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: 1063722
Sex: F
Age: 65
State: MS

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

Lab Data: na

Allergies: nka

Symptoms: On 2/28/21 @ Co vaccination drive thru pt received 2nd dose moderna vaccine im right deltoid. approx 5min after administration pt reports rash and edema to left arm. redness and edema noted to left forearm inner aspect. localized to this area alone. pt denies other s/sx. (on assessment pt states she had non specific allergies as a child.) Benadryl was administered per dh standing orders. pt remained additional 20min and w/o further concerns. On 3/1/21 phoned pt for f/u. pt states she is doing fine. no further problems following event. pt states she is not certain this was related to vaccine, states prior to arriving to receive vaccination she was dining outside at a restaurant and might have been bite by insect. inst pt to call if she has any further questions/concerns. pt vu.

Other Meds: unk

Current Illness: none

ID: 1063723
Sex: F
Age: 65
State: CT

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

Lab Data: had ekg march 1st result good ordered swallow barium test to be given march 4th

Allergies: sensitivity ibuprofen and aspirin products

Symptoms: Difficulty swallowing, chest discomfort severe about 6 hrs day of vaccine lingering difficulties throught 3 days .continued . saw dr. march 1st soft foods for now

Other Meds: levothyroxine ,dexilant 60mg tumeric vit d calcium

Current Illness:

ID: 1063724
Sex: F
Age: 38
State: CA

Vax Date: 01/07/2021
Onset Date: 01/12/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Extremely itchy arm and discoloration around injection site. Occurred about 5 days after the injection and the itching lasted around 2 days. The discoloration lasted about 10 days. The rash site was sore to the touch. I did receive the second dose 3 weeks later with no issues (other than the expected sore arm).

Other Meds: generic Yaz

Current Illness: None

ID: 1063725
Sex: F
Age: 24
State: OK

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

Lab Data:

Allergies: none

Symptoms: I noticed the day after I received my first dose of the vaccine, when I took off the band aid, that my skin had bubbled at the the injection site on my left arm. The day after that, the bubble of skin turned yellow. This morning my injection site still has a bubble of skin that is now red and looks like it can pop at any time. It has not grown any bigger since the first time I saw it.

Other Meds: no

Current Illness: no

ID: 1063726
Sex: F
Age: 82
State:

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

Lab Data:

Allergies: Bactrim, cefadroxil, lactose intolerance, NSAIDS, peanuts, perfume, streptomycin, sulfa, tetracycline

Symptoms: Itchy, red rash around the injection site which lasted 4 days plus burning down her arm and fatigue for 2 days.

Other Meds: Tylenol, Ativan, allopurinol, atorvastatin, vitamin B-12, Estring, lidocaine-prilocaine 2.5% cream, losartan, omeprazole, Ditropan XL, Premarin vaginal cream, gabapentin, ferrous sulfate, coreg, alfuzosin ER, Clonidine patch

Current Illness: None

Date Died: 02/23/2021

ID: 1063727
Sex: M
Age: 79
State: MT

Vax Date: 01/21/2021
Onset Date: 02/23/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: unknown

Allergies: unknown

Symptoms: Called pt for Dose 2 appt. Pt had passed away.

Other Meds: unknown

Current Illness: dementia

ID: 1063728
Sex: F
Age: 32
State: TN

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

Lab Data: N/A

Allergies: Sulfa, macrobid, avocado

Symptoms: Fever over 100 for 30 hours Body shakes Chills Fatigue Headache Redness at site of injection Body aches Tylenol extra strength taken around the clock

Other Meds: Zinc, prenatal vitamins, IBS clear, oxybutynin, levothyroxine

Current Illness: N/A

ID: 1063729
Sex: M
Age: 55
State: NC

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

Lab Data: Tested for Covid on 2/28/2021?results still pending.

Allergies: Certain Statin medications for cholesterol, insect stings, seasonal allergies

Symptoms: Early morning on 2/27/2021 started experiencing some nausea, cough, runny nose, scratchy throat and mild headache. Persisted throughout the day on Saturday and overnight. On Sunday 2/28/2021 had bad headache, joint and muscle pain, cough, extreme fatigue, nausea and chills. Symptoms are persisting into today 03/01/2021.

Other Meds: Losartan, omeprazole, bisoprolol, men?s multivitamin, aspirin 81mg, livalo, zinc, vitamins b, c, d, finasteride, fish oil, turmeric, Claritin

Current Illness: Had colon resection surgery on 2/3/2021 for diverticulitis

ID: 1063730
Sex: F
Age: 54
State: MA

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

Lab Data: na

Allergies:

Symptoms: Pt got Moderna Covid 19 vaccine Lot # 010A21A and developed flushing/tingling from injection site to face in first 15 minutes of observation. Pt was asked to stay for observation for an additional 15 minutes.She continued to report same symptoms. Pt was then given 50mg Diphenhydramine IM x1 and asked to stay for additional observation. After 5 minutes symptoms began to resolve and pt was allowed to leave.

Other Meds:

Current Illness:

ID: 1063731
Sex: F
Age: 62
State: IN

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

Lab Data: None I recognize these symptoms and know from past experience that H1 and H2 blockers are sufficient to prevent life-threatening analphylaxis. I am self-medicating and avoiding activities that would further stress my mast cells.

Allergies: I have Mast Cell Activation Disorder and am reactive to all narcotics, dextromethorphan, dextran, gallium, polymixin B, radiographic contrast media, reserpine, scopolamine, sulfite preservatives, sulphur dioxide, isocyanates. I am allergic to oysters, clams, and other bi-valves

Symptoms: Onset approx 45 min after injection--swollen eyelids and face, moderate throat constriction and hoarseness, severe fatigue, headache, brain fog for first 20 hrs, then intermittent eyelid and face swelling, hoarseness, fatigue and brain fog for the next 3 days, followed by mast cell activation symptoms of fatigue, puritis, and mild racing heart in the evening for the last two days. For the past 3 years I have been medication free and virtually symptom free. The symptoms of the last few days are consistent with those I had during the years when my MCAD was active. I am concerned that the vaccine has reactivated the hyper-sensitivity of my mast cells.

Other Meds: benadryl, singulair, tagamet (prep one hour before vaccine)

Current Illness: None

ID: 1063732
Sex: M
Age: 56
State: VA

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

Lab Data: None

Allergies: None

Symptoms: 2nd Moderna shot received approx 10:10 am Saturday 2/27. Mild soreness at injection site during the day, some mild aches all over. Sunday 2:00 am experienced chills and mild fever 99 degrees. Sunday am 8:00 experienced severe headache, moderate fatigue, mild pain at injection site, body aches all over. No fever.. Took 2 Tylenol with no affect. 4 hrs later took 2 Alleve which diminished headache. Still had moderate fatigue. Monday 3/1 only experiencing mild soreness at injection site, and mild fatigue. No other symptoms.

Other Meds: Rx- rosuvstatin 10 MG Supplements - vitamin d, zinc, krill oil, selenium, biotin. aspirin, magnesium

Current Illness: None

ID: 1063733
Sex: M
Age: 59
State: MN

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

Lab Data:

Allergies: Penicillin, shellfish

Symptoms: Headache, body aches, tired feeling. Pain at the injection site

Other Meds:

Current Illness:

ID: 1063734
Sex: F
Age: 76
State: WA

Vax Date: 02/25/2021
Onset Date: 02/27/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: none

Allergies: penicillin

Symptoms: Swelling, rash and itching at injection site. Used anti-itch cream

Other Meds: Anastrozole, vitamin, calcium, B12

Current Illness: None

ID: 1063735
Sex: M
Age: 56
State: VA

Vax Date: 02/05/2021
Onset Date: 02/12/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: Covid rapid test - negative; Covid PCR test - negative; Mono swab - negative all 2/18/2021

Allergies: No known drug allergies; environmental allergies to mold, tree pollens; allergies to tomato, various members of bean family

Symptoms: Mild rash covering abdomen, back, sides of trunk (bilateral), armpits (bilateral), inside of upper thighs (bilateral), left lower arm

Other Meds: Fluvoxamine Maleate 75 mg, Trazodone 50 mg, Vitamin D 50 mcg

Current Illness: None

ID: 1063736
Sex: F
Age: 63
State: CA

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

Lab Data: n/a

Allergies: NKDA

Symptoms: No adverse event happened. The syringe used was defective and the patient received less than half the dose.

Other Meds: n/a

Current Illness: n/a

ID: 1063737
Sex: M
Age: 44
State: GA

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I was diagnosed with Covid-19 after 4-5 days after my first dose Moderna vaccine.

Other Meds:

Current Illness:

ID: 1063738
Sex: F
Age: 79
State: FL

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

Lab Data: none

Allergies: penicillin, keflex,

Symptoms: chills for 2 days, then itchy for several days, then urine burning, then nerve jumping in arms, then clammy all separate in afternoons 2nd shot was 2 weeks ago

Other Meds: akirvastatin, amlodepine, losartan, baby aspirin, D3, zyrtec

Current Illness: none

ID: 1063739
Sex: F
Age: 37
State: AR

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

Lab Data:

Allergies: None

Symptoms: Received the 1st dose February 24th at 11am. Around 4:00 pm started feeling extremely fatigued and that progressed all evening. Fatigue has persisted for 4 days. Starting Friday February 26th I've had a sore throat, congestion and very sore weak joints. Sunday the 28th being by far the worst day. Today Monday March 1st I am feeling some better but not great.

Other Meds: Hydroxychloroquine; Effexor; Vitamin D; Zinc

Current Illness: None

ID: 1063740
Sex: M
Age: 78
State: MA

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

Lab Data: none

Allergies: Some foods, dust, pollens dander

Symptoms: First day: lethargy all day. Second day, 2-28 starting c 10PM got the shivers and shakes,, had trouble standing. Lasted c one and a half hours. I lay down, it finally stopped

Other Meds: Multi vitamin only

Current Illness: no

ID: 1063741
Sex: F
Age: 78
State: TN

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

Lab Data: n/a

Allergies: unknown

Symptoms: Staff member vaccinated 2 days to soon. Patients 1st dose was on 01/20/21.

Other Meds: unknown

Current Illness: unknown

ID: 1063742
Sex: M
Age: 72
State: OR

Vax Date: 02/24/2021
Onset Date: 02/26/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: none known

Allergies: Metformin, Simvistatin

Symptoms: MODERNA COVID-19 VACCINE EUA 48 hours after receiving the vaccine, patient experienced extreme pain, sensitivity, and swelling in his left wrist and fingers. Approximately 24 hours later (72 hours post vaccination) patient reports that his right wrist and fingers were experiencing the same reaction. He is unable to make a fist, grip a water bottle, or open his medication bottles without assistance.

Other Meds: Pregabalin, Finasteride, Glipizide, Furosemide, Oxybutynin, Vitamin D3, Stool Softener,

Current Illness: NONE

ID: 1063743
Sex: M
Age: 73
State: KY

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

Lab Data:

Allergies:

Symptoms: Patient is a resident. Pharmacy went to their facility to do three off site COVID vaccine clinics that were spaced at least 21 days apart per our CDC contract. Patient received 3 doses total of Pfizer. They were vaccinated on 1/07/21, 1/28/21, and 2/22/21. The facility has been notified of this incident. At this time, no adverse affects have been reported.

Other Meds:

Current Illness:

ID: 1063744
Sex: F
Age: 17
State: MO

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

Lab Data: na, no side effects occured or other health disparities.

Allergies: unknown

Symptoms: This young lady did not meet age requirements to receive the Covid 19 vaccine from this Manufacturer, but was given it.

Other Meds: unknown

Current Illness:

ID: 1063745
Sex: M
Age: 43
State: NY

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

Lab Data:

Allergies:

Symptoms: Fatigue, Mild headache, itchy skin on stomach, back, head and face

Other Meds: Daily vitamin

Current Illness:

ID: 1063746
Sex: F
Age: 77
State: ID

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

Lab Data:

Allergies: Iodine, Mycin, Penicillin, Sulfa, Latex

Symptoms: patient c/o cotton mouth, felling like a tight airway. Breath sounds diminished bilaterally, expiratory wheezes. Vital signs 136/88-108 (irregular) O2 Sat 95% History of anaphylaxis . O2 sate decreased to 88% Epinephrine 0.3mg IM administered at 3:09pm. Pt states that feeling of tightness EMS notified and patient transported to hospital at 3:25pm

Other Meds: Unknown

Current Illness: Unknown

ID: 1063748
Sex: F
Age: 82
State: KY

Vax Date: 02/02/2021
Onset Date: 02/05/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: N/A

Allergies: NKA

Symptoms: Fever, Body Aches

Other Meds: Multivitamin Adults Tablet , Metoprolol Tartrate Tablet 25 MG, Digox Tablet 125 MCG (Digoxin), Lisinopril Tablet 2.5 MG, Aspirin Tablet 325 MG, Vitamin C Tablet 500 MG, Lasix Tablet 20 MG , ZyrTEC Allergy Tablet 10 MG, Levalbuterol HCl Ne

Current Illness: N/A

ID: 1063749
Sex: F
Age: 31
State: MI

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

Lab Data: Quantitative beta-hCG was 43, which was decreased from 2/25. Pelvic ultrasound no intrauterine pregnancy.

Allergies: sulfa drugs, pumpkin seeds

Symptoms: fast heartbeat, dizziness and weakness; patient presented to the ED on 2/26 with pelvic pain and cramping for possible miscarriage or ectopic pregnancy. Pt was at approximately 5 weeks gestation

Other Meds: folic acid, trinate

Current Illness:

ID: 1063750
Sex: F
Age: 69
State: TX

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

Lab Data:

Allergies: None

Symptoms: Moderate to severe pain and feeling of blacking out/fainting with nausea morning after. Fever the night of. Stayed in bed and rested.Fell good today just a little sore so do not have full use of arm without.

Other Meds: Synthroid

Current Illness: None

ID: 1063751
Sex: M
Age: 44
State: GA

Vax Date: 02/03/2021
Onset Date: 02/05/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: After my second vaccine, I experienced mild headaches, chills and fatigue. Today he states he has no symptoms.

Other Meds:

Current Illness:

ID: 1063752
Sex: F
Age: 50
State: TX

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

Lab Data: blood sugar 375

Allergies:

Symptoms: tingling on right arm, swollen right thumb, lightheaded; denies SOB or chest pain. Vitals: 160/100, HR- 95, pulse ox- 96%, repeat B/P- 140/90, HR- 85; client is an insulin dependent DM, blood sugar- 375. Client stated she had not taken her insulin this morning, reports eating candied yams last night @ 10pm. 0912- client self injected 10 units novolog insulin pen; 0922- reports feeling better, injection still sore; cleared by site lead and released to facility director

Other Meds: Insulin

Current Illness:

ID: 1063753
Sex: F
Age: 73
State: CT

Vax Date: 02/20/2021
Onset Date: 02/23/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: swollen and red arm 3x2

Other Meds: rospuvatin 5mg, amlodipine besylate 2.5mg, restatsis .05%, Caltrate 600 d3, centrum silver

Current Illness:

ID: 1063754
Sex: F
Age: 76
State: TN

Vax Date: 02/10/2021
Onset Date: 02/14/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: None

Allergies: Pencillin, sulfa, codeine, quindalones, Robitussin DM

Symptoms: 4 days after vaccination developed rash that spread from upper extremities through chest and abdomen and to lower extremities. Was very itchy and took Benadryl and s/s resolved after 3-4 days.

Other Meds: Carvedilol 12. 5mg 1 1/2 BID, Levothyroxine 50mcg 1 1/2 tab, prodaxa 150 mg BID, Flonase spray, VIt D-3 3,000mcg, MVI

Current Illness: 2/2- had surgery on drooping eye

ID: 1063755
Sex: F
Age: 94
State: NY

Vax Date: 02/18/2021
Onset Date: 02/20/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: None

Allergies: Strawberries

Symptoms: Patient was awakened by itchiness on left arm from elbow to wrist. Increased in severity to feeling as though on fire and being bitten by a thousand mosquitoes. Spread to other arm, both becoming bright red and blotchy. Some areas became raised. The itchy red began to creep up to injection site. Next day, February 21, legs began to ache, swell, and itch. Developed bright red, splotchy hives similar to arms spreading from knees to ankles before creeping up thighs. Large, hard, itchy area behind both ankles, and navel also became inflamed and itchy. Today (March 1) arms and legs are still red, though it has faded in some areas, and the itchiness is persistent but has subsided.

Other Meds: Eliquis, Atenolol, Lipitor, Chlorthalidone, Levothyroxine, Premirin,

Current Illness:

ID: 1063756
Sex: F
Age: 68
State: CA

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

Lab Data: none

Allergies: Morphine, Imaging dyes,

Symptoms: Patient had shortness of breath and complained of tightening felt in the throat chest area after her initial 15 minutes of observation post vaccination. She was coherent and verbalizing the entire time. She was observed while 911 was called. She stated she was feeling better and her symptoms were resolving as she sat for 10 minutes. She was taken to a different facility ER for assessment (Kaiser). When we spoke to her later at night, she was home and said she did not receive any treatment while at the ER.

Other Meds: Trazadone, Xanax, Zoloft, Vitamin D, Vitamin C, Nue Products

Current Illness: no illnesses in the past month

ID: 1063757
Sex: F
Age: 37
State: OR

Vax Date: 01/25/2021
Onset Date: 02/08/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: Soy, eggs

Symptoms: Since 2 weeks after the shot, I've been experiencing tingling and numbness in my toes and fingers throughout the day.

Other Meds: Vitamin C & D, valcyclovir

Current Illness:

Date Died: 02/25/2021

ID: 1063758
Sex: M
Age: 61
State: OH

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

Lab Data:

Allergies: unknown

Symptoms: Patient died on 2/25/21 in the AM after receiving his COVID-19 Moderna vaccine #1 at approximately 2:30P on 2/24/21. I do not have a time of death. I contacted the County Medical Examiner's office who stated that they received his body after he was determined to be deceased at the shelter. No autopsy was performed and his body was released to a funeral home on 2/26. The ME's office said that "permit for burial/cremation is pending" and no other information on COD was available. Per staff, he was also tested for COVID as part of shelter protocol on 2/24 and PCR was negative. He arrived to the shelter on 2/19/21.

Other Meds: unknown

Current Illness: unknown

ID: 1063759
Sex: F
Age: 59
State: CA

Vax Date: 02/17/2021
Onset Date: 02/25/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: PCR COVID-19 testing Abbott Now

Allergies: Influenza Vaccine, Actos, Loratadine

Symptoms: COVID Positive

Other Meds: Fenofibrate 160mg, Simvastatin 20mg, Liraglutide 6mg/ml, Losartan, Clopidogrel 75mg, Metoprolol 100mg, Ertugliflozin 15mg, Insulin Glargine 100units/ml, Paroxetine 20mg, Acetaminophen 500mg, Capsaicin 0.075 cream, Cholecalciferol 5000U

Current Illness: Constipation

ID: 1063760
Sex: F
Age: 51
State: NY

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: My primary doctor is monitoring my recovery.

Allergies:

Symptoms: 5 1/2 weeks after the 1st dose, I still have pain in my arm.

Other Meds:

Current Illness:

ID: 1063761
Sex: M
Age: 80
State: KY

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

Lab Data:

Allergies:

Symptoms: Patient is a resident at a facility . Pharmacy went to their facility to do three off site COVID vaccine clinics that were spaced at least 21 days apart per our CDC contract. Patient received 3 doses total of Pfizer. They were vaccinated on 1/08/21, 1/29/21, and 2/19/21. The facility has been notified of this incident. At this time, no adverse affects have been reported.

Other Meds:

Current Illness:

ID: 1063762
Sex: F
Age: 34
State: GA

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

Lab Data: N/A

Allergies: N/A

Symptoms: Chills with a fever for about 3 hrs the next day, headache, fatigue for the next 2 days following the vaccine.

Other Meds: LOSARTAN 100mg AMLODIPINE 5 mg CARVEDILOL 25 mg ESCITALOPRAM 10.5 mg PREDISONE 5 mg CELLCEPT 500mg PLAQUENIL 200mg LUTERA

Current Illness: Lupus, Chronic Kidney Disease, Hypertension

ID: 1063763
Sex: F
Age: 76
State: IL

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

Lab Data:

Allergies: Quinolins, Erythromycin, tree nuts

Symptoms: Woke up Sunday morning with my face swollen and fire red on the right cheek and rash on the left cheek and brow. Right cheek hurts because of the swelling. Took 2 Benadryl at noon. Right cheek is burning. Today is Monday and it is still swollen but not as red. It hurts and got more Benadryl to take. Took 2 at 3pm today.

Other Meds: allopurinol, atenlol, metformin, neurontin, Vitamin D, Vitamin Calcium, Biotin, HCT, Propecia, Multi Vitamin,

Current Illness: none

ID: 1063764
Sex: M
Age: 57
State: VA

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

Lab Data: none

Allergies: doxycycline, all antibiotics = itching all over

Symptoms: This 57yo employee - reports he received his first Pfizer Covid vaccine on 1/13/2021 (Emergency response provider). Approximately 3 hours post vaccination he c/o prickly stabbing itchy pain to vaccine site with left arm pain x 24 hours. He stated day 1 post vaccination the roof of his mouth, lips felt swollen and sensitive with a random frontal dull headache that lasted for a few seconds but noted on/off for 3 min duration a few times a day. He also reported a few days of altered sense of smell, especially to automotive products that has resolved. He states this prickly-itch stabbing pain varies all over his body, in his mouth, eyes, torso, extremities, again lasting a few seco

Other Meds: Lisinopril

Current Illness: denies

ID: 1063765
Sex: F
Age: 54
State: OH

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

Lab Data:

Allergies: N/A

Symptoms: 5hours after vaccine site itched. 17hrs after big red circle, arm sore, low grade fever

Other Meds: N/A

Current Illness: Sinus infection 1/26/21

ID: 1063766
Sex: F
Age: 43
State: MA

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

Lab Data:

Allergies:

Symptoms: 25 minutes post Covid-19 vaccine, patient reported feeling "itchy." Red rash noted to neck, chest and bilateral arms. Patient given IM Benadryl. Within 2 minutes, patient reported less "itchy" feeling. At 1550 patient reported no further "itchy" feeling. Patient denies any other issues. Patient sitting on stretcher talking with pharmacist. Patient reports full relief. No issues voiced. Patient educated to speak with her PCP prior to 2nd dose of Covid-19 vaccine and to report today's reaction to PCP. Patient states understanding of the above.

Other Meds:

Current Illness:

ID: 1063767
Sex: M
Age: 39
State: WA

Vax Date: 02/10/2021
Onset Date: 02/17/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: weltz appeared on waist, legs, shoulders, ankles, and all ten toes. weltz were giving me a very itchy and burning sensation. Two days later the weltz turned into rashes and im still dealing with the itching

Other Meds:

Current Illness:

ID: 1063768
Sex: F
Age: 29
State: CA

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

Lab Data:

Allergies:

Symptoms: Fatigue, nausea, vomiting. Went to ER 2 days post vaccination. Received IVF, Zofran, Discharged in stale condition.

Other Meds:

Current Illness:

ID: 1063769
Sex: F
Age: 46
State: TX

Vax Date: 02/20/2021
Onset Date: 02/28/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: red / raised circular rash (hot to the touch) left arm started as small raised hive appearance on Sunday then Monday large red heated rash

Other Meds: trinessa birth control Advil allergy and congestion

Current Illness:

ID: 1063770
Sex: F
Age: 36
State: AZ

Vax Date: 02/20/2021
Onset Date: 02/21/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: No.

Allergies: No

Symptoms: Red bump that?s about two inches wide, hot to the touch, and it has been over a week. The location is the same spot vaccine has been injected in.

Other Meds: None

Current Illness: None

ID: 1063771
Sex: F
Age: 41
State: TN

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

Lab Data: none

Allergies: NKDA

Symptoms: Patient received Moderna Covid 19 vaccine lot# 031L20A exp date 07/22/2021 0.5ml to left deltoid at 10:15 a.m. 02/12/2021. Patient was asked to wait in parking area for monitoring of adverse reaction. At approximately 10:20 a.m. officer called to nurse that patient was not feeling well. RN and LPN went to assess patient at her vehicle. Patients lips were blue pallor color and she stated that she "just felt weird and a little short of breath". No rash or swelling. Patient reports that she did not feel her throat was swelling. RN applied ambu bag to patient appropriately and LPN assisted patient with air for approximately 2 minutes. EMS contacted. Vitals assessed by RN. BP 90/55, HR 60 and normal, Resp 22. After ambu bag assistance patient reports that she is feeling much better and does not feel short of breath anymore. Lips are pink and patients respirations 18. EMS arrived and assessed patient at this time. Patient reports feeling fine and no other side effects. Vitals taken again by paramedic. BP 124/86, HR 73 and normal and O2 sat 98%. Patient was asked to wait at site for an additional 30 minutes for monitoring with RN. Patient asked how she was feeling multiple times and she states she was fine now. Patient left site approximately 11 a.m. RN contacted patient at home on the same day at 1446 and patient states she was fine and no other reactions. No medications given at incident. Called patient on 03/01/2021 to check in with her. She states "she is doing fine and has had no other issues."

Other Meds: Spiranolactone 50mg 1 tab po daily for acne Crestor 40mg 1 tab po daily

Current Illness: none

ID: 1063772
Sex: F
Age: 74
State: WA

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

Lab Data: It seemed that they took pictures of my heart and monitored my heart beat and o/co2 levels. I think they also hydrated me. They may have done a chest xray. Evening of February 28 into early morning March 1, 2021

Allergies: none known. I once had a reaction to an anti-histamine. I seem to be sensitive to marijuana, but have seldom used it--maybe 5 or 6 times over the last 40+ years.

Symptoms: I became dizzy and then nauseous, increasingly dizzy. When I told my husband that I was getting up to go to the restroom, perhaps to throw up, I found that I couldn't walk or make my arms and legs move in a controlled way. He helped me to a resting place on the floor. I asked him to call 911. I thought that I was having a stroke. Emergency personnel treated it as a pot overdose, because I told them that I had a bite of a pot brownie a couple of hours earlier. It was really a little piece and I doubt that it would be enough to have these results. I developed spasms throughout my body. My hands were unable to do tasks. I did throw up once at the hospital. I think that the pot issue was parallel but not necessarily the cause. I received IVs. One med was for nausea, Not sure what all. I went home about 1 AM after dizziness had lessened and spasms had stopped. Today I am a wobbly and weak, but no spasms. And I can walk and control my arms.

Other Meds: no prescriptions. Occasional vitamin D3 and milk thistle, previously beta glucan I took a bite of my husband's pot browning, truly a tiny bite, 2+ hours before I had any reaction. The emergency personnel focused on marijuana overdose, b

Current Illness: No illnesses

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm