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: 1069210
Sex: M
Age: 43
State: CA

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

Lab Data: none at present

Allergies: none

Symptoms: 6-7 hours post injection an abnormal feeling, with chest discomfort/tightening, general malaise, fatigue, and pain at injection site. Took Tylenol twice throughout night and woke up feeling slightly better, but some chest discomfort persists.

Other Meds: EmergenC with Zinc, Vitamin D

Current Illness: none

ID: 1069211
Sex: M
Age: 73
State: AR

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

Lab Data:

Allergies:

Symptoms: Patient had immediate severe pain in the affected arm. Pain started hours after receiving the vaccine and has continued for over one month. Pain has affected his daily activities. After several days of applying warm compresses and taking over the counter anti-inflammatory medications without relief, patient sought medical care. Patient has since continued to follow up with Dr. at the facility and is undergoing physical therapy sessions as well as new medications. As of today, 3/3/21, patient still has pain in his arm that limits daily acitivities.

Other Meds:

Current Illness:

ID: 1069212
Sex: F
Age: 78
State: CA

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

Lab Data: NA

Allergies: NKA

Symptoms: 1218 Complaint of feeling lightheaded. States she had a similar reaction to first vaccine. BP 99/58, R 15, O2 98%, P 93. 1230 BP 102/70, R 16, O2 98%, P 96. Patient states she feels slightly better but still a bit lightheaded. Declined offer for EMS. Alert and oriented x 4. Slow and steady ambulation. Denies any other symptoms.

Other Meds: Anastrazole

Current Illness: None

ID: 1069213
Sex: F
Age: 63
State: PA

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

Lab Data: None

Allergies: Ibuprofen, tamiflu, prednisone

Symptoms: During 24 hours following vacc: Elevated temp 99.6-100.4 ; Lasting for 72 hours: injection arm soreness and redness and warmth to the touch; fatigue Starting 3/3/2021 red, itchy rash about 4? in diameter atinjection site

Other Meds: Abuterol rescue inhaler Multi vitamin

Current Illness: None

ID: 1069214
Sex: M
Age: 26
State: CA

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

Lab Data: Fever peaked 102

Allergies: None

Symptoms: He developed a fever and started throwing up the night of his vaccine. He is very small/skinny at 4'10" and 95 pounds. The fever continued the next day, and along with severe fatigue/vomiting, and he wasn't able to swallow/keep down his seizure meds. After giving him Motrin orally and Compazine with suppository, his fever broke in the evening and he was able to eat a little and keep down his seizure meds

Other Meds: Multiple seizure meds: Zonegran, Dilatin, Epidolox

Current Illness: None

ID: 1069215
Sex: F
Age: 77
State: CA

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

Lab Data: X-RAY

Allergies: Vicodin, Morphine, Cipro

Symptoms: Two hours after injection severe pain in my right knee began and continues moderately today 3/3/2021. (injection given at 1452) The doctor suggested heat/cold, anti-inflammatory, brace and finally an x-ray which indicated nothing. Four days after the second injection I've experienced mild pain in my opposite thigh and fatigue. The second injection was given in the opposite arm (left). While chatting with others in recovery after second injection about knee pain, another woman said she was experiencing the same and thought it was her arthritis but it felt different.

Other Meds: Probiotics, fish oil, thyroid, multi-vitamins

Current Illness: NONE

ID: 1069216
Sex: F
Age: 57
State: NJ

Vax Date: 12/24/2020
Onset Date: 02/18/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: COVID PCR test.

Allergies:

Symptoms: Tested positive PCR for Covid-19 on 2/18/21

Other Meds:

Current Illness:

ID: 1069217
Sex: M
Age: 83
State: NC

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

Lab Data: INR

Allergies: trazodone and metformin

Symptoms: elevated INR 4.2, previously stable and within therapeutic window

Other Meds: 1) CHOLECALCIF 50MCG (D3-2,000UNIT) TAB TAKE ONE TABLET new BY MOUTH DAILY VITMAIN D SUPPLEMENT 2) DONEPEZIL HCL 10MG TAB TAKE ONE-HALF TABLET BY MOUTH ACTIVE AT BEDTIME --FOR MEMORY 3) FREESTYLE LITE (GLUCOSE) TEST

Current Illness: none

ID: 1069218
Sex: F
Age: 71
State: IN

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

Lab Data:

Allergies: Allergic to penicillin, dust, mold, and pillen

Symptoms: Chills, body aches, headaches, slight nausea, sore arm

Other Meds: Metoprolol Succ 50mg, simvastatin 80 mg, losartan potass 25 mg, doxycycline 50 mg, ginseng

Current Illness: None

ID: 1069219
Sex: F
Age: 68
State: OH

Vax Date: 02/19/2021
Onset Date: 02/25/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data:

Allergies: Penicillin, Bactrim, and Ceclor

Symptoms: Patient called and stated experiencing "Covid Arm" about 7 days after first dose. The arm started to swell (about size of golf ball), become red, itchy and warm.

Other Meds: not known

Current Illness: none known.

ID: 1069220
Sex: F
Age: 58
State: OH

Vax Date: 12/30/2020
Onset Date: 01/08/2021
Rec V Date: 03/03/2021
Hospital: Y

Lab Data: 1/12/2021 admitted to hospital. EKG,, procalcitonin,CRP, lipase, lactic acid, BNP, troponin, CMP, D-dimer, UA C&S, blood cultures, CXR, CT, covid test 1/14/2021 2D echo

Allergies: None

Symptoms: Chills x 3 days and then fever, emesis, diarrhea and shortness of breath

Other Meds: Crestor 10mg q day ASA 325 mg q day Lexapro 10mg q day

Current Illness: No e

ID: 1069221
Sex: M
Age: 32
State: GA

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

Lab Data: None

Allergies: unknown

Symptoms: During the safety briefing by staff, participant became unresponsive; participant was administered Epi Pen 0.3 mg in left thigh. EMS was called. Participant then aroused and was assisted by staff to observation tent. Initially denied history of passing out with injections, however, later stated he had. Participant was incontinent of urine. Oxygen saturation - 99%, pulse 66. EMS arrived and assessed participant, BS 112, & offered to take to E.D. for further evaluation, however, participant declined & left with wife. Called to f/u on 3/3/21 and stated he had visited his physician and had no further concerns.

Other Meds: unknown

Current Illness: unknown

ID: 1069222
Sex: F
Age: 67
State: SD

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

Lab Data: none

Allergies: penicillin (unknown reaction) environmental allergies

Symptoms: Red spot 3 inches x 2 inches, occasional itching, sore to touch, warm to touch - so far lasting 9 days.

Other Meds: metoprolol 25mg 3x day xarelto 20mg Supplements: Vitamin D3, fiber (psyllium husk), Super B complex and B6

Current Illness: fibromyalgia

ID: 1069223
Sex: M
Age: 28
State: OH

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

Lab Data: 2/26/2021-Results: Potassium 2. 8 (low), Magnesium 1.7 (low), Anion Gap 16 (high), Bilirubin Total 1.3 (high), blood glucose 134 (high)n Neutro Auto 39.0 (low), Lymph Auto 48.7 (high). 12 lead- Sinus arrhythmia. CT Brain/Head- Complex maxillofacial fracture. Acute extra-axial hemorrhage subjacent to the non-displaced right frontal skull fracture. Most likely subdural hemorrhage although small epidural hemorrhage could have this appearance. Non- displaced fracture of right orbital floor and right laminal papyracea.

Allergies: PCN

Symptoms: Patient received Covid Vaccine and followed process (15 minute monitored time). Patient was walking out of center and fell hitting his head. 12 lead EKG, CBC, Chemistry, Portable chest x-ray, CT Brain/Head w/o contrast, CT maxillofacial w/o contrast, CT Spine Cervical w/o contrast. Transferred by helicopter to trauma.

Other Meds: No medications

Current Illness: None

ID: 1069224
Sex: M
Age: 79
State: MA

Vax Date: 01/19/2021
Onset Date: 03/03/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: none

Allergies: brazil nuts, raw egg white

Symptoms: sudden onset sever vertigo with severe nausea and vomiting, diagnosed by ENT doctor as vestibular neuronitis. Treatment was physical therapy and symptoms 95% resolved in 5 weeks

Other Meds: Elliquis, prilosec, dutasteride, alfuzosin, atorvastatin, calcium carbonate with vitatmin D, multivitamin

Current Illness: none,

ID: 1069225
Sex: F
Age: 68
State: MA

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

Lab Data: None

Allergies: Sensitivity to codeine

Symptoms: Swollen arm, slightly warm and slightly red

Other Meds: Blood pressure, cholesterol, anxiety, biotin, calcium

Current Illness: Throwing up virus several days prior

ID: 1069226
Sex: F
Age: 29
State: IL

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

Lab Data:

Allergies: Codeine, pineapple, bee venoms

Symptoms: Swollen lymph nodes on left armpit and near left collar bone, extremely painful.

Other Meds: Xanax .25 mg PRN, TOPROL-XL 25 mg daily, Zoloft 25 mg daily, Elavil 25 mg daily, epipen PRN, baclofen 20 mg PRN, melatonin 10 mg daily.

Current Illness:

ID: 1069227
Sex: F
Age: 33
State:

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

Lab Data:

Allergies:

Symptoms: During 30 min post vaccine observation, patient had mild chest pressure without SOB, dizziness, or chest pain. Patient reported a fast heartbeat. VS stable at 30 minute mark and instructed to go to ED for any worsening symptoms.

Other Meds:

Current Illness:

ID: 1069228
Sex: F
Age: 69
State: FL

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

Lab Data: N/A

Allergies: Food: dairy, gluten Meds: codeine, trintellix, ability, prozac, celexa, lexapro, phenergan, fluconazole, cephalon, pseaudoephrine, remoron, zoloft, prove forte dm Other: latex

Symptoms: Extreme fatigue for 3 days Itching all over body Soreness in right arm where the vaccine was received Treatment: cortisone cream and tylenol 2 days after vaccine Outcome: Improved and better on 4th day

Other Meds: Wellbutrin (50 mg) and Zyrtec both taken 3 hours before vaccine

Current Illness: None

ID: 1069229
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: Received the Covid-19 vaccine at about1515. She reports symptoms of L eye blurred at about 1525; called over nurse at 1540 and let her know. Her neuro assessment is wnl except for the blurred vision. 1540 vital signs were B/P 124/80 pulse 72 and 98% pulse ox. At 1545 b/p was 108/70, pulse 77, and pulse ox 98%. Husband did notify us that his wife has alzheimer's. Recommended to be evaluated in ED; agreed. First response called; team came at 1555; able to walk to wheelchair. Left accompanied by ED team and husband.

Other Meds:

Current Illness:

ID: 1069230
Sex: F
Age: 36
State: ID

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

Lab Data: Blood pressure and Pulse oximeter reading were performed. Results were within normal limits

Allergies: Cold

Symptoms: Patient experienced a rush of heat followed by nausea and dizziness. The patient felt clammy and sweaty. Dizzy spells were cyclical.

Other Meds: None

Current Illness: None

ID: 1069231
Sex: M
Age: 35
State: NY

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

Lab Data:

Allergies:

Symptoms: 2/13/21- 2100 hours severe fatigue set in, left arm by injection site muscle pain when moving or bumped moderately, laid on 2-14-21- 0930 hours- severe fatigue, sporadic light headaches, and reduced appetite commence ending around 2300 hours or next morning

Other Meds:

Current Illness:

ID: 1069232
Sex: F
Age: 50
State: OR

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

Lab Data:

Allergies: wellbutrin

Symptoms: Moderna CoVIS-19 Vaccine EUA At the injection site on my left arm, the muscle is swollen, red, and rock hard.

Other Meds: Levothyroxine & Vitamin D3

Current Illness:

ID: 1069233
Sex: F
Age: 65
State: AL

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

Lab Data: Na

Allergies: Codine, latex, penicillin

Symptoms: Fever, aching body, tiredness.. arm where shot was given was swollen and tender and had fever in it... took ibuprofen and Benadryl

Other Meds: Vitamin c, vitamin d, zico, cyanocobalamin, estratest hs, aldactone, levothroid, wellbutrin xl,

Current Illness: None

ID: 1069234
Sex: F
Age: 61
State: IN

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

Lab Data: no

Allergies: mold, mildew, dust mite, citrus fruit, pineapple, morphine,

Symptoms: pt states that she developed a head ache, chills, fever and sore arm. Pt took Advil to alleviate the pain and her reaction lasted around 24 hours . The symptoms had subsided by 2 PM the next day.

Other Meds: Allegra 180mg, Vitamin D, Calcium, Probiotic,

Current Illness: no

Date Died: 02/28/2021

ID: 1069235
Sex: M
Age: 89
State: AK

Vax Date: 01/07/2021
Onset Date: 02/28/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: N/A

Allergies: Amoxicillin, Azithromycin, Notriptyline, Augmentin

Symptoms: Death

Other Meds: Morphine, Lorazepam, Haloperidol, Loperamide, Ondansetron

Current Illness: Dementia, Anxiety, Hypokalemia, Peripheral Vascular disease, HTN, Absence of part of Lung Z90.2, BPH, Hypomagnesemia,

ID: 1069236
Sex: M
Age: 70
State: CO

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

Lab Data: Virtual and in office visit. Palpitation of chest and abdomen had pain in various locations. Due to location it was thought I might have an ulcer due to NCIDS taken for ongoing arthritis and pending surgery to fuse vertebra. Stopped alcohol, NCIDS, added Valium to stop muscle spasms. and referral to gastroenterologist. Also ordered renal and abdominal ultrasound, which was performed 2/17. Ultrasound showed swollen spleen. Suspected lymph node swelling previously

Allergies: Paxil Zoloft

Symptoms: Intense back pain / upper left quadrant starting 2-3 days after vaccination.

Other Meds: Omeprazole Losartin HCTZ Wellbutrin XL Potassium Citrate Pravastatin Sodium Sulindac Vitamin D Alprazolam

Current Illness: Arthritis, deteriorating discs

ID: 1069237
Sex: M
Age: 68
State: FL

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

Lab Data: None

Allergies: none

Symptoms: Almost exactly 12 hours after injection of this 2nd dose I experienced extreme chills and almost violent shivering or shaking. Put on down jacket and got in bed and symptoms subsided in 20-30 minutes. Got up and symptoms started again, so got back under covers and they subsided in 10 minutes. I had identical experience with 1st dose on 12/9/2020. The shivering was the most extreme I've experienced in my life. Next morning, I was fine both times.

Other Meds: Pravastatin 10mg

Current Illness: none

ID: 1069238
Sex: F
Age: 73
State: FL

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

Lab Data:

Allergies: None

Symptoms: Woke up the next night with chills, fever of 100.5, fatigue, sore arm at injection site. Took 1 ibuprofen every 6 hours. Syptoms disappeared after 24 hours.

Other Meds: Lisinopril, Metoprolol, Hydrochlorothiazide

Current Illness: None

ID: 1069239
Sex: F
Age: 67
State: OH

Vax Date: 02/20/2021
Onset Date: 02/25/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: None

Allergies: Ampicillin, duracef

Symptoms: Pelvic joint and muscle pain; still persistent. At first I thought it was due to not walking owing to ice and snow but has intensified even though I am back to walking. I expected headaches or flu symptoms as I had from the first Shingrix shot. I have no history of adverse effects to flu vaccines.

Other Meds: Citalopram, amitriptyline, Preservision AReds 2, Vitamin D, calcium citrate

Current Illness: None

ID: 1069240
Sex: F
Age: 56
State:

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

Lab Data:

Allergies: Betadine Iodine Fish Latex,natural Rubber

Symptoms: Tingling lips

Other Meds:

Current Illness:

ID: 1069241
Sex: M
Age: 30
State: TX

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

Lab Data:

Allergies:

Symptoms: Bloody nose

Other Meds: Genvoya aderal

Current Illness:

ID: 1069242
Sex: F
Age: 77
State:

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

Lab Data:

Allergies:

Symptoms: Patient complained of dizziness. BP @ 5:35 154/81, 5:45 172/76, @ 5:50 198/75. Patient was sent to Urgent Care for further medical evaluation

Other Meds:

Current Illness:

ID: 1069243
Sex: F
Age: 22
State:

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

Lab Data:

Allergies:

Symptoms: Patient fainted and was sweating while in post vaccination observation area. Patient recovered and mother took patient to ED for follow up. Patient discharged from ED with no issues.

Other Meds:

Current Illness:

ID: 1069244
Sex: M
Age: 30
State: NY

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

Lab Data:

Allergies: none known

Symptoms: Patient began feeling dizzy and a burning sensation in his throat directly after vaccination. Vital signs were stable.

Other Meds: clarinex, breo, topamax, paxil, folic acid

Current Illness:

ID: 1069245
Sex: M
Age: 69
State: IL

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

Lab Data: Urinalaysis, Urine cultures, blood cultures all negative. Chest X-ray positive for chronic infiltrates, however no new evidence of pneumonia CT head and CT chest/abdomen negative

Allergies: None

Symptoms: Patient received his second COVID pfizer vaccine on 2/27 and 10:30 AM. Several hours after receiving the vaccine pt become more lethargic with increased AMS and reached a fever of 103 and came to the emergency room on 2/28 around 3 AM. Pt had a prolonged course of COVID in May 2020. All other infections ruled out and pt now stable. However this is believed to be febril illness post-COVID vaccination

Other Meds: Aspirin 81 mg chewable tablet Hydroxyzine 25 mg tablet ProAir inhaler Apixaban 5 mg daily Insulin lispro Trazadone Losartan hydralazine Quetiapine Tacrolimus Prednisone simvastatin tamsulosin

Current Illness:

ID: 1069246
Sex: F
Age: 50
State: NY

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

Lab Data: Test were not performed. I did not seek medical attention as rash did not develop/spread further and I did not notice any swelling. Rash slowly dissipated over a few hours.

Allergies: Allergic to Penicillin

Symptoms: Noticeable rash developed on upper part of both legs, on arms and front section of my neck. Never on the torso.

Other Meds: None

Current Illness: None

ID: 1069247
Sex: F
Age: 23
State: OH

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

Lab Data: Creatinine clearance 90.35

Allergies: PCN=rash Pertussis vaccine=lethargy- no anaphylaxis

Symptoms: Complaints of numbness to hands from knees down bilaterally after Covid vaccine. No shortness of breath. Itching left side of cheek- mild throat tightness. Received Benadryl P.O. 25 mg and Decadron 10 mg P.O. Observed for 2 hours ? no reoccurrence of symptoms.

Other Meds: Albuterol 90 mcg 2 puffs every 6 hours Dexamethasone 4 mg Norco 5mg/325 mg 1 tab every 6 hours prn Ondansetron 4 mg every 8 hours prn Prevacid 30 mg delayed release every 8 hours.

Current Illness: None

ID: 1069248
Sex: F
Age: 71
State: KS

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

Lab Data: Emergency room on 02/25/21, CAT SCAN and MRI, along with blood work and vitals

Allergies: None known

Symptoms: Activated Bells Palsy from over 25 years prior!

Other Meds: Simvastatin 10 mg every night at bedtime Tramadol 50mg daily as needed Zolpidem 5mg at bedtime as needed

Current Illness: Coronavirus at Thanksgiving 2020

ID: 1069249
Sex: F
Age: 44
State: LA

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

Lab Data:

Allergies: Sulfa medications

Symptoms: Redness, fever, swollen, hardness of arm, approximately 3 inches of arm all around are affected. Blister formed along with smaller blisters which formed into 1 blister the size of a tennis ball 48 hours from vaccination. Pictures were taken with each change of the vaccination site.

Other Meds: Ibuprofen

Current Illness: None

ID: 1069250
Sex: F
Age: 54
State: NY

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

Lab Data:

Allergies: Bees Wellbutrin Levoquin

Symptoms: Pt states she recieved her first dose of the vaccine at 11:50 am.l Pt states after 40-50 minutes she started having tingling in her hands and face. Pt denies any rash, hives, or swelling. Crew determind the pt is having a panic attack and calmed her down. Pt's vitals are stable. Pt states she is feeling better and wants to leave. Pt didnt require transport to hospital.

Other Meds: T3 Hormone Estrogen

Current Illness: None

ID: 1069251
Sex: M
Age: 65
State: CA

Vax Date: 02/12/2021
Onset Date: 02/18/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: None

Allergies: none known

Symptoms: Noticed red rash on upper right arm, site of injection, on 2/18/2021. Rash spread to back, sides, stomach and upper left arm by 2/20/2021. Was fairly itchy. Felt like ripples across my back. On 2/23/2021 itchiness seemed to start to decrease. Red rash and itchiness is mostly gone by 3/3/2021. Throughout event I applied dry skin lotion, Shikai Borage Therapy, which seemed to reduce itchiness a bit. Consulted primary physician 2/23/2021 who advised Benadryl but I did not use it.

Other Meds: none

Current Illness: skin unusually dry

ID: 1069252
Sex: F
Age: 51
State: IN

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

Lab Data:

Allergies: Environmental

Symptoms: Patient received her vaccine at 0710. At 1040, she reported a headache and itching on her face and abdomen. She was evaluated at office by RN. She was given Benadryl 25 mg po at 1100. She is to follow-up with by the RN later this afternoon. Patient voiced understanding.

Other Meds:

Current Illness:

ID: 1069253
Sex: M
Age: 75
State: WV

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

Lab Data: EKG, IV insertion, 1 L Normal Saline

Allergies: Novocaine

Symptoms: Patient was at clinic to receive his 2nd dose of the Moderna CoVID-19 Vaccine. Approx 13 minutes after receiving the dose, patient became weak, dizzy, and extremely diaphoretic. Rapid response was called. Patient was wheeled into exam room. BG checked immediately and was 110. Initial vitals showed HR 39 with BP 83/48. Patient was transferred to exam table w/o incident. He did not complain of CP or SOB. Denies any throat swelling or itching. He felt very weak and tired. He continued to be extremely diaphoretic. An 18G IV was introduced to the left forearm without incident. He was connected to 1 L bag of 0.9% Normal Saline which was hung to bolus, running well without pressure. EKG obtained and showed sinus bradycardia with a rate of 43. Possible ST changes in V1 and V2, but not diagnostic of ST elevations or depressions. There is IVCD noted. Patient has hx of AFib - not in Afib currently. Reports on Eliquis instead of Coumadin. EMS was contacted. Physical exam performed revealed a bradycardic HR which was regular. No murmurs. Lungs are clear. Patient is extremely diaphoretic and pale. He is alert and oriented x 3. He is not in respiratory distress and shows no signs of oral swelling. No hives noted on his skin. Vitals were rechecked at 3 mins and showed SaO2 at 95% and then 92%. NC O2 applied at 2 L/min continuous and there was improvement to 95%. He still denies any respiratory distress and was not manifesting any signs of respiratory distress. Still denied any chest pain. NS continued to infuse at bolus dose and BP recheck improved to 108/65 - patient was lying supine. HR remained between 40-42. At this time, the patient reported improved symptoms and he was not sweating as profusely as previously. At this time EMS arrived. Atropine was not administered in the clinic, but was prepared in expectation as a possible next step. As patient's symptoms improved, but his vital signs remained altered, he was agreeable to transport to the hospital by EMS. He was placed on stretcher and care was relinquished to EMS team. Patient transported out of clinic in guarded condition.

Other Meds: Eliquis, Diltiazem, Metoprolol Succinate

Current Illness: AFib, HTN, Pre-Diabetes

ID: 1069254
Sex: F
Age: 65
State: MI

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

Lab Data: see above

Allergies: Novacaine, Iodine

Symptoms: Patient reported that her heart is racing. I checked her BP three times: 12:37pm 168/98 pulse 97 12:46pm 157/96 pulse 89 12:58pm 147/93 pulse 86 Patient said she felt anxious due to her allergy history. I had her sit in the observation area for 30 minutes and gave her water. She displayed no additional symptoms and nothing that would have been indicative of anaphylaxis. She was vaccinated at 12:30pm and left the store with her husband at 1pm.

Other Meds:

Current Illness:

ID: 1069255
Sex: F
Age: 48
State: TN

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

Lab Data: N/A

Allergies: NKA

Symptoms: Body aches, chills, insomnia, and fever. 36 hours.

Other Meds: Tecfidera, Retalin, Vitamin D, Protonix, Magnesium, Vit B12.

Current Illness:

ID: 1069256
Sex: F
Age: 65
State: MI

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

Lab Data:

Allergies:

Symptoms: After vaccine administration, the patient bled. Once the bleeding stopped, it was noted that there was a small lump bruise that developed under the skin. The patient was unaware (no symptoms), but the technician vaccinator informed her of the bruise and I examined. I recommended icing the site 15 min on, 15 min off (putting a towel between the ice and skin). And if it gets worse or spreads to call us. She is not on any blood thinners

Other Meds:

Current Illness:

ID: 1069257
Sex: F
Age: 33
State: NY

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

Lab Data:

Allergies:

Symptoms: Throat swelling and difficulty swallowing.

Other Meds:

Current Illness:

ID: 1069258
Sex: F
Age: 27
State: CA

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

Lab Data:

Allergies:

Symptoms: Nausea, headache, dizziness. BP 121/73 (pulse 75), O2 sat 99%. Stable.

Other Meds:

Current Illness:

ID: 1069259
Sex: M
Age: 59
State: LA

Vax Date: 02/05/2021
Onset Date: 02/27/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: I was diagnosed with a mild case of covid-19 in October 2020. The day after my first vaccine I experienced side effects from the vaccine (nausea, slight fever, body aches) that were almost as severe as when I had covid. These symptoms are still present 5 days after the vaccine.

Other Meds: none

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm