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**
PLEASE CHECK BACK SOON
Download the files above while you wait.







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: 1063041
Sex: M
Age: 74
State: IN

Vax Date: 02/03/2021
Onset Date: 03/12/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: Blood test coronavirus test chest X-ray (all negative)

Allergies: sulfa

Symptoms: It was about nine days after getting the shot and I came home from getting my radiation treatment. That night I had chills and all my joints were achy, and the next day my hands all broke out in the rash. Saturday I couldn't get warm, and I couldn't eat. Monday I couldn't go in for treatment, and so Tuesday I went to the ER. I had a 100 degree fever. They did some tests. The ER doctor gave me prednisone treatments.

Other Meds: No

Current Illness: No

ID: 1063042
Sex: F
Age: 43
State: MN

Vax Date: 01/08/2021
Onset Date: 01/17/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: No

Allergies: supha

Symptoms: Vaccine was on the 8th of January - Headache, rash on the top of my head and down on to my forehead and around my right eye. Doctor visit on 11th. Diagnosed as Shingles. They put me on an anti-viral - Valtrex - for 10 days. It prevented it from spreading. I had the symptoms until about the January 27th.

Other Meds: Omeprazole - (Prilosec); Hydrochlorothiazide; Lisinopril

Current Illness: no

ID: 1063043
Sex: F
Age: 32
State: TX

Vax Date: 02/26/2021
Onset Date: 02/28/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Sunday 2/28/2021 around 6:00 pm I notice a 2cm diameter red know at injection site that had fever and 3 in down from that was another knot that was itching. Monday 3/2/2021 the site has grown and is 5-6 cm in diameter, red/purple in color, and has fever.

Other Meds: Vyvanse 20mg

Current Illness: None

ID: 1063044
Sex: F
Age: 70
State: AL

Vax Date: 02/19/2021
Onset Date: 02/23/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: None

Allergies: Sulfa, Diflucan

Symptoms: Pain and stiffness in hips, knees, and ankles. Fatigue. Legs feel like they have lead weights in them

Other Meds: Synthroid, Avapro, Plaquenil, Estradiol, Celebrex, Protonix, Norfolk

Current Illness: None

ID: 1063045
Sex: F
Age:
State: OH

Vax Date: 02/26/1921
Onset Date: 02/27/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: sulfur, penicillin

Symptoms: red itchy bumps

Other Meds: Eremestane 25mg, Lisinopril hetz, B-complex, Vit-C, Vit-D3, Q10, calcium, Magnesium, MSM, fish oil, B-12

Current Illness: none

ID: 1063046
Sex: M
Age: 63
State:

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient was found on the ground sitting. Reported he was leaving after receiving 1st COVID-19 vaccine and "loss balance". Patient denies hitting head. Laceration to the elbow noted. Patient requested assistance to get up and still felt "dizzy". Patient assisted to wheelchair and recommended to go to ED via ambulance for evaluation. Patient then loss consciousness for 10 seconds. 911 was called. Patient refused all care by EMS. They called by EMS as they deemed patient was not safe to drive due to unsteady gait. It was advised patient to go to ED as instructed by EMS and The provider but refused. They also advised for patient to go to a hotel nearby to rest. Patient refused all recommendations and was escorted by EMS to his car.

Other Meds:

Current Illness:

ID: 1063047
Sex: F
Age: 74
State: UT

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: None

Allergies: pennicillin, Lisinoipril

Symptoms: I have a red oval on my arm at the vaccination site about 4 inches by 2 inches wide. It itches, but not horribly. I only am reporting because I was vaccinated on 2/16/21 and it still persists on 3/1/21...longer than most flu shot reactions last. I have felt minor flu -like symptons a couple of days, but no other adverse reactions

Other Meds: metformin, Losartan, Atorvastatin, vitamin D3, Calcium citrate

Current Illness: None

ID: 1063048
Sex: F
Age: 30
State: MO

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: N/A

Allergies: Sulfa, Iodine and shellfish

Symptoms: Nausea, diarrhea, migraine, chills, body aches, dizziness, sinus and chest congestion

Other Meds: Prescriptions: Zyrtec, Protonix, Amatiza, Lamitcal, Levothyrozine, Hydroxyzine, Paxil, Tradazone. OTC: B12, D3, Probiotic, Tumeric, Echinacea, Potassium

Current Illness: No

ID: 1063049
Sex: F
Age: 40
State: WI

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: About 12 hours after the vaccine, I experienced a 102 degree temperature, all over body aches with the most discomfort in my lower back, knees, and hips, headache and general fatigue. The next day all the symptoms went away except residual arthritic joint pain. The pain is more extreme during sleep and in the morning. My left knee has been swollen as well. There is a general feeling of whole body arthritis and is lessened by NSAIDs.

Other Meds: None

Current Illness: Common cold

ID: 1063050
Sex: F
Age: 41
State:

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

Lab Data: None

Allergies: Penicillin (anaphylactic); Sulfa (anaphylactic); Kiwi (anaphylactic)

Symptoms: Fever 102 F; severe headache; chills; body ache and bone pain; fatigue; nausea.

Other Meds: None

Current Illness: None

ID: 1063051
Sex: F
Age: 87
State: OR

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

Lab Data: CBG performed by paramedics was 116 and performed on 02/26/2021

Allergies:

Symptoms: At 8:30PM patient started experiencing bilateral hand numbness tingling and bilateral foot numbness and tingling. Patient advised that foot numbness only went away if she slept sitting up. Patient stated that the hand numbness/ tingling felt as if her hands have fallen asleep and that even her fingernails were painful. Patient had home health RN at her house and was hypotensive, oxygen saturation was ranging between 90-92. Paramedics were called for patient and vitals stabilized, patient stable enough to stay at residence. Precautions and worsening symptoms were given to patient and instructed to seek immediate medical care over the weekend if needed.

Other Meds:

Current Illness:

ID: 1063052
Sex: M
Age: 36
State: VA

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: n/a

Allergies: pheneragan, sulfur drugs, penicillin

Symptoms: Heart Palpatations/Heart Fluttering feeling like it is skipping a beat

Other Meds: Lorezapram (1mg every other day), Omeprazole (40mg) daily

Current Illness: None

ID: 1063053
Sex: M
Age: 65
State: NY

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

Lab Data:

Allergies:

Symptoms: Fever greater than 102 F beginning

Other Meds:

Current Illness:

ID: 1063054
Sex: F
Age: 53
State: OR

Vax Date: 02/22/2021
Onset Date: 02/26/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: penecillin

Symptoms: shingles

Other Meds: Vitamin d Multi vitamin

Current Illness: none

ID: 1063055
Sex: F
Age: 66
State: WI

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: none

Allergies: Lisinopril, trees, milk chocolate, eggs, pork, Gynazole-1, Latex

Symptoms: Vaccine given at 1030 - patient developed tighting in throat, no swelling. 1050 Epi 0.3 cc given via epi pen. in right thigh, Benadryl 50 mg IM given in Left deltoid. BP 150/98 pulse 100 Medical emergency called patients sent to ER with ER personal via wh/chair, husband followed.

Other Meds: unknown

Current Illness: unknown

ID: 1063056
Sex: F
Age: 17
State: OR

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

Lab Data:

Allergies: unknown

Symptoms: Patient was under the age of 18 and should not have been given the vaccine. No adverse effects noted during administration or the observation period.

Other Meds: unknown

Current Illness: unknown

ID: 1063057
Sex: F
Age: 65
State: NJ

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: I felt horrible the day following the vaccination which was Saturday, February 27, 2021. Had a 101.6 degree fever when I woke up 6;30 am. I was nausitous, had a headache, body ached, felt completely fatigued. took two Tylenol at 8:45. Drank only water. Tried ginger ale and felt like I was going to throw up. Slept alot. Took two more tylenol at 3:00 pm. Slept more. The fever broke about 6:00 PM. Still felt really tired and drained. Took two more tylenol at 10:00 pm and went to sleep. Had a very slight headache on Sunday morning February 28. and felt drained most of the day. Took no more medication.

Other Meds: No prescriptions. Supplements: CoQ10, Vitamin E, Potassium Magnesium, Vit B12, MultiVitamin, Biotin

Current Illness: None

ID: 1063058
Sex: F
Age: 39
State: NC

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: N/A

Allergies: Penicillin

Symptoms: Started with pain in neck that radiated down the left side. By 1:00AM I woke up with severe rigors that lasted appx 4 hours. This then turned into cold sweats and chills. Extreme fatigue throughout the next day keeping me asleep all day. Apx around 5:00am on 2/19/2021 I was able to go to work. Felt extremely weak and unable to list my 5 month old. Experienced headaches daily until 2/25/2021.

Other Meds: Vitamin D

Current Illness: N/A

ID: 1063059
Sex: F
Age: 44
State: CA

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: Labs were checked all was normal. ct scan Normal.

Allergies:

Symptoms: Headache started about four hours after the second dose of the moderna vaccine. Headache has not subsided. It has been chronic continuous, persistent. Every single over counter medication, I was given a Toradol injection in ER, magnesium drip, 10 mg of Dexamethasone via injection, and none health health. I was also prescribed migraine medication, Maxalt and that also did not break the headache.it has been a total of 20 days of chronic head pressure , tingling and dull ache.

Other Meds: Vitamin D3

Current Illness:

ID: 1063060
Sex: F
Age: 53
State: NJ

Vax Date: 02/16/2021
Onset Date: 02/25/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: N/A

Allergies: Latex Bactrim Venofer

Symptoms: I had the normal arm soreness experienced by an average flu shot. It started the day after the vaccine and only lasted for 3-4 days. Everything seemed fine. Maybe 2-3 days after completing the smartphone vaccine check-ins my arm felt a little itchy. In the days that followed I had pain in my armpit, then it streamed down my underarm making it difficult to lift or extend my arm. As of Saturday, I have a large circular red ring on the outer injection sight portion of my arm as well as redness under my arm. The pain and itchiness continue. I've only used cool compresses and Advil to treat it thus far. Advil helps with the pain.

Other Meds: Metoporal Lisinopril Levothyroxin Vitamin D

Current Illness: N/A

ID: 1063061
Sex: F
Age: 70
State: CA

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: tetracycline

Symptoms: hour 28 after shot:sweating, chills, flushing hour 48 after shot: severe stomach cramps, diarrhea, vomiting, chills--resolved after 9 hours

Other Meds: none

Current Illness:

ID: 1063062
Sex: M
Age: 75
State: CA

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

Lab Data:

Allergies:

Symptoms: patient received incorrect dose. Not sure exactly how much but it was less than the required 0.3ml.

Other Meds:

Current Illness:

ID: 1063063
Sex: M
Age: 36
State:

Vax Date: 02/01/2021
Onset Date: 02/09/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient presented to the post Covid-19 vaccine observation room. Pt c/o red spots and mild itching to the abdominal area 20 minutes s/p injection. Pt was assessed and vitals taken as noted. Pt was transported via wheelchair to the express care department for further assessment and treatment. This incident took place in observation area.

Other Meds:

Current Illness:

ID: 1063064
Sex: F
Age: 67
State:

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

Lab Data:

Allergies:

Symptoms: Itching following injection - Given Benadryl and monitored - at home care

Other Meds:

Current Illness:

ID: 1063065
Sex: F
Age: 71
State: MI

Vax Date: 02/10/2021
Onset Date: 02/12/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: none

Allergies: unknown

Symptoms: Itching from neck into arm pit. Lasted until 2/18/2020

Other Meds: unknown

Current Illness: unknown

ID: 1063066
Sex: F
Age: 71
State: FL

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: report advesre reaction after she received her first moderna dose at 02/15/2021 at 1540. patient reported that she developed the next day (02/16/2021) arm redness swelling, warmth, itching. and headache. patient reported that she have no allergies. patient reported that she developed a reaction(headache) to shingrex that took her months to get over it. patient reported that she takes crestor for high cholesterol and omeprazole for ulcers. patient was instructed to apply cold compress to help with the arm redness, swelling, itching, and to take tylenol to help with the headache. patient was also instructed to monitor her symptoms and to seek medical attention if the symptoms got worse. called to discuss the adverse reaction and my recommendation

Other Meds: Crestor omeprazole

Current Illness:

ID: 1063067
Sex: F
Age: 80
State: VA

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

Lab Data:

Allergies: None known

Symptoms: Sore arm next day. 6 days later : extreme dizziness, nausea, vomiting, fatigue, severe confusion

Other Meds: None

Current Illness: Vascular dementia, Alzheimer's

ID: 1063068
Sex: M
Age: 70
State: CO

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: None

Allergies: NKA

Symptoms: Received first vaccine on 01/28/2021 as Moderna Received second vaccine on 02/25/2021 as Pfizer

Other Meds: Lipitor, Revatio, Diprolent AF

Current Illness: N/A

ID: 1063069
Sex: F
Age: 31
State: MI

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Increased fever, 103.4, twelve hours after vaccine, nausea and vomiting one time, swollen lymph nodes underarm that received the vaccine, weakness, chills, body aches.

Other Meds:

Current Illness:

ID: 1063070
Sex: F
Age: 82
State: NC

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

Lab Data: None.

Allergies: None.

Symptoms: Got the vaccine, got home, and noticed itching in the area of the vaccine, on her hands and her both arms. She has severe itching, has been rubbing lotion on it.

Other Meds: Hair, nails and skin vitamin, Vitamin B12. Atenolol, Losartan, Hydrochlorothiazide, Sertraline, Simvastatin, Metformin, Celebrex, Levothyroxine, Pantoprazole, vitamin, stool softener.

Current Illness: None.

ID: 1063071
Sex: F
Age: 37
State: NJ

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: none so far

Allergies: codeine, benadryl

Symptoms: skin rash in multiple parts of body, arms, inner thighs, behind legs, foot, forearm, shoulder, behind legs, -rash is red and raised and still present as of today. it does not itch, burn, sting or ooze.

Other Meds: flecainide acetate 50mg daily, larin 24 fe, 1 tablet daily

Current Illness: none

ID: 1063072
Sex: M
Age: 78
State: MT

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Muscle pain - since day after injection. 3 or 4 200mg ibuprofen eases pain, when moving, for 4 or 5 hours.

Other Meds: none

Current Illness: none

ID: 1063073
Sex: F
Age: 73
State: TX

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

Lab Data: NA

Allergies: NO known drug allergies

Symptoms: Patient called after getting home that she has pain at the injection site, and a golfball sized amount of fluid collecting at her elbow.

Other Meds: unknown

Current Illness: none

ID: 1063074
Sex: F
Age: 64
State:

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient presented to the post vaccine observation room. After 30 minutes c/o chills and headache 5/10. vitals where taken as noted and patient assessed. Pt was encouraged to check in to urgent care here at the hospital. Patient refused to further assessment and treatment. Patient stated "I am calling my husband to pick me up". Patient was advised to wait sitting and notify medical personal of any worsening feeling immediately.

Other Meds:

Current Illness:

ID: 1063075
Sex: F
Age: 78
State: VA

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: MRI today, MOnday 3/1, Hospital, 4:30 PM

Allergies: Latex, milk (mild)

Symptoms: After the second shot, I expected mild side effects and experienced some: mild headache, sore left arm around injection site, fatigue, brain fog. I was walking to my garage with a small package of papers when suddenly my lower back spasmed sharply. The pain was intense. I thought it would subside so I managed, with difficulty, to make it into my car. When I was seated in the car, the spasms subsided. I considered not driving to my two errands but decided that I felt well enough seated in the car to drive and deliver the papers to my tax preparer and the carful of donations to Goodwill. At the tax office, I called an assistant to come to the parking lot to pick up the papers, which she did. At Goodwill, one of the attendants emptied my car. When I got home at about 10:50, I had to call my husband to help me into the house. I spent the next several hours in agony (11 on a scale of 1-10) with spasms, punctuated by absolutly not moving. The spasms were so bad I could not breathe. My doc prescribed a muscle relaxer, then the next day prednisone, which has helped. Today I will have an mri to determine if the spasms herniated a disc.

Other Meds: Symbacort, levothyroxine, welchol, nuedexta

Current Illness: spinocerebellar ataxia type8

ID: 1063076
Sex: F
Age: 67
State: OH

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: unknown

Symptoms: RN was staffing a Covid clinic at HS. One of our other nurses gave her the 1st Moderna vaccine at 1:45 PM on 2/12/21. At 1:55 PM, the nurse who had given her shot noticed that patient was pale, and said she was not feeling well. Her BP was 179/110, and she said she usually has low BP. She c/o of "feeling hot and was having difficulty breathing." She was seen by our medical director. After 30 minutes, her BP was 120/82. She said she ?felt a little better and called her sister to pick her up.? Later that evening, patient texted me saying I didn?t feel well when I got home, had trouble focusing literally and had a crying jag and felt shaky on the inside. I kept hydrating, took 25 of Benadryl and slept for 2 hrs., now feel close to normal. It was definitely a reaction to the shot-just weird!? Patient texted me on 2/13/21 that ?the FDA thinks one vaccine may be enough for 80?90% effectiveness, so I might not get the 2nd dose? On 2/15/21 patient texted, ?My PCP thinks what I had was a side effect & recommends taking Benadryl, Zyrtec, or Tylenol before the 2nd injection, and doesn?t seem to be worried about it!? On 2/19/21, I received a text from patient at 5:28 AM as she was scheduled to staff a Covid clinic that day, beginning at 7:30 AM. She said, ?I have been up for a couple hrs w/severe eye pain and can?t hardly open my eye but it hurts to close it too! At 10:37 AM she texted, ?I just got home from eye doctor and was prescribed drops 4X/day. Apparently, there are pin holes in my sclera & cornea which hurt so bad I had lavender cold pack on all day & couldn?t stand the light. It is a corneal abrasion & I have no idea why that would happen suddenly?. The following day, she texted me a picture of her L arm injection site which she said was ?very itchy and hot! Not painful-? It was about 6 inches in diameter, red, inflamed, delayed cutaneous rx.

Other Meds: unknown

Current Illness: unknown

ID: 1063077
Sex: F
Age: 74
State: CA

Vax Date: 02/27/2021
Onset Date: 02/28/2021
Rec V Date: 03/01/2021
Hospital: Y

Lab Data: Labs EKG

Allergies:

Symptoms: Pt presented to hospital via ambulance with cardiac arrest after a CC of SOB. Pts sister who spoke with her two days ago stated she was in normal state of health and just got her 2nd dose of the covid vaccine. Unknown which manufacturer.

Other Meds: ASA 81mg, Atorvastatin 40mg, Lasix 20mg BID, Lisinopril 5mg, Metoprolol XL 25mg, Nitroglycerin Acetaminophen, Albuterol Inhaler, B complex Vitamine, Calcium Carbonate, Vitamin D, Claritin, Ketoconazole 2% cream, Nystatin Powder, triamcinolo

Current Illness:

ID: 1063078
Sex: F
Age: 71
State: CA

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

Lab Data:

Allergies:

Symptoms: patient received incorrect dose. Not sure exactly how much but it was less than the required 0.3ml.

Other Meds:

Current Illness:

ID: 1063079
Sex: F
Age: 74
State: MD

Vax Date: 02/13/2021
Onset Date: 02/25/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: ekg normal

Allergies: Decadron

Symptoms: lightheadness, palpitations, hypertension

Other Meds: Vit D3, Macuhealth, Osteo Bi-Flex, Mature vitamin, Calcium600mg Krills okl 500mg,

Current Illness: none

ID: 1063080
Sex: F
Age: 47
State: OH

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

Lab Data:

Allergies: Sesame

Symptoms: Patient experienced headache, fatigue, muscle aches, joint pains, nausea, and local injection site pain

Other Meds: Zyrtec, esidrix, Imitrex, Lexapro, azelastine

Current Illness: None

ID: 1063081
Sex: F
Age: 57
State:

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

Lab Data:

Allergies:

Symptoms: 57 year old female who presents for brief focused urgent care visit, with a complaint of lightheadedness after receiving COVID vaccine. She reports she is diabetic and on insulin, and only had a small salad for lunch today. Her husband checked blood sugar and was found to be hypoglycemic in the low 50's. Patient began drinking orange juice and felt better after. She denies chest pain, SOB, difficulty breathing or swallowing, itching, swelling in throat, rash, visual disturbances, slurred speech, numbness or tingling of extremities. Patient re-checked blood sugar with her own glucometer and it was 103 prior to discharge. Symptoms completely resolved. Appropriate actions taken; no further action at this time.

Other Meds:

Current Illness:

ID: 1063082
Sex: F
Age: 41
State: AZ

Vax Date: 01/26/2021
Onset Date: 01/28/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: no known allergies

Symptoms: 2 days after my first injection I was having a lot of knee pain and trouble walking. I got the second injection and am having increasing pain and swelling in both knees.

Other Meds: tylenol

Current Illness: none

ID: 1063083
Sex: F
Age: 69
State: KS

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: Went too physician and no test run. He said pain would go away. It did after over 2 weeks!

Allergies:

Symptoms: Swelling in joints. Unable to raise arms or use hands for several days. Pain threw out body, Length of time was 2/10/2021 to 2/27/2021. On 2/28/2021 just feeling better and off Tylenol Extra Strength.

Other Meds: Benazepril, 20mg daily Amiodipine Besylate, 5mg, daily Atorvastatin, 40mg, daily Omeprazole, 20mg, 2 daily Buspirone, 10mg, 2 daily Famotidine, 40mg, daily Extra Strength Tylenol, as needed Vitamin C, 500mg daily Vitamin D3, 25mcg, daily Am

Current Illness:

ID: 1063084
Sex: F
Age: 66
State:

Vax Date: 02/12/2021
Onset Date: 02/19/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: Latex

Symptoms: Feb. 19: onset of itchiness at injection site Feb 20: itchiness with red swollen patch (3.25"x2.25") at injection site Feb 22: severe itchiness with red, hot to the touch, increased swollen patch at injection site Feb 23-Feb 24: milder itchiness with red swollen patch and vicious looking rash at injection site Feb 25-Feb 28: slowly decreasing itchiness and swelling as well as less vicious looking rash at injection site Mar 1: No longer itchiness, swelling and very mild lingering rash at injection site

Other Meds: glucosamine chondroitin; bone strength vitamin; biotin; Alendronate (weekly)

Current Illness: None

ID: 1063085
Sex: F
Age: 67
State: TX

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: No tests performed. BP taken every 5 minutes. Patient was brought back into the room for evaluation.

Allergies: NKDA or to any other things

Symptoms: Patient reported that she was dizzy, SOB, blurred vision, rapid heart beat.

Other Meds: Olmesartan, omeprazole, levothyroxine was taken this morning.

Current Illness: none

ID: 1063086
Sex: M
Age: 17
State: OR

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

Lab Data:

Allergies:

Symptoms: Patient received both doses of Moderna Vaccine and he is under 18 (17 years 8 months),

Other Meds:

Current Illness:

ID: 1063087
Sex: M
Age: 68
State: FL

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

Lab Data:

Allergies: none

Symptoms: muscle aches, fever took tylenol. patient states he feels fine

Other Meds: gabapentin 1200mg TID baclofen 60mg Daily Duloxetine 60mg Daily meloxicam 15mg Daily buspirone 20mg BID bupropion 300mg Daily triamterene 37.5mg Daily atorvastatin 40mg Daily B12- ER 1000mcg Daily

Current Illness: osteopenia arthritis cholesterol anxiety

ID: 1063088
Sex: F
Age: 72
State: CO

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

Lab Data:

Allergies: can't take tylenol

Symptoms: I ache all over, have no energy my chest hurts, bloody nose, sweating, fever and chills.... in general I feel like I have been poisoned.

Other Meds: levothyroxine 25 mcg,, Pentoprazole sodium ec 20 mg tab, Montelukast Sodium tablets 10 mg

Current Illness: no

ID: 1063089
Sex: M
Age: 66
State: WA

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: No

Allergies: No

Symptoms: At 12:30 that night I woke and I felt like to throw up and diarrhea at the same time. I had a terrible headache, dizziness, nausea. I had chills. The next day I was still very, very sick and had a fever of a hundred degrees. And I was sick all day Saturday. Unable to hold down any water. Sunday morning it broke and I was starting to come out of it. Today I'm not feeling 100% but much, much better.

Other Meds: losyonepril 40 mg

Current Illness: No

ID: 1063090
Sex: F
Age: 48
State: TX

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: Blood work, low K levels 2/25/2021. ECG, troponin levels, Dehydration blood work and UA done.

Allergies: Metformin

Symptoms: Pt. received second dose of Pfizer vaccine on 2/24/2021, on 2/25/2021 at 12:30 pm she stated she became flushed and was nausea's. Went to put her head down on desk, head hit desk and she fell to her knees. Pt. unsure if she lost consciousness. She described going form extremely hot to cold. Ambulance called and taken to ER

Other Meds: Atorvastatin 20 mg daily Prilosec 40 mg daily Losartan 25 mg daily Calcium 500 mg daily Vitamin C 500 mg daily Potassium 20 meq 3 times daily Omega 3-6-9 1200 mg daily Vitamin E 400 mg daily Iron 65 mg daily Glimiperide 4 mg daily Prozac 20

Current Illness: UTI, 3 weeks prior to second dose.

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm