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: 1063924
Sex: F
Age:
State: VA

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

Lab Data: Blood work showed low potasium. Received zofran andviv fluids.

Allergies:

Symptoms: Nausea, vomiting, weakness, confusion, headache, body and joint pain, fever, tiredness, arm soreness,chills. started within 15 hours of injection. Uncontrolled vomiting and weakness necessitated going to emergency room. She had had severe covid 19 in 2020 and was hospitalized for 5 days. Received remesdivir and dexamethasone

Other Meds:

Current Illness:

ID: 1063925
Sex: F
Age: 71
State: AZ

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

Lab Data: none. I told the pharmacist about the strange reaction and she encouraged me to report it, when I got my second shot this morning.

Allergies: none

Symptoms: 8 days after receiving the first Moderna covid shot, I woke up with a red itchy hard dot of about an inch at the injection site. A bit painful, but I played pickleball that morning outside without any major discomfort. Around noon the spot started to itch a lot and seemed very sensitive to touch. It was red and hot and getting bigger. I changed into a sleeveless shirt and that helped with the itch. By nighttime the spot had grown to5-6 inches, round, red and still more itchy. It presented like a severe ant bite. I slept fine and by next morning it seemed a bit less hard and red and calming down. Still a sleeveless shirt. One more day and the spot calmed down to near normal and my arm was soft and a bit hot at the site, but quite normal. I thought a bug had bitten me there.

Other Meds: Livalo 2 mg Baby aspirin every other day

Current Illness: none

ID: 1063926
Sex: F
Age: 75
State: OR

Vax Date: 02/17/2021
Onset Date: 02/26/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: none

Allergies: bupropion

Symptoms: erythemia and warm to touch, 3.5 in x 2 in oval. Marked with sharpe today to observe for changes.

Other Meds: duloxetine, tramadol, diclofenac gel 1%, pravastatin, prolia injection.

Current Illness: none

ID: 1063927
Sex: F
Age: 55
State: MA

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: 1. COVID-19 PCR testing negative 2/18/21. 2. chest xray done bc of shortness of breath- normal. 3/1/2021

Allergies: None

Symptoms: Patient immediately felt numbness of left arm, 2 hrs later developed a shortness of breath followed by a rash on the opposite arm. Rash resolved within hours but she continues to have shortness of breath, intermittent wheezing, body aches, and profound fatigue. Shortness of breath required oral steroid and albuterol which patient has not needed prior to this- no known hx of any lung disease. Patient so fatigued unable to go to work. - seen by me today 3/1/2021.

Other Meds: Januvia, propranolol

Current Illness: None

ID: 1063928
Sex: F
Age: 43
State: OH

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

Lab Data:

Allergies: Penicillin

Symptoms: Tinnitus in right ear

Other Meds:

Current Illness:

ID: 1063929
Sex: M
Age: 65
State:

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

Lab Data:

Allergies:

Symptoms: Patient hospitalized for fever thought to be related to 2nd dose of covid vaccine. See hospital a/p from H&P. Assessment/Plan: Fever, myalgias and headache, I think this is all secondary to his recent Covid vaccine yesterday, dose 2. I would anticipate his symptoms should resolve over the next 24 to 48 hours. He was started on vancomycin in the emergency room given history of MRSA. We will continue for now, though I think less likely secondary infection. He is on Cipro for SBP prophylaxis. He does not seem to have significant ascites. I think bacterial peritonitis is less likely. End-stage renal disease on hemodialysis. I spoke with individual. Plan is to dialyze him here today. Cirrhosis -he was evaluated by the transplant center at Hospital on February 25. His meld was 25 at that time. History of type 2 diabetes. His last hemoglobin A1c's have been all 5. Can remove that from his problem list.

Other Meds:

Current Illness:

ID: 1063930
Sex: F
Age: 43
State: NY

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

Lab Data:

Allergies: Cipro, heparin,nitrofuratoin,Marcaine,zosyn,clindamycin,latex,cranberries

Symptoms: tongue tingling vital signs stable, refused offered water or juice, felt better and left on own

Other Meds: ASA, Tylenol,flonase,arixtra,Toprol-XL,demadex,warfarin

Current Illness: cardiac,stroke X3, breast cancer

ID: 1063931
Sex: F
Age: 72
State: OK

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

Lab Data: none

Allergies: NKDA

Symptoms: Approx 5 minutes after receiving the vaccine client started c/o tingling, clammy, flushed apperarance. States she is on beta blockers and gets light headed often. no medications given. Client recovered quickly. This information was obtained by her daughter. She denies any problems with her first dose, and only thing now is some soreness in her shoulder.

Other Meds: beta blocker, Bp meds

Current Illness: none

ID: 1063932
Sex: F
Age: 27
State: TX

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

Lab Data: N/A

Allergies: N/A

Symptoms: Severe pain in my left arm. On Sunday Feb 28 I still had severe pain in my arm but also my whole body started hurting and I a had a headache. Monday March 1 vomiting and body aches. The pain in my arm has gone away.

Other Meds: N/A

Current Illness: N/A

ID: 1063933
Sex: F
Age: 17
State: CA

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

Lab Data: none

Allergies: none

Symptoms: First dose was giving to patient who is 17 years old. Second dose is given today. Patient didn't have any reaction from the 1st.

Other Meds: n/a

Current Illness: none

ID: 1063934
Sex: F
Age: 75
State: CA

Vax Date: 02/10/2021
Onset Date: 02/18/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: None

Allergies: History of Allergic rash after PCN, years ago

Symptoms: Relays only symptom as a tender left arm with approx. 3 inch redness. appearing approx. 8-10 days after shot was given.

Other Meds: none

Current Illness: none

ID: 1063935
Sex: F
Age: 86
State: AR

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

Lab Data: no hospitalization or physician visits

Allergies: ALLERGIES: ACE INHIBITORS, AGGRENOX CAPS (200MG/25MG) 60, PENICILLINS, BACTROBAN 2% CREAM, BYSTOLIC TAB 10MG, CELEBREX 200MG CAPS, DIOVAN 160MG TAB, PROPOFOL INJ 10MG/ML, FENTANYL DIS 100MCG/H, METRONIDAZOLE AND RELATED, POLYETHYLENE GLYCOL 3350, HYDROCHLORO 25MG, IBUPROF TAB 600MG AMN 500@, IODINATED DIAGNOSTIC AGENTS, METOPROL TAR TAB 100MG, MACROBID 100MG CAP, MICARDIS 80MG TABS, MORPHINE DERIVATIVES, NAPROXEN TAB 375MG, OMEPRAZOLE CAP 20MG, ANESTHETICS, HALOGENATED, MIDAZOLAM 2MG/ML, VITAMIN D 50000IU CAP, ALENDRONATE TAB 70MG, BACTRIM DS

Symptoms: Patient waited in parking lot 15-20 minutes . She noted a headache when she got home. About 3 pm she developed tingling in her face and lips (lasted 3-4 hours), increased heartrate (lasted about 3 hours), increased blood pressure (for about 2 hours), The next day she noted dizziness and weakness, lower extremity redness (redness lasted about 3 days).

Other Meds: Acyclovir 400mg Nifedipine ER 90

Current Illness: none

ID: 1063936
Sex: F
Age: 67
State: CO

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

Lab Data: None

Allergies: Sulfa, amoxicillin and minocycline.

Symptoms: Extremely exhausted, beyond tired, very sleepy, swollen and sore injection site, aching joints and muscles, very weak.

Other Meds: Citracal, Nexium, vitamin C, triamterene hc/tz, multi vitamin, CoQ10, B-12, baby aspirin, singular, Zyrtec, rosuvastatin.

Current Illness: None

ID: 1063937
Sex: M
Age: 52
State: KS

Vax Date: 02/18/2021
Onset Date: 02/22/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: 2/27 labs; C-RP 52 (very high). ESR 22 (just sl elevated). ANA and RF negative. other labs normal.

Allergies: Penicillin allergic to grasses, trees - asthma flare, and drinking hops.

Symptoms: pt had typical 2nd dose symptoms 2-3 days after vaccine (low-grade fever, body aches, fatigue) which resolved, but the joint aches worsened daily. Seen 9 days after vaccine administration, he has inflammatory polyarthritis, with R hand significantly swollen, L hand mildly so; bilateral shoulder pain with decreased ROM, bilateral hip pain and spine pain. saying he can feel every joint - difficult to move around (unusual for this 52 yo male). He increased his ibuprofen to 800 TID and increased his tylenol to 1 g TID without relief. Pt was given a shot of steroids (SoluMedrol) on 2/27 with some improvement by 3/1, but not completed resolution of swelling, grip strength or pain.

Other Meds: advair, claritin, ibuprofen, tylenol, singulair, atorvastatin, lisinopril-HCTZ

Current Illness: no illnesses. Did have Carpal Tunnel surgery on 2/4/20, bilaterally

ID: 1063938
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: N/A

Allergies: No history of medication allergies, mild apple allergy. Never required epi pen use.

Symptoms: Dizziness, Numbness of tongue and lightheadedness. 50mg PO Benadril. Monitored for 30 minutes. All symptoms resolved. No further intervention required. Patiient released to home with spouse.

Other Meds: Promethazine 25 mg per rectum PRN Dizziness, Cholecalciferol 50mcg 1 tab daily, Protonix 40mg 1 tab 30 minutes before breakfast, Relafen 500mg 2 tabs PRN pain,

Current Illness: Bilate age related Cataracts.

ID: 1063939
Sex: F
Age: 47
State: MI

Vax Date: 01/19/2021
Onset Date: 02/17/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: admission with IV antibiotics for 48 hours; ultrasounds X2; covid swab negative

Allergies: demerol; phenergan; augmentin; macrobid

Symptoms: had #1 vaccine (pfizer) on 28 December 2020 and #2 on 19 January 2021. mammogram on 02 February 2021 was performed. Mastitis symptoms began on 17 February; 19 February diagnosed with Bactrim DS started BID; admitted on 21 February and received Rocephin X1 and Vancomycin X2. went home on Keflex QID dosing. completed antibiotics, and mastitis has resolved. 26 February contacted PCP and they recommended reporting. Called CDC and they said to report

Other Meds: synthroid; cytomel; prilosec; iron

Current Illness: none

ID: 1063940
Sex: M
Age: 61
State: CA

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: iodine, penicillin, sulfas, tetracycline

Symptoms: Patient was unable to get out of bed the whole day and missed all three meals. Patient had a fever of 100.6 and had generalized weakness and malaise. Patient was also confused. Patient was experiencing tachypnea and shallow breathing.

Other Meds: Haloperidol 23 mg QHS

Current Illness:

ID: 1063941
Sex: F
Age: 71
State: MA

Vax Date: 02/18/2021
Onset Date: 02/28/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Rash on both arms I had my first shot on my left and made the decision to have my second on my right

Other Meds: None

Current Illness: None

ID: 1063942
Sex: F
Age: 51
State: IL

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

Lab Data: Did not seek medical attention

Allergies: Mild allergy to teriyaki

Symptoms: A little nauseated following injection. By that afternoon felt very ill. Took Tylenol and went to bed. Basically slept for the next 36 hours. High fever?Tylenol only brought down slightly and back up within a few hours, severe headache that Tylenol didn?t help, nausea to point of unable to eat or drink because felt like going to puke, dizziness whenever tried to get up, would also get short of breath whenever tried to get up, raised heart rate, fatigue?I was so out of it that my husband had to occasionally wake me to make sure I was still responsive, terrible body aches to the point that it hurt to move.

Other Meds: Diltiazem, Allopurinol, metoprolol, montelukast, Claritin, biotin, vitamin d, tylenol

Current Illness: None

ID: 1063943
Sex: F
Age: 56
State: KS

Vax Date: 02/19/2021
Onset Date: 02/26/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: none

Allergies: grass, mold, pollen, eggs, codeine, morphine, penicillin

Symptoms: Did have the quarter sized red ring and rash around the injection site about 3 days after vaccine. About 8 days after vaccine pt has a fine rash on both forearms, top of hands, tricep area, later sides of torso, lower back, lateral sides of thighs and quads

Other Meds: Estradoil, Meloxicam, vit D, B12, multi vitamin, magnesium, calcium

Current Illness: rotator cuff tendonitis

ID: 1063944
Sex: F
Age: 63
State: GA

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

Lab Data: BLOOD PRESSURE WAS 160/80

Allergies: ALLERGIC TO LATEX AND CARROTS

Symptoms: PATIENT HAD A SEVERE ALLERGIC REACTION TO THE VACCINE. A COUPLE OF HOURS AFTER THE VACCINE, SHE HAD SHORTNESS OF BBREATH, CHEST TIGHTNESS, NAUSEA AN VOMITING, FACE NUMBNESS AND TINGLING, AND HIGH BLOOD PRESSURE.

Other Meds: LISINOPRIL

Current Illness: NEW DIAGNOSIS OF CANCER, HIGH BLOOD PRESSURE

ID: 1063945
Sex: M
Age: 87
State: CA

Vax Date: 01/18/2021
Onset Date: 02/06/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: see above

Allergies: none

Symptoms: Left Temporal tenderness swelling, with Jaw claudication suspected Giant Cell Arteritis. No vision changes. Treated immediately with Prednisone 60mg qd. with resolution of symptoms over three days. Bilateral Temporal artery biopsies done 16 Feb showed no arteritis. Prednisone cut to 10mg qd. No residual symptoms. Covid antibody titer on Feb 12 showed Zero antibodies.

Other Meds: Prednisone 06 mg/d Triamterene

Current Illness: Polymyalgia Rheumatica Inclusion Body Myositis

ID: 1063946
Sex: F
Age: 70
State: OH

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

Lab Data: N/a

Allergies: N/a

Symptoms: patient complained of reduced range of motion 6 hours after receiving her first vaccine and has still persisted 28 days later. The decrease mainly consists of poor internal radial

Other Meds: N/a

Current Illness: N/a

ID: 1063947
Sex: F
Age: 68
State: TN

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

Lab Data: N/A

Allergies: N/A

Symptoms: No adverse events occurred. The patient was given a third dose of the COVID-19 (Moderna) vaccine due to discrepancy in paperwork at the facility.

Other Meds: N/A

Current Illness: N/A

ID: 1063948
Sex: F
Age: 75
State: IN

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

Lab Data:

Allergies:

Symptoms: Spiting up white flem ,when getting up in the morning and during the day !pain left side !Lung?

Other Meds: Mulivitamin garlic,D3,vitaminE, vitaminC !

Current Illness: Heart,Arthritis,HighBloodpressur!

ID: 1063949
Sex: F
Age: 61
State: LA

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

Lab Data: None

Allergies: Seasonal pollen and mold allergies.

Symptoms: Intense dizziness to the point of almost fainting. It started the day before and culminated in almost fainting in the grocery store. I was quiet that night and it seemed to pass by the next morning, so altogether about 36 hours or so, with one substantial episode.

Other Meds: Albuterol inhaler, corticosteroid inhaler, Advil for tooth pain (cracked molar)

Current Illness: None.

Date Died: 02/26/2021

ID: 1063950
Sex: M
Age: 62
State: OH

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

Lab Data:

Allergies:

Symptoms: Patient remained at baseline until noted at 2130 unresponsive and abnormal VS. Sent to ED and patient passed away in ED

Other Meds:

Current Illness:

ID: 1063951
Sex: F
Age: 76
State: FL

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

Lab Data: None

Allergies: Hydralazine, latex, erithrimyacin

Symptoms: Covid Arm rash began 2/28/2021 about 6 pm with slight itching, some tenderness & slight swelling. Using ice, Cortisone 10 cream & will take Benadryl tonight 3/1 at bedtime

Other Meds: Lisinopril 40 mg-2xday, Zyrtec-1xday, Doxasosin-1 mg in AM & 0.5 mg in PM, Pradaxa 150mg-2xday, Vit C 1000 mg-2x day, Vit D3-5000 3x weekly, Iron 65 mg-1 daily, Fish Oil-1 cap per day, Vit B12-1 per day, Vit E-1/day, Multi Vit-1/day, Lasix

Current Illness: Cancer and taking Fulfox treatments every 2 weeks

ID: 1063952
Sex: F
Age: 27
State: PA

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

Lab Data: none

Allergies: none

Symptoms: Patient developed shortness of breath, swelling sensation and tingling of the tongue. Vitals stable. Airway patent, no voice change, no wheeze. Symptoms improved with observation. Tongue symptoms continued with some swelling. Patient offered IM Benadryl which she refused. Patient transported to ED via EMS.

Other Meds: none

Current Illness: none

ID: 1063953
Sex: M
Age: 55
State: MI

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

Lab Data:

Allergies: NKDA

Symptoms: Patient received a Shingrix vaccine 5 days prior to his dose of covid vaccine.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1063954
Sex: F
Age: 64
State: ID

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

Lab Data:

Allergies: Shingles vaccine

Symptoms: Patient reported anaphylaxis episode with Shingles vaccine. Patient monitored secondary to history of reactions. Vital signs 132/70-71-13-98% O2Sat. Skin warm and dry. Breath sounds clear. 1300 Vital signs 126/74-71-13-97%O2 Sat. Skin warm and dry. Breath sounds clear bilaterally. Patient continued to be monitored for 30 min. Discharged with no reported side effect at 1318.

Other Meds: None

Current Illness:

ID: 1063955
Sex: M
Age: 32
State: WA

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

Lab Data: None

Allergies:

Symptoms: Patient received his Moderna # two vaccination on 2/22 then developed four days later (2/26) left facial numbness along with a facial droop c/w Bells palsy. The patient was seen on 3/1 and clinically his Bell's palsy had resolved.

Other Meds:

Current Illness:

ID: 1063956
Sex: F
Age: 51
State: MN

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

Lab Data:

Allergies: Previous reaction to Tdap, likely polysorbate 240 or 80

Symptoms: patient experienced intense bone pain, joint pain which was ongoing 4 days later on 2/26/21 and was improving but still present on 3/1/21. Fever & chills lasted through Wednesday 2/24/21. patient had sought the consultation of an allergist prior to receiving the vaccine because of her prior reaction to Tdap. I advised notifying her doctor of this reaction.

Other Meds:

Current Illness:

ID: 1063957
Sex: F
Age: 73
State: CA

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

Lab Data:

Allergies: Aspirin, crab

Symptoms: SOB 15 minutes after receiving vaccine 140/73 BP o2 95% 66 pulse

Other Meds: Fosomax

Current Illness:

ID: 1063958
Sex: F
Age: 81
State: KS

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

Lab Data: None yet.

Allergies: Albuterol Sulfate; Sulfa Antibiotics; Beta-adrenergic agents

Symptoms: Patient's daugher-in-law called. She reported that the patient cannot remember anything that happened 02/28/2021, the day after she received vaccine. 03/01/2021, patient is still having difficulty remembering and not behaving "normal". Family is taking patient to primary care provider now (03/01/2021 4:00pm). Family is to call me when they have information.

Other Meds: Hydrocodone/Apap 7.5/325mg; Losartan 100mg; Fentanyl 50mcg/hr; Sertraline 100mg No listed OTCs

Current Illness: None mentioned

ID: 1063959
Sex: F
Age: 50
State: PA

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

Lab Data:

Allergies: None

Symptoms: Headache for two days Fever of 101.1 one day Extreme Body and muscle ache and fatigue Chills Injection site was swollen and very painful Had to miss one day of work due to adverse effects

Other Meds: Fluvoxamine Buspirone Methotrexate Levothyroxine Liothyronine Folic Acid Pantoprazole

Current Illness: None

ID: 1063960
Sex: F
Age: 51
State: MS

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

Lab Data: none as of yet

Allergies: Levaquin

Symptoms: Approximately 4 weeks post 2nd dose I began having severe pain to right upper arm with movement and palpation. The next day noted a large bruise and bleeding from injection site.

Other Meds: Fluoxetine Multivitamin

Current Illness: no

ID: 1063961
Sex: F
Age: 21
State: MD

Vax Date: 01/21/2021
Onset Date: 01/29/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: None

Allergies: Unidentified allergic reaction x1 (hives)

Symptoms: On day 8 after receiving the vaccine there was a red circle around my injection site along with redness, tenderness, a hive on injection site, and itchiness. No medications. Resolved in 3 days.

Other Meds: Larissia, Vitamin C, Zinc, Elderberry, Vitamin D

Current Illness: None

ID: 1063962
Sex: F
Age: 63
State: OK

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

Lab Data:

Allergies: aspirin, benadryl, codiene, darvocet, demerol, morphine, PCN, percocet, percodan, talwin, valium, cymbalta, renexa

Symptoms: at 02:45 client complained of tingling in L hand, flushed, hot, racing heart beat, nausea, headache BP 179/98, P 61, O2 98% 3:00 BP 144/97, P-63, O2 98%, 3:11 BP 122/98, P-57, O2 98%, 3:22 headache, lower jaw pain increasing to upper jaw, 3:24 BP 160/102, 156/106, refused ambulance, 3:28 transported by daughter to ER. Spoke with client the following day, client's BP went up to 284/224 while in the ER, client had arm heaviness from elbows down, shoulder blade pain, client was given metoprolol, pepcid, phenergan and steroids. Client was released at 7 pm, client went home with daughter and had chest pain and headache all night. client was doing better the next day, only complaining of headache off and on.

Other Meds: insulin

Current Illness: none

ID: 1063963
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 was given Pfizer vaccine as first dose and returned to clinic for 2nd dose and received Moderna. Patient did not have any adverse reaction.

Other Meds:

Current Illness:

ID: 1063964
Sex: F
Age: 41
State:

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache daily in the morning. On 2/26/21 developed a migraine with vomiting and went to ER. Today on 3/1/21 continues to have headache every morning but not as severe and today has had 3 loose, watery stools.

Other Meds:

Current Illness:

ID: 1063965
Sex: F
Age: 63
State: MA

Vax Date: 02/08/2021
Onset Date: 02/10/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: Flu vaccine, Morphine, Sulpha, Oxycontin, Hydrocodone

Symptoms: 2 days after my first Moderna covid 19 vaccine, I developed a temp of 101, mild wheezing, headache and severe dizziness/vertigo which lasted for 6 days.

Other Meds: Hctz 25 mgm daily

Current Illness: None

ID: 1063966
Sex: F
Age: 25
State: UT

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

Lab Data:

Allergies: Copaxone, tecfidera, bee stings

Symptoms: Five minutes after receiving the COVID vaccine, patient reported itching on the L shoulder. Patient received 25 mg diphenhydramine and was monitored

Other Meds: baclofen (LIORESAL) 10 mg tablet OXcarbazepine (TRILEPTAL) 150 mg tablet levonorgestrel-ethinyl estradiol (AVIANE) 0.1-20 MG-MCG tablet modafinil (PROVIGIL) 100 mg tablet amantadine (SYMMETREL) 100 MG capsule gabapentin (NEURONTIN

Current Illness:

ID: 1063967
Sex: F
Age: 26
State: IL

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

Lab Data:

Allergies: Dust mites

Symptoms: 1 hour after the vaccine shot I began experiencing allergic symptoms including intense drowsiness, throat scratching, coughing, lip and tongue swelling. I took a Zyrtec and the symptoms began improving. They did not fully go away until 4 hours later.

Other Meds: Kariva birth control pill Magnesium Zyrtec

Current Illness: N/A

ID: 1063968
Sex: F
Age: 68
State: SC

Vax Date: 01/28/2021
Onset Date: 02/05/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: Yes, yellow dye in any food or medicine, Morphine, Dilaudid, Ceclor, Erythromycin Seasonal allergies - get shots (2 every 2 weeks food allergies to bananas and scallops

Symptoms: Got a severe case of Shingles a week after vaccine was given. I was told to report this to you by my allergist office. Doctor's care said it might have had something to do with my immune system breaking down with shingles. My primary care physician seemed to think it was a coincident.

Other Meds: Regular medications... Olmesartan, diazide caps, lipitor, Preservision, Zyrtec, Singular, Omeprozole, Estrace, Vitamin D3 2000UI, Biotine 1000 UI, Ibuprofen 100 mg.

Current Illness: None at all.

ID: 1063969
Sex: F
Age: 0
State: AL

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

Lab Data: NA

Allergies: None

Symptoms: 0.5ml Polio administered in error along with DTAP-HEP B-IVP combination vaccine. No reactions noted.

Other Meds: None

Current Illness: None

ID: 1063970
Sex: F
Age: 73
State: CA

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

Lab Data:

Allergies: none known

Symptoms: States develop generalized rash, itchy 25 hours after receiving first dose of vaccine. Called her primary dr. 4 days after first dose of vaccine for continued rash. Was given a round of steroids and claritin by her pcp per patient.

Other Meds: dilaudid

Current Illness: surgery two weeks prior to vaccine

ID: 1063971
Sex: F
Age: 39
State: WI

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

Lab Data: I had a DNC surgery on February 12, 2021. They did do chromosome testing and those results are still pending.

Allergies: no

Symptoms: Sudden onset: Sore arm - really sore. Whole body aches. Headache and neckache. I did not have a fever. 24 hours later they all disappeared. I found out I was pregnant on the 8th. I had a normal ultrasound and a heartbeat at the end of January (the 29th) and February 8, there was no heartbeat anymore. I miscarried. This was my fifth pregnancy. I had one other miscarriage. I had a pregnancy where I had twins and one of the twins miscarried. So I have miscarried three babies. The expected date of delivery for this pregnancy was September 13, 2021.

Other Meds: Topical - Metronidazole; Multi-Vitamin

Current Illness: no

ID: 1063972
Sex: M
Age: 74
State: WI

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

Lab Data: NA

Allergies: NA

Symptoms: Pt received Pfizer on 2/10/21 and was scheduled today to receive 2nd dose. Pt received from the adminstering nurse a dose of moderna. Writer is not the administer nurse. Pt is aware and no side effects occurred.

Other Meds: NA

Current Illness: NA

ID: 1063973
Sex: F
Age: 31
State:

Vax Date: 02/17/2021
Onset Date: 02/20/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: 2/20-urgent care for cephalexin and prednisone 2/23-my clinic for topical steroid 2/24-urgent care to start systemic prednisone, Covid test Pending allergy referral from urgent care

Allergies: None

Symptoms: Bee sting on sole of foot morning of getting her second Pfizer dose. She then had a "spider bite" on her abdomen the next day. About 3 days later she developed an itching, lacy, red rash on dorsum of foot and sought care at an urgent care. She was given cephalexin for the spider bite and prednisone 40 for the bee sting. She had never had a reaction to bee stings before and no history of any anaphylaxis. She then came to see me, and I noted the rash with a red rash also over her left second toe with no signs of arterial occlusion or neurologic symptoms. She had no symptoms or known Covid exposure and the community positivity rate was 1%. We decided to try a high potency topical corticosteroid for the itching on her foot and use the prednisone if symptoms worsened or go to the ER if severe. The next morning, (7 days post vaccination) she reported lightheadedness, increased pruritus of her foot and went to an urgent care where she started systemic prednisone and had a negative Covid nasopharyngeal swab. She then recovered without complications.

Other Meds: None

Current Illness: Bee sting on foot morning of vaccination and spider bite on abdomen the next day

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm