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: 1069665
Sex: F
Age: 18
State: MN

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

Lab Data:

Allergies: NKDA

Symptoms: Pt tollerated vaccine well in clinic and was driven home by mom. Pt's mom called in around 1330 state pt has a headache, she is in tears, and she feels like she can hardly move due to the pain and mom states she is currently bringing pt to ED. Reporter attempted to collect further information through mom, to which pt yelled at mom. PCP advised to take 600mg ibuprofen and drink water, if no better in an hour or 2, but mom would like to bring pt to ED. Pt is currently at ED.

Other Meds: N/A

Current Illness:

ID: 1069666
Sex: F
Age: 43
State: GA

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

Lab Data:

Allergies: Penicillin

Symptoms: Wheezing in lungs, fluid in lungs

Other Meds: Vitamin D

Current Illness:

ID: 1069667
Sex: F
Age: 82
State: FL

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

Lab Data: None

Allergies: Penicillin Sulfa

Symptoms: About 9 days after first dose of Moderna there was itching at injection site. There was no redness or pain

Other Meds: levothyroxine Losartan HCT Simvastatin Lumigan Timolol Maleate,Ocuvite, Pepcid ,Vit D3,

Current Illness: None

ID: 1069668
Sex: F
Age: 63
State: PA

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

Lab Data:

Allergies:

Symptoms: Patient reported a circular red itchy area, slightly raised, around injection site. Said that it started today. Has not treated the reaction at this time.

Other Meds:

Current Illness:

ID: 1069669
Sex: F
Age: 43
State: MN

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

Lab Data: d-dimer, venous ultrasound, cbc

Allergies: NA

Symptoms: HIVES, weakness, numbness, tingling, swollen throat, abdominal cramping, sweating

Other Meds: hydroxyzine, magnesium, multivitamin, NAC, quercetin, vitamin D, micronized progesterone, rizatriptan, selenium

Current Illness: NA

ID: 1069670
Sex: M
Age: 93
State: MN

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

Lab Data: CBC and BMP 03/03/21- WBC-5.24, RBC-4.22, Hgb-11.4, hct-38.9, hcv-92, mch-27, mchc-29, rdw coeff of var-13.3, plt-112, sodium-142, potassium-4.5, chloride-106, carbon dioxide-29, creatinine-2.1, Bun-54, glucose-118, calcium-9.8

Allergies: Lisinopril

Symptoms: Chills, elevated B/P-180/100, slurred speech, hallucinations

Other Meds: Trazadone, Insulin, Zofran, Lasix, Miralax, Tylenol, Gabapentin, Senna, Eliquis, Norvasc

Current Illness: None

ID: 1069671
Sex: F
Age: 72
State: AL

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

Lab Data:

Allergies: N/A

Symptoms: PFIZER-BIONTECH COVID-19 VACCINE EUA. ADMINISTRATION ERROR: Resident documented as receiving 3 doses of vaccine. First dose of Pfizer COVID-19 vaccine on 1/18/21. Second dose documented on 2/8/21. Resident signed a new consent form on 3/1/21 and paperwork stated no previous COVID-19 vaccinations. Resident vaccinated with 3rd dose on 3/1/21 based on paperwork showing no prior doses. No adverse reactions reported to date.

Other Meds: N/A

Current Illness: N/A

ID: 1069672
Sex: M
Age: 44
State: VA

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

Lab Data:

Allergies:

Symptoms: Patient received a dose of the Pfizer COVID-19 vaccine. Before he could exit the room to begin the observation period, the patient became unconscious and slipped into a seizure. Uncertain if it was hypersentivity coupled with vasovagal response, an epi pen was primed but not administered. The patient was unresponsive for a minute then came out of his apparent seizure

Other Meds:

Current Illness:

ID: 1069673
Sex: F
Age: 52
State: CA

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

Lab Data:

Allergies:

Symptoms: Tachycardia, palpitations, chills. BP 182/114 (pulse 121), O2 sat 98%. F/u BP 179/108. Given Benadryl 50 mg PO, ASA 325 mg.

Other Meds:

Current Illness:

ID: 1069674
Sex: F
Age: 57
State:

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

Lab Data:

Allergies: Penicillin

Symptoms: Red and splotchy rash over neck, chest and upper back

Other Meds:

Current Illness:

ID: 1069675
Sex: M
Age: 38
State: MO

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

Lab Data: N/A

Allergies: N/A

Symptoms: Rectal Piles or hemorrhoid's developed 11 days post administration of the first Moderna shot given to patient via intramuscular injection. Patient reports very intense dull/sharp pain and itching especially during and shortly after a bowel movement. Patient did report that there was an increase in fiber intake via red beans and rice his mother made for him and ate it for 5 days in a row last week. Patient is self treating with over-the-counter oral pain relievers, suppositories, tucks wipes with witch-hazel, and some butt cream coworkers husband gave to him. There is a history or rectal disorders with patient but had been 10 years since last occurrence. Patient does not currently feel that the vaccine has directly caused the external hemorrhoids or the anus but felt it his duty to report any and all adverse events experienced following the vaccine given to his person.

Other Meds: N/A

Current Illness: N/A

ID: 1069676
Sex: F
Age: 38
State: MA

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

Lab Data: unknown

Allergies: bactrim; ceclor; deconamine; fluticasone; salmeterol; wellbutrin; Pertussis vaccine

Symptoms: Patient seen in clinic for first dose of Moderna covid-19 vaccine. Moderna 0.5ml IM administered into left deltoid by vaccinator RN at 0910. Patient with history of pruritic reactions and anaphylaxis. Patient instructed to wait 30 min post injection for observation. At 0930 she reported to this RN torso and upper extremity pruritis and redness, without hives; and feeling of warmth over ears and torso. Benadryl 50 mg PO and cetirizine 10mg PO administered with 8oz water at 0932. Patient able to ambulate to wheel chair and reclined. Three sets of VS obtained all WNL. At 0947 she reported that pruritis was spreading to lower extremities and new onset of headache and two emerging hives to right wrist. Patient drank another 8oz water and continued to rest in reclining chair. At 1020 she noted an overall improvement in symptoms and there were no hives present. She was feeling well on discharge, up and walking about clinic. She was instructed to pick up Benadryl from site pharmacy and repeat dose in 4 hours. Discharged to home at 1045.

Other Meds: Diclofenac 1% gel; tizanidine 2mg; proair 90mcg; ketoconazole 2% cream; albuterol 2.5mg/3ml; azelastine 137mcg; Mirena 20mcg; montelukast 10mg

Current Illness: none- PE on 2/26/2021

ID: 1069677
Sex: F
Age: 47
State: MI

Vax Date: 02/19/2021
Onset Date: 02/23/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: I had my 2nd dose of Phizer Covid Vaccine on February 19, 2021 and had it in my left arm. My first dose 3 weeks prior was in my right arm. I did not experience any side effects from the shot for 4 days. I woke up on Tuesday, February 23rd and had pain in my right arm - the arm I had the 1st shot in, not the 2nd! I continued to have pain in my right arm for several days and then 6 days after my 2nd dose I started having extreme pain in my legs - from my knees up the back of my thighs for two days. Then 8 days after my 2nd dose my other arm became very sore, the arm I had the 2nd dose in. So both arms are sore and the lymph nodes under the arms are tender. Today I am 11 days out since my 2nd dose and I woke up and could barely lift my left arm. I have pain in both arms and lymph nodes. I went to my family doctor and he does not have any answers for me. I need to know if this is something I should be concerned about and if there is anything I can do to help these side effects go away. How long can this last???

Other Meds: Bentyl, Prilosec, Diazepam, Synthroid

Current Illness: No

ID: 1069678
Sex: F
Age: 65
State:

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

Lab Data:

Allergies:

Symptoms: Patient received a vaccine that was diluted with 0.8ml of Nacl instead of 1.8ml of Nacl

Other Meds:

Current Illness:

ID: 1069679
Sex: F
Age: 42
State: OH

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

Lab Data:

Allergies: medications: penicillin, erythromycin, all sulfa-drugs food: shrimp, avocado

Symptoms: tingling in vaccine arm grey tinge to hand on vaccine arm fatigue pain across shoulders pain down both sides of spine - Severe pain to adjust head on pillow or shift in bed even the slightest bit felt no need to blink for a few hours slept from 8pm Saturday until 10am Monday - Sleep was the only way to avoid the pain Alleve didn't touch the pain Tylenol began to help after 24 hours low fever around 100.4 skin was super-sensitive to touch swollen lymph nodes in neck on vaccine side swollen lymph nodes under arm on vaccine side - baseball-sized and painful to the touch

Other Meds: none

Current Illness: none

ID: 1069680
Sex: F
Age: 35
State: CA

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

Lab Data: CT scan, chest x-ray, ekg

Allergies: None

Symptoms: I received the shot at approximately 11:15am then waited for 15 minutes in an observation area. I was feeling fine and was allowed to leave. I began driving to pick up my husband from work and approximately 5 minutes later, I began to feel woozy and unwell. I wanted to pull the car over, but I was stuck at a red light. The next thing I remember is two men opening the doors to my car and telling me I had had a seizure. While I was unconscious the car had driven into a fire hydrant and water was shooting over the car and street. The men helped me from the car and I laid on the sidewalk until the ambulance arrived. I was transported to the hospital.

Other Meds: Lexapro 15mg daily, lorazepam 0.2mg daily

Current Illness: None

ID: 1069681
Sex: M
Age: 64
State: NJ

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

Lab Data: none

Allergies: None

Symptoms: Fever of 101, neck muscle pain, leg and back pain, dizziness starting 10 hours after second vaccination and lasting 26 hours (so far)

Other Meds: Allopurinol, Valsartan, Indomethacin, Vitamin B-12 sublingual

Current Illness: None

ID: 1069682
Sex: M
Age: 42
State: AZ

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

Lab Data: None

Allergies: Peanuts Soy

Symptoms: 15 minutes after injection, both arms and hands experienced a tingling sensation similar to when a limb "falls asleep". This continued for about 8 hours. When I went to sleep and woke up, the tingling sensation was gone. Tingling on the lower arms (below elbow) and hands.

Other Meds: Vitamin C Men's Multivitamin Fexofenadine

Current Illness: None

ID: 1069683
Sex: F
Age: 75
State: MT

Vax Date: 02/17/2021
Onset Date: 02/23/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: None. She hasn't gone to see the PCP, but did call about it and was told there is nothing to be done.

Allergies: Anaphylactic to Wasps. Reported she has been known to have had numerous "bad reactions" to many medications which do not require seeing the PCP, she just quits taking them.

Symptoms: Described slight left side facial drooping (visible to her, but husband does not notice), upper lip "vibrating" and "tingling". Feels like it is traveling to lower lip.

Other Meds:

Current Illness: GERD, Cardiac stent.

ID: 1069684
Sex: F
Age: 38
State: NJ

Vax Date: 02/12/2021
Onset Date: 02/20/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: NA

Allergies: Penicillin

Symptoms: Red itchy rash at injection site about the size of half of my arm

Other Meds: Valtrex and multi vitamins

Current Illness: NA

Date Died:

ID: 1069685
Sex: F
Age: 92
State: MN

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

Lab Data: none, resident was a DNR/DNI

Allergies: Morphine

Symptoms: 3/2/21 became SOB, treated with oxygen and head of bed up in bed, only at dessert and drank supplement, for evening meal, no pain noted. 3/3/21 staff helped get her up in morning, went to weight room to take her weight, she then appeared to be struggling to breath, she was brough back to her room and the aides summoned nurse for assessment, was put back into bed, nurse noted poor color and shallow breathing, resident passed away shortly after that.

Other Meds: allopurinol, duloxetine, glipizide, melatonin, torsem

Current Illness: COVID 19

ID: 1069686
Sex: F
Age: 77
State: MA

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

Lab Data:

Allergies:

Symptoms: Patient developed h/a 8/10right after injection he was observed and felt nauseous. ER MD came and saw patient x2 patient allowed to go home. H/A better he stayed 1.5hours. he was transported by wheelchair to vehicle

Other Meds:

Current Illness:

ID: 1069687
Sex: F
Age: 70
State: AR

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Brain fog, confusion, dizziness, headaches, and loss of short-term memory, mental confusion, extreme fatigue, muscle pain, Joint pain continuing 5 weeks after vaccination.

Other Meds: Alendronate 70mg, Vit c, D, Zinc, B12

Current Illness: none

ID: 1069688
Sex: F
Age: 74
State: OR

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

Lab Data:

Allergies: penicillin, sulfa

Symptoms: Moderna COVID-19 Vaccine EUA mild nausea starting about 2 hours after shot, continuing the following morning

Other Meds: amitriptyline, bupropion

Current Illness:

ID: 1069689
Sex: F
Age: 60
State: NC

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

Lab Data: N/A

Allergies: Morphine, Dilaudid, Fentanyl (anaphylaxis)

Symptoms: 5 minutes after receiving the vaccine, patient became flushed. She also stated that she had a sore throat without SOB or difficulty swallowing. She was able to drink water without difficulty. Her airway was patent and oropharynx was normal on exam. She had no stidor on exam. Patient was advised to seek care at the ED, but she did not.

Other Meds: Methotrexate 15mg once a week Folic Acid

Current Illness:

ID: 1069691
Sex: F
Age: 74
State: FL

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

Lab Data:

Allergies: None

Symptoms: Severe itching in arms, legs, feet, and hands 11/2 weeks following injection. Also, stomach upset starting on same day.

Other Meds: Alprazolam Sertralime Vit C Vit K2 Centrum Glucosamine Chondroitin Ca +D

Current Illness: None

ID: 1069692
Sex: M
Age: 78
State: OH

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

Lab Data:

Allergies: Patient had history of reaction to influenza vaccination. Patient's primary care physician gave approval for administration.

Symptoms: Patient stated a history of allergic reaction to the influenza vaccine in the past. Patient insisted on receiving Covid vaccination. Patients primary care provider was called and gave approval for patient to receive vaccination. About 10 minutes after receiving vaccination the patient stated sinus pressure which quickly proceeded to complaints of his throat feeling "funny and tight". ERT was called and patient was given a dose of Epinephrine and transferred to the emergency department.

Other Meds:

Current Illness:

ID: 1069693
Sex: F
Age: 70
State: WA

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

Lab Data: Patient hemodynamically stable per vital signs. Patient signed a refusal of medical treatment form with the local Fire Department.

Allergies: Penicillin Keflex Flu vaccine - always gets a rash

Symptoms: Patient reported dizziness and no other symptoms. Patient remained seated and symptoms went away.

Other Meds: N/A

Current Illness: N/A

ID: 1069694
Sex: F
Age: 78
State: WA

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

Lab Data:

Allergies: dust

Symptoms: 3 days after I took my first Moderna vaccine on 2/4/2021,I had a reaction on Sunday, 2/7/21. The reaction was at 5:00 p.m. on 2/7, I did not feel well and my legs felt shaky and my blood pressures which are always in the 120 or 110 range over 70s or 60s were 164/86, 141/96, 199/79 and 156/132. The paramedics were called and they said it was the vaccine and my blood pressure was 151/70 at 6:15 pm.. I started to feel better but at 8 pm the same day, 2/7 m pressures from 8 pm to 11:30 pm were 158/83, 191/87, 146/106 and 144/74 and 130/67 and I was feeling better. On Monday 2/8 my blood pressure readings were normal. On Tuesday, 2/9/2021 I did not feel well at 5:00 a.m. At 5:55 a.m. my blood pressure was 188/85, 137/100, 169/89 and then was normal. The last time it happened was on Saturday, 2/13 and my pressures were 160/127 at 3:20 a.m. and 138/97. My pulse was always normal.

Other Meds: Multi vitamins, Pegasys 35 mg. every 2 weeks, Thyroid NP 90 mg.

Current Illness: None

ID: 1069695
Sex: F
Age: 72
State: CT

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

Lab Data: none

Allergies: sulphur drugs and pennicillin

Symptoms: Severe sickness comparable to when I had chemo for breast cancer 11 years ago. vomiting, diaharea, severe ulcer pain, overall sick, very sick feeling, temp of 101.5. I had covid in September 2020 and received first covid shot on Sunday. feb 28th. No problem at all with injection site. I have been very sick and now have activated an old ulcer and am in extreme pain.

Other Meds: telmisartan for blood pressure

Current Illness: rheumatoid arthritis

ID: 1069696
Sex: F
Age: 0
State: MT

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

Lab Data: 1/21/20 - saw on-call MD at regular provider office for vertigo. Epley manueuvers ordered - treated 1/21 and 1/25.

Allergies: Penicillin - grasses, some mold

Symptoms: Mild pain upper right arm/shoulder/neck immediately after receiving vaccination. Pain worse next day. Arm/shoulder pain resolved within a few days, neck pain persists - has not resolved. Also developed swollen lymph node right side of neck 1 day after vaccination which remains swollen. Saw FNP in regular provider office 2/04/21, no treatment recommended. Episode of benign positional vertigo 1/21/21. No history of this, FNP thought it could have been related to vaccination. Severe vertigo resolved after treatment, still have occasional mild vertigo episodes.

Other Meds: Losartan/HCTZ - Crestor - Fluoxetine - vitamin D3, C, B - Adderall - Echinacea

Current Illness: Sinusitis

ID: 1069697
Sex: F
Age: 86
State: MA

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

Lab Data:

Allergies:

Symptoms: Patient developed lightheadedness within several minute of vaccine. vitals done 126/70 o2 96% hr 88 patient still was lightheaded brought to stretcher and was seen by ER Dr - patient was feeling better felt ok to d/c home. felt 100% walked to lobby

Other Meds:

Current Illness:

ID: 1069698
Sex: M
Age: 72
State: NJ

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

Lab Data: None

Allergies: Cipro and Penicillin

Symptoms: Today I woke up with a runny nose, light headache, sneezing, right now I am still the same as in the morning, no temperature. On February 27, 2021 I was at the dentist office, other than that noting unusable.

Other Meds: Olmesartan 40/10/25mg (generic for Tribenzor) Hydralazine 25mg Rosubastatin 10mg Omeprazole 40mg Famotidine 40mg Ecotrin 81mg Multivitamin (adults)

Current Illness: None

ID: 1069699
Sex: F
Age: 32
State: NV

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

Lab Data: None

Allergies: None

Symptoms: Pt called today concerned that the left upper arm is red and itchy. Redness is spreading but it does not hurt. She is to apply a cool compress as needed to relieve itching or discomfort.

Other Meds: Vitamin D3, Lisinopril, Metformin, HCTZ, Crestor, Alogliptin, Glipizide, Omeprazole

Current Illness: None

ID: 1069700
Sex: M
Age: 49
State: LA

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Around midnight woke up feeling cold sweat, couldn't move exp joint pain in back/knee, 101.7 and headache. The symptoms lasted for 24 hours then it felt like someone flipped the switch went away.

Other Meds: Normal prescriptions dint provide

Current Illness: No

ID: 1069701
Sex: F
Age: 26
State:

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

Lab Data:

Allergies:

Symptoms: Employee had vaccine on 3/2 today 3/3 started having headache and chills with body aches.

Other Meds:

Current Illness:

ID: 1069702
Sex: F
Age: 74
State: MN

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

Lab Data: None

Allergies: penicillin injectable only, pollen

Symptoms: 8 hrs post vax left shoulder sore; 12 hrs post vax left shoulder stiff - arm wouldn't raise above shoulder height. 24 hrs later shoulder is fine

Other Meds: Atorvastatin, anastrozole, lisonopril, buproprion, hydrochlothiazide, asprin, glipizide, omeprazole, Omega 3, Vit D3

Current Illness: none

ID: 1069703
Sex: U
Age:
State: VA

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

Lab Data:

Allergies:

Symptoms: I received the vaccine on 2/23 and was fine until 2/26. I developed chills, body aches, fever and it lasted for about 24 hours. Now on 3/3 I am having issues with arm at injection site. My arm is swollen, red, itching and fingers are little tingly.

Other Meds:

Current Illness:

ID: 1069704
Sex: M
Age: 37
State: CA

Vax Date: 01/08/2021
Onset Date: 01/10/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: Rheumatology and Infectious disease workup, all normal/negative, MRI of lower back normal

Allergies: None

Symptoms: bilaterial enthesitis in toes, foot, heels, knees, hips, lower back, elbows

Other Meds: None

Current Illness: None

ID: 1069705
Sex: F
Age: 51
State: TX

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

Lab Data: NA

Allergies: NKA

Symptoms: Her tongue felt like it was swelling & she said it was getting difficult to swallow. Liquid Diphenhydramine 25 mg was given immediately. About 10 minutes later, another dose was given. About 5 minutes after the 2nd dose of Diphenhydramine was given, she stated her tongue was getting worse & she was having a more difficult time swallowing. Epi 0.3 mg given IM. Within about 3-4 minutes, she stated she was feeling better. Then, about 5 minutes later, she stated her tongue was beginning to swell again. She was immediately taken to the ED for treatment. Steroids were given. Pt was discharged from the hospital. She is feeling much better today (the day after the event).

Other Meds: Omprazole, Loratadine, Singulair, Symbicort, Veramystlinzess, Vit D, Xopenex, Topamax, Trazadone/ Sumatriptan, Pristiq, Paroxetine, Clozapem

Current Illness:

ID: 1069706
Sex: F
Age: 72
State: PA

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

Lab Data: HR 75, BP 123/92, SpO2 98%

Allergies: none

Symptoms: 15-16 minutes after receiving vaccine, patient states her mouth felt dry and she started coughing. She denied shortness of breath, chest pain, throat swelling, voice changes, hoarseness, nausea, abdominal pain, rash, itching. No tachypnea or hypoxia on exam but mild expiratory wheezes noted at bilateral bases. She was treated with a duo-neb by medics (2.5 mg albuterol - 0.5 mg ipratropium). After nebulizer, she felt better with complete symptom resolution. She desired to go home to the care of her daughter. Patient and daughter were advised to present to an ER if symptoms recurred or if patient developed any symptoms.

Other Meds: metoprolol, lisinopril, albuterol

Current Illness: none

ID: 1069707
Sex: F
Age: 57
State: IL

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

Lab Data: N/A

Allergies: Sulfa

Symptoms: Headache, body ache, joint pain, chills, fever

Other Meds: PremPro

Current Illness: None

ID: 1069708
Sex: F
Age: 31
State: TX

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

Lab Data: None

Allergies: None

Symptoms: At 10:35 I started feeling weird in my body like when I get either an asthma attack or flu type. It was an hour later when I first began to feel lightheaded, dizzy, chills, and then really cold. I started then coughing hard like my throat was closing up and hard to breathe. My chest got tight and had sharp pains right under my chest by my stomach side. My heart rate was fast to the point my watch alerted me at over 135. I took my rescue ProAir inhaler to help but it didn?t. I tried to settle down and not panic to make things worse on my asthma attack. I then had to lay down feel weak. Within the next 15-20 min I used my nebulizer at home to help me breathe. After one treatment it helped me tremendously but still felt tired, nauseous, fatigue, pounding headache, but no fever since I barely checked at 98.5.

Other Meds: Symbicort inhaler Birth control Duloxetine Levothyroxine Omeprazole

Current Illness: Severe asthma UTI

ID: 1069709
Sex: F
Age: 63
State: AL

Vax Date: 02/24/2021
Onset Date: 02/26/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: PATIENT IN PHARMACY TODAY 3/3/21, COMPLAINING OF HARD KNOT WITH REDNESS, WARMTH AND SWELLING AT SITE OF TDAP INJECTION ONE WEEK AGO. PATIENT STATES THAT THE AREA WAS LARGER AND HAS DECREASED IN SIZE. IT NOW MEASURES 1 INCH. UPON ASSESSMENT, LEFT DELTOID HAS A VISIBLE AND VERY PALPABLE I INCH IN DIAMETER NODULE WHERE INJECTION WAS GIVEN. NO RED STREAKS DOWN ARM VISIBLE, NO FEVER. NO MUSCLE STRENGTH LOSS IN THAT ARM AND HAS FULL RANGE OF MOTION. PATIENT DOES REPORT RUBBING THE AREA QUITE FREQUENTLY IN THE LAST TWO DAYS AND TAKING ADVIL. ENCOURAGED HER TO MONITOR AREA FOR WORSENING REDNESS , MONITOR TEMP, CONTINUE ADVIL AND CALL MD FOR POSSIBLE OFFICE VISIT TO RULE OUT INFECTION.

Other Meds: BP MED MULTIVIT VIT C VIT D

Current Illness: NONE

ID: 1069710
Sex: M
Age: 34
State: MA

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

Lab Data:

Allergies:

Symptoms: patient discovered with slow respirations, poorly arousable, diaphoretic and pale with blue lips. Pt. transferred to stretcher, vs at 2:20 pm - 159/100 with HR of 50. VS at 2:30 pm 130/82 with HR of 79 and 2:40 p 126/91 with HR of 73 and O2 sat 100% on RA. Patient given po ginger ale, water, and granoal bar. Patient released to mom and dad's care. Patient ambulatedand stable, alert and oriented x4.

Other Meds:

Current Illness:

ID: 1069711
Sex: F
Age: 35
State: CA

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

Lab Data: none

Allergies: NKA

Symptoms: Vaccine given at 11:15am. Pt started with HA and dizziness 5-10 min after vaccine. 1145 she informed recovery nurse of her dizziiness. 1145 B/P 122/78, HR-71, 02 sat 98% RA. Pt reports she has been taking ativan for the past 5 days every day but did not take it today. Reports did not eat today. Pt given 2 baby ruth candies and water. 1200 reports starting to feel better. 1210 reports HA and dizziness resolved. 02 sat 98% RA, HR-72, B/P 124/80. Pt instructed to f/u with MD prn states she has a appointment friday. Pt stood up walked around no dizziness reported. Pt released to go home.

Other Meds: Ativan, Wixela, Montelukast

Current Illness: None

ID: 1069712
Sex: F
Age: 55
State: MA

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

Lab Data:

Allergies:

Symptoms: pt with trouble swallowing at 35 mins s/p vax. she wasimmediately transferred to ED and RN accepted pt and sign out. Dr. notified beforehand.

Other Meds:

Current Illness:

ID: 1069713
Sex: F
Age: 71
State: MI

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

Lab Data: none

Allergies: none

Symptoms: Fever so high I couldn't think or get to thermometer, shaking, muscle aches and weakness, headache, 1AM to 5AM vomiting, couldn't hold down water, got a little better by 11AM the next day when I could take tylenol, still fatigued and weak for 2 days, headache for 3 days

Other Meds: none

Current Illness: none

ID: 1069714
Sex: M
Age: 80
State: CT

Vax Date: 02/05/2021
Onset Date: 02/20/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: unknown

Allergies: unknown

Symptoms: Client doctor sent a note to our facility reporting patient was seen in his office 2/23/21 and client had a severe, diffuse, rash reaction and recommended he does not receive 2nd dose

Other Meds: unknown

Current Illness: unknown

ID: 1069715
Sex: F
Age: 73
State: IL

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

Lab Data:

Allergies:

Symptoms: Headaches that have continued to get worse and have become like visual migraines. Have only been happening once a day but the lingering headache and weakness in body continues through the day. With lots of fatigue.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm