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: 01/23/2021

ID: 1066274
Sex: F
Age: 46
State: PA

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

Lab Data:

Allergies:

Symptoms: death

Other Meds:

Current Illness:

ID: 1066275
Sex: F
Age: 53
State: NJ

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

Lab Data: just regular vitals taken in ambulance and at the hospital

Allergies: allergies to shellfish and Zithromax

Symptoms: was OK 15 minute wait. Driving home I felt like I was going to pass out, my throat tightened and I could not swallow then I had difficulty breathing. Called 911 and police met us first. Breathing returned to normal then it happened again about 5 minute later with feeling of passing out and breathing/swallowing issues. Ambulance came and was taken to the ER. Given predinesone and benedryl and monitored.

Other Meds: Levothyroxine 112mg, flovent HFA 220mcg, Vitamin D3 125mcg - did not take that morning of the vaccine however - taken the day before

Current Illness: had a fever the week before

ID: 1066276
Sex: F
Age: 80
State: NJ

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

Lab Data: unknown

Allergies: unknown

Symptoms: Patient called Heath Department 3/1/2021 to report she is experiencing light pain in her left arm where she received the COVID-19 vaccine. The pain started around 2/19/21 and has improved but still present. On 2/28/21 patient noticed a red rash about the size of a half dollar at the injection site. She had not looked at site prior and is unsure if rash was present earlier. Patient asked me to report to VAERS as she does not have internet access and would prefer not to make the phone call herself.

Other Meds: unknown

Current Illness: unknown

ID: 1066277
Sex: M
Age: 78
State: CO

Vax Date: 01/08/2021
Onset Date: 01/12/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: 2 CAT scans; fluid and imaging. blood panel

Allergies: Amoxicillin, penicillin

Symptoms: 1/8 vaccination *1-8-1/11 I felt fine 1/12 7am, when i woke up my eye was goopy, sticky, L eye. I could not blink. I noticed more problems later in the day; my mouth wasn't working properly (couldn't eat properly). I tried to call and make appt with PCP. Informed to go smile in front of mirror, my smile was sagging on L side. Informed to call 911. TX to hospital, for possible stroke. Dr. ran tests Dr. audio / visual consult *diagnosed with Bells Palsy 1/21 started to feel better **2/5/2021 2nd vaccination

Other Meds: n/a

Current Illness: n/a

ID: 1066278
Sex: F
Age: 55
State: MO

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

Lab Data: Baseline tryptase ordered, patient has not yet completed this test.

Allergies: N/A

Symptoms: Per patient's report: She received her first dose of Pfizer COVID-19 vaccine and developed soreness at localized injection site and felt sleepy, otherwise no adverse reaction signs or symptoms patient reported. On 2-19-21 at 2:30 PM she received her second dose of the Pfizer COVID-19 vaccine at a mall. She reports the lot number of the vaccine was EL9269. She was monitored for 15 minutes after receiving the second dose. She and her husband left and took the car to a car wash where she fell asleep on her way home and her husband woke her up when they got home. At about 320 or 3:25 PM, she noticed that her face felt puffy and she had a sensation that her face was sliding down, she developed tongue swelling, blurry vision, dizziness, and she reports that she was talking funny/slurring her words. Her husband got a flashlight and looked in her throat and said that her throat was swelling. She felt like falling asleep. Her husband used her EpiPen on her. The EpiPen worked right away to improve the symptoms. She took no other treatments at home. Her husband drove her to the hospital where she slept the entire way. She never developed rash, flushing, skin itching, wheezing, coughing, chest tightness, shortness of breath, nausea, vomiting, diarrhea, fevers, chills, or joint pains. She does not know if she passed out, she states it was hard to stay awake. She reports having some abdominal cramping and churning for the following 2 to 3 days afterwards. She was discharged from the hospital ED where she was never admitted. They gave her an albuterol inhaler to use every 4 hours for 6 days after she left the ED. She went home at about 10:00 PM and went to bed about 10:30 PM. She woke up at 3:00 AM crying and then fell back asleep and woke up again around 7:30 AM. She did not develop any local injection site reactions on her arm this time.

Other Meds: medication list: ? amlodipine-benazepril (LOTREL) 5-20 mg capsule Take 1 capsule by mouth daily. ? amoxicillin-potassium clavulanate (AUGMENTIN) 875/125 mg tablet Take one tablet by mouth every 12 hours. Take with food. ? azelastine (ASTELI

Current Illness: N/A

ID: 1066279
Sex: F
Age: 65
State: NJ

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

Lab Data: NONE

Allergies: GI upset associated with Erythromycin

Symptoms: Sore arm, slight muscular aches and headache with minimal fatigue began 9 hours after dose and became profoundly exacerbated by the following morning (02/25/2021) with severe arm soreness, increased muscular discomfort, throbbing headache, severe fatigue, and general malaise all of which interfered with mobility. There was no fever or chills but I was cold and could not get warm and just felt lousy. The symptoms appeared consistent with a flu. These side effects began to dissipate slowly the following day (20/26/2021) and were completely resolved by 02/27/2021.

Other Meds: Losaartan, Norvasc, Crestor, Zetia, Pepcid, Prilosec

Current Illness: NONE

ID: 1066280
Sex: F
Age: 55
State: KS

Vax Date: 12/24/2020
Onset Date: 01/05/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: SEE ABOVE, NEROLOGICAL EXAM

Allergies: NONE

Symptoms: VAX #1 - NO IMMEDIATE SYMPTOMS AT ALL. 12 DAYS AFTER THE VACCINE #1, I WOKE UP AND WAS VERY DIZZY AND FELL BACK INTO BED. EVENTUALLY ABLE TO WALK WITH HOLDING ONTO FURNITURE. LATER THAT DAY, NEURO EXAM CONSISTENT WITH POSITIONAL VERTIGO. NO HISTORY OF VERTIGO. EPLEY MAUEVER AND SOME IMPROVEMENT OVER THE NEXT FEW DAYS. SECOND VACCINATINO RESULTED IN A FEW HOURS OF TYPICAL SYMPTOMS OF ACHES, ETC. THE FOLLOWING MORNING AND FOR THE NEXT WEEK THERE WAS AN INCREASE IN THE VERTIGO. THIS PERSISTS AS OF TODAY, ALTHOUGH I AM 90% BETTER OVERALL. i DO HAVE TO BE MINDFUL AND CAREFUL WITH HEAD MOVEMENTS THAT PROVOKE VERTIGO. THROUGHOUT ALL OF THE VERTIGO, I HAVE DONE 'EXERCISES' TO IMPROVE SYPMTOMS AND CONTINUE TO DO SO.

Other Meds: METFORMIN, VICTOZA, ASPIRIN

Current Illness: NONE

ID: 1066281
Sex: F
Age: 74
State: CA

Vax Date: 02/24/2021
Onset Date: 02/26/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Day 1 and 2 no redness or swelling at site. Slight headache and chills day 1. Day 3 swelling, redness and itching at site. No improvement on day 7. No pain associated or other symptoms. Just red, itchy, and large lump above injection site. Using Benadryl cream on the site.

Other Meds: Armour Thyroid 60 MG Potassium Chloride 8 MEQ 2X Amiodarone 200 MG Gabapentin 800 MG 3X Furosemide 40 MG 1X Xarelto 20 MG 1X Cartia XT 180 MG 1X Escitalopram 20 MG 1X Lisinipril

Current Illness: noneAFIB,

ID: 1066282
Sex: F
Age: 73
State: UT

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

Lab Data: none

Allergies: ampecillin, guaifenisen, sugar.

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA Mild diabetic reaction (light-headed, dizziness) to the sucrose, lasting the same afternoon, through the night, and all the next day.

Other Meds: multiple vitamin, fish oil, ginkgo, turmeric, fosamax, progesterone, estradiol.

Current Illness: none

ID: 1066283
Sex: F
Age: 53
State: PA

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

Lab Data:

Allergies: None

Symptoms: I began menstruating after no menstruation cycle?s for one year. I also experience headache and cramping.

Other Meds: Effexor, lamotrigine, hydrochlorothiazide, lisinopril, metoprolol, daily multivitamin, collagen protein powder

Current Illness: None

ID: 1066284
Sex: F
Age: 68
State: WA

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

Lab Data:

Allergies:

Symptoms: In the clinic, patient received second dose of Moderna vaccine at 1630. At 16:40 c/o difficulty breathing, feeling light headed, tingling lips, eyes puffy. BP 187/77, HR 84, O2 Sat=84. Rapid Response Team (RRT) activated, patient took Benadryl 25mg PO,symptoms not improving, transported to the ED via stretcher with the RRT. In the ED, patient presented afebrile, hemodynamically stable, no acute distress. Physical exam overall unrevealing. No apparent hives, facial swelling, oropharyngeal swelling or wheeze. Patient stated the symptoms feel significantly better. Patient given 25 mg Benadryl and 20 mg famotidine via IV. Observed in the emergency department for almost 3 hours. No resurgence of symptoms, no rash, no wheeze, no nausea or vomiting. Patient discharged home, advised to take another dose of Benadryl later at night, and reevaluate symptoms in the morning. Advised to follow-up promptly with primary care. Strict return precautions given.

Other Meds:

Current Illness:

ID: 1066285
Sex: F
Age: 42
State: TX

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

Lab Data: None. Taken care of at home.

Allergies: drugs allergic to: amoxicillin, sulfa-drugs. Others: trees, grass, molds, cats, dogs, eggs, milk,

Symptoms: Had the injection Friday evening. Very quickly had my heart rise and felt shaky (like when you take an inhaler). Heart rate stayed up for about 30 min, shaky for about another 1 and half. but left factily after 15 minutes, as I was shaky, but ok. About 20 min after shot, the tip of my tongue and lips got tingly/numbish. Not swollen, just tingly. (They were very slightly the same way the next day). I went home and contacted hotline. She suggested I call a dr. I called a dr who told me to take a benadryl. I ate some food and took the benadryl. I fell asleep and slept for 14 hours (definitely not normal). That next day (Saturday) I had a headache, upset stomach, lowgrade fever (below 99.9) and pretty good pain in the injection arm. Stomach was settled by that evening, headache was gone Sunday. Off and on low grade fever (highest was 100.3) still ongoing (Tues 3/2, but highest today is 99.1))

Other Meds: pantoprazole 40 mg

Current Illness:

ID: 1066286
Sex: F
Age: 39
State: MI

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

Lab Data:

Allergies: aware of none

Symptoms: About 24-36 hours later hives on tops of the thighs. The hives spread down to knees. Benadryl helped reduce size and itching but the hives returned once Banadryl wore off. Hives lasted about 5 days.

Other Meds: nuvaring, vitamin d supplements daily, iron supplements daily

Current Illness: none

ID: 1066287
Sex: F
Age: 37
State: NE

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

Lab Data: Seen by physician 2/25/2021, started PT 2/25/2021

Allergies: Latex sensitivity

Symptoms: Right shoulder vaccine injury with pain beginning on 1/28/2021. Vaccine injected too high resulting in Right shoulder and neck pain, spasms and bursitis. PT, steroids and pain meds. Treatment ongoing.

Other Meds: Buspar 7.5 mg Bid and Ambien 10mg prn

Current Illness: None

ID: 1066288
Sex: F
Age: 45
State: NY

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

Lab Data:

Allergies: All Seafood Bees Hornets

Symptoms: Hives only on same side As shot . Neck back under arms

Other Meds: Non

Current Illness: None

Date Died: 02/08/2021

ID: 1066289
Sex: U
Age: 88
State: PA

Vax Date: 01/21/2021
Onset Date: 02/08/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: death

Other Meds:

Current Illness:

Date Died: 01/30/2021

ID: 1066291
Sex: F
Age: 80
State: LA

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

Lab Data: N/A

Allergies: Aspirin, pneumococccal vaccine

Symptoms: Patient administered vaccine on 1/14/21 with no reactions noted after 15 minutes. Patient seen for wellness visit on 1/20/21 with no complaints regarding vaccine. Patient died on 1/30/21

Other Meds: nitroglycerin, asa,crestor,lantus,gabapentin,clopidogrel isosorbide, metformin,metoprolol, furosemide, ramipril, pantoprazole, albuterol, ondansetron, methocarbamol, norco, diclofenac Patient was given influenza vaccine by an outside provid

Current Illness: none

ID: 1066292
Sex: M
Age: 74
State: AZ

Vax Date: 02/16/2021
Onset Date: 02/23/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: none yet, I have appointment with doctor tomorrow at 4:15 PM

Allergies: none

Symptoms: Pfizer-BioNTech Covid-19 Vaccine EUA one week After 2nd shot on Feb 16 I started experiencing numbness and pain in both legs, primarily in the thigh, in addition as of today I am experiencing slight tingling in both hands and some light pain in arms.

Other Meds: Losartan 25MG, Sildenafil Citrate 20MG, Vitamin C, Vitamin D

Current Illness: none

ID: 1066293
Sex: M
Age: 66
State: AZ

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

Lab Data: none (two days rest)

Allergies: none that I know of

Symptoms: Mild headache and back aches

Other Meds: Blood pressure , CoQ10, Ibuprofen

Current Illness: none

ID: 1066294
Sex: F
Age: 30
State:

Vax Date: 02/11/2021
Onset Date: 02/18/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Information provided by patient below. I received the 2nd COVID vaccine on 2/11/21. A week later in the afternoon of 18th, i began to have episodes of high heart rate and heart palpitations that would occur randomly without relation to movement. This happened for 24 hours and then disappeared the night of the 19th. I did have to take off work on the 19th because of it. I checked in with my OB ( I am 29 weeks pregnant) and they were not able to think of anything that would be causing the random periods of high heart rate that only lasted 24 hours as I had not been experiencing this previously.

Other Meds:

Current Illness:

ID: 1066295
Sex: F
Age: 58
State: FL

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

Lab Data: Chemistry Sodium (135 - 145 mmol/L) 138 Potassium (3.5 - 5.2 mmol/L) 4.0 Chloride (95 - 110 mmol/L) 105 Carbon Dioxide (19 - 34 mmol/L) 25 BUN (6 - 22 mg/dL) 14 Creatinine (0.43 - 1.13 mg/dL) 0.68 Est GFR (African Amer) > 60 Est GFR (Non-Af Amer) > 60 Glucose (70 - 110 mg/dL) 85 Calcium (8.4 - 10.2 mg/dL) 9.3 Total Bilirubin (0.1 - 1.2 mg/dL) 0.3 AST (10 - 40 U/L) 30 ALT (10 - 60 U/L) 23 Total Alk Phosphatase (20 - 130 U/L) 122 Troponin I (0.000 - 0.034 ng/mL) < 0.012 Total Protein (5.5 - 8.7 g/dL) 7.0 Albumin (3.2 - 5.0 g/dL) 4.2 Hematology WBC (4.0 - 10.5 10^3/u) 8.6 RBC (3.93 - 5.22 10^6/uL) 4.27 Hgb (11.2 - 15.7 G/DL) 12.4 Hct (34.1 - 44.9 %) 38.8 MCV (79.4 - 94.8 fl) 90.9 MCH (25.6 - 32.2 pg) 29.0 MCHC (32.2 - 35.5 g/dL) 32.0 L RDW (11.7 - 14.4 %) 14.0 Plt Count (150 - 400 10^3/uL) 267 MPV (9.4 - 12.3 fL) 10.8 Nucleated RBC % (auto) (0.0 - 0.2 %) 0.0 Immature Gran % (0.0 - 0.4 %) 0.3 Immature Gran # (0.00 - 0.03 10^3/uL) 0.03 Neutrophils # (1.56 - 6.13 10^3/uL) 5.69 Segmented Neutrophils (34.0 - 71.1 %) 66.1 Lymphocytes (19.3 - 51.7 %) 24.0 Lymphocytes # (1.18 - 3.74 10^3/uL) 2.07 Monocytes (4.7 - 12.5 %) 6.3 Monocytes # (0.24 - 0.63 10^3/uL) 0.54 Eosinophils (0.7 - 5.8 %) 2.4 Eosinophils # (0.04 - 0.36 10^3/uL) 0.21 Basophils (0.1 - 1.2 %) 0.9 Basophils # (0.01 - 0.08 10^3/uL) 0.08 Nucleated RBCs # (0.00 - 0.18 10^3/uL) 0.00

Allergies: Penicillins (Intermediate, rash 03/01/21) fluticasone furoate (From TRELEGY ELLIPTA) (Intermediate, unkn 03/01/21) fosfomycin (From MONUROL) (Intermediate, unkn 03/01/21) levofloxacin (From LEVAQUIN) (Intermediate, unkn 03/01/21) methenamine (Intermediate, unkn 03/01/21) umeclidinium (From TRELEGY ELLIPTA) (Intermediate, unkn 03/01/21) vilanterol (From TRELEGY ELLIPTA) (Intermediate, unkn 03/01/21) zolpidem (From AMBIEN) (Intermediate, unkn 03/01/21)

Symptoms: 58 F with complicated medical history including urostomy, frequent UTI, fibromyalgia, seizures, presenting to the ED for presyncope/seizure following a COVID vaccination today. She reports that after getting the vaccine she felt dizzy. she is able to recount the events, no tongue biting. She was given diazepam via EMS en route. Has not missed any doses of medications. No other complaints. Symptoms started following the COVID vaccination and no other symptoms today.

Other Meds: KEPRA 1500MG QAM KEPRA 1000MG QPM OTHER MEDS UNKNOWN

Current Illness: UNKNOWN

ID: 1066296
Sex: F
Age: 66
State:

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

Lab Data:

Allergies: NKDA

Symptoms: Immediately after receiving the vaccine, the patient had redness, shortness of breath and had significant elevations in her blood pressure and heart rate.

Other Meds: Unknown

Current Illness:

ID: 1066297
Sex: M
Age: 82
State: AZ

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

Lab Data: No

Allergies: penicillin ulterin gel potassium sitrate

Symptoms: Pain at injection site, light dizziness

Other Meds: omeprazole 20 mg daily corvidadol 12.5 mg 2x daily entresto 24mg 2x daily prevastatin 20 mg daily baby aspirin 81 mg daily b12 iron 65 mg daily restatsis 2x daily (eye drops) systane (as needed) tylenol 3x daily

Current Illness: No

ID: 1066298
Sex: F
Age: 75
State: CA

Vax Date: 02/15/2021
Onset Date: 02/20/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Positional vertigo developed 4-5 days post second injection of Moderna vaccine. Still continues at the time of this reporting.

Other Meds: Hydrochlorthiazide, 25 mg q d, Vitamin B 12, 1000 Mcg q d

Current Illness: None

ID: 1066299
Sex: F
Age: 49
State: TN

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 03/02/2021
Hospital:

Lab Data: had a covid test it was negative checked BP performed EKG chest xray I.V to slow down heart rate

Allergies: antibotic norvax bp med codeine Benadryl

Symptoms: sat 1/2 I felt like I had the flu 1/6 had 102 fever bP 154/107 heart rate 147 pt was told she has anomia

Other Meds: vutropion 150 mg maxium d3 cavpinton carvedilol 25mg diclosenan 50 mg singulair 10mg lisinpril 40 mg zertec 10 mg patday .2 solution eye drop breathing treatment inhaler lasic tobamax 25mg zanaflex 4 mg

Current Illness: asthma

ID: 1066300
Sex: F
Age: 19
State: NM

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: Action plan to take Benadryl, then if unsuccessful use EpiPen and send patient to ER. 1505 provider on duty ordered liquid oral Benadryl 50mg to be given. Patient received Benadryl per provider's orders at 1505. Patients VSS: B/P 136/92 HR:102, RR: 18, SaO2: 98% on RA. Paramedic in first aid area assessed patient and found lungs clear to auscultation, patient A & O x3, Patient able to move all extremities equally with equal strength.

Allergies: Patient does have a history of anaphylaxis with "all" fish and prednisone

Symptoms: Patient received 1st dose of vaccine a approximately 1435. 1500 approximately 25 minutes post vaccination patient started feeling upper midsternal chest pressure, worsened with swallowing. Patient's skin with redness to upper chest and neck.

Other Meds: PRN melatonin, Benadryl, Epi-Pen(allergy anaphylaxis) and Depo-Provera.

Current Illness: unknown

ID: 1066301
Sex: F
Age: 37
State: DE

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

Lab Data: 3/2/2021- EKG, Blood Pressure check, pulse rate

Allergies: Opioids

Symptoms: 12 hours after vaccine administration I felt intense heat throughout my body and my heart rate increased to 167. This happened 4 times in 1 hour then ended. I called 911 fearing of a heart attack.

Other Meds: Amlodopine 10mg, Lisinipril 20mg, Singulair, Birth Control, Allegra

Current Illness:

ID: 1066302
Sex: F
Age: 68
State:

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

Lab Data:

Allergies:

Symptoms: red rash, swollen, itching and hardness at injection site

Other Meds:

Current Illness:

ID: 1066303
Sex: F
Age: 49
State: CA

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

Lab Data: None

Allergies:

Symptoms: Large, red itchy rash at injection site, lasting migraine (but I am prone to those after any illness).

Other Meds: Diflucan, testosterone cream, loloestrin fe, multivitamin, flax/fish oil, probiotic

Current Illness: Yeast infection

ID: 1066304
Sex: F
Age: 71
State: CA

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

Lab Data: None, called doctor office and told to get second injection at scheduled time in opposite arm.

Allergies: Sulfa

Symptoms: Initially first 3 days sore left arm. A week later from injection, extreme itching in arm for 1 week. Scab developed over vaccination area.

Other Meds: Vitamin C Vitamin D3 Vitamin E Folic Acid Co-q10 Magnesium Calcium Krill oil

Current Illness: None

ID: 1066305
Sex: M
Age: 66
State: CA

Vax Date: 01/25/2021
Onset Date: 01/27/2021
Rec V Date: 03/02/2021
Hospital: Y

Lab Data: Paracentesis showed malignant cells

Allergies: None

Symptoms: Patient has gastric cancer that was in remission. Within 48 hours of receiving the vaccine he noted abdominal discomfort and swelling which progressively increased and led to a diagnosis of malignant ascites within a week of the vaccine.

Other Meds: Mineral Oil 30ml twice daily Bariatric Fusion Chewable Multivitamins 2 twice daily Colace 100mg twice daily Finasteride 5mg daily Tamulosen 4mg daily

Current Illness: Gastric Cancer Benign prostatic hypertrophy

ID: 1066306
Sex: U
Age:
State: PA

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

Lab Data:

Allergies:

Symptoms: oropharynx lower lip with several clear liquid vesicles consistent with cold sores, no exudates, no tender or swollen anterior cervical lymph nodes, mucous membranes moist, NCAT, EOMI Resp: no respiratory distress, no audible wheezing, no accessory muscle use, speaking in complete sentences

Other Meds:

Current Illness:

Date Died: 02/11/2021

ID: 1066307
Sex: F
Age: 95
State: LA

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

Lab Data:

Allergies: unknown

Symptoms: Patient is not a patient of our clinic. When called to confirm appointment for second dose, we were notified patient was deceased.

Other Meds: unknown

Current Illness: unknown

ID: 1066308
Sex: F
Age: 32
State: KY

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

Lab Data: CT Scan with contrast, was completed because an elevated D-dimer test showed up in bloodwork. The physician wanted to rule out a possible blood clot, Lab work, tests performed during ER visit. Difficulty breathing still persists with the tightness of the chest. Events are not as severe now.

Allergies: no known

Symptoms: I had difficulty swallowing, tightness in my chest, trouble catching my breath. The symptoms started around 7 PM. The tightness in my chest and trouble breathing continued over the next few hours. It slowly eased up. Symptoms are not as severe but still present. I was released from the hospital after tests were completed.

Other Meds: lisinopril, clonazepam

Current Illness: numbness in mouth and throat- have been seen by ENT and awaiting additional test results , high blood pressure

ID: 1066309
Sex: F
Age: 56
State: VA

Vax Date: 02/09/2021
Onset Date: 02/14/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: Examinations on February 24, February 26, March 1.

Allergies: None

Symptoms: On February 14, five days after second Covid shot, patient woke up with ulcer in corner of left eye and growing pain in eye itself. Eye was watering and red and very painful. Symptoms persisted. On February 24, patient went to Urgent Care who found ulcerations on cornea and referred to ophthalmologist, Dr., who suspected herpes sores, perhaps due to an immune system reaction to the second Covid shot. Treated with eye drops (Moxifloxacin, 0.5% 4 times daily), and oral antiviral (Valaclyclovir HCL, 500 mg 2 tablets three times daily). Eye is MUCH improved, but the ulceration has not entirely disappeared. It is to be hoped that completing the Moxifloxacin and Valclyclavir regimen will completely clear the damage, but there is some concern that there may be permanent scarring. A fourth examination is scheduled for March 10.

Other Meds: None

Current Illness: None

ID: 1066310
Sex: F
Age: 34
State:

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

Lab Data:

Allergies:

Symptoms: Reports per patient as follows. Patient also reported to V-safe. Day 1 - Within 2 hours of the vaccine, I started feeling nausea, headache, extreme fatigue, soreness of the right arm injection site. Chills and temperature developed later in the evening. Contacted employee health to understand the next steps. I was advised to contact again within 48 hours if symptoms persisted for a COVID-test. Day 2 - Nausea, extreme fatigue, muscle aches, fever (100F), stomach pain, back pain, chills. Later the evening fever continued reaching (104 F). Contacted ER department, spoke with nurse supervisor about my high fever. Recommended alternating Tylenol and Ibuprofen. Advised that current protocol and restated to wait 48 hours. Day 3 - Extreme body aches, chills, fever (100-102F), arm soreness, nausea, fatigue. Day 4 - 6 - Symptoms persisted, headache, fogginess, extreme fatigue, nausea, and low-grade fever. I contact Employee Health again on Tuesday 2/16/21 and was scheduled for an Employee COVID-19 Test on 2/17/21 at 11:30 am. No additional instructions provided besides getting tested and need to follow-up with the provider if symptoms persist. Day 7 - COVID-19 Test Results are Negative. However, my symptoms still continued with a low-grade fever (99-100) for an additional 4 to 5 days.

Other Meds:

Current Illness:

ID: 1066311
Sex: F
Age: 41
State: TX

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

Lab Data:

Allergies: None

Symptoms: 2-19-21 - Upon receiving shoot, experienced pain, slight redness, and itching in the injection site. After about a week all subsided. 3-2-21 - I am now experiencing an increased amount of itching at the injection site and the redness at the injection site has grown to about 2 inches in diameter. The injection site is warm to touch.

Other Meds: N/A

Current Illness: None

ID: 1066312
Sex: F
Age: 41
State: MS

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

Lab Data: none

Allergies: no known allergies to food or medications

Symptoms: A couple of hours after injection i became dizzy off and on for around 12-24 hours. My balance felt off, low grade fever, weakness upon exertion, headache and fatigue ad injection site very red and tender x24 hours. nothing helped the dizziness. Tylenol was taken q4 hours for fever/bodyaches. The second day post vaccine i had trouble thinking of common words that ive used all of my life. I felt very confused and had a hard time getting my thoughts out. Continued with fatigue but after several hours of exertion. Day 4, some nausea and loose stool. Day 5 post vaccine, injection site has become very itchy, feeling like an insect bite.

Other Meds: Wellbutrin 150mg daily, Aderall 20 mg daily.

Current Illness: none

ID: 1066313
Sex: F
Age: 81
State: NY

Vax Date: 02/23/2021
Onset Date: 02/27/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: none

Allergies: benazipril

Symptoms: Severe flu-like symptoms: sore throat. headache, rhinitis, cough for 4 days

Other Meds: Toprol, amlodipine, carafate, plavix, pravastatin, pepsid, premarin, hydrocone, xiidra

Current Illness: type 2 diabetes, RSD

ID: 1066314
Sex: F
Age: 69
State: NY

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

Lab Data: bp 145/64, p 84, rbs 112, no resp distress

Allergies: many, can't remember

Symptoms: light headed tingling fingers

Other Meds: "too many to remember" no list w patient

Current Illness: parkinsons,eosinophlic esophagitis, asthma

ID: 1066315
Sex: F
Age: 53
State:

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

Lab Data:

Allergies:

Symptoms: Dizziness , tired. Waited 15 extra mins - Checked out by EMS-Cleared

Other Meds:

Current Illness:

ID: 1066316
Sex: F
Age: 54
State: TX

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

Lab Data: None

Allergies: Jalapeno's, tomatoes, codeine, aspirin, DayPro, Tramadol, Metronidazole, "Statin" medications, ibuprofen.

Symptoms: Friday, Feb 26th 2021-About a hour after shot I had joint pain in my elbow and wrist. I took Tylenol 1 hour prior to the shot and 6 hours afterwards. No redness or pain Friday evening. I had insomnia Friday night and did not fall to sleep until 5am. Saturday, Feb 27th, 2021- I woke up with joint pain to my elbow and wrist. Arm was extremely sore. I did not eat until 4pm and I took Tylenol then, Once I started moving my arm felt better and the joint pain went away. Trouble sleeping Saturday night. Fell asleep around 4am. Sunday, Feb 28th- Work up and arm wasn't as sore. Noticed around 1pm I had a red spot under the vaccine spot where I was injected. It was red and painful, about the size of 2 nickels put together. I took more Tylenol that evening and was ok. Monday, March 1st- I noticed the red spot had gotten bigger. It wasn't as itchy and was not bothering me. Around 8pm, I noticed the spot was bigger and itchy. I toke a Tylenol and Benadryl and about midnight put an ice pack on the redness for 15 min intervals. I did this 3 times. I outlined the red spot, which is now as big as a orange to see if it was spreading. Tuesday, March 2nd - Noticed no spread at 8:30am. Site beginning to itch. At 12 noon, taking a Benadryl and Tylenol after eating lunch.

Other Meds: Losartan, Ezetimibe, Amiloride HCL-HCTZ, Omeprazole Dr., Amlodipine, Vitamin D, Tylenol

Current Illness: COVID-19 virus

ID: 1066317
Sex: F
Age: 42
State: AK

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: Sulfa Antibiotics Pork

Symptoms: The next day of vaccine on 1/12/2021 I felt fatigue lasted about 24hrs. Then on the 1/13/2021 I had a rash that started on my breast it moved its way to my back it was pretty much the whole torso. I took Benadryl by the next morning it was gone. Also when I felt very grumpy and I'm not a very grumpy person. I reported to my work so I seen Employee health.

Other Meds: Prenatal Vitamins

Current Illness: No

ID: 1066318
Sex: F
Age: 68
State: OH

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

Lab Data:

Allergies: shellfish

Symptoms: chills, lethargic, right side of face swollen

Other Meds: atenolol, hydrochlorothiazide, Tylenol arthritis

Current Illness:

ID: 1066319
Sex: F
Age: 48
State: MD

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

Lab Data:

Allergies: Ceclor hives Lamictal itching Penicillins hives

Symptoms: Patient developed burning sensation in lips as well as hives across chest one day after having 1st dose of Moderna COVID vaccine.

Other Meds: busPIRone 15 mg tablet Take 3 tablets 3 times a day by oral route. ergocalciferol (vitamin D2) 1,250 mcg (50,000 unit) capsule TAKE 1 CAPSULE BY MOUTH ONE TIME PER WEEK AS DIRECTED SF 5000 Plus 1.1 % dental cream Trilafon 8 mg table

Current Illness: NA

ID: 1066320
Sex: F
Age: 31
State: MA

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

Lab Data: Multiple negative pregnancy tests at home

Allergies: None

Symptoms: Full body muscle aches Sore upper arm Delayed in menstruation by 2 weeks (negative pregnancy test - at home)

Other Meds: prenatal gummy vitamins Iron supplement (325mg/daily; ferrous sulfate) Ibuprofen (PRN for headaches)

Current Illness: None

ID: 1066321
Sex: F
Age: 64
State: PA

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

Lab Data:

Allergies: Darvocet, Percocet, Aspirin

Symptoms: oropharynx lower lip with several clear liquid vesicles consistent with cold sores, no exudates, no tender or swollen anterior cervical lymph nodes, mucous membranes moist, NCAT, EOMI Resp: no respiratory distress, no audible wheezing, no accessory muscle use, speaking in complete sentences

Other Meds: Furosemide, Citalopram, Meloxicam, otc Hydrocortisone cream

Current Illness: No

Date Died: 02/15/2021

ID: 1066322
Sex: M
Age: 83
State: MI

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

Lab Data:

Allergies: unknown

Symptoms: Patient was vaccinated approx 9a. Later that evening, patient was having trouble breathing so they called son who lives down the road to come, 20 mins after the call the patient has passed. Per medical examiner, pt died due to possible PE, MI, or his aortic aneurysm ruptured.

Other Meds: unknown

Current Illness: multiple heart issues

ID: 1066323
Sex: F
Age: 78
State: CA

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

Lab Data: None

Allergies: Penicillin

Symptoms: Sore tender lump in left armpit for the last three weeks

Other Meds: Keppra Lipitor

Current Illness: None

ID: 1066324
Sex: F
Age: 56
State: MN

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

Lab Data: None

Allergies: Codeine

Symptoms: Fever 102?, and loss of appetite, fatigue, joint pain (shoulders, knees, hands, feet, ankles), backache, persistent headache, soreness around injection site. Fever lasted 2 days, all other symptoms persisted 4-5 days. Missed entire week of work due to employer policy about fever.

Other Meds: Breo Ellipta 100mcg, Vit D+K2, Vit C, Magnesium malate

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm