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: 1066793
Sex: M
Age: 81
State: AZ

Vax Date: 02/12/2021
Onset Date: 02/26/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Was scheduled before 4 day grace period and was sent away when we tried to get 2nd Dose on 02/26/21 at same facility

Other Meds:

Current Illness:

ID: 1066794
Sex: M
Age: 60
State: TX

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

Lab Data: None

Allergies: None

Symptoms: Large swelling in armpit nearest injection site.

Other Meds: Telmisartan Rosuvastatin Levothyroxin

Current Illness: None

ID: 1066795
Sex: M
Age: 34
State: NC

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

Lab Data: Fever 101 F recorded in left ear

Allergies: none

Symptoms: Felt tired slightly achy around 8:00PM. When to bed and woke up with symptoms. Fever 101, chills, body aches. Symptoms did not self resolve. Took 800mg Ibuprofen and symptoms slowly resolved by 8 AM the next morning.

Other Meds: none

Current Illness: none

ID: 1066796
Sex: M
Age: 69
State: AZ

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

Lab Data:

Allergies: None

Symptoms: Moderate Dizziness and Fatigue. Went to bed and slept almost 5 hours. No adverse effects after waking up, however I am still somewhat tired.

Other Meds: Diabetic Medications, HBP Medications, also Retacrit injections to increase Red Blood Count

Current Illness: None

ID: 1066797
Sex: M
Age: 90
State: OH

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

Lab Data: Did not seek medical treatment.

Allergies: Penicillin and x-ray die.

Symptoms: Woke with severe Body Aches , chills and fatigue Two days later shoulder pain, rash at swollen site.

Other Meds: Torsemide 10 MG, 1 tab daily Spironolactone Tab 25 MG 1/2 tab daily, Quinapril Hydrochloride Tab 40 MG 1 Tab daily, Rosuvastatin Calcium Tab 10, twice a week. Azopt SUS 1% OP - in still 1 drop into both eyes twice daily

Current Illness: None

ID: 1066798
Sex: F
Age: 75
State: ID

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

Lab Data: N/A

Allergies: NKDA

Symptoms: itching tongue face lips, mild swollen tongue and lips, neck pain, hoarse voice, cough, pale. Progressively worse in order listed over 10 minutes. Chewable benadryl 12.5 mg x 4 given. Pt reported improved symptoms within 10 minutes and was asymptomatic at 30 minutes.

Other Meds: None

Current Illness: None

ID: 1066799
Sex: F
Age: 91
State: OR

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

Lab Data:

Allergies:

Symptoms: Patient was given 0.5 ml, IM, rt deltoid, Moderna vaccine instead of the Pfizer vaccine for the second shot in the Covid vaccine series. No immediate adverse reaction from patient after 15 mins of monitoring.

Other Meds:

Current Illness:

ID: 1066800
Sex: F
Age: 45
State: CA

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

Lab Data: none

Allergies: none

Symptoms: pt with sensation of tingling of the right lower leg 10 min after first covid vaccination. pt denies, rash, flushing, hives, chest pain, palpitation, shortness of breath, wheezing , stridor or altered mental status. symptoms resolved 40 min without intervention except observation and reassurance. pt instructed to follow up with pcp

Other Meds: none

Current Illness: none

ID: 1066801
Sex: M
Age: 69
State: CO

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

Lab Data:

Allergies:

Symptoms: sore arm overnight

Other Meds:

Current Illness:

ID: 1066802
Sex: F
Age: 39
State: MN

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

Lab Data:

Allergies:

Symptoms: Felt like a baseball in my arm, could not move my arm to the side for three days, then still tender to touch for another 3 days. I could move my arm forward, just not side or backwards.

Other Meds: Spironolacone, allegra, azelastine

Current Illness:

ID: 1066803
Sex: F
Age: 47
State: NC

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

Lab Data: None

Allergies: None

Symptoms: Was fine after vaccine was given, 2 hours later arm was sore, 3 hours later face was flushed and felt warm. Started feeling off, 5 hours after receiving vaccine I had the chills and felt achy all over. Took 500 mg of Tylenol felt better but had a low grade fever 100.4. 12 hours after shot was given woke up at midnight chills, body aches, heart racing, chest felt very heavy, mouth was watering, felt a little nauseous. Chills got worse all night, shaking, teeth chattering, took temperature at 6:00am fever was 103.1. Felt terrible whole body ached, arm where injection was given was very painful to move. Took 250 mg of Tylenol stayed in bed two and half hours later fever was lower 100.5. Body aches all day, bad headache that was all over my head, shoulders, arm where shot was given, and lower back were the most sore. Drank lots of water, Now 29 hours post vaccine no more fever but still body aches and headache. Took 250mg Tylenol. Slept fine woke up next day and only symptom was headache. 48 hours post vaccine. 72 hours after feel better just a headache but tolerable.

Other Meds: None

Current Illness: Covid positive December 13, 2020

ID: 1066804
Sex: M
Age: 22
State: MD

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

Lab Data: skin biopsy performed showing Pityriasis Lichenoides et Varieliformis Acuta (PLEVA) serology for CMV and EBV showed positive IgG but negative IgM and HHV6 PCR negative

Allergies: none

Symptoms: skin rash developped 4-5 days after vaccination. asymptomatic oval shaped pink papules with colarette of scale and some with central necrosis. skin biopsy diagnosed as Pityriasis Lichenoides et varieliformis Acuta: PLEVA

Other Meds: none

Current Illness: aphthous ulcer

ID: 1066805
Sex: F
Age: 36
State: CA

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

Lab Data: none

Allergies: nka

Symptoms: Within 5 minutes of vaccine left arm felt heavy and numb. Pt kept extra 15 minutes. Heavy feelin and numbness resolved prior to leaving with her husband.

Other Meds: none

Current Illness: none

ID: 1066806
Sex: F
Age: 18
State: NH

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

Lab Data: n/a

Allergies: None

Symptoms: Roughly 16 hours after receiving the first Moderna vaccine for COVID, woke up with dizziness, loss of vision for a few minutes, shakiness, low grade fever, paleness, shaky walking ability, nausea, and loss of bowels in her clothing.

Other Meds: Levoxyl, zyrtec, vitamin D, birth control pill, flintstone's multi-vitamin

Current Illness: None

ID: 1066807
Sex: F
Age: 32
State: NY

Vax Date: 01/30/2021
Onset Date: 02/11/2021
Rec V Date: 03/02/2021
Hospital: Y

Lab Data: CTA negative for pulmonary emboli. Liver function tests were uptrending from hospital visit 2/9. Patient was admitted and kept for observation to monitor liver function tests. Blood pressure remained elevated and was started on nifedipine XL 30mg PO QD. Patient was discharged from the hospital on 2/12. Patient was found to still have elevated pressures at home that resolved on 2/13 while still on nifedipine. Last dose of nifedipine was 2/17 and patients blood pressure returned to baseline < 120/80

Allergies: environmental allergies only

Symptoms: Gestational hypertension systolic 150, diastolic 100-109. Was first observed at during labor but did not continue through the course of that hospital stay. Patient was discharged 2/9 and instructed to monitor blood pressure at home once a day. Patient reports feeling slightly short of breath at home and symptoms were worsening. Patient experienced lightheadedness on 2/11. 2/11 was instructed to come to the hospital

Other Meds: Pre natal, monthly allergy shots

Current Illness:

ID: 1066808
Sex: F
Age: 44
State: PA

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

Lab Data:

Allergies:

Symptoms: CHIEF COMPLAINT: SWELLING IN ANKLES X24 HOURS. PATIENT EXPERIENCED SWELLING IN MOST JOINTS THE MORNING AFTER RECEIVING HER SECOND COVID-19 VACCINATION; THIS BEGAN AT APPROX. 08:00AM ON 2-25-21 AND LASTED FOR A TOTAL OF 24 HOURS. SWELLING WAS MAINLY LOCALIZED TO ANKLES, WRISTS, FINGERS (IN ORDER OF SEVERITY.) PATIENT EXPERIENCED FEVER AT APPROX. 23:59PM ON 2-25-21 WHICH WAS RESOLVED BY THE FOLLOWING MORNING S/P TREATMENT WITH IBUOROFEN OTC. ALL SX (SWELLING/FEVER RESOLVED BY 08:00AM ON 2-26-21.

Other Meds:

Current Illness:

ID: 1066809
Sex: F
Age: 80
State: CA

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

Lab Data: None

Allergies: None

Symptoms: I woke up next morning with a Herpes outbreak. I usually have a warning in advance. The site (on my lower backside) tingles and warns me of what is coming. This was different. No warning. Two bumps (or lumps) were there where they always appear. I haven't had an outbreak for at least 6 months. My feeling is that is came on from the vaccine, though I have no proof other than it came after the shot. It may have come on earlier than 7 a.m., but I wasn't aware of it until I woke up. I usually take valacyclovir 500 mg when it starts but I am going to wait a few days as I don't want it to interfere with the vaccine. However I will check with my doctor to get his advice.

Other Meds: Levothyroxine 0.05 mg 1 per day

Current Illness: None

ID: 1066810
Sex: M
Age: 44
State: OH

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

Lab Data:

Allergies: UNKNOWN

Symptoms: CLIENT STATES LEFT UPPER ARM DISCOMFORT BEGAN SOON AFTER VACCINATION ADMINISTRATION AND CONTINUED 3-7 DAYS OF MODERATE TO SEVERE DISCOMFORT. HE STATES THERE IS LINGERING DISCOMFORTT,MUSCLE WEAKNESS, AND DECREASED RANGE OF MOTION. HE DID RECEIVE THE 2ND DOSE OF MODERNA ON 2/9/2021, AND AFTER THIS DOSE DISCOMFORT LASTED 3-4 DAYS, BUT HAS SINCE CEASED. WHEN ASKED- HE INDICATES AREA OF INJECTION WAS APPROXIMATELY 3" BELOW THE ACRONIUM PROCESS. NO DISCOLORATION OR OTHER INDICATION VISIBLE TODAY. LEFT ARM WAS OBSERVED TO MOVE IN ALL DIRECTIONS.

Other Meds: UNKNOWN

Current Illness: NONE

ID: 1066811
Sex: F
Age: 45
State: WI

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

Lab Data:

Allergies:

Symptoms: Patient received 2nd Moderna vaccine at 1145. At approximately 1157 patient complained of feeling dizzy and chest discomfort. BP 160/82, pulse 81 and regular. At 1204 BP 151/93, pulse 78. At 1209 patient complained of increased dizziness and chest pain. BP 165/105, pulse 86. Patient was taken to ED.

Other Meds:

Current Illness:

ID: 1066812
Sex: F
Age: 42
State: HI

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

Lab Data:

Allergies: Azithromycin

Symptoms: Large red circle around the site. Arm very sore and itchy. Taking antihistamine reduced symptoms. Circle about 4 inches in diameter.

Other Meds:

Current Illness:

ID: 1066813
Sex: M
Age: 61
State: NJ

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

Lab Data:

Allergies: NKA

Symptoms: On 3/2 there was the 3rd visit clinic for this facility. They registered this patient to receive their second dose. Only upon returning to the pharmacy to process the paperwork did our records indicate that he in fact has already received 2 previous doses. Facility was contacted, and internal reporting was completed.

Other Meds: unknown

Current Illness:

ID: 1066814
Sex: F
Age: 48
State: TX

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

Lab Data:

Allergies: Penicillin

Symptoms: Dizziness tiredness headache nausea body aches no energy

Other Meds:

Current Illness:

ID: 1066815
Sex: F
Age: 65
State: MO

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

Lab Data:

Allergies: None

Symptoms: Fever, chills, joint and muscle pain, headache, nausea, exhaustion,dizziness

Other Meds: Levoxyl

Current Illness: None

ID: 1066816
Sex: F
Age: 75
State: CA

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

Lab Data: None

Allergies: sulfur containing drugs, epinephrine. Lots of food allergies, especially chocolate, citrus

Symptoms: For 1st injection, itching on frontal edge of both armpits. Noticed day after injection. Still present as of 3-2-21. Cortisone cream, Diphenhydramine Hydrochloride cream 2%; after second injection Benadryl seemed to help. For 2nd injection, itching all over body beginning day after injection, worse day later. Benadryl for 3 days. After that some tolerable itching for 3 days (didn't take Benadryl beyond this time because dried eyes.)

Other Meds: simponi, nabumetone, folic acid, biotin, niacin, D3, tylenol

Current Illness: None. Runny nose from polens.

ID: 1066817
Sex: F
Age: 32
State: IL

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

Lab Data: None

Allergies: Strawberries, Penicillin

Symptoms: Lymph node enlargement for greater than 4 weeks

Other Meds: Junel birth control

Current Illness: None

ID: 1066818
Sex: M
Age: 65
State: MI

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

Lab Data: None

Allergies: None

Symptoms: About 10 hours after the shot, started to encounter the same type of symptoms I had when I had Covid, low grade temperature, chills, generally felt lousy all night. Symptoms subsided about 12 hours later.

Other Meds: Lipitor, aspirin, Flonase

Current Illness: None

ID: 1066819
Sex: F
Age: 73
State: AL

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

Lab Data: N/A

Allergies: NKDA

Symptoms: Patient reports at 2 AM the morning after the injection she began to have itching and some swelling that morning, she states her right eye became matted as well. Patient applied warm compressed to the eye and was had a telehealth visit with her MD. Patient was told it was not caused by the vaccine. Patient was given Antibiotic eye drops to apply 4 times daily (2 drops each eye). At this time her right eye is better, there is still some redness in the lower eye lid at this time.

Other Meds: Statin medication for High Cholesterol, Losartin, Carvedilol, Zyrtec.

Current Illness: N/A

ID: 1066820
Sex: F
Age: 62
State: IN

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

Lab Data: Blood pressure checked 3 times

Allergies: Tramadol and latex

Symptoms: Patient experienced dizziness and felt hot immediately after injection. Her injection site bled and required multiple bandaids and pressure held on area. During this, she felt like she was going to pass out. We provided a cold compress and water. I checked her blood pressure and she reported it being lower than normal (120/82). I re-checked in 5 minutes and it continued to drop to 105/65. I asked the patient if she would like us to call for additional medical attention to be evaluated and she said 'yes'. We called 911 and EMS arrived on the scene to further evaluate. Prior to EMS arrival, the patient's blood pressure was 130/90. The patient's blood pressure returned to normal about 30 minutes after injection and she did not go to the hospital.

Other Meds:

Current Illness: none

ID: 1066821
Sex: F
Age: 79
State: GA

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

Lab Data:

Allergies: cats, pollen, mold, antibiotics

Symptoms: shoulder and arm sore, rt arm, drowsiness, memory issues

Other Meds: thyroid,claritin

Current Illness: ibs-d

ID: 1066822
Sex: M
Age: 82
State: NC

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

Lab Data: no

Allergies: no

Symptoms: pt states the next day after he got the covid vax he had pain in his left arm and had this pain every day since then.

Other Meds: levothyroxine 25mcg, simvastatin 20mg, multivitamin, iron 65 mg,

Current Illness: no

ID: 1066823
Sex: F
Age: 57
State: MN

Vax Date: 02/20/2021
Onset Date: 02/21/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: None

Allergies: Latex, Bee Stings

Symptoms: Severe diarrhea, headache, Temp - 102, muscle aches, nausea & vomiting orange fluid

Other Meds: Multi-vitamin

Current Illness: None

ID: 1066824
Sex: F
Age: 38
State: MA

Vax Date: 12/26/2020
Onset Date: 01/26/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: TETANUS VACCINES AND TOXOID

Symptoms: Patient received 2nd covid vaccine on 1/25/21. That evening, EE experienced left shoulder pain and difficulty with range of motion. Has experienced 5/10 pain at same location every day since, for almost one month. Tylenol and Motrin have not helped to reduce the shoulder pain. EE has been unable to sleep on her left side. Per EE email; "The RN that gave me the vaccine went very high and injected at my shoulder bone." No other symptoms. EE stated that she is visiting her NP next week for an assessment of left shoulder.

Other Meds:

Current Illness:

ID: 1066825
Sex: M
Age: 79
State: IL

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

Lab Data: CK, BP, weight, IO

Allergies: Liraglutide- GI upset/nausea/vomiting, acute pancreatitis

Symptoms: Patient had dark urine and high CK level and was diagnosed with acute rhabdomyolysis. Patient received IV fluids and nephrology was consulted. Patient was discharged home when stable.

Other Meds: Ranibizumab, Humalog, Lantus, amlodipine 5 mg, enalapril 10 mg, jardiance 25 mg, hydrochlorothiazide, alirocumab, cholecalciferol, finasteride, freestyle meter with strips and lancets, tamsulosin, aspirin

Current Illness: none

ID: 1066826
Sex: F
Age: 50
State: CA

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

Lab Data:

Allergies: Penicillin, Levaquin

Symptoms: Increased heart rate to 110 bpm within 15 minutes of vaccine, lasting for 40 minutes, headache within 15 minutes of vaccine that lasted the whole day , dizziness and shakiness with in 15 minutes that lasted about 30 minutes.

Other Meds: Trintellix, Buspirone, Trazadone, Allegra, Flonase, Omeprazole, Ibuprofen, multi vitamin with probiotics, glucosamine/chondroitin, joint supplement,

Current Illness:

ID: 1066827
Sex: M
Age: 41
State: UT

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

Lab Data: None yet

Allergies: None

Symptoms: Onset of ongoing fatigue, brain fog

Other Meds: Multi vitamin, vitamin D

Current Illness: None

ID: 1066828
Sex: F
Age: 55
State: AZ

Vax Date: 12/23/2020
Onset Date: 01/10/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: 2/12/2021 Catecholamines fractionated plasma and Metanephrines, Fractionated, Free Plasma--all normal 1/11/2021 CBC, TSH, CMP, Vitamin D, Hgb A1C, lipid panel--all normal

Allergies: nka

Symptoms: normal vaccine reactions (sore arm, swollen lymph nodes, tiredness, body aches) developed sudden hypertension 1/10/2021 (urgent hypertensive crisis), PCP put me on metroprolol succinate ER 50mg q24

Other Meds: norethindrone 2.5mg q24 estradiol 0.5mg q24 valcyclovir 1 tablet daily as needed

Current Illness: none

Date Died:

ID: 1066829
Sex: M
Age: 88
State: WA

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

Lab Data: None known

Allergies: Aspirin

Symptoms: Patient passed away in his sleep that evening after he recieved his COVI vaccine. Patient had not been ill. No other information is known.

Other Meds: atorvastatin, amlodipine, clopidogrel, metoprolol, losartan,

Current Illness:

ID: 1066830
Sex: F
Age: 31
State: NY

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

Lab Data: At the time of vaccine was sent to the ER. Doctor did regular blood tests ghat resulted normal

Allergies: Penicillin

Symptoms: Throat swelling, nausea, dizziness, high blood pressure right after receiving vaccine. Symptoms slowly got better until 3 days after where a headache appeared, and on the 5th day (today) it got worse. Headache feels like pressure all over, dizziness made me vomit, i have diarrhea, ringing in ears, pressure on head extends to neck and shoulders.

Other Meds: None

Current Illness: None

ID: 1066831
Sex: F
Age: 71
State:

Vax Date: 01/25/2021
Onset Date: 02/12/2021
Rec V Date: 03/02/2021
Hospital: Y

Lab Data: MRI LUMBAR SPINE WO CONTRAST, February 15, 2021 8:53 AM: IMPRESSION: Left foraminal disc protrusion L4-5. Correlate clinically. Left greater than right lateral recess impingement L4-5. Correlate clinically. Potential for left L4 or L5 radiculopathy. Bilateral foraminal narrowing L5-S1. Multilevel degenerative changes as outlined. MRI THORACIC SPINE WO CONTRAST, February 16, 2021 8:29 AM IMPRESSION:There are a couple of tiny punctate areas of increased T2 signal along the dorsal surface of the spinal cord on the right at T5 and T6. This may be artifactual. There are no components evident on the sagittal images. MRI CERVICAL SPINE WO CONTRAST, February 16, 2021 4:25 PM: IMPRESSION: 1. No abnormal cord signal or cord compression. 2. Multilevel degenerative change of the cervical spine contributing to areas of mild spinal canal narrowing and up to moderate neural foraminal narrowing at multiple levels, detailed above. MRI PELVIS W WO CONTRAST, February 16, 2021 4:26 PM IMPRESSION: No stress reaction, fracture, or AVN. Mild bilateral sacroiliac joint degenerative changes. Additional findings as above. BRAIN MRI, February 16, 2021 4:27 PM: IMPRESSION: No acute intracranial abnormality or pathologic enhancement. Thoracic spine MRI 02/16/2021: IMPRESSION: Better seen on this examination is subtle, heterogeneous, ill-defined T2 hyperintensity of the cord at the T5 level. Imaging findings are suggestive of but not typical for cord infarct, transverse myelitis, and demyelinating processes. EMG 2/19/21: Patient received an immunization then developed weakness on 1 side of the body more than the other. She is sent here for evaluation. She did complain of some numbness and pain in the right hemibody down to the leg. Really nothing in the arm. She has feels her balance has been off. Spinal fluid analysis at this time is normal to date. The right peroneal amplitudes are low with a borderline distal latency borderline conduction velocity and no late response. Peroneal response in the tibialis anterior was normal in amplitude and velocity. Right tibial median and ulnar amplitudes are normal with normal distal latencies normal conduction velocities and normal late responses. The right sural sensory nerve action potential amplitude is normal with a normal velocity as is the right median sensory nerve action potential, right ulnar sensory potential and right superficial radial sensory nerve action potential amplitude and velocity. EMG of all of the following muscles reveal no spontaneous activity full recruitment on maximal effort of normal-appearing motor units and no polyphasia. These muscles included the right deltoid, triceps, biceps, brachioradialis, EDC, FDI, vastus lateralis, tibialis anterior, peroneus longus, gastrocnemius, extensor digitorum longus. EMG of thoracic paraspinal musculature is unremarkable. Impression electrical findings do not reveal any nerve muscle or motor neuron issue. The history as well as her present reflexes may suggest a spinal cord localization of the problem particularly v

Allergies:

Symptoms: Neurology consult note 2/16: The patient is a 72-year-old woman, who states that last Friday she began to notice a strange fullness and numbness and perhaps a mild degree of weakness in her right leg and came to Emergency Room. She was seen by ER doctors. Diagnosis was unclear. She was offered admission to get physical therapy, but she did not wish to stay for the weekend and returned home on Friday the evening only to come back to the ER on Sunday, 2 days later with progression of further right leg weakness, right leg numbness and a hint of new left-sided symptoms that had not begun before Sunday. None of her symptoms involve the arms or face and everything was below the waist. There was no significant pain. She has not had a bowel movement since Thursday and has lost the ability to void. Her MRI scan of the lumbosacral spine was reviewed by me on the computer monitor and was unrevealing except for mild DJD. Thoracic MRI scan shows possible spinal cord infarction versus myelitis occurring within the thoracic spine at the dorsal surface of the cord at the T5 and T6 vertebral body levels to the right of midline. This was a faint finding and not clearly infarct or myelitis and could be artifact. It appears that she has hydronephrosis on her scans too and now is using a Foley catheter. She does have a history of high cholesterol for which she takes a statin at home and was taking a baby aspirin a day when the above symptoms occurred. In summary, the patient has a 72-year-old woman, who presents with progressive right lower extremity weakness and now evolving left lower extremity weakness. This may be related to an autoimmune process such as myelitis or less commonly cord ischemia. Normally, I would start her on Plavix, but I think she may need to undergo spinal tap tomorrow if MRI scan of the brain and cervical spine are unrevealing. Patients with mild hyperglycemia can develop a diabetic amyotrophy or lumbosacral plexopathy simply related to diabetes, which is a diagnosis of exclusion. Speaking against this would be that her reflexes are intact at both knees at 2+ to 3 and slightly brisk, 1+ at both ankles and 1+ and symmetric in the upper extremities. We will hold aspirin for today. Consider LP for tomorrow, but have not ordered as we will try to avoid and hopefully the imaging studies I have ordered will be sufficient. We will continue to follow. While admitted to this facility, she was treated with IV dexamethasone 2/14-2/21 She was admitted to an inpatient hospital 2/14-2/23 and discharged to an inpatient rehab unit at a different health system.

Other Meds:

Current Illness:

ID: 1066832
Sex: F
Age: 84
State: SC

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

Lab Data: Covid test - negative Flu test - negative Ferratin - 295 Platelets - 495 Sed Rate - 42

Allergies: Sulfur

Symptoms: Extreme fatigue, spinal joint pain, muscle aches, foggy brain and chills but no fever. The spinal joint pain began in my sacral area and over the next 4 days migrated up to the low back, then to the rib cage, then to the neck. Muscle relaxants were ineffective. Oral steroid decreased the joint pain over a 5 day period.

Other Meds: Lisinopril Atenolol Omeprazole Rosuvastatin Ester-C Probiotic Vit D3 K2 Selenium Zinc with copper

Current Illness:

ID: 1066833
Sex: F
Age: 35
State: PA

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

Lab Data: none

Allergies: PCN

Symptoms: redness down arm, urticarial, warm to touch started 2 days after injection, resolved with loratadine and recurred 3 weeks later

Other Meds: Pirmella, MVI, calcium

Current Illness: none

ID: 1066834
Sex: F
Age: 51
State:

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

Lab Data:

Allergies:

Symptoms: 1230 pm Received 2nd dose of Pfizer chief compliant generalized pruritus and headache after vaccine, administered Benadryl 25mg @ 1235pm continued to experience itching in back of throat . 1245pm another Benadryl 25mg capsule given. started to feel better itching less intense. 1255 pm Exited home in stable condition.

Other Meds:

Current Illness:

ID: 1066835
Sex: F
Age: 54
State: MI

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

Lab Data: MRI Brain Scan Echocardiogram EEG (will be completed soon) Hemoglobin A1C PT/INR/PTT CBC Basic Metabolic Profile Magnesium NCoronovirus PCR XR Chest AP Portable ECG 12-LEAD CT aniography head neck with iv contrast CT head without iv contrast CBC and Differential

Allergies: None

Symptoms: I had my 2nd does of the Pfizer vaccine on February 27, 2021. The next morning I awoke with a very bad headache. I took and Advil. My husband was making breakfast. I came downstairs, ate, had a cup of coffee, then got a glass of water and an ice pack and sat on a recliner in the living room. I don't remember much of the rest. It was like a dream. My husband said I let out a yell, my arms flailed and my eyes were very strange. I lost muscle strength in my lift side mimicking a stroke. He called 911. I was taken to Emergency facility where I gained consciousness. I was then transferred to Hospital. So far every test has come back negative. I have an EEG scheduled for this Thursday.

Other Meds: Previstatin

Current Illness: none

ID: 1066836
Sex: M
Age: 68
State: IN

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

Lab Data: None

Allergies: NSAID cause Gastritis

Symptoms: I took COVID19 vaccine in Left Deltoid muscle on Saturday 02/27/21 at Pharmacy, . Developed Left Deltoid muscle soreness within 6 hours. By 9 hours developed Temp 100., headache and Bodyaches. Took Tylenol 500 mg and fever came down to 98.6 in one hour. Temp rose again to 100 in 4 hours, took one more Tylenol 500 mg and went to bed. 02/28/21 woke up with Temp 100, Headache, Bodyaches, Muscles soreness, Knee joint soreness and Injection site soreness. I have been taking Tylenol every four hours to keep temp down and decrease soreness on 02/28/21. The whole day rested in bed and stayed hydrated. . On 03/01/21 woke up with fever Temp 100, still had headache, bodyaches, Muscle soreness, injection site soreness and knee soreness. Kept using Tylenol 500 mg every four hours. Finally at 3.00 pm broke out in sweats and temp came down to normal. Temp remained normal since 3 pm and bodyaches, headache, muscle soreness, knee soreness all decreased to bearable level. Did not need more Tylenol after that and did not get fever again. Injections site soreness still persists

Other Meds: Centrum Silver, Citracal

Current Illness: None

ID: 1066837
Sex: F
Age: 52
State: IN

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

Lab Data:

Allergies: Penicillins, mold, mushrooms, coconut, peanuts

Symptoms: Within minutes after receiving the vaccine, I felt pain in my left arm that spread to my neck on the left side, my back on my left side, and down my lower left arm. Within hours my entire left side hurt. Within hours after that my entire body hurt. That evening, and especially the next day, I had flu-like symptoms: feeling sick, aching all over, tiredness, sleeping. These symptoms lasted 1 to 2 days. When the sick feeling subsided, the pain in my arm remained. The pain has not subsided and has gotten worse, and is still present now after 35 days have passed. My left arm hurts and is weak when I lift things and when I raise my arm, especially straight out away from my body.

Other Meds: Vitamin D

Current Illness: None

ID: 1066838
Sex: F
Age: 44
State: NC

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

Lab Data: none

Allergies: None

Symptoms: chills, body aches, headache, nausea

Other Meds: Levothyroxin

Current Illness: Sinus congestion

ID: 1066839
Sex: F
Age: 67
State: PA

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

Lab Data: None

Allergies: Flaygyl Cipro

Symptoms: Two minutes after shot, I felt a flush go through me and felt tingly. My heart rate increased and lasted several minutes.

Other Meds: Vitamin D Calcium Fish Oil

Current Illness: None

ID: 1066840
Sex: F
Age: 85
State: VA

Vax Date: 02/15/2021
Onset Date: 02/17/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: None, Going to the doctor in two weeks

Allergies: Asprin

Symptoms: The day after the vaccine chronic nausea, feeling passing out, disorientation. overall weakness for ten days. Including hot flashes... Called doctor and was advised not to take 2nd shot. Called pharm and tried to cancel the next shot without success. Now reporting it here. Mom does not want 2nd shot

Other Meds: Lisinopril

Current Illness:

ID: 1066841
Sex: F
Age: 38
State: AL

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

Lab Data: none

Allergies: NKA

Symptoms: - Received vaccine #2 on Friday, 26 Feb, 1100, at health center - On Sunday, 28 Feb, around 1100, I noticed the arm where I received the vaccine was starting to swell and turn red across the bottom of the affected area, measuring 2? above the injection site, 5.5? below and 4.75? across - Sunday evening, my arm was obviously swollen with 3 rash-like areas across the bottom of the affected area, was warm and painful to touch and was itchy; no limited range of motion - I also had a low grade fever starting Sunday evening, which lasted through yesterday afternoon, Mon, 1 March - Today, 2 March, most of the swelling gone and the redness is gone; minimal discomfort

Other Meds: Adderall 20 mg tablet; birth control; Aleve as needed

Current Illness: None

ID: 1066842
Sex: M
Age: 75
State: MN

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Ringing in the right ear and jaw clicking.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm