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: 1066428
Sex: F
Age: 25
State: SD

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

Lab Data: none

Allergies: shell fish and cecelor.

Symptoms: patient became nauseated and vomited, and was dizzy.

Other Meds: naltrexone, duloxetine, celebrex, biastolic, omeprazole, and vitamin D.

Current Illness: none

ID: 1066429
Sex: F
Age: 52
State: VA

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

Lab Data:

Allergies: SHELLFISH, ERYTHROMYCIN, SEPTRA

Symptoms: complained of her "tongue tingling" and her "head crawling" approximately 20 minutes after administration. We initially administered 50 mg Benadryl, orally, vitals were BP 160/86, pulse 80, respirations 18. After about 10 minutes, she complained that her entire mouth was numb and she was clearing her throat more, we administered one dose of Epi and called EMS. BP was 160/80, pulse 104, no difficulty breathing, just clearing her throat more. EMS arrived approximately 5 minutes after Epi administered, evaluated the patient, and released the patient approximately 15 minutes later. EMS stated vitals were normal and sensations in mouth were back to normal. Patient stated she was returning to work here in .

Other Meds: NONE KNOWN

Current Illness: NONE

ID: 1066430
Sex: F
Age: 66
State: TX

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

Lab Data: None

Allergies: NSAIDs, Sulfa drugs, Iodine

Symptoms: Right cheek mild swelling about 15 minutes after Moderna 1st dose

Other Meds: None

Current Illness: None

ID: 1066431
Sex: M
Age:
State: MN

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

Lab Data:

Allergies: NKA

Symptoms: Temp of 100.3, body chills, swollen injection site; received Tylenol

Other Meds: Remeron, Senna, Tylenol

Current Illness:

ID: 1066432
Sex: M
Age: 24
State: MI

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

Lab Data:

Allergies: None

Symptoms: I did not feel anything shortly after the injection, but later in the evening, started to develop a normal post-vaccine soreness. I thought little of it and went to bed. I woke up just after 3am with chills, fever, and worsened arm pain, to the point that it restricted my arm's range of motion and speed of motion. Interestingly, the arm is not red or swollen, but is painful near the injection site, and the area around my clavicle on that side is somewhat swollen, but not red or painful (likely a lymph node). I was unable to get back to sleep due to these side effects (primarily chills and fever). After a few hours of trying to get back to sleep, I took some Tylenol and tried to eat breakfast. I was unable to keep much down, and had to arrange a day off of my internship, and was finally able to sleep on and off for the next few hours. The symptoms have somewhat lessened, but have not resolved, after about 22.5 hours post-injection. I fully expect this to resolve or mostly resolve by the 48 hour mark. I mostly found this unusual due to the severity of the reaction and after only the first dose, and wondered if my young age could have something to do with the clearly robust immune response so soon after inoculation.

Other Meds: Singulair 10mg daily, melatonin CR 10mg qhs, docusate sodium 100mg qhs, cetirizine 10mg qhs

Current Illness: None

ID: 1066433
Sex: F
Age: 21
State: IA

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

Lab Data:

Allergies: Environmental - dogs, cats, cockroaches, pollen, mold, dust, weeds, trees, grasses

Symptoms: Exhaustion, inflammation in right cheek

Other Meds: Wellbutrin, Prozac, Ceterizine, Flonase, women's once a day multivitamin, vitamin D2, cephalexin, prednisone

Current Illness: Assumed to have a sinus infection

ID: 1066434
Sex: F
Age: 47
State: KS

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

Lab Data: None

Allergies: Yellow #5 mammal meat (from a tick bite) horse serum-based antivenom

Symptoms: Low fever set in about 14 hours after vaccine, along with chills and fatigue. Slept a lot for about 48 hours. Nausea and decreased appetite, dry heaving and minor vomiting. Nausea persisted for about 4 days after vaccine. Mild headache as well. Treatment was just rest and easily digestible foods. Recovering slowly.

Other Meds: Junelle birth control, 21-day Citalopram, 20 mg per day

Current Illness: none

ID: 1066435
Sex: F
Age: 69
State: NC

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

Lab Data:

Allergies: Dye; Januvia; shellfish; Xeloda; Jardiance; morphine; PCN

Symptoms: Localized swelling and itching, about 10 cm annular raised area.

Other Meds: Diovan; Ozempic; Prazosin; Metformin; Lasix; Dulaglutide; Coreg; Lipitor; Norvasc; Albuterol

Current Illness: None known

ID: 1066436
Sex: F
Age: 73
State: NY

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

Lab Data: Back x-ray today No structural damage, no fractures, disc issues Pain seems to be muscular

Allergies: Celiac, lactose intolerant Allergic - Penicillin, Sulpha, Aminoglycocides, Flagyll, Albuterol

Symptoms: I started having lower back pain within hours of the 2nd shot, along with major headache, exhaustion By that night I had chills, exhaustion, back pain Since then, my back has been in spasm. Extremely, extremely painful spasm The pain is not movement related. I am fine while sleeping and generally while walking. Sitting or standing still brings on the pain

Other Meds: Warfarin, Synthroid, Cytomel, Folplex, Singulair CoQ10, Meriva, Fish Oil, C, D3,

Current Illness: APLS Asthma (controlled)

ID: 1066437
Sex: F
Age: 53
State: PR

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

Lab Data:

Allergies:

Symptoms: Chills, Strong body pain, Weakness.

Other Meds: Atorvastatin

Current Illness:

ID: 1066438
Sex: F
Age: 43
State: CA

Vax Date: 01/22/2021
Onset Date: 01/29/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: Azithromycin

Symptoms: Large itchy rash on arm, arm aching, pain under arm

Other Meds:

Current Illness:

ID: 1066439
Sex: F
Age: 35
State: WA

Vax Date: 02/20/2021
Onset Date: 02/22/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: None known

Allergies: NKA

Symptoms: Muscle aches and pains , Arms and Legs

Other Meds: unknown

Current Illness: Skin conditions, vitamin deficiency

ID: 1066440
Sex: F
Age: 91
State: MO

Vax Date: 02/23/2021
Onset Date: 02/28/2021
Rec V Date: 03/02/2021
Hospital: Y

Lab Data: CT of the head

Allergies: NKDA

Symptoms: CVA type symptoms .ALTEPLASE given

Other Meds:

Current Illness:

ID: 1066441
Sex: M
Age: 78
State:

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

Lab Data:

Allergies:

Symptoms: The patient woke up with severe pain in his leg, a flare of a previous nerve pain issue he was having. He had taken percocet to help with the pain and went to bed. His wife called and she was informed to have him take ibuprofen 400-600 mg every 6 hours to help suppress an inflammatory response that could be increasing the pain he is experiencing.

Other Meds:

Current Illness:

ID: 1066442
Sex: F
Age: 73
State: TX

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

Lab Data: None

Allergies: N/K

Symptoms: Weakness, headache, dizziness, fainting

Other Meds: Vit D, Vit A, Vit c,Vit k, Vit E, Omega 3?s, Betaine, Potassium, zinc, magnesium, probiotics, Claritin, Evista, Latanaprost.

Current Illness: None

ID: 1066443
Sex: M
Age: 80
State: VA

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

Lab Data: Unknown

Allergies: NKA

Symptoms: Patient was given the incorrect COVID given . 2/2/2021 received 1st COVID 19 vaccine with Moderna Lot # 011J20A exp. 5/11/21 3/2/2021 received 2nd COVID 19 vaccine with PFIZER Lot # EL9261 exp. 5/31/21.

Other Meds: Unknown

Current Illness: Unknown

ID: 1066444
Sex: F
Age: 78
State: MI

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

Lab Data: office visit with PCP on 2/25

Allergies: NKA

Symptoms: 12 hours after 1st covid vaccine she began having swelling of the left side of her face, cheek, eyelid. She also noticed tender lymph notes in her neck on the left side. Denied any recent illness, no rash/hives. Denies problems breathing, no swelling of tongue. Seen on 2/25/21 at PCP office. Assessment by Dr. on 2/25: "mild residual soft tissue swelling noted in the cheek laterally and into the chin and skin above the left eye. There is tenderness to palpation along the left side of her neck with mild fullness of the lymph nodes.

Other Meds: prilosec, glucosamine, claritan, diovan, lasix, MVI, ASA, vitamin C, clonidine, plavix, metoprolol, atorvastatin, tricor, imdur, hydrazaline, aldactone, calcium, vitamin D

Current Illness:

ID: 1066445
Sex: F
Age: 34
State: CA

Vax Date: 02/19/2021
Onset Date: 02/27/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: NA

Symptoms: Injection received 2/19. On 2/27, my left arm hurt when lifted above shoulder/head. I noticed this when @ the store reaching for an item on top shelf. Once home, I looked at the arm and noticed it was swollen, red, and hot to the touch. Under the skin was also hard. This was all near (estimated) the initial injection site. I circled the area and took 2 Benadryl. The swelling and hardness increased throughout the evening. Placed an ice pack on it and took 2 Tylenol. My temp was 97.7. Next morning (2/28) the swelling had gone down some, but area was still firm and warm to touch. Took 1 Benadryl and 2 Tylenol. Temp was 97.7 again. 3/1 the swelling and heat had greatly diminished but the area was still firm to touch. It also began to itch at this point. Called my PCP and appt. scheduled for 3/2. PCP indicated it was a delayed reaction to the Covid shot and encouraged me to complete this form. As of today, 3/2, the area is much better. Still some firmness but very minimal.

Other Meds: NA

Current Illness: NA

ID: 1066446
Sex: M
Age: 71
State: MN

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

Lab Data:

Allergies: NKA

Symptoms: right deltoid injection site pain, sore to touch; refused ice pack/warm pack.

Other Meds: Sinemet, Tylenol, Cardizem, Xalatan, Prilosec, Seroquel, Flomax, xarelto

Current Illness:

ID: 1066447
Sex: F
Age: 70
State: GA

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

Lab Data:

Allergies: no known medication allergies

Symptoms: Patient was given COVID19 Moderna vaccine as second dose instead of COVID19 Pfizer

Other Meds: levothyroxine 50 mcg daily, metoprolol tartrate 25 mg daily, aspirin 81 mg daily

Current Illness:

ID: 1066448
Sex: M
Age: 77
State:

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

Lab Data: UNKNOWN

Allergies: niacin (Intermediate, RASH/FLUSHED 01/27/21) Sulfa (Sulfonamide Antibiotics) (RASH 11/13/14) metoprolol (From TOPROL XL) (EXHAUSTED 11/13/14) ramipril (From ALTACE) (COUGH 01/27/21) tamsulosin (From FLOMAX) (DIZZINESS 11/13/14)

Symptoms: 77-year-old male with history of coronary artery disease must CHF brought in from home for worsening shortness of breath, per EMS saturation found to be in the 50s that improved on CPAP, apparently patient received his COVID-19 earlier today. Denies fever, chills, nausea, vomiting, chest pain, abdominal p

Other Meds: Nitroglycerin (Nitrostat) 0.4 MG SL PRN PRN CHEST PAIN (Q5 MIN X3) Nitroglycerin (Nitrostat) 0.4 MG SL PRN PRN CHEST PAIN (Q5 MIN X3) #20 Prov: 03/28/14 Aspirin (Bayer Aspirin) 325 MG PO DAILY 0800

Current Illness:

ID: 1066449
Sex: F
Age: 48
State: CA

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

Lab Data: unknown

Allergies: Morphine, Beestings, Shrimp

Symptoms: Patient received the vaccination in her left deltoid at approximately 10:35am. Within 5 minutes she began sweating and experienced itching in her hands and feet. At approximately 10min after the vaccination her lips began to swell. At this time EMS were called and responded, paramedic, administered Diphenhydramine IM injection. The patients symptoms stabilized and was released from EMS care. She walked out unassisted and her friend drove her to her destination. While there she received Pepcid, Benadryl, and injectable Corticosteroids. Swelling in her eyes and lips subsided after approximately an hour. She remained under observation for a total of 2 hours prior to being released.

Other Meds: IBU 800mg, Lisinopril

Current Illness: None

ID: 1066450
Sex: F
Age: 69
State: OR

Vax Date: 02/16/2021
Onset Date: 02/22/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: None

Allergies: Self-Injection Biologics, Sulfa, Caffeine, Morphine

Symptoms: Right ear felt like it was plugged with ear wax on February 20, 2021. Administered 5 drops of Murine Ear Wax Removal Ear Drops twice per day on February 21, 2021. Right ear was very painful on February 22, 2021 AM. The pain kept getting progressively worse. Took two 325mg of Tylenol in the evening. Pain abated, but ear feels like it is suffering from a residual cold.

Other Meds: Rituxan (Infusion), Estradiol 1mg., Cetrizine 10mg., Famotidin

Current Illness: None

ID: 1066451
Sex: M
Age: 29
State: AZ

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

Lab Data: none

Allergies: none

Symptoms: Strong soreness from the region where the shot was given for at least two days. Roughly one-third of my upper arm was involved. It took another three or four days for the pain to completely disappear.

Other Meds: none

Current Illness: none

ID: 1066452
Sex: F
Age: 66
State: AR

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

Lab Data: n/a

Allergies: nkda

Symptoms: wasted dose due to syringe barrel/needle malfunction

Other Meds: n/a

Current Illness: n/a

ID: 1066453
Sex: F
Age: 38
State: UT

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

Lab Data: None

Allergies: None

Symptoms: Starting at 9pm I got uncontrollable chills to the point where my whole body was shaking. I pulled multiple blankets on me but could not get warm. I then felt very sick to my stomach and threw up. After that the chills went away but I felt extremely hot. In the morning my body was VERY sore especially around my kidneys. I also have a headache and feel weak.

Other Meds: Insulin and Sertroline

Current Illness: None

ID: 1066454
Sex: F
Age: 80
State: OH

Vax Date: 01/21/2021
Onset Date: 02/12/2021
Rec V Date: 03/02/2021
Hospital: Y

Lab Data: 02/19/2021 ABBOT ID NOW assay positive 02/19/2021 Chest XRAY - Patchy ground glass opacities are noted in both lungs more prominent in the right lung consistent with COVID-19 pneumonia.

Allergies: Ciprofloxacin

Symptoms: Patient admitted to hospital with Covid-19 Pneumonia on 02/19/2021. Diagnosed with bronchitis prior week. Having cough and shortness of breath with associated fever x1week

Other Meds: Tylenol, Pro-Air, Xanax, aspirin, Pradaxa, breo ellipta, Humalog, hytone, Lantus, DuoNeb, probiotics, synthroid, cozaar, zaroxolyn, nitrostat, mycostatin, Zofran, protonix, pravachol, aldactone, ultram, Effexor XR, vitamin E, zinc

Current Illness: small bowel obstruction 06/15/2020; acute bronchitis 02/20/2020; cellulitis 02/04/2020

ID: 1066455
Sex: M
Age: 35
State: IL

Vax Date: 01/26/2021
Onset Date: 02/15/2021
Rec V Date: 03/02/2021
Hospital: Y

Lab Data: EMG/NCV, MRI Cervical and thoracic spinal cord Feb 2021

Allergies: none

Symptoms: Guillian Barre Syndrome

Other Meds: none

Current Illness: none

ID: 1066456
Sex: F
Age: 32
State: UT

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

Lab Data: no

Allergies: strawberries, seasonal

Symptoms: 1st dose: 037K20A Dec 30, 2020 - 5 weeks along, date of miscarriage 1/12 arm pain swelling itching for a few days, fatigue aches, fevers, nausea, no vomitting, joint pain, my entire body hurt inside and out, chills, I also didn't sleep well, I was alternating tylenol and motrin, I drank lots of fluids I called my employee health for my symptoms I didn't go to the Dr. symptoms only lasted about 48 hours

Other Meds: folic acid

Current Illness: no

ID: 1066457
Sex: M
Age: 72
State: VA

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

Lab Data:

Allergies: grass, rag weed

Symptoms: Extreme fatigue and lethargy. Lasted approx 24 hrs.

Other Meds: losartan, disulfiram, magnesium, D3,fish oil

Current Illness: none

ID: 1066458
Sex: F
Age: 35
State: AK

Vax Date: 02/15/2021
Onset Date: 02/26/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: 02/26/2021- multiple eye assessments and tests. I was prescribed valtrex and zigran to address the viral response in my eye.

Allergies: Celiac disease- gluten

Symptoms: Sudden decrease in vision in my right eye. I went to the eye doctor. He said I was having a viral response in my eye. The only exposure to anything viral in the last month was the vaccine. No history of eye issues or other viral exposures.

Other Meds: None

Current Illness: None

ID: 1066459
Sex: M
Age: 65
State: GA

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

Lab Data:

Allergies: NKDA

Symptoms: Patient received a second dose when he should have received second dose.

Other Meds:

Current Illness:

ID: 1066460
Sex: U
Age: 49
State:

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

Lab Data:

Allergies:

Symptoms: 6 hours later got headache, muscle pains and nausea. Swollen lymph nodes. 2 days later a rash on neck and blisters on face appeared, issues breathing, mostly wheezing.

Other Meds:

Current Illness:

ID: 1066461
Sex: F
Age: 83
State:

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

Lab Data:

Allergies: sulfa, codeine

Symptoms: Patient describes body aches in arms after vaccine. The pain is the same as her previously diagnosed polymyalgia rheumatica which had been in remission for 2 years

Other Meds: levothyroxine, atorvastatin, lisinopril, plavix

Current Illness:

ID: 1066462
Sex: F
Age: 53
State: PA

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

Lab Data:

Allergies: None

Symptoms: Horrible fatigue headache joint pain 5 daya

Other Meds: Trintellix

Current Illness: None

ID: 1066463
Sex: F
Age: 75
State: FL

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

Lab Data: None

Allergies: Ampicillan

Symptoms: Itchiness in various parts of my body. No rash; no hives; no redness. Started 18 hours after the vaccine

Other Meds: 50 mcg Levothyroxin; 5 mg Atorvastatin; 1200 mg Calcium; 100 mcg Vitamin D3; 65mg Iron

Current Illness: None

ID: 1066464
Sex: M
Age: 85
State: MT

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

Lab Data:

Allergies: None

Symptoms: This was a vaccination administration error. Patient received a Moderna COVID vaccine 2/3/2021. Pt came to a Pfizer only clinic and in error received a Pfizer vaccine instead of Moderna #2.

Other Meds: Daily aspirin

Current Illness:

ID: 1066465
Sex: M
Age: 82
State: MN

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

Lab Data:

Allergies: Primidone

Symptoms: left deltoid injection site pain with swelling. Tylenol was given, resident refused ice pack/warm pack

Other Meds: Atenolol, Lasix, Lamictal, Keppra, Synthroid, refresh eye drops, luminal, Seroquel, zoloft

Current Illness:

ID: 1066466
Sex: F
Age: 85
State: AL

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

Lab Data: EKG, XRAY, and Blood work on 3/1/2021 Covid Test at urgent care and Dr.s office both w/ negative results

Allergies: Verapamil, Eliquis, Xarelto,

Symptoms: pt states that on 2/27/2021 she started getting nervous and dizzy. She fell on 2/27/2021 and 2/28/2021. On 2/28/2021 she started coughing and having trouble breathing so she went to Urgent Care. She was tested for flu and covid and then told she needed an EKG so was told to go to the ER. She did not go to the ER but went to a Cardiologist Dr. next morning on 3/1/2021. They took chest XRAY, EKG, Blood Work, and covid test. Dr. changed her prescription Carvedilol 6.25 mg x 2 daily and Furosemide 20mg once a day. Pt is expecting them to call her today w/ test results and will FU w/ regular Cardiologist.

Other Meds: aspirin 81mg, CoQ10 100mg, Dexilant DR 60mg, Carvedilol 3.25mg, Montelukast 10mg, D3 25mg, C 1000mg, Fish oil 1000mg,

Current Illness: no

ID: 1066467
Sex: M
Age: 58
State: TX

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

Lab Data: None.

Allergies: None.

Symptoms: Started with his arm soreness which was expected. He then started get joint and muscle pain, sore to move around 4:00 AM this morning. Then he started getting a really real bad headache, chills, nausea and fever of 101.5 degrees today, 3/2/21. He woke up this morning and took some Tylenol and his headache is better but still feeling it and body still really sore. He is still running fever. He did not call his doctor.

Other Meds: Multivitamin, D3, Flonase, Ventolin, Citalopram, Rosuvastatin, testosterone injection weekly, Buspar, Valium. albuterol breathing machine.

Current Illness: None.

ID: 1066468
Sex: F
Age: 64
State: IN

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

Lab Data: None

Allergies: PCN

Symptoms: Approximately 10 minutes after vaccination c/o abnormal, unpleasant taste in mouth, fullness left side of face, photosensitivity, feels similar to migraine headache in past. No HX of migraine headaches in past 10 years. Symptoms increased in intensity over a 15 minute period. O2 sat 97 percent , pulse 73, BP 138/84. Symptoms decreased after a 45 minute resting period and patient felt well enough to leave the clinic with her husband. Dr. evaluated patient at the clinic while she was symptomatic, and suspected Migraine with Aura.

Other Meds: Metformin, Celexa, Lipitor, Vitamin D

Current Illness: UNKNOWN

ID: 1066469
Sex: F
Age: 64
State: NY

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

Lab Data:

Allergies: Tetracycline

Symptoms: Fever, muscle aches, muscle weakness, fatigue, sore throat began on the 3rd day after the vaccine shot

Other Meds: Advair, enalapril, oxybutinin, amlodopine

Current Illness: None

ID: 1066470
Sex: F
Age: 58
State: CA

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

Lab Data: None done.

Allergies: PCN and fresh lemonade juice

Symptoms: Broke out it a hot rash the first night. Both my knees exhibited excruciating pain to where it felt I was having knee surgery without anthesis nothing helped with the pain. General aches through out whole body settling in the joints. Fatigue, migraine headache, loss of smell on and off through day. Loss of appetite on and off. Injection site has a large redden area warm to touch approximate size of a silver dollar if not bigger, lymph node under left arm pit is swollen and sensitive to the touch, movement aggravates the arm pit. Evening time body breaks down in an allergic rash.

Other Meds: Lisinpril,celexa, busperone, synthroid, multi-vit for women, Vit C, zinc, D2000, B12, turmeric, glucosomine , ocuvite, focus,claritan, flexiril ,

Current Illness: None

ID: 1066471
Sex: M
Age: 78
State: GA

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

Lab Data:

Allergies: None

Symptoms: Intermittent rash and itching for the past 3 weeks

Other Meds: Metoprolol tartrate 50mg, Lisinopril 20mg and Ezetimibe 10mg.

Current Illness:

ID: 1066472
Sex: M
Age: 82
State: AZ

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

Lab Data: None

Allergies: Spiriva

Symptoms: 2/24/21 10:00 AM-2:30 PM, chills; 5:00 PM-10:00 PM, 101 deg. fever. 2/24/21-2/25/21 oxygen saturation dropped below 90 and pulse rate went from mid 70's to low to mid 90's. All vitals returned to normal by the morning of 2/26/21. No treatment performed. Self monitored for the term of the reaction.

Other Meds: Rosuvastatin 40mg; Atenolol 25mg; Losartan 50mg; Aspirin 81mg; Advair 250/50; Clopidogrel 75mg; Vitamin D3 2000IU; Vitamin C 1000mg

Current Illness: None

ID: 1066473
Sex: F
Age: 30
State: TX

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

Lab Data: Urine test _ all tests normal; January 13 EKG Bloodwork Vital Signs Blood pressure = was higher than my normal which is low but still in range COVID rapid - negative result

Allergies: dustmites

Symptoms: I was observed for15 minutes and I went home and around 05:30-6:00 pm, my body started to ache. I started having 102.8 - 103 fever. I was having severe chills - never experienced these kinds of chills before. I took Tylenol. I tried to still go to work but I by was having difficulty breathing and on January 11, I called my primary care Dr. and waited for appt but on January 13, there was no appt available and she told me to go ER. ER part of medical group/hospital. They told me I might have COVID. Dr said severe reaction to vaccine. I was still having trouble breathing. I have albuterol inhaler that I use as needed. I had it in my bag and I used that (and I had been using it when I was having trouble breathing but it wasn't helping like it could have ). They sent me home but I was still having trouble breathing. I had difficulty breathing for about about three days and then it resolved. I followed up with my PCP - video visit after two days after ER and then I had an office visit with her. After two weeks, I felt recovered. Although my right arm still have pain - pinching sharp pain in my arm that comes.

Other Meds: Levothyroxine; Singular

Current Illness:

ID: 1066474
Sex: F
Age: 75
State: IN

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

Lab Data:

Allergies: Codeine

Symptoms: Pain in arm, side, shoulder, swollen throat, cough and weakness

Other Meds: Levothyroxine, Bupropion, Vitamins D3, B12, Biotin, Centrum Silver

Current Illness: none

ID: 1066475
Sex: F
Age: 35
State: MO

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

Lab Data: Labs were within normal limits, urinalysis showed hematuria/proteinuria (chronic), head CT without contrast and xray both had no acute findings

Allergies: sulfa drugs

Symptoms: About 5 minutes after first dose, patient complained of feeling weak, tired, and lightheaded. Staff noticed she looked pale. She was transferred to a wheelchair, became unresponsive and slumped, and had decorticate posturing for about 15 seconds. Patient awoke and was immediately oriented. Patient was taken from clinic to ED via wheelchair. Of note, patient stated she has a history of syncope, which is worse when needles are involved, and has had similar episodes with phlebotomy in the past. Discharged home in stable condition.

Other Meds: Albuterol HFA, vitamin D3, Flonase nasal spray, hydroxychloroquine, irbesartan, montelukast, mycophenolate mofetil, and prednisone

Current Illness: hematuria, proteinuria

ID: 1066476
Sex: F
Age: 45
State: CT

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

Lab Data: HR 122, BP 180/100, 190/110 O2sat 95% on O2 mask 10L

Allergies: NKA

Symptoms: Patient in observation after her 1st Pfizer injection when she reported feeling her heart beating fast and complaining

Other Meds: Lisinopril, Simvastatin, Diabetic meds

Current Illness: DM, HTN

ID: 1066477
Sex: F
Age: 71
State: TX

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

Lab Data:

Allergies:

Symptoms: Hives at various locations around my body, swollen hands, knees, lips - ongoing problem

Other Meds: Armour Thyroid Levothorozine Celexa Hormone Replacement Therapy

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm