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: 1067043
Sex: F
Age: 55
State: CA

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

Lab Data:

Allergies:

Symptoms: Patient states to have had headache, fever, malaise, noticed swelling in knees and joints, stated to have intense pain from 2/24/21-2/26/21, stated to take hydrocodone and muscle relaxants for pain, states that s/s have subsided

Other Meds:

Current Illness: Familial mediterranean fever

ID: 1067044
Sex: M
Age: 74
State: SD

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

Lab Data: None

Allergies: None

Symptoms: By 6:00pm I had severe tinnitus in both ears. Noticed hearing loss next morning which has continued to date: 03/02/2021. Tinnitus also continues but not as severe.

Other Meds: None

Current Illness: None

ID: 1067045
Sex: M
Age: 27
State: TX

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

Lab Data: NA

Allergies: none

Symptoms: Dizziness, Weakness and trembling of fingers, anxious

Other Meds: na

Current Illness: anxiety

ID: 1067046
Sex: F
Age: 30
State:

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

Lab Data: NA

Allergies: NONE

Symptoms: Pt after being administered 2 dose of Moderna, became dizzy/lightheaded. Pts vitals WNL. Pts blood sugar on lower end (64). Pt was initially given water, then ems assessed patient, to find patient had low blood sugar and was given orange juice to bring up. Pt was evaluated in the 30 minute observation after refusing the need to go to the hospital with ems. Pt left with symptoms resolved and patient left with mother whom brought her here.

Other Meds: N/A

Current Illness: NONE

ID: 1067047
Sex: F
Age: 90
State: NJ

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

Lab Data: xrays, CT scans. 2/26/2021

Allergies: none

Symptoms: Sudden extreme muscle weakness. Fell to the floor. Could not use arms or legs to get up. Was on the floor for several hours until someone came home and called for ambulance.

Other Meds: Syntrhoid, Areds@, Culturelle, Vitamin D, stool softener

Current Illness: none

ID: 1067048
Sex: F
Age: 70
State:

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

Lab Data:

Allergies:

Symptoms: Pt felt lightheaded and dizzy. Pt was brought into medical room. Laid onto stretcher and vs were taken . Bp was 142/103 and pt was allowed to rest for 15 mins. Pt symptoms kept persisting and bp went up. Pt spent an hour with no relief of symptoms. Pt wanted to get checked out at Hosp. 911 was called and pt wax placed on heart monitor at hospital. Iv ns was given kvo at 500ml via 22g cath in lt wrist. Pt was t/f to 911 stretcher and pt care was t/f to 911 wo incident .

Other Meds:

Current Illness:

ID: 1067049
Sex: F
Age: 34
State: CA

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

Lab Data: None

Allergies: Imitrex, Relpax, Vicodin, penicillin G benzathine

Symptoms: Patient presented to ED with itchiness to scalp and feeling hot in face and ears after receiving the second dose of the Moderna COVID vaccine. Patient reported symptoms similar to when she had an allergic reaction to Amoxicillin. Admitted. Patient was given Benadryl, Pepcid, and Claritin. Symptoms appeared to be improving and patient discharged as requested.

Other Meds: Calcium with vit D, Prozac, multiple vitamins

Current Illness:

ID: 1067050
Sex: F
Age: 82
State: VA

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

Lab Data: patient came in for covid vaccine clinic. got her vaccine and at the 15 min mark, got up to leave and got dizzy for 15 seconds then it resolved. no syncope, cp, sob, HA, or slurred speech. we kept her another 20 minutes to monitor. her son was with her and took her home afterwards without complication. she had not eaten yet today which she postulates as the reason. she has had some water. she is not in any beta blockers. she has no hx of diabetes. bp 130/64, O2 sats 99%, HR 67, RR 16, appears well, pleasant, conversive.

Allergies: pcn, codeine, sulfa

Symptoms: patient came in for covid vaccine clinic. got her vaccine and at the 15 min mark, got up to leave and got dizzy for 15 seconds then it resolved. no syncope, cp, sob, HA, or slurred speech. we kept her another 20 minutes to monitor. her son was with her and took her home afterwards without complication. she had not eaten yet today which she postulates as the reason. she has had some water. she is not in any beta blockers. she has no hx of diabetes. bp 130/64, O2 sats 99%, HR 67, RR 16, appears well, pleasant, conversive.

Other Meds: unknown

Current Illness: CKD stage 3

ID: 1067051
Sex: F
Age: 71
State: WA

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

Lab Data:

Allergies:

Symptoms: Patient received 2nd dose of her Covid Vaccine which was Moderna. However, her first dose was Pfizer and was received on 2/4/21.

Other Meds:

Current Illness:

ID: 1067052
Sex: M
Age: 42
State: CA

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

Lab Data:

Allergies:

Symptoms: Administered vaccine, and syringe separated from needle during administration. Given full dose after missed dose.

Other Meds:

Current Illness:

ID: 1067053
Sex: F
Age: 43
State:

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

Lab Data: 1:04 pm BP 138/80, HR-110, O2 98% on room air. 1:20 pm BP 128/78, HR-95, O2 100% on room air. 1:25 12 lead EKG-NSR. P138

Allergies: Sulfur

Symptoms: Lightheaded, blurred vision, flushed feeling, shaky, tightness in neck, diaphoretic. Evaluated by EMS. 1:09PM -Jaw slightly tight. 1:20 pm pain, stiffness traveling to mid back. 1:25 pm neck feeling better, no nausea, tinling in hands, no change in sensation in legs. 1:30pm remains lightheaded, vision remains blurry, c/o left sided chest discomfort when pressure applied, pain and stiffness in neck returning. 1:42 pm transported to Hospital by rescue squad.

Other Meds: Celexa

Current Illness:

ID: 1067054
Sex: F
Age: 40
State: MN

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

Lab Data: none so far-have not seen primary MD yet

Allergies:

Symptoms: Excessive hair loss

Other Meds:

Current Illness:

ID: 1067055
Sex: M
Age: 59
State: PA

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

Lab Data: None

Allergies: penicillin, lovaknox, mold

Symptoms: Within hours, mild injection site soreness. The next day, mild muscle soreness and fatigue lasting about 48 hours.

Other Meds: Avastin, Levsin, Tylenol, multi-vitamin, Indian, Gavascon, Omeprozol

Current Illness: None

ID: 1067056
Sex: M
Age: 81
State: CA

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

Lab Data:

Allergies: none

Symptoms: Received first dose of covid vaccine on 2/15/2021, then hospitalized later that day with Covid PNA

Other Meds: losartan-hctz, atenolol,, amlodipine, metformin

Current Illness: none

ID: 1067057
Sex: F
Age: 65
State: CT

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

Lab Data: none

Allergies: Codeine, prednisone

Symptoms: On day 7 after my injection, my left arm became itchy. On day 8 I developed a rash at the vaccination site. No treatment needed.

Other Meds: none

Current Illness: none

ID: 1067058
Sex: F
Age: 19
State: AZ

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

Lab Data:

Allergies: none

Symptoms: Headache, joint pain, light fever, light-headedness. I almost passed out trying to walk to the dining hall for dinner.

Other Meds: Viorele (Birth Control)

Current Illness: none

ID: 1067059
Sex: F
Age: 63
State: OH

Vax Date: 02/18/2021
Onset Date: 02/27/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: BacitracinOther: See Comments Cocamidopropyl BetaineRash, Itching FormaldehydeOther: See Comments Iodopropynyl ButylcarbamateOther: See Comments LanolinOther: See Comments NeomycinOther: See Comments No Latex Allergy [Other] Propylene GlycolRash, Itching

Symptoms: patient developed shingles beginning 2/27/2021

Other Meds: amLODIPine (NORVASC) 10 mg tablet losartan (COZAAR) 50 mg tablet triamcinolone acetonide (KENALOG) 0.1 % ointment metoprolol succinate ER (TOPROL XL) 50 mg 24 hr tablet predniSONE (DELTASONE) 50 mg diphenhydrAMINE (BENADRYL) 50 mg capsule l

Current Illness:

ID: 1067060
Sex: F
Age: 43
State: KY

Vax Date: 01/12/2021
Onset Date: 02/28/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: Covid and flu test today flu negative covid pending

Allergies: Pcn

Symptoms: 2/28 thought I had food poisoning started with severe diarrhea lasted all day later chills, fever, headache day 2 headache fever later in day burning feet, day 3 fatigue and red hot and itchy toes

Other Meds:

Current Illness: Na

ID: 1067061
Sex: M
Age: 66
State: ND

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

Lab Data:

Allergies: nka

Symptoms: for 48 hours following the shot the patient reported diarrhea, extreme nausea and no appetite then it went away.

Other Meds: Warfarin Duloxetine Rosuvastatin Trazodone Lisinopril Metoprolol tartrate

Current Illness: unknown

ID: 1067062
Sex: F
Age: 33
State: WY

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

Lab Data:

Allergies: grasses, trees, cats, cows, aspirin (asthma attack)

Symptoms: 2/20/21- ?Vaso/vagal vs anaphylaxis, approx 1:20 PM, 10-15 min post vaccine, HA, approx 1:30PM nausea, dizzy, unable to stand on own BP 120/78, low for ct, O2 8L/simple mask, 911 called, throat felt dry, anxious, denied airway prob, no wheezing or stridor, epi not indicated, FIRE/EMS arrived, after a few minutes client able to stand on own, declined going to hospital, felt well enough to drive 20" home. 2 hrs post vaccine, throat scratchy, back became itchy, took Benadryl x 2 with resolution after 2nd dose, At 3:45, spoke County Manager, ct kept feeling the need to clearher throat, ct referred to PCP. 02/25-Client feeling fine now,spoke w/PCP, cleared to get 2nd dose at hospital. Ct has hx asthma/smg

Other Meds: Inhaler 1/2 hr prior to vaccination

Current Illness: none

ID: 1067063
Sex: M
Age: 32
State: CO

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

Lab Data: None performed

Allergies: None reported

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA: after seoncd dose of vaccine patient reported fatigue then axillary lymph nodes swelled to the size of a golf ball. Affected area uncomfortable but no erythema. At clinic visit one week after vaccination patient states symptoms improving and no new symptoms developed. Patient discahrged to home from clinic stable.

Other Meds: simvastatin

Current Illness: sleep apnea

ID: 1067064
Sex: M
Age: 91
State: CT

Vax Date: 02/16/2021
Onset Date: 02/19/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: None

Allergies: Sulfa, levaquin (Achilles tendinitis); mammalian meat allergy (alpha gal- anaphylaxis)

Symptoms: Delayed cutaneous hypersensitivity in are which received vaccination, 3 days following vaccination. Had minimal soreness, I At the site of vaccination prior to that. Began with intense itching, followed by erythema, insulation extending down to lower arm. Resolved after 8-9 days

Other Meds: Eliquis, flecainide, diltiazem, allopurinol, pantoprazole, monteluekast, Advair, nasonex, spiriva, vit d, vit b12, AREDS 2;

Current Illness: None

ID: 1067065
Sex: F
Age: 41
State: CO

Vax Date: 02/18/2021
Onset Date: 02/26/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Extremely sore arm about 4-5 hours after the shot. About a week later injection shot became very hard, red, warm to touch, burning and itching. Felt feverish the night before rash occurred. Subsided after 2 days then reoccured then reoccured in the next 24 hours but not as bad.

Other Meds: Cymbalta 90 MG

Current Illness: N/A

ID: 1067066
Sex: F
Age: 30
State: VA

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

Lab Data: None

Allergies: None

Symptoms: 2/26/21-moderate pain near injection site and in armpit with swollen lymph nodes within 2 hours, fever with chills starting around 6:00 pm persisting for two days-fever responds well to medication Starting 2/28/21-significant bruising on underside of upper left arm (opposite side of arm from injection) wrapping around to back of arm-appearance continuing to worsen as of 3/2/21 with continued discomfort throughout the armpit and underside of upper arm; some red areas on injection side of arm but no bruising or pain in this area as of 3/2/21

Other Meds: None

Current Illness: None

ID: 1067067
Sex: M
Age: 71
State: IN

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

Lab Data: None

Allergies: none

Symptoms: Fever, chills for approximately 6 hours; fatigue for 24 hours, headache for 4 days following vaccination.

Other Meds: Metoprolol 25mg, Lisinopril-HCTZ 10-12.5, Ferrous Sulfate 325mg, Aspirin 325mg All once a day. Omeprazole 40mg twice a day, Naproxen 500mg twice a day

Current Illness: none

ID: 1067068
Sex: F
Age: 65
State: NY

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

Lab Data: CBC, CMP, ESR, CRP wnl 3/2/21. Seen by dermatology, skin biopsy declines.

Allergies: None

Symptoms: developed rash 3 hours after receiving vaccine, consistent with erythema multiforme, persistent

Other Meds: propranolol

Current Illness: None

ID: 1067069
Sex: F
Age: 49
State: VA

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

Lab Data:

Allergies:

Symptoms: Intensely itchy blisters on inside of upper and lower right lips. Upper roof of mouth as well. Never had this symptom prior. Took Zyrtec in case it was allergic reaction, but did not get better.

Other Meds:

Current Illness:

ID: 1067070
Sex: F
Age: 59
State: AL

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

Lab Data: NONE

Allergies: PERCOCET, PCN

Symptoms: Pt received vaccine Friday around 2:40pm and began with symptoms around 5pm that afternoon. Severe headache, extreme fatigue, joint pain, and injection site soreness. Symptoms were still present on Saturday and were resolved by Sunday morning upon waking.

Other Meds: VITAMIN D, METOPROLOL

Current Illness: NONE

ID: 1067071
Sex: F
Age: 38
State: PA

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

Lab Data:

Allergies: oral allergies to vegetables and fruits prozac allergy prednisone allergy

Symptoms: stabbing pain in hands and feet, sever body aches, migraine, fever 100.6, hallucinogenic dreams lasted 48 hours total

Other Meds: Zoloft 200 mg Latuda 10 mg

Current Illness: none

ID: 1067072
Sex: F
Age: 49
State: AL

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

Lab Data:

Allergies: Sulfa

Symptoms: Injection site is red, hard, feverish and sore, and this began 10 days post injection

Other Meds: Minoxidil, Sertraline, Crestor, Famciclovir

Current Illness: None

ID: 1067074
Sex: F
Age: 42
State:

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

Lab Data:

Allergies: Morphine and Penicillin

Symptoms: Fever 24 hours after administration ongoing for >72 hours with injection site reaction and arm soreness.

Other Meds: Amlodipine.

Current Illness: NA

ID: 1067075
Sex: F
Age: 49
State: AZ

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

Lab Data: n/a decided not to go to urgent care, though did consider it

Allergies: Sulfa antibiotics erythromycin antibiotics

Symptoms: 12 hours following receipt of vaccination at 9:30 pm on 2/23, developed severe chills and muscle and joint achiness (I was trembling uncontrollably and my teeth were chattering). A fever followed shortly thereafter and typically hovered between 100-102 with a high of 103 for the next 36 hours despite taking Tylenol regularly. The fever finally broke around 6 am on 2/25. I developed a severe headache that felt at times like there was a ping pong ball in my head, and it later became a searing headache. I have had a dull headache every morning since then, though it dissipates after taking Tylenol. Around 5 am on 2/24 I became very nauseous but did not vomit. My appetite was greatly diminished for 48 hours plus. The injection site had a rash and was very swollen and painful. The lymph node under that arm also swelled to the size of a mandarin orange and was very painful to the touch. As the swelling reduced, starting Friday morning 2/26, I noticed brusing in that location that ended up extending down my side along my ribs and right breast. As of today 3/2 the swelling is gone and the bruising is fading. I am a week out from the second dose of the vaccine, and when I was exactly a week out from the first dose in my left arm, I developed a secondary rash/swelling/itching at the injection site that last about 36 hours. It has not happened yet with my right arm, but I have read it can appear between 7-9 days after vaccination. Overall, I was very ill for about 36 hours and was not able to go to work or do any other sort of normal activity, and had moderate symptoms for the next 12 hours, 48 hours total of side effects following vaccination.

Other Meds: Advil cold and sinus as needed for sinusitis

Current Illness: none

ID: 1067076
Sex: F
Age: 83
State: CA

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

Lab Data:

Allergies:

Symptoms: lump under my chin below my left ear which is very sore to the touch after my 2nd dose.

Other Meds: triamtereneHctz 37.5, ezetimibe 10mg, rosuvastatin 40mg, aspirin 81mg, medtropolol 12.5mg, folic acid, tolterodine tartrate,Vit D3, biotin, CoQ10, magnesium,

Current Illness: Pleurisy

ID: 1067077
Sex: F
Age: 63
State: MD

Vax Date: 01/26/2021
Onset Date: 01/28/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: None

Allergies: Latex and many foods like milk, tomatoes, lettuce, wheat, casein snd corn.

Symptoms: This is the 2nd time since my 2nd shot my throat neck glands are big and sore & thyroid is swelled up & sore difficult to swallow. Extreme long lasting exhaustion. Body is weak & sore muscles & joints. I have not been ok since my 2nd shot. I had a hard marble lymph node in my neck after the 2nd shot too.

Other Meds: Pepcid Famotidine 40mg Clariten 10 mg

Current Illness: Hypogammaglobulinemia And Cell mediated immune suppression

ID: 1067078
Sex: M
Age: 51
State: WI

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

Lab Data:

Allergies: sulfa antibiotics

Symptoms: The vaccine was reconstituted incorrectly, only 0.8 mL of the diluent was used rather than 1.8 mL. The patient did receive the recommended dose of 0.3 mL, it was just not the correct strength due to the reconstitution error. As of this time, no adverse events were reported by the pt.

Other Meds: unknown

Current Illness: pain

ID: 1067079
Sex: F
Age: 70
State: FL

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

Lab Data: None

Allergies: Aspirin penicillin papaya

Symptoms: Extreme fatigue Headache Loss of appetite Pain and swelling of inner arm Swelling of lymph node

Other Meds: Levothyroxine

Current Illness: NONE

ID: 1067080
Sex: F
Age: 68
State:

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

Lab Data:

Allergies:

Symptoms: "woozy" diaphoretic. Waited an extra 15 mins. Evaluated by EMS-Cleared

Other Meds:

Current Illness:

ID: 1067081
Sex: M
Age: 64
State: AZ

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

Lab Data:

Allergies: none

Symptoms: What I thought was a sebaceous cyst in my jowl area between cheek and chin had been very slowly growing over about a three year period. The day I got my second Moderna shot it became painful for the first time ever and roughly tripled in size.

Other Meds: none

Current Illness: Had 3 mohs surgeries due to squamos cell carcinomas.

ID: 1067082
Sex: F
Age: 25
State: AL

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: Covid-19 test

Allergies: Allergies Ceszil and Ativan and Betadine

Symptoms: I had arm pain worse than normal vaccine headache within 15 minutes of shot. The next day I felt super tired and run down and I had joint pain . I felt like that for five days. I went to the clinic for the headache and sinus pain . I received an antihistamine.

Other Meds: Citalipram 20mg Liosarinine 12mcg Vitamins, D3 with K2 Vitamin C Vitamin B12 Sea Iodine Zinc, Fish Oil

Current Illness:

ID: 1067083
Sex: M
Age: 49
State: MA

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

Lab Data: Xrays on Saturday Feb 27 Ultrasound and various blood tests on Monday Mar 1

Allergies: None

Symptoms: Early Wednesday morning (2/24) around 5:00AM, I woke up to extreme pain in my left arm, primarily along the upper forearm, inside of my elbow, and lower bicep. There was no trauma or unusual behavior prior to onset of pain. It came on suddenly and worsened with extension of the arm. Symptoms worsened over the next few days, with pain intensifying and extending down into my hand and up into my armpit and shoulder. I tried ice, Ibuprofen, Acetaminophen, and Vicodin for pain relief, but nothing really helped other than the ice. On Saturday morning (2/27), I visited Urgent Care and was diagnosed as brachial plexis neuritis, aka Parsonage-Turner Syndrome by Dr and prescribed Prednisone and rest. On Sunday evening (2/28), I went to the ER seeking pain relief and second opinion. On Monday (3/1) morning, I was seen by ED doctors, and then three different neurologists. After doing an ultrasound which ruled out vein/artery thrombosis, the neuro team diagnosed Parsonage-Turner Syndrome. They've prescribed Gabapentin, Acetaminophen, and Ibuprofen for pain relief, a follow-up neuro consult, an MRI for next Friday, and an EMG in a few weeks. Last night while sitting and reading, the same pain began in my right arm, similarly to how it presented in my left arm last week. The right arm pain is less than the left arm pain, but at this point seven days later, I am experiencing neuropathic pain in both arms.

Other Meds: None

Current Illness: None

ID: 1067084
Sex: M
Age: 78
State: FL

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

Lab Data: n/a

Allergies: NKA per client

Symptoms: Unilateral tongue swelling; right side

Other Meds: Metoprolol Prevastatin Zetia

Current Illness: N/A per client

ID: 1067085
Sex: F
Age: 37
State: CA

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

Lab Data:

Allergies: Unknown

Symptoms: Very dizzy, incoherent, trouble talking, fell asleep, my boss found me asleep in the car. Had to help me out and back in. Took me to my sister's wokee up confused, did not know who I was or who my family was. Went to hospital in ambulance. Don't remember anything. Feeling dizzy fogginess fatigue. Went home fell asleep. Next day woke up big migraine naseaua weak pain down my whole arm. Couldn't move. All day. Next day same symptoms. Monday arm pain calmed down a bit now I can move a little better. Very disoriented. Tried to drive felt dizzy made it to work. At work kept feeling out of breath trying to focus was impossible. Kept feeling exhausted and going to sleep. Took a long nap. Went to my nieces house where my kids are being taken care of. Felt immensely tired and weak. I ate went to sleep. Woke up and felt almost the same. They drove me home. Fell asleep all night. Woke up today feeling weak, foggy minded, naseua, and big headache. I just don't feel myself. I feel drunk and exhausted and get tired to just even take a shower. Feels like my heart starts pounding so fast and then I just need to stop and lay down to fall asleep again.

Other Meds: No

Current Illness: Started menstrual cycle day of vaccine

ID: 1067086
Sex: F
Age: 65
State: RI

Vax Date: 01/27/2021
Onset Date: 02/12/2021
Rec V Date: 03/02/2021
Hospital: Y

Lab Data: Neurological evaluation and multiple blood tests upon hospitalization 2/15.

Allergies: NKA

Symptoms: Guillain-Barre Syndrome. 3-day hospitalization, IVIg infusion. Symptoms of tingling feet (started in toes and progressed to whole foot), lower leg weakness and fatigue began 16 days post vaccination. Hospitalization 4 days post symptom onset.

Other Meds: Armour thyroid, Trazedone, QVAR inhaler, Nasonex, melatonin, multi-vitamin, turmeric, vitamin D

Current Illness: none

ID: 1067087
Sex: F
Age: 28
State: IA

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: patient stated that her period started the day after she received the 2nd moderna vaccine which was early for her and cycle is normal now with 28 days in between.

Other Meds:

Current Illness:

ID: 1067088
Sex: M
Age: 76
State: NJ

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

Lab Data: none

Allergies: colchicine

Symptoms: Day 1 2/22 ? 2/23 4:00pm-4:00pm 99.3-103.9 Day 2 2/23-2/24 4:00pm-4:00pm 97.5-105.1 Day 3 2/24-2/25 4:00pm-4:00pm 98.6-102.8 Day 4 2/25-2/26 4:00pm-4:00pm 97.9-99.8 Day 5 2/26-2/27 4:00pm-4:00pm 97.5-99.6 Day 6 2/27-2/28 4:00pm-4:00pm 97.3-99.7 Day 7 2/28-3/1 4:00pm-4:00pm 98.1-100.4 Day 8 3/1-3/2 4:00pm-4:00pm 99.1-103.8 Fever and chills that continue to the present day - day 8 after the vaccine

Other Meds: Losartan Potassium Hydrochlorothiazide Flonase Anoro Ellipta (inhaler) Montelukast Sodium Pyridostigmine bromide Mirabegron Tamsulosin HCL

Current Illness: none

ID: 1067089
Sex: F
Age: 56
State: OH

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

Lab Data: Pt was given Epinephrine at the school and then transported to ER and was given Bendaryl and Pepcid IV and Ativan IV and Prednisone PO.

Allergies: No known drug allergies

Symptoms: Times were approximate listed on the initial sheet. Pt has COVID vaccination and then went in to be observed by school nursing staff. Pt then developed shortness of breath and feeling of her throat being extremely tight. Pt was administer the Epinephrine by the school staff. Then myself and staff went in to assist. Checked vital signs and pt still holding her throat. Pt denies being anxious prior to the shot and has had no adverse reactions in the past. Pt then stated that she felt as though the epinephrine was helping. Assessed throat and the back of her left side of her tongue was slightly swollen. After about 10 minutes she stated that she felt her throat getting very tight again. EMS were then called and pt transported to ER

Other Meds: Takes a sleeping aid at night (Melatonin and Trazodone)

Current Illness: No none illnesses at time of vaccination

Date Died: 02/25/2021

ID: 1067090
Sex: F
Age: 97
State: NY

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

Lab Data: chest x ray, CAT scan, cardiac echo,

Allergies: none

Symptoms: within 24 hours after her second injection she developed chills, had a syncopal episode and had, difficulty breathing. this progressed over the next day when she had a second syncopal episode and her dyspnea and confusion worsened EMT was called and she was brought to the hospital. she was in flash pulmonary edema and with her history of severe aortic stenosis she was admitted to the cardiac icu. she had no prior history up to that time of pulmonary edema and was functioning without distress in her home. she had a history of covid in early april, manifesting primarily as severe confusion, from which she recovered.

Other Meds: metoprolol nifedipine asa vitamin d preservision eye vitamin escitalopram 5 mg latanoprost eye drop qhs to left eye

Current Illness: aortic stenosis severe mild hypertension peripheral vascular disease stable

ID: 1067091
Sex: F
Age: 81
State: OH

Vax Date: 02/04/2021
Onset Date: 02/07/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: When muscles were first affected, went 2 times to Chiropractor, Dr 2/25/21 went to Orthopedic at They took X rays of swollen Foot & Knee. Initial thought was maybe a small fracture...Showed only small amount of arthritis.

Allergies: NONE

Symptoms: Aggravated my Neuropothy for approximately 3 weeks. Also affected muscles in Right Foot. Every night Right Foot would get "BURNING HOT" & would have to soak foot in cold water. For last 10 days of problems, Right Foot, Middle of Leg, and Total Knee TOTALLY SWELLED UP AND STAYED THAT WAY FOR THAT LAST 10 DAYS! Burning foot is no longer and swelling is almost gone.

Other Meds: Metoprolol/Lisinopril/Lisinopril/Buspirone/Ametriptylin Vit C/ Vit B12/ Niacin/Centrum Silver/ Potassium/ Magnesium/ Calcium/ Vit D

Current Illness: Peripheal Neuropothy

ID: 1067092
Sex: F
Age: 69
State: FL

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

Lab Data:

Allergies:

Symptoms: fever 100.9, nausea, no appetite

Other Meds: plavix 75mg ibesartan 75mg renexa 1000mg januvia 25mg diazepam 2mg eye gtt cinnamon 500mg thera-cran 360mg famotidine 20mg VitD3 2000IU protonix 40mg crestor 20mg metoprolol ER 25mg amlodopine 5mg paxil 40mg nitro SL 0.4mg as needed (has n

Current Illness:

ID: 1067093
Sex: F
Age: 45
State: MN

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

Lab Data: None

Allergies: Sulfa

Symptoms: Hives for 3 days. No relief with anihistamines.

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm