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: 1060318
Sex: F
Age: 24
State: TX

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

Lab Data: None

Allergies: None that I know of

Symptoms: Painful, swollen, warm arm, growing in size over 48 hours at the injection site (still present) fever (maxed at 101.5F), chills, aches, headache that stopped after 24hrs.

Other Meds: None

Current Illness: None

ID: 1060319
Sex: F
Age: 47
State: MT

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

Lab Data:

Allergies: Morphine

Symptoms: Bee sting like pain hour after. Extreme muscle stiffness, extreme fatigue 15 hours later . 48 hours later, edema, axillary pain, arm pain, hard red burning, hot

Other Meds: Seroquel, ezitimibe, tizanidine, magnesium, b stress complex, turmeric-curcumin

Current Illness: Arthritis, asthma

ID: 1060320
Sex: F
Age: 49
State: HI

Vax Date: 02/12/2021
Onset Date: 02/21/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: Sulfa medications, mango, kiwi

Symptoms: Post vax 2wks; numbness on ventral surface of tongue, limited to center of mass. Approximately 5 or 6 days in, noticed enlarged papillae limited to numb area. Sense of taste & smell don't appear to be affected, but sensation (i.e. "feeling) is similar to a burned tongue but lasting a week to date.

Other Meds: 1 tab BioAstin PO/D

Current Illness: None

ID: 1060321
Sex: F
Age: 37
State: HI

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

Lab Data:

Allergies:

Symptoms: At about 1:34pm, pt c/o feeling dizzy and lightheaded. Water given. VS taken x 2, stable. Monitored pt until symptoms resolved. Pt. released to self at 1:54pm

Other Meds:

Current Illness:

ID: 1060322
Sex: F
Age: 58
State: OR

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: Tylenol, Codeine, Percodan, Sulfa drugs

Symptoms: Chills, gone after 12 hours; Tiredness, gone after 21 hours, Racing mind, gone after 21 hours; Sore deltoid, gone after 3 days; Redness/Itching/slight inflammation at injection site gradually reducing and gone after 6 days

Other Meds: None

Current Illness: None

ID: 1060323
Sex: F
Age: 40
State: TX

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

Lab Data:

Allergies: Pepcid and codene

Symptoms: Severe swelling, redness, hot to touch, redness has spread 6in long 3 1/2 in wide

Other Meds: Melatonin and cbd oil

Current Illness: No

ID: 1060324
Sex: F
Age: 33
State: NV

Vax Date: 02/18/2021
Onset Date: 02/25/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: None

Allergies: Allergic to eggs and avacado

Symptoms: Hardness around the vaccine site on left arm

Other Meds: None

Current Illness: None

ID: 1060325
Sex: F
Age: 26
State: MI

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

Lab Data:

Allergies: No

Symptoms: Circle red and itchy rash on arm in location of injection

Other Meds: Lexapro, Xanax, lerin fe

Current Illness: No

ID: 1060326
Sex: F
Age: 58
State: AZ

Vax Date: 02/15/2021
Onset Date: 02/23/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: Penicillin Codeine

Symptoms: Red oval rash and itchiness at injection site.

Other Meds: Statin Insulin Lexapro Synthroid

Current Illness:

ID: 1060327
Sex: F
Age: 68
State: AZ

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

Lab Data: NOT APPLICABLE

Allergies: NA

Symptoms: KNUCKLES SWELLED UP WITHIN 48 HOURS, WHEN DRIVING IT WAS UNCOMFORTABLE TO HANDLE THE STEERING WHEEL. USED OTC PHARMACY BRAND MENTHOL BASED ROLL ON TO DEADEN THE PAIN. NOT EVER HAVING ARTHRITIS, I BELIEVE THIS DISCOMFORT WOULD BE SIMILAR AS MY KNUCKLES WERE THROBBING. PLEASE NOTE, THAT THIS SWELLING IS NOW SUBSIDING, DID NOT AFFECT ANY OTHER JOINTS.

Other Meds: INSULIN, METFORMIN, ALODIPINE, ACYCLOVIR, GABAPENTIN, LISINOPRIL, BLOOD THINNER

Current Illness: NONE

ID: 1060328
Sex: M
Age: 69
State: CA

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

Lab Data:

Allergies: None

Symptoms: 2 days after the shot I felt malaise and fatigue for a day or so. 16 days after the shot, many of my joints flared up with pain including my wrist/thumb, knee, hip (bursitis), shoulder, lower back for one day.

Other Meds: Tamsulosin, Cialis, Latanoprost, Visbiome

Current Illness: None

ID: 1060329
Sex: U
Age:
State:

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

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 1060330
Sex: F
Age: 24
State: OH

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: i tested negative for flu A and B at the beginning of february, and have tested negative for COVID three times in the time since the first vaccine. i also got a chest x-ray at the beginning of february following pulling a muscle in my back from cough that caused me to be unable to breath barely and was causing extreme pain (at the time, i thought i had cracked a rib that was puncturing my lung due to hearing a crack when coughing). the x-ray was negative for a break, and the doctor said i had costochondritis

Allergies: NKDA

Symptoms: the first day (1/16/21) following the first dose of the vaccine, i began experiencing nausea. the third day (1/18/21) i vomited that morning once but then not again throughout that day. after that for about two weeks, i was just generally nauseous and also had no appetite. food tasted off to me. this went away after two weeks, but then i got my second dose on 2/12/21. on 2/13/21, i spent about 12 vomiting very consistently, about every 10-15 minutes. i also had chills alternating with profuse sweating and hot flashes, but did not ever have a fever. other symptoms included headache, extreme fatigue, dizziness, body aches, shortness of breath, and chest pains. the next day, i was fine aside from some slight lingering nausea but no vomiting. since then, i have experienced nausea intermittently every day, and have vomited on more than a dozen of those days. i have no appetite, and have now lost ten pounds since getting the second dose. i realized that my main food aversion is to meat, i will vomit every single time i eat meat now. i?m not sure if this is my reaction to the texture and taste like i think it is, or if it?s actually more like an allergic response by my stomach. i also still struggle with shortness of breath and feeling like my chest is tight, as well as dizziness and a nagging cough.

Other Meds: buspar 15mg tablets two tablets BID, effexor xr 75mg and 150 capsules one capsule QD, trisprintec tablet birth control

Current Illness: i had what i think was a sinus infection and an ear infection (i didn?t go to the doctor to get diagnosed, treated at home), i had left ear pain, sinus drainage and congestion, a cough, and sneezing.

ID: 1060331
Sex: F
Age: 30
State: CA

Vax Date: 02/17/2021
Onset Date: 02/19/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Dealing with Swollen lymph nodes

Other Meds: No

Current Illness: No

ID: 1060332
Sex: F
Age: 60
State:

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

Lab Data:

Allergies:

Symptoms: While in observation area, patient reported to EMT a rash and itchiness in abdominal area. EMT notified lead nurse on site. EMT assessed patient and reported blood pressure 142/90 mmHg, regular pulse 60 bpm, and respirations 16 breaths per minute. Patient denied difficulty breathing, difficulty swallowing, and chest pain. Patient revealed history of allergies to unspecified medications. Patient offered diphendyramine. Patient refused diphenhydramine. Patient advised to wait 15 minutes for further observation. Lead nurse assessed patient. Patient reported decreased itchiness and denied difficulty breathing, difficulty swallowing, and chest pain. Patient advised to seek emergency care if symptoms progress. Patient left observation area with steady gait.

Other Meds: Aspirin

Current Illness:

ID: 1060333
Sex: M
Age: 69
State: OH

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

Lab Data:

Allergies: penicillin

Symptoms: itchy rash at injection site

Other Meds: plavix chlorthalidone aspirin multivitamin

Current Illness:

ID: 1060334
Sex: F
Age: 40
State: VA

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

Lab Data: None yet

Allergies: bactrim - panic attacks

Symptoms: Facial swelling in cheeks, lips, chin, beneath eyes started on L side of face, first noted upon waking in am after vaccine the previous day. Hx of dermal filler one year ago.

Other Meds: wellbutrin 300 mg, lexapro 5 mg, AHCC supplement, ibuprofen 400 mg before reaction began, then twice more after reaction began

Current Illness: tachycardia (resting 94 bmp, up to 230 with activity), possible COPD - undergoing evaluation

ID: 1060335
Sex: F
Age: 52
State: NY

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

Lab Data:

Allergies: Compazine

Symptoms: I received my Moderna vaccine Friday, Feb 26th, 2021. Initially I only had pain in the injection site, but this evening at about 6:00pm, Feb 27, I started getting a more frequent cough, runny nose, achy back, legs and neck. And at 10:00pm my temp was 101.6.

Other Meds: Chlorthaladone Levocetirizin Azelastine Albuterol Sulfate Vitamin D Probiotic Goli

Current Illness:

ID: 1060336
Sex: F
Age: 24
State: NY

Vax Date: 02/15/2021
Onset Date: 02/24/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: I did not seek medical treatment as it appears to be 'covid arm'

Allergies: n/a

Symptoms: large red circle appeared around the injection site. Its warm and a tiny bit itchy. It looks exactly like 'Covid arm' so I'm not worried but I wanted to report it incase the data would be of any use

Other Meds: lexapro; lamotrogene; buspar; claritan; candisarton

Current Illness: migraines

ID: 1060337
Sex: F
Age: 37
State: CO

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

Lab Data:

Allergies: Medications: Oxybutinin Food: Almonds, Cherries, Apricots, Plums, Pears, Peaches, Apples (these are severe, anaphylactic food allergies)

Symptoms: Fever (100 degrees), chills, worsening of headache, shooting pains in joints and back of neck, muscle soreness. I took Tylenol, max strength, and Aleve to help with symptoms. Fever and chills lasted most of the night (~7hours), pain, headache and soreness of muscles lasted 14 hours. Joints remained stiff and painful to use the rest of the following day.

Other Meds: Claritin-D 24 hour, non drowsy, Calcium/Magnesium, Omega 3, Glucosamine/Chondroitin, NAC

Current Illness:

ID: 1060338
Sex: F
Age: 40
State: CA

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

Lab Data:

Allergies: None

Symptoms: Red, swelling, hardening, warmth, itchy at site of injection. Fatigue and joint pain.

Other Meds: Sertraline

Current Illness: None

ID: 1060339
Sex: F
Age: 33
State: OH

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

Lab Data:

Allergies: Sulfa, penicillin, Vicodin

Symptoms: Nausea, dizziness, headache, body aches - began 2 hours after vaccine, ended 36 hours later. Blistery rash on hands, wrists, feet, arms, thighs, abdomen, face, and neck began 2 days after vaccine and continued for 10 days. Rash was very itchy and Benadryl did not help.

Other Meds: Singulair, Claritin, Zoloft 150 mg, prenatal vitamin.

Current Illness: None

ID: 1060340
Sex: F
Age: 62
State: TX

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

Lab Data:

Allergies: Bactrim, Levaquin, Cymbalta, Uribel, Fosomax, Benedryl. Had a reaction to a tetnus shot years ago, my arm got a golf ball size knot in it.

Symptoms: high heart rate, muscle aches and pains, left arm still hurts, still swollen in areas. My arm flet like it had a fever at injection sight. I was pale in face.

Other Meds: Atorvastatin, Levothyroxine, Tramadal, Alprazolam, Zolpidem, Womens Multi Vitamin.

Current Illness:

ID: 1060341
Sex: F
Age: 64
State: NC

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

Lab Data: Did not go to doctors. Would have gone to urgent care Subsay if things had not improved.

Allergies: Chantix Erythromycin Long term asprin

Symptoms: Severe cluster like migraine just like when I had Covid-19 in November! Fever 101.2 aching all over. Pain at injection site(to be expected) lasted all Friday evening and night and all Saturday. Fever finally broke around 6 pm. I took a triple dose of meds to break headache in the end, excedrin, topiramate and benadryl! Got to feeling better Saturday evening, a little dehydrated but better.

Other Meds: Topiramate Pantoprazole Atavorstatin Valaclovor Daily multi vitamin Arnuity inhaler

Current Illness: Long haul residual breathing issues, insomnia, hairless from Covid-19 infection in November.

ID: 1060342
Sex: F
Age: 73
State: TX

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

Lab Data: None

Allergies: None

Symptoms: Red rash on my neck, back, chest, stomach, arms and legs

Other Meds: Omeprazole, Centrum Silver for Women, ceterizine, B-12, D-3, Nasonex spray

Current Illness: None

ID: 1060343
Sex: F
Age: 46
State: PR

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

Lab Data: They made me normal labs and one of Lupus and everything is normal.

Allergies: Penicillin, Cephalosporin, Cipro, and Avelox

Symptoms: After putting the 2nd dose, I felt a strong current on both hands, they have swollen up and I can hardly do normal things with it. I can not open anything screw because the pain in the hands is intense. I wake up with my hands mega numb and feeling like an ant for several periods during the night I can barely get a good night's rest.

Other Meds: None

Current Illness: None

ID: 1060344
Sex: F
Age: 43
State: TX

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: Eye Infection Allergic reaction

Allergies: Penicillin Food allergies Seasonal Allergies

Symptoms: I immediately felt skin and eye itchy after I received the vaccines. Stayed in the waiting room for 30 mins, felt better. Next day skin itch got worse. Specially around my eyes.Eye itchy, rubbing, pain, vision blurry, puffiness, discharged, I bought some allergy drops but it didn?t get better. , on the 7 days after the vaccine, it was a Saturday, it got so much worse that I could barely open up my eyes. So I went to a clinic. The nurse practitioner gave me eyes drop for infection, it did not get better. She prescribed another eye drop, still not working. Now my eyes feel horrible,.

Other Meds: Multi Vitamin Zyrtec Allergy shots

Current Illness: N/A

ID: 1060345
Sex: F
Age: 90
State: CA

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

Lab Data: none

Allergies: statins

Symptoms: Achy, fatigue, dizziness which subsided. Rash appeared at injection site 4 days after injection. Sprayed benadryl.

Other Meds: Achiness and tiredness @ 48 hours after injection. Continued for @24 hours. Tylenol used. Rash just started appearing today. Used Benadryl spray.

Current Illness: Type 2 Diabetes - no medication taken. COPD

ID: 1060346
Sex: F
Age: 70
State: OH

Vax Date: 02/13/2021
Onset Date: 02/21/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: n/a

Allergies: hops, processed corn

Symptoms: extreme rash, itching covering 7 x 3" area on upper left arm since 2/21.

Other Meds: Rosuvastatin - 5mg , AMLODIPINE (NORVASC) - 5 Mg, HYDROCHLOROTHIAZIDE 25mg, LOSARTIN POTASSIUM 50 mg, Azelastine HCL nasal.1%, Omeprazole-20mg

Current Illness: n/a

ID: 1060347
Sex: F
Age: 83
State: CA

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

Lab Data:

Allergies:

Symptoms: Severe tinnitus (24 hours). Severe muscular weakness (24 hours).

Other Meds: Praluent; Synthroid

Current Illness:

ID: 1060348
Sex: F
Age: 38
State: NY

Vax Date: 02/04/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: Eye exam

Allergies: Minocycline

Symptoms: Shingles on face and eyes 3 weeks after second dose

Other Meds: Celebrex prn

Current Illness: None

ID: 1060349
Sex: F
Age: 34
State: WA

Vax Date: 01/04/2021
Onset Date: 01/14/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: Ultrasounds- 2/18, 2/25 Hcg Levels 2/18, 2/20, 2/26 Thyroid levels 2/26

Allergies: Bactrim

Symptoms: First Covid vaccine date Jan 4th, Second Jan 22nd Unexpectedly conceived ~ Jan 14th for due date October 9th, 2021 Cysts seen on US - concern for partial molar pregnancy

Other Meds: Zoloft

Current Illness: N/A

ID: 1060350
Sex: F
Age: 46
State: NC

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

Lab Data: None.

Allergies: None

Symptoms: Swelling in armpit. There is a large painful lump in my armpit. I noticed the pain the morning after the shot. I checked in the afternoon and saw the lump.

Other Meds: Vitamins B12, C, D, zinc, magnesium, biotin, circumin, turmeric.

Current Illness: None

ID: 1060351
Sex: F
Age: 72
State: IN

Vax Date: 02/23/2021
Onset Date: 02/25/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Had low grade fever of 99 degrees. Extreme fatigue. Shot site is bright red, swollen. Area around site is swollen, red, and hard to the touch. Swelling, redness, and hard to the touch continues. Hurts to touch or bump entire area.

Other Meds: Pulmacort,Atrovastatin,Lorsartan,Amlodipine/Bensalate,Fluxitine

Current Illness: none

ID: 1060352
Sex: M
Age: 71
State: NJ

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: none yet . I plan to talk to my rheumatologist on Monday, March 1. I am scheduled for the 2nd dose of phizer vaccine on wednesday, march 3 at 12:15pm but don't know whether I should get it.

Allergies: none

Symptoms: pain at injection site and muscle 0ne day after vaccination until present knee pain in both knees started about 1 week after vaccination until present tiredness several days after vaccination until present

Other Meds: multivitamin tamsulosin

Current Illness: none

ID: 1060353
Sex: F
Age: 65
State: MA

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

Lab Data: None

Allergies: Sulfa drugs Penicillin Latex sensitivity - no and aid used after vaccination

Symptoms: Rash on upper arm

Other Meds: Magnesium B12 COQ10 Probiotic Miralax Tumeric Prilosec Biotin Centrum Silver

Current Illness:

Date Died: 01/26/2021

ID: 1060520
Sex: M
Age: 86
State:

Vax Date: 01/15/2021
Onset Date: 01/26/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt expired 11 days after receiving vaccine. No indication his passing was related to the vaccine. Narrative: No updated notes regarding cause of death. Patient's wife called to notify the facility of his passing on 1/26/2021

Other Meds:

Current Illness:

Date Died: 01/30/2021

ID: 1060521
Sex: F
Age: 64
State:

Vax Date: 01/15/2021
Onset Date: 01/30/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt passed away 15 days after vaccine, no indication death was related to vaccine. Narrative: Patient was a 64 yr old female with stage 4 serious ovarian cancer with extensive lung metastases no longer on treatment with severe CAD, HFpEF who was transitioned to comfort care on 1/23/21.

Other Meds:

Current Illness:

Date Died: 02/17/2021

ID: 1060529
Sex: M
Age: 87
State:

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Hypoxia, Decreased responsiveness, Narrative: 86yo male with PMHx HTN, Afib not on AC after head trauma, CVA, and colon cancer who was brought to the ED by his family on 2/17. Per documentation the pt was in his usual state of health until 2/16. Received Moderna covid vaccine #2 on 2/16/21 at 0900, and was monitored for 15 minutes following immunization no noted issues. Later that night, had myalgias and took Tylenol. Per the family he slipped on the ice and fell on his butt. Overnight, had several dark stools and vomitus. was brought to the ED by his family because he was being less responsive. Pt arrived to the emergency department in extremis. No pulse identified. CPR immediately initiated for several rounds lasting about 25-30 minutes. ROSC unable to be achieved. Patient expired on 2/17 at 1941. Of note, per previous documentation had waxing and waning mental status at baseline. No symptoms noted with 1st dose of Moderna vaccine, which was administered on 1/16/21.

Other Meds:

Current Illness:

ID: 1291800
Sex: M
Age: 88
State: PA

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: Ace Inhibitors, sulfa

Symptoms: Patient became profoundly weak, lethargic, depressed and anorexic. He lives in a retirement community in an apartment alone He became unable to care for himself and was transferred to Skilled Nursing Facility which was onsight. He had a positive PCR test at time of admission on 2/9/2021. He had no respiratory symptoms or hypoxemia. He had 12 lb weight loss. He remained in skilled nursing until 2/25/2021. He looked moribund initially. He was severely depressed, dehydrated and was refusing to eat. He gradually came back to his normal, vibrant self after 13 days.

Other Meds: Carvediol, Hydralazine, Telmisartan, Lantus, Vitamin D

Current Illness: type 2 diabetes, hypertension, Stage 3 renal failure

ID: 1292153
Sex: F
Age: 52
State: UT

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

Lab Data:

Allergies:

Symptoms: Diarrhea, Nausea Vomiting, Angina, MYALGIAS Employee stated she experienced the following with COVID 19 Moderna, dose 2 nausea, vomitting, chest pains, myalgias, back pain, shoulder pain-was evaluated in private ED and admitted for evaluation for chest pain, also had GI eval

Other Meds:

Current Illness:

ID: 1293474
Sex: M
Age: 88
State:

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/27/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: chest pain & weakness Narrative: Pt received his covid vaccine dose #1 on 1/29/2021. On 1/30/2021 he experienced a fever, chest pains and weakness. Pt reported this at his appointment to receive his 2nd dose of covid vaccine on 2/26/2021. Nurse administering vaccine informed pharmacist pt reported he was still feeling weak from the first vaccine dose, so weak he could not perform ADLs without assistance. Pharmacist recommended pt be sent to the ER evaluation, possibly pt has an illness unrelated to the vaccine and another dose may cause worsening of symptoms. Upon further investigation pt was seen at outside hospital ER on day after his dose #1 covid vaccine for chest pain, pleural effusion and weakness and low grade fever. Pt was evaluated and transferred to ER dept. ER gave him morphine iv, magnesium iv, & furosemide 40mg iv. Pt was admitted on 01/31/2021. Pt evaluated by cardiology, internal medicine & given a course of antibiotics. Pt was diagnosed with Chronic Right side pleural effusion, POA. Pt was discharged on 2/3/2021 with the following medication discharge instructions: "SUMMARY OF MEDICATION CHANGES NEW meds: -Start cefdinir 300mg by mouth twice a day for infection - take first dose evening of 2/3/2021 and last dose evening of 2/4/2021 - Start ferrous sulfate (iron) 325mg by mouth every other day - Start pantoprazole 40mg by mouth daily 30 to 60 minutes before breakfast CHANGED meds: -Metoprolol succinate 50mg by mouth daily changed to metoprolol tartrate 12.5mg (=1/2 25mg tablet) by mouth twice a day STOPPED meds: -Stop taking lisinopril until follow-up with your primary care provider -Stop taking omeprazole Of note pt's medical history includes the following comorbidities: *Gastroesophageal reflux disease *Coronary arteriosclerosis *Carotid atherosclerosis *Carcinoma of colon * Colostomy present *Hyperbilirubinemia On 2/26/2021 vaccine dose #2 was held. Pt was encouraged by nurse to follow up with PCP or to report to ER for further evaluation. Pt was given phone # to reschedule dose#2 if appropriate.

Other Meds:

Current Illness:

ID: 1293626
Sex: F
Age: 78
State:

Vax Date: 02/13/2021
Onset Date: 02/15/2021
Rec V Date: 02/27/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Seizure on 02/19/2021 Narrative: Patient had a Seizure last Friday 02/19/2021. This is new-onset seizure activity started on Keppra. PMH of a Hemorrhagic stroke October 2020. Patient received the Moderna vaccine on 2/13 developed dizziness, headache and nausea all day on Monday then 4 days later had a seizure and ended up hospitalized so per hospital report may have been a combination of a weakened immune system and old stroke that included the seizure.

Other Meds:

Current Illness:

ID: 1293722
Sex: M
Age: 77
State:

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/27/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: weakness Narrative: 77 y/o male patient with h/o Parkinson's disease, CAD (s/p stents), supraventricular tachycardia, received first dose of COVID19 (Moderna) vaccine on 02/11/21. On 02/12/21, legs were weak and shaky, had a fall. On 02/13/21, continued to feel weak. On 02/14/21, fell and felt chest pressure. Ambulance called and was taken to outside facility and found to be in afib RVR, treated with diltiazem. Had cardiac cath on 02/15/21 which showed NSTEMI due to extensive CAD, not a surgical candidate therefore medical management optimized. Started on amiodarone for afib. Discharged on 02/17/21. Has no prior ADRs to vaccines or anaphylactic reactions to medications. No prior COVID19 infection.

Other Meds:

Current Illness:

ID: 1300749
Sex: M
Age: 72
State:

Vax Date: 02/13/2021
Onset Date: 02/19/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Narrative:

Other Meds:

Current Illness:

ID: 1300750
Sex: M
Age: 82
State:

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

Lab Data:

Allergies:

Symptoms: Narrative:

Other Meds:

Current Illness:

ID: 1313293
Sex: M
Age:
State:

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

Lab Data:

Allergies: NKDA

Symptoms: headache, temp 102, rash @ inj site

Other Meds:

Current Illness: 0

ID: 1313294
Sex: F
Age: 24
State:

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Temp 101, chills, body aches fatigue, nausea x 3 days arm soreness @ inj site

Other Meds:

Current Illness: 0

ID: 1313295
Sex: F
Age: 29
State:

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: headache, fatigue, elavated temp 99.1, dizziness, nausea vomitting, headache & fever

Other Meds:

Current Illness: 0

ID: 1313296
Sex: F
Age: 45
State:

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Body aches, chills, swollen lymph node, fatigue

Other Meds:

Current Illness: 0

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm