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: 1064175
Sex: F
Age: 55
State: RI

Vax Date: 12/30/2020
Onset Date: 01/01/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: N/A

Allergies: NKDA

Symptoms: I have had pain in my left deltoid muscle since receiving the vaccine. On Jan 13 I saw my health provider because I also developed a rash two weeks after receiving the vaccine at the injection site. The rash resolved a few days later, however, I still have significant pain in that muscle with certain movements of the arm.

Other Meds: Losartan 50 mg daily Vitamin D3 2000 IU Vitamin B Complex Birth control pills

Current Illness: N/A

ID: 1064176
Sex: F
Age: 57
State: NJ

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

Lab Data:

Allergies: Reports hx: Biaxin angiodema

Symptoms: 12:15pm Post vaccination reports feelings of "hoarseness, itchy throat, tingly tongue; medical monitoring x 30 min, HR 60 RR 12 All symptoms resolve with no additional complaints or new symptoms; released from facility to home

Other Meds: Reports current medication list: Atorvastatin, Amlodipine, Alprazolam, Escitalopram

Current Illness:

ID: 1064177
Sex: F
Age: 67
State: NY

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

Lab Data:

Allergies: Tramadol Codeine Clindamycin Morphine Sulfa drugs Generic drug fillers Barley

Symptoms: Immediate onset of slight dizziness, subsided within 30 min,. Pain at injection site for 24 hours and sore upper arm followed by headache for 2 days Within 24 hours severe swelling of lymph nodes under left arm with pain. Remained sore for 4 days and swollen for 7 plus days

Other Meds: Catapulted Amlodipine Besylate D3 vitamin

Current Illness: None

ID: 1064178
Sex: F
Age: 43
State: OR

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

Lab Data: Rapid COVID test (3/1/21): negative

Allergies: citalopram, ambien, duloxetine

Symptoms: severe flare of (known) trigeminal neuralgia, oral mucositis, fever, body aches, chills, and swelling/redness/warmth at side of vaccination

Other Meds: buproprion

Current Illness: none

ID: 1064179
Sex: F
Age: 70
State: GA

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

Lab Data: None

Allergies: Penicillin

Symptoms: One week after the injection, my upper left arm turned red with what looked like a rash and itched. The injection site turned very red. It was totally gone the next day.

Other Meds: Metformin Hcl Er 24 hr 750 mg Solifenacin Succinate 5 mg Olmessartan Medoxoml 20 mg Rosuvastatin Calcium 20 mg

Current Illness: None

ID: 1064180
Sex: F
Age: 60
State: CA

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

Lab Data:

Allergies:

Symptoms: When I received the vaccine, the technician administering the vaccine had a difficult time pushing in the syringe. He moved it around a little bit and pushed hard again. After he pulled the syringe out, he kept tapping it, I guess to make sure all of it went into my arm. When he was administering it, I had a burning sensation as it went in. No one I know had this occur during their vaccine. Due to working environment, I need to know that I received the vaccine, and that something did not go wrong and it failed. Can you let me know if I still received the vaccine after experiencing this during the administration of the vaccine? I am very nervous that it failed and I am not protected. I had a slightly sore arm the evening of the vaccine, but it was gone the next day.

Other Meds:

Current Illness:

ID: 1064181
Sex: F
Age: 70
State: AK

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

Lab Data:

Allergies:

Symptoms: Patient reports she had pain instantly at the time of the injection 11:00am. At 12 noon she reports the pain started getting worse. Now at 3:15pm she reports her arm hurts and her neck is now stiff, she cannot move her neck. She rates the pain as "9" with 0=no pain and 10=unbearable pain. Reviewed with her PCP, had her go to the ER to evaluate. Instructed she have someone drive her to the ER.

Other Meds:

Current Illness:

ID: 1064182
Sex: F
Age: 30
State: CA

Vax Date: 02/20/2021
Onset Date: 02/24/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Rash ?covid arm? Dr called it cellulitis Also extremely swollen lymph node in left armpit

Other Meds: Zoloft 150 mg Ativan 1 mg 2x day Baclofen 20 mg occasional Synthroid 88 and 100 alternating dates

Current Illness: None

ID: 1064183
Sex: F
Age: 69
State: GA

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

Lab Data: None

Allergies: None

Symptoms: Redness and swelling at the injection site, pain felt during the injection of the needle, elevated temperature (99.8) the follwing day, headache the following two mornings and foggy brain symptom on the third morning. Treatment at home including ice of the injection site that evening and the following day, and ibuprofen (200mg) as fever reducer.

Other Meds: Hydrochlorothiazide 25mg, Atorvastatin 40mg, Labetalol HCL 300mg, Amlodipine Besylate 5mg, Lisinopril 40mg

Current Illness: None

ID: 1064184
Sex: M
Age: 85
State: MT

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

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 1064185
Sex: F
Age: 40
State: NJ

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

Lab Data:

Allergies: no

Symptoms: 8 days after the 1st Moderna Covid 19 vaccine the injection site on my left arm was red, swollen, and warm to the touch. It also hurt under my arm pit on that day and a few days prior to seeing the rash. Directly following the vaccine (hours after until 3 days after) my arm was very sore and it was uncomfortable to move it. Those symptoms went away and I thought I was done with the side effects. Then that rash appeared 8 days later as stated above.

Other Meds: no

Current Illness: no

ID: 1064186
Sex: F
Age: 89
State: IA

Vax Date: 02/22/2021
Onset Date: 02/28/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: almost one week after the vaccine the patient noticed extreme itchiness that couldn't be treated with over the counters. It is all over and only lasts 1-2 hours every evening.

Other Meds:

Current Illness:

ID: 1064187
Sex: F
Age: 52
State: CA

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

Lab Data: ER visit 2/27/21

Allergies: Latex, IV Contrast Dye, Cipro, Tree nuts, corn, shellfish, stone fruit, citrus, eggplant, kiwi, and strawberry.

Symptoms: Anaphylaxis developed over the hours, preceded by confusion, rapid heart rate, tingling of face/arms/chest, and feeling like moving through water.

Other Meds: Phenylephrine (10mg), Flonase

Current Illness: Migraine, sinus headache

ID: 1064188
Sex: M
Age: 26
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: Patient c/o headrush within 5minutes post vaccine, no acute distress notes, patient was diaphoretic with clammy skin and had warm sensation feeling. after 2 minutes of siting and given water, patient stated he feels better. V/S obtained and within normal range.

Other Meds: None

Current Illness: none

ID: 1064189
Sex: F
Age: 70
State: CA

Vax Date: 02/23/2021
Onset Date: 02/26/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: EKG 100 % paced rhythm and unchanged from previous per old NexGen records New onset chest pain ; h/o cardiomyopathy She feels back to normal and CP has resolved Advised patient that I recommend her to go to ER for further evaluation She declines and will sign ama form rx for SLNTG sent to pharmacy and patient given instructions on use Advised to call her cardiology for sooner follow up appointment - nitroglycerin 0.4 mg SL tablet; Place 1 tablet (0.4 mg total) under the tongue every 5 (five) minutes if needed for chest pain. Dispense: 50 tablet; Refill: 1

Allergies: Morphine

Symptoms: Dentist used lidocaine 2% with epi injection to numb so she can do a deep cleaning. Pt was very nervous. She was fine when getting injection but 15 min later when SRP almost done, pt complained that she had the chest pain. The procedure had been terminated right away at 9:46am and the code blue had been activated. I stayed with the pt the whole time in the room to make sure she was fine untilThe Medical staffs came and took over right after the code blue, about 2min. Pt had been checked and took care by medical staffs and she was transferred to MD side for EKG. HX: she has the pacemaker and had covid vaccine 3 days ago.

Other Meds: albuterol sulfate 90 mcg/actuation 2 puffs inhalation Every 4 hours PRN amlodipine besylate 10 mg oral Daily carvedilol 25 mg 1 tablet oral 2 times daily with meals clonazepam 0.5 mg oral 2 times daily diltiazem HCl 240 mg oral flutica

Current Illness: Cardiac and Vasculature Cardiomyopathy (CMS/HCC) Cardiac pacemaker Essential hypertension Hyperlipidemia Mental Health Depressive disorder Generalized anxiety disorder Musculoskeletal And Injuries Arthritis, rheumatoid (CMS/HCC) Pulmonary And Pneumonias Asthma

ID: 1064190
Sex: F
Age: 71
State: CA

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

Lab Data:

Allergies: Penicillin Latex Iodine

Symptoms: Broke out in hives around the injection site. At first just a 3inch circle around the injection it was hot to the touch and itched stayed like that for 3 days and faded. Then on Saturday(2/27/2021) woke up to hives covering my upper arm. Cortisone cream relieves the itching but it?s still there.

Other Meds: Atenolol Triamterene HCTZ Atorvastatin

Current Illness: none

ID: 1064191
Sex: F
Age: 44
State: MI

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

Lab Data:

Allergies: Sulfa medications

Symptoms: 1 minute after receiving the vaccine my face and tongue began to tingle. The tingling lasted 3 hours. 30 minutes after receiving the vaccine I felt confused and in a fog. That lasted 2 days. The following morning I also had flu like symptoms. Those lasted 24 hours.

Other Meds: None

Current Illness: None

ID: 1064192
Sex: F
Age: 35
State: AR

Vax Date: 02/23/2021
Onset Date: 02/26/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I got a really sweet 8 inch diameter hive on the injected arm. It is hot and very itchy. It's not where the injection was actually at, which is weird.

Other Meds:

Current Illness:

ID: 1064193
Sex: M
Age: 51
State: MI

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

Lab Data:

Allergies: shellfish allergy/seasonal allergies(dust, pollen, mold)

Symptoms: soreness at injection, headache, body aches, fatigue

Other Meds: daily vitamin

Current Illness:

ID: 1064194
Sex: F
Age: 61
State: IN

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

Lab Data:

Allergies: PCN, contrast dye, trazadone

Symptoms: About 10 minutes after receiving the vaccine, patient reported feeling somewhat short of breath and itchy. She presented to the clinic somewhat short of breath because of her asthma, but the itching was completely new. Gave the patient an age appropriate dose of Benadryl and symptoms resided within 15-20 additional minutes of observation time.

Other Meds:

Current Illness: Asthma

ID: 1064195
Sex: M
Age: 71
State: CO

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 03/01/2021
Hospital: Y

Lab Data: Hospitalization

Allergies: None

Symptoms: I had an MI the next AM.

Other Meds: Ambien, Lorsartan, hydrochlorothyazide.

Current Illness: None

ID: 1064196
Sex: M
Age: 70
State: VA

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

Lab Data:

Allergies: none

Symptoms: Extreme swelling of lymph nodes under right arm noted just over 72 hours after vaccination. Swelling lasted about 36 hours, then subsided.

Other Meds: Felodipine ER 5 MG 1x daily Diclofenac Sodium 75 MG 1x daily Tamsulosin HCL 0.4 MG 1x daily Centrum Silver Multivitamin Supplement 1x daily Osteo BiFlex Triple Strength 2x daily Red Yeast Rice 600mg 2x daily Chlorthalidone 25 MG 1x

Current Illness: none

ID: 1064197
Sex: F
Age: 71
State: AK

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

Lab Data:

Allergies:

Symptoms: Patient reports headache, nausea and vomiting that started Saturday 2/27 and ending late afternoon on Sunday 2/28. Denied symptoms today on 3/1.

Other Meds:

Current Illness:

ID: 1064198
Sex: F
Age: 41
State: CA

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

Lab Data:

Allergies: No allergies

Symptoms: About 16 hours after shot some soreness/pain up my spine, still could do daily activities- took some ibuprofen as needed. But after 24 hours abdominal pain, still able to do daily activities but during that evening's sleep the pain went up and felt like the early stages of labor through till the morning-- then I took ibuprofen. This abdominal cramping was steady in the night and did not easy for many hours and caused me to vomit. Due to pain and vomiting I was not able to go in to work for the day but was able to recover by lunch time with ibuprofen and rest and so I could return to work the following day.

Other Meds: Birth control

Current Illness: None

ID: 1064199
Sex: M
Age: 67
State: CO

Vax Date: 02/24/2021
Onset Date: 04/01/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: rapid onset of intense Dizziness followed by Nausea lasting approximately 2 hours also had fatigue and had to sleep for several hours.

Other Meds: Lisinopril 15 Mg

Current Illness: none

ID: 1064200
Sex: F
Age: 50
State: CA

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

Lab Data: none

Allergies: nka

Symptoms: 1546 Pt with c/o heaviness in upper back and shoulders. b/p 158/98, hr-90, r-18, o2 sat 98% ra, no other issues noted. Empolyee interrupted. 1555 pt states issues has resolved. b/p 156/90, hr-93, o2 sat 98%ra r-18. Pt husband with her and he will be driving her home. Instructed to f/u with MD as needed.

Other Meds: Lisinopril

Current Illness: none

ID: 1064201
Sex: F
Age: 47
State: VA

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: Diagnosed with COVID-19 on 01/18/21. Had previously received passive antibody therapy 01/18/21-01/26/21. Reviewed with client recommended to notify PCP. No adverse effects noted after administration on 03/01/2021.

Other Meds: N/A

Current Illness: N/A

ID: 1064202
Sex: M
Age: 85
State: GA

Vax Date: 01/21/2021
Onset Date: 01/28/2021
Rec V Date: 03/01/2021
Hospital: Y

Lab Data: MRI, CT Scan, blood work, IV, Rehab.

Allergies: None that I know of.l

Symptoms: Sent to ER then admitted to Medical, then sent to rehab, then back to ER, then back to rehab.

Other Meds: Carvedilol, Gabapentin, Eliquis, Bumetanide, Hydrocodone

Current Illness:

ID: 1064203
Sex: F
Age: 44
State: MI

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

Lab Data:

Allergies: Sulfa medications

Symptoms: One minute after receiving the vaccine my face and tongue began to tingle. Then they began to swell. The swelling lasted for 4 hours. 16 hours after the vaccine I had a fever of 101 degrees Fahrenheit, chills, muscle aches, a headache, and I was vomiting. This lasted for 36 hours.

Other Meds: None

Current Illness: None

ID: 1064204
Sex: F
Age: 54
State: TX

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

Lab Data:

Allergies: penicillin, duloxetine, gabapentin

Symptoms: pain above nipple, underarm lympnode is swollen

Other Meds: vitamin c

Current Illness:

ID: 1064205
Sex: M
Age: 62
State: MO

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

Lab Data: none

Allergies: none

Symptoms: gastric distress - gas

Other Meds: Lisinopril - HCTZ 20-25 mg Amlodipine Besylate 5 mg

Current Illness: sinus infection

ID: 1064206
Sex: F
Age: 44
State: VA

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

Lab Data: None

Allergies: Mold, lorcet, medical tape adhesives

Symptoms: Headache, fever, chills, sore throat, body aches, tired

Other Meds: Levothyroxin, Protonix, adderall, clonazapam, multivitamin, vitamin d, vitamin c, iron

Current Illness: None

ID: 1064207
Sex: F
Age: 31
State: CA

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

Lab Data: None

Allergies: No known allergies per patient

Symptoms: 31 y/o female came in Vaccine clinic for first dose of COVID-19 Moderna vaccine Lot# 013M20A. Patient received vaccine at approx. 3:00pm, walked to observation area to sit for 15 minutes at approx. 3:02pm. At approx. 3:08pm Nurse heard patients cell phone fall to the ground, nurse noticed patient leaning over to her right side and slumped over. Patients head was down and not responding to her name. Nurse heard patient making moaning noises, nurse held patient up and called her name, asked if patient had any disorders, after a couple minutes patient responded, lifted her head up and stated she didn't have any Seizures disorders but does have a history of vasovagal reactions. EMS was called to the scene. Initial BP-90/46 P-51, O2-98%. Patient denies any prescription meds or over the counter meds were taken prior to her vaccine. Per patient No history of any medical conditions. Water was given to patient, was A/O with EMS. Refused to be taken to ER/Hospital and Signed AMA. EMS vitals 107/67, p-73 100%, last V/S bp-125/70, p-79, 100%

Other Meds: None per patient

Current Illness: None per patient

ID: 1064208
Sex: F
Age: 42
State: MT

Vax Date: 12/18/2020
Onset Date: 01/04/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: 1. B mammogram 1/4/21 - L axillary lymphadenopathy 2. L Axillary US 1/4/21 - multiple L axillary lymph nodes near 2cm in size 3. PET scan 1/8/21 - Multiple enlarged and hypermetabolic L axillary lymph nodes (max SUV of 8) 4. L Axillary US 2/22 - Persistent L axillary adenopathy, cortical thickness up to 5mm

Allergies: None

Symptoms: Patient has a history of Hodgkins Lymphoma with radiation to mediastinum/chest (2012) and high risk for breast cancer. Found to have asymptomatic left axillary lymphadenopathy on screening mammogram and subsequent US.

Other Meds: Calcium/vitamin D

Current Illness: None

ID: 1064209
Sex: F
Age: 67
State: IN

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

Lab Data:

Allergies:

Symptoms: Approximately 5-10 minutes after receiving the vaccine, patient began sweating, feeling dizzy and dry heaving. BP was normal as well as HR. This has happened before with vaccines and other needle sticks like blood draws. Patient was given and ice pack to help her cool down and after about 10-15 more minutes, patient was calm enough to leave the vaccine observation area.

Other Meds:

Current Illness:

ID: 1064210
Sex: F
Age: 33
State: CA

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 03/01/2021
Hospital: Y

Lab Data: Preeclampsia was determined.

Allergies: pineapple; artichokes - mouth and lips get itchy and lips get swollen

Symptoms: The next day I had full body aches, fatigue and exhaustion and low grade fever and no appetite. I developed a severe rash where I got the injection. The fever and body aches just lasted to Friday. Saturday, I still had the rash area on my arm and it got bigger. Saturday - Telehealth visit. Rash on arm took five days to go away. Told me to put a hot compress on it if I wanted to but no other advice given. Pregnancy - February 12 - Preeclampsia was diagnosed. I was induced that day so baby was a week early -. February 20 had been estimated due date. This was my first pregnancy. I got COVID when I was pregnant in October. I was hospitalized with the heart rate issue that they thought occurred because of COVID November 16-19th. I have a healthy baby girl!

Other Meds: prenatal vitamins; iron supplement

Current Illness: no

ID: 1064211
Sex: F
Age: 68
State: DC

Vax Date: 02/17/2021
Onset Date: 02/24/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: itchy red rash on left arm injection site this started 7 (2/24/2021) days after getting injection and is still present at the time of this reporting.

Other Meds:

Current Illness:

ID: 1064212
Sex: F
Age: 77
State: CA

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

Lab Data:

Allergies:

Symptoms: pt felt like upper lip is heavy. no c/o itching, no swollen lips noted. no SOB v/s 97%RA 19cpm, 70bpm 120/70 BP pt. stable and snet home @4:45pm no swelling of lips, no itching, pt. feeling of heaviness of upper lips subsides. Patient stable sent home

Other Meds:

Current Illness:

ID: 1064213
Sex: F
Age: 45
State: CA

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

Lab Data: None

Allergies: Cephalosporins, Amoxicillin, Honey, Cyproheptadine, Mirtazipine, Neomycin, Scopolamine, Singular, Zonisamide

Symptoms: 3 hours after covid injection patient presented with significant swelling in armpit and lymph nodes on side of administration and significant pain in all lymph nodes. Patient felt symptoms improve gradually except for the left armpit swelling. Patient called in sick to work the next day due to arm discomfort and brain fog. Physician said the swelling can take a week or so to go down. Patient advised to take Naproxen and Acetaminophen around the clock.

Other Meds: Trokendi XR, Naproxen, Buspirone, Promethazine DM, Venlafexine, Omeprazole, Frovatriptan, Alvesco, Spiriva

Current Illness:

ID: 1064214
Sex: M
Age: 83
State: OR

Vax Date: 02/10/2021
Onset Date: 02/13/2021
Rec V Date: 03/01/2021
Hospital: Y

Lab Data: Multiple x-rays, ct scans and ultrasounds at Medical Center while hospitalized.

Allergies: Quinine (causes hives) Penicillin (causes oral yeast infection)

Symptoms: Pulmonary Embolism suffered on 2/13/2021. Hospitalized at Medical Center. Discharged on 2/20/2021. Still recovering.

Other Meds: Insulin - Novolin 70/30, Bisopriol, Lisinopril, Atorvastatin, Symbicort. Allopurinol, Albuterol, Triamterene

Current Illness: Diabetes, COPD, hypertension

ID: 1064215
Sex: M
Age: 50
State: CA

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

Lab Data: None as of yet.

Allergies: None

Symptoms: About twenty minutes after the injection, I was walking to the transit and my legs felt a little bit numb (but not tingly) I thought maybe it was nerves. About 25 minutes after the injection, I was concerned (possibly too anxious) and I decided to return to the site. I crossed the bridge and sat down at the bridge gate. The personnel there called an EMT, and about 15 minutes later the EMT came to talk to me and take my blood pressure and pulse Oxygen. Blood pressure was 137 - 87. Pulse Ox was 100%. By that time I had calmed down the sensation in my legs had eased. Approximately 2 hours after the injection I began to feel soreness in my joints (and this did not pre-occupy me, since I knew that feeling the beginning of aches and pains a couple hours after injection is normal). It is now 6 hours and 32 minutes after the injection, and I am feeling ok. It was quite probably anxiety on my end. The folks in city were very nice to me at the pedestrian bridge gate. I have noted talking the EMT below as health professional visit, I also plan to go see Dr. prior to the 2nd shot.

Other Meds: None

Current Illness: None

ID: 1064216
Sex: M
Age: 66
State: FL

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

Lab Data:

Allergies:

Symptoms: Nausea, headache, muscle fatigue

Other Meds:

Current Illness:

ID: 1064217
Sex: F
Age: 68
State: WI

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

Lab Data:

Allergies: wasp stings, walnuts, almonds

Symptoms: 11:20am: Pt was in observation area and began to feel like her tongue was weird, strange feeling in chest area (didn't know how to describe). Pt has a history of allergy to wasps, walnuts, almonds. BP 128/82, P66. 11:33am: Lightheaded, transition to laying down. BP: 160/104, Denies SOB. 11:45am: temp 97.7F, EMS arrived and transported patient to local hospital via ambulance.

Other Meds:

Current Illness:

ID: 1064218
Sex: F
Age: 68
State: IN

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

Lab Data:

Allergies:

Symptoms: Approximately 15 minutes after receiving vaccine, patient noticed she was having double vision. She was trying to focus on a sign we had in the waiting room, and the words started blurring and doubling. BP was normal, heart rate was slightly elevated. With time (about 10 minutes), patient reported it was improving. We got patient to her feet first to ensure balance wasn?t effected and then patient reported she was ok to leave.

Other Meds:

Current Illness:

ID: 1064219
Sex: F
Age: 77
State: CT

Vax Date: 01/21/2021
Onset Date: 02/18/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: Saw Dr. on February 22, 2021

Allergies: Penicillin, sulfa, bees, latex & adhesive, shrimp, lobster

Symptoms: Headaches, shortness of breath, left droopy eye.....achy and tired....lasted 5 days.... droopy eye lasted a week

Other Meds: Levothroid, Simvastain, Effexor, Relpax, B12 shot, Citracal +D, B6, vitamin C, Centram Silver, Tramadol, baby aspirin , Rituximab every 5 months ...once a week for 4 weeks

Current Illness: None

ID: 1064220
Sex: F
Age: 32
State: VA

Vax Date: 12/28/2020
Onset Date: 01/06/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: Latex

Symptoms: Bullseye style rash at injection site. Rash spread over arm over the course of a week and then dissipated with the edge. Rash was raised and warm to the touch and covered upper arm

Other Meds: Vitamin D, Magnesium, fish oil

Current Illness: N/a

ID: 1064221
Sex: F
Age: 58
State: OK

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

Lab Data:

Allergies:

Symptoms: PATIENT WAS MONITORED FOR 15 MINUTES WITH NO SIDE EFFECTS. ONE HOUR AFTER INJECTION, SHE CALLED THE PHARMACY EXPERIENCING SWELLING AROUND HER NOSE. SHE DID NOT HAVE ANY SIGNS OF RASH OR ISSUES BREATHING OR SWELLING OF THE TONGUE.

Other Meds:

Current Illness:

ID: 1064222
Sex: F
Age: 24
State: AK

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

Lab Data:

Allergies: penicillin

Symptoms: The patient presents today with a history of recurrent urticaria and angioedema. She received a dose of the Pfizer COVID-19 vaccine on Thursday Feb 25th (lot number EN 6206). She felt fine after her shot, but the next day felt fatigued, had chills, body aches, and left arm soreness (at the site of the injection)--she attributed her symptoms to her vaccination. Friday evening, prior to bed, she noticed the onset of several scattered hives. The next day, she noted that she had more extensive hives over her body, including her eyelids, and she said that she has been having dyspnea; she presented to the ER and was treated with steroids and antihistamines. The symptoms or urticaria returned the next day with significant angioedema of the lips, and the patient had dyspnea and nausea/abdominal discomfort, and the patient went back to the ER. With antihistamines and steroids, her symptoms improved significantly and she was sent home. Her symptoms returned today, now accompanied by throat globus as well as abdominal discomfort--she self administered an Epipen, which she said significantly helped her symptoms.

Other Meds: levothyroxine, Miralax, multivitamin, fish oil

Current Illness: The patient felt ill one week after her first Pfizer vaccine (given on 2/5/20)--she reported diaphoresis, temperature instability. A COVID test was negative.

ID: 1064223
Sex: F
Age: 60
State: LA

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

Lab Data: Blood glucose testing. Patient used her at home testing kit.

Allergies: No Known Drug Allergies

Symptoms: The patient reported that her blood glucose level began to rise shortly following receiving the vaccine. The patient continued to monitor her blood glucose level and administer the correct amount of insulin following the insulin titration outline. The patient avoided eating large meals throughout the day. The patient reported that her insulin levels began to decrease approximately 10-12 hours following the vaccine administration. The patient reported that she never felt the effects or symptoms of the elevated blood glucose. The patient noticed the spike in her blood glucose due to the routine monitoring of her blood glucose.

Other Meds: Magnesium Oxide 400mg Fergon Omeprazole 40mg Atorvastatin 40mg Hydralazine 25mg Novolog 100U/ML Januvia 50mg Levothyroxine 50mcg Amlodipine 10mg Plavix 75mg

Current Illness: No other known illnesses at the time of vaccination

ID: 1064224
Sex: F
Age: 74
State: IN

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

Lab Data:

Allergies:

Symptoms: Approximately 10 minutes after receiving the vaccine, patient reported muscle tightness up through her left shoulder into her neck. She was extremely anxious. Her initial blood pressure was 190/100. She reported being extremely scared of coming to the clinic today for the vaccine and that she got no sleep the night before. We talked extensively and I tried to get her mind thinking about anything else possible. Repeated her BP after a time and it was 142/82. Once her required 15 minute observation was over, she requested to leave, because part of her apprehension was just being there. Her neck tightness has subsided.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm