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: 1063823
Sex: F
Age: 77
State: NY

Vax Date: 02/12/2021
Onset Date: 02/20/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: I have no known allergies. On February 20th, eight (8) days after first (1st) dose injection on February 12, an inflamed, itchy rash measuring about four (4) inches in diameter appeared around the injection site, on left arm. It is now seventeen (17) days since the injection and although the rash is much smaller, measuring about 1.5-2.0 inches in diameter, it is still itching on and off. I am due for the second (2nd) Covid dose in 11 days. I do not know what to expect with the 2nd dose.

Other Meds: Levothyroxin 88 mcg

Current Illness: None

ID: 1063824
Sex: F
Age: 68
State: FL

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

Lab Data: none

Allergies: Celebrex. Mango skin.

Symptoms: My symptoms after the second Moderna COVID-19 Vaccine EUA were as follows; Fatigue, Headache and Nausea.

Other Meds: Red Yeast Rice 2/600 mg, Nortriptyline 75mg, Lisinopril 10 mg, Leutein & Zeaxanthin 25/5mg, Aspirin 81mg.

Current Illness: none

ID: 1063825
Sex: F
Age: 71
State: MD

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

Lab Data: none

Allergies: penicillin; sulfa drugs; iodine contrast; possibly morphine

Symptoms: Day 1: egg-sized red raised area at sight of injection with a good deal of pain in upper left arm Day 2 am: fever of 101.1 (normal 97.7F); collapsed in kitchen with no dizziness; extreme feeling of brain fog; swollen lymph nodes under both arms; chills; headache; fairly extreme pain at every joint with prior injury--left knee, L4-L5 high right, 4th finger of right hand; extreme fatigue, but inability to sleep though in bed all day Day 3 fever of 100; chills; swollen glands in both sides of neck; still in bed with extreme fatigue and unable to sleep; up for a couple of hours in early evening; double vision; slept for two hours Day 4 am still with extreme fatigue and unable to sleep; 5am visual hallucinations while in bed and sitting on the side of bed; still with double vision; continuing large hot red area around injection site with upper arm pain To now as I am writing this, continued fatigue and general malaise, double vision now gone.

Other Meds: 2 brazil nuts per day for selenium

Current Illness: none

ID: 1063826
Sex: F
Age: 70
State: CA

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

Lab Data: Exam: No acute distress. A&O x3. No skin lesions. Patient was feeling well and declined vitals

Allergies: Penicillin

Symptoms: About 20 - 25 minutes patient developed scratchy throat in the parking lot after initial 15 minute observation period. Was brought back to Observation for assessment. Denies other sx (no SOB, palpitations, sensations of lip or throat swelling, itchiness, etc.) Patient observed for additional 20 minutes . Symptoms improved and no development of additional or denied symptoms. Patient requested to leave after repeat observation. Discharged with strict ED precautions. All questions answered.

Other Meds: Flonase, Allegra

Current Illness: None

ID: 1063827
Sex: F
Age: 88
State: TN

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

Lab Data: N/A

Allergies:

Symptoms: Patient noticed the evening after receiving the vaccine that her arm began to itch an develop a rash.

Other Meds:

Current Illness:

ID: 1063828
Sex: M
Age: 44
State: TX

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

Lab Data:

Allergies:

Symptoms: Chest tightness, lightheaded & nervousness; denies chest pain, SOB or difficulty breathing Vitals: 120/65, HR-80, pulse ox- 97% Client reports history of anxiety, PTSD; takes trazadone 50mg & Abilify 1.25mg nightly 0952- client reports feeling better, cleared by site lead

Other Meds: Trazadone 50mg, Abilify 1.25mg

Current Illness:

ID: 1063829
Sex: F
Age: 35
State: WA

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

Lab Data: none

Allergies: bee stings, zolof

Symptoms: sore arm, fatigue. Both only lasting 3 days.

Other Meds: birth control- Marlissa

Current Illness: None

ID: 1063830
Sex: F
Age: 60
State: CA

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

Lab Data:

Allergies: none reported

Symptoms: Pt reported feeling dizziness and vision problems shortly after receiving COVID-19 vaccine. VSS throughout incident. Pt reported that symptoms resolved after 15-20 minutes. Pt coherent and talking throughout incident. No s/s of allergic reaction observed or reported during or after incident. Pt denied any SOB and in was in no apparent distress once symptoms resolved. Pt left clinic after 30 minutes.

Other Meds:

Current Illness: none reported

ID: 1063831
Sex: F
Age: 42
State: GA

Vax Date: 02/22/2021
Onset Date: 02/24/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: None

Allergies: none

Symptoms: Bloody Nose, Headache, Body aches, Chills, Back Pain

Other Meds: none

Current Illness: none

ID: 1063832
Sex: M
Age: 63
State: PA

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

Lab Data:

Allergies: statins

Symptoms: fever (102.7), sweats, and chills starting about 24 hours after receiving my second dose, but symptoms are declining quickly 24 hours after onset.

Other Meds: Fluoxetine Depo-testosterone

Current Illness: None

ID: 1063833
Sex: M
Age: 60
State: SC

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Gout flare up in Thumb. Never had Gout there before but do have take medicine to control gout. Alopurinol daily. Took extra gout medicine and pain subsiding. Still swollen and tender at this time.

Other Meds: lisinopril

Current Illness: none

ID: 1063834
Sex: M
Age: 74
State: OH

Vax Date: 01/27/2021
Onset Date: 01/30/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Patient states that a red pimple like bump appeared on his face under the left eye. The bump does not itch or hurt.

Other Meds: Atorvastatin 20 mg; lisinopril/hctz 20 mg/12.5 mg

Current Illness: NoneAt

ID: 1063835
Sex: F
Age: 102
State: NE

Vax Date: 02/24/2021
Onset Date: 02/28/2021
Rec V Date: 03/01/2021
Hospital: Y

Lab Data: CT Head on 3/1 - no intercranial hemorrhage or mass-effect. Diffuse cerebral and cerebellar atrophy. Faint low-attenuation area involving the left side of the pons. Could reflect sm. vessel ischemic change, but potentially acute/subacute pontine infarct could give similar appearance. Acute infarct in region often associated with right sided weakness greater in leg than arm, slurred speech.

Allergies: NKA

Symptoms: Pt. received her 1st Moderna Covid vaccine on 1/28/2021 with lot number of 010M20-A at 0906 am. Family reports since the first vaccine pt. has had weakness and has fallen. Pt. received her 2nd Moderna vaccine on 2/24/2021; see information above for lot, etc. Pt. was brought into ER with c/o falls, weakness and confusion. Pt. had fallen on 2/27 and 2/28. With one of the falls pt. fx. her right radius and ulna. PCP due to altered mental status, right sided weakness and aphasia at times is r/o stroke.

Other Meds: Multivitamin, Lisinopril, Diltiazem, Restasis

Current Illness: Denies any illness at time of the vaccination. Pt. did receive her 1st Covid vaccine on 1/28/2021 and family reports that pt. has had weakness and falls since the first vaccine.

ID: 1063836
Sex: F
Age: 76
State: MI

Vax Date: 02/17/2021
Onset Date: 02/23/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: None

Allergies: esomeprazole (neck swelling), lisinopril (cough), sulfa (edema), Shingrix vaccine.

Symptoms: February 23 large left axillary lymph node. February 24 rash to left deltoid area at site of vaccination. February 26 supra clavicular and anterior cervical lymph node. February 23 through February 28 left posterior shoulder and scapular pain.

Other Meds: Losartan, MV, ASA

Current Illness: none

ID: 1063837
Sex: M
Age: 82
State: WI

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

Lab Data: Pt taken to the Emergency department for evaluation. I am not sure what tests were done.

Allergies:

Symptoms: Pt co lightheadedness after covid vaccine. Has waited over 15 minutes. Reports "floaters". Declines water. States" I just don't feel right". BP 120/62, Pulse 67. Denies difficulty breathing or diziness. Pt taken to ER via wheelchair with wife.

Other Meds:

Current Illness:

ID: 1063838
Sex: F
Age: 47
State: ID

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

Lab Data:

Allergies: Penicillin allergy

Symptoms: chills and fever from 7pm Friday - 1pm Sunday hives like rash started Monday morning

Other Meds: chewable vitamins

Current Illness: none

ID: 1063839
Sex: F
Age: 38
State: TN

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

Lab Data: None

Allergies: quinolones

Symptoms: Rapid Heart Rate, Flushing, Hives on upper body, Nausea, Dizzy, feeling faint - This reaction occurred very quickly in approximately 5 minutes. EMT at site was not alarmed. My heartrate decreased, and after my waiting time was over, I went home. After getting home and sending pictures of rash and list of symptoms to an allergist, I was told to take a double dose of liquid Benadryl and a dose of oral steroids.

Other Meds: Plaquenil, Minastrin Fe, Vitamin D, Zinc, Vitamin C

Current Illness: none

ID: 1063840
Sex: F
Age: 33
State: MN

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

Lab Data:

Allergies:

Symptoms: Rash started on the inside of left elbow about the size of a coffee cup. Started to get bigger, hotter, and more red on 03/28/21. Today ( 03/01/21), client reports rash is getting better. Less red and less hot to the touch.

Other Meds:

Current Illness:

ID: 1063841
Sex: M
Age: 75
State: AZ

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

Lab Data:

Allergies: None

Symptoms: Fever 100.3 Chills Headache

Other Meds: Simvastatin,multi vitamin, vitimin e

Current Illness: None

ID: 1063842
Sex: F
Age: 37
State: OK

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

Lab Data:

Allergies:

Symptoms: Pain at injection site at 6 hours post-vaccination, headache at 12 hrs, nausea, vomiting, diarrhea at 24 hrs.

Other Meds: Bupropion, buspirone, sertraline, norethindrone, loratadine, fluticazone, alprazolam, vitamin C, multivitamin

Current Illness:

ID: 1063843
Sex: F
Age: 79
State: PA

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

Lab Data: Doctor visit

Allergies: tylenol,demerol,tetracycline,celxa,nystatin,arthrotic,

Symptoms: bells palsy

Other Meds: Centrum silver, vitd, caltrate, biotin,gabapentin,dilantin,synthyroid,lipitor,omeprazole,bystolic,amlodipine,janeau,

Current Illness: none

ID: 1063844
Sex: F
Age: 65
State: OR

Vax Date: 02/18/2021
Onset Date: 02/24/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: no

Symptoms: One week after the shot, my right shoulder started itching at the injection site. I absent-mindedly started rubbing/itching it through my shirt. As day wore on (Thursday, Feb. 25), it became more and more noticeable and distracting. I removed my shirt that evening and discovered my entire outer shoulder was swollen, inflamed, and VERY itchy. Benadryl didn't help, nor hydracortizone cream, nor wet washcloth with soda. I finally discovered that a "rice bag" from freezer brought the most relief. Friday the redness and swelling was going away but I had to keep from touching it or it would set off the itchies.

Other Meds: calcium, vit. D, magnesium

Current Illness: no

ID: 1063845
Sex: F
Age: 57
State: IL

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

Lab Data:

Allergies: None

Symptoms: Chills, fever, body aches, muscle aches, very tired

Other Meds: Lysinoprol, Vitamins C, B12, D, Zinc and Fish Oil

Current Illness: None

Date Died: 02/23/2021

ID: 1063846
Sex: F
Age: 91
State: IL

Vax Date: 02/04/2021
Onset Date: 02/22/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Hx dementia, CVA, CAD. 2-3 year history of only consuming 25% of 1-2 meals daily. All meds d/c early 2020 because of refusing to eat or drink anything. Suddenly began drinking april/may, gained weight back. Vaccinated on 1/7/21 & 2/4/21. On 2/22/21 had significant changes in respiratory status. Passed away 2/23/21.

Other Meds:

Current Illness: Hx dementia, CVA, CAD. 2-3 year history of only consuming 25% of 1-2 meals daily

ID: 1063847
Sex: F
Age: 51
State: TN

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: NA

Allergies: PCN Sulfa

Symptoms: Had rather abrupt onset of severe nausea, extreme chills to the point of shivering on the floor, wrapped in two thick blankets and having a space heater blowing at me. Lasted ~4 hours then subsided without apparent sequela. Never vomited. In contact, I had COVID the first week of October and had ongoing dyspnea with exertion for months afterward, not really fully resolved until mid-January, after I'd had the first dose of the Moderna vaccine.

Other Meds: Acetaminophen 325mg x 2 doses AND Ibuprofen 600mg X 2 doses within 24 hours before side effects, around time of vaccine

Current Illness: None

ID: 1063848
Sex: F
Age: 42
State: WA

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: none

Allergies: Aspirin, ibuprofen, mushrooms, banana,

Symptoms: Severe chills and fever upto 103 f, body ache and head ache on first day, took acetaminophen 250mg 2tabs at night, continued chills and fever of 100f on 2nd and 3rd day with sever body and muscle ache, head ache. 4th day no fever but sever body and muscle ache, head ache. Had fatigue and headache continue for 2 weeks after that.

Other Meds: None

Current Illness: none

ID: 1063849
Sex: F
Age: 78
State: TX

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

Lab Data:

Allergies:

Symptoms: Pt received 2nd Covid-19 Pfizer vaccine on 02/26/2021. Pt noticed symptoms the next day 02/27/2021, swollen axillary glands to right and left side that are about half the size of a golf ball.. Pt stated that she called to inform her PCP of the symptoms. PCP advised pt on treatment for symptoms but PCP also informed pt to contact facility that administered the vaccine so that we can report the adverse effect accordingly.

Other Meds:

Current Illness:

ID: 1063850
Sex: F
Age: 41
State: IA

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

Lab Data:

Allergies: None

Symptoms: Arm pain, body aches

Other Meds: Tri-Linyah

Current Illness: N/A

ID: 1063851
Sex: M
Age: 74
State: OH

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

Lab Data:

Allergies:

Symptoms: Patient states that several red bumps appeared on his face, they do not hurt or itch.

Other Meds: Atorvastatin 20 mg. lisinopril/hctz 20/12/.5

Current Illness:

ID: 1063852
Sex: F
Age: 74
State: ME

Vax Date: 02/15/2021
Onset Date: 02/24/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: Fish

Symptoms: DEVELOPED RED ITCHY SLIGHTLY WARM PATCH 5 CM WITH A FEW SATELLITE VESICLES 9 DAYS AFTER MODERNA VACCINE NUMBER 1 AT INJECTION SITE ON RIGHT UPPER ARM. IMPROVED COMFORT AND DECREASED ITCHING WITH ICE CETIRIZINE AND TOPICAL OTC HYDROCORTISONE CREAM. SIZE DECREASED BUT STILL PRESENT PER PATIENT REPORT ON MARCH 1, 2021

Other Meds: Citalopram, levothyroxine Pravastatin.Famodine

Current Illness:

ID: 1063853
Sex: F
Age: 33
State: MN

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

Lab Data:

Allergies:

Symptoms: Rash started on the inside of left elbow about the size of a coffee cup. Started to get bigger, hotter, and more red on 03/28/21. Today ( 03/01/21), client reports rash is getting better. Less red and less hot to the touch.

Other Meds:

Current Illness:

ID: 1063854
Sex: F
Age: 49
State: CA

Vax Date: 02/19/2021
Onset Date: 02/27/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: none

Allergies: penecillin, sulfa drugs, cephlo drugs, PTU, Tapozole, oxcarbazopine, doxycycline, quinine sulfate, zofran, budesonide, wheat and dairy.

Symptoms: covid arm. about a 4 inch red, raised, itchy rash at the injection site of my left upper arm

Other Meds: Singulair and synthroid

Current Illness: none

ID: 1063855
Sex: F
Age: 33
State: MI

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

Lab Data: NA

Allergies: I have allergies to milk and soy proteins, allergy to sulfa, buspirone, codeine

Symptoms: Day of was okay, didn't hurt getting shot #2. By end of day it started to feel heavy and just sore. By Sunday night (a couple days later) arm looks like a bug bite almost, a rash forming at the site. The arm hurts but overall the rash/itch/and being generally tired has been about it.

Other Meds: Vitamin D, Iron, Prozac, One Daily Womens

Current Illness: N/A

ID: 1063856
Sex: F
Age: 74
State: FL

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

Lab Data: called pt to follow up and left message

Allergies: no

Symptoms: red splotches on injection arm; pt said not itching but felt may be spreading; pt asked to wait 30 minutes for observation

Other Meds: unknown

Current Illness: no

ID: 1063857
Sex: F
Age: 61
State: NC

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

Lab Data:

Allergies: N/A

Symptoms: 2/2/2021 8:15 vaccination By 10PM, fever of 100.7. When woke up, my temp was around 103.7. I felt horrible. Took motrin, went back to bed. Took Motrin prior to vaccine and took every 5 hours till i went to bed and still woke up with that fever. Extreme fatigue, lymph nodes swollen under right arm; lasted about 2-2.5 days. Temp lasted approximately 4-4.5 days. *COVID + 10/2020; temp lasted for 14 days.

Other Meds: Vit D

Current Illness: COVID +; 10/2020

ID: 1063858
Sex: M
Age: 62
State: TX

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

Lab Data: None taken.

Allergies: Penicillin, tetracyclines, peanuts, corn.

Symptoms: Shortness of breath treated by patient at home with Albuterol inhaler.

Other Meds: Bystolic, nifedipine, HCTZ, atorvastatin, breo ellipta, montelukast, losartan, magnesium glycinate, fibercon, docusate sodium, vitamin d, ultimate One multivitamin, methylcobalamin, famotidine, Mucinex, fish oil, chromium picolinate, calciu

Current Illness: No other illnesses at present.

ID: 1063859
Sex: F
Age: 68
State: UT

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

Lab Data: took guaifinesin to help eliminate mucus building in chest; used cough drops and ice water to soothe throat; discussed symptoms with physician son; checked CDC site for information.

Allergies: very sensitive to anesthesia, opioids, latex, chemicals in general

Symptoms: intense itching/burning in throat within one hour of vaccination causing incessant coughing; lasting 2 days wheezing and shortness of breath beginning 8 hours after vaccination and lasting at least through Monday Mar1. conjunctivitis and light-sensitivity beginning Saturday (24 hours after vaccination) lasting at least through Mar 1 fatigue commensurate with what others describe as having and worse than many have reported lasting at least through mar 1

Other Meds: atenolol; furosemide; potassium chloride; loperamide; estradiol; tryptophan, carnitine, alpha lipoic acid, Vit C; Vit D3;

Current Illness: none

ID: 1063860
Sex: F
Age: 51
State: MI

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

Lab Data: CBC 2/25 significant for WBC 24.32, Platelet 451, neutrophil 90.2,%. Chest xray 2/25 normal. CBC 2/26 significant for WBC 19.46, RBC 4.10, Platelet 420, neutrophil 88.6%. CMP 2/26 significant for glucose 127, alkaline phosphatase 108

Allergies: bactrim, blood root, ceftin, tree nuts, kiwi fruit, sulfa drugs, trimethoprim, COVID-19 vaccine (added 2/24/2021)

Symptoms: Pt presented to the ED in acute anaphylaxis 20 minutes after receiving vaccine dose, in respiratory distress with stridor, wheezing, and difficulty breathing, as well as hives across her chest and arms. Pt had Epipen with her and ED staff assisted her in administering it. Pt received solu-medrol, pepcid, benadryl, and albuterol in the ED. Pt significantly improved within 1 hour and was admitted to the hospital to be monitored overnight.

Other Meds: lipitor, prenatal 27-1mg tabs, xarelto, albuterol, flexeril, diflucan, ambien, valtrex, xanax, singulair, tylenol, calcium citrate-vitamin D, vitamin D, cymbalta, allegra, hizentra, magnesium oxide, prilosec, zofran, vitamin B12

Current Illness:

ID: 1063862
Sex: M
Age: 53
State: PA

Vax Date: 02/21/2021
Onset Date: 02/26/2021
Rec V Date: 03/01/2021
Hospital: Y

Lab Data: MRI

Allergies: None

Symptoms: Bell?s palsy

Other Meds: Copaxone Imuran

Current Illness: None

Date Died: 02/23/2021

ID: 1063863
Sex: M
Age: 85
State: IL

Vax Date: 01/13/2021
Onset Date: 02/23/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: Penicillins- Hives/ Urticaria, Rash

Symptoms: Resident had Hx of DM T2, Hx of prostate CA. Started having swallowing difficulties in November. Increased c/o nausea and decreased appetite. 25% per meal average. Decreased energy to participate in activities and refused getting out of bed or meals. Was vaccinated on 1/13/21. Hospice care started on 1/25/21. Resident passed away 2/23/21.

Other Meds:

Current Illness: Hx of DM T2, Hx of prostate CA. Started having swallowing difficulties in November. Increased c/o nausea and decreased appetite. 25% per meal average. Decreased energy to participate in activities and refused getting out of bed or meals.

ID: 1063864
Sex: F
Age: 47
State: OK

Vax Date: 01/27/2021
Onset Date: 02/09/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: No

Allergies: None

Symptoms: It was two weeks after the vaccine, I had severe pain in my right breast. On my lower right breast, near the ariola, there was a tiny lump that was very red with two red streaks going up my breast. I called my OB/GYN and I was told to watch it that women have been reporting breast issues after the vaccine. There was no change. I called my PCP on 02/11/2021 to get an appointment. He saw me but the streaking was gone. The fever in the breast was gone as well. My PCP felt like it was Mastitis from the vaccine. I have never had Mastitis before. I have never had children. Finally by 02/14/2021 it was better.

Other Meds: I take Keflex, Theophylline and sulfa drugs.

Current Illness: None

ID: 1063865
Sex: M
Age: 72
State: MO

Vax Date: 02/16/2021
Onset Date: 02/18/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Swelling under left arm. Feels like a bee sting.

Other Meds:

Current Illness:

ID: 1063866
Sex: F
Age: 70
State: TN

Vax Date: 01/28/2021
Onset Date: 02/25/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: EKG on 2/25/2021 & 3/1/2021 - ok, Blood work on 2/25/2021 ok.

Allergies: N/A

Symptoms: On 2/252021 at 9:30 am I experienced a very strange sensation spreading across my chest, left to right, my right be partially numb. I checked my blood pressure & it was 199/105, 10 minutes later 197/101. I went to ER arriving at 10 am. Had EKG, blood work, chest xray, covid quick test. All ok. BP stayed very high until 12:30 pm then started to go down. After about an hour bp went back up to 188/99. I was given a pill to lower pressure but it didn't lower. Finally given a dose of metroprolol & pressure went down. Was released from ER at 3:45 pm. Today, 3/1/2021 BP is still high, 166/87. Went to cardiologist 3/1/2021, was told they were having these type issues lately. No problem with EKG, blood work. Gave me another BP pill to try for 2 weeks to try lower BP.

Other Meds: Losartan 100mg, Metoprolol 12.5mg 2x/day, aspirin 81mg

Current Illness: None

ID: 1063867
Sex: F
Age: 65
State: PA

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

Lab Data:

Allergies: None

Symptoms: Sore arm, fever 100.7, aches

Other Meds: Synthroid

Current Illness: None

ID: 1063868
Sex: F
Age: 74
State: FL

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

Lab Data:

Allergies: Sulpha, heparin, iodine dye, porcine products, Aspirin,

Symptoms: Pain in arm and muscular pain in body, fever, diarrhea, dizziness,, nausea , fatigue, chills and headache

Other Meds: Insulin, nifedipine, neoral, celcept, syntroid, magnesium, sodium bi carbonate, vit D, losartan, torsemide

Current Illness: Diabetes, heart disease, CKD, anemia, hypothyroidism, hypertension

ID: 1063869
Sex: F
Age: 50
State: WA

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

Lab Data: None

Allergies: None

Symptoms: Extreme pain x 8 hours right arm with movement limitations x 3 weeks, headache, fatigue, sore throat, muscle aches, chills, fever x 30 hours. Headache continuing another 6 hours. Swollen lymph nodes lower back still enlarged almost 4 weeks later - now achy along with bilat thighs. Ongoing fatigue. Aggravation of migraines x 3 (could be unrelated). Did have strep throat diagnosis 3 days after injection resolving quickly with PCN antibiotics.

Other Meds: None

Current Illness: None

ID: 1063870
Sex: M
Age: 38
State: TX

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

Lab Data:

Allergies: reports allergic to "red antibiotic tablet" but unable to recall name

Symptoms: Itching on the upper & lower extremities and back; hives noted on lower back with RN assessment 1105- Benadryl 12.5mg x2 chewable tablets given 1120- Benadryl 12.5mg x2 chewable tablets given & hydrocortisone cream supplied by staff applied to arms & lower back 1140- cleared by site lead

Other Meds: Depakote Risperdal

Current Illness:

ID: 1063871
Sex: M
Age: 72
State: CO

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

Lab Data:

Allergies:

Symptoms: Chills and headache 26 hours after the 2nd shot. Lasted couple of hours. Took Tylenol..

Other Meds:

Current Illness:

ID: 1063872
Sex: F
Age: 2
State: WA

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

Lab Data:

Allergies:

Symptoms: I gave patient only the saline Diluent and not the HIB powder substance with it. No reaction so far in when patient was in office.

Other Meds:

Current Illness:

ID: 1063873
Sex: F
Age: 23
State: SD

Vax Date: 02/12/2021
Onset Date: 02/23/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: Environmental,peanuts,

Symptoms: Pt Noticed a rash on R arm near the site and then the rash spread down both arms and to trunk and legs. Rash was itch and then produced scabbing.

Other Meds: Zyrtac and Singluair

Current Illness: Strep Throat December 20 2020

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm