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: 1066163
Sex: M
Age: 69
State: NY

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

Lab Data:

Allergies: Penicillin

Symptoms: Body aches, fever, leg pain, fast heart rate

Other Meds: Methylphenidate, Atorvastatin, Hydrochlorothyadide, baby aspirin

Current Illness: None

ID: 1066164
Sex: F
Age: 49
State: FL

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

Lab Data:

Allergies:

Symptoms: Felt lightheaded about 1 hr after vaccination, symptoms continued into the evening. Body aches, headache, fatigue started that evening lasting about x2 days. Intermittent fever & chills began last night 2/28/2021, again today. Took tylenol, which helped with fever. Contacted her PCP who has scheduled a virtual visit with her for Wednesday 3/3; also has scheduled a covid test today. No other symptoms at this time.

Other Meds: doxycycline embril methotrexate

Current Illness:

ID: 1066165
Sex: F
Age: 46
State: CA

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

Lab Data: N/A

Allergies: None

Symptoms: Following her 30 minute observation period without any incident, patient had left the clinic and while driving off, patient reports experiencing difficulty swallowing and her "throat closing." Patient indicates that dysphagia had "improved a little" upon her arrival back to the clinic and she is able to tolerate oral hydration. In-office BP 138/93, pulse of 111, and SaO2 of 138/93. No evidence of angioedema of the face or tongue upon inspection. No urticaria observed. Lung sounds are clear in all fields. Tachycardia rate that is regular with no murmur. EPIPEN 0.3 mg (Lot 0GM147 Exp Nov 2021) was injected IM in the left lateral thigh by myself. Patient reports resolution of the "knot in her throat" shortly afterwards. EMS was contacted and came to assess the patient. Deemed patient stable to drive self to Desert Valley Hospital ER. Patient was advised to follow up with her PCP after ER visit. Patient verbalized understanding and is agreeable to the plan. Patient was escorted out by staff to her car and was seen leaving the premise

Other Meds: Unknown

Current Illness: None that the patient reported

ID: 1066166
Sex: M
Age: 80
State: NE

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

Lab Data: ECHO and dopplers not available at this time. CARDIAC PANEL TROPONIN I <0.017 ng/mL 0.000 - 0.056 SK1 03/01/2021 06:14 CKMB 0.6 N ng/mL 0.0 - 3.6 SK1 03/01/2021 06:31 MYOGLOBIN 69 N ng/mL 10 - 92 SK1 03/01/2021 06:31 CK (CREATINE KINASE) 59 N unit(s)/L 39 - 308 SK1 03/01/2021 06:31 SODIUM 141 N mmol/L 136 - 145 SK1 03/01/2021 06:08 POTASSIUM 4.3 N mmol/L 3.5 - 5.1 SK1 03/01/2021 06:08 CHLORIDE 105 N mmol/L 98 - 107 SK1 03/01/2021 06:08 CARBON DIOXIDE 29.6 N mmol/L 21.0 - 32.0 SK1 03/01/2021 06:08 ANION GAP 6 N mmol/L 4 - 15 SK1 03/01/2021 06:08 GLUCOSE 107 H mg/dL 65 - 99 SK1 03/01/2021 06:08 CALCIUM 8.7 N mg/dL 8.5 - 10.1 SK1 03/01/2021 06:08 AST (SGOT) 21 N U/L 0 - 37 SK1 03/01/2021 06:31 ALT (SGPT) 28 N U/L 0 - 65 SK1 03/01/2021 06:31 ALK PHOSPHATASE 75 N U/L 46 - 116 SK1 03/01/2021 06:31 BILIRUBIN, TOTAL 0.5 N mg/dL 0.2 - 1.3 SK1 03/01/2021 06:31 PROTEIN, TOTAL 7.2 N g/dL 6.4 - 8.2 SK1 03/01/2021 06:31 ALBUMIN 3.4 N g/dL 3.4 - 5.0 SK1 03/01/2021 06:31 GLOBULIN 3.8 N g/dL 1.4 - 4.8 SK1 03/01/2021 06:31 BUN (BLOOD UREA NITROGEN) 14 N mg/dL 8 - 23 SK1 03/01/2021 06:08 CREATININE 1.05 N mg/dL 0.70 - 1.30 SK1 03/01/2021 06:08 BUN/CREAT RATIO 13 N RATIO 10 - 20 SK1 03/01/2021 06:08 GFR, FEMALE (CREAT >0.7) 50 mL/min/1.73m^2 SK1 03/01/2021 06:08 GFR, MALE (CREAT >0.9) 67 mL/min/1.73m^2 SK1 03/01/2021 06:08 GFR, FEMALE (CREA <=0.7) 72 mL/min/1.73m^2 SK1 03/01/2021 06:08 GFR, MALE (CREAT <=0.9) 75 mL/min/1.73m^2 SK1 03/01/2021 06:08 MAGNESIUM 2.06 N mg/dL 1.80 - 2.40 SK1 03/01/2021 06:31 CRP 0.5 N mg/dL 0.0 - 0.9 SK1 03/01/2021 06:31

Allergies: NKA

Symptoms: Patient is an 80-year-old male that is admitted for observation status for recent TIA symptoms and bradycardia. He was seen in the emergency room this morning at approximately for complaints of posterior head and neck pressure, right arm numbness and tingling as well as a mild blurry vision in his right eye. Patient states that the symptoms from the right arm and eye blurriness lasted less than 1 hour. And has completely resolved at this time. Patient states that he still does have some posterior neck tightness. But most of this is on the left side at this point. Patient denies any increase in physical activity that he could attribute to the onset of the neck pain. Patient states that it does feel tight when he turns his head from side to side. Patient states that he no longer has a headache. He does have a history of a possible mini stroke approximately 10 years ago. He has had no other recent cardiac problems, or any other strokelike symptoms since that time. Patient takes medications for his cholesterol and a baby aspirin daily. Patient is fairly active and continues to drive a semi-5 days a week. TIA Neurochecks every 4 hours Carotid Dopplers 3/2 Bradycardia Echocardiogram 3/2 Last echo 1/4/2019, EF 60% Discharged home 3/2/21.

Other Meds: aspirin, fish oil, simvastatin

Current Illness: None

ID: 1066167
Sex: M
Age: 41
State: KS

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

Lab Data:

Allergies: oxycodone hcl

Symptoms: Walking away from vaccination table offender became dizzy. Sat down. BG checked and 107, normal for patient. Maintained consciousness but became increasingly unsteady. VS checked, P 34, unable to obtain BP, R 20 and shallow, O2 94%. LCTAB. Patient became pale and lips became cyanotic. Unable to obtain P and O2 at this time. Epinephrin 0.3cc administered, P increased to 54, O2 93, transferred to trauma room and IV fluids administered. Patient fully recovered within an hour.

Other Meds:

Current Illness:

ID: 1066168
Sex: M
Age: 18
State: IL

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

Lab Data: none

Allergies: Nuts

Symptoms: Morning after receiving vaccine, the area in axilla of R arm, same side vaccine was given, is inflamed but tissue is soft, no lumps noted. States is painful and seems to be getting bigger.

Other Meds: none

Current Illness: none

ID: 1066169
Sex: F
Age:
State: CA

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

Lab Data: Employee instructed to report to Urgent Care asap on Monday, 3/1/21 as soon as Employee Health RN made aware

Allergies:

Symptoms: This time around I'm having a strange reaction to the vaccine. I expected R arm/armpit pain and swelling and have been taking Ibuprofen. Now that the swelling and pain is going down, my right arm is going numb and tingling down to my hand and instead of the constant pain, there are intermittent shooting armpit pains that are more severe. This is all very strange. I don't even know if there is anything that can be done. Only, I felt I needed to report it to you. It is not bad enough to stop working, unless the hand goes completely numb/unusable. Thanks, ********THIS IS A COPY OF THE EMAIL THE EMPLOYEE SENT ME

Other Meds:

Current Illness:

ID: 1066170
Sex: F
Age: 69
State: IN

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

Lab Data: None

Allergies: None known

Symptoms: Injection site pain; tiredness; muscle pain; chills; swollen lymph nodes. Symptoms started three hours after injection and lasted a day and a half, except swollen lymph nodes and injection site pain that lasted a couple of days longer. Patient took acetaminophen and symptoms resolved without further treatment.

Other Meds: Olmesartan-HCTZ 40-25 mg; Provastatin Sodium 20 mg; Centrum Silver

Current Illness: None

ID: 1066171
Sex: F
Age: 66
State: NY

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

Lab Data: None....

Allergies: none

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA Started with some headache 30 minutes after the vaccine and the following day in the afternoon the fever started (high 40/41C), nausea and intense body aches. These symptoms lasted until Monday (2 full days). Today is the 3rd day, and still with body aches a little nausea, very painful and warm arm but no fever. This was the first dose but the patient had Covid in March of 2020 ( at the time all the symptoms mentioned above were present with the addition of having lost taste and having some hallucinations. No problem breathing. Just letting you know for the purpose of statistics.

Other Meds: none

Current Illness: none

ID: 1066172
Sex: F
Age: 68
State: NJ

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

Lab Data:

Allergies: penicillin

Symptoms: severe body ache weakness the arm where vaccine is given was painful, itchy and is still swollen as big as my palm

Other Meds: levothoroxin 75mg Amlodipine 5 mg biotin

Current Illness: none

ID: 1066173
Sex: F
Age: 66
State: NJ

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

Lab Data: None

Allergies: None

Symptoms: Fever; chills, body aches; shaking; sweating; nauseous; dizzy. Symptoms lasted over 24 hours.

Other Meds: Spironolactone and Bisoprolol (high blood pressure)

Current Illness: None

ID: 1066174
Sex: F
Age: 63
State:

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

Lab Data:

Allergies: allergy to seafoods

Symptoms: Patient feels tingling in tongue and metallic taste; she reports she had the same side effects with her first dose and it went away after 12 hour. She was assessed and cleared with EMS.

Other Meds:

Current Illness:

ID: 1066175
Sex: F
Age: 85
State: IA

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

Lab Data:

Allergies: Penicillins, H1N1

Symptoms: pt developed a DVT and is being treated with Eliquis for 3 months

Other Meds: Calcium+Vitamin D, Fish oil, simvastatin, levothyroxine

Current Illness:

ID: 1066176
Sex: F
Age: 52
State: WI

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Covid Arm. Hard painful lump turning into a very large painful lump with itchy rash and now 2 weeks later it looks like a bull's eye with red outer itchy rash ring

Other Meds: None

Current Illness: None

ID: 1066177
Sex: F
Age: 74
State: TN

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

Lab Data:

Allergies:

Symptoms: Patient called and stated that she had a DELAYED injection site reaction where the arm area was red and swollen and hard at the site of injection. The size of affected area was about 2" x 1.5" with no itching. The reaction didn't occur until 1 week after the injection.

Other Meds:

Current Illness:

Date Died: 02/22/2021

ID: 1066178
Sex: M
Age: 90
State: FL

Vax Date: 02/10/2021
Onset Date: 02/15/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Caller is nephew of patient. Patient was admitted to Hospital on 2/15/21 with Covid like symptoms and decreased O2 sat. He tested positive for Covid 2/15/21. Treated with Remdesivir. Patient status continued to decline and he passed away in hospital 2/22/21 0612.

Other Meds:

Current Illness:

ID: 1066179
Sex: F
Age: 64
State: TX

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

Lab Data: none

Allergies: soy (GI distress/diarrhea)

Symptoms: Severe arm pain, nausea, vomiting, chills without fever, bone pain and headache.

Other Meds: Elderberry, baby asa, Krill oil, SAM-E, probiotic, biotin

Current Illness: Cedar fever

ID: 1066180
Sex: F
Age: 36
State: KY

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

Lab Data: None

Allergies: None

Symptoms: Significant lip swelling, upper and lower lip. Patient has lip filler.

Other Meds: None

Current Illness: None

ID: 1066181
Sex: F
Age: 55
State: PA

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

Lab Data: none

Allergies:

Symptoms: Tiredness, extreme chills and shivering for 2 hours.

Other Meds:

Current Illness:

ID: 1066182
Sex: M
Age: 68
State: FL

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

Lab Data: not applicable

Allergies: NKDA

Symptoms: Patient inadvertently received Moderna vaccine as the second dose but first dose given at a different location was Pfizer. Patient does not report experiencing any sign or symptoms.

Other Meds: Amlodipine 10mg, Chlortalidone 25mg

Current Illness: Unknown

ID: 1066183
Sex: F
Age: 61
State: CA

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: uncertain

Allergies: Keflex

Symptoms: Moderate fatigue - unresolved mild headache - unresolved diarrhea - resolved 2/19/2021 joint pain - resolved 2/22/21 increased blood pressure - resolved 2/19/2021 swollen eye lids and upper checks - resolved 2/22/2021

Other Meds: Multivitamin

Current Illness: None

ID: 1066184
Sex: F
Age: 43
State: NJ

Vax Date: 02/21/2021
Onset Date: 02/28/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: no

Allergies: certain vitamins

Symptoms: pt states that about a week after taking the covid vax that she became itchy and noticed a big red rash on her neck towards her shoulders and down to the breast. She took an antihistamine that did not help so she took a Levocetirizine which helped some. The red rash moved to both arms. She woke up the next day and the rash was gone. Once the medicine wore off that night the rash would come back. She took more Levocetirizine which helps make the rash disappear. Once the medicine wears off the rash comes back. She had her virtual doctor appt today 3/2/2021. Doctor thinks she is having a delayed reaction from the vaccination and to keep taking any medicine that seems to be helping her.

Other Meds: no

Current Illness: no

ID: 1066185
Sex: F
Age: 70
State: CA

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

Lab Data:

Allergies: Codeine; Gluten

Symptoms: Fever of 101.3; severe headache; chills; body aches; fatigue. These symptoms lasted about 20 hours. The very first symptoms, about 4 hours after the vaccine was heavy thirst, neck ache, and loss of appetite. Besides the above symptoms, starting about 12 hours after vaccine, was severe nausea. Only able to drink water and some apple juice. Could not get out of bed the day after vaccine without getting chills, breaking out in cold sweat and nausea. This is now the second day since vaccine and I have no severe symptoms. I am only feeling weak.

Other Meds: Levothyroxine 75 mcg

Current Illness:

ID: 1066186
Sex: F
Age: 60
State: NC

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

Lab Data:

Allergies: Food: wheat, dairy, soy

Symptoms: Severe diarrhea for three days following shot beginning 12 hr post injection. (No consumed food suspected of causing this.) Gastrointestinal tract noisy and gassy...gastritis. I eat healthy I.e. gentle, bland goods since starting diarrhea Sunday morning (currently Tuesday). Today I read the ingredients and two of them DO CAUSE digestive issues. Nit many reports of this symptom but maybe not enough people talk about it. This is CRAZY diarrhea. Other than this, my symptoms have been typical and mild.

Other Meds: None

Current Illness: None

ID: 1066187
Sex: F
Age: 41
State:

Vax Date: 02/21/2021
Onset Date: 02/22/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Information provided by patient as follows. It does not appear patient was seen by a provider in the clinic or emergency room. Besides normal side affects of fever, sore arm, nausea, diarrhea, I have been very itchy and had a rash on the back of both of my thighs as well as all around my belly and head. Also I have been experiencing small spurts of lock jaw and pain in my skull behind my ears.

Other Meds:

Current Illness:

ID: 1066188
Sex: F
Age: 59
State: MI

Vax Date: 02/16/2021
Onset Date: 02/20/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: Blood pressure monitoring

Allergies: Ampicillin

Symptoms: Episodes of high blood pressure, treated with Amlodipine.

Other Meds: Omeprazol

Current Illness: None

ID: 1066189
Sex: F
Age: 69
State: IN

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

Lab Data: none as this is first documentation of events.

Allergies: None

Symptoms: 1st shot = only tender at injection site but remains tender. 2nd shot = 1 hr after injection: feelings of fatigue, soreness at injection site with swelling, slight throbbing in back of head/neck, later in PM ate late lunch Big Mac meal around 3:00 but not hungry though had no breakfast, aching in knee and hips began to become constant with movement. Slept a couple of hours and began to feel chilled to bone rest of evening, headache continued, thirst and frequent urination (1 1l2 hr apart), had stopped all medication to allow shot to work. Friday late evening early Saturday Am chill became violent in shakes used blankets/plastic sheets/socks to get warm. Slept in 2 hrs increments all night. Saturday sipped fluids

Other Meds: Ezetimibe 10 mg 1 tablet, Atorvastatin 20mg 1 tablet, Bayer As

Current Illness: None

ID: 1066190
Sex: F
Age: 75
State: OH

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

Lab Data:

Allergies: Demerol/Vistaril given as pre-op med produced a localized. Skin reaction at injection site. Oral sulfa drug produced a localized skin rash on torso.

Symptoms: Generalized body rash involving areas from neck to knees. Red raised areas with itching. Still present on day 2. Went to ER in early evening on March 1, 2021. RX given for Pepcid and Kenalog. Dx: Allergic reaction to Covid-19 vaccine.

Other Meds: Lisinopril 10mg. Daily

Current Illness: None

ID: 1066191
Sex: F
Age: 81
State: IL

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

Lab Data: Per pt, cardiologist ordered (post vaccine) echo and stress test-pt said results were normal.

Allergies: sulfa-rash

Symptoms: within 2 min of sitting for observation period, pt reports heart was "fluttering". Lasted about 2 min. Notified staff. BP was taken. 150/90. Fluttering had already resolved at that time. FYI-pt states she completed her Z-pack on 1/26/21-sinus infection. PCP aware of above; recommends 2nd dose be given in hospital setting.

Other Meds: Synthroid, Metformin, Amlodipine, Lisinopril, Z-pack

Current Illness: sinus infection

ID: 1066192
Sex: F
Age: 84
State: CA

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

Lab Data: none

Allergies: Bee and spider stings grass some flowers

Symptoms: Red rash below site, swelling, itching in various places, 5 days later still itches, stings

Other Meds: levotjrocine thyroid pantopazole flecainide trospium eliqis dogoxcin ambien

Current Illness: Afib - BP generally under control sinus and allergy

ID: 1066193
Sex: F
Age: 37
State: PA

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

Lab Data:

Allergies: penicillin

Symptoms: My arm started hurting about 2 hours after my shot and that lasted from Saturday evening and had subsided by Tuesday. Then, the following Saturday, (7 days after the shot) my arm started to hurt again. It's now Tuesday and it still hurts and feels stiff.

Other Meds: none

Current Illness: None

ID: 1066194
Sex: F
Age: 79
State: AZ

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

Lab Data:

Allergies:

Symptoms: A little lump developed on the front side of the arm on Monday, today hot and red but almost flat. Silver dollar size.

Other Meds:

Current Illness: No

ID: 1066195
Sex: F
Age: 68
State: NC

Vax Date: 02/19/2021
Onset Date: 02/25/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: None

Allergies: Penicillin, codeine

Symptoms: Large red oval rash at injection site, approx. 2 inches by 3 inches. Started 5 or 6 days after injection. Accompanied by intense itching which started at the same time. Injection site was also hot and sore to the touch. Now at day 11 after injection, arm is still red but only mildly itching.

Other Meds: None

Current Illness: None

ID: 1066196
Sex: F
Age: 30
State: AZ

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

Lab Data:

Allergies: N/A

Symptoms: Severe shooting pain in my shoulder that evening into the next day, body aches day after shot

Other Meds: Tri Sprintec (birth control), Vitamin D, Vitamin B Complex, Wort Liquid

Current Illness: N/A

ID: 1066197
Sex: M
Age: 64
State: PA

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

Lab Data: None

Allergies: None

Symptoms: Chills, low-grade fever, slight headache (2nd shot only, no symptoms after the first shot in December)

Other Meds: None

Current Illness: None

ID: 1066198
Sex: F
Age: 30
State:

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

Lab Data: None

Allergies: None

Symptoms: Fever, chills, body aches, fatigue, muscle weakness, and injection site pain, redness and tenderness.

Other Meds: Prenatal multivitamin

Current Illness: None

Date Died: 03/01/2021

ID: 1066199
Sex: M
Age: 80
State: NE

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

Lab Data: TROPONIN I 0.478 HH ng/mL 0.000 - 0.056 LG2 03/01/2021 15:47 CKMB 6.7 HH ng/mL 0.0 - 3.6 LG2 03/01/2021 15:47 MYOGLOBIN 4467 H ng/mL 10 - 92 LG2 03/01/2021 15:47 CK (CREATINE KINASE) 470 HH unit(s)/L 39 - 308 LG2 03/01/2021 15:47 SODIUM 142 N mmol/L 136 - 145 CLH 03/01/2021 15:19 POTASSIUM 4.8 N mmol/L 3.5 - 5.1 CLH 03/01/2021 15:19 CHLORIDE 100 N mmol/L 98 - 107 CLH 03/01/2021 15:19 CARBON DIOXIDE 20.0 L mmol/L 21.0 - 32.0 CLH 03/01/2021 15:19 ANION GAP 22 H mmol/L 4 - 15 CLH 03/01/2021 15:19 GLUCOSE 152 H mg/dL 65 - 99 CLH 03/01/2021 15:19 CALCIUM 10.7 H mg/dL 8.5 - 10.1 CLH 03/01/2021 15:19 AST (SGOT) 87 H U/L 0 - 37 LG2 03/01/2021 15:47 ALT (SGPT) 84 H U/L 0 - 65 LG2 03/01/2021 15:47 ALK PHOSPHATASE 105 N U/L 46 - 116 LG2 03/01/2021 15:47 BILIRUBIN, TOTAL 1.8 H mg/dL 0.2 - 1.3 LG2 03/01/2021 15:47 PROTEIN, TOTAL 7.3 N g/dL 6.4 - 8.2 LG2 03/01/2021 15:47 ALBUMIN 3.2 L g/dL 3.4 - 5.0 LG2 03/01/2021 15:47 GLOBULIN 4.1 N g/dL 1.4 - 4.8 LG2 03/01/2021 15:47 BUN (BLOOD UREA NITROGEN) 48 H mg/dL 8 - 23 CLH 03/01/2021 15:19 CREATININE 3.86 H mg/dL 0.70 - 1.30 CLH 03/01/2021 15:19 BUN/CREAT RATIO 12 N RATIO 10 - 20 CLH 03/01/2021 15:19 GFR, FEMALE (CREAT >0.7) 10 mL/min/1.73m^2 CLH 03/01/2021 15:19 GFR, MALE (CREAT >0.9) 14 mL/min/1.73m^2 CLH 03/01/2021 15:19 GFR, FEMALE (CREA <=0.7) 47 mL/min/1.73m^2 CLH 03/01/2021 15:19 GFR, MALE (CREAT <=0.9) 44 mL/min/1.73m^2 CLH 03/01/2021 15:19

Allergies: LIPITOR

Symptoms: Patient had gotten up to the bathroom and collapsed in the hallway after using the restroom. Patient was unresponsive upon EMS arrival with vomitus coming out of the mouth per the report when they rolled patient over onto his side the emesis was pouring out of his mouth. ER course: Examination. Epinephrine 1 mg IO x4 CBC, CMP, cardiac panel MDM: 1447 patient arrival, per EMS report patient had been sick and vomiting all morning. Bradycardia noted at arrival with rates in the 30s, CPR was initiated patient had received 3 rounds of epi prior to arrival. 1450 CPR continues via the Lucas device, 1 mg epinephrine given IV push 1451 CPR pause rhythm check. CPR resumes 1453 CPR paused for rhythm check. No central pulses, CPR resumed, glucose of 99 per fingerstick 1454 King tube removed. Oral airway placed respirations by BVM. 1 mg epinephrine IV push 1455 CPR pause for both pulse and rhythm check. No central pulses noted. CPR resumes via Lucas 1456 pupils are fixed and dilated bilaterally 1457 CPR pause for pulse and rhythm check. No central pulses noted. CPR resumed via Lucas. 1 mg epinephrine IV push 1459 warm blankets applied. CPR pause for pulse and rhythm check. No central pulses noted. CPR resumed 1501 CPR pause for pulse and rhythm check. No central pulses. CPR resumes 1502 1 mg epinephrine given IV push 1503 CPR pause for pulse and rhythm check. No central pulses noted. CPR resumed via the Lucas device 1506 resuscitation is ceased at this time. Time of death recorded at 1506

Other Meds: Multiple Vitamins(multivitamin) tablet 1 tablet by mouth once a day aspirin(aspirin) 81 mg tablet,delayed release (DR/EC) 1 tablet once a day ibuprofen(ibuprofen) 200 mg capsule 1-2 capsule by mouth at bedtime as needed carvedilol(carvedi

Current Illness: Per EMS report patient had been having diarrhea and vomiting for the last 3 to 4 days.

ID: 1066200
Sex: F
Age: 64
State: NJ

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

Lab Data: None

Allergies: None

Symptoms: Within 10 minutes of injection, felt tingling in left arm from just above the elbow to the tips of my fingers. Sensation last for several hours and has recurred, multiple times a day, ever since. Nothing makes it feel better or abate, and nothing makes it worse. This is a symptom I experienced while sick with Covid-19, but it had abated ~10 days before vaccination. I also experienced soreness and swelling at the site of the injection, chills, and muscle aches, but these all abated within 72 hours.

Other Meds: Reclast, Claritin, multi-day vitamin, vitamin C, vitamin D, fish oil

Current Illness: Covid-19

ID: 1066201
Sex: F
Age: 69
State: FL

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

Lab Data:

Allergies: penicillin, cipro, bacetracin, sulfa, Compazine, Mullosks, Gluten

Symptoms: About one hour post inoculation my speech became jibberish. Cognitively, I could organize my thoughts and knew exactly what I wanted to express to my husband and our waitress, but when I opened my mouth to speak, only jibberish came out. I couldn't say anything meaningful. It lasted about 2+ hours and hasn't reoccured. That night when I went to bed I was extrememly light sensitive. We had the usual degree of light in our bedroom but with my eyes closed it felt like all the overhead lights in the room were on. I had to block out the alarm clock, but that was the only adjustment that could be made. Drapes were closed and no other lights of any kind were on. That was bothersome for the first couple of nights. I'm still having a difficult time falling asleep when I go to bed and staying asleep all night. My "fight or flight" response is highly charged.

Other Meds: Olive Leaf Extract, Innate Adrenal Response, Flax Oil, Calcium Lactate, Focus Select AREDS, Liver Protect, B-Comples, Bio-Curcumin, Optimized Folate

Current Illness: none

ID: 1066202
Sex: M
Age: 68
State: TX

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

Lab Data:

Allergies:

Symptoms: The roof of his mouth became sore and raw and his tongue swelled. He had to resort to a liquid diet for a few days, and today he states that he still has some minor mouth soreness

Other Meds:

Current Illness:

ID: 1066203
Sex: F
Age: 28
State: NV

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

Lab Data: None

Allergies: None

Symptoms: Random hard chest pains that spontaneously happens throughout the day. Has been going on everyday since I was given the shot.

Other Meds: None

Current Illness: None

ID: 1066204
Sex: F
Age: 70
State: FL

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

Lab Data:

Allergies: Penicillin

Symptoms: lip swelling, rash

Other Meds: none

Current Illness: N/A

ID: 1066205
Sex: F
Age: 38
State: MA

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

Lab Data:

Allergies: none

Symptoms: Headache, nausea, dizzy

Other Meds: Bupropiion, Trazodone, Flonase, Allegra, Tylenol

Current Illness: No

ID: 1066206
Sex: F
Age: 27
State: TX

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

Lab Data: None.

Allergies: None

Symptoms: Fever, chills, body aches, fatigue

Other Meds: Estarylla

Current Illness: None

ID: 1066207
Sex: F
Age: 79
State: MN

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

Lab Data:

Allergies: None

Symptoms: Is anyone tracking reactions to the second dose? Of the 33% who experience a reaction, I didn?t expect to be that miserable. Vaccination site had an odd shaped reddishness. At one point I had on 4 layers of clothing and still shivered so put on my winter coat and tucked a heating pad inside. Temperature was a little above 100 accompanied by aching which all lasted 24 hours.

Other Meds: Metoprolol

Current Illness: None

ID: 1066208
Sex: F
Age: 65
State: ID

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

Lab Data: none (temps taken at home)

Allergies: penicillin, sulfa pollens, molds gluten intolerant, nightshade intolerant, lactose intolerant

Symptoms: Fever 100 - 101.5 24+ hours Chills 3.5 hours at noon 2-28, dizziness, nausea 2-3 hours one episode syncope with fall, no injury extreme lassitude 24 hours

Other Meds: multivitamin, C,D,cal-mag-zinc,fish oil, CoQ10, policosanol, turmeric, hawthorn, vitex

Current Illness: Covid infection (very mild symptoms) 1-30-2021 [two weeks after first dose of Pfizer vaccine]

Date Died: 01/30/2021

ID: 1066209
Sex: M
Age:
State: MA

Vax Date: 12/30/2020
Onset Date: 01/18/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: MRI BRAIN, 20-Feb-2021, No stroke; EMG, 25-Jan-2021, Loss of f-waves

Allergies:

Symptoms: [COVID-19 Vaccine] treatment under Emergency Use Authorization(EUA): He presented 10 days after first COVID-19 Vaccine with Progressive neurological deficits with bulbar manifestations - dysarthria, dysphagia and bilateral arm weakness and incoordiantion, worse on right. MRI brain was negative for acute stroke and MRI cervical, showed degenerative changes. Transferred from community hospital to tertiary center where the diagnosis was made of AIDP. He was intubated at that time in Neuro ICU. Given Steroids and IVIG but no improvement and was either will need to have Trach and PEG vs CMP and family honored the patient's wishes and made him CMO. signs of severe demyelination and AIDP was diagnosed.

Other Meds:

Current Illness:

ID: 1066219
Sex: U
Age:
State: AR

Vax Date: 11/01/2013
Onset Date:
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: developed painful outbreak of shingles; Information has been received regarding a case in litigation from a lawyer and refers to a patient of unknown age and gender. No information was provided regarding medical history, concurrent conditions, or concomitant medications. On or about November 2013, the patient was inoculated with zoster vaccine live (ZOSTAVAX) (dose, route, lot # and expiration date was not provided) for routine health maintenance and for its intended purpose: the prevention of shingles (herpes zoster). Subsequent to the zoster vaccine live (ZOSTAVAX) vaccine being administered (date not reported), the patient developed a painful outbreak of shingles. As a direct and proximate result of zoster vaccine live (ZOSTAVAX), the patient's symptoms have resulted in physical limitations not present prior to using the vaccine. The patient also experienced mental and emotional distress due to resulting physical limitations and seriousness of patient's condition. As a result of the manufacture, marketing, advertising, promotion, distribution and/or sale of zoster vaccine live (ZOSTAVAX), patient sustained severe and permanent personal injuries. Further, as a tragic consequence of zoster vaccine live (ZOSTAVAX), patient suffered serious, progressive, permanent, and incurable injuries, as well as significant conscious pain and suffering, mental anguish, emotional distress, loss of enjoyment of life, physical impairment and injury. As a direct and proximate result, the patient had suffered and incurred damages, including medical expenses; the loss of accumulations; and other economic and non-economic damages. The outcome of painful outbreak of shingles was considered not recovered. The event was considered to be related to zoster vaccine live (ZOSTAVAX).

Other Meds:

Current Illness:

ID: 1066220
Sex: U
Age:
State:

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

Lab Data:

Allergies:

Symptoms: no adverse event; an additional dose of VARlVAX/ administered an "extra" dose of VARlVAX on 15 FEB 2021.; This spontaneous report was received from a medical assistant and refers to a 4-year-old patient of an unknown gender. No information regarding the patient's medical history, concurrent conditions or concomitant medications was provided. On 15-FEB-2021, the patient was vaccinated with an extra dose of varicella virus vaccine live (oka/merck) (VARIVAX) lot # T002848 with expiration date on 23-JAN-2022 (exact dose, route of administration were unknown) for prophylaxis. No adverse events was reported.

Other Meds:

Current Illness:

ID: 1066221
Sex: F
Age:
State: AK

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

Lab Data:

Allergies:

Symptoms: no adverse events reported; a pediatric patient received an adult dose of VAQTA; This spontaneous report was received from a registered nurse and refers to a 18-month-old female patient. She had no known drug allergies, pertinent medical history. The patient has not been using any medications nor vaccinations concomitantly. On 23-FEB-2021, the patient was vaccinated with an adult dose of hepatitis A vaccine, inactivated (VAQTA) 1 ml (instead of 0.5 ml), intramuscularly, in the left thigh, lot # reported as G99R4, expiration date 20-MAY-2022 for prophylaxis. No adverse events were reported. Lot number G99R4 is an invalid lot number for hepatitis A vaccine, inactivated (VAQTA). Lot number G99R4 does not match any Company product as confirmed by Lot Verification team.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm