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: 1068838
Sex: F
Age: 63
State: MI

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

Lab Data: Ultrasound of right arm done on 2/12/21. Negative results.

Allergies: no allergies to any medications or foods

Symptoms: Immediately after second dose of Pfizer Covid-19 vaccine given, patient developed a yellow bruise at injection site. She reports feeling like a foreign body in injection site and reports feelings of tightness, pressure, and heat at site. Patient developed swelling of right arm over the next 3 weeks. Patient saw her PCP on 2/12/21 and an ultrasound was done to R arm. Results were negative. Five to six weeks post vaccine administration, patient is reporting weight loss over 10 pounds, possible hair loss, loose stools, and sweaty palms and feet. She also reports the right arm pressure and tightness is now radiating to her upper back.

Other Meds: celebrex

Current Illness: unknown

ID: 1068840
Sex: M
Age: 34
State: NY

Vax Date: 12/22/2020
Onset Date: 03/01/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: A rapid POC COVID test was performed as well as a PCR COVID test on 3/1/21. The rapid POC test resulted positive on 3/1/21 and the PCR test resulted positive on 3/2/21.

Allergies: n/a

Symptoms: I thought I was suffering from a bad sinus infection, completed a ten day course of Augmentin about two and a half weeks ago. The infection didn't go away, seemed to get worse with worsening headache/eye pain/fatigue and nasal congestion/post nasal drip. I requested a nasal swab by my provider to identify what was going on in my nose.

Other Meds: Wellbutrin, Venlafaxine, Zyrtec, Flonase

Current Illness: n/a

ID: 1068841
Sex: F
Age: 75
State:

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

Lab Data:

Allergies:

Symptoms: During monitoring period post Pfizer COVID-19 vaccine, pt experienced itching on back and spreading "all over". Medications Ordered/Given Per Protocol: Benadryl 25mg by mouth.

Other Meds:

Current Illness:

ID: 1068842
Sex: F
Age: 31
State: IL

Vax Date: 01/11/2021
Onset Date: 01/18/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: EKG, trop, ESR/CRP and D dimer negative

Allergies: None

Symptoms: Got vaccine in left deltoid. In the next week started having left arm pain along ulnar distribution and left sided chest pain consistent with costochondritis.

Other Meds: None

Current Illness: None

ID: 1068843
Sex: F
Age: 51
State: CO

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

Lab Data: Waiting to hear back from my physician

Allergies: PCN, CIPRO, SULFA

Symptoms: Nausea vomiting diarrhea severe headache unable to eat so far for 3 Days cannot lift my head fever chills. Severe internal ear pain and headache but it's not touched by Tylenol or Ibuprofen

Other Meds: Tylenol, Ibuprofen

Current Illness: After the first vaccine I have a horrible headache and body aches for about 36 hours. But no other medical issues whatsoever

ID: 1068844
Sex: F
Age: 65
State: OK

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

Lab Data:

Allergies: Codeine Sulfate

Symptoms: Pt performed TV with PCP on 2/24/21. Per PCP " She relates that yesterday morning (2/23/21) she got her 2nd COVID-19 vaccination by Pfizer. She had no ill affects until approximately 10:30 p.m. yesterday (2/23/21) at which time she developed chills her symptoms worsened and by midnight she could not move her arms or her legs and her arms and legs felt numb. She did not have any difficulty breathing. She did not have any numbness in her chest and she did not have any shortness of breath. She did not have any rash and she did not have any swelling or have any headache. She relates that she is better now (2/24/21) although she does still feel like she has weakness of her arms and legs she is now able to walk. The only remaining parenthesia is a little bit of tingling in her right arm. She is still experiencing significant fatigue".

Other Meds: Metoprolol

Current Illness:

ID: 1068845
Sex: F
Age: 54
State: OK

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

Lab Data: none

Allergies: sulpha

Symptoms: Large red sphere around the injection area developed -- approximately 2". The areas remains red with an itchy rash. I had no other reactions to the injection.

Other Meds: In the morning: thyroid replacement, blood pressure and cholesterol

Current Illness: None

ID: 1068846
Sex: F
Age: 78
State: VT

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

Lab Data: Blood tests at emergency room the morning after the 2nd shot all looked normal according to doctors

Allergies: sulfa drugs penicillin

Symptoms: Weak and fatigue. Not wanting to eat or drink. Unable to walk without holding onto items. Sleepy, but unable to sleep. Nine days after 2nd shot still having the same symptoms.

Other Meds: rosuvastatin metoprolol levothyroxine vit C , vit D, fish oil, multivitamin

Current Illness: none

ID: 1068847
Sex: F
Age: 68
State: OH

Vax Date: 02/19/2021
Onset Date: 02/28/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: None so far

Allergies: Penicillin, Bactrum, Ceclor

Symptoms: Ten days after the injection,the site became red, swollen (approx. 5" across) , hard, hot and very itchy! I researched it and have been applying cold compresses and benadryl ointment. This is day #4 and some improvement.

Other Meds: None

Current Illness: None

ID: 1068848
Sex: M
Age: 10
State: IL

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

Lab Data:

Allergies: Penicillin, sulfa

Symptoms: A few hours after receiving the vaccine, my son developed what looked like red and brown freckles all around his eyes and eye lids. He didnt complain of any pain or discomfort. The spots have lightened overnight but still remain 24 hrs later.

Other Meds: None

Current Illness: None

ID: 1068849
Sex: F
Age: 22
State: PA

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

Lab Data:

Allergies: nuts

Symptoms: Flushing on cheeks/chest. Anxious Feeling. Observed for 30 minutes. Vitals were WNL: BP 124/82, HR 94, RR 18.

Other Meds: Unknown

Current Illness: unknown

Date Died: 02/26/2021

ID: 1068850
Sex: F
Age: 70
State: TX

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

Lab Data:

Allergies: Vancomycin (itching)

Symptoms: Pfizer-BioNTech COVID- 19 Vaccine EUA: Wife of patient called Primary Care Physician to inform that patient had received dose #2 of Pfizer COVID vaccine, and later that evening experienced a seizure and expired.

Other Meds: Calcitriol 0.25 mg daily, Carvedilol 25 mg BID, (Cont.) Ergocalciferol 50,000 units weekly, Epoetin alfa, Furosemide, Hydrocodone/acetaminophen 10/325 mg Q6H PRN, Mycophenolate sodium 360 mg BID, Prednisone 10 mg daily, Sevelamer carbonate

Current Illness:

ID: 1068851
Sex: F
Age: 50
State: PA

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

Lab Data: EKG 3/3/2021 normal

Allergies: grass, nuts, pcn

Symptoms: Patient was feeling anxious prior to vaccination. As soon as she received her shot she developed mild chest pressure and palpitations. She was brought to the medical tent for evaluation. Her initial blood pressure and heart rate were both mildly elevated (BP 164/97, HR 101). She had an EKG which showed normal sinus rhythm with no ischemic changes. After 10 minutes of observation her symptoms had resolved and her vitals were improved (BP 137/98, HR 86). She was advised that typical chest pain evaluation includes blood tests that can only be done in ER to definitively rule out ACS, and offered transport to ER, but she felt better and declined, stated she would go to ER if symptoms return.

Other Meds: None

Current Illness: none

ID: 1068852
Sex: F
Age: 64
State: NY

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

Lab Data: bp 126/80 p78 po2 100 rr 20

Allergies: codeine vicoden sulfa

Symptoms: felt tingling in mouth, anxiety, fullness in throat

Other Meds: advair flonase allegra levothyroxin butosin

Current Illness: as below

ID: 1068853
Sex: F
Age: 23
State: MN

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

Lab Data: None

Allergies: Chlorhexidine

Symptoms: Redness, swelling, hot to touch. Got worse from day 2 until day 4 when I went to urgent care. I was given an antibiotic and steroid. This happened with my first dose but was much more delayed.

Other Meds: Orsythia birth control

Current Illness: None

ID: 1068854
Sex: F
Age: 42
State: NY

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

Lab Data:

Allergies:

Symptoms: ear crackling noises

Other Meds:

Current Illness:

ID: 1068855
Sex: M
Age: 84
State: NC

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

Lab Data:

Allergies:

Symptoms: Patient was observed post Covid-19 immunization for 15 minutes and during that 15 minutes at 0915a reported to RN that he was feeling dizzy/lightheaded at 0915a. Bp was 134/81, RR 18, p 75, t 96 oral and 02 sat 96 on RA. Patient states he is tired as well and has history of COPD, sometimes wearing mask can increase SOB. Patient given water and offered crackers, which declined. Removed coat and hat and continued to monitor with wife at side. T 0934 BP was 135/64, O2 sat 95 on RA, RR 20, t 96.5 continue to monitor for another 10 minutes. At 0934a, pt states still feeling lightheaded but slightly better. Had patient stand and stated he was dizzy, EMS at side and assessing at 0934. EMS continued to monitor patient and at 1000a, pt stated he was "much better" and EMS released. Walked short distance without any dizziness or lightheadness. Encouraged wife and patient to notify PCP of events and if symptoms return

Other Meds:

Current Illness:

ID: 1068856
Sex: M
Age: 73
State: CA

Vax Date: 02/04/2021
Onset Date: 02/14/2021
Rec V Date: 03/03/2021
Hospital: Y

Lab Data: 2/14/21: eosinophils 1% 2/14/21: CXR- No acute cardiopulmonary process.

Allergies: None

Symptoms: Patient presented to ED with progressively worsening angioedema presumably due to either h/o heraditory angioedema, lymphoma, or in combination with recent Covid vaccine. Patient had swelling to the lips, throat, and neck. Patient had similar symptoms in the past that resolved spontaneously within a day or received ecallantide on a different occasion in 2015. Suspected angioneurotic edema per hematology and was treated with epi, Benadryl, Pepcid, Solu-medrol, and Kalbitor for HAE. No edema visualized, clear voice, and no issues with swallowing on the next day.

Other Meds: tadalafil

Current Illness:

ID: 1068857
Sex: M
Age: 87
State: TX

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

Lab Data: None

Allergies:

Symptoms: No adverse outcome.

Other Meds: Patient was administered the second dose of vaccine with Pfizer. Post vaccination, it was discovered that the patient received Moderna for the first dose. No adverse reaction occurred.

Current Illness:

ID: 1068858
Sex: F
Age: 65
State: MD

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

Lab Data:

Allergies: latex, opiates, perfumes - particularly musk based, cashews/urushiol

Symptoms: Itchy slightly raised rash around the injection site 9 days after injection. Also joint pain all over the day after the injection which resolved in a couple days.

Other Meds: montelukast, nortryptiline, simvastatin, vitamin C, vitamin D, vitamin E, krill oil, multivitamin, iron, potassium

Current Illness: none

ID: 1068859
Sex: F
Age:
State: WI

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

Lab Data: none needed

Allergies: oral lisinopril-rash oral viox-rash

Symptoms: Itchy throat. Was observed by EMS , able to take but had no difficulty breathing or speaking. Able to walk to own car without assist. No further eval required but was advised to contact EMS or PCP if symptoms reappeared.

Other Meds: unknown

Current Illness: unknown

ID: 1068860
Sex: F
Age: 44
State: PA

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

Lab Data: Blood was drawn. Urine analysis showed high keytone.

Allergies: bactrim, macrobid, erythomiacin, ciprofloxacin

Symptoms: Impaired thinking, began about 2 hours after vaccination. It is still ongoing. Loss of appetite. Nausea. Rapid heart palpitations. Went to ER three days after the vaccine. Was given fluids and sent home. Continue to feel disoriented and fatigued.

Other Meds: N/A

Current Illness: N/A

ID: 1068861
Sex: M
Age: 62
State: TN

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

Lab Data: Completed physical exam and VS which were stable. Gave him a steroid injection, keflex 500mg BID for 10 days, continue benadryl, xyzall, and added pepcid 20mg bid.

Allergies: NKA

Symptoms: Patient present to Urgent Care for treatment after receiving his COVID immunization at the Health Department. He states he received his vaccination on Friday in his left upper arm on Friday February 26th and felt fine on Saturday, Sunday began to have some fatigue and his arm was slightly sore and turning pink and itching. He began taking ibuprofen on Sunday by Monday the redness had increased and he added Benadryl. He came in today for enlarging redness of upper left arm, swelling and puritis.

Other Meds: Glimpiride, Tamulosin, amlodipine-benazepril, atorvastatin, levocetirizine, Metformin,

Current Illness:

ID: 1068862
Sex: F
Age: 50
State: MN

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

Lab Data:

Allergies: Citalopram Hydrobromide Nortriptyline Hcl Bupropion

Symptoms: EXTREME dizziness and nausea. Heart palpitations and chills. And one of the worst headaches of my life. I called the nurse line and they had me go to the hospital. I received the vaccine on Saturday evening. Symptoms started Monday morning and increased in severity throughout the day until they were unbearable Monday evening.

Other Meds: Sertraline Buspirone

Current Illness: none

ID: 1068863
Sex: F
Age: 27
State: WI

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

Lab Data:

Allergies: Amoxicillin

Symptoms: Swelling underneath the chin, initially had tingling in the area before swelling started

Other Meds: oral contraceptive

Current Illness: None

ID: 1068864
Sex: F
Age: 47
State: AZ

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

Lab Data:

Allergies:

Symptoms: Blotchy rash at injection site on shoulder, going all the way down the left arm and up into left side of my neck. . Almost looks like a sunburn. I had the same neck blotches with the first dose, but didn?t attribute them to the vaccine then. Now I see that it is the same anomaly as with the first dose. I called my doctor to let him know and I will monitor the rash for the next several hours. I first noticed the rash in the morning after waking, 19 hours post Pfizer #2. The rash accompanies the normal pain and slight heat at injection site, as well as armpit pain. The left side of the body is quite sore. No fever or other complaints.

Other Meds:

Current Illness:

ID: 1068865
Sex: F
Age: 34
State: VA

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

Lab Data:

Allergies: PEN VK, Percocet

Symptoms: 2 inch diameter red rash and pain around the injection site, chills, lethargy, body aches, and dehydration. 24 hours later the rash was gone, but the other symptoms remained. 48 hours later all resolved except for lethargy.

Other Meds: MIralax, Omeprazole

Current Illness:

ID: 1068866
Sex: F
Age: 54
State: NJ

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

Lab Data:

Allergies: amoxicillin (reaction not documented) sulfa antibiotics (reaction not documented)

Symptoms: Patient received first Moderna COVID vaccine. While waiting in the observation area, patient complained of itching at the injection site, hives on chest and mild SOB approx 5-10 minutes post vaccine. Paramedic present in vaccine clinic responded ASAP and called a Rapid Response overhead, which was cancelled when patient stated that she was comfortable to walk to the Emergency Dept. She was escorted to ED by a paramedic. ED physician assistant evaluated patient and noted the following: mild redness on her upper chest, upper left upper arm and back. Patient denied chest discomfort, throat discomfort, no SOB, no n/v. Physical exam documentation: Physical Exam General: Alert, no acute distress, Not ill-appearing, Skin: Warm, dry, intact, mild redness to the anterior chest and back. No urticarial rash noted., - edema . Head: Normocephalic. Neck: Supple. Ears, nose, mouth and throat: throat clear; -edema able to swallow saliva -stridor -tongue edema -hoarse voice -hot potato voice. Cardiovascular: Regular rate and rhythm. Respiratory: Lungs are clear to auscultation, respirations are non-labored, breath sounds are equal, no retractions. Gastrointestinal: Soft, Nontender, Non distended. Musculoskeletal: Normal ROM. Neurological: Alert and oriented to person, place, time, and situation. Psychiatric: Cooperative. Patient prescribed diphenhydramine 50 mg IM x1 dose and observed in ED for approx 1 hour afterward. Noted that itching and redness was resolved. Pt denied SOB, chest/throat discomfort. Pt was discharged and asked to follow-up with PMD.

Other Meds: atenolol 50 mg PO daily chlorthalidone 25 mg PO daily meloxicam 15 mg PO daily olmesartan 5 mg PO 2xday

Current Illness: COVID positive on 12/18/2020

ID: 1068867
Sex: M
Age: 47
State: DC

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

Lab Data: none

Allergies: Penicillin

Symptoms: Approximately 45 minutes after injection mild onset of anaphylaxis response. Numb tongue, tingly lips, mild throat constriction but no issues swallowing or breathing. About 60 minutes post-injection, the patient self-administered two 25 mg tablets of Benadryl. Symptoms subsided 120 minutes later.

Other Meds: Losartan-HTC, Biktarvy, Psyllium Husk

Current Illness: none

ID: 1068868
Sex: F
Age: 65
State: IA

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

Lab Data: none.

Allergies:

Symptoms: Severe headache, joint pain, nausea, muscle pain, tiredness, chills with second shot. four days later: itching, redness and welts on over both elbows, knees and ankles.

Other Meds:

Current Illness:

ID: 1068869
Sex: F
Age: 26
State: MA

Vax Date: 02/11/2021
Onset Date: 03/15/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data:

Allergies: Amoxicillin and benadryl

Symptoms: Patient got the COVID vaccine (first dose) last Thursday the 11th, and had some reaction to it. I felt itchy all over, my right heel has been red and swollen, a couple of nights I had chills but was sweating when I woke up and felt hot, the tops of my hands and fingers were red, irritated and extremely itchy until this morning, the injection site has been itchy but the red rash went away last night. I?ve been waking up puffy/swollen in my hands, face (eyelids, lips(not severe), today my feet are a bit swollen and my hands don?t seem red or itchy now.

Other Meds: N/A

Current Illness: Migraine

ID: 1068870
Sex: M
Age: 72
State:

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

Lab Data:

Allergies: Allergy to animal dander and morphine.

Symptoms: Severe chills. Couldn't stop shaking. Went away in approximately 2 hours after getting in warm bed.

Other Meds: None.

Current Illness: None.

ID: 1068871
Sex: F
Age: 78
State: NH

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

Lab Data:

Allergies: no allergies, although I do react to insect bites

Symptoms: On Saturday 02/20 twenty four hours after receiving the injection I felt fatigued with loss of appetite and some chills. At the same time I noticed a 2inch red ring around the injection site. The next day I felt fine ,but had a very sore arm with the red circle and a large pink blush running down to my elbow which never disappeared. The following week the red circle disappeared but the pink blush remained. On Sunday, 02/28 I noted that the blush disappeared but I now had a 3inch red circle around the injection site. On Monday 03/1, the red circle grew and spread, and by 03/2 it was no longer in circular form but spread down my arm to 3inches by 6inches. It remains the same 0n 0/3. It is not painful or itchy. I am worried. I know this is called covid arm but my reaction does seem extreme. I do have some photos beginning on 02/28

Other Meds: Eliquis, Metformin, Levothyroxine, Januvia, lisinipril multivitamins

Current Illness: no illness

ID: 1068872
Sex: F
Age: 71
State: NC

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

Lab Data:

Allergies: None

Symptoms: Ran fever of 102`102.5 Through out the night. Chills, Head hurt, eyes hurt. Nauseated, Arm extremely painful. Kept Symptons up un til 02/26/2021. All symptoms seem to be gone now but arm is still sore and painful. Do not plan to get second shot. I did have Covid in April 2020 and was in the Hospital for 9 days. I don't know if that may have made me have the symptoms after receiving this shot.

Other Meds: Rosuvastatin 10 mg D-3

Current Illness: None

ID: 1068873
Sex: F
Age: 76
State: OH

Vax Date: 02/18/2021
Onset Date: 02/21/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: Have not seen my doctor - just thought these were side effects of the flue like headache, fever, chills that some people had, but not me. I only got dizzy.

Allergies: adhesive

Symptoms: Pfizer-BioNTech Covid 19 Vaccine EUA Started getting light headed and dizzy on early morning Sat. Have been having off and on since then. Have not been able to shower, drive for fear of having it happen again. I did have a B12 injection on 2/15/2021 after checking with my physician to see if would be a problem with getting vaccine.

Other Meds: Omeprazole 20mg. venlafaxine Hel Er 150mg, Losartan 100mg, Pregabalin 150mg 2 times a day. Alprazolam 0.25mg 1/2 to 1 a day, and B12 shots monthly

Current Illness: none

ID: 1068874
Sex: F
Age: 48
State: AZ

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

Lab Data:

Allergies:

Symptoms: Redness to the neck

Other Meds:

Current Illness:

ID: 1068875
Sex: F
Age: 79
State: FL

Vax Date: 01/29/2021
Onset Date: 02/11/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data:

Allergies: sulfa

Symptoms: ON FEBRUARY 11, I AWOKE WITH A RUNNY NOSE WITH HEADACHE, EYE ACHE, TEOOTHACHE ON RIGHT SIDE OF MOUTH--UPPER AND LOWER. I ALSO FELT A COLD SORE COMING ON. I TOOK SUDAFED PE AND VALCYCLOVIR, WHICH USUALLY SOLVES THE ISSUE. THESE SYSMPTOMS CONTINUED AND I CONTINUED WITH SUDAFED AND VALCYCLOVIR. I SAW MY DENTIST ON FEBRUARY 11 AND WAS TOLD THERE THERE WERE NO ISSUES AND PERHAPS THE PAIN WAS CAUSED BY SINUS ISSUES. I INCREASED THE VALCYCLOVIR TO THREE TABS A DAY RATHER THAN ONE. THE TEETH ISSUE SPREAD TO THE LEFT SIDE OF MY MOUTH AND TWO MORE COLD SORES APPEARED, ANOTHER ON MY UPPER LIP AND ONE AT THE EDGE OF MY LEFT NOSTRIL. I HAD A ZOOM MEETING WITH MY DOCTOR ON MARCH 1. SHE INCREASED THE VALCYCLOVIR TO 1000M. THREE TIMES A DAY. THE COLD SORES HAVE DISAPPEARED, BUT THE OTHER SYMPTOMS CONTINUE, BUT THE PAIN HAS LESSENED SOMEWHAT. I TAKE TYLENOL WHEN THE DISCOMFORT BEGINS TO INTERFERE WITH MY DAILY LIFE.

Other Meds: Armour Thyroid, Cerefolin NAC, multivitamin, Allegra, baby aspirin, Protandim

Current Illness: N/A

ID: 1068876
Sex: M
Age: 82
State: ME

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

Lab Data: None

Allergies: None

Symptoms: Body aches with fever 100. Degrees

Other Meds: Pantoprazole acid reducer 40mg 1a day Simvastatim 10mg 1 per day

Current Illness: None

ID: 1068877
Sex: M
Age: 79
State: CT

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

Lab Data: Component Latest Ref Rng & Units 2/12/2021 Lyme IgM WB Negative Lyme IgG WB Negative B. burgdorferi Ab, IgG and IgM by WB Interpretation Lyme IgG WB Electronic Signature Lyme Ab <=0.90 LI HSV 1/2 Virus by PCR Not Detected Not Detected Component Latest Ref Rng & Units 2/5/2021 Lyme IgM WB Negative Negative Lyme IgG WB Negative Negative B. burgdorferi Ab, IgG and IgM by WB Interpretation IgM Lyme Western Blot: Negative . . . Lyme IgG WB Electronic Signature This report is electronically signed by the doctor on 02/08/21 at 4:17 PM . . . Lyme Ab <=0.90 LI 1.27 (H) HSV 1/2 Virus by PCR Not Detected

Allergies: None

Symptoms: right sided facial palsy, consistent with Bell's palsy, grade 3 treatment with prednisone and valacyclovir for 7 days with improvement to grade 2 by 1 week

Other Meds: ? amLODIPine (NORVASC) 5 mg tablet, TAKE 1 TABLET(5 MG) BY MOUTH DAILY, Disp: 90 tablet, Rfl: 3 ? apixaban (ELIQUIS) 5 mg tablet, Take 1 tablet (5 mg total) by mouth 2 (two) times daily., Disp: 180 tablet, Rfl: 3 ? ascorbic acid, vitamin

Current Illness: None

ID: 1068878
Sex: F
Age: 73
State: CA

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

Lab Data:

Allergies:

Symptoms: 6 patients were given Pfizer vaccine that was diluted with bacteriostatic normal saline. Issue was discovered and remaining vaccine was discarded. We are unable to identify which 6 people were given the wrong diluent but able to identify the timeframe and narrow it down.

Other Meds:

Current Illness:

ID: 1068879
Sex: F
Age: 67
State: IL

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

Lab Data: None

Allergies: Sulfa medications, Cat dander

Symptoms: About 1 hour after administration, patient experienced flushing that lasted about 30 minutes

Other Meds: None

Current Illness:

ID: 1068880
Sex: F
Age: 57
State: MO

Vax Date: 02/05/2021
Onset Date: 02/19/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: None required

Allergies:

Symptoms: Patient accidentally received two Pfizer vaccinations within 14 days of each other. She was a walk in to a booster clinic within our hospital and was not asked if it had been 21 days since her previous vaccination. She saw others getting their booster and just followed the lead. She has did not have any adverse events or side effects.

Other Meds:

Current Illness:

ID: 1068881
Sex: F
Age: 46
State: TX

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

Lab Data: Pt given Benadryl 25mg by mouth STAT

Allergies: NKDA

Symptoms: Patient described burning sensation down right arm and the back of neck. Observed skin blotching below the elbow on the right side.

Other Meds: Propanolol 10mg three times a day Levothyroxine 100mcg once a day

Current Illness: None

Date Died: 01/25/2021

ID: 1068889
Sex: M
Age: 84
State:

Vax Date: 12/29/2020
Onset Date: 01/25/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: n/a

Allergies:

Symptoms: death Narrative: no other details available, as nothing documented in record

Other Meds:

Current Illness:

Date Died: 02/11/2021

ID: 1068890
Sex: M
Age: 76
State:

Vax Date: 01/13/2021
Onset Date: 02/11/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: n/a

Allergies:

Symptoms: death Narrative: unclear of details, s/p spine surgery on 2/2/21 and discharged on 2/6/21

Other Meds:

Current Illness:

ID: 1068891
Sex: M
Age: 52
State: CO

Vax Date: 02/23/2021
Onset Date: 02/25/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: None

Allergies: isoniazid

Symptoms: Swelling in right armpit. Edemas to about the size of half an orange. Was consistent with a hematoma instead of glandular swelling. Swelling spread out throughout the entire left side over the week until it dissipated. I did take pictures and have them available if so desired.

Other Meds: topiramate 75 mg daily,

Current Illness: none

ID: 1068892
Sex: F
Age: 44
State: KY

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

Lab Data:

Allergies: None

Symptoms: Delayed onset of very sore and itchy area at injection site. Started a week after I received the vaccine. Injection site is swollen, hot, hard, painful, and itchy.

Other Meds: Synthroid, coumadin.

Current Illness: None

ID: 1068893
Sex: F
Age: 67
State: MD

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

Lab Data:

Allergies:

Symptoms: Hives/rash

Other Meds:

Current Illness:

ID: 1068894
Sex: F
Age: 69
State:

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

Lab Data:

Allergies: None.

Symptoms: Started with severe chills. Developed headache and stomach upset. Very tired and fatigued.

Other Meds: None.

Current Illness: None.

ID: 1068895
Sex: F
Age: 84
State: TX

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

Lab Data:

Allergies:

Symptoms: No adverse outcome.

Other Meds: Patient was administered the second dose of vaccine. Post-vaccination, it was discovered the patient had received other covid vaccine for the first dose. No adverse outcome.

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm