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

Date Died: 02/22/2021

ID: 1065507
Sex: F
Age: 83
State: MI

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

Lab Data: NKA

Allergies:

Symptoms: EXTREME PAIN, STOPPED EATING/DRINKING -- STARTED MORPHINE

Other Meds: YES

Current Illness: DEMENTIA

ID: 1065508
Sex: F
Age: 49
State: ND

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: saw FNP on 2/9/21

Allergies: codeine - makes me vomit, ketoprofen dexamethasone PLO 15%/0.5 % gel - blisters

Symptoms: by evening of the vaccine I did not feel well, tired, headache, sore arm, achy, low grade fever and by 2/6 in morning I had fever100.9 degree F, headache, extremely achy, stomach ache, diarrhea, nausea, hot/cold spells, sore arm and red blotches noted on right arm. Sunday 2/7 same symptoms but blotches on right arm worsening and noticed swollen lymph nodes in right armpit and by right side of clavicle and right side of neck. Right arm more swollen. 2/8/21 right arm continues to get redder and more swollen and area is blotchy in appearance, continue to have swollen lymph nodes and all other symptoms above but no fever. 2/9/21 went to dr as right arm still swollen and increased red blotchiness - given prednisone 40 mg PO daily for 5 days - all symptoms persisted until 2/13.

Other Meds: levothyroxine 75 mcg PO daily, allopurinol 100 mg PO daily, spironolactone 25 mg PO daily, metformin 500 mg PO BID, singulair 1 tab po bedtime, zyrtec 1 tab PO daily

Current Illness: rash on nose due to mask wearing

ID: 1065509
Sex: F
Age: 73
State: AL

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

Lab Data:

Allergies: Codeine Sulfa

Symptoms: Large red, itchy, painful, hot area on bicep area of arm where the vaccine was give

Other Meds: propranolol Lorsatan Methimaze Pravastatin Trazadone Advair discus Claritin Calcium Vitamin D Super C vitamins Selenium

Current Illness: No

ID: 1065510
Sex: M
Age: 67
State: PA

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

Lab Data:

Allergies:

Symptoms: Extreme fatigue, slight nausea

Other Meds:

Current Illness:

ID: 1065511
Sex: F
Age: 73
State: MI

Vax Date: 02/11/2021
Onset Date: 02/22/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: After 11 days arm became swollen, itching and red . Hurting ,kept up for about 5 days

Other Meds: Vitamin D3 , Biotin, baby aspirin,Plavix, ambien, blood pressure, Lipitor.

Current Illness: None

ID: 1065512
Sex: F
Age: 32
State: TN

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

Lab Data:

Allergies: None

Symptoms: Headache day of and next day Breast tenderness the next day Pain and swelling at site next day

Other Meds: Ibuprofen twice

Current Illness: I had a sore throat 3 days prior but it went away overnight and no other symptoms or illness

ID: 1065513
Sex: F
Age: 35
State: PA

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

Lab Data:

Allergies:

Symptoms: 13 hrs post injection developed body aches, then chills, fever reached 101.8f orally, headache, hurt head to look around the room, extreme exhaustion and nausea- symptoms lasted a total of 36 hours post injection

Other Meds:

Current Illness:

ID: 1065514
Sex: F
Age: 73
State:

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

Lab Data:

Allergies:

Symptoms: SOB, facial flushing, observed by EMS-cleared

Other Meds:

Current Illness:

ID: 1065515
Sex: F
Age: 82
State: SC

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

Lab Data: ECHO- EF 45-50% CXR cardiac monitoring

Allergies: Latex

Symptoms: From admitting hospitalist: received 2nd dose of "COVID vaccine" on 2/16. Felt fine until approx. 2 days later when she experienced increasing fatigue and "feeling poorly" . Stated she spent most of the last week in bed due to severe fatigue. Admitted to the hospital 2/28/2021 with new onset Afib with rapid ventricular rate and new diagnosis of CHF with fluid overload upon arrival.

Other Meds:

Current Illness:

ID: 1065516
Sex: F
Age: 65
State: TX

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

Lab Data: Went to ER. Had a ctscan of abdomen and pelvis and Everything came back negative

Allergies: Zithromax Tamiflu Flagyl

Symptoms: Started having stomach pain less than 24 hours after my Second vaccine. It?s been 3 days and I am still having issues.

Other Meds: Metoprolol Zoloft Hydrochlorthyizide Pepcid Probiotic CoQ10 Vitamin b Centrum silver

Current Illness: None

ID: 1065517
Sex: M
Age: 74
State: MD

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

Lab Data:

Allergies:

Symptoms: Severe dizziness, nausea.

Other Meds: Lipitor Synthroid Low dose aspirin Vitamin D

Current Illness:

ID: 1065518
Sex: M
Age: 79
State: NC

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

Lab Data: n/a

Allergies: erythromycin

Symptoms: profuse sweating less than 2 hours after receiving the shot. swelling and tenderness at shot site 12 hours or so later continuing to 3/2/2021

Other Meds: As of 11/30/20 Metformin 850 mg 2x/day Atorvastain 10mg 1x/day PM Tamsulosin .4 mg 2x/day PM (2/14/19) Finasteride .5 mg 1x/day AM Losartan Potassium 100mg 1x/da(kidneys) Culturelle Digestive Health Probiotic 1ea 1X/da Vitamin D 400m

Current Illness: n/a

ID: 1065519
Sex: F
Age: 1
State: MN

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

Lab Data:

Allergies:

Symptoms: Gave her a double dose of the DTaP shot instead of the vaccine she was suppose to be getting. She's had high fevers and not feeling well since

Other Meds:

Current Illness:

ID: 1065520
Sex: F
Age: 72
State:

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

Lab Data:

Allergies:

Symptoms: SOB, weakness, bilateral trembling, feeling sleepy, evaluated by EMS-cleared

Other Meds:

Current Illness:

ID: 1065521
Sex: M
Age: 69
State: VA

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

Lab Data:

Allergies: Cymbalta

Symptoms: mild soreness at site of injection; no redness or swelling; 24 hours later, (Sunday night) stiffness in finger joints while lying in bed. Gone by next morning (Monday). Lingering mild soreness and mild feeling of heat at injection site. Could not feel or see any external signs.

Other Meds: Verapamil Losartan HCTZ Bupropion Naprosyn Low-dose aspirin B-12 Daily Multivitamin men over 50

Current Illness: none

ID: 1065522
Sex: F
Age: 42
State: MD

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Approximately 23 hours after 2nd Pfizer I felt very sluggish/slow. I had a 99.5 temperature and was having chills. I took 2 Advil and the event subsided.

Other Meds: Levora Propanolol Gabapentin

Current Illness:

ID: 1065523
Sex: F
Age: 41
State: NJ

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

Lab Data:

Allergies:

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA: The patient reported to have received 2nd Pfizer COVID-19 vaccine on 2/19/21. Unknown where the patient got their vaccine administered. Immediately afterwards, the patient developed hives, cough, and lightheadedness and was sent to Hospital. They were treated with steroids and diphenhydramine. Their symptoms resolved and they were discharged. On 2/20/21 patient came to emergency room in the morning with allergic reaction. They woke up in the morning with hives, swelling in face, and feeling of thickness in throat and shortness of breath. They were given dexamethasone, diphenhydramine, and famotidine. Their symptoms resolved and they were discharged. While at home the patient developed hives and took diphenhydramine. They had tingling and a rash over their face. On 2/20/21 the patient returned to the emergency room in the evening with a rash. The symptoms were pain and burning. They also complained of abdominal cramping, mild nausea, and left sided chest pain. Their symptoms improved and they were discharged. On 2/22/1 the patient returned to the emergency and was subsequently hospitalized. They presented with face swelling, general pruritus, and hives. She reported chest tightness and paresthesia involving her lips. Admitted on 2/22/21 to 2/25/21. She was given diphenhydramine, famotidine, and hydrocortisone.

Other Meds:

Current Illness:

ID: 1065524
Sex: F
Age: 44
State: TX

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

Lab Data: None

Allergies: Slight sensitivity to Demerol, allergic to Macrobid (get a skin rash)

Symptoms: I didn?t have any pain or itching on my left arm at the injection site after the first few days post shot. And I was reporting daily via the ?VSafe? program via the daily texts... but the day after I stopped receiving those daily texts (day 8 post shot for me), my left arm (around the injection site) became itchy and there was a slightly painful, red swelling that cropped up near my injection site on my left arm. The redness/swelling is about half the size of a dollar bill on my arm. I used some hydrochloride based anti itch cream and took an allergy medicine but it didn?t help much the first day that it showed up, 2/28/21. That itchy/red patch became more pronounced yesterday and slightly painful/hard and hot to the touch for about half a day, 3/1/21. The redness is mostly gone this morning (3/2/21) but my left arm/injection site is still slightly swollen/achy in that area and still somewhat itchy. I?ve not been too worried bc I hear this ?Covid arm? can happen with these vaccines but since it?s happening to me post-VSafe check in?s, I thought I should report it. Anectdotally, I?m on a Covid-19 Vaccination social media started by (to help each other locate vaccine appt openings) and after posting about my ?Covid arm?, on this page, there was a big response and ?Covid arm? seems to be a pretty common occurrence but most ppl don?t experience these issues until day 8-13 post injection, past the date that we can auto report to the CDC via the VSafe program... a pharmacist suggested I go ahead and report even though this adverse event isn?t life threatening for me.

Other Meds: Metformin Compounded progesterone Armour thyroid Levothyrixine (thyroid) Potassium Citrate Omega EPA/DHA (fish oil) KForce (Vitamin D/K supplement) Mag Glycinate Trifolimin (B12 lozenges) Meta I 3 C Orthobiotic Probiotic

Current Illness: None

ID: 1065525
Sex: F
Age: 71
State: NJ

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

Lab Data: None

Allergies: NKA

Symptoms: Approximately 7 days after injection developed itching and redness in vaccinated arm approximately 3-5? below shot site. Over the course of 3 days redness increased fro 2x3? to 3x6?, redness decreasing in intensity but itching remained the same. Was not hot to the touch, and no other untoward effects were noted either at the time of the shot (other then some local soreness at the site and some tenderness to the touch at the medial area of the arm where rash eventually appeared) or since. Hydrocortisone was applied 3x?s day for 2 days, 25 mg. Benadryl taken one time hs. All resolved in approximately 5-7 days. At routine physical 3 wks. post shot, consulted with PCP, showing pictures of area.. He concurred that reasonable to get booster scheduled for 3/5/2021.

Other Meds: Lipitor 20 mg., centrum multivitamin, Calcium with vit. D, 81mg aspirin, Bioflex supplement, all daily

Current Illness: No illnesses

ID: 1065526
Sex: F
Age: 84
State: NY

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

Lab Data:

Allergies: None

Symptoms: The morning after vaccine was administered my mother woke up in the morning blacked out resulted in a fall on her left arm that caused a fractured clavicle. The dizziness and vertigo continue through the day Along with chills and nausea throughout the day. My biggest concern was the dizziness which has never happened before. I took her to the emergency room which resulted in a diagnosis of a fractured and displaced clavicle . The dizziness was the most concerning part and they ruled out any cerebrovascular causes. A meclizine 25 mg was given and also prescribe for her when she was discharged. I am a registered pharmacist and is a healthcare provider I looked into the side effects listed. Vertigo and dizziness is not commonly communicated as a adverse effect. This is so concerning for the elderly patients regarding potential falls which can lead to fractures and be detrimental to their health.That?s exactly what happened to my mother

Other Meds: Norvasc 10 mg daily ,multivitamin daily

Current Illness: None

ID: 1065527
Sex: F
Age: 67
State: VA

Vax Date: 02/16/2021
Onset Date: 02/26/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: none

Allergies: no

Symptoms: COVID Arm....Red lump beyond injection area and eventual red rash. Itchy, redness for about ten days

Other Meds: Nifedipine 90 mg, Losartan 100 mg/Hydrochlorothiazide 25mg, Atorvastatin Calcium 25mg, and multivitamin

Current Illness: none

ID: 1065528
Sex: F
Age: 27
State: TN

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

Lab Data: Pt states "none." Pt states she was at the doctor yesterday 03/01/2021 and that her doctor is aware of the adverse affects from vaccine.

Allergies: Pt states "tree nuts."

Symptoms: Pt states "I received my second covid vaccine at 3:30pm on 02/25/2021 and I started feeling really tired about 20 minutes later at approx. 3:50pm. I started getting really hot and sweaty. I had my temperature taken and it was fine 97.6. My chest turned really red, and I got really sleepy. By the time I got home at 5:00pm my temperature was at 99.0. I had a headache, muscle aches all over, and chills. That evening my temp was 99.6. I took 500mg Tylenol around the clock. It hurt to move and to get up to go to the bathroom. The body aches have went away but I am still feeling really fatigued today 03/02/2021. I don't feel 100%."

Other Meds: Pt states she "takes Fioricete daily for headaches."

Current Illness: Pt states "none."

ID: 1065529
Sex: F
Age: 62
State:

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

Lab Data:

Allergies:

Symptoms: Throat tightness, dry mouth, numbness in L arm- evaluated by EMS-cleared

Other Meds:

Current Illness:

ID: 1065530
Sex: M
Age: 34
State: NJ

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

Lab Data:

Allergies:

Symptoms: The above referenced individual received two vaccines this evening. He went into the tent, checked in, received his vaccine, and was observed. On leaving the tent, he ??followed people into the trailer?? bypassed the check in folks (who had others in front of them at the time), went directly to the vaccinator, and received a second shot. What we found is that both vaccinators had the same initials (AS). Nurse (in the trailer) thought that the check in staff had written her initials in, and administered the second vaccine. When questioned, the gentleman had no answer as to why he would have permitted two vaccines to be given in a single visit. Staff emailed Dr, who stated that we would be able to administer the second dose, and cited the response from the CDC on receive two doses too close together. The individual was observed for an extended time by EMS, and refused evaluation in the ED. He was counseled with regard to the possibility of an increased immune response.

Other Meds:

Current Illness:

ID: 1065531
Sex: F
Age: 63
State: PA

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

Lab Data: None

Allergies: bactrim , gentamicin

Symptoms: Initial response within about 6 hours of vaccine was muscle pain and skin pain, low grade fever and chills , sore throat an runny nose, diarrhea and headache. I realize that these are all normal responses and a sign of immune response. Most symptoms gone after 48 hours but headache persisted on daily basis, with lessening severity until 2/27 . A rash developed on 2/12 on neck and upper chest, very itchy and irritated . It is still present.

Other Meds: synthroid, estradiol, omeprazole, biotin, Vitamin D calcium , gabapentin, flexeril,

Current Illness: None

ID: 1065532
Sex: F
Age: 37
State: MO

Vax Date: 02/04/2021
Onset Date: 02/14/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: full body rash occurred 14 days after 2nd dose of COVID vaccine, seen her PCP and diagnosed with" medication rash" was given steroid injection and tapering dose of steroids- rash continues

Other Meds: Cymbalta, topramax, requip, omperzole, zanax

Current Illness: none

ID: 1065533
Sex: F
Age: 18
State: NE

Vax Date: 02/12/2021
Onset Date: 02/24/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: Milk

Symptoms: Enlarged lymph node under right arm pit. Currently on antibiotics and steroids for it. Not sure outcome quite yet.

Other Meds: Prograf, Cellcept, Calcium, MVI, Bactrim DS

Current Illness:

ID: 1065534
Sex: F
Age: 59
State: WA

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

Lab Data:

Allergies: Latex

Symptoms: Severe muscle aches starting 12 hours after injection and stopping 24 hours later

Other Meds: Levothyroxin

Current Illness: Na

ID: 1065535
Sex: F
Age: 5
State: DE

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

Lab Data: none

Allergies: none

Symptoms: About a minute after the vaccinations were given her whole body broke out in a urticarial rash.

Other Meds: none

Current Illness: none

ID: 1065536
Sex: F
Age: 32
State: TX

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

Lab Data: NONE

Allergies: NONE

Symptoms: Fever, chills and bodyaches. Did not receive medical treatment, symptoms stopped after 3 days

Other Meds: Escitalopram

Current Illness: Fever, chills and muscle pain COVID positive on 12/28/20

ID: 1065537
Sex: F
Age: 52
State: MD

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

Lab Data: None

Allergies: Sulfa

Symptoms: Within 15 minutes the right side of my face became itchy. My tongue also felt a weird sensation. By 12:30 am that night my chest became itchy and I had red bumps on my chest, then around 2 pm the next day my stomach began to get itchy and red with a red bump.

Other Meds: None

Current Illness: None

ID: 1065538
Sex: F
Age: 48
State: AZ

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

Lab Data:

Allergies:

Symptoms: Fever, tired, body aches, after 24 hours arm redness is spreading, arm is painful and has fever in it.

Other Meds: Levothyroxin Benzapril Singulair Monolucast Zyrtec Albuterol Symbicort

Current Illness:

ID: 1065539
Sex: F
Age: 51
State: WV

Vax Date: 02/24/2021
Onset Date: 02/27/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: none

Allergies: Sulfa

Symptoms: Left arm very sore, hurts to raise arm. ***My lips are swollen, feel raw dry and sore.

Other Meds: Meloxicam Lisinopril Prosac B12 Vitamin D Multi vitamin Biotin

Current Illness: none

ID: 1065540
Sex: U
Age: 29
State: MI

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

Lab Data:

Allergies: amoxocillan, birch pollen

Symptoms: Pain in L shoulder. Movement or extension causes pain in shoulder. Started after shot #1 (01/24/2021) and has continued with more irritation up to today. Went to PCP, unable to complete physical evaluation due to pain - ordered ultrasound and given lidocane patches to help reduce pain - in process of taking necessary steps for treatment.

Other Meds: protonix, testosterone

Current Illness:

ID: 1065541
Sex: F
Age: 45
State: AZ

Vax Date: 02/05/2021
Onset Date: 02/08/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: She states that she received her first Moderna COVID-19 vaccination on 2/5/2021 to the right upper arm. She complains of redness to the arm that has been increasing in size since onset. Per the patient, the area was the size of a nickel the morning after, then grew to the size of a half dollar the day after, and is now about 4 inches wide today. She states that she was instructed to take Tylenol for the pain and was not instructed to take Benadryl. She adds that she had some mild body aches and subjective fever right after the injection, but states that these symptoms have since resolved ever since she has been taking the Tylenol. Patient consulted with her PCP earlier today via video chat who instructed her to come to the emergency department for further evaluation and treatment. Diagnosis: cellulitis

Other Meds:

Current Illness:

ID: 1065542
Sex: F
Age: 80
State: NY

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

Lab Data: none

Allergies: none

Symptoms: Extreme loss of breath and racing hart

Other Meds: Metoprolol, lisinopril, simvastatin, daily multiple vitamin

Current Illness: none

Date Died: 02/14/2021

ID: 1065543
Sex: M
Age: 78
State: NC

Vax Date: 01/15/2021
Onset Date: 02/14/2021
Rec V Date: 03/02/2021
Hospital: Y

Lab Data: not available.

Allergies: NKDA

Symptoms: It was reported to staff that this gentleman suffered thrombocytopenia following his vaccine, a platelet infusion was done and he expired on 2-14-21

Other Meds: unknown

Current Illness: unknown

ID: 1065544
Sex: F
Age: 75
State: AZ

Vax Date: 02/04/2021
Onset Date: 02/06/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: They said to wait 6 weeks

Allergies: Codeine

Symptoms: I didn't feel good the nite I had the shot, next day I stayed in bed with 101 fever. The 6th of Feb, fever gone, but large lymph gland under the shot arm was obvious. I have done lymphatic massage everyday since, and finally on Feb 26, it finally dissipated and will have a Mammo in May.

Other Meds:

Current Illness: None

ID: 1065545
Sex: M
Age: 76
State: CA

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

Lab Data:

Allergies: NO

Symptoms: Weak clogged up, my hands were numb and chills, fever, nausea, feeling unwell, my nose feels swollen, runny nose, my lymphoids are swollen, im tired. Joint pain, and just drowsy, slight headache at time. Slight case of constipation

Other Meds: glipizide metformin, lisinopril, atorvastatin , low dose aspirin

Current Illness:

ID: 1065546
Sex: M
Age: 81
State: MD

Vax Date: 02/08/2021
Onset Date: 02/26/2021
Rec V Date: 03/02/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: 2/28/21 Patient presented and was admitted through the emergency department for confusion, weakness, and low grade temperature (100.1 F). On admission, pertinent labs were Hgb of 5.1, WBC 60k which was consistent with autoimmune hemolytic anemia (AIHA).. Patient was diagnosed with chronic lymphocytic leukemia in 2016. The patient has had a prior history of AIHA in 2017. Per the Agency, hospitalizations are to be reported irrespective of attribution to vaccine.

Other Meds:

Current Illness:

ID: 1065547
Sex: M
Age: 53
State: NJ

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

Lab Data: CBC, CMP, troponin, EKG, glucose check (2/16/2021)

Allergies: NKA

Symptoms: Patient felt flushing across chest, sat down and symptoms resolved, patient then reported feeling sweaty and wanting to lie down. Patient was assisted onto the floor by staff. No Loss of consciousness. Patient transferred to ED for evaluation. Patient received IV fluids and 0.25 mg alprazolam. Patient was discharged home from ED.

Other Meds:

Current Illness:

ID: 1065548
Sex: F
Age: 72
State:

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

Lab Data:

Allergies:

Symptoms: Sleepy, drowsy, evaluated by EMS-cleared

Other Meds:

Current Illness:

ID: 1065549
Sex: M
Age: 43
State: PA

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

Lab Data:

Allergies: na

Symptoms: Numbness on right side of face (same side as shot). Numbness around neck, especially the base of neck with a "heavy" feeling. No loss of functioning. Improvements seen approximately 20 hours following shot with reduced symptoms in these areas still persisting.

Other Meds: Levothyroxine 25mg, multi vitamin

Current Illness: na

ID: 1065550
Sex: F
Age: 74
State: FL

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

Lab Data:

Allergies:

Symptoms: Same night a little sow and some swelling. 27th a.m very sore. Headache, chills, achy. 28th a.m very sore. Terrible headache, 102 fever throughout the day. Red blocking going to other side of arm. Constant itching. Today March 2, all things subsided except for red swelling and itchy area.

Other Meds:

Current Illness: Had covid virus January (early)

Date Died: 03/01/2021

ID: 1065551
Sex: M
Age: 68
State: GA

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

Lab Data: EMS reported blood glucose level of 193.

Allergies: None reported

Symptoms: Pt received 2nd Pfizer BioNTech Covid 19 EUA vaccine @1:50 pm; Pt released from Observation @2:09 pm. Approximately 2:18 pm RN called to parking lot and observed pt having difficulties. Called for EMS & crash cart. Vitals taken 2:20 BP 83/55, no respirations noted, pt unresponsive. AED attached. EMS arrived 2:22 and took over care of pt. and transported @2:40 pm to Hospital. Per wife, pt has history of PE in Oct. 2020, HTN, diabetes with insulin pump, obesity, gastroparesis, home oxygen and uses motorized scooter. Wife also said pt had allergy to iodine not previously reported, and MD had stopped Zarelto subsequent to 1st Pfizer vaccine 2/8/21 "due to breathing difficulty". Patient was unable to be resuscitated. Time of death 14:59.

Other Meds: Insulin, fentanyl patch

Current Illness: Diabetes, HTN, obesity

ID: 1065552
Sex: F
Age: 71
State: FL

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

Lab Data:

Allergies: pollen

Symptoms: pain all over body esp L arm, fever, chills, after 1st dose only had sore arm

Other Meds: losartan and hctz, claritin, probiotic, selenium, turmeric, quercetin, vit b complex

Current Illness: no

ID: 1065553
Sex: F
Age: 72
State: AZ

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

Lab Data:

Allergies: none

Symptoms: Oxygen level dropped to 85. (normally 95)

Other Meds: Vitamins C, D. Centrum Silver multiple

Current Illness:

ID: 1065674
Sex: M
Age: 23
State: MN

Vax Date: 01/05/2021
Onset Date: 02/15/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: I was tested to see if I had developed COVID 19, but I tested negative on 3/1/2021

Allergies: NKA

Symptoms: After receiving each shot I had the typical symptoms of feeling very tired and sore and having headaches. However over 2 weeks ago I started tasting and smelling the same smell/taste all the time. All food, unless it had a very high sugar content, tasted the same and so do most smells.

Other Meds: Depo Testosterone cypionate

Current Illness: None

ID: 1065675
Sex: F
Age: 59
State: FL

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

Lab Data:

Allergies: N/A

Symptoms: Body aches, fever (101.5), swollen eye lids and beneath eyes, headache, upper back aches, chills

Other Meds: N/A

Current Illness: N/A

ID: 1065676
Sex: M
Age: 83
State: ME

Vax Date: 02/08/2021
Onset Date: 02/11/2021
Rec V Date: 03/02/2021
Hospital: Y

Lab Data: COVID antigen test: positive

Allergies: Cephalexin (rash)

Symptoms: Patient was admitted at Hospital from 2/11/2021 to 2/17/2021 after a fall with presyncope. Patient sustained head trauma with scalp laceration and staple were placed. Patient has longstanding history of atrial fibrillation and has been taking Eliquis. He was initially seen in the office complaining of fatigue blaming it on the Eliquis that was started. Patient had a Covid vaccination on 2/8/2011. Patient denies any respiratory symptoms. No cough no chills no fever. Complain of exertional shortness of breath. He was seen in the emergency room at and tested positive for COVID-19.

Other Meds: Apixaban 2.5 mg BID, tadalafil 20 mg PRN, Ocuvite 1 tab daily, multivit 1 tab daily

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm