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: 1070594
Sex: F
Age: 75
State: MD

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

Lab Data: none

Allergies: none known

Symptoms: Overnight pain in back (kidneys?) Severe weakness. Slept almost continually for 24 hours. Could not turn over in bed or get out of bed without major difficulty.

Other Meds: Buspirone tab 15 mg Ezetimibe tab 10 mg Fluoxetine tab 20 mg Synthroid tab 0.112 mg Valsartn Hct tab 160-12.5 Valcyclovir tab 500 mg Estradiol vag VTB 10 mcg Clobetasol ointment Centrum Silver Women Multivitamin Calcium Citrucel Immodium As

Current Illness: none

ID: 1070595
Sex: F
Age: 68
State: LA

Vax Date: 02/17/2021
Onset Date: 02/24/2021
Rec V Date: 03/03/2021
Hospital: Y

Lab Data: 2/27/2021: covid and respiratory viral panel negative; hiv/hep B/C negative; vitamin B12 normal; H pylori negative; SPEP and immunoglobulins normal; TSH 0.33; normal WBC and hemoglobin/hematocrit with normal differential; normal rheumatologic workup with ANA profile and complement normal

Allergies: Glyceryl-t, Nickel, Pcn [Penicillins]

Symptoms: acute ITP, platelet count 2,000 with petechial rash, bruising, fatigue, herpes labialis simplex one - petechia occurred 7 days post vaccine; hospitalization 9 days post vaccine. responded to steroids and normalized platelet count 180,000 14 days post vaccine

Other Meds: amlodipine Breo ellipta

Current Illness: n/a

ID: 1070596
Sex: F
Age: 54
State: FL

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

Lab Data: ER admssion on Feb 9 th for epiosdes to sinus tach upto 150 Coronary calcium score Feb 17/21 2 week holter ( Feb 18 th to arch 3 ).. shows inappropriate sinus tachycardia . HR upto 140 ..

Allergies: none

Symptoms: Suffered syncope dec 10 th .. assumed post viral work up was done essentially negative. Was slowly improving except for a little brain fog . covid test was neg then . First vaccine dose was on Jan 4 th .. min arm soreness for 24 hrs and no reacion after that Second dose was on Jan 29 th .. started with tachycardia to 11o that night and developed POTS .. with severe flares the next 2 weeks,,, now im 4 weeks out suffering from hyperadrenergic POTS / severe flares with in appropriate tachycardia( proven by holter) and inc blood pressure with it .

Other Meds: vitamin b12 /b compplex

Current Illness: possibe viral illness dec 10 th

ID: 1070597
Sex: F
Age: 38
State: LA

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

Lab Data:

Allergies: No

Symptoms: Chills, body aches, intense headache

Other Meds:

Current Illness: No

ID: 1070598
Sex: F
Age: 50
State: CA

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

Lab Data: Unknown

Allergies: Naproxen Advil

Symptoms: Pt c/o heart palpitations and lightheadedness. Paramedic assessed pt; HR-188; B/P- 171/105; SpO2- 99% on RA; completed 4 lead EKG- showed sinus tachycardia. C/O itching and rash noted on chest. Paramedic started 20G IV in R wrist and gave 50 mg of Benadryl. Transported to hospital.

Other Meds: Unknown

Current Illness: Unknown

ID: 1070599
Sex: F
Age: 23
State: NY

Vax Date: 02/21/2021
Onset Date: 02/27/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data:

Allergies: sulfa drugs

Symptoms: Sat night-hives on both arms and chest, Monday day- hives on both arms and vagina, Tuesday evening- rash on chest and neck - took Zyrtec each time

Other Meds: Junel, spirolactane,

Current Illness: none

ID: 1070600
Sex: F
Age: 56
State:

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

Lab Data:

Allergies:

Symptoms: anxious, lightheadness

Other Meds:

Current Illness:

ID: 1070601
Sex: F
Age: 56
State: TX

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: No

Allergies: penicillin; Sulphur - with Bactrim in particular

Symptoms: About 12 hours later, I had fever, severe body aches, shortness of breath, headache, thought I was going to die! I felt bad. I was extremely tired. It lasted for 72 hours and then the symptoms were gone. I took Tylenol the first day. The second and third day, I took Ibuprofen. I called the Dr on the second day - he told me it had to run its course. I still have residual shortness of breath - I had COVID at the end of July and had severe scarring in my lungs from the lung.

Other Meds: Estradiol; Lisinopril with Hydoclorothiroroizde; Singular; CoQ10 -200 mg; Vit C; Vit D

Current Illness: no

ID: 1070602
Sex: F
Age:
State: FL

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

Lab Data:

Allergies:

Symptoms: soreness in my arm; This is a spontaneous report from a contactable consumer (patient). This 65-year-old female patient received dose 1 of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number EL3246) intramuscularly on 08Jan2021 (at the age of 65-years-old) as a single dose in the left arm (deltoid) for COVID-19 immunization. Medical history was not reported. The patient was not pregnant at the time of vaccination. Prior to vaccination, the patient was not diagnosed with COVID-19. Concomitant medications included bioidentical hormones, levothyroxine sodium (LEVOTHYROXIN), and liothyronine from unspecified date for unspecified indications. The patient reported an allergy to latex gloves with a reaction of rash. On 08Jan2021, the patient experienced soreness in her arm. The outcome of soreness in her arm was unknown. No follow-up attempts are needed. No further information is expected.

Other Meds: LEVOTHYROXIN; LIOTHYRONINE

Current Illness:

ID: 1070603
Sex: F
Age: 73
State: WA

Vax Date: 02/10/2021
Onset Date: 03/03/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: None

Allergies: Cephalexin and Reglan

Symptoms: Diarrhea and vomiting Unable to keep anything, even water, down until 2:00 pm...still on soda crackers and Gatorade at 3:00. Chills around 3:00 pm Fatigue This may have been a food-poisoning incident. If so, I don?t know the source, but it feels like food poisoning.

Other Meds: Eliquis, Metrinidazole, Famotidine, vitamins D,3, C, B-complex, Calcium, Magnesium, Iron, probiotic, Gas-X, multi mineral, Fish Oil, Preservision

Current Illness:

ID: 1070604
Sex: F
Age: 61
State: NY

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

Lab Data: None

Allergies: Omeprazole Levoquin Amlodipine Sulfa drugs

Symptoms: As soon as injection I got a horrible taste in my mouth then wi seconds my heart rate increased then some shortness of breath, that lasted less then a minute approx 5 minutes later a bad headache started then I felt extremely tired the headache lasted about 5 minutes the tired about 15. Nothing was needed everything got better on its own.

Other Meds: Metoprolol 50mg 1x daily Aspirin 1/2 325 Atorvastatin 20mg Losartan 100mg 1x daily Vitamin D Pepcid AC

Current Illness: None

ID: 1070605
Sex: F
Age: 21
State: CA

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

Lab Data: None

Allergies: None

Symptoms: Patient developed urticaria and pruritis approximately 4 hours after the vaccination. Symptoms got better 24 hours later. Symptoms have continued but are mild for past 3 days. Treatment is antihistamines.

Other Meds: None

Current Illness: None

ID: 1070606
Sex: F
Age: 44
State: NJ

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

Lab Data: None

Allergies: Lisinopril, diflucan

Symptoms: Lower lip angioedema. Patient has history of angioedema caused by ACE inhibitor and lip fillers also

Other Meds: Amlodipine, hctz

Current Illness: None

ID: 1070607
Sex: F
Age: 34
State: CA

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: None, unable to safely drive

Allergies:

Symptoms: Sore arm, headache, fatigue onset a few hours after vaccination. The next day swollen and sore lymph nodes added. The day after that, symptoms began to slowly subside, lasting through 2/16. Mild but tolerable symptoms popped up and went away through 2/26. On 2/27 an intense headache came on before bed. 2/28 I was so sick, I slept through the day. Fever, exhaustion, chills, loss of appetite, dizziness, muscle weakness, complete loss of appetite (no nausea). These symptoms have been persistent since. My energy level is up enough that I'm awake for more of the day, but still in bed.

Other Meds:

Current Illness:

ID: 1070608
Sex: M
Age:
State: WI

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

Lab Data: Ekg, and blood test.

Allergies: Penicillin Iodine Contrast

Symptoms: After about 10 minutes I started feeling weird. I became light headed. Then I felt a burning sensation done both arms and my tounge. My heart was beating fast and I was struggling to get my breathing under control. My throat also got tight or warm and that feeling seem to go down through my chest. The monitor told me to take off my mask and gave me water. Shortly after I started to gag and almost vomited. The monitor checked my blood pressure and it was 180 over 120. I was admitted to the ER. I stayed there for about an 90 minutes as was released as the symptoms seemed to leave. While driving home many of the symptoms resurfaced. When I returned home I took a zyrtec and an anxiety medication. A day after I am light headed and a little nautilus but otherwise ok.

Other Meds: Sertraline 150mg Buproprion 200mg Vitamin C 2000mg Vitamin D 4000mg Hydroxyzine 25mg as needed

Current Illness: N/A

ID: 1070609
Sex: M
Age: 54
State: AZ

Vax Date: 02/09/2021
Onset Date: 02/18/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: Pt further treatment outside of out facility.

Allergies: none

Symptoms: Vaccine given, 2/9/2021, patient was admitted 9 days later with Covid + pneumonia on 2-18-21. No antibiotics or antivirals given. Not clear of overall treatment due to being treated at another facility.

Other Meds: ASPIRIN 81MG ENTERIC COATED TAB CHOLECALCIFEROL 25MCG (1,000UNIT) TAB LISINOPRIL 20MG TAB SIMVASTATIN 40MG TAB

Current Illness: none

ID: 1070610
Sex: F
Age: 59
State: MO

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

Lab Data: N/A

Allergies: No

Symptoms: Severe headache and severe body aches and insomnia

Other Meds: No

Current Illness: No

ID: 1070611
Sex: M
Age:
State: AK

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

Lab Data:

Allergies:

Symptoms: Excessive tiredness; Body aches; This is a spontaneous report from a contactable consumer (patient). A 50-year-old male patient received the first dose of BNT162B2 (Pfizer-Biontech Covid-19 Vaccine, Lot. EL34264-21) in the right arm, at single dose, on 25Jan2021, at 06:00 PM, for COVID-19 immunisation. COVID-19 vaccine was administered at Hospital. The patient had not received any other vaccines within 4 weeks prior to the BNT162B2 vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Relevant medical history was unknown. Allergies to medications, food, or other products was reported as none. Concomitant medications included loratadine (CLARITIN) and paracetamol (TYLENOL), both from an unspecified date (within 2 weeks of vaccination), for an unknown indication. On 26Jan2021, the patient experienced excessive tiredness, and body aches. No treatment was received. Clinical outcome of the events was recovering at time of this report. Post the vaccination, the patient has not been tested for COVID-19. The case was assessed as non-serious.

Other Meds: CLARITIN [LORATADINE]; TYLENOL

Current Illness:

ID: 1070612
Sex: M
Age: 37
State: PA

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

Lab Data: none

Allergies: No know allergies

Symptoms: heart racing, abdominal pain, agitation

Other Meds: Abilify, Metformin, Fenofibrate, Vivitrol

Current Illness:

ID: 1070613
Sex: M
Age: 23
State:

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

Lab Data:

Allergies: NONE

Symptoms: Lymphadinopathy in Left armpit 4 days following vaccination. Pt reported to Medical 2 days after noticing adverse event. Pt given Ibuprofen, told to apply RICE & told to return if symptoms do not resolve.

Other Meds: TRIAMCIMOLONE ACITATE

Current Illness: RASH

ID: 1070614
Sex: F
Age: 24
State: CA

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: N/A

Allergies: No

Symptoms: At 12:45 am, I had chills and got up to obtain more acetaminophen. When I was at the counter to grab the medication (about 5 min after getting out of bed), I felt suddenly nauseous and saw stars. I woke up on the floor (syncope), ran to the bathroom and started vomiting. I do not know how long I was unconscious for.

Other Meds: Multivitamin

Current Illness: No

ID: 1070615
Sex: M
Age: 67
State: CA

Vax Date: 02/25/2021
Onset Date: 02/28/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data:

Allergies: n/a

Symptoms: Patient is experiencing left axillary lymph node to size of golf ball as well as swollen left arm. Left arm swelling and increasing by day. Started swelling at injection site and has now progressed to his whole arm.

Other Meds: n/a

Current Illness: n/a

ID: 1070616
Sex: M
Age: 41
State: CA

Vax Date: 02/25/2021
Onset Date: 02/28/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Facial paralysis Bell's Palsy

Other Meds: Metformin 500mg x2 once daily Lipitor 20mg x1 once a day

Current Illness: None

ID: 1070617
Sex: F
Age: 50
State: DE

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

Lab Data:

Allergies: Gluten intolerance

Symptoms: About 18 hours after I received the shot, I began having chills. For about 6 hours, I had chills, a fever, and nausea. I stayed in bed to keep warm and took Tylenol at 12pm and again at 8pm. I went to bed at 8 pm and slept all night long. I woke up feeling fine the next day.

Other Meds: multi-vitamin, synthroid, vesicare

Current Illness: none

ID: 1070618
Sex: F
Age: 60
State: OK

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

Lab Data:

Allergies: NSAIDS

Symptoms: had shortness of breath after attempting to use her inhaler

Other Meds:

Current Illness:

ID: 1070619
Sex: F
Age: 33
State: MN

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

Lab Data: None

Allergies:

Symptoms: COVID arm- 1. small , round , quarter-sized rash at injection site 2. 2?wide x 4? long oval shaped rash on left bicep itchy, red, warm to touch

Other Meds: Cymbalta (20 mg daily) Yasmin (daily)

Current Illness:

ID: 1070620
Sex: F
Age: 40
State: TN

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

Lab Data:

Allergies:

Symptoms: Arm soreness and tingling, fatigue, mild nausea, and headache within 15 minutes. Episode of heart palpitations at the 30 minute mark.

Other Meds:

Current Illness:

ID: 1070621
Sex: F
Age: 82
State: CA

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

Lab Data:

Allergies:

Symptoms: Fever, chills, headache, body ache

Other Meds: Pacerone/amiodaron, levothyroxine sodium/Synthroid, metropolol tartrate, diclofenac sodium gel/ vitaren, Alpramzolam/Xanax, hydrocodone acetaminophen 10-325, escitalopram/Lexapro, avastatin/lucentis, acetaminophen, refresh eye drops, preser

Current Illness:

ID: 1070622
Sex: F
Age: 65
State: NH

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

Lab Data: None

Allergies: Medications: ALIEVE

Symptoms: Immediately after injection, felt like a volcano eruption that was forming a large area of hurt. Cont. through the evening. Nausea: Approximately 4 PM Nausea set in. I did "not" vomit. But it was a strong feeling. Ate light supper and around 7/8 PM Nausea came around again. Did not vomit.

Other Meds:

Current Illness:

ID: 1070623
Sex: M
Age: 64
State: CA

Vax Date: 02/12/2021
Onset Date: 02/15/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: None

Allergies: tetracycline, minocin sulfa drugs

Symptoms: Intensification of sense of smell towards Onions, Garlic Aromatic foods, Bitterness aftertaste after eating most foods bearable but annoying. First noticed after brushing teeth.

Other Meds: Ramipril 5 mg daily 1 cap hs; Flomax .40 capsule hs; tramadol 50mg 1-2 tablets prn every 8 hours (usually 200mg 1 am 1noon 2hs for arthritic pain; Valacyclovir 500mg tablets prn prophylactic treatment for herpes.

Current Illness: High Blood Pressure, Arthritis

ID: 1070624
Sex: F
Age: 65
State: CA

Vax Date: 02/16/2021
Onset Date: 02/24/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: N/A

Allergies: None

Symptoms: Started as swollen red lump that became increasingly itchy, warm and sensitive as it began spreading across and down arm. Very achy by end of day. Have pictures if needed.

Other Meds: vitamins - Q10, Vitamin C, turmeric, healthy hair/skin/nails, B complex, MSM 500, collagen peptides

Current Illness: None

ID: 1070625
Sex: F
Age:
State: VA

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

Lab Data:

Allergies:

Symptoms: About 3am woke up with chills; headache; Arm was very sore.; Saturday, was very tired/lethargic/Felt blah all day, tired; out of breath; This 57- year-old female patient contactable consumer (reported for herself) received the first dose BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), via an unspecified route of administration, on Jan2021 at 12:00 PM (at the age of 57-years-old) as a single dose for COVID-19 immunization, in right arm. The facility where COVID-19 vaccine was administered was at a Workplace clinic. She has had no other vaccines on the same day or in the past 4 weeks. Prior to the vaccination, the patient was not diagnosed with COVID-19. Medical history included: allergy to pumpkin. Concomitant medication included: Osphena 60mg; VitD 2000IU; Vit C 1000mg; Zinc 50mg. Patient received dose 1 of Pfizer vaccine on a Friday at 12 noon. Felt fine all day. About 3am woke up with chills and a headache. Arm was very sore. Saturday, was very tired/lethargic all day. Slept 10 hrs, awoke with a headache (but no chills) and had breakfast, fell back asleep another 2 hrs, then another 2-hr nap early evening. Felt blah all day, tired and out of breath. Went to bed much earlier than normal. Felt good Sunday but arm still sore. It's Monday at 4pm and arm is still very sore to the touch. The clinical outcome of the events chills, headache, arm very sore, very tired/lethargic, out of breath were recovering. It was reported that since the vaccination, the patient had not been tested for COVID-19. Information on the lot/batch number has been requested.

Other Meds: OSPHENA; VIT D; VIT C; ZINC

Current Illness:

ID: 1070626
Sex: M
Age: 67
State: CT

Vax Date: 02/19/2021
Onset Date: 02/21/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: nausea, fatigue

Other Meds:

Current Illness:

ID: 1070627
Sex: F
Age: 51
State: WA

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: patient reported itching all over body after dose today when she got her booster. It resolved after a day.

Other Meds:

Current Illness:

ID: 1070628
Sex: M
Age: 28
State: WA

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

Lab Data:

Allergies:

Symptoms: Fine macular rash over torso, arms, and neck. Not itchy or painful. Treated with IM benadryl. Pt monitored for 2 hours without improvement or worsening of rash. No other symptoms.

Other Meds:

Current Illness:

ID: 1070629
Sex: F
Age: 51
State: VA

Vax Date: 12/27/2020
Onset Date: 01/10/2021
Rec V Date: 03/03/2021
Hospital: Y

Lab Data: CXR; EKG (x2); CT angiogram of the chest; Duplex ultrasound of the lower extremities; Echocardiogram Labs: Basic metabolic panel; Complete metabolic panel; CBC; COVID swab; Troponin; NT ProBNP; PT-INR; PTT; D-Dimer quantitative

Allergies: penicillin

Symptoms: 51 y/o female, no chronic health problems. 14 days following first COVID Pfizer vaccine, I felt unable to take a deep breath, on day 15 following the vaccine, I became short of breath,; on day 16 I was having mild chest pain with inspiration and shortness of breath; day 17 following vaccination I became significantly short of breath, with moderate to severe chest pain with inspiration and tachycardia (heart rate in the 140's). I called my PCP who ordered an EKG, CXR, COVID swab, a metabolic panel, a CBC, and a D-dimer. My D-dimer was elevated and he called me to go directly to the emergency department, which I did and had a CTA chest. I was diagnosed with multifocal pulmonary emboli in my right lung with a slight pleural effusion on my left lung. I had a duplex ultrasound of my legs which was negatve for DVT, and an echocardiogram which was within normal limits. I was finally diagnosed with acute unprovoked pulmonary embolism, given a Heparin bolus and started on a Heparin IV infusion. Ultimately, I transitioned to Eliquis PO and was discharged from the hospital within 24 hours.

Other Meds: Zoloft 100mg PO daily; Protonix 20mg PO daily

Current Illness: none

ID: 1070630
Sex: F
Age: 36
State: AK

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

Lab Data:

Allergies: benadryl

Symptoms: Arm felt sore and heavy immediately after administration; soreness improved. Today woke up with burning sensation, warmth to injection site and large raised rash around injection site. Rash measured 265cm x 295cm

Other Meds:

Current Illness:

ID: 1070631
Sex: M
Age: 71
State: IA

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

Lab Data: none

Allergies: none

Symptoms: chills, body aches, weakness,headache

Other Meds: metoprolol,losartin,d-3 pill ,apple cider vinegar pills(2), cinnamon pills(2)

Current Illness: none

ID: 1070632
Sex: F
Age: 47
State: CA

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

Lab Data: None

Allergies: benzonatate, nitrofurantoin, pseudoephedrine, sumatriptan

Symptoms: Tingling that started in distal extremities- bilaterally, then moved to thighs, upper legs, and arms the following day, and a day later, face and tongue Also has had momentary muscle "lag" or weakness in eyelids or legs

Other Meds: Bupropion, Adderall XR, Vyvanse, melatonin, prenatal vitamin

Current Illness: None

ID: 1070633
Sex: F
Age: 70
State: AZ

Vax Date: 02/15/2021
Onset Date: 02/21/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data:

Allergies: peanut butter, shrimp

Symptoms: Patient had hives around injection site about size of her palm 7 days after vaccine

Other Meds: not sure

Current Illness: not sure

ID: 1070634
Sex: F
Age: 71
State: IL

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

Lab Data: None.

Allergies: None.

Symptoms: Sore arm at injection site. Still sore after 27 hours

Other Meds: Vitamin C, Calcium, Vitamins D3, B12, Centrum Adult, Metropolol, Levothyroxine, Omeprazole, Amlodipine, Zolpidem, Simvastatin.

Current Illness: None.

ID: 1070635
Sex: F
Age:
State: GA

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

Lab Data:

Allergies:

Symptoms: My right eye,lips and face had discomfort; My right eye,lips and face had discomfort; My right eye,lips and face had discomfort; I felt malaise for the rest of that day; right sided discomfort; This is a spontaneous report from a contactable nurse (patient). This 38-year-old female patient received dose 1 of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number EK9231) via an unspecified route of administration on 21Jan2021 at 14:00 (at the age of 38-years-old) as a single dose in the right arm for COVID-19 immunization. The patient did not have any medical history. The patient was not pregnant at the time of vaccination. Prior to the vaccine, the patient was not diagnosed with COVID-19. The patient did not have any allergies to medications, food, or other products. The patient reported taking unspecified concomitant medications. The patient did not receive any other vaccines within 4 weeks prior to the vaccine. On 21Jan2021 at 14:30 the patient experienced right sided discomfort. Her right eye, lips, and face had discomfort; not pain but a strange feeling. The patient also felt malaise for the rest of that day (21Jan2021) and the following day. The events were reported as non-serious. The patient was not hospitalized for the events. The patient did not receive any treatment for the events. The outcome of right sided discomfort, right eye, lips, and face discomfort, and malaise was recovered. It was also reported that since the vaccination the patient had not been tested for COVID-19. No follow-up attempts are needed. No further information is expected.

Other Meds:

Current Illness:

ID: 1070636
Sex: F
Age: 44
State: NY

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

Lab Data: N/A

Allergies: Rash after taking Benadryl and Tamiflu

Symptoms: Rash on armpits, ribs/stomach area, neck, lower back

Other Meds: Omeprazole 20mg Breztri inhaler Albuterol inhaler Calcium with vitamin D Probiotics Multivitamin Saline sinus rinse Adapalene facial gel .1%

Current Illness: Asthma secondary to having Covid in December

ID: 1070637
Sex: M
Age: 67
State: WA

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

Lab Data:

Allergies:

Symptoms: Patient felt dizzy/lightheaded after vaccination. This resolved in about 15 minutes. Pt takes no antihypertensives or glucose-lowering medications.

Other Meds:

Current Illness:

ID: 1070638
Sex: F
Age: 56
State: CA

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

Lab Data:

Allergies: None that I know of.

Symptoms: I felt fine for several hours after receiving the shot until about 10PM when I got into bed. As soon as I got into bed, I started shivering and my teeth were "shaking." A few minutes later, I went to the bathroom and had to vomit, then had diarrhea. I then went back to bed. The next morning I felt fine, but just really tired.

Other Meds: None on this date

Current Illness: None. Had COVID in September

ID: 1070639
Sex: F
Age: 71
State: CO

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

Lab Data: no

Allergies: none

Symptoms: I woke up feeling out of sort--drowsy, listless. Around 11 a.m. I went back to bed and stayed there until 3.30. As the day wore on, I felt better and better.

Other Meds: AREDS

Current Illness: no

ID: 1070640
Sex: M
Age: 58
State: WA

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

Lab Data:

Allergies:

Symptoms: patient called reporting testicular pain the evening of the vaccine. It resolved, but is now back again today. I advised him to call PCP.

Other Meds:

Current Illness:

ID: 1070641
Sex: F
Age:
State: CT

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

Lab Data: Test Date: 20210127; Test Name: chest x-ray; Result Unstructured Data: Test Result:unknown result; Comments: to see for heart problems; Test Date: 20210127; Test Name: EKG; Result Unstructured Data: Test Result:unknown result; Comments: to see for heart problems; Test Date: 20210127; Test Name: bloodwork (complete blood work); Result Unstructured Data: Test Result:unknown result; Comments: to see for heart problems; Test Name: heart rate; Result Unstructured Data: Test Result:50-60; Comments: her normal heart rate; Test Date: 20210127; Test Name: heart rate; Result Unstructured Data: Test Result:135; Comments: went up, highest was 135; Test Date: 20210127; Test Name: heart rate; Result Unstructured Data: Test Result:110; Comments: going up and down; Test Date: 20210127; Test Name: heart rate; Result Unstructured Data: Test Result:96; Comments: going up and down; Test Date: 20210127; Test Name: heart rate; Result Unstructured Data: Test Result:105; Comments: going up and down; Test Date: 20210127; Test Name: heart rate; Result Unstructured Data: Test Result:went down that night; Comments: it's been normal since then; Test Date: 20210127; Test Name: checked her heart; Result Unstructured Data: Test Result:unknown result; Comments: to see for heart problems

Allergies:

Symptoms: rapid heartbeat/went up, the highest was 135/went to 110, 96, 105; This is a spontaneous report from a contactable consumer (patient) reported that a 76-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL9261), via an unspecified route of administration on the left arm on 27Jan2021 13:30 at a single dose to protect against Covid. The patient's medical history was not reported. Concomitant medication included as heart medication (unspecified). The patient previously received FLU VACCINE on an unspecified date for immunization. The patient reported that she had the first Pfizer Covid-19 shot last Wednesday (27Jan2021) and got an adverse event, rapid heartbeat. She ended up going to the emergency room and had an EKG, chest x-ray, and bloodwork (complete blood work) to see for heart problems, they checked her heart. Normally her heart rate was about 50-60, but hers went up, the highest was 135. She was monitored, and her heart rate went to 110, 96, 105, and it kept going up and down and then she was later released. It didn't actually go back down to normal until about 8:30-8:45 that night as mentioned once the heart rate went down that night, it's been normal since then. The outcome of the event was recovered on 27Jan2021. She wanted to know if she should get the second one. She was to get the second dose on 17Feb2021 and not sure if she should get it or not, wanted to know what Pfizer recommends.

Other Meds:

Current Illness:

ID: 1070642
Sex: M
Age: 40
State: CO

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

Lab Data: None performed

Allergies: None reported

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA: Patient presents to urgent care one day after vaccination with fatigue, chest tightness, back pain, myalgias, headaches, right arm soreness, and decreased concentration. Patient states had COVID-19 illness in October 2020 and current symptoms are similar. Patient denies facial/throat swelling, palpitations, rash, or lesions and reports some symptom improvement with acetaminophen. Vitals within normal ranges except blood pressure 141/84 attributed to white coat syndrome. Advised to continue acetaminophen and discharged to home stable.

Other Meds: None reported

Current Illness: None reported

ID: 1070643
Sex: F
Age: 67
State:

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

Lab Data: none

Allergies: NKDA

Symptoms: Fever to 102, chills, body aches. Palpitations headache, nausea everything started the day after symptoms lasted until 3/2/2021

Other Meds: ? glyBURIDE (DIABETA/MICRONASE) 5 mg Oral Tab Take 2 tablets by mouth every morning ? Lisinopril (PRINIVIL/ZESTRIL) 5 mg Oral Tab TAKE 1 TABLET ORALLY 2 TIMES A DAY FOR BLOOD PRESSURE CONTROL AND KIDNEY PROTECTION. **Decreased Dose 6/9/20**

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm