21/the lymph node increased in size , it is the size of a grape and is very painful. I am also fatigued an have a general feeling of being unwell.

Other Meds: none

Current Illness: none

ID: 1058788
Sex: U
Age: 36
State:

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

Lab Data:

Allergies: No

Symptoms: Immediate reaction after the shot hight blood pressure , tachicardia, warmness in the arm neck and head on the same side at vaccination

Other Meds:

Current Illness: No

ID: 1058789
Sex: F
Age: 70
State: CA

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

Lab Data: EKG; Blood Pressure; Blood oxygen.

Allergies: Penicillin: Sulfa; Latex

Symptoms: Lightheadedness; shortness of breath; rash below throat. Zyrtec; steroid pills.

Other Meds: Lipitor; Restasis; Montelukast; Aspirin, Vitamin D; Vitamin B12

Current Illness:

ID: 1058790
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:

Allergies: None

Symptoms: I only had mild symptoms after getting the injection. The site was tender for about a day, then was fine. But about 5 days after getting the injection, the area around the injection site started to swell, got hot, and itch. And now there is a rash. The area is about 3-4 inches in diameter. It's been going on for a couple of days and is very itchy even after applying topical steroid and taking Claritin.

Other Meds: Vitamin D3; sodium ducosate

Current Illness: None

ID: 1058791
Sex: F
Age: 69
State: CA

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

Lab Data: Did not report. I just want to know if they later offer a third booster, do I dare take it? I have no idea how low my blood pressure was during the night. I was too sick to think about taking it.

Allergies: Amix-clav, clarithromycin, pomegranate, ? Egg.

Symptoms: Was nauseated for a while in bed. Went to bathroom to look for Phenergan. Started to pass out. Lying on floor with dry heaves. Took Phenergan and went to sleep. Next day at 2 PM still dizzy. Pulse 64 sitting. 110 standing. B/P 84/40 standing.

Other Meds: Vit D3, K2, fish oil, magnesium, melatonin, THC/CBD oil

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm