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: 1059867
Sex: F
Age: 74
State: OH

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: Maybe to Sulfa drugs

Symptoms: I have been very sick to my stomach, tired, weak, shaky, nauseas, loose stool, stomach cramps, chills and an all over listless feeling that started about 18 hours after I received vaccine and still remains 4 days later

Other Meds: Olmesartin Multi-Vitamin Baby aspirin ev other day

Current Illness: None

ID: 1059868
Sex: M
Age: 69
State: NJ

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Approximately 8 hours after receiving the vaccine, I experienced chills, body aches, flu-like symptoms for the next 36 hours, fatigue for 48 hours. I did not take any medications to mitigate the symptoms.

Other Meds: Qvar, Ventolin Ropinirole, Clonazepan , Gabapentin Simbrinza, Lumigan, Latanoprost, Rhopressa Atorvastatin

Current Illness:

ID: 1059869
Sex: M
Age: 66
State: TN

Vax Date: 02/19/2021
Onset Date: 02/21/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 2 days following vaccine, the patient reported a red rash developing on his lower right back. The rash continued to spread. 8 days post vaccine the rash covered his right trunk, front and back. His healthcare provider treated him for shingles initially and he took an antiviral.

Other Meds:

Current Illness:

ID: 1059870
Sex: F
Age: 19
State: VA

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: Vital signs tested at site of vaccination by EMTs on standby; results were completely normal

Allergies: Had an adverse reaction to the flu shot this year involving breathing problems and cephalosporins

Symptoms: Trouble breathing, dizziness, pupil dilation

Other Meds:

Current Illness:

ID: 1059871
Sex: F
Age: 56
State: CA

Vax Date: 02/14/2021
Onset Date: 02/21/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Red rash at injection site one week after vaccination. Redness lasted a couple of days. Slightly itchy but no pain. Redness reduced to simply an area that was darker than my normal skin but not red. 6 days after the reaction, the original red (now dark) area is circled in red and a new red blotch appears below that. No pain. No itchiness

Other Meds: Symvostatin

Current Illness: None

ID: 1059872
Sex: M
Age: 58
State: MA

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

Lab Data:

Allergies: Sulfur

Symptoms: Nasal congestion, sore throat with swollen gland on right side of throat

Other Meds:

Current Illness: Asthma

ID: 1059873
Sex: F
Age: 38
State: MA

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: I?m currently monitoring heart rate at home. Heart palpitations increase from time to time.

Allergies: Zoloft

Symptoms: Heart palpitations, heart rate increase to 170/110 within a minute of getting the second dose administered

Other Meds: No

Current Illness: No

ID: 1059874
Sex: F
Age: 27
State: MO

Vax Date: 01/21/2021
Onset Date: 02/02/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: n/a

Allergies: lactose intolerance

Symptoms: My last period started Tuesday Feb 2nd and did not stop until 14 days later, more than double my usual menstrual cycle. It seemed pretty normal and painless, but then on 8th day I was surprised to find myself still bleeding . It was a darker color around then, but then became brighter and I noticed myself passing clots when I went to the restroom that were loose, but about the size of a quarter or half dollar. I did not bleed through any menstrual pads, but the return of bright red after it being a darker red that im used to at the end of a period had me concerned. I was in slight discomfort around my uterus/bowels and I couldn't tell if it's my body recovering from the vaccine, or something else. I received my second dose of the COVID-19 vaccine 2/11/21 (Pfizer) and stayed home from work as I had a fever/headache/chills (this was not unexpected to me, my coworkers had the same symptoms). Family medical history: grandmother (dad's mom) in remission from stage 4 uterine cancer about 5 years ago. Mom had endometriosis at 45 and had a hysterectomy.

Other Meds: none

Current Illness: none

ID: 1059875
Sex: F
Age: 37
State: TX

Vax Date: 02/13/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Covid arm- red circle at injection site. Warm to touch.

Other Meds: Nikki birth control Nasopass chinese herb Blood pressure meds

Current Illness: None

ID: 1059876
Sex: F
Age: 77
State: FL

Vax Date: 02/24/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: Unknown

Symptoms: Fatigue. Extreme Diarrhea. Dizziness headache nausea

Other Meds: Thyroid. Metformin magnesium calcium fishoil vitamin D B K

Current Illness: None

ID: 1059877
Sex: F
Age: 81
State: CA

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

Lab Data:

Allergies: none that I am aware of

Symptoms: 10 min. was fine, then all of a sudden my whole body felt flushed and overcome with nausea, light headedness, ,my face was hot and had an overall feeling of being unwell. It is hard to describe. I did not think I could drive home safely, so I sat back down and told the girl. She let me sit quietly and than took my blood pressure which was either 185 or 189. She let me rest and then took it again. This time it was 167. I left there about 8:30a.m., came right home and went to bed. Got up after a long nap and B.P. was 165/82 61 at 6:45p.m. My face is still flushed, have chills and slight headache, took aspirin. At 9:45 B.P. was 150/92 64, felt the same. B.P. at midnight was 130/73 73

Other Meds: Woman's 1 a Day, Calcium 600mg, Losartan 100mg, Hydrochlorothiazide 25mg, Bayer 81mg, Nabumetone 750mg

Current Illness: springtime allergies are just starting

ID: 1059878
Sex: F
Age: 73
State: FL

Vax Date: 02/13/2021
Onset Date: 02/25/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: None

Allergies: Paxil; Pineapple

Symptoms: Slight swelling of upper left arm. Slight redness 2x3 inches at injection site. Slight continued discomfort upon palpating at injection site.

Other Meds:

Current Illness:

ID: 1059879
Sex: M
Age: 49
State: NY

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

Lab Data:

Allergies: Egg and peanut allergy

Symptoms: For about 24 hours after getting shot I felt like I was having an ongoing egg allergy - even though I know there are no eggs - I would call it minor but noticeable - my neuropathy also flared up immediately so badly that my arch on my felt foot was causing so much pain I thought I must have torn something - however after about 36 hours it disappeared - my sense of taste has also suddenly changed - after about 24 hours so that when I drink something it tastes like it has turned sour or metallic

Other Meds:

Current Illness:

ID: 1059880
Sex: F
Age: 26
State: VA

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Severe pain causing to wake from sleep and unable to lift arm at all for several hours and unable to fall back asleep due to pain

Other Meds: None

Current Illness: None

ID: 1059881
Sex: F
Age: 27
State: TX

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

Lab Data: No

Allergies: No

Symptoms: Fever (39? C), several pain at the injection site, fatigue, headache, axiliary swelling. Take rest at bed and Tylenol.

Other Meds: Levothyroxin 25mcg (1 per day) Paroxetin 10mg (1 per day)

Current Illness: No

ID: 1059882
Sex: M
Age: 66
State:

Vax Date: 02/24/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: sulfa

Symptoms: swelling and itching to palms of hands/feet as well as angioedema of upper lip

Other Meds:

Current Illness:

ID: 1059883
Sex: M
Age: 78
State: IN

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: No medical tests. Rx provided by phone call to family doctor after visiting clinic.

Allergies: Sulfa drugs, penicillin

Symptoms: Acute gout in left big toe. Treated with Colchicine .6mg tablet (2/day for 3 days, then 1/day for 12 days). Severe pain lasted for 2 days with swelling in big toe and joint.

Other Meds: Metoprolol Succer 100mg Lisinopril 20-12.5mg Xarelto 20 mg Vitamins B12, C, D3, Zinc

Current Illness: None

ID: 1059884
Sex: F
Age: 68
State: CA

Vax Date: 01/30/2021
Onset Date: 02/05/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: Prior to vaccination 3-25-19: ALT 51, AST 40 Five days after vaccination 2-5-21: ALT 370, AST 263 25 days after vaccination 2-25-21: ALT 504, AST 385, acute hepatitis panel negative

Allergies: NKDA

Symptoms: Elevated liver function tests. Patient only very rarely uses alcohol or tylenol. Last alcohol use was one year ago. She does not take any unlisted supplements. No other potential hepatotoxins identified.

Other Meds: Atorvastatin 20 mg qd, Pepcid 20 mg qd, Vitamin D3 1,000 iu qd

Current Illness: Dental infection diagnosed 2-6-21, potentially could have been present at the time of vaccination. Amoxicillin started 2-6-21, six days after vaccination, and one day after initial abnormal labs.

ID: 1059885
Sex: F
Age: 73
State: WI

Vax Date: 02/17/2021
Onset Date: 02/24/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: none

Allergies: penicillin

Symptoms: "Covid Arm" Red itchy blotch at vaccination site. Approximate size 3"x3 1/2".

Other Meds: levothyroxine lovastatin raloxifene hydrochloride lo-dose aspirin D3 Calcium citrate Mature Multi Glucosamine

Current Illness: none

ID: 1059886
Sex: F
Age: 24
State: OR

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

Lab Data:

Allergies: food allergies and codeine

Symptoms: pt with itching to bilateral arms and torso, flushing to face.

Other Meds:

Current Illness: n/a

ID: 1059887
Sex: F
Age: 76
State: CA

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

Lab Data: None. Also I took no pain relievers or any other kind of medication or supplement from Wednesday afternoon, February 24 until Saturday morning February 26 when I took two ibuprofen and one Skelaxin for back pain related to back tension from chills.

Allergies:

Symptoms: 02/25/21: Slightly accelerated heart rate; sore arm, tender nodule above left clavicle. 12/26/21: severe chills, heart face and head, stiff neck, general weakness, sore arm. Severe symptoms lasted approximately four hours but continue to a lesser degree for several more hours. Throughout the day, weakness, feeling cold, sore arm and nodule is still there and still tender.

Other Meds:

Current Illness:

ID: 1059888
Sex: F
Age: 57
State: MS

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

Lab Data: None

Allergies: None

Symptoms: 101 degree 48 hours after , generalized weakness, exacerbated hand tremors

Other Meds: Neurontin 600, Lexapro 20mg, HCT 12.5, simvastatin 20mg, losartan 100mg

Current Illness:

ID: 1059889
Sex: F
Age: 70
State: IN

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

Lab Data:

Allergies: sulfa drugs, vicodin, flu vaccination, penicillan

Symptoms: Slight redness of upper left arm and mild itching

Other Meds: clopidagrel, levothyroxine, fluoxetine, simvastatin, clonazepam, women's multi vitamin, Ocuvite, Vitamin D3, allergy relief, Tylenol

Current Illness: None

ID: 1059890
Sex: F
Age: 53
State: CA

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

Lab Data: EKG 2/27/21

Allergies: Aspirin, shellfish, sulfa antibiotics

Symptoms: Patient reports experiencing tightness in chest while at rest within 2 minutes after receiving vaccine. Pain persisted, 911 was called. BP of 186/96, SPO2 98, HR 92. Patient sweating, appeared very anxious. EKG negative for ST elevation. Patient transported to hospital.

Other Meds: none

Current Illness: none reported

ID: 1059891
Sex: F
Age: 73
State: AZ

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: sore upper left arm 2 days, fatigue 5 days, muscle & joint pain 5 days, diarrhea 4th day rested and slept for fatigue took Tylenol first 2 days, and ibuprofen thereafter for pain took bismuth subsalicylate for diarrhea

Other Meds: levothyroxine sodium, losartan potassium, hydralazine hcl

Current Illness:

ID: 1059892
Sex: M
Age: 76
State:

Vax Date: 02/08/2021
Onset Date: 02/19/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 2/19: left arm, red spot approximately 2" in diameter at site of shot; itchy 2/20: left arm, redness increased to 3-4" in diameter; itchy; by evening increase to approximately 5" in diameter 2/21: left arm, redness area no change; itchy; swelling increased after physical exertion; tender and warm to touch; 9:30pm took 1 tablet Benedryl; 11:00pm took 2nd tablet Benedryl 2/22: left arm, redness and swelling increased; approximately 5-6" in diameter11:00pm took 1 Benedryl tablet 2/23: left arm, redness and swelling diminish slightly, approximately 5" in diameter; 11:00pm took 1 Benedryl tablet 2/24: left arm, swelling diminished; red area unchanged; 11:00 pm took 1 Benedryl tablet 2/25: left arm, swelling further diminished; red area unchanged - 5" diameter 2/26: left arm; no swelling; red area smaller - color changed lighter, more pinkish, area 2-3" in diameter at shot site 2/27: left arm; pink at injection site; approximately 1-2" in diameter; slightly itchy

Other Meds:

Current Illness:

ID: 1059893
Sex: F
Age: 74
State: NC

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: Went from no blood Pressure issues to extreme normal 126/68 to 201/100. Went from no required meds to 12 every 12 hours. CT scan and blood test showed all normal nothing to support the major change.

Allergies: Codine, and some antibiotics.

Symptoms: Extreme high blood pressure 201/100 , goes from extreme to normal in an hour continuously.

Other Meds: New Meds: Amlodipine 5 MG and labetalol HCL 109 MG every 12 hours. Old Meds: Atorvastatin 40 MG, Glipizide 5 MG,, one of each daily.

Current Illness: MRI for a hip injury the day before. Results was a torn Ligament. Given a pain med but I didn?t take it.

ID: 1059894
Sex: M
Age: 60
State: MO

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

Lab Data: NONE

Allergies: NONE

Symptoms: FEVER 99.9, ACHES, FATIQUE, WEAKNESS

Other Meds: LISINOPRIL, B-COMPLEX VITAMINS

Current Illness: NONE

ID: 1059895
Sex: F
Age: 39
State: NC

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

Lab Data:

Allergies: Allergic to the adhesive on bandages.

Symptoms: Moderna COVID-19 Vaccine EUA By 4:45 p.m., my arm was sore from right above my wrist up into my collarbone. I developed a headache by 5:45 p.m. I woke up the next morning around 7:00 a.m. with a temperature of 100, nausea, a migraine, extreme soreness throughout my arm, and chills/shakes. It is 4:18 p.m. now. The temperature is now 99.1, with the aide of Tylenol and ibuprofen alternating, the headache still exists, as does the soreness. There is a hard knot at the injection site with about a half inch wide diameter of a red circle around the injection site.

Other Meds: Citalopram, Gabapentin, Albuterol rescue inhaler

Current Illness: None.

ID: 1059896
Sex: F
Age:
State: NY

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

Lab Data:

Allergies: None

Symptoms: Itchy rash on both hands both forearms . Felt a warm body flush like an iv contrast . Mouth tasted metallic like when injected w iv contrast. Breath felt like had trouble catching breath but didn't last or intensify so I didn't go seek medical attention. Rash still remains into following day. Injection Arm slightly swollen, sore.

Other Meds: Metformin inistol multivitamins metropolol

Current Illness: None

ID: 1059897
Sex: F
Age: 84
State: ID

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient experienced difficulty speaking and drooping on right side of face. Patient did not contact anyone that day, but waited until the morning after and then went to the ER and was diagnosed with Bell's Palsy.

Other Meds: Meloxicam

Current Illness:

ID: 1059898
Sex: M
Age: 55
State: CA

Vax Date: 02/06/2021
Onset Date: 02/14/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: COVID PCR at outside facility + on 2/14/21

Allergies:

Symptoms: Patient contracted COVID infection 12 days after vaccine #1

Other Meds:

Current Illness:

ID: 1059899
Sex: F
Age: 78
State: MD

Vax Date: 01/29/2021
Onset Date: 02/03/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: My lips started to swell and got very red on Day #5. I started applying vaseline. By day #7, I called my dr who wasn't in and spoke to his associate. She said if it got worse to follow up with my dr. They continued to get worse and by Day #9, I called my doctor and sent him a photo. He told me to take benedryl and an antihistamine (zyrtec). By the next day, the lips were worse, sent another photo and he prescribed Prednisone 20 mg for 5 days. I had a lot of trouble eating and drinking. My lips also felt like pins were constantly being stuck in them. The prednisone helped but it took at least another week before my lips returned to normal. On the advice of my doctor, I did not get the second Moderna dose.

Other Meds: Remicade Methotrexate Folic acid Levoxyl Setraline Ramipril Simvastatin Calcium Vitamins C and DZyrtec

Current Illness: None

ID: 1059900
Sex: F
Age: 29
State: PA

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

Lab Data: None

Allergies: None

Symptoms: Patient felt hot, had nausea, and passed out transiently. She woke after approximately 2-3 seconds and felt well after lying down for 1-2 minutes.

Other Meds: Singulair, birth control pill, steroid inhaler

Current Illness: None

ID: 1059901
Sex: F
Age: 56
State: OH

Vax Date: 02/23/2021
Onset Date: 02/27/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: unknown

Allergies: unknown

Symptoms: Patient complains of increased nausea and a very large red area around where she received the vaccine the size of a tennis ball. it is read and itchy and warm

Other Meds: unknown

Current Illness: Asthma

ID: 1059902
Sex: M
Age: 69
State: FL

Vax Date: 02/14/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: ITCHING AROUND INJECTION SPOT. SOME SWELLING AND SLIGHT HEADACHE.

Other Meds: vitamin c, vitamin b, coQ10, bromalaine.

Current Illness: diabeties

ID: 1059903
Sex: F
Age: 75
State: FL

Vax Date: 02/09/2021
Onset Date: 02/17/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: "Covid Arm"

Other Meds:

Current Illness: none

ID: 1059904
Sex: M
Age: 28
State:

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

Lab Data: N/A

Allergies: Unknown except lactose.

Symptoms: COVID-19 Vaccine Reaction Vaccine administered: Pfizer dose 2/2 Patient reaction, action taken, & outcome: 1206 - 2nd Pfizer dose given 1212 - Syncopal w/ fall forward w/ abrasion/contusion injury to left orbital area while walking from vaccination area to observation area. Diaphoretic. Pale. Lightheaded. 1215 - placed on stretcher and brought to triage area. BP 92/55, RR 28, HR 86, SpO2 96. Gave OJ and water. 1220 - BP 94/64, RR 26, HR 90, SpO2 96 1223 - BP 115/73, RR 26, HR 96, SpO2 97 1226 - BP 121/71, RR 20, HR 96, SpO2 96. Sitting EOB. 1335 - BP 98/59, RR 22, HR 85, SpO2 95. Lightheaded again. Gave OJ and laid back down. No longer pale or diaphoretic now, but neck becoming sore. 1240 - BP 114/67, RR 20, HR 80, SpO2 97 1246 - BP 117/67, HR 77 Sitting EOB MD lead at bedside directing care throughout and d/ced patient at 1300 w/ info about concussions and after ambulation.

Other Meds: Unknown.

Current Illness: Unknown.

ID: 1059905
Sex: F
Age: 54
State: CO

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

Lab Data: N/A

Allergies: N/A

Symptoms: Patient received the COVID19 vaccine at 12:00 PM. She waited her requisite 15 observation window, at which point she reported that she was feeling well. At 1:00 PM, patient returned to the pharmacy to speak with the pharmacy staff. She stated that she was driving home with her daughter in the car, talking to her daughter, and that's when her daughter noticed that the patient's tongue appeared green. We asked the patient to show us her tongue, and the flat surface of her tongue had a bright green color to it. She stated that she had not eaten or drunk anything since her vaccine nor did she take any other medications since the vaccine. She did not report any issues with breathing, swelling, or other signs and symptoms of an allergic reaction. Patient was advised to monitor herself and given the option to stay at the pharmacy for us to observe. She chose to go home, at which point we recommended she have Benadryl on hand just in case she does develop an allergic reaction.

Other Meds: N/A

Current Illness: N/A

ID: 1059906
Sex: F
Age: 67
State: FL

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

Lab Data:

Allergies: None

Symptoms: THIS WAS SECOND DOSE. GOT ALL SIDE EFFECTS: FEVER, CHILLS, HEADACHE, WEAKNESS, UPSET STOMACH,... STARTING ABOUT 10 Hrs. AFTER VACCINATION. WAS NOT ABLE TO SLEEP AT ALL THROUGHOUT THE NIGHT IMMEDIATELY AFTER VACCINATION. SIDE EFFECTS LASTED ABOUT 1 1/2 DAYS. NO NOTICEABLE SIDE EFFECTS ON FIRST DOSE GIVEN 1-28-21.

Other Meds:

Current Illness:

ID: 1059907
Sex: F
Age: 58
State: TX

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Sore arm, fever, chills, swollen around the collar bone neck area

Other Meds: Methotrexate, plaquenil, folic acid, mobic, losartan, metoperole tartrate, omeprazole, xyzal, simvastatin, Calcium with Vitamin D and Elderberry

Current Illness: None

ID: 1059908
Sex: F
Age: 69
State: PA

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

Lab Data:

Allergies: bees, honey

Symptoms: Shot at 5:20 pm. - slept well. Rose at 7:30 am. At 10 am started feeling very cold. Could not get warm. At 2 p.m. took a 325MG Tylenol. Slept from 10 to 3. Felt so much better after that.

Other Meds: Xeralto, Metroproyl, levothyroxide, Osteo bi flex ease, One a day women's over 65

Current Illness: mo

ID: 1059909
Sex: F
Age: 45
State: IN

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: None

Allergies: Penicillin

Symptoms: 3am-heart racing, restlessness, lips slightly swollen, Lethargy, back and legs ached with shooting pains, chills 2/26-excruciating chest pains around 4 pm, restlessness continued, swollen at site of injection as big round about size of baseball, slept 17 hours

Other Meds: Lexapro, levothyroxine

Current Illness: None

ID: 1059910
Sex: M
Age: 48
State: NY

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

Lab Data: None

Allergies: None

Symptoms: Blood in stoll

Other Meds: Insulin

Current Illness: Diabetes type 1

ID: 1059911
Sex: M
Age: 69
State: TX

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

Lab Data:

Allergies: Prednisone

Symptoms: Blood pressure began declining shortly after my shot. Ultimately it dropped to 96/56 at which time I took an Adderall and Zirtec. Blood pressure remained unchanged until approx 10pm at which time it slowly began to rise and was normal at 6am this morning

Other Meds: Adderall, beta blockers

Current Illness:

ID: 1059912
Sex: F
Age: 66
State: PA

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

Lab Data: None

Allergies: None

Symptoms: Headache fever vomiting chills joint pain muscle pain

Other Meds: Levothyroxin .88 mcg Prolia injection twice yearly

Current Illness: None

ID: 1059913
Sex: F
Age: 72
State: CA

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

Lab Data: Vital Signs, O2 Saturation

Allergies: CODEINE, NSAIDS ALFALFA (Hay)

Symptoms: While patient walking to observation area after vaccine, observation nurse noticed patient self-administer dose of HHI and complain of SOB. Observation nurse called to EMT and MD for evaluation. Patient moved to EMT via wheelchair. O2 Sat and other Vital Signs monitored and within normal limits. IV placed in right hand. Patient given 2 more doses of HHI Albuterol in Triage Area. Paramedics assumed care and transported to Medical Center for evaluation .

Other Meds: LISINOPRIL PREDNISONE ALBUTEROL LEVOTHYROXINE ATORVASTATIN CICLESONIDE FLONASE

Current Illness: Possibly having mild asthma exacerbation prior to vaccine given today.

ID: 1059914
Sex: F
Age: 34
State: FL

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

Lab Data: None

Allergies: Metoclopramide Cipro Spinach

Symptoms: Hives starting at 5pm

Other Meds: None

Current Illness: Sinus infection

ID: 1059915
Sex: M
Age: 31
State: WA

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: Varivax led to urticaria reaction (08/2010)

Symptoms: History of Present Illness 31-year-old male with no past medical history presenting with left-sided facial weakness after receiving the first dose of the COVID-19 vaccination 2 days ago. States that several hours after receiving the vaccination he noticed left-sided tongue numbness. He was able to tolerate oral intake without difficulties and handle his secretions. The following day his wife noticed facial asymmetry of his lip left side of his face involving his forehead. Patient is denying any extremity numbness or weakness, head injury, trouble speaking, confusion. No recent travel or skin changes. No similar reaction to vaccinations in the past.

Other Meds:

Current Illness: None

ID: 1059916
Sex: U
Age:
State:

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

Lab Data:

Allergies:

Symptoms: Fever, violent vomiting (1x at 1030p), SOB, fatigue, rash on belly, vertigo, severe joint pain, serious muscle aches, chills. Sx began @730p & continued until 2p following day.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm